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« The 'Change Election... | Main | Old Issues, New Year... »
AAFP to Congress: Hands Off USPSTF
Last week, AAFP President John Meigs, M.D., testified before the House Energy and Commerce Committee Subcommittee on Health in defense of the U.S. Preventive Services Task Force(www.uspreventiveservicestaskforce.org) (USPSTF).
The hearing was scheduled to examine the task force and discuss the USPSTF Transparency and Accountability Act (HR 1151), legislation that would alter the composition and scope of work of the task force. Meigs was invited to share the AAFP's views on the USPSTF and the important role it plays in assisting family physicians in their daily interactions with patients.
The AAFP is a strong supporter of the task force and is an active participant in its work. The Academy actively engages with the task force to identify and evaluate clinical guidelines to ensure that family physicians have the most timely and relevant information to assist them in the care of their patients. The AAFP's clinical recommendations typically align with recommendations made by the task force.
In his testimony, Meigs outlined our strong support for the USPSTF and its existing composition.
"My work and that of hundreds of thousands of primary care physicians relies on the integrity of the U.S. Preventive Services Task Force (USPSTF or the task force)," he said. "The task force was designed to be, and has been, a non-partisan, independent body of physicians and other health professionals who make valuable recommendations for primary care. Many recommendations within H.R. 1151, the USPSTF Transparency and Accountability Act, in our opinion, would undermine the work and progress that has been achieved since the task force was established in the early 1980s."
In recent years, the task force and its recommendations have faced increased political scrutiny. Although some of this scrutiny was in response to recommendations made by the task force (specifically related to mammography and prostate cancer screening), the more significant attention came about as a result of Section 1302(www.cms.gov) of the Patient Protection and Affordable Care Act(www.hhs.gov). Section 1302 of the ACA requires all insurers (public and private) to provide preventive services that receive an A or B grade from the USPSTF and vaccination recommendations from the CDC's Advisory Committee on Immunization Practices independent of patient cost-sharing (co-pay and deductible).
The AAFP has policy supporting this provision, but recognizes that the inclusion of the coverage provisions in the ACA changed the impact of the work for the task force and elevated its significance in the eyes of many in the health care industry.
HR 1151 would make four significant changes:
alter the composition of the task force to include subspecialists;
allow representation and participation by the broader health care industry, including pharmaceutical and medical device companies;
require that the task force to assess how its grades would impact access to a health care service or device; and
require that the task force publish its research plan, including the analytic framework, key questions and literature search strategy.
Although HR 1151 will not advance in the current Congress, it likely will be re-introduced in the 115th Congress. The AAFP will continue to support the task force, its work and its recommendations. We also will aggressively oppose efforts to diminish the task force's work.
The USPSTF, created in 1984, is a panel of national experts in prevention, epidemiology and evidence-based medicine. These experts include family physicians and other primary care physicians. The task force is charged with making evidence-based recommendations about clinical preventive services such as screening exams and preventive medications. The task force gives each recommendation a grade of A, B, C, or D or an I Statement based on the strength of the evidence considered during the rigorous review of evidence. The recommendations are applicable to individuals who do not demonstrate signs or symptoms of the specific disease or condition under evaluation and only apply to services provided by primary care physicians. The recommendations are not designed to prohibit or restrict patient access to any preventive service.
Presidential Transition Update
In recent days, President-elect Trump has begun announcing nominees for key post in his administration. These nominations have spurred a flurry of reactions -- positive and negative -- from individuals across the nation, including family physicians. In my previous post, I discussed the impact of the elections and the AAFP's approach to working with the Trump Administration and the incoming 115th Congress. I would like to build on my previous post and offer some additional perspective on how the AAFP can best represent our members and advocate on behalf of our patients.
The AAFP is a professional organization that has the tremendous honor and obligation of representing the nation's family physicians and, more importantly, being an advocate for patients. The AAFP has been and remains a bi-partisan organization. We are an organization grounded in a set of core beliefs that each individual, regardless of their personal or economic situation, deserves access to affordable and quality health care. We are guided by our strategic plan and policies adopted by our Congress of Delegates. Although elections and politicians come and go, the AAFP's steadfast commitment to these fundamental objectives remains constant.
Elections, by design, create disruption. This disruption contributes to a sense of uncertainty about what is to come and what is to be expected of new leaders. This is why it is important to be grounded as an organization. The AAFPs inclusive and comprehensive set of policies allow us to advance our mission and advocate for our members with any individual, regardless of their party affiliation or ideology. These same policies also allow the AAFP to hold elected officials accountable for their decisions and actions.
