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HIV: Talking To THT About PrEP
Article: FashionWorked
Many of you know that I lost my best friend to AIDs 9 years ago, I decided in his last days the best way to honour the best friend I could ever of asked for was by trying to do all I could to make sure we beat this disease, that we end the stigma he faced and that we stop people from knowing the hurt I've carried.
I'm proud today to bring you this interview with the Terrence Higgins Trust on HIV/AIDS and the fight for PrEP.
What is HIV?
HIV stands for 'Human Immunodeficiency Virus'. It is a virus that attacks the body's immune system – the body's defence against diseases.
How many people does it affect in the UK?
In 2014 there were 103,700 people living with HIV in the UK. 1 in 6 people with HIV remain undiagnosed and unaware they are living with HIV. In 2014, 3,360 men who have sex with men (MSM) were newly diagnosed with HIV – the largest number ever recorded.
Who are The Terrence Higgins Trust?
Terrence Higgins Trust is the UK's leading HIV and sexual health charity, offering support, information and advice services for those living with HIV and affected by HIV or poor sexual health. Our vision is a world where people with HIV live healthy lives free from prejudice and discrimination, and good sexual health is a right and reality for all.
What is PrEP?
Pre-exposure prophylaxis (PrEP), involves taking HIV drugs before sex to prevent HIV infection. It's a highly effective prevention method and has been described as a game-changer in our approach to HIV prevention. When taken correctly, PrEP has proven to be 90% effective in stopping HIV negative people from contracting the virus.
What is the campaign about?
HIV organisations across the UK, including Terrence Higgins Trust, are calling for PrEP to made available on the NHS for those at highest risk of HIV. Currently PrEP, the game changing HIV prevention tool, is only available privately to those who can afford to buy it online and to those on the PROUD trial, which will start to come to an end in July.
But surely prevention is better than cure?
Absolutely. At the moment the NHS spends fifty times more on treatment than prevention. We've been well educated about condom use for decades; our knowledge and understanding of HIV has grown immensely, but there are still people falling through the net. PrEP, alongside condom use, is another way to stop HIV transmission.
If transmission from one person to another can be stopped by PrEP does that have a drastic effect on transmission rates overall as there isn't a chain of transmissions created?
PrEP has the potential to be this generation's defining moment in the fight against the HIV epidemic. We now have a powerful arsenal with which to end HIV: condom use, regular testing, treatment leading to the virus being undetectable, and PrEP.
A few reader questions now . . .
Does our sex education policy need to change, PrEP can only be part of the fight ?
Absolutely. Terrence Higgins Trust are campaigning for Sex and Relationships Education (SRE) to be mandatory in all schools. Currently it is only mandatory in state-run secondary schools, which means academies, free schools, private schools and primary schools are under no obligation to provide SRE. We also know that the current government guidance on SRE is based on out of date information, published 16 years ago, and that over a third of schools do not provide good quality SRE, according to Ofsted. If SRE is made compulsory in all schools, it means there will be proper up-to-date guidance for schools, teacher training and more communication across education. Standards can be driven up and we can reflect real life in our classrooms.
What's needed now is mandatory SRE in all schools, which includes LGBT issues and gender identity, and provides teachers with the training they need to deliver it.
To put some context on how important PrEP is, how many people could benefit from it?
2,500 men who have sex with men (MSM) are infected with HIV each year in the UK – this figure has not changed in a decade. We are calling for PrEP to be made available to those at highest risk of HIV, which includes MSM and trans women.
How has the denial of PrEP by NHS England been responded to?
On 31st May, NHS England confirmed it will not commission PrEP. In their statement they said they did not 'have the legal power' to commission PrEP. HIV organisations, activists, Charites, individuals and MPs expressed their disappointment and anger at the decision, with Ian Green, CEO of Terrence Higgins Trust saying its was a "shameful day for HIV prevention".
Since then National AIDS Trust (NAT) have launched a legal challenge to the decision and for the first time in the history LGBT Pride in London HIV and sexual health charities and organisations marched together under the banner of #United4PrEP.
There is a huge stigma around HIV/AIDs, how can this be tackled?
Incredible medical progress has been made in the last 20 years and people living with HIV who are on effective treatment can now live long and healthy lives. However attitudes and awareness of HIV haven't kept up with medical progress.
The devastating impact of HIV stigma cannot be underestimated – it is a well known barrier stopping people getting tested and onto treatment, as people fear reactions from friends, family, colleagues and their community, should they test positive.
Terrence Higgins Trust works to stop HIV stigma and bust myths around HIV which can reinforce untrue stereotypes. Terrence Higgins Trust provides services such as counselling, peer support and THT direct helpline for people to access if they have been stigmatised.
What are the biggest myths about HIV/AIDs?
Since the 1980s, thankfully a lot's changed when it comes to HIV – but myths and stigma still exist. There are many myths about HIV still around, such as you can get HIV from a toilet seat or women living with HIV can't have children – these are not true. Terrence Higgins Trust recently did a blog post busting some the myths around HIV.
How will the recently announced cuts to services and clinics affect people?
By cutting public health budgets in-year by £200 million, the government has put enormous pressure on local authorities to make significant savings. Worryingly these savings are surfacing as cuts to services for people living with and at risk of HIV, and there is now a sector-wide national campaign to 'Stop HIV cuts'.
In South London, three boroughs with the highest prevalence of HIV in the country are facing cuts to their HIV support services. A local resident of Lambeth living with HIV, Thomas, set up an online petitionagainst the proposed cuts and is working with Terrence Higgins Trust, which currently provides the support services, to challenge the cuts and to ensure the voices of people living with and affected by HIV in these areas are heard.
People can take action on this campaign to stop HIV cuts by writing to their local council leader making the case for HIV support services and asking what the council's plans are for these services.
We've talked about the Hows, whats and whys, but how can my readers help the fight for PrEP?
The support we have received so far in our campaign for PrEP has been fantastic. We urge people to get involved and add their voice to the calls – readers can do this today by signing this petition. Readers can also stay up to date with the campaign on the Stop HIV. PrEP Now. Facebook page.
Where can people find out more?
You can find out more about our campaign for PrEP here.
If someone is concerned they need an HIV test what should they do?
Terrence Higgins Trust runs a free and confidential helpline called THT direct. They provide advice, support and information about HIV, including where people can go for a HIV test. THT Direct is here to help between 10am and 8pm from Monday to Friday, on 0808 802 1221.

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Watch Wonder Women! The Untold Story of American Superheroines
"Wonder Women! The Untold Story of American Superheroines" is an American documentary about female heroes. It starts with Wonder Woman, who debuted in the 1940's, and continues on to the present day. The first part of the documentary concentrates heavily on Wonder Woman, as it discusses her creation and influence on later characters. The second part discusses some of those later characters, like Xena and Buffy. The documentary also includes interviews.
Own from $12.99
Own from $9.99
Wonder Women! The Untold Story of American Superheroines is a 2012 documentary with a runtime of 1 hour and 19 minutes. It has received mostly positive reviews from critics and viewers, who have given it an IMDb score of 7.3.
Where to Watch Wonder Women! The Untold Story of American Superheroines
Wonder Women! The Untold Story of American Superheroines is available to watch, stream, download and buy on demand at Apple TV, Google Play, YouTube VOD and Vudu. Some platforms allow you to rent Wonder Women! The Untold Story of American Superheroines for a limited time or purchase the movie and download it to your device.
Jane Espenson
Kristy Guevara-Flanagan
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Born to be Sold


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The Verbal Calorie
...literature's answer to relevance
Happily Ever After?
Speculation abounds regarding whether the media's influence is positive or negative for our collective psychology—the day has long passed since anyone of repute has argued that television, cinema, radio, advertising, et al. are epistemologically impotent. Indeed, the New Millennium meteoric mass packs a convoluted, dense punch, and unpacking the hazy penumbrae around the impact zone would take a very long time.
This much, however, is sure: we recognize patterns in popular culture and begin to anticipate what will happen next. We extrapolate from movie to movie, from song to song, and Western media being as homogeneous and formulaic as it is, we develop expectations. We know Jason Bourne isn't going to die. We know the lost dog will find its way home.
We parse out heroes and villains, comedies and tragedies, and figure the good guys from the bad guys.
Most of all, we've come to expect the happy ending. And therein lies the problem.
We're so bombarded with positive outcomes — inconceivable, unrealistic, and insultingly fabricated conclusions — that we've come to accept them as not just realistic, but as a given. Think about the Jason Bourne example: so many thousands of movies have reinforced our confidence in the hero's right to a happy ending that we know what the end holds for Matt Damon. And we assume, extrapolators that we are, that we in the real world have the same right, are virtually assured a sublime epilogue.
We all expect a glorious resolution to our personal conflicts, believing each moment to be the penultimate frame in an inevitably feel-good reel. We believe in change being just around the corner. We believe in big breaks. We believe in magic. We believe in miracles. We believe in the majestic climax that awaits each of us. We have a brand of one-way consciousness that deludes us into categorical hopefulness.
Just one manifestation of our misguidedness is the way we characterize drug rehabilitation. Many call rehab a gateway to a better, warmhearted future. Others, including many who have gone through it, label rehab a stultifying entrée into bleak, temperate incompleteness. Likewise, we tie our relationships and jobs to the happy ending paradigm. We orient our expectations towards a consumer relationship with swooning songstresses, script-trapped actors, and cloistered authors fathoming redemption from the misanthropic generators of literary minds.
Are we delusional? Have we all lost our minds, intent on piquant delusions and reverie? Our echolalia is frightening: the Tourettic insistence on mimicking the media can only portend disaster. Whether we curate a calamity or merely end up severely upset is a matter of degrees, or perhaps courage. How willing are we to turn off the television of our lives, to set down the remote and go outside?
Stay Safe, Bourne
DJ Damon
Posted by DJ Blogger at 5:03 PM 2 comments:
Lost Tribe Finds Itself
[Editor's Note: This article originally appears in the 09/04 issue of The Forward.]
In the Indian states of Mizoram and Manipur, far in the northeast near the Burmese border, some 7,000 people observe the Jewish Sabbath, kosher dietary laws and rules of family purity. Already, 1,400 of these people, known as Bnei Menashe, have immigrated to Israel. The remaining 7,000 wish to join their brethren as soon as possible in relocating to the Holy Land, the act known in Hebrew as aliyah.
Their ambitions are proving more complicated than they thought, however, and so they have released a CD of their music. Titled "Aliya, Aliya…" it is intended to help make the case for their quest and, not incidentally, to help fund the move.
The Bnei Menashe claim descent from the ancient Israelite tribe of Menashe (Manasseh), one of the storied 10 Lost Tribes exiled from the land of Israel by Assyrian conquerors 27 centuries ago. The Israeli Chief Rabbinate affirmed in 2005 that these people are, indeed, of Jewish ancestry, but required that they undergo formal conversion before they can be deemed Jewish under rabbinic law — and thus qualify for immigration rights, in such areas as subsidies and citizenship, under Israel's Law of Return. In the meantime, they must manage their resettlement on their own.
"Aliya, Aliya" features a collection of 15 songs, performed in Hebrew and in the Bnei Menashe's local dialect, Thadou-Kuki, and is mostly devoted to Zionist and religious themes. The CD was produced and published by Shavei Israel, an organization that helps descendants of Jews from all over the world to reconnect with their Jewish roots.
According to Shavei Israel founder and chairman, Michael Freund, the Bnei Menashe are "a lost tribe of Israel. They live and practice Judaism, they keep Shabbat, they keep kosher, they keep the laws of family purity, they wear yarmulkes and tzitzit. They have built over 50 synagogues across Mizoram and Manipur."
"Aliya, Aliya" combines Israeli and Indian styles, and, as its name implies, is a spirited plea for emigration. Some songs, like "Shokhen Ad," are from the traditional Jewish prayer service, while others, such as the title track, echo the group's attachment to Israel.
Although the disc showcases some exotic instrumentation, most of the songs are accessible and Western in musical style, with strong hints of modern Israeli music. In fact, though the expectation for a geographically far-flung disc may be a similarly unfamiliar style, the truth is just the opposite: The Bnei Menashe have produced a work that not only pines for the Holy Land, but also emulates Her sounds.
The result is pleasingly familiar, a percussion-heavy interpretation of Western fare. Not nearly as experimental as George Harrison's famed Indian-style compositions, nor as traditional as the country's classical raga style, "Aliya, Aliya" is surprisingly mainstream. With much of its material borrowed from Scripture and prayer, the album hits surprisingly close to home.
Shavei Israel is selling the CD through its Web site, www.shavei.org, and has been instrumental in assisting the Bnei Menashe. In addition to facilitating the aliyah of the 1,400 who have already moved to Israel, the organization has assisted with the building of synagogues and mikvehs in India. Shavei also operates two educational centers, one in Mizoram and one in Manipur, that instruct the Bnei Menashe in Hebrew and Jewish culture.
"I first learned of the Bnei Menashe over a decade ago," said Freund, who served from 1996 to 1999 on the staff of Israel's then-prime minister, Benjamin Netanyahu. "I made contact with members of the community who'd managed to make it to Israel. I was very taken by them on a human level, with their sincerity and commitment to living as Jews."
In 2004, at Freund's urging, Israel's Chief Rabbinate sent a delegation to India to try and determine if, indeed, the Bnei Menashe hail from a lost tribe.
"The rabbis spent time interviewing members of the community and meeting with some of the locals, learning more about their history and traditions and customs," Freund said. The delegation submitted reports to Israel's Sephardic chief rabbi, Shlomo Amar, who in 2005, Freund said, "formally recognized the Bnei Menashe as being descendants of Jews — 'zera yisrael' [the seed of Israel] — and [said he] would do what he can to facilitate bringing them to Israel."
Since the Jewishness of Bnei Menashe is not recognized by Israeli government officialdom, Shavei Yisrael has often had to navigate through layers of bureaucracy to get them to Israel. A typical strategy has involved obtaining permission from Israel's Interior Ministry to bring groups of Bnei Menashe to Israel for the purpose of conversion and resettlement.
"I think the Bnei Menashe are a blessing for the State of Israel and the people of Israel," said Freund, who made aliyah himself from New York 13 years ago. "They are honest, decent, hardworking people; they serve in the army; volunteer for combat units, and raise beautiful Jewish children. As much as we try to strengthen them, ultimately they strengthen us."
Stay Sonorous, Bnei Menashe
MC Manipur
Posted by DJ Blogger at 11:56 PM 1 comment:
Age Rage
Aging is a process, and aged is a state, but real "age," at least as it's depicted on a driver's license, is a vast artifice. You see, chronological age is only as relevant as its implications: having a physical body that has withstood thirteen corporeal years is one thing, but the assumptions, generalities, and social constructs that go along with that amount of time are what are truly meant by, "Oh, he's just thirteen."
So calling one of those Harvard-bound preteens a "twelve-year-old" is just as misleading as calling him dumb, or unmotivated. Sure, it's accurate so far as the calendar is concerned, but attaching all the trappings and beliefs normally assigned to people of that birth year is preposterous.
So twenty could be thirty, thirty could be eighty, and ninety could be fifteen. Each moment of the present is a shared commodity anyhow, a common "now" of which we all equally own a part. Our interconnectivity makes our ages something of a wash, or at least interchangeable. If one can share a moment with someone else—or, really, share every moment with someone else—then surely the amount of days one has been here is inherently less valent than one's humanness, and one's ability to transcend age and into something more captivating—perhaps one's science, or credulity.
We are transported on jagged floes of time, afloat on embalmed menaces irreversibly destined for later destinations. Thusly oriented, we presume these swaths our rightful carriers, and align our self-concepts by the blurry way-stations of days past. We pivot our stories on crowded platforms pockmarked by strewn birthdays and heeded demarcations. There are none more tortured than us, time travelers resigned to ride, freezing away our virility on age's piked glaciers.
But is chronology not simply a candle, a votive resonance with a wick, a body, and—most vitally—an extinguishable quality? Like an hourglass than can turned on its side and halted, age is a conflagration that can be smothered, muted, and mutated into inertness. Whereas some might believe the floes too mighty, these sheets can be stopped and stowed, made stationary against the rhetorical cross-examination of "But I don't feel very old."
Belief is time's lone arbiter—perceptions of youth and elderliness the vales in which age resides. It is from these hamlets that classifications arise, glutinous and damning like the summer haze. Twenty, thirty, and all the rest are viscous crags, plucking victims from time's beneficent streets.
Stay Specious, Age
DJ Derider
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PUBG Mobile Updated 0.4.0
in News April 19, 2018	1,188 Views
PUBG Mobile update 0.4.0 is finally out and it's becoming accessible in many areas. This can be considered as the largest update containing several new features that are much interesting to find out, for instance, an Arcade mode, training grounds and so on. All of the alterations are kind of similar to the previous build of the Chinese version of the game. It will be considered in the main patch notes as shown below!
IOS DOWNLOADAPK DOWNLOAD
Big Updates
Arcade Mode
This is a kind of brand new mode consisting of 28 players, with one of the six changes, including shotguns, all weapons, melee, sniper rifles, pistol, and item heaven.
You can try using all kinds of weapons and improve your shooting abilities. Dusk is a new setting that was also added to the game via this update.
More than 20 optimizations for the game
The battle experience got improved.
The Follow function was attached to the game, before using the parachute and after landing on the ground.
An automatic door opening was added, and you can trigger it in Settings.
Already modified the pause between collecting lots of items automatically.
Solved 4x and 8x scope performance problem.
A performance chart was attached to the Results screen.
Sound effects and voice chat issues were altered and solved.
Leaning: The movement speed got increased. You can use "Lean & Open Scope" and "Lean & Fire" now.
The flipping tricks for motorcycles were attached to the game.
Cars now have nitrous oxide engines.
The mini-map now shows the formerly-used vehicles.
The iOS users are now able to use 3D Touch firing options.
Don't forget your subscription to catch up with the story
The Android update will be released in several regions, and if you can't wait for it, you can think about using the APK file in a risky way. This can cause you to lose account or rank information.
Obviously, if there is an update available, you have to wait for a few hours for it to post, especially if you are playing PUBG mobile on an iOS device. The update will pop up in the Updates section of the app store. You just simply tap the button, then the file will be automatically downloaded.
The proof of the update first popped up when the users found out a challenge in the game. They would be rewarded with a lot of things if they downloaded the latest update. Once things have been completely installed, the challenge will be totally finished.
Although there is a new mode added to the game, you should note that this mobile version doesn't contain the Mirimar desert map which is being tested in other areas at the moment. Nothing sure or confirmed when the map will be accessible in the English version.
Android and iOS users are now able to check out PUBG Mobile, and this big 0.4.0 update will be approachable on both platforms. Feel free to explore it!
Arcade Mode PUBG Mobile PUBG Mobile Updated Training Grounds 2018-04-19
Tagged: Arcade Mode PUBG Mobile PUBG Mobile Updated Training Grounds
Zombie Darkest Night Mode In PUBG Mobile


I didn't know at the time of my making the decision, about the bets. Since they constituted advice, clearly solicited, I was absolutely correct.
This would be fair enough - except Short fails to mention his own role in this and other law suits against FIDE.
No Gerard, it is fair enough. Full stop.


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You are here: Home / News / Client News / Q Polska premieres eight new shows on player.pl
Q Polska premieres eight new shows on player.pl
8th May 2019 /in Client News /by Platform Team
The announcement is the company's third deal in Poland, following partnerships with Play Poland and TOYA.
TORONTO and LOS ANGELES, 8th, MAY 2019 – QYOU Media (TSXV:QYOU; OTCQB: QYOUF) announced it has partnered with player.pl, Poland's leading OTT service, to bring eight new shows to its platform. The shows will debut under the company's Polish arm, Q Polska, and reflect the region's unique internet culture with digital-first programming from some of the country's most talented and popular content creators.
With the average Polish consumer increasingly watching short-form video content on social media platforms like YouTube and Facebook each month, there's a growing opportunity for OTT players to capitalize on this market. Player.pl, which had a monthly audience reach of 5.5 million this march, is bringing Q Polska to its platform to leverage this trend.
Q Polska, in partnership with European multi-channel network Mediakraft, is turning four of Poland's top YouTube channels with more than 24 million combined monthly views: Topowa Armia, Lejdis, Waksy,Włodek and Markowicz, into dedicated shows. It has also created four brand new themed shows, Muzyka, Niezwykłe wyzwania, Odkrywcy, Komedia, which are based on its extensive knowledge of what type of content young Polish viewers are actively seeking out online.
"Millennials and Gen-Zs make up a significant number of our audience, so it is essential that we can bring the creativity and dynamism of internet culture to our service. We chose Q Polska because they have their finger on the pulse about what's trending and entertaining for young Polish audiences, and can turn content that's hugely popular online into longer TV-like programming." says Maciej Gozdowski, Managing Director of player.pl.
Launched in 2018, Q Polska is the first channel QYOU Media fully localized for a European market. It features talent from multi-channel network Mediakraft's stable of entertainers as well as the region's top creators, who have a combined social reach of nearly 10 million followers. Q Polska was originally launched on Play Poland's over-the-top (OTT) service, Play Now. Most recently, it was made available on TOYA's TV service and via the TOYA GO mobile app.
"Younger audiences in Poland are always seeking out the very best of online video content, which is why we have been rapidly growing our presence in the region. Player.pl is the region's number one OTT service, providing the perfect platform for us to increase our reach," said Curt Marvis, CEO, and co-founder of QYOU Media. "We couldn't be more excited for Player.pl audiences to see the shows we have been developing with Mediakraft. They are fun, fresh and shine a light on the very best of Poland's viral video culture."
Tags: OTT, player.pl, Q Polska, QYOU Media
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Tag Archive: NHS
Inquiry into rogue surgeon Ian Paterson must identify how to better protect patients and ensure they can be compensated
Having acted for a number of people who were patients of the rogue consultant breast surgeon Ian Paterson, we certainly welcome the national inquiry which has been announced by the Government this week.
Certainly, serious questions need to be asked, especially given that Paterson was not suspended from his position until eight years after concerns were first raised.
Paterson, who worked at the Heart of England NHS foundation trust (HEFT), also practised privately at Spire Parkway and Spire Little Aston.
He was found guilty of 17 counts of wounding patients with intent and jailed for 20 years in August, having carried out needless surgery on patients who were left traumatised and scarred.
The inquiry is set to look into the reasons for the delays in stopping the unacceptable practices of this surgeon, and crucially question if more could and should have been done to protect the hundreds of patients he saw.
As compensation lawyers who support victims of medical negligence every day, we see the need for such matters to be fully investigated. It is only by doing so that the public's faith in the medical profession can be restored in some way.
Are inspection regimes strong enough to detect rogue and poor performing health professionals?
Paterson was the man committing the crimes and has rightly been sentenced, but how and why was he able to get away with it for so long without being detected and stopped?
The Government says the scope of the investigation will include the independent sector, and it is set to examine whether the Care Quality Commission's (CQC) inspection regime needs to be strengthened.
It has certainly been a costly situation. The NHS has now paid out almost £10m in compensation to more than 250 patients, and Spire healthcare agreed in September to settle a further 750 cases.
In my view, the investigation certainly needs to and look at whether surgeons are still today being allowed to work in isolation and whether enough is being done to spot health professionals who may be a danger to patients early enough.
The reasons for the delay in stopping unacceptable behaviour must be a major focus – and the findings should be publically revealed so that all who played a part in allowing this scandal to happen are held to account. This should hopefully ensure lessons are learned to prevent something like this happening again.
From our perspective, when things do go wrong we always look for the quickest route to right the wrongs for our clients, aiming to obtain full compensation to help them get back to the position they were before they were injured, as far as money is able to achieve that.
One of the key reasons for the delays in paying compensation to our clients in this case has been the initial indication from Paterson's own Medical Defence Organisation, the MDU, that the indemnity cover they were providing did not actually cover all of his actions as a surgeon.
This resulted in years of delays as specialised lawyers tried to extend every legal principle in the book in a search for other organisations and bodies to hold to account for his actions.
We will therefore be following the inquiry with interest to see what sort of recommendations are made in relation to arrangements for medical indemnity cover for clinicians in the independent sector to cover all aspects of medical and cosmetic treatment.
It is simply not acceptable for patients to suffer so badly, and then find there is no individual or organisation willing to accept responsibility and provide them the compensation they fully deserve and need.
Protecting patients must be the priority.
Hospital Trust admits 'memory lapse' led to doctors being unaware woman who died when pregnant with twins had dangerous heart condition
The family of a woman who died of severe heart failure when pregnant with twins say it is 'unforgiveable' that a mistake led to the midwives and doctors treating her being unaware her family had a history of heart disease.
Kelly Forrest, 36, had lost her father when he was aged just 22 to cardiomyopathy – a hereditary disease of abnormal heart walls which is especially dangerous for pregnant women due to the added stress on the heart when having children.
Ms Forrest, who was already a mother of three children, had made midwives aware of her family history at her first antenatal appointment, where it was recorded in her medical notes, but due to a 'memory lapse' was not transferred onto Hull and East Yorkshire Hospitals NHS Trusts' electronic systems.
Due to this error, Ms Forrest believed she was being cared for by midwives and doctors aware of her family background throughout her pregnancy, but that was not the case.
When 32 weeks pregnant, Ms Forrest's family say she became increasingly unwell, suffering from breathlessness, sweating, feeling dizzy and vomiting.
She was sent home from Hull Royal Infirmary's Maple Ward having been prescribed iron for anaemia, before being sent home again a day later from Priory Children's Centre and advised to contact the antenatal day unit if her condition worsened.
However, just three days on June 5th, 2014, later Ms Forrest died after suffering severe heart failure and a massive loss of blood as doctors battled to save her when admitted to the emergency department in an ambulance.
Ms Forrest's two baby boys survived having being delivered by a Caesarean Section, with one needing resuscitation.
Hospital staff only became aware she had she had died of dilated cardiomyopathy following a post mortem.
Investigation identified catalogue of errors pregnancy care
Now, following a legal case which consulted a number of independent medical specialists for expert opinion, Ms Forrest's family have been told the catalogue of errors admitted by Hull and East Yorkshire Hospitals NHS Trust cannot categorically be attributed to her death.
Experts said her illness in the two and three days before her death was 'unexplained' and that her final illness was 'complex, multifactorial and essentially untreatable."
For her mother, Anne Campbell, this has been a difficult conclusion to accept, and she says such 'basic errors' being made in maternity units are a cause for wider concern.
"How on earth can something so significant simply not be entered into vital medical records when it is known to be dangerous to pregnant women?" she said.
"Kelly made it known to the doctors as soon as possible that there was the family history of losing her dad when he was just 22. They say it was a 'memory lapse' that led to that being missed during her care, but they may as well have just completely ignored her.
"It has been very difficult to accept that, despite the Trust admitting a string of errors in Kelly's care, this error at the start- impacting on her entire care when pregnant – did not contribute to her death.
"My granddaughter (Kelly's daughter), who is 21, is now having to go for regular testing in Leeds and the boys will do also. It is a serious condition and they want to monitor her closely and have said she must speak to them before trying for a baby herself.
"I am certain Kelly would have been monitored much more closely had it been known, they even admitted it should have been an 'escalated matter' during her pregnancy.
"The worrying thing is how many basic errors like this are being made across maternity care? What else should midwives and doctors be aware of when treating patients but are not? These kinds of mistakes are completely unforgivable."
Root cause of incident was 'memory lapse'
A Serious Incident Investigation concluded that the root cause of the incident had been 'an unintended skill based memory lapse as the patients' family history was not escalated appropriately or acted upon at any point during her pregnancy'.
As a result, details of the error have since been circulated across the NHS nationally. Hull and East Yorkshire Hospitals NHS Trust has also reminded all staff of the need to accurately transfer all hand-held records onto its electronic system, and that consultants and midwives must review handheld notes through the pregnancy.
Mrs Campbell added: "It is all very well saying lessons have been learned but how often do we hear that, and when such basic mistakes are being made, how can we believe it. You don't need extra training to know the importance of making sure patient records have all vital details on.
"The only positive from this horrendous situation has been the two beautiful boys that were added to our family. They are three-years-old now and are starting to ask about their wonderful mummy.
"Kelly was a fantastic daughter and mother. She inspired her eldest daughter and cared for her middle son who has Aspergers Syndrome. She was very strong headed and wouldn't hold back on her opinions and thoughts, so she'd expect us to speak out and highlight what happened.
"We tell the boys mummy is an angel and in heaven. She will certainly be looking down on them and she would have loved every minute of them."
Nicola Evans, a medical negligence specialist at Hudgell Solicitors, has represented the family as they have demanded answers from the Trust.
She said: "This was a very sad incident and it is certainly fair to say there were many areas of concern with regards to the processes at Hull and East Yorkshire Hospitals NHS Trust and how basic errors were made which impacted on the future care of their patient.
"Ensuring midwives and doctors have all the relevant information at hand when caring for any patient, particularly a pregnant woman, is imperative and can be so dangerous if not the case.
"This case has led to lessons being learned at the Trust, which we certainly welcome, but also acts as a warning to other patients and mothers to not be afraid to repeat their concerns and ask questions of their care at all times. It is clear that doctors don't always have all the information they need at hand to make the right calls, and that is a worry."
Hull Daily Mail
Care Chief Warns Funding Gap Risks 'Catastrophic Failure' within NHS
UK care homes are "teetering on the edge" and are at risk of "catastrophic failure" according to Chai Patel, a businessman set to become the largest operator of private residential care homes in the country.
In the wake of savage spending cuts within the social care system, Mr Patel has warned that NHS services are now at breaking point, with funding gaps placing struggling centres under immense pressure to deliver the quality of care people expect when moving their elderly relatives into a care home.
In an interview with the Times, Mr Patel, chairman of HC-One, an independent provider of residential care homes, commented on the "chronic under-funding of social care services" within the health service, and admitted that the entire sector — including private care services — is on the brink of collapse.
Mr Patel's comments come after it emerged that HC-One is set to acquire 120 homes from Bupa, a takeover deal which would make it the UK's largest provider of private residential care accommodation. The businessman has predicted that six national chains, including HC-One, will emerge to dominate the social care landscape, easing financial pressure on the NHS and giving lower-income households greater choice and flexibility in the services available to them and their relatives.
Since the government cut funding to social care services, many small operators reliant on monetary support from local authorities have struggled to provide the quality care expected by care watchdogs, including the CQC. Others have been forced to close, with a reported 144 residential and nursing homes closing their doors in the past 12 months alone, at the loss of 2,000 vital bed spaces.
Earlier this month, it emerged that 70,000 new care home places will be needed in the next 10 years, with an ageing population requiring quality care and treatment for more complex medical conditions in later life. In the current climate, experts like Mr Patel believe that capacity issues and funding gaps mean that the government will fail to reach this target, and by a considerable margin — placing the most vulnerable people in society at risk from failing services and a lack of quality care spaces.
At present, the care home system is hugely fragmented. While there are around 22,000 care homes in the UK, only 1,000 of these are operated by the top five private companies. This means that around 220,000 elderly people rely on services which are funded by local authorities; services at risk from bankruptcy and the inability to provide reliable patient care.
Businessmen like Mr Patel believe that private care companies may provide the answer to the current care crisis, helping to ease the social care burden on the NHS while ensuring that every elderly person gets access to affordable and quality care.
He said: "Demographics are showing in the next ten years there is need for almost 70,000 beds and this is not happening. When local authorities are trying to work alongside social care providers you can see the challenge of trying to integrate these services. I think larger operators can bridge this gap."
Are private firms the answer to the care home crisis?
As HC-One looks set to become the UK's largest provider of independent care and residential home places, questions are being asked about the role private firms could play in solving the current funding crisis, which has plagued the social care sector for more than a decade.
Businessmen like Mr Patel believe that the social care sector needs investment from private companies if it's to stay afloat under the mounting pressure of spending cuts and capacity shortages. Increased investment from the top five independent care providers will mean that services struggling to cope under local authority funding will be given a much-needed cash injection, while elderly people will also have a greater choice of services available to them.
Martin Green, chief executive of Care England, agrees, welcoming the potential deal between HC-One and Bupa. He said: "Private providers are painted to be only concerned with profiteering from older people when, in my personal experience, this could not be further from the truth. It is the private sector that is plugging the gaps for the state.
"The real scandal in social care is the abject failure of successive governments, across all political parties, to invest properly in social care over many decades."
While HC-One's Bupa takeover bid is yet to be finalised, it's hoped that the acquisition could prove a positive step towards increased investment in the crippled care sector. With the NHS in turmoil and the government promising, but so far not delivering, on its pledge to plug the care spending gap, we're interested to see the impact increased private investment could have in solving the ongoing care crisis.
For more of the latest news and updates on the care crisis, take a look at our dedicated care home abuse and negligence newsfeed. Or, to find out more about our work in helping to support the victims of care home abuse, click here or call our team today.
One in Four Back Pain Sufferers 'Left Damaged' by Surgery
A quarter of back pain sufferers are 'left damaged' by remedial surgery according to a study by spinal surgeons, with post-op issues ranging from severe pain to permanent paralysis.
The study, which was conducted by a team at Salford spinal surgery unit, found that 25% of 900 patients suffered complications following a spinal operation. This figure sits in stark contrast to the 4.6% complication rate reported by surgeons.
Medical negligence claims for substandard spinal procedures are now so common that the Medical Defence Union, which provides insurance to private doctors, has announced that it will no longer cover the cost of back surgery claims outside the NHS. Leading spinal surgeons are also demanding the development of a patient database, which would make it easier to identify patterns of failure and hold those liable to account for inadequate care and wrongdoing.
Leading surgeon Naveed Yasin of the Salford spinal unit led the study, and reported the team's findings to the British Association of Spinal Surgeons (BASS). Speaking to the Times, Naveed voiced concerns that the lack of a single registry for spinal operations means there's no benchmark against which the quality of spinal operations can be measured, and that the outcomes of many procedures aren't being properly recorded.
He said: "Outcome measurements are controversial, but we need them. We compare outcomes with European averages. If you don't do them, how do you know if you're a good or bad surgeon?"
In our work representing those affected by substandard spinal surgery, we see patients living with life-changing injuries and complications, including severe pain, incontinence, paralysis, and difficulty walking. Worryingly, cases of botched spinal surgery are on the increase, with the same failings found to be repeated from patient to patient.
Spinal Surgery Errors Greatest Legal Drain on NHS
After damage during childbirth, spinal surgery complication claims represent the greatest legal drain on the NHS, with thousands paid in failed back surgery compensation each year. According to the Medical Protection Society, a government-backed organisation which supports healthcare professionals, the cost of settling medical negligence claims could reach £2.6bn a year by 2022 — with botched spinal surgery compensation accounting for a large proportion of this total figure.
Given the life-changing impact substandard back surgery poses, more must be done to improve standards and reduce the risk patients face when undergoing seemingly low-risk procedures. The General Medical Council is currently reviewing the results of the study, and is expected to outline its proposed improvement plans when BASS publishes its full report later in the year.
If you've suffered as a result of a substandard back operation, our medical negligence solicitors are here to help. For a free, no obligation consultation about your claim, click here or call our team today.
Scandal around 'secret' of lost patient records could cost lives and those responsible must be held to account
It is nothing short of a scandal that thousands of patients may have suffered harm as a result of more than 700,000 documents – including details such as cancer test results and child protection issues – failed to reach GPs and were left in a warehouse over a five year period.
Even more shocking is the fact that the company responsible for delivering the documents – part owned by the Department of Health – allegedly became aware of the issue in January 2014, but took two years to come clean and inform the Government and NHS England.
It has been called a 'colossal blunder' by politicians and a 'disastrous situation' by the British Medical Association.
Quite simply, it appears an astonishing case of negligence, worsened by an apparent lack of care and consideration for those put at risk by not informing key people of concerns earlier.
By keeping matter 'secret' the significant risk to patients was ignored
In our work as medical negligence claims specialists, our team see day to day the need for speedy diagnosis of serious conditions such as cancer. Early detection is vital and impacts the level of treatment patients may have to undergo.
The National Audit Office (NAO), which has investigated this matter, says the company involved, NHS Shared Business Services (SBS), had become aware of a risk to patients in January 2014.
However, senior managers had not developed a plan to deal with it or tell the government or NHS England for another two years, and only told NHS England and the Department of Health of the issue in March 2016.
Even then, neither Parliament nor the public – the people put at risk by these potentially grave errors – were told. The issue only came publicly to light in February after the Guardian newspaper reported it.
It has been suggested there was a 'conflict of interest' between the health secretary's responsibility for the health service as a whole and his department's position as a shareholder in NHS SBS.
However, a Department of Health spokeswoman said it was committed to being transparent over the handling of the issue, saying it was given advice not to raise the alarm publicly until it had a better understanding of the problem.
It claimed concerns about patient safety 'would always outweigh its role as a shareholder in the company', and that as yet there had still been no proof of harm to patients.
However, given doctors have already raised concerns in 1,788 cases, which are now being individually investigated and overseen by NHS England, that approach already looks a serious error of judgment.
NHS England also said the company had been "obstructive and unhelpful" when it had tried to investigate the issue.
It is a shocking, inexcusable, and unforgiveable situation.
How many have suffered as a result of lost medical records?
The question now is how many people have suffered due to this error?
There are still over 200,000 records which went missing to be reviewed by GPs, and therefore it is highly likely that many more cases in which there is genuine concern will be uncovered.
NHS SBS was employed in the East Midlands, South West and north-west London to redirect mail for the health service between 2011 and 2016.
It was meant to pass on documents that had either been incorrectly addressed or needed re-routing because the patient had moved to a new GP surgery.
People diagnosed with conditions in recent years could now discover it should have been treated much earlier. Even worse, some may never have known their health was a concern at all.
The report by the NAO found the cost of dealing with this incident was likely to be in the region of at least £6.6m.
The human cost, sadly, could prove to be much more, and for that, those found responsible must be held to account.
NHS Trusts Must Do More to Prevent Stillbirths and Neonatal Death
Stillbirths and neonatal deaths have a lasting impact, and nothing can prepare parents for the pain of losing their baby. Tragically, 15 babies die before, during or shortly after birth in the UK every day — raising questions about what can be done to prevent and reduce perinatal mortality.
Just last week, a report emerged suggesting that almost two dozen NHS trusts in Britain have higher than expected rates of stillbirths and neonatal death. Some twenty-one hospital trusts are currently labelled "red", meaning they have an infant mortality rate 10% higher than the European average for that type of organisation.
In 2015, experts began examining the UK's perinatal death rate. They introduced a traffic light system to highlight trusts where action is needed to improve birth outcomes. Over 12 per cent of the 165 NHS trusts assessed in the study were labelled "red", while around a third (32.7%) were given an "amber" rating. Troublingly, just 7% were ranked "green", meaning their perinatal mortality rate is 10% lower than average.
The authors of the study, MBRRACE-UK (Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK), have called on individual NHS trusts to investigate the possible causes of the higher rates, and review the quality of care they provide. Working with the Healthcare Quality Improvement Partnership, plans are in place to develop a standardised perinatal mortality review tool that will allow hospitals to monitor and review stillbirths and neonatal deaths— with a goal to reduce instances of infant mortality in the future.
The 21 NHS trusts with high rates of stillbirths and neonatal deaths
Below, we list the 21 NHS trusts deemed "red" by the MBRRACE-UK report.
Belfast Health & Social Care Trust
Birmingham Women's NHS Foundation Trust
Cambridge University Hospitals NHS Foundation Trust
Guy's and St Thomas' NHS Foundation Trust
Liverpool Women's NHS Foundation Trust
Sheffield Teaching Hospitals NHS Foundation Trust
University Hospitals Bristol Foundation Trust
East Lancashire Hospitals NHS Trust
Homerton University Hospital NHS Foundation Trust
The Royal Wolverhampton NHS Trust
Royal Berkshire NHS Foundation Trust
Sandwell & West Birmingham Hospitals NHS Trust
Southern Health & Social Care Trust
The Dudley Group NHS Foundation Trust
The Shrewsbury and Telford Hospital NHS Trust
Worcestershire Acute Hospitals NHS Trust
Countess of Chester Hospital NHS Foundation Trust
Kettering General Hospital NHS Foundation Trust
Royal United Hospitals Bath NHS Foundation Trust
Salisbury NHS Foundation Trust
Dorset County Hospital NHS Foundation Trust
Despite these worrying statistics, the report does show that the UK's stillbirth rate fell by 8% between 2013 and 2015 (when the study was carried out), and that the number of cases is generally falling year-on-year. The Government's long-term ambition is to halve the total number of stillbirths and neonatal deaths by 2030, and these statistics do suggest that things are moving in the right direction.
However, while the UK's stillbirth and neonatal death rate is falling, it remains higher than other European countries. In 2015, the rate was 3.87 per 1,000 total births — higher than European countries with a similar population and GDP. There is also considerable variation between NHS trusts across the country, highlighting the need for individual hospitals to review the care and treatment they provide, and do more to prevent infant mortalities.
Could Hospital Negligence be Responsible for Hundreds of Baby Deaths and Brain Injuries?
In a similar study released last week, the RPOG (Royal College of Obstetricians and Gynaecologists) concluded that more than 550 babies who died or suffered brain injury shortly after birth may have had different outcomes had hospital care been better and more comprehensive.
In the wake of the report, the RPOG are calling for a raft of actions to be taken to improve care in hospitals with a high infant mortality rate. The organisation has launched an 'Each Baby Counts' campaign, calling on the government to take a tougher line on NHS trusts which currently fall below the expected standard in neonatal care.
Raising Awareness of Neonatal Death for Sands Awareness Month
June is Sands Awareness Month, an annual campaign raising awareness of stillbirths and neonatal death. As part of the 2017 campaign, Sands is highlighting the tragic fact that 15 babies die every day in Britain, and has launched a #15babiesaday initiative to get people involved in the event.
Sands was founded in 1978 by a small group of parents left devastated by losing their babies. Ever since, the charity has campaigned tirelessly to raise awareness of the impact of stillbirths and neonatal death. The charity provides help and support to families who have suffered the death of an infant, and also works with the government to advise on how hospitals and healthcare trusts can do more to prevent and reduce neonatal mortality.
For more information on Sands and ideas on how you can get involved in the #15babiesaday campaign, click here.
Hudgell Solicitors is experienced in holding healthcare providers to account for substandard antenatal and neonatal care. To find out more, visit our dedicated birth negligence page or call our team today.
Hudgell Solicitors say 'tens of millions being wasted from health care' by NHS refusal to admit mistakes
Hudgell Solicitors managing director Neil Hudgell says 'tens of millions of pounds' are being lost from vital health services in the UK because of the NHS refusing to admit indisputable mistakes and compensate people for life-changing injuries caused.
Holding medical profession to account over negligent care can lead to improved services for all
By Lauren Dale, Clinical Negligence Solicitor at Hudgell Solicitors
In our work as medical negligence specialist solicitors, we strive to achieve two clear goals in each and every case we handle.
Firstly, we seek justice and compensation for those we represent.
Our clients turn to us at difficult times, and hope Hudgell Solicitors can help them find the answers to their questions and concerns – answers they would most likely never get without our legal expertise and support.
Proposals to cap medical negligence costs for NHS will only prevent patients from receiving support and compensation they deserve
Hudgell Solicitors will be strongly opposing Department of Health (DoH) proposals to place a cap on legal costs involved in clinical negligence claims against NHS organisations.
Importantly, we will do so to not to protect our own earnings in such cases, but crucially to ensure patients across the UK continue to have the option of seeking compensation when they have been victims of sub-standard medical care.
As specialists in handling such claims, we see the devastating, life-changing impact medical negligence can have. When people suffer from sub-standard treatment, they need someone on their side to ask serious questions of those who have let them down.
Musgrove Park report highlights concerns over private care in NHS
WORRYING questions have been raised over NHS Trusts using private healthcare providers to clear waiting lists following a leaked report which has claimed dozens of eye surgery operations were rushed and of a poor standard at a UK hospital.
The Guardian newspaper has revealed that a private company agreed to perform 20 cataract operations on patients a day to clear a backlog at Musgrove Park hospital in Somerset, in a bid to meet Government waiting list rules.
However, that was at least six times more operations a day than the hospital's own surgeons would usually carry out – with a combination of staff, equipment and facilities which had never been tried before.
The report, seen by the Guardian and apparently marked "strictly confidential: not to be disclosed to any other party", says that despite it being clear that patients were suffering complications, procedures continued.
By the time operations at the Taunton hospital were stopped, 62 patients had undergone surgery, and of them, only 25 had a "normal recovery". The report says the complications reported were ten times the number that might have been expected from the surgery.
Among those complications were burns caused by the machine used to break up cataract and loss of iris pigment, some patients being left with microscopic metallic fragments in their eye and others left needing further surgery because cataract fragments were left in their eyes.
This report certainly paints a frightening picture of the arrangements made between NHS hospitals and private healthcare providers – and in this case one where the standard of patient care doesn't appear to have been any kind of priority.
Indeed, the report states that Musgrove Park drew up a contract with the global health giant Vanguard Healthcare Solutions, which in turn sub-contracted the provision of surgeons and equipment to another private company, which in turn sub-contracted the provision of some equipment to a third company. It is hardly surprising that there were major problems during surgery as a result.
NHS Hospitals have of course been encouraged by the Government to treat some patients privately for some time now as a way of generating extra cash and cutting waiting lists, but carrying out surgery on a conveyor belt system will only ever lead to a fall in standards of care.
As experts in dealing with cases involving medical negligence, we at Neil Hudgell Solicitors welcomed the government's commitment to becoming more open about mistakes made in the NHS following the Mid Staffs hospital scandal.
Greater transparency across the board, and a willingness to accept and fully address issues of poor medical care is the first step towards implementing new procedures and polices across the UK to bring about improvements in NHS care.
The decision not to publish this report – marking it strictly confidential and not to be disclosed to any other party – sadly suggests there is still some way to go before that is achieved.
It begs the question, how many more hospitals are using desperate measures to cut waiting lists and meet targets, at the expense of patient care?


3 January 2017, by MONTEIRO A.
The diagnosis is usually clinical based on the appearance of the lesions and the development pattern.
As lichen striatus is a benign, self-limited condition, most of the times treatment is not necessary. Patients and specially the parents should be reassured that the eruption will resolve spontaneously in months without scarring, leaving a transient hypopigmentation that can last for several years.
The diagnosis is usually clinical. However, sometimes a biopsy may be necessary.
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11. Kurokawa M, Kikuchi H, Ogata K, Setoyama M. Bilateral Lichen Striatus. J Dermatol 2004 ;31:129–32.
12. Kim M, Young Jung H, Sun Eun Y, Kee Cho B, Jeong Park H, Hyun Jeong Park C. Nail lichen striatus : report of seven cases and review of the literature.
13. Karakaş M, Durdu M, Uzun S, Karakaş P, Tuncer İ, Çevlik F. Lichen Striatus Following HBV Vaccination. J Dermatol 2005 ;32:506–8.
14. Campanati A, Brandozzi G, Giangiacomi M, Simonetti O, Marconi B, Offidani AM. Lichen striatus in adults and pimecrolimus : open, off-label clinical study. Int J Dermatol 2008 ;47:732–6.
15. Jo J-H, Jang H-S, Park H-J, Kim M-B, Oh C-K, Kwon K-S. Early treatment of multiple and spreading lichen striatus with topical tacrolimus. J Am Acad Dermatol 2007 ;57:904–5.


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Guiry feels dual player has no future
The Waterford footballers warm up. ©INPHO/Bryan Keane.
Waterford minor football manager Tom Guiry believes that the expansion of both the hurling and football championships has made it almost impossible for dual players to focus on both codes.
Speaking to the Waterford News & Star following a heavy defeat to Tipperary in the Munster MFC last week, Guiry lamented over the fact that they are fielding an understrength side as many players have opted to focus on hurling.
Waterford did have two dual players in their line up against Tipp, but with four games in the Munster MHC and three in the MFC, Guiry is in no doubt that the day of the dual player at county level is almost in the past.
"You would have to say that the day someone can play hurling and football is nearly gone with the way the two championships are being run," said Guiry.
"We're playing three weeks in a row and if you get into a final that's another week gone. Then to turn around and go straight into hurling for another four or five weeks, it's impossible. These guys are playing school games and club games as well. It's a big ask on them."


Linda Talbott is the development director for Montana Public Radio. She also hosts Morning Classics on Fridays.
Join us for a deep exploration of politics and civility at our Repairing Public Discourse event with "On Being's" Krista Tippett, along with guests Sally Kohn and Erick Erickson - live on-stage Tuesday, March 20 at 7:00 p.m. in Missoula at the Dennison Theater on the UM Campus. Admission is free.
Have coffee with NPR's David Greene — he'll be hosting Morning Edition live from the Feed Cafe in Bozeman tomorrow. And you are invited to be there — the only catch is it starts at 3:00 a.m. The side benefit is it's totally cool to wear your pajamas.
We just heard Senator Jon Tester will be there too, after 4:00 a.m.
Montana Public Radio finished our 50th anniversary year with an amazing rally in listener support, reaching $1.54 million. We also had three sold-out performances (Ira Glass, Bill Harley and Garrison Keillor), and held our first short fiction contest. It has been exciting to see all the ways that our shared love for Montana Public Radio has manifested. I can't say often enough that financial support from deeply committed listeners like you is what makes MTPR succeed.
Join us for a free event previewing the the new PBS series "Mercy Street". We'll screen a preview reel of the first episode plus series extras. Then UM History Professor Anya Jabour, who is an advisor to the show, will share her experiences of being on the set during production and more.


Making payments outside India requires certain compliances, one such compliance being submitting of Form 15CA and 15CB. The various scenarios where these forms must be submitted have been discussed in this article.
List of payments of specified nature mentioned in Rule 37BB, which do not require submission of Forms 15CA and 15CB, has been expanded from 28 to 33 including payments for imports.
Form No. 15CB will only be required for payments made to non-residents, which are taxable and if the payment exceeds Rs. 5 lakhs.


Bartosz Kapustka hopes to secure Leicester move because Foxes boss Claudio Ranieri wants him more than any other of his suitors.
The Cracovia forward impressed for his country in Euro 2016, and Sky sources understand the Foxes are now prepared to part with £7.5m to land Kapustka.
Clubs in Germany, the Netherlands and Spain are also interested in him, but Kapustka insists he has made his mind up about where he wants to be playing this season.
"Yes, of all the offers tabled, Leicester wanted me the most," Kapustka told Telewizja Polska .
Don't miss PSG v Leicester. Watch on NOW TV from £6.99. No contract.
"Ranieri's interest was a big factor for me. He was asking about me, he wanted me to join the team. This convinced me, but there were many factors.
"I'm not going there only because of the name of the club, or because they won the Premier League. I'm optimistic and think I have a real chance of playing time."


For those of you that have a AXI and find the first stage of the trigger (disconnector leaf before engagement of sear leaf) short on length of pull (Mine was very short with the stock trigger), there is a fix. The Wilson Combat Ultralight Match 190 Trigger bow is .030 shorter than the stock AXI.... providing more travel on the first stage. It required some minor fitting but was worth the time.
After Doug Hall did a trigger job at Perry and with the Wilson trigger, I now have a very nice trigger.
So a super duper high end gun needs upgrades? That's a little disappointing.
I wouldn't label that an upgrade. That's a custom touch for a user.
Pardinis and Feinwerkbaus come with trigger adjustments for a reason.
I provided the information to assist others saving time, money and aggravation. Triggers are a very personal experience. However, most shooters I know with AXIs do have trigger jobs dones. The triggers as shipped are very good but personalization to achieve a great Trigger can be a quest.
A little off the subject but I have just ordered an AXI and am disturbed about the trigger adjustment that had to be made. I'm getting my pistol in 10mm and, of course, won't compete in Bullseye with that gun. Also, I moved from a Pro Plus to a Pro as I don't need the 10X accuracy at 50 yards. Just wondering if you can give me some input on your overall outlook on the AXI and if any other problems or concerns.
Some people prefer an ultra short first stage and reset. My old school Giles and Shockey are both set up like that, so it stands to reason that a lot of shooters like that feel.
I don't think you should be worried that some shooters need to change the out-of the box trigger to get it feeling the way they want. If you are in this game for a long time, you get super specific and picky about how you want your trigger to feel, and it can be hard to describe or quantify in a way that a smith can replicate without a lot of back-and-forth conversation and adjustments.
So again, I wouldn't worry about the trigger. Especially if you aren't going to shoot bullseye with it. Its going to have a trigger better than what you get on a Kimber or other mass-produced 1911.
Have you called Steve Huff of Accuracy X to discuss the issue or should I say, your desires? I own more than one AXI pistol and have called Steve on occasion to discuss triggers. Steve has adjusted my triggers to my liking on several occasions. Always without charge.
Once I had a problem with a gun. There was nothing wrong with the gun except that I couldn't shoot it reliably with my handloads. You Master's probably would have never experienced a problem with it. Anyway, Steve paid shipping both ways, resolved the problem, and had the gun back to me in 10 calendar days. No charge for that either.
Steve builds a great gun, and his customer service is at the highest level in this small industry of custom target 1911's. Give him a call if you have concerns with your AXI gun.
You can explain what type of feel you want in a trigger but you will not know if it's right for you until you get the gun in your hand, then you can make the final adjustments. What's a short roll to you make seem like a mile long to me.
I did discuss the trigger modification I wanted for the first stage with Steve. His response was "Per the trigger, everyone has their idea of what a "perfect" trigger should be. We set our triggers up with a crisp break unless directed by our customers that they would prefer a roll. The vast majority of our customers love our standard trigger set up. But there is no such thing as a one size fits all when it comes to triggers and competitive shooters."
I agree with Steves explanation and sought my own solution.
I had several other issues with the gun and sent it back after Camp Perry. Steve, fixed everything to my satisfaction. His customer service is excellent.
I have talked to Steve a few times and e-mailed him a lot. He is very kind, considerate and professional. That is why I am having him build me one of his pistols. I really like the feedback regarding AXI's customer service and assumed it would be so after communicating with Steve. I was going to add that the only experience I've had with triggers was from a Wilson Combat I own. One of folks commented on how really picky some of the Bullseye shooters can be regarding how they want their trigger. Honestly, I have not shot my first Bullseye match yet and will be lucky to stay on the paper. I won't be using Steve's gun for that as I am going to get it in 10mm and use it as my EDC. I'm not that competitive but do have a pretty accurate Wilsonized Springfield Armory TRP with a trigger close to the Wilson that I'm going to try this game with. I probably will shoot a lot of PPC and some Steel Challenge more than anything but really want to try Precision Shooting to really hone my shooting skills.


On the sweet notes of Pachelbel, immersing yourself in the enchanting atmosphere of the historic Antica Occhialeria shop is a truly unique experience!
Quality, craftsmanship, and the pursuit of perfection, make each pair of AO glasses unique and inimitable.
Avant-garde and original glasses in leather, where tradition meets innovation.
Florence, cradle of the Renaissance, creative city of art par excellence is the inexhaustible source of inspiration for each AO signed model.
For both men and women who are lovers of luxury and beauty, and eyewear and accessories with refined details and refined style.
Luxury, elegance, and precious materials are inextricably intertwined creating unique and original creations.


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Rated M: 360, PS3
Genre: third-person shooter
—Fun action game brings interesting bullet graphics and amazing storytelling to light.
—Plenty of action, bullet time.
—Somewhat shoddy graphics, slow button responses mar fairly good gameplay.
"This place is great. Really comfortable."
That's the beginning of "Max Payne 3," one of the most anticipated games of 2012. Unfortunately, that's not always the case in the latest, arguably greatest iteration of "Max Payne."
Rockstar's poster child for Post Traumatic Stress Disorder is back in third-person shooter action as the story opens in Sao Paolo, Brazil. Max Payne has retired as a police officer and earns a living as a hired gun for a wealthy, connected family.
Much of "Max Payne 3" will feel familiar. You run and gun as a tweaked-out killer using slowed-down time as your primary means of dispatching enemies. Aside from bullet time, there's using cover and a last man standing mechanic where if you have painkillers (read: a medipack) and get shot, you have to kill the guy who shot you or else you die.
There's a lot to like in this game. It's structured like modern-day action noir films like "Payback" and "Snitch," though there's enough originality to keep players interested. One of the best aspects of the game is Max's constant narration. Even during intense firefights, at times Max will opine on the situation at hand or offer more context on what's going on.
Yet there's a few rough patches in "Max Payne 3."
Aside from a long install period, the game occasionally froze on me during important cutscenes, which shouldn't have happened. In addition, the limited move palette can lead to frustrating moments, as Max tends to remain in certain positions (laying down when he should be running, for instance), which needlessly complicates the game play. The gunplay sometimes bugs out as well, as there were a few times I would point my gun at a bad guy only to fire shots into the air.
Despite some of the wonky gameplay, "Max Payne 3" is a treat for older gamers looking to sink their teeth into a good action game. While the difficulty may be a little advanced for some, "Max Payne 3" only got better with age.
More Joystick
A personal taste for fall releases
The biggest games out in fall of 2015
E-sports is entering the mainstream
Kickstarting a disaster in developing games
Hot rod, car artist had ties to Austin


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5 startups will receive a 100% sponsorship for an ALPHA booth, while other startups will receive a 25% sponsorship to exhibit at Web Summit 2017.
New technologies in social media are integrated rapidly while others are going obsolete overnight. So, what's in and what's out for startups?
As we gear up for YourStory's TechSparks in Bangalore this September, we take a look at key incubators and accelerators in the Indian startup ecosystem.
Have you ever wondered what video marketing can do for your startup? In this post, we speak with Robert Cassard to explore the opportunities in this space!
The Startup League is set for its first on-ground event in India with one of the country's biggest tech conferences, YourStory - TechSparks.
Bubbl.tech is making mobile proximity marketing possible with its 'in-the-moment' customer engagement platform that functions on data-driven creativity.
Paid Search Ads Made Easy for Startups!
Paid Search Ads and SEM allow startups with smaller budgets to compete with big players, all without a huge financial risk, explains Aaron Agius.


The company name was established in 2009. I wanted to create a website for "Women" of color. To be able to share with each other their values about; faith, family, health and career. It's also okay to be political, regardless if it's right or wrong, which comes with respect for "All".
She is making a statement for women of color. I am someone who's on the go 24/7. I put my family first without any questions. I run for freedom or just to put food on my table. I don't get much sleep, need to hit the gym at 5am. Later l will have myself a cup of coffee and a donut yes this is pleasing to me.
Live every day as if it were your last. Treat everybody else as if She were you.


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Rivers and Railroads
The Anson Northop was the first boat on the Red River, but the Alsop was among the first boats doing business on the river during the early boom days of Fargo's infancy. Likewise, lumberyards and granaries erected near the river or on its banks facilitated efficient transfer of goods and services arriving and departing along the Red River and accommodated around 300 railroad car loads of lumber and tons of refined
The First Post Office
Even in 1876, Fargo's first post office, although small, was well-fitted to serve the citizens, conveniently located next to the bank, and marked another step towards Fargo becoming a city unto itself. By 1883, the town had grown enough that The Fargo City Council resolved to begin mail delivery in Fargo. Seven years later, they began petitioning Representative Hansbrough and Senator Pierce to fund a $250,000 publi
The Fargo Times preceded the Fargo Forum and Republican. The Fargo Times' building was a wood structure with multiple single-pane front windows that allowed sunlight into the press room. The gable roof stood out in contrast among the increasing number of flat-top and flat-faced business edifices in the area. The unpainted building had a large sign above its windows, allowing editor E.B. Chambers to signal a desire fo
The Headquarters Hotel
Fargo's first significant construction endeavor of a two-story wood-framed building brought the Headquarters Hotel, the city's first hotel. When NPRC completed construction during the fall of 1872, the hotel housed guests, government offices, and served as the railroad station then managed by W. Hubert Smith. The hotel was located north of the NPRC tracks. Wood frame construction was cheaper than bricks, but not as r
Early Planning and Development
Over a century before the founders of Fargo's early settlement sowed the seeds of the town's businesses and commercial districts, the United States Congress adopted the Land Ordinance of 1785. That action on May 20 on May 20th made way to generate federal income via the sale of land in the unmapped territory west of the original states acquired at the 1783 Treaty of Paris following the American Revolution. More impo
Bonanza Farming West of Fargo
Wood frame houses in the rural area are most prominently known to have existed on large-scale bonanza farms. Beginning in 1875, these farms were acquired through railroad bonds One of the most widely known bonanza farmers in the area during the late 1800s was Oliver Dalrymple, who owned his land and also managed other large-scale farms in the area. He is known as one of the most successful wheat farm growers of the a
"It has been remarked that a city's financial institutions, while they are the foundations on which her commerce must be built, are also mirrors which reflect the state of her trade and industry." ~1881 [2] The First National Bank of Fargo was formed in 1878. At the time, Fargo was a rapidly growing city, and it required banks that could handle the influx of wealth and money. The First National Bank
Cass County Courthouse
Although the Northern Pacific Railroad maintained a heavy industrial, political, and economic handle on Fargo's early development, governmental entities were necessary for conducting official territorial business. This included the purchase or transfer of land or homestead claims as dictated by the Land Ordinance and Homestead Act as well as the establishment of commercial businesses in Fargo. The first Cass
Hector House
Two men, Andrew Henry Moore and George Mann, decided to take a chance in Dakota Territory in 1869. They left from Waupum, Wisconsin, and arrived in the Red River Valley the same year. Upon their arrival, all that stood in what would be known as Fargo was a small city of tents occupied by Northern Pacific Railroad personnel and a few soldiers. Fortunately, Mann had experience in carpentry work and it is assumed that h
William H. White
As the target for the Northern Pacific Railroad Company's (NPRC) river crossings became clear, an enterprising business proprietor, W.H. White, secured the contract for the timber for the approaches to the NPRC bridge at Fargo in December of 1871. The timber arrived from the east by May 1872 and was used in building the bridge that spanned the Red River and connected the railroad with the town of Fargo. Large scale s
1880 1893 alcohol Alex Stern architecture Bonanza building business Businessman cass county change church churches culture Dalrymple disaster domestic life early Fargo Education Entertainment fargo Fargo Hebrew Congregation Farm fire first Firsts growth Headquarters Hotel Holes House Industry James Holes Jewish lumber Lutheran NDAC NDSU North Dakota Agriculture College North Dakota State University People railroad rebuild religion rural sod home women


Here's a video introducing the WordPress plugin that makes all ACU Blogs easier to access from a mobile device. The following screencast walks you through the basics of the WPtouch plugin and how it can help make the pages and categories users typically find in your sidebar available on the mobile blog.
The basic interface should already be set without any work on your part, but if you'd like some control over what users can get to from an iPhone or iPod touch we'll get you started.
Enjoyed a great Adams Center lunch with faculty, but one question came up we didn't have a very precise answer for: what is the difference between saving a post as a Draft or as Pending Review. It turns out there is little difference unless you're using the Contributor role to allow students to submit, but not publish, posts to the blog.
Here is a nice discussion of the distinction and how it might work with students, but for the majority of the time Draft will serve to save your in-progress content without publishing it.
Look for a few other questions from today's session soon.
What we learned last semester was that WordPress provides a flexible set of publishing tools that diverse faculty would use in a variety of ways.
Last semester we had several faculty members help us test web services that made it easier to post to a WordPress blog. Some of their favorites were the WP iPhone app (from the App Store), the PressThis applet (check the Tools tab in your blog Dashboard), and websites like Posterous.
The last of these offered interested bloggers a simple way to update their blog with text posts, photos, media files, even PDFs and other documents by sending a single email. The downside was each user had to set up a separate account and keep a second version of their blog at Posterous.com.
If you'd like more information about the Postie plugin and how it can help simplify posting content to your class blog, contact someone in the Adams Center.
This week Automattic released WordPress MU 2.8.1. We're looking at the upgrade this week and hope to have it installed soon.
The update to MU has been applied and is running fine.


Larue Pest Management, a family-owned, Fort Myers, Fla.-based pest control, lawn care and irrigation firm, is celebrating 40 years of business. From its small beginnings in Lehigh Acres, Fla., the QualityPro-certified company has grown to serve thousands of residential and commercial clients throughout Lee, Collier, Charlotte and Hendry counties.
Sixth-generation Floridian Larry Ruebeling founded the company in 1978. In 1992, he was joined by his son Keith, who went on to purchase the company in 2013, continuing their long tradition of community involvement, pride of ownership and local decision-making.
General Manager Mike Crews adds that Larue's achievements can also be attributed to its company culture.


Almost Family (AFAM) is a $400 million provider of home health nursing, rehabilitation and personal care services, with 90 loca-tions in 11 states.
Specializing in adult "day" health care services, the company is focused on providing alternatives for seniors and other special needs adults who wish to avoid nursing home placement.
Riding the tailwinds of three primary trends, AFAM saw its revenues climb 39% in 2014 and earnings grew 42% year-over-year. The three trends have been the Affordable Care Act, an aging population with 10,000 people coming of retirement age every day, and the rising preference among seniors needing additional care to have more control and choices about that care.
AFAM is a #1 Rank (Strong Buy) because analysts have been bumping up EPS esti-mates for 2016 with the consensus climbing 17% in the past 90 days. This is on top of 17% EPS growth for 2015, which we should get confirmation of when the company reports their Q4 2105 results.


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Formula One Grand Prix is a highly respected international race for single seater cars with V10 engines first starting 70 years ago. The Formula one world championship formed in 1981. The word formula refers to the set of rules for car drivers on the track built circuits with public roads. The Formula one cars give…
Digital Storytelling – Central Place Arcade
It was a cold spring afternoon central place in the city of Melbourne, the 12th of October at 1pm in the afternoon. People walk in directions in conversation, with dense areas of restaurants, bars and cafes with waiters interacting with customers. Signs are visible with a variety of food selection including pizza, vegetarian meals, cuisine…
Morning Glory film review
Morning Glory is a film about the producer Becky Fuller who makes a start with a daybreak New York broadcast company. She is succeeded by the Journalist Mike Pomery who is comedically quarrelsome at times. The introduction of the film shows Becky at a restaurant in conversation with a romantic interest. As it progresses her…
King's Quest Heir Today gone Tomorrow review
King's quest VI Heir Today gone tomorrow is a great game I have completed, enjoyable from the introduction to completion in the castle. Developed with Sierra in 1992 written and produced by Roberta Williams, it is a point and click adventure with cinematography elements. It has a classic VGA graphics interface was developed from creative…
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When you have too much money and too much time, you dedicate yourself to "perfecting" the world and the people in the world. Problem is, just having money and time does not guarantee you are wise and will make good decisions – or even that you have sincere, good intentions toward others.
Bill Gates Admits Vaccines Are Used for Human Depopulation – YouTube.