Turquoise, peach, rich reds and sunset orange: Rosie's tattoos are a feast for the eyes.
What drew you into the world of tattoos?
It all started when my boyfriend booked in to get his first tattoo. I was 18 at the time. If he was going to get one, so was I! I had always wanted one, but until then hadn't really thought about it or had the guts to go through with it. My family have always been pretty against them. I remember one of my uncles getting a small football team badge when I was younger and everyone hating it.
I've always loved henna and mehndi-style patterns so I decided to start small with a floral design on my foot. I was totally unprepared for the pain that I never got it finished. I just couldn't sit still so there are some wonky lines, but it is mine and reminds me of that time in my life.
It took me three years to pluck up the courage to get another tattoo. When I eventually did, I got a small fortune fish. I am obsessed with lucky symbols and talismans from different cultures and I'm secretly hoping these things will bestow on me some much needed luck! The lovely Sophie Adamson tattooed me and continued to tattoo me for most of my university years. She started my tattoo heyday; in the midst of it I was getting a new tattoo every week. I just loved spending time with Sophie and, of course, I adored everything she created for me.
Right now, they're kind of a hobby and also a labour of love. Being involved in Things&Ink has opened a whole world of tattooing to me. I can interview, write about and research tattoos for hours! Without the magazine and blog I probably wouldn't be as tattooed as I am and I wouldn't have found so many awesome artists. Also my list of people I need work from wouldn't be so long or frustrating. Tattoos have allowed me to meet some awesome people, make new friendships and travel the country. I'll always be grateful to Alice (the editor) for the wonderful opportunity she has given me.
Why do you think that tattoos help people feel more confident?
I'm not sure about everyone else, but with every new tattoo, I begin to love my body that little bit more. I see it as an empty canvas that I can fill. A tapestry that I alone can weave and create, a thing that I can change in a positive way rather than something that I feel negatively towards. I can make it my own and no one else can dictate what I decide to do with it. Now when I look at my body, I see the blank spaces that need filling, the possibilities and the gaps that have been mapped out for artists and ideas. Tattoos have become a way for me to celebrate myself and my body, a way for me to not only express and explore myself but find out what I find important in life.
Tattoos are beautiful pictures that we carry with us. They become a part of us. They sink into the skin, capturing memories, a moment and the person you are today.
If you had to explain what a tattoo is to a child, what would you say?
It depends whether an artist has drawn some flash that I love or whether I love their style and want them to create something. My left sleeve by Lucy O'Connell is two years in the making. I've always loved oriental styles, culture and objects. A trip to Vietnam last year to visit a friend really cemented my love for the Far East. I fell in love with the country that I saw from the back of my friend's moped, from the beautiful pagodas to the street food. Being in a completely different country with some of my closest friends really helped me decide what direction I wanted my arm to go in. This sleeve is not just beautiful, it's a tribute to the time we spent together and how important these people are to me.
Is a tattoo artist's personality important to you? I know someone who makes sure she meets the artist before deciding to go ahead with them.
I tend to get tattooed by mainly women, who I always feel more comfortable with anyway. I guess I just prefer the company of women. I also find that the styles of tattoo that I go for - bright, colourful and girly - tend to reflect those who create them. I have met a couple of tattooists at conventions that I didn't click with or I got a bad vibe from and so I won't be getting tattooed by them, no matter how much I like their work. If I get on with someone I definitely tend to get tattooed by them more, especially if they enjoy tattooing what I have commissioned. If I have fun - well, as much fun as you can have getting tattooed - I usually feel a lot better about the tattoo. I associate the person, jokes, music or the time in general with how I feel about the completed tattoo.
You work in digital media and I wondered how you feel Instagram has changed the tattoo scene?
I've only known the tattoo scene since Instagram. Before then I didn't know a lot about it, except just the local shop in our town. I think it's amazing for the industry. There are so many amazing artists to discover and find all over the world. I spend way too much time on Instagram, finding new tattoo inspiration and generally wasting time! Everyone I have been tattooed by I found on Instagram and anyone I have chatted to for the magazine or blog I have found on the app. Instagram opens up tattoos to copycats and trends, but it also allows us to feel a wider sense of community and belonging.
What advice would you give someone who was thinking about getting their first tattoo?
Firstly, find a good artist whose style you love – there really is no excuse with social media now. Don't just go to your local artist because they're cheap or your friend went - tattoos are worth travelling for. They're an investment, they're worth waiting for. It's great to draw inspiration from other people's work, but get your artist to draw something custom for you – it'll have more meaning and will age better with you in the long run. Saying that, not every tattoo has to have some grand meaning or story. With each new one I get I tend to notice them less. They just become a part of me that will always be there. Be true to yourself, don't follow fashions, these are fleeting, it is your skin forever, adorn it with beautiful things and just do it!


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Breast Cancer Survivor Shuts Down "Pink" Campaigns
Story from Wellness
A Breast Cancer Survivor Got Real About Those Pink Ribbons You See Everywhere In October
Kimberly Truong
Right when October rolls around, it's almost impossible to avoid the pink ribbons and apparel that signal National Breast Cancer Awareness Month. But while those items may have good intentions behind them, pink ribbons don't tell the whole story about breast cancer.
Tracie Marie, a breast cancer survivor, spoke out on the truth about "pinkwashing" campaigns in an honest Facebook post in which she shared a photo of her double mastectomy scars.
"While the majority of people believe that Breast Cancer is a pink ribbon, a pink Pom Pom, a pen with a pink ribbon, a tote with a pink ribbon, an encap at your local Walmart engaging you to be a 'part of the cure,'" she wrote. "First, a hard reality, you are not being part of the cure, you're just throwing your money away to propaganda, uniforms for NFL cheerleaders, and kiosk after kiosk with items from handbags to ziplock bags."
Marie's points echo that of what critics of pink ribbons have been saying for years, which is that the money raised for "awareness" actually does very little for breast cancer patients in the long run. While we've raised a lot of money for breast cancer awareness and research, many terminal breast cancer patients feel they have been forgotten.
"A pink ribbon isn't the men and women fighting for their lives with metastatic breast cancer," she wrote.
Marie also dismantled other myths about breast cancer, writing that it's often sexualized, and shutting down the idea that survivors get "free boob jobs."
"Showing models with fake scars, beautiful bodies and breasts with the strap so perfectly dangling from her shoulder," she wrote. "That's not what Breast cancer is. It's CTs, surgeries, amputations, biopsies, MRIs, X-rays, radiation, chemo, IVs, blood tests, fear, worry, hate, anger, confusion, sadness, loneliness, medications, check ups, anxiety, depression, insomnia, pain."
Marie is now out of treatment, and doctors declared that she has "NED," or "no evidence of disease," but she still has to attend doctors' appointments, counseling, physical therapy, and pain management.
Since she posted her photo on Facebook two weeks ago, it has gone viral with over 185,000 shares at the time of writing.
"I always fought against pink since diagnosis," she tells Refinery29. "It's like you don't see it but then after diagnosis it's like a sea of pink flooding everywhere I go and a sea of women denied help from the very people who make so much but constantly are 'out of funds' to help."
She says that she hopes to not only support fellow survivors by listening, but also to use her voice to speak up about what can actually help them.
"All I can hope for is to do something good with my life and having had cancer," she says. "Use my voice!"
October is National Breast Cancer Awareness Month. For more stories about detecting, treating, or living with breast cancer, click here.
The Secret Suckiness Of Life After Breast Cancer
What Happens When You're Told You're "Too Young" To Worry
Breaking Up With My Time-Bomb Breasts
Breast Cancer Survivor Mastectomy Scars Pinkwashing
#Cancerland • Health Trends • Wellness
written by Kimberly Truong
Photographed by Eylul Aslan.
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redpajama_set_name: RedPajamaCommonCrawl


It was judged the top deal in the European category and one of the Islamic finance Deals of the Year 2013.
The legal team in Guernsey led by Mark Helyar was instrumental in devising the structure, the Sukuk Wakalah Programme, on behalf of the European insurance Group FWU. The deal was US$ 100 million in size and the first tranche of $20 million closed in October. Islamic Finance News, described as the world's leading Islamic Finance News provider, judged this deal to have stood out as innovative amongst the deals undertaken in Europe in 2013.
Bedell was Guernsey counsel to the issue and the issuer and worked alongside the European Islamic Investment Bank, Rasmala Group and legal firm Morgan, Lewis and Bockius.
Its further recognition for the Guernsey office which was awarded 'Offshore Law Firm of the Year' in the UK Captive Service Awards 2013 and for the firm as a whole, which amongst recent accolades won the 'Offshore Law Firm of the Year' category in the prestigious new Legal 500 UK Awards 2013.


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Charly Musonda
Charly Musonda's first words as Chelsea winger heads out on loan again with return to Holland
The 22-year-old Chelsea winger has returned to Vitesse after an injury-hit campaign in Holland last season
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Chelsea winger Charly Musonda has returned to Holland after joining Vitesse Arnhem on loan again.
The 22-year-old has returned to the Eredivisie club on a season-long loan after missing the majority of the last campaign through injury, having joined Vitesse on loan from Chelsea last summer.
However, the Belgian winger was injured in a friendly match against FC Antwerp and was restricted to just one competitive appearance for the Dutch side, which came as a substitute against De Graafschap on Sunday, May 12.
What the Chelsea transfer ban means for the Blues' 'loan army' next season
And now, after returning to the club for the 2019/20 season, Musonda has vowed to make up for lost time.
"I am very keen to show the real Charly Musonda," he said, speaking to the Dutch club's website .
"Last season I had a lot of bad luck with the injury. I feel good again now and want to show I can be of added value to Vitesse."
Meanwhile, Vitesse technical director Mo Allach has said that he hopes Musonda will join the selection soon, describing him as a player with "a lot of potential" and adding that it could be "a lot of fun" with him in the team.
Charly Musonda Jr (Photo by Shaun Botterill/Getty Images)
This is the latest loan spell for Musonda in recent years, having previously spent time in Spain, Scotland and Holland with Real Betis, Celtic and Vitesse respectively.
Charly Musonda, Tomas Kalas and all the other confirmed transfers involving Chelsea this summer
Musonda played 24 times for Real Betis during his time on loan in Spain between January 2016 and February 2017, while he made his Premier League debut for Chelsea in a home game against Burnley in August 2017.
In total, Musonda played seven times for Chelsea in the 2017/18 season, before being loaned to Celtic for the second half of the campaign, where he featured eight times for the Scottish champions.
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The winger then joined Vitesse last August, but a serious knee injury ruled him out for almost the whole season.
He has since been back at Chelsea's training ground at Cobham as he looked to build up his fitness ahead of the new season, and now, he will be hoping for a better 2019/20 campaign.
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You may have noticed some activity near the intersection of Hwy. 9 and Torrington Drive. That area is being prepped to become the new home for the recycling bins currently located at Radar Ridge. While it will be a few more weeks before the site is ready, Lumpkin County is grateful to Windstream for allowing us to use their property to set up this much needed service.


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Music And DVDs
One Heart [2003/CD]
Highlights of this album include a rendition of the Roy Orbison classic, "I Drove All Night". Features songs produced by Ric Wake, Anders Bagge, Kristian Lundin, Peer Astrom, Max Martin, Mark Taylor, Erick Benzi and Humberto Gatica, among others.
Love Is All We Need
In His Touch
Stand By Your Side
Sorry For Love (2003 Version)
Have You Ever Been In Love
Coulda Woulda Shoulda
I Know What Love Is
Je t'aime encore


Nancy Toomey Fine Art is pleased to announce an exhibition of works by Carole Silverstein entitled arabesque on view from March 15 to April 29, 2017. The gallery is located inside San Francisco's newest art complex Minnesota Street Project, 1275 Minnesota Street.
Carole Silverstein's dense and intricate paintings embody an extravagant beauty. They optically mesmerize and seduce. The trance-like elaborate patterns are painted by hand, often traced through the translucent Mylar and then altered. The process is repetitive, obsessive, and devotional. She begins each painting with a pattern, not knowing how it will grow and develop into a composition. Due to metallic and translucent paint passages, the surfaces are both matte and reflective. One's spatial experience of the paintings changes according to the light and one's movement in the room. Responding to the contemporary speed of technology, the paintings invite a meditative slowness.
The term "arabesque" refers to a motif of intertwining or interlocking flowing lines, serpentine and sinuous, that is often found in Islamic art and architecture, like the tiled walls of mosques. It is also a metaphor for infinite connection, a celebration of a diversity of forms within an underlying order of unity consciousness. Silverstein explores similar ideas finding them in many cultures in patterns such as Celtic knots, Japanese clouds or waves, and Spanish interlace, among others. The forms she chooses constitute an infinite pattern that extends beyond the material world, yet often get broken in some way (like the 'Persian flaw' intentionally woven into Persian carpets). She explores ideas of sameness and difference, harmony and discord, the human and the divine.
Carole Silverstein is a Los Angeles based artist who received her MFA from Queens College CUNY and BFA from The School of The Art Institute of Chicago. Silverstein's art has been shown in galleries and alternative venues throughout the United States, and was featured in a traveling exhibition in London, Paris, Berlin, Manila, Cape Town, and Johannesburg. In addition to numerous private collections, her work is in The Salser Collection, Art for Healing, Art in US Embassies in Djibouti, and Citibank. Her art was in the exhibition We Must Risk Delight: 20 Artists from Los Angeles at the Magazzino del Sale at the 2015 Venice Biennale. Two Artist Materials Grants were given as support to Silverstein during her sabbatical year 2016-2017. She has been using Grafix Drafting Film as well as Daler Rowney's Acrylic Inks for many years, and wishes to thank them for providing materials for this show.
arabesque is Silverstein's first exhibition with Nancy Toomey Fine Art.


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January 19, 2023 Kidman J. Williams 0
by Kidman J. Williams Of all of the immortal figures in United States' history, nobody is more deserving of their own holiday than Dr. Martin Luther King Jr. His dream of a world where all men, women, and children are treated as equals seems as far away in some respects […]
December 14, 2022 Kyle K. Mann 0
It slowly becomes clear, listening, that this is an important statement on a topic many if not most of us can understand, the permanent loss of someone near and dear to us.
October 30, 2022 Kidman J. Williams 0
by Kidman J. Williams What is there to say about Lewis that isn't going to be regurgitated and put out there a hundred times like a shitty mass-produced whiskey? Jerry Lee Lewis was a rare vintage. He was tastes of Louisiana honey mixed with fine corn mash along with rare […]
September 15, 2022 Karene Horst 0
We drove past the outskirts of town to tour the mines. We entered one of several tunnels cut horizontally into the side of an ancient volcano crater. Above ground we clambered through rubble left behind by the quarrying, picking through piles of rock for clear quartz crystals and amethyst. Anything we could carry home we were welcome to take. I gathered small pieces to share as souvenirs, thrashing my goal of traveling light. We all darted around the man-made hills of sparkling stones like kids in a candy store.
September 8, 2022 Karene Horst 0
Then my daughter made the most fantastic suggestion. "Why don't you go to Uruguay."
August 8, 2022 Kidman J. Williams 0
by Kidman J. Williams We need more gays in this world right now. Our world is in desperate need of their whimsical humoristic cattiness and their fluent disdain for boring clothes. We need more lesbians coming out of the closest and heading onto an Olivia Cruise, adopting wonderful children that […]
July 21, 2022 Gonzo Today 0
The boy leans over, picks up a rock, and throws it. The rock hits the coyote. The animal lets out a yelp, dropping whatever was in its mouth, and taking off down the trail. The boy puts his feet on the pedals and slowly rides closer. Damp dark dirt is scattered around where the coyote was digging. Something long is protruding from under the fence but then sticks up at a right angle reaching to the sky. Still straddling his bike, the boy leans in for a closer look.
"Gross," the boy says in an awed whisper, as he pulls out his cell phone.
July 18, 2022 Peter W. Burchard 0
There's insider trading that's not for you (take Feinstein, Clinton or many other high-ranking politicians), or Martha Stuart. At least she had the balls and the integrity to concede she had done wrong, go to jail, and serve her time. Can't think of anyone else.
July 14, 2022 Steve Corbett 0
Squealing with excitement, Kateryna raced back into the room.
"The men outside my window blew me kisses. Oh, my God, they're so cute. They have rifles."
"They're our heroes," Svitlana said.
July 13, 2022 Kidman J. Williams 0
by Kidman J. Williams From our private conversations on Facebook Messenger: Ryan: I've wanted to do an interview with you guys forever. How do you like the book? Kidman: I brought it with me to read at night. The book is great so far. Ryan: Do I get one of […]


Last month, I tried a new type of Needlepainting for the first time, in the amazing FREE Lolli & Grace Autumn Leaf Stitch Along (SAL) on Instagram! Anne, @lolliandgrace, the designer of colourful, cheerful and absolutely charming hand embroidery designs (see her Etsy shop for more), very kindly and generously put together this beautiful design and showed us how to stitch it with incredibly helpful video tutorials.
To me, the technique of Needlepainting usually brings to mind the exquisite details of silk Long and Short Stitch embroidery, usually worked with a single strand of thread with natural and subtle shading. This is a casual, relaxed, much chunkier version of Needlepainting, using four strands of thread at a time and a variety of high contrast colours (my absolutely favourite part of this design are the touches of bright blue!).
Honestly, I was really nervous about trying the colour blending in the center Maple Leaf. But thanks to Anne's encouragement, it was easier than I thought it would be and now I'm eager to try more Needlepainting! It's stitchy magic - you start adding the darker colours, in this case my red and brown, then layer the medium tones and finally add the lighter tones as highlights. I learned to stagger my stitches between long and short, but you don't pack them together in the rigidly long-short-long-short pattern you see in stitch dictionaries. It's very much instinctual, and I only started to enjoy it when I let go of the idea of perfection and just added colours where I felt they would work.
This was a little difficult at first, since the colours are not the traditional close tone shading, but once I had sorted them in my mind (a little arbitrarily) into my dark, medium and light colours it was a lot easier. I thought of it as: a bit of dark, lots of medium and a little light. The bright blue (806), for example, I thought of as a highlight, even thought it's a medium colour shade.
I wanted it to look like that beautiful golden late Autumn honeyed sunlight was shining on my Maple Leaf, so I deliberately kept the left side darker and added the brighter yellows and oranges on the right. As Anne said, you can go back and add a few stitches if there's any blank areas or you need more colour. I tried to add a few small groupings of two or three stitches with the same colour here and there to break up the stripe-y look.
I also really enjoyed learning the Pearly Leaf Stitch for the bottom branch!
French Knots are my Stitchy Nemesis, so I'm very proud of these nice plump berries!
I also added some Straight Stiches to the middle of the Lazy Daisy leaves for extra colour, and a few extra French Knots (gasp!) to the branch on the right. I do have a few little puckers in the fabric, since the Maple Leaf is stitched so heavily, but I'm optimistic that they will come out during finishing. I'm not sure what I'm going to make with it, probably not a hoop. A friend suggested a tote bag, which might be nice. For now, it will happily join the others in my project drawer.
Have you ever tried Needlepainting? Would you like to?
What a beautiful design! Your colours are so lovely, very autumnal and you have done such a lovely job of stitching it all up. This looks like a great SAL! I'll be looking her up on Instagram for sure!
Aurelia, wow! What an incredible project - you are very talented.
@ Catherine: Thank you so much Catherine! Anne's Instagram is so inspiring, she has an amazing colour sense 😊 I would never have thought of including blue in an Autumn palette in a million years but I love the way it looks!
Wow that's beautiful! Congrats on the adorable finish.
Thanks so much for your kind words Katie!
Only, like, 80 billion years behind on commenting... This looks amazing! Blue needs to belong in everything, yep. I have only heard of needlepainting but haven't really looked into it. I like the idea of letting go of perfection and adding colors where they work -- a lot! And French Knots aren't so bad, especially in projects where they can be messy haha. I bet this whole thing is a delight to touch. A tote bag sounds like a nice way to utilize it, or a round pillow, or in a clear pie pan.


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Call of Islam
Path towards Enlightenment
Day of Insight and allegiance with Leader
On the 9th of the Iranian month of Dey, 1388 (December 30, 2009), the Iranian nation created a glorious epic, a multi-million strong epic in support of the ideals of the Islamic Revolution and the Leader of the Revolution, Ayatollah Seyyed Ali Khamenei.
Ayatollah Khamenei dispels misperceptions about Sacred Defense
Leader of the Islamic Revolution Ayatollah Seyyed Ali Khamenei said Iran's decisively victorious defense against foreign-backed forces of Iraq's former dictator Saddam proved that invading the country is a "very costly" undertaking.
Ghadir – the Greatest Eid of Islam
Iran is basking in the Ten Days of Wilayah in the Islamic month of Zilhijja while marking the auspicious occasions in the blessed life of the Infallible Ahl al-Bayt of the Prophet of Islam, culminating in the Grand celebration of Ghadir on the 18th of this month on which in the year 10 AH, on God's express commandment, Imam Ali ibn Abi Taleb (AS) was proclaimed Vicegerent by Prophet Mohammad (blessings of God upon him and his progeny).
Imam Khomeini's rightful successor
The Iranian nation and the Islamic world lost an unmatched leader on June 4, 1989. He was none but Imam Khomeini (God's mercy upon him). He was a great leader who stood firmly and resolutely against the internal tyranny and the external hegemony till the last moment of his life.
Leader on the ultimate goal of establishment of Islamic civilization (4)
Leader of the Islamic Revolution, Ayatollah Seyyed Ali Khamenei, delivered a memorable speech to the nation via videoconferencing on May 17 with the participation of several student groups and academicians, some of whom before His Eminence's guidelines expressed their viewpoints on the current affairs of the country.
In memory of a magnetic man
We offer condolences to you on the 31st anniversary of the passing away of the Father of the Islamic Revolution Imam Khomeini (God's mercy upon him), and present you a special feature in this regard.
Leader on Coronavirus: Iranians record another historic Jihad 2
Leader of the Islamic Revolution, Ayatollah Seyyed Ali Khamenei, on May 10 in his speech through videoconference with the participation of President Hassan Rouhani, members of the National Anti-Coronavirus Headquarters and senior military commanders, said that while the US and Europe have failed to contain the Coronavirus pandemic, the Iranian nation has recorded another historic jihad.
Rouhani: Ball now in Biden administration's court
Iran embraces Qatar's call for regional dialogue
Iran opposes Saudi presence at disarmament conference
US wants 'longer, stronger' deal with Iran, US secretary of state-designate claims
US decision to sanction Yemen's Ansarullah badge of pride for movement: Spokesman
Army Ground Force to stage war game in southeast Iran
Russia sends more troops to Syria's Hasakah after US deployment
US must stop hostility, recognize Iran as regional power: UN ambassador
Iran, Turkey sign accords for Pakistan, China railway link
Iran's IKCO unveils home-made three-cylinder car engine
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Issues & Events


The network of Sea Grant programs throughout the U.S. contribute to education and management efforts about the threat of invasive species to marine and coastal environments. One particular species of concern is the lionfish (Pterois volitans), also commonly known as the red lionfish or turkey fish.
The South Atlantic Sea Grant programs are working to integrate research and outreach program to address the introduction and spread of lionfish in the waters of the Caribbean and Western Atlantic Ocean.
Though native to the Pacific, lionfish are increasing in range and abundance in this area. Genetic studies indicate that Atlantic populations of lionfish are likely all descendents of a few individuals, supporting the widely held belief that lionfish were introduced into the Atlantic as a result of accidental or deliberate release of aquarium pets.
Regardless of the method of introduction, the prolific spread of these invasive species with few known predators in the Atlantic Ocean ecosystem is cause for concern. Lionfish directly compete with ecologically and commercially important native finfish species.
Breeding populations from Florida to North Carolina have been established. Since 2000, lionfish have spread from coastal Florida throughout the Western Atlantic. Bermuda and the Bahamas have initiated programs to cull lionfish, and Bahamians are being encouraged to eat lionfish as an alternative to grouper. In January 2009, the first lionfish was reported in the Florida Keys. That fish was successfully captured, though it's likely that more lionfish will settle in the Keys in the near future.
The recent nature of the invasion of lionfish in the Atlantic Ocean means that environmental and impacts of its invasion have largely not been measured. Many natural resource management agencies in the region are moving forward with management actions and discussion of management alternatives.
Efforts at controlling lionfish have had mixed results at best. The prevailing strategy in shallow-water areas in the Caribbean and Florida Keys is to try and prevent infestation by early detection of lionfish and rapid removal of these fish using a team of trained divers. However, genetic studies have shown that the present source of lionfish in the Bahamas and the rest of the Caribbean is adult fish found off the southeastern Atlantic states. If efforts are not made to reduce the population of lionfish on the continental shelf of the US, there will continue to be a source of larvae to re-supply the shallow-water habitats.
Research is needed to develop approaches applicable to shallow habitats such as those found in the Florida Keys and Caribbean as well as deeper water habitats off north Florida, Georgia and the Carolinas. Further, research needs to be coupled with an extension/outreach program that can engage fisheries managers, divers, and anglers in the development of relevant projects.


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Q: Python Page Rank Streaming Application using Hadoop, py4j.protocol.Py4JJavaError: An error occurred while calling o27.partitions I am trying to pass the page rank algorithm from simple python code to a Streaming application using python in spark which takes input according to a specific time (10) seconds in this case from another python script that place files into the directory, and this script was supposed to take them according to the time and analyze them , and when i run the following code i get error, which i do not know what cause the error, i tried to get .csv files,
import sys
from pyspark import SparkContext
from pyspark.sql import SparkSession
from pyspark.streaming import StreamingContext

def main(input_folder_location):
sc = SparkContext.getOrCreate()
ssc = StreamingContext(sc, 10)  # Streaming will execute in each 3 seconds
ssc.checkpoint(input_folder_location)  # 'mean directory name, Directory to be checked

links = spark.sparkContext.textFile(input_folder_location). \
    map(lambda line: line.split(',')). \
    map(lambda pages: (pages[0], pages[1])). \
    distinct(). \
    groupByKey(). \
    map(lambda x: (x[0], list(x[1])))

ranks = links.map(lambda element: (element[0], 1.0))
# iterations = int(sys.argv[3])
iterations = 4

    for x in range(iterations + 1):
    contribs = links.join(ranks).flatMap(lambda row: computeContribs(row[1][0], row[1][1]))
    print("\n")
    print("------- Iter: " + str(x) + " --------")
    ranks = contribs.reduceByKey(lambda v1, v2: v1 + v2).map(lambda x: (x[0], x[1] * 0.85 + 0.15))
    for rank in ranks.collect():
        print(rank)
    print("\n")

print("------- Final Results --------")
for rank in ranks.collect():
    print(rank)

ssc.start()
ssc.awaitTermination()

def computeContribs(neighbors, rank):
for neighbor in neighbors:
    yield (neighbor, rank / len(neighbors))

if __name__ == "__main__":
if len(sys.argv) < 2:
    sys.stderr.write(
        "Error: Usage: StreamingApp.py <input-file-directory>")
    sys.exit()

spark = SparkSession.builder.getOrCreate()
spark.sparkContext.setLogLevel("WARN")

main(sys.argv[1])

A: import sys
from pyspark import SparkContext
from pyspark.sql import SparkSession
from pyspark.streaming import StreamingContext

def computeContribs(neighbors, rank):
    for neighbor in neighbors:
        yield (neighbor, rank / len(neighbors))
def main(input_folder_location):
sc = SparkContext.getOrCreate()
ssc = StreamingContext(sc, 3)   #Streaming will execute in each 3 seconds
lines = ssc.textFileStream(input_folder_location)  #'log/ mean directory name
print(" hello from app")
counts = lines.map(lambda line: line.split(",")) \
.map(lambda pages:(pages[0],pages[1])) \
.transform(lambda rdd: rdd.distinct()) \
.groupByKey() \
.map(lambda x: (x[0],list(x[1])))

  ranks = counts.map(lambda element:(element[0],1.0))
iterations = 5
for x in range(1):
    contribs = counts.join(ranks).flatMap(lambda row: computeContribs(row[1][0],row[1][1]))
    print("\n")
    print(" iter --------------",x)
    ranks = contribs.reduceByKey(lambda v1,v2:v1+v2)
    print("\n")
#counts.pprint()
ranks.pprint()

print(" finishing the task")
ssc.start()
ssc.awaitTermination()

if __name__ == "__main__":
     if len(sys.argv) < 2:
        sys.stderr.write(
        "Error: Usage: StreamingApp.py <input-file-directory>")
        sys.exit()

spark = SparkSession.builder.getOrCreate()
spark.sparkContext.setLogLevel("WARN")

main(sys.argv[1])

redpajama_set_name: RedPajamaStackExchange


Comments : Taken with traps in 200/300m .
Please keep me informed when a similar specimen (Nautilus-macromphalus -[NEW CALEDONIA](Sowerby, 1849)) is available.
This unique specimen developed a dark brown line . Live collected, natural lip, giant size. A top item in any collection !


text:
namespace Teleimot.Services.Data
{
    using System;
    using System.Linq;
    using System.Linq.Expressions;
    using Contracts;
    using Teleimot.Data.Models;
    using Teleimot.Data.Repositories;

    public class CommentsService : ICommentsService
    {
        private readonly IRepository<Comment> comments;

        public CommentsService(IRepository<Comment> comments)
        {
            this.comments = comments;
        }

        public IQueryable<Comment> GetAllByRealEstate(int realEstateId, int skip, int take)
        {
            return this.SortAndPageComments(c => c.RealEstateId == realEstateId, skip, take);
        }

        public IQueryable<Comment> GetById(int id)
        {
            return this.comments
                .All()
                .Where(r => r.Id == id);
        }

        public IQueryable<Comment> GetAllByUser(string username, int skip, int take)
        {
            return this.SortAndPageComments(c => c.User.UserName == username, skip, take);
        }

        public int AddNew(Comment comment, string userId)
        {
            comment.CreatedOn = DateTime.UtcNow;
            comment.UserId = userId;

            this.comments.Add(comment);
            this.comments.SaveChanges();

            return comment.Id;
        }

        private IQueryable<Comment> SortAndPageComments(
            Expression<Func<Comment, bool>> filterExpression,
            int skip,
            int take)
        {
            return this.comments
                .All()
                .Where(filterExpression)
                .OrderBy(c => c.CreatedOn)
                .Skip(skip)
                .Take(take);
        }
    }
}

redpajama_set_name: RedPajamaGithub


text:
River Ave. Blues » Sharif Othman
Yankees lose Mike Ford, five others in 2017 Rule 5 Draft
December 14, 2017 by Mike Leave a Comment
Ford. (NY Times)
The Winter Meetings came to a close this morning with the 2017 Rule 5 Draft, baseball's mechanism for helping players stuck in the minors get a chance at the big leagues. As expected, the Yankees lost several players in the Rule 5 Draft. That's usually what happens when you have a deep farm system. There aren't enough 40-man roster spots for everyone.
Here are the full Rule 5 Draft results. Here are the players the Yankees lost in the Major League phase:
Braves: RHP Anyelo Gomez
Mariners: 1B Mike Ford
Orioles: LHP Nestor Cortes and RHP Jose Mesa Jr.
I'm surprised Ford was picked, despite his strong minor league numbers. The 25-year-old hit .270/.404/.471 (144 wRC+) with 20 homers and way more walks (94) than strikeouts (72) this season, mostly at Double-A. Ford is only the fourth full-time first baseman picked in the Rule 5 Draft over the last two decades. I guess the Mariners will see whether he and Ryon Healy can be a productive first base platoon going forward.
The three pitchers getting selected was not a surprise. Gomez is the most notable and best prospect of the bunch. The soon-to-be 25-year-old has an upper-90s fastball and a very good changeup, and this past season he broke out with a 1.92 ERA (2.19 FIP) and 31.0% strikeouts in 71 innings at four levels. Cortes has always posted great minor league numbers, though he's a finesse southpaw who rarely cracks 90 mph with his heater. Joe Table II has okay stuff and started to put it together this year. RHP J.P. Feyereisen and RHP Cale Coshow were among those Rule 5 Draft eligible but not selected.
As a reminder, players selected in the Rule 5 Draft must spend the entire 2018 season on their new team's active 25-man roster, or be placed on waivers and offered back to their old team. Most Rule 5 Draft players are offered back, usually before the end of Spring Training. I think Gomez has by far the best chance of sticking among the four players the Yankees lost today. The O's do have a history of riding it out with Rule 5 Draft players no matter how poorly they perform, however, so perhaps Cortes and/or Mesa will stick.
In the minor league phase of the Rule 5 Draft, the Yankees lost depth C Sharif Othman (Marlins) and converted infielder RHP Yancarlos Baez (Twins). The Yankees selected OF Junior Soto from the Indians as well. The 20-year-old hit .172/.208/.408 (67 wRC+) in 52 Low-A games last season. Soto was a big deal as an international free agent years ago — he signed for $600,000 in 2013 — but things haven't worked out. The Yankees are taking a flier because why not?
The minor league phase of the Rule 5 Draft works differently than the Major League phase. Players lost in the minor league phase do not have to be offered back and there are no roster rules. They're just gone. So, after all that, the Yankees lost six players (Ford, Gomez, Cortes, Mesa, Baez, Othman) and added one (Soto). The four Major League phase guys could all end up coming back at some point. Pretty much business as usual at the Rule 5 Draft.
Filed Under: Transactions Tagged With: 2017 Winter Meetings, Anyelo Gomez, Atlanta Braves, Baltimore Orioles, Cleveland Indians, Jose Mesa Jr., Junior Soto, Miami Marlins, Mike Ford, Minnesota Twins, Nestor Cortes, Rule 5 Draft, Seattle Mariners, Sharif Othman, Yancarlos Baez
DotF: Austin heads to winter ball, Abreu dominates in AzFL
October 29, 2017 by Mike Leave a Comment
Last week SS Thairo Estrada finished third in the annual Arizona Fall League Hitting Challenge behind Twins 3B Chris Paul and Mets C Tomas Nido. During the Hitting Challenge players aim for targets on the field to accumulate points. It's pretty neat. The video is above. Here are some minor league notes:
SS Gleyber Torres has started hitting off a tee as he continues his rehab from Tommy John surgery, according to his Instagram feed. Good news. Seems everything is going well. Torres blew out his non-throwing elbow sliding into home plate in June and is expected to be ready in time for Spring Training.
Both 3B Miguel Andujar and 1B Tyler Austin will play winter ball in the Dominican Republic this winter, according to MLB Pipeline. Austin missed a bunch of time with injuries this past season, and could be a 40-man roster casualty this winter. Andujar needs to work on his defense. The more reps, the better.
LHP Justus Sheffield (No. 1) topped last week's Prospect Hot Sheet following his dominant Arizona Fall League debut, then both RHP Albert Abreu (No. 2 ) and OF Estevan Florial (No. 7 ) made this week's Prospect Hot Sheet. I can't remember the last time the Yankees had this strong a group of prospects in the AzFL.
Player development analyst Dan Greenlee has left the Yankees to join Gary Denbo with the Marlins, reports Joel Sherman. Greenlee will be Miami's director of player personnel, which is quite the promotion. He'd been doing minor league analytical work for the Yankees.
The Yankees have started interviewing internal candidates to replace Denbo, reports George King. Pro scouting director Kevin Reese, director of minor league operations Eric Schmitt, director of performance science John Kremer, and field coordinator Carlos Mendoza have interviewed so far.
So long, 1B Ji-Man Choi. He elected free agency, reports Matt Eddy. We'll always have those dingers. Also, the Yankees re-signed C Sharif Othman. The organizational depth catcher hit .223/.265/.345 (74 wRC+) in 72 games at three levels in 2017.
SS Thairo Estrada: 10 G, 16-41, 9 R, 2 2B, 1 HR, 6 RBI, 1 BB, 9 K, 2 HBP, 2 SB (.390/.432/.512)
OF Estevan Florial: 10 G, 12-38, 9 R, 3 2B, 1 3B, 3 RBI, 6 BB, 18 K, 1 HBP, 1 SB, 1 CS (.316/.422/.447) — Josh Norris said Florial got chewed up by breaking balls in one of the games he saw, which included six swings and misses on breaking stuff
SS Kyle Holder: 6 G, 10-24, 3 R, 1 3B, 1 HR, 5 RBI, 1 BB, 2 K, 1 HBP, 1 CS (.417/.444/.625) — he's on the taxi squad, so he only plays Wednesdays and Saturdays
1B/OF Billy McKinney: 9 G, 11-36, 5 R, 3 2B, 1 3B, 1 HR, 17 RBI, 4 BB, 6 K, 1 HBP (.306/.372/.528) — so far he's played five games at first base, three in left field, and one at DH … some AzFL parks are equipped with Statcast, and among the games recorded, McKinney had one of the ten hardest hit balls
RHP Albert Abreu: 3 G, 3 GS, 15 IP, 9 H, 2 R, 2 ER, 3 BB, 15 K, 1 HR (1.20 ERA and 0.80 WHIP)
RHP Cody Carroll: 5 G, 7 IP, 2 H, 0 R, 0 ER, 4 BB, 11 K (0.00 ERA and 0.86 WHIP)
RHP Andrew Schwaab: 5 G, 4.1 IP, 5 H, 4 R, 4 ER, 3 BB, 2 K, 1 HB (8.31 ERA and 1.85 WHIP)
LHP Justus Sheffield: 4 G, 4 GS, 19 IP, 13 H, 6 R, 5 ER, 2 BB, 21 K, 1 WP (2.39 ERA and 0.79 WHIP) — Josh Norris has a write-up of Sheffield's second AzFL start, and said his stuff was as good as his first start … "The 21-year-old sat between 94-97 mph with his fastball for most of his 4.1 inning out and touched 98 once. Just like he did on Tuesday, he also showed two potential plus offerings in his mid-80s slider and high-80s slider," said the report.
Filed Under: Down on the Farm Tagged With: Carlos Mendoza, Dan Greenlee, Eric Schmitt, Gleyber Torres, John Kremer, Kevin Reese, Sharif Othman
DotF: Rutherford reaches base three times in Opening Day loss
At long last, the 2017 minor league regular season has arrived. The Yankees have a loaded farm system and this should be a pretty fun year. Even after RHP James Kaprielian complained about pain in his elbow that will send him into various MRI tubes. Blah. Baseball can be such a jerk sometimes. Here are some notes before we get to the Opening Day games:
High-A Tampa finally released their roster earlier today. RHP Dillon Tate is not listed on any of the four full season affiliate rosters and I'm not sure why. There's been no word about an injury, so the Yankees probably held him back in Extended Spring Training. They've been working with Tate on all sorts of mechanical stuff since the trade last year, trying to get him back to his fourth overall pick form. We'll see when he pops back up.
OF Jake Cave (knee), 1B Chris Gittens (unknown), LHP Chaz Hebert (elbow), RHP Brody Koerner (unknown), RHP Branden Pinder (elbow), LHP James Reeves (elbow), RHP Nick Rumbelow (elbow), and LHP Stephen Tarpley (unknown) will all start the year on the DL, according to Donnie Collins and Nick Flammia. Hebert, Pinder, and Rumbelow are rehabbing from Tommy John surgery.
LHP Miguel Sulbaran, who came over from the Twins in the Eduardo Nunez trade, has been suspended 25 games for violating the minor league drug program, MLB announced. The 25-game ban indicates he tested positive for a drug of abuse (in most cases the kid gets caught smoking pot), not a performance-enhancer. Sulbaran did not pitch last year due to injury.
The Yankees have released 3B Drew Bridges, RHP Sean Carley, RHP Kyle Halbohn, RHP Cody Hamlin, RHP Tim Holmes, 1B Kane Sweeney, 2B Josh Gardiner, and OF Nathan Mikolas, according to Matt Eddy. There's always a ton of cuts after Spring Training. The Yankees have also signed C Sharif Othman. Othman, 28, was with the Marlins from 2011-16. He hit .156/.208/.221 (23 wRC+) in 40 games between High-A and Double-A last season.
MLB.com's Jonathan Mayo posted a feature on Yankees' minor league camp as well an interview with OF Blake Rutherford, so make sure you check those out. Also, don't miss Anthony Castrovince's feature on LHP Justus Sheffield, who doesn't get as much attention as he deserves for being a top pitching prospect.
And finally, check out 20-80 Baseball's massive Yankees organizational review. "They may not have the pitching to compete with a juggernaut Red Sox or a strong Toronto ball club in 2017, but don't think that the rest of the American League doesn't notice the stirring giant in the Bronx," said the write-up.
Triple-A Scranton's game was rained out. They've already postponed tomorrow's game too. One of the games will be made up as part of a doubleheader Sunday. They haven't announced a makeup date for the other game yet. RHP Johnny Barbato will start the season opener Saturday, according to Shane Hennigan. LHP Dietrich Enns will start the first game of Sunday's doubleheader and RHP Luis Cessa will start the home opener Monday. The starter for the second game of the doubleheader is TBA. Might be a bullpen game.
Double-A Trenton was also rained out. I'll get the Prospect Watch up tomorrow since SS Gleyber Torres didn't play tonight. This game will be made up as part of a doubleheader Sunday. Prior to the rainout, the rotation to start the season was going to be, in order, RHP Chance Adams, LHP Justin Sheffield, RHP Yefrey Ramirez, RHP Domingo German, and LHP Daniel Camarena, according to Matt Kardos. Not sure what the postponement and doubleheader do to the pitching plans.
Filed Under: Down on the Farm Tagged With: Branden Pinder, Brody Koerner, Chaz Hebert, Chris Gittens, Cody Hamlin, Drew Bridges, James Reeves, Josh Gardiner, Kane Sweeney, Kyle Halbohn, Miguel Sulbaran, Nathan Mikolas, Nick Rumbelow, Sean Carley, Sharif Othman, Stephen Tarpley, Tim Holmes


The head of the Coordination Council of Public-Sector Banks defended the recent interest rate cut enforced by the Central Bank of Iran, saying current market conditions do not allow for competitive rates among banks.
Abdolnasser Hemmati made the comments in a lengthy interview with ISNA on Friday.
"Although interbank competition [in setting interest rates] is a positive act, complaints about the rate caps imposed by the CBI is not acceptable since market conditions are not fit for such rivalry at present," Hemmati said.
Hemmati, who is also the chief executive of Bank Melli—Iran's largest lender, criticized breaches of central bank's interest rates ceilings by other lenders, calling it "suicide".
"This is contrary to professional ethics and its persistence will ultimately prompt law-abiding banks to turn away from their standards," he cautioned.
CBI's Money and Credit Council lowered its cap on deposit rates (for one-year deposits) from 22% to 20% in April, following several weeks of heated discussion on the issue. It also reduced the lending rate ceiling to 24% from 28%.
To no one's surprise, not all lenders welcomed the initiative that left them with less room for maneuver in their race to attract depositors. A particularly pestering issue was commercial banks' contest with unauthorized credit institutions whose inclination for offering exorbitant deposit rates is notorious.
Hemmati, however, ruled out the prospect of another rate cut by the central bank in the foreseeable future, saying a 20% interest rate would be reasonable as the inflation is expected to hover around 15%-16% toward the end of the fiscal year ending March 19, 2016.
Hemmati said three conditions should be met before lenders could engage in full-blown competition. First and foremost, all credit institutions must fulfill their reserve requirement. Secondly, banks and credit institutions should streamline their activities by scrapping much of their non-banking ventures.
"It's not fair for a bank or institution to allocate 80% of its revenues for speculative activities while another bank is lending the biggest portion of its assets," said the chief executive.
Banks' entry into non-banking activities have ruffled feathers with officials and analysts who say the trend has pitted banks against small businesses as rivals and not partners. A parliamentary investigative team recently revealed that over half of lenders' revenues is generated by speculative activities.
The third prerequisite to foster interbank competition, Hemmati said, is for banks' executives to hold themselves accountable to their shareholders.
A major sticking point evident in Hemmati's remarks is the knotty issue of deposit rates and the legal loopholes around it.
No sooner had the MCC issued its verdict on key interest rates in April than public-sector and private banks unanimously gave their blessing to the decision.
But news of violations surfaced soon after with lenders finding loopholes allowing them to exceed rate caps. Since short-term deposit rates had remained the banks' fief, they used it as an avenue to backslide into offering high deposit rates.
Hemmati said non-performing loans and mammoth government debt to banks were the main reasons for banks to renege on their promise to comply with the new rate caps.
Although the coordination council lacks the authority to punish banks for their unruly behavior, Hemmati made a strong case that the CBI is pondering over ways to crack down on them soon.
Pundits have repeatedly cautioned against the damage inflicted by high deposit rates on the real economy and have called for sweeping banking reforms to salvage the country's bank-based economy.


text:
Download as PDF 18908 Federal Register / Vol. 82, No. 77 / Monday, April 24, 2017 / Notices jstallworth on DSK7TPTVN1PROD with NOTICES Control Act (12 U.S.C. 1817(j)) and § 225.41 of the Board's Regulation Y (12 CFR 225.41) to acquire shares of a bank or bank holding company. The factors that are considered in acting on the notices are set forth in paragraph 7 of the Act (12 U.S.C. 1817(j)(7)). The notices are available for immediate inspection at the Federal Reserve Bank indicated. The notices also will be available for inspection at the offices of the Board of Governors. Interested persons may express their views in writing to the Reserve Bank indicated for that notice or to the offices of the Board of Governors. Comments must be received not later than May 9, 2017. A. Federal Reserve Bank of Dallas (Robert L. Triplett III, Senior Vice President) 2200 North Pearl Street, Dallas, Texas 75201–2272: 1. Asif M. Dakri and Faizel M. Dakri, Houston, Texas; to acquire voting shares of Wallis Bancshares, Inc. (''Wallis Bancshares''), Houston, Texas, and thereby indirectly acquire voting shares of Wallis State Bank, Wallis, Texas; and Musa A. Dakri, Asif M. Dakri, Faizel M. Dakri, the Dakri Family 2012 GST Trust for Asif M. Dakri, and the Dakri Family 2012 GST Trust for Faizel M. Dakri, all of Houston Texas, as a group acting in concert, to acquire voting shares of Wallis Bancshares. B. Federal Reserve Bank of Minneapolis (Jacquelyn K. Brunmeier, Assistant Vice President) 90 Hennepin Avenue, Minneapolis, Minnesota 55480–0291: 1. James Richard Sankovitz, Chaska, Minnesota; individually and as trustee of the Irrevocable Trust Agreement for the benefit of Katherine M. Buland (''Buland Trust''), to acquire voting shares of Frankson Investment Corporation (''Frankson''), and thereby indirectly acquire shares of The First National Bank of Waseca, all of Waseca, Minnesota; and the Buland Trust (James Sankovitz, Thomas Sankovitz, and Ann Gaytko, as trustees) and Bernard Gaytko, Waseca, Minnesota, to retain voting shares of Frankson and join the Sankovitz family shareholder group which was previously approved to control Frankson, as a group acting in concert. Board of Governors of the Federal Reserve System, April 18, 2017. Ann E. Misback, Secretary of the Board. FEDERAL RESERVE SYSTEM Formations of, Acquisitions by, and Mergers of Bank Holding Companies The companies listed in this notice have applied to the Board for approval, pursuant to the Bank Holding Company Act of 1956 (12 U.S.C. 1841 et seq.) (BHC Act), Regulation Y (12 CFR part 225), and all other applicable statutes and regulations to become a bank holding company and/or to acquire the assets or the ownership of, control of, or the power to vote shares of a bank or bank holding company and all of the banks and nonbanking companies owned by the bank holding company, including the companies listed below. The applications listed below, as well as other related filings required by the Board, are available for immediate inspection at the Federal Reserve Bank indicated. The applications will also be available for inspection at the offices of the Board of Governors. Interested persons may express their views in writing on the standards enumerated in the BHC Act (12 U.S.C. 1842(c)). If the proposal also involves the acquisition of a nonbanking company, the review also includes whether the acquisition of the nonbanking company complies with the standards in section 4 of the BHC Act (12 U.S.C. 1843). Unless otherwise noted, nonbanking activities will be conducted throughout the United States. Unless otherwise noted, comments regarding each of these applications must be received at the Reserve Bank indicated or the offices of the Board of Governors not later than May 18, 2017. A. Federal Reserve Bank of St. Louis (David L. Hubbard, Senior Manager) P.O. Box 442, St. Louis, Missouri 63166–2034. Comments can also be sent electronically to Comments.applications@stls.frb.org: 1. M1 Bancshares, Inc., Macks Creek, Missouri; to become a bank holding company by acquiring 100 percent of the voting shares of The Bank of Macks Creek, Macks Creek, Missouri. Board of Governors of the Federal Reserve System, April 18, 2017. Ann E. Misback, Secretary of the Board. [FR Doc. 2017–08149 Filed 4–21–17; 8:45 am] BILLING CODE 6210–01–P [FR Doc. 2017–08150 Filed 4–21–17; 8:45 am] BILLING CODE 6210–01–P VerDate Sep<11>2014 13:48 Apr 21, 2017 Jkt 241001 PO 00000 Frm 00020 Fmt 4703 Sfmt 4703 DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Proposed Information Collection Activity; Comment Request Title: Implementation Grants to Develop a Model Intervention for Youth/Young Adults with Child Welfare Involvement at Risk of Homelessness: Phase II. OMB No.: 0970–0445. Description: The Administration for Children and Familes (ACF) at the U.S. Department of Health and Human Services (HHS) intends to collect data for an evaluation of the initiative, Implementation Grants to Develop a Model Intervention for Youth/Young Adults with Child Welfare Involvement at Risk of Homelessness: Phase II. This builds on the previously approved ''Planning Grants to Develop a Model Intervention for Youth/Young Adults with Child Welfare Involvement at Risk of Homelessness'' (Phase I). Phase II is an initiative, funded by the Children's Bureau (CB) within ACF, that will support implementation grants for interventions designed to intervene with youth who have experienced time in foster care and are most likely to have a challenging transition into adulthood, including homelessness and unstable housing experiences. CB awarded six implementation grants (Phase II) in September 2015. During the implementation phase, organizations will conduct a range of activities to finetune their comprehensive service model, determine whether their model is being implemented as intended, and develop plans to evaluate the model under a potential future funding opportunity (Phase III). During Phase II, ACF will engage a contractor to conduct a cross-site process evaluation. Data collected for the process evaluation will be used to assess grantees' organizational capacity to implement and evaluate the model interventions and to monitor each grantee's progress toward achieving the goals of the implementation period. Data for the process evaluation will be collected through interviews during site visits. Respondents: Grantee agency directors and staff; partner agency directors and staff. Partner agencies may vary by site, but are expected to include child welfare, mental health, and youth housing/homelessness agencies. E:\FR\FM\24APN1.SGM 24APN1 18909 Federal Register / Vol. 82, No. 77 / Monday, April 24, 2017 / Notices ANNUAL BURDEN ESTIMATES Total/annual number of respondents Instrument Communications for site visit planning ............................................................ Discussion guide: Individual and small-group interviews ................................ Estimated Total Annual Burden Hours: 96. Additional Information: Copies of the proposed collection may be obtained by writing to the Administration for Children and Families, Office of Planning, Research and Evaluation, 330 C Street SW., Washington, DC 20201, Attn: OPRE Reports Clearance Officer. All requests should be identified by the title of the information collection. Email address: OPREinfocollection@ acf.hhs.gov. OMB Comment: OMB is required to make a decision concerning the collection of information between 30 and 60 days after publication of this document in the Federal Register. Therefore, a comment is best assured of having its full effect if OMB receives it within 30 days of publication. Written comments and recommendations for the proposed information collection should be sent directly to the following: Office of Management and Budget, Paperwork Reduction Project, Email: OIRA_ SUBMISSION@OMB.EOP.GOV, Attn: Desk Officer for the Administration for Children and Families. Mary Jones, ACF/OPRE Certifying Officer. [FR Doc. 2017–08167 Filed 4–21–17; 8:45 am] BILLING CODE 4184–29–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration [Docket No. FDA–2017–N–0001] Gastroenterology and Urology Devices Panel of the Medical Devices Advisory Committee; Notice of Meeting AGENCY: Food and Drug Administration, HHS. ACTION: Notice. The Food and Drug Administration (FDA) announces a forthcoming public advisory committee meeting of the Gastroenterology and Urology Devices Panel of the Medical Devices Advisory Committee. The general function of the committee is to provide advice and recommendations to the Agency on FDA's regulatory issues. The meeting will be open to the public. jstallworth on DSK7TPTVN1PROD with NOTICES SUMMARY: VerDate Sep<11>2014 13:48 Apr 21, 2017 Jkt 241001 6 60 The meeting will be held on May 17, 2017, from 8 a.m. to 6 p.m. ADDRESSES: Hilton Washington, DC/ North, Salons A, B, C, and D, 620 Perry Pkwy., Gaithersburg, MD 20877. The hotel's telephone number is 301–977– 8900. Answers to commonly asked questions including information regarding special accommodations due to a disability, visitor parking, and transportation may be accessed at: http://www.fda.gov/Advisory Committees/AboutAdvisoryCommittees/ ucm408555.htm. DATES: FOR FURTHER INFORMATION CONTACT: Patricio G. Garcia, Center for Devices and Radiological Health, Food and Drug Administration, 10903 New Hampshire Ave., Bldg. 66, Rm. G610, Silver Spring, MD 20993–0002, Patricio.Garcia@ fda.hhs.gov, 301–796–6875, or FDA Advisory Committee Information Line, 1–800–741–8138 (301–443–0572 in the Washington, DC area). A notice in the Federal Register about last minute modifications that impact a previously announced advisory committee meeting cannot always be published quickly enough to provide timely notice. Therefore, you should always check the Agency's Web site at http://www.fda. gov/AdvisoryCommittees/default.htm and scroll down to the appropriate advisory committee meeting link, or call the advisory committee information line to learn about possible modifications before coming to the meeting. SUPPLEMENTARY INFORMATION: Agenda: On May 17, 2017, the committee will discuss, make recommendations, and vote on information regarding the premarket approval application (PMA) for the TRANSMEDICS ORGAN CARE SYSTEM (OCS)—Lung System, by TransMedics, Inc. The proposed Indication for Use, as stated in the PMA, is as follows: The TRANSMEDICS ORGAN CARE SYSTEM (OCS) Lung System is a portable organ perfusion, ventilation, and monitoring medical device intended to preserve donor lungs in a near physiologic, ventilated, and perfused state for transplantation. FDA intends to make background material available to the public no later than 2 business days before the meeting. If FDA is unable to post the background PO 00000 Frm 00021 Fmt 4703 Sfmt 4703 Number of responses per respondent 1 1 Average burden hours per response 1 1.5 Total/annual burden hours 6 90 material on its Web site prior to the meeting, the background material will be made publicly available at the location of the advisory committee meeting, and the background material will be posted on FDA's Web site after the meeting. Background material is available at http://www.fda.gov/ AdvisoryCommittees/Calendar/ default.htm. Scroll down to the appropriate advisory committee meeting link. Procedure: Interested persons may present data, information, or views, orally or in writing, on issues pending before the committee. Written submissions may be made to the contact person on or before May 8, 2017. Oral presentations from the public will be scheduled between approximately 1 p.m. and 2 p.m. Those individuals interested in making formal oral presentations should notify the contact person and submit a brief statement of the general nature of the evidence or arguments they wish to present, the names and addresses of proposed participants, and an indication of the approximate time requested to make their presentation on or before April 28, 2017. Time allotted for each presentation may be limited. If the number of registrants requesting to speak is greater than can be reasonably accommodated during the scheduled open public hearing session, FDA may conduct a lottery to determine the speakers for the scheduled open public hearing session. The contact person will notify interested persons regarding their request to speak by May 1, 2017. Persons attending FDA's advisory committee meetings are advised that the Agency is not responsible for providing access to electrical outlets. FDA welcomes the attendance of the public at its advisory committee meetings and will make every effort to accommodate persons with disabilities. If you require accommodations due to a disability, please contact Artair Mallett at artair.mallett@fda.hhs.gov or 301– 796–9638 at least 7 days in advance of the meeting. FDA is committed to the orderly conduct of its advisory committee meetings. Please visit our Web site at http://www.fda.gov/Advisory Committees/AboutAdvisoryCommittees/ E:\FR\FM\24APN1.SGM 24APN1
[Federal Register Volume 82, Number 77 (Monday, April 24, 2017)]
Title: Implementation Grants to Develop a Model Intervention for
Youth/Young Adults with Child Welfare Involvement at Risk of
Homelessness: Phase II.
OMB No.: 0970-0445.
Description: The Administration for Children and Familes (ACF) at
the U.S. Department of Health and Human Services (HHS) intends to
collect data for an evaluation of the initiative, Implementation Grants
to Develop a Model Intervention for Youth/Young Adults with Child
Welfare Involvement at Risk of Homelessness: Phase II. This builds on
the previously approved ``Planning Grants to Develop a Model
Intervention for Youth/Young Adults with Child Welfare Involvement at
Risk of Homelessness'' (Phase I). Phase II is an initiative, funded by
the Children's Bureau (CB) within ACF, that will support implementation
grants for interventions designed to intervene with youth who have
experienced time in foster care and are most likely to have a
challenging transition into adulthood, including homelessness and
unstable housing experiences. CB awarded six implementation grants
(Phase II) in September 2015. During the implementation phase,
organizations will conduct a range of activities to fine-tune their
comprehensive service model, determine whether their model is being
implemented as intended, and develop plans to evaluate the model under
a potential future funding opportunity (Phase III).
During Phase II, ACF will engage a contractor to conduct a cross-
site process evaluation. Data collected for the process evaluation will
be used to assess grantees' organizational capacity to implement and
evaluate the model interventions and to monitor each grantee's progress
toward achieving the goals of the implementation period. Data for the
process evaluation will be collected through interviews during site
visits.
Respondents: Grantee agency directors and staff; partner agency
directors and staff. Partner agencies may vary by site, but are
expected to include child welfare, mental health, and youth housing/
homelessness agencies.
Total/annual      Number of    Average burden
Instrument                        number of     responses per     hours per     Total/annual
respondents     respondent       response      burden hours
Communications for site visit planning..........               6               1               1               6
Discussion guide: Individual and small-group                  60               1             1.5              90
interviews.....................................
Estimated Total Annual Burden Hours: 96.
Additional Information: Copies of the proposed collection may be
obtained by writing to the Administration for Children and Families,
Office of Planning, Research and Evaluation, 330 C Street SW.,
Washington, DC 20201, Attn: OPRE Reports Clearance Officer. All
requests should be identified by the title of the information
collection. Email address: OPREinfocollection@acf.hhs.gov.
OMB Comment: OMB is required to make a decision concerning the
collection of information between 30 and 60 days after publication of
this document in the Federal Register. Therefore, a comment is best
assured of having its full effect if OMB receives it within 30 days of
publication. Written comments and recommendations for the proposed
information collection should be sent directly to the following: Office
of Management and Budget, Paperwork Reduction Project, Email:
OIRA_SUBMISSION@OMB.EOP.GOV, Attn: Desk Officer for the Administration
for Children and Families.
Mary Jones,
ACF/OPRE Certifying Officer.


Am Fam Physician. 2013 Apr 1;87(7):486-490.
Chronic tendon injuries present unique management challenges. The assumption that these injuries result from ongoing inflammation has caused physicians to rely on treatments demonstrated to be ineffective in the long term. Nonsteroidal anti-inflammatory drugs should be limited in the treatment of these injuries. Corticosteroid injections should be considered for temporizing pain relief only for rotator cuff tendinopathy. For chronic Achilles tendinopathy (symptoms lasting longer than six weeks), an intense eccentric strengthening program of the gastrocnemius/soleus complex improved pain and function between 60 and 90 percent in randomized trials. Evidence also supports eccentric exercise as a first-line option for chronic patellar tendon injuries. Other modalities such as prolotherapy, topical nitroglycerin, iontophoresis, phonophoresis, therapeutic ultrasound, extracorporeal shock wave therapy, and low-level laser therapy have less evidence of effectiveness but are reasonable second-line alternatives to surgery for patients who have persistent pain despite appropriate rehabilitative exercise.
Chronic tendon injuries are commonly presented to the primary care physician,1,2 and have a significant impact on the ability of patients to work, exercise, and perform routine daily activities. Because most of these conditions are attributable to overuse, patients may improve with rest, appropriate protection, and activity modification. However, patients with chronic symptoms (lasting longer than six weeks) often require further care for a return to full, pain-free function. Although general approaches may be helpful, the location and precise anatomic diagnosis determine specific management of chronic tendon injuries.
Eccentric exercise should be the first-line treatment for chronic midsubstance Achilles tendinopathy.
Corticosteroid injections, bracing, and nonsteroidal anti-inflammatory drugs are not effective in providing long-term relief for chronic degenerative tendon injuries.
Rehabilitative exercise is an effective therapy for chronic tendon injuries.
For noninflammatory degenerative tendon injuries such as rotator cuff tendinopathy 10and wrist extensor tendinopathy at the elbow (lateral epicondylitis),11 corticosteroid injections may provide short-term pain relief. However, the evidence is inconsistent for longer-term relief and ultimate restoration of pain-free function resulting from steroid injections.12 Additionally, case reports suggest that steroid injections may predispose tendons to rupturing, particularly the tendons of the hands and in weight-bearing joints such as the patellar tendon and the Achilles tendon.13 Therefore, in cases of noninflammatory chronic tendinopathy, steroids should be used sparingly and primarily to provide short-term windows of pain relief to allow patients to engage in curative rehabilitative therapy.
Achilles tendinopathy classically presents with pain during and after prolonged walking or running, typically in the area directly between the myotendinous junction and the insertion on the calcaneus. To distinguish this more common presentation from insertional Achilles injury, these injuries are referred to as midsubstance Achilles tendinopathies (Figure 1).
Location of pain in midsubstance Achilles tendinopathy (red) and insertional Achilles tendinopathy (purple).
Midsubstance Achilles tendinopathy exemplifies the shift away from traditional treatment such as NSAIDs, ice, and stretching. For chronic midsubstance Achilles tendinopathy (symptoms lasting longer than six weeks) the preferred first-line treatment is an intense eccentric strengthening program of the gastrocnemius/soleus complex.14 Good-quality randomized controlled trials indicate that eccentric strengthening programs provide 60 to 90 percent improvement in pain and function.15 The basic protocol for eccentric rehabilitation of the Achilles tendon is detailed in Table 116 and is demonstrated in Figure 2.
Eccentric exercises for midsubstance Achilles tendinopathy. (A) Patients begin with a straight leg and the ankle in flexion. (B) The ankle of the injured leg is then lowered to full dorsiflexion and returned to its original position with the assistance of the uninjured leg. (C) The exercise is repeated with the knee bent to approximately 45 degrees.
Therapeutic modalities such as ultrasound, electrical stimulation, iontophoresis, and massage and stretching are inconsistent in helping patients achieve long-term return to function.17 Surgical techniques exist for severe or recalcitrant cases,18 but are inconsistently successful and carry additional risk.
Insertional Achilles tendon injuries are distinct from and less common than midsubstance tendinopathies. Typically, insertional Achilles tendon pain is more difficult to treat. Eccentric rehabilitation may be helpful, but this type of therapy does not show the same degree of utility as in midsubstance injuries, with rates of improvement closer to 30 percent for insertional injuries.19 Shock wave therapy is another option for insertional Achilles tendon injuries, but further studies are needed to establish benefit.20 Because cure rates are similar and eccentric exercise is much less expensive than shock wave therapy, the preferred initial therapy for chronic insertional Achilles tendon pain is eccentric strengthening following four to six weeks of immobilization in a walking boot.
Patellar tendinopathy, or jumper's knee, can persist for years without a reliable response to conservative therapies.21 Evidence supports the use of eccentric exercise as a first-line option for chronic patellar tendon injuries. Several specific protocols have been published for these exercises; most show positive effects in long-term studies.22Figure 3 demonstrates a typical eccentric exercise regimen. Exercise protocols vary but are generally similar to those for Achilles tendinopathy (Table 116).
Eccentric exercises for the patellar tendon. (A) Patients are instructed to begin in an extended position and (B) to slowly bend the knees to approximately 45 degrees, then return to an extended position.
Lateral epicondylitis, or tennis elbow, is characterized by pain in the lateral elbow which is exacerbated by attempts to extend and supinate the wrist and hand against resistance. The injury involves the origin of the common extensor tendon on the lateral epicondyle of the humerus. The multiplicity of possible treatments is indicative of the often contradictory and constantly changing evidence regarding the treatments' relative effectiveness.
Local steroid injections provide short-term pain relief for chronic lateral epicondylitis; however, the improvements seen with steroid injections do not last. Moreover, a recent large randomized trial showed poorer long-term cure rates with steroid injections than with physical therapy or rest.27 In the absence of steroid injections, patients appear to have similar long-term improvement in pain regardless of treatment.
Insertional Achilles tendon injuries are distinct from and less common than midsubstance tendinopathies.
Steroid injections are commonly used to treat rotator cuff tendinopathy, but controlled studies have demonstrated modest benefit, particularly in the long term.34 Steroid injections should be reserved for patients who have discomfort that would limit them from engaging in rehabilitative exercises. Injections into the gluteal muscle versus guided injections into the subacromial bursa have demonstrated similar levels of pain relief.35 Surgical options are available for patients with persistent symptoms, or for patients in whom function cannot be maintained.
Local injections of dextrose, autologous blood, and platelet-rich plasma represent forms of prolotherapy, in which irritants or proinflammatory substances are injected into degenerative or damaged tissue in an attempt to induce a further healing response. The evidence for these methods varies broadly based on the target tissues and the substances being injected into the body.36 Other modalities include topical nitroglycerin, iontophoresis, phonophoresis, therapeutic ultrasound, extracorporeal shock wave therapy, and low-level laser therapy. Current data on the effectiveness of these modalities are mixed, and generally consist of small or poorly controlled studies.17,37–39 After confirming the diagnosis of chronic tendon pain, these interventions may be considered as less invasive and less costly alternatives to surgery for patients who have persistent pain despite appropriate rehabilitative exercise. However, the evidence does not currently support the use of these modalities as first-line treatments for any type of chronic tendinopathy.
Data Sources: A PubMed search was completed in Clinical Queries using the key terms chronic tendon, tendinosis, tendinopathy, tendinitis, tendon and NSAID, tendon and steroid, Achilles tendinitis, patellar tendinitis, lateral epicondylitis, and rotator cuff. The search included meta-analyses, randomized controlled trials, clinical trials, and reviews. We also searched Essential Evidence Plus, the Agency for Healthcare Research and Quality evidence reports, Bandolier, Clinical Evidence, the Cochrane Database of Systematic Reviews, the Database of Abstracts of Reviews of Effects, the Institute for Clinical Systems Improvement, the National Guideline Clearinghouse database, and UpToDate. Search date: May 1, 2011.
ANTHONY BEUTLER, MD, is the fellowship director of the Primary Care Sports Medicine Fellowship at the Uniformed Services University of the Health Sciences, and an associate professor of family medicine at the Uniformed Services University of the Health Sciences.
Address correspondence to Marc A. Childress, MD, Fort Belvoir Community Hospital, 9501 Farrell Rd., Fort Belvoir, VA 22060. Reprints are not available from the authors.
The views expressed are those of the authors and do not reflect the official policy of the U.S. Department of the Army, the U.S. Department of Defense, or the U.S. Government.
2. Junior LC, et al. The prevalence of musculoskeletal injuries in runners: a systematic review. Br J Sports Med. 2011;45(4):351–352.
3. Khan KM, Cook JL, Bonar F, Harcourt P, Astrom M. Histopathology of common tendinopathies. Update and implications for clinical management. Sports Med. 1999;27(6):393–408.
4. Aström M, Rausing A. Chronic Achilles tendinopathy. A survey of surgical and histopathologic findings. Clin Orthop Relat Res. 1995;316:151–164.
5. Alfredson H, Forsgren S, Thorsen K, Lorentzon R. In vivo microdialysis and immunohistochemical analyses of tendon tissue demonstrated high amounts of free glutamate and glutamate NMDAR1 receptors, but no signs of inflammation, in jumper's knee. J Orthop Res. 2001;19(5):881–886.
6. Alfredson H, Thorsen K, Lorentzon R. In situ microdialysis in tendon tissue: high levels of glutamate, but not prostaglandin E2 in chronic Achilles tendon pain. Knee Surg Sports Traumatol Arthrosc. 1999;7(6):378–381.
7. Mehallo CJ, Drezner JA, Bytomski JR. Practical management: nonsteroidal anti-inflammatory drug (NSAID) use in athletic injuries. Clin J Sport Med. 2006;16(2):170–174.
8. Wilcox CM, Cryer B, Triadafilopoulos G. Patterns of use and public perception of over-the-counter pain relievers: focus on nonsteroidal anti-inflammatory drugs. J Rheumatol. 2005;32(11):2218–2224.
9. Rossignol M, et al. The CADEUS study: burden of nonsteroidal anti-inflammatory drug (NSAID) utilization for musculoskeletal disorders in blue-collar workers. Br J Clin Pharmacol. 2009;67(1):118–124.
10. Buchbinder R, Green S, Youd JM. Corticosteroid injections for shoulder pain. Cochrane Database Syst Rev. 2003(1):CD004016.
11. Bisset L, Beller E, Jull G, Brooks P, Darnell R, Vicenzino B. Mobilisation with movement and exercise, corticosteroid injection, or wait and see for tennis elbow: randomised trial. BMJ. 2006;333(7575):939.
12. Gaujoux-Viala C, Dougados M, Gossec L. Efficacy and safety of steroid injections for shoulder and elbow tendonitis: a meta-analysis of randomised controlled trials. Ann Rheum Dis. 2009;68(12):1843–1849.
13. Brinks A, et al. Adverse effects of extra-articular corticosteroid injections: a systematic review. BMC Musculoskelet Disord. 2010;11:206.
14. Roos EM, et al. Clinical improvement after 6 weeks of eccentric exercise in patients with mid-portion Achilles tendinopathy – a randomized trial with 1-year follow-up. Scand J Med Sci Sports. 2004;14(5):286–295.
15. Kingma JJ, et al. Eccentric overload training in patients with chronic Achilles tendinopathy: a systematic review. Br J Sports Med. 2007;41(6):e3.
16. Alfredson H, Pietilä T, Jonsson P, Lorentzon R. Heavy-load eccentric calf muscle training for the treatment of chronic Achilles tendinosis. Am J Sports Med. 1998;26(3):360–366.
17. Andres BM, Murrell GA. Treatment of tendinopathy: what works, what does not, and what is on the horizon. Clin Orthop Relat Res. 2008;466(7):1539–1554.
18. Reddy SS, et al. Surgical treatment for chronic disease and disorders of the Achilles tendon. J Am Acad Orthop Surg. 2009;17(1):3–14.
19. Fahlström M, Jonsson P, Lorentzon R, Alfredson H. Chronic Achilles tendon pain treated with eccentric calf-muscle training. Knee Surg Sports Traumatol Arthrosc. 2003;11(5):327–333.
20. Rompe JD, Furia J, Maffulli N. Eccentric loading compared with shock wave treatment for chronic insertional achilles tendinopathy. A randomized, controlled trial. J Bone Joint Surg Am. 2008;90(1):52–61.
21. Lian OB, Engebretsen L, Bahr R. Prevalence of jumper's knee among elite athletes from different sports: a cross-sectional study. Am J Sports Med. 2005;33(4):561–567.
22. Visnes H, Bahr R. The evolution of eccentric training as treatment for patellar tendinopathy (jumper's knee): a critical review of exercise programmes. Br J Sports Med. 2007;41(4):217–223.
23. Bahr R, Fossan B, Løken S, Engebretsen L. Surgical treatment compared with eccentric training for patellar tendinopathy (jumper's knee). A randomized, controlled trial. J Bone Joint Surg Am. 2006;88(8):1689–1698.
24. Willberg L, et al. Sclerosing polidocanol injections or arthroscopic shaving to treat patellar tendinopathy/jumper's knee? A randomised controlled study. Br J Sports Med. 2011;45(5):411–415.
25. Coombes BK, et al. Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet. 2010;376(9754):1751–1767.
26. Smidt N, et al. Corticosteroid injections, physiotherapy, or a wait-and-see policy for lateral epicondylitis: a randomised controlled trial. Lancet. 2002;359(9307):657–662.
27. Coombes BK, et al. Effect of corticosteroid injection, physiotherapy, or both on clinical outcomes in patients with unilateral lateral epicondylagia: a randomized controlled trial. JAMA. 2013;309(5):461–469.
28. Peerbooms JC, Sluimer J, Bruijn DJ, Gosens T. Positive effect of an autologous platelet concentrate in lateral epicondylitis in a double-blind randomized controlled trial: platelet-rich plasma versus corticosteroid injection with a 1-year follow-up. Am J Sports Med. 2010;38(2):255–262.
29. Creaney L, et al. Growth factor-based therapies provide additional benefit beyond physical therapy in resistant elbow tendinopathy: a prospective, single-blind, randomised trial of autologous blood injections versus platelet-rich plasma injections. Br J Sports Med. 2011;45(12):966–971.
30. Paoloni JA, Murrell GA, Burch RM, Ang RY. Randomised, double-blind, placebo-controlled clinical trial of a new topical glyceryl trinitrate patch for chronic lateral epicondylosis. Br J Sports Med. 2009;43(4):299–302.
31. Struijs PA, Kerkhoffs GM, Assendelft WJ, Van Dijk CN. Conservative treatment of lateral epicondylitis: brace versus physical therapy or a combination of both-a randomized clinical trial. Am J Sports Med. 2004;32(2):462–469.
32. Buchbinder R, Johnston RV, Barnsley L, Assendelft WJ, Bell SN, Smidt N. Surgery for lateral elbow pain. Cochrane Database Syst Rev. 2011;3(3):CD003525.
33. Kuhn JE. Exercise in the treatment of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol. J Shoulder Elbow Surg. 2009;18(1):138–160.
34. Crawshaw DP, Helliwell PS, Hensor EM, Hay EM, Aldous SJ, Conaghan PG. Exercise therapy after corticosteroid injection for moderate to severe shoulder pain: large pragmatic randomised trial. BMJ. 2010;340:c3037.
35. Ekeberg OM, Bautz-Holter E, Tveitå EK, Juel NG, Kvalheim S, Brox JI. Subacromial ultrasound guided or systemic steroid injection for rotator cuff disease: randomised double blind study. BMJ. 2009;338:a3112.
36. Rabago D, Yelland M, Patterson J, Zgierska A. Prolotherapy for chronic musculoskeletal pain. Am Fam Physician. 2011;84(11):1208–1210.
37. Tumilty S, Munn J, McDonough S, Hurley DA, Basford JR, Baxter GD. Low level laser treatment of tendinopathy: a systematic review with meta-analysis. Photomed Laser Surg. 2010;28(1):3–16.
38. Kane TP, Ismail M, Calder JD. Topical glyceryl trinitrate and noninsertional Achilles tendinopathy: a clinical and cellular investigation. Am J Sports Med. 2008;36(6):1160–1163.
39. de Vos RJ, Weir A, van Schie HT, et al. Platelet-rich plasma injection for chronic Achilles tendinopathy: a randomized controlled trial. JAMA. 2010;303(2):144–149.


text:
Archie Goodwin calls lack of opportunity with Suns 'very frustrating'
By Brett PollakoffJan 20, 2015, 11:10 AM EST
Archie Goodwin is just 20 years old, and is already in his second season with the Suns.
He's talented, but raw — which is why the team has had him spending the majority of his time in the D-League this season. And that lack of opportunity with the varsity squad is beginning to wear on Goodwin at this early stage of his career.
Goodwin averaged 23.3 points in three games with the Bakersfield Jam, and helped them win the D-League Showcase Cup in Santa Cruz. He was named MVP of the tournament for his performance, but while that could be considered a step in the right direction, he's still not likely to get much of a chance with the Suns this season due to the way the roster is constructed.
And if the chance doesn't come next year, Goodwin may attempt to do something about it.
From Sean Deveney of Sporting News (via Basketball Insiders):
"Of course it is going to be frustrating for me, because I am a competitor," Goodwin told Sporting News. "I have enough confidence in myself to believe I can play right now. A lot of guys, once they get here, they sort of feel like, 'Well, it's OK, I will get my opportunity eventually.' That's not me. I feel like I could be playing right now. In that sense, it is very frustrating." …
"I don't know what they're doing," he said. "Honestly, I really don't. I guess they know what they're doing — I can just play ball and let them make the decisions. I don't know what the purpose is for it, but there is nothing I can do about it." …
He expects his chance to come next year. If not, he might not be in Phoenix much longer.
"If it don't come next year, I'm not going to take it," Goodwin said. "That's basically what it's going to come down to. But that's not for me to worry about, that's for my agent to talk to those guys about."
The problem for Goodwin is, thanks to the contract he signed, he doesn't really have many options.
Goodwin is under contract for this year and next for a little more than $1 million guaranteed each season, with Phoenix holding a team option for just over $2 million for 2016-17. He could have his agent try to demand a trade before then if the Suns keep acquiring guys who play his position, which would continue to limit his opportunity.
But his best course of action at this point would be to continue to work hard and improve his game, so that his talent becomes undeniable and the Suns will want him as a member of the team's regular rotation.


A Hand-sewn Muslim Faceless Doll-Almost Two Feet! | We sell Muslim dolls and Muslim doll clothes with hijabs.
A Hand-sewn Muslim Faceless Doll-Almost Two Feet!
This is a one of a kind Muslim doll.
She has been lovingly made for hand which I was told took 34 hours of work to complete her.
She is almost two feet!
This beautiful Islamic doll is wearing a lovely bright pink hijab with a bow.
She is wearing a lovely modest dress in pink, rose, and ivory floral designs with a pink upper half of the dress.
This Muslim Barbie Doll is also wearing lovely pink and white checked leggings.
She is one of a kind. (I only have one of these.


text:
Sweden limits public gatherings as pandemic second wave swells
People walk outside a restaurant, amid the spread of the coronavirus disease (COVID-19) pandemic in central Stockholm, Sweden November 12, 2020. Amir Nabizadeh /TT News Agency/via REUTERS
STOCKHOLM (Reuters) - The Swedish government on Monday moved to cut the size of public gatherings sharply as it sought to come to grips with a second wave of the pandemic that has seen record daily numbers of new cases and growing pressure on hospitals.
Swedes are not sticking to coronavirus recommendations as well as in the spring and public gatherings will now be limited to eight people, Prime Minister Stefan Lofven said, down from a previous upper limit of 300.
"This is the new norm for the entire society," Lofven told a news conference. "Don't go to gyms, don't go to libraries, don't host dinners. Cancel."
The resurgence of the disease hit Sweden weeks later than much of continental Europe, but the number of new infections has picked up speed since the turn of the month, with rising admissions to intensive care units and general Covid-19 wards.
The daily death toll from the disease has also climbed after having slowed to single digits during an extended summer lull, when many Swedes gradually began to live their lives more normally.
Interior Minister Mikael Damberg said the new limit on gatherings - far lower the 50 allowed during the spring outbreak - would be in place for four weeks but could be extended to run over the Christmas and New Year holidays.
Sweden has gained international attention for its unorthodox response to the pandemic, shunning lockdowns and widespread use of face masks and instead relying on mainly voluntary measures even as the pandemic hit the country increasingly hard.
More than 6,000 people with COVID-19 have died in Sweden since the pandemic began, a death rate per capita several times higher than that of its Nordic neighbours, if somewhat lower than some larger European countries such as Spain.
"We don't believe in a total lockdown," Prime Minister Lofven said. "We believe that the measures we have taken ... are appropriate."
Reporting by Johan Ahlander and Niklas Pollard; Editing by Simon Johnson


On last Monday, I had the pleasure of participating in my very first (but definitely not the last) Instagram Takeover! I "Carried the baton" for the One Woman Shop Instagram account!
The rules for Carrying the One Woman Shop Baton were very simple... Post 6-10 images that would give their followers a glimpse into a day in the life of a fellow solopreneur. Easy right? Of course there are a few more simple guidelines for Carrying the Baton and you can check them out here.
So, here is what my day looked like with the One Woman Shop Baton. Click on each image for full details of my day!
Absolutely! I was able to connect with a new community of like-minded women, who can relate to the struggles of being a solopreneur! I gained new followers and a few ladies from the One Woman Shop community also joined my email list!
I encourage you all to connect with One Woman Shop and sign up to Carry the One Woman Shop Baton! They are currently looking for other solopreneurs who are willing to Carry the Baton during the month of November!


text:
Health hazard evaluation report: HETA-87-265-1975, Joseph T. Luttmer, D.D.S., Cincinnati, Ohio.
Tubbs-RL; Galson-SK
Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control, National Institute for Occupational Safety and Health, HETA 87-265-1975, 1989 Aug; :1-16
https://www.cdc.gov/niosh/hhe/reports/pdfs/1987-0265-1975.pdf
In response to a request from a dentist, an evaluation was made of possible health hazards existing at the Joseph T. Luttmer dental office, located in Cincinnati, Ohio. The facility was situated on the second floor of an older office building overlooking a town square in the eastern side of the city. The carpeting in the office had been installed just prior to the move to this particular suite of offices in 1979. The office was staffed by the dentist and two to three assistants and hygienists, and one to two bookkeepers and receptionists. The office staff estimated that they can make up to 15 to 20 amalgams per day with inorganic mercury (7439976) being a component. Mercury exposures ranged from 0.016 to 0.022mg/m3 for the personal breathing zone and area full shift samples. Instantaneous airborne mercury levels measured with the direct reading instrument ranged from 0.048 to 0.066mg/m3. Mercury vapor levels measured directly over surfaces with the direct reading instrument ranged from 0.027 to 1.216mg/m3. The medical evaluation revealed no symptoms suggestive of mercury toxicity in the dental office personnel. Urine samples indicated ranges from 6.9 to 20.0 micrograms/liter in three staff members.
NIOSH-Author; NIOSH-Health-Hazard-Evaluation; NIOSH-Technical-Assistance-Report; HETA-87-265-1975; Region-5; Hazard-Unconfirmed; Dentistry; Urinalysis; Mercury-poisoning; Dental-materials; Dentists; Author Keywords: Offices of Dentists; inorganic mercury; mercury hygienic techniques; medical monitoring
Field Studies; Hazard Evaluation and Technical Assistance
NTIS Accession No.
PB90-161878
NTIS Price
HETA-87-265-1975
DSHEFS