It would be a disservice to our members and their patients to not engage with an individual or political party simply because they hold or have advanced a point of view contrary to ours. Our job is to advocate on behalf of family medicine and patients, to the best of our ability, with all elected officials. We are a professional organization that feeds on the passion and commitment of our current and future members, while looking to our Board of Directors and professional staff to harness that passion and advance our goals and mission.
There is a professional standard that guides how an organization such as the AAFP should conduct itself. This includes an effort to adhere to respectful dialogue on issues and representing our organization and members in a reputable manner at all times.
Although we all have our personal opinions on the various individuals who serve in government, it is important to remind ourselves that we all share a set of common goals for family medicine and patients. Now is the time to rally around those goals and objectives that unite us. To this end, I urge you to engage with the AAFP to advocate for our profession and our patients. The best way to do this is by joining the Family Physician Action Network.
Posted at 07:00AM Dec 06, 2016
Shawn Martin, AAFP Senior Vice President of Advocacy, Practice Advancement and Policy.
Read author bio >>
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The opinions and views expressed here are those of the authors and do not necessarily represent or reflect the opinions and views of the American Academy of Family Physicians. This blog is not intended to provide medical, financial, or legal advice. All comments are moderated and will be removed if they violate our Terms of Use.
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Hiring Airport Taxis for Convenience
/ Business / By Nicholas
The on line version of the Crazy Taxi sport can offer hours of amusing and pleasure to youngsters and it is also loose. As the name indicates you're on top of things of a taxi, and need to pressure as rapid as possible whilst avoiding or leaping over other automobiles and limitations. Have you ever experienced sitting in a taxi and asking the motive force to pressure fast in your destination. How frightening and interesting could the journey were? Well, now you get to power a taxi like loopy, which gets your adrenaline pumping and gives you unlimited hours of pleasure.
The History of the Crazy Taxi recreation
Crazy Taxi first started as a famous Taxi Haarlem arcade sport in 1999 and changed into advanced by using SEGA. After that it become ported via Acclaim to GameCube, Nintendo and PlayStation 2 systems. As the recognition of the game improved it became ported to numerous other systems and plenty of sequels had been also made. The authentic gameplay of the arcade version consisted of taking passengers to their locations in the shortest feasible time and keeping off obstacles and other cars at the manner. The wellknown course of the passenger's vacation spot turned into indicated by way of a green arrow and in case you reached the destination on time, the passenger's fare became blanketed to your general. If you didn't make it in time the passenger might take every other cab and also you needed to begin all over again.
When the web platform became famous for driving video games, crazy taxi 1 turned into introduced which became an instantaneous hit, despite the fact that there were other bus riding video games and truck driving video games available on-line. The video game is a miles simplified model of its original arcade model and is a easy Flash sport which children experience. It is pretty suitable for children of any age organization as there's no violence or image scenes and the crashes too are very slight with a colliding sound.
The Present Version of the Crazy Taxi recreation
The video game is mostly a Flash recreation as a way to take a few seconds to load depending on the speed of your Internet connection and as soon as it's far loaded, the play isn't always stricken by the rate of your connection. You can play limitless times and the game will start robotically after one is over. The online Crazy Taxi game has simple controls wherein the velocity is controlled by means of the up and down arrows and the facet arrows are for converting instructions. The area bar is used to jump over boundaries and different automobiles. Pressing the space bar once will make your taxi leap two times and therefore if there are motors blocking off your route you can soar over both through pressing the bar handiest as soon as. The purpose of the sport is to attain the destination as rapid as feasible earlier than the time runs out.
Although the online game is very simple there are many different versions which offer additional gameplay which is similar to the authentic arcade model. Taxi games have become quite famous after the advent of the video game and now you could locate certain gaming websites which most effective have taxi riding games. These later versions have a whole lot better portraits and still have many degrees of play giving you a hazard to master superior skill degrees.
The online game has also got variations which are precise to positive nations. Here the street layouts and the version of the taxi vehicle may be in accordance to what is universal in that united states. So pick out an online recreation in step with your tastes and stage of talent, and play actually free, as usually, as you desire.
I recognize how tough it could be, you study a useful article like the one above however you're nonetheless left wondering there's some thing lacking.

redpajama_set_name: RedPajamaCommonCrawl


The eco-home is made completely from natural materials such as sand, straw, clay, wood and glass. The 7.5-meter-high dome covers the entire house with a diameter of 15 meters.
The protective dome consisted of 360 glass panels and 555 s aluminum framework, and has a lifetime of 100 years.
Dome shapes may be adapted for residential construction as well. People who are looking for a natural and harmonious space for life choose dome houses. In such houses, authentic interior solutions are implemented, and the possibilities of using light are unlimited. We can also build residential houses of the highest standard of energy efficiency for people of the northern region, and laconic homes of light structures for people living in the south. We offer a wide selection of constructions and coatings for dome houses.


Once an opportunity, publishing content has become an obligation for professionals and businesses. With the new social media and SEO rules, it's content that now drives their online visibility, defines their areas of expertise and helps them generate new business and leads. But content is hard. We started Scoop.it because we believed software and technology could make content publishing much more time-efficient and impacting for professionals in general and marketers in particular.


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Dichloralphenazone is a 1:2 mixture of antipyrine with chloral hydrate.  In combination with paracetamol and isometheptene, it is the active ingredient of medications for migraine and tension headaches, including Epidrin and Midrin. Performance impairments are common with this drug and caution is advised, for example when driving motor vehicles. Additional uses of dichloralphenazone include sedation for the treatment of short-term insomnia, although there are probably better drug choices for the treatment of insomnia.

See also
 Chloral betaine

References

External links

Analgesics
Hypnotics
Sedatives
Combination drugs
GABAA receptor positive allosteric modulators

redpajama_set_name: RedPajamaWikipedia


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Open Science Grid Using SDSC's Comet Supercomputer Virtual Clusters
Successful Integration Seen as a "Milestone" for the Greater Research Community
The Open Science Grid, a multi-disciplinary research partnership specializing in high-throughput computational services funded by the U.S. Department of Energy and the National Science Foundation, has added high-performance virtualized clusters to its global infrastructure by taking advantage of a new and unique capability of Comet, the National Science Foundation's newest supercomputer at the San Diego Supercomputer Center (SDSC).
The integration of Comet into the OSG provisioning system was led by a team including UC San Diego Professor Frank Würthwein, an expert in experimental particle physics and advanced computation. Würthwein joined SDSC, an Organized Research Unit of UC San Diego, in January 2015 to help implement a high-capacity data cyberinfrastructure across all UC campuses, as well as connect to key cyberinfrastructure organizations such as OSG. Würthwein was OSG's founding executive during 2005, and has again served as its executive director since February 2015.
Comet's 'bare metal'-like approach means that a virtual cluster looks, feels, and performs almost exactly like the physical hardware. This enabled OSG to dynamically turn servers provisioned by Comet into an HTCondor pool and add new capability with very little additional overhead and significantly reduced administrative burden.
"Everybody wins in this collaboration, as OSG members are already conducting scientific research on this expanded infrastructure," said Würthwein. "OSG's user community across physics, chemistry, biology, mathematics, and the social sciences gain transparent access to new capabilities, and neither SDSC nor OSG system engineers need to maintain a large new set of services that they wouldn't be supporting anyway."
"Together, we're creating a seamless interface between the nation's two leading open scientific computing infrastructures – OSG and XSEDE," said SDSC Director Michael Norman. "This latest effort is a major milestone for both SDSC and the OSG, as well as the entire research community. Frank's additional role as a member of SDSC's executive team enables SDSC and OSG to work together in pioneering advances in both high-performance and high-throughput computing."
Comet, the result of an NSF grant worth almost $24 million including hardware and operating funds, will be the first XSEDE production system to support high-performance virtualization at the multi-node cluster level. The cluster's use of Single Root I/O Virtualization (SR-IOV) means researchers can use their own software environment, as they do with cloud computing, but achieve the high performance they expect from a supercomputer.
"We are pioneering the area of virtualized clusters, specifically with SR-IOV," said Philip Papadopoulos, SDSC's chief technical officer. "This will allow virtual sub-clusters to run applications over InfiniBand at near-native speeds – and that marks a huge step forward in HPC virtualization. In fact, a key part of this is virtualization for customized software stacks, which will lower the entry barrier for a wide range of researchers by letting them project an environment they already know onto Comet."
Beginning with the next XSEDE allocation review in December, it will be possible to request allocations transparently across Comet and OSG.
"Scientists at campuses across the nation will be able to transparently compute from their desktops, labs, and campus infrastructures onto Comet, significantly expanding the reach of our new cluster toward what's called the 'long tail' of science, or the idea that the large number of modest-sized computationally-based research projects represents, in aggregate, a tremendous amount of research that can yield scientific discovery," said SDSC's Norman. "We're already seeing interest in Comet's virtual clusters from other institutions, and expect that additional projects will enter production with them in the coming months."
SDSC will present additional details about Comet's high-performance virtualization at Supercomputing 2015 (SC15) in Austin, TX, November 16-19. Please visit SDSC at the SC15 exhibitor hall in booth #823.
About Comet
Comet is a Dell-integrated cluster using Intel's Xeon® Processor E5-2600 v3 family, with two processors per node and 12 cores per processor running at 2.5GHz. Each compute node has 128 GB (gigabytes) of traditional DRAM and 320 GB of local flash memory. Since Comet is designed to optimize capacity for modest-scale jobs, each rack of 72 nodes (1,728 cores) has a full bisection InfiniBand FDR interconnect from Mellanox, with a 4:1 over-subscription across the racks. There are 27 racks of these compute nodes, totaling 1,944 nodes or 46,656 cores.
In addition, Comet has four large-memory nodes, each with four 16-core processors and 1.5 TB of memory, as well as 36 GPU nodes, each with four NVIDIA GPUs (graphic processing units). The GPUs and large-memory nodes are for specific applications such as visualizations, molecular dynamics simulations, or de novo genome assembly.
As an Organized Research Unit of UC San Diego, SDSC is considered a leader in data-intensive computing and cyberinfrastructure, providing resources, services, and expertise to the national research community, including industry and academia. Cyberinfrastructure refers to an accessible, integrated network of computer-based resources and expertise, focused on accelerating scientific inquiry and discovery. SDSC supports hundreds of multidisciplinary programs spanning a wide variety of domains, from earth sciences and biology to astrophysics, bioinformatics, and health IT. SDSC's Comet joins the Center's data-intensive Gordon cluster, and are both part of the National Science Foundation's XSEDE (eXtreme Science and Engineering Discovery Environment) program, the most advanced collection of integrated digital resources and services in the world.
SDSC's Comet Supercomputer
Open Science Grid
XSEDE


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Parish closes - a few final thoughts...
Working on talks about and visits to the Parish Closes, as well as contributing to the new permanent exhibition project in Guimiliau has made me focus my thoughts on why these structures are so important. Often the answer is limited to the artistic and architectural heritage value. Of course, there's more: the closes have much to tell us about social and economic history, and everyday life in small rural communities in the 16th and 17th centuries, as I've said in earlier posts. But I think the true significance lies in their essential Bretonness.
They reflect a traditional Brittany open to widespread cultural influences (largely through its well-known maritime prowess), with even tiny country villages wanting the latest style and best craftsmanship to enhance their communities. This also shows the intensity of local pride that is still characteristic of Breton society, and a readiness to create public show and spectacle on a grand scale whilst maintaining distinctly unostentatious private lives. The money, time and effort dedicated to collective causes then is a tendency still apparent today. The closes are testament of intensity of Catholic faith in the years after the Council of Trent, but it is religion combined with vibrant devotion to traditional Breton saints not sanctioned by the Vatican, shot through with decorative detail from a decidedly profane perception of humans and animals (and their many foibles) and an almost tender preoccupation with Death


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Psychosocial characteristics and social networks of suicidal prisoners: towards a model of suicidal behaviour in detention
Rivlin, Adrienne, Hawton, Keith, Marzano, Lisa and Fazel, Seena (2013) Psychosocial characteristics and social networks of suicidal prisoners: towards a model of suicidal behaviour in detention. PLoS One, 8 (7) . ISSN 1932-6203 (doi:10.1371/journal.pone.0068944)
PDF - Published version (with publisher's formatting)
Available under License Creative Commons Attribution.
Official URL: http://dx.doi.org/10.1371/journal.pone.0068944
Prisoners are at increased risk of suicide. Investigation of both individual and environmental risk factors may assist in developing suicide prevention policies for prisoners and other high-risk populations. We conducted a matched case-control interview study with 60 male prisoners who had made near-lethal suicide attempts in prison (cases) and 60 male prisoners who had not (controls). We compared levels of depression, hopelessness, self-esteem, impulsivity, aggression, hostility, childhood abuse, life events (including events occurring in prison), social support, and social networks in univariate and multivariate models. A range of psychosocial factors was associated with near-lethal self-harm in prisoners. Compared with controls, cases reported higher levels of depression, hopelessness, impulsivity, and aggression, and lower levels of self-esteem and social support (all p values <0.001). Adverse life events and criminal history factors were also associated with near-lethal self-harm, especially having a prior prison spell and having been bullied in prison, both of which remained significant in multivariate analyses. The findings support a model of suicidal behaviour in prisoners that incorporates imported vulnerability factors, clinical factors, and prison experiences, and underscores their interaction. Strategies to reduce self-harm and suicide in prisoners should include attention to such factors.
Lisa Marzano


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India to Acquire Stealth Submarines
The Government of India has issued a request for information (RFI) for six submarines worth over Rs500bn ($10.69bn) to be constructed under Project-75 India. According to the RFI, armament majors will submit their initial offers for construction of the submarines by the end of Septemb
The Government of India has issued a request for information (RFI) for six submarines worth over Rs500bn ($10.69bn) to be constructed under Project-75 India.
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By Naval Technology Buyers Guide
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Thank you.Please check your email to download the Buyer's Guide.
According to the RFI, armament majors will submit their initial offers for construction of the submarines by the end of September 2010.
Under P-75I, two submarines will be imported from the foreign collaborator's shipyard, three will be constructed at Mazagon Docks (MDL) in Mumbai, and the sixth at Hindustan Shipyard Ltd (HSL) in Visakhapatnam.
The foreign collaborator has to specify the air-independent propulsion (AIP) being offered for the project, the RFI said.
MDL is building six French Scorpene submarines under P-75I, valued at Rs235bn ($5bn), according to the Times of India.
The naval project will overtake the Rs420bn ($9bn) project to procure 126 multirole fighters for Indian Air force, which is in its final selection phase.
The Submarine Market in India to 2024: Market Brief
Unmanned Underwater Vehicles (Defense) - Thematic Research
Counter-Stealth Technologies - Key Drivers, Trends and New Developments
The Global Submarine and MRO Market in India to 2025: Market Brief
Hindustan Shipyard Ltd
HSL, INC.


There is a tiny, exquisite exhibition entitled "In the Light of Small Things" on display in the Brisbane Square Library at the moment – I found it to be well worth the visit.
"...investigate how our relationships with small and intimate objects ... can have great power in our lives personally and culturally." Access Arts Inc.
- A wonderful story of wise forethought and the tremendous value of something as tiny as a seed.
I loved Cate Collopy's piece which was 3 forms knitted / woven out of ultra fine copper wire.
Above: A poor illustration, from memory (sorry Cate) showing a loose approximation of the shapes of these exquisite artworks. You really need to see the real objects to appreciate how clever, inspired, delicate and beautiful they are.
I was also taken with the work of Tricia Smout.
Tricia presented a delightful little wheel of tiny pages with powerful thoughts.. The lovely speckled hand made paper has been written on with a beautiful calligraphic hand (one of these thoughts per page) and then assembled into a 3D book, which can be viewed and read from all angles.
Other artists represented (and all very interesting) were Anthea Patrick, Christine O'Reilly, Catherine McCue Boes, Corrie Wright, Marissa Allen, Jasmine O'Hara, David Wood, Steve Roberts and Kari, Kathryn Farrell, Paul Hastings and Henriette Daudley, Stephanie McLennan, Val Bennett, Wendy McGrath, Shayna Wells and Beth Jackson, Craig Ball and David Hooper.


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Deluxe 3CD and Digital Collection Presents
Rare/Unreleased Complete Concerts from Three Decades
Los Angeles – March 16, 2018 – In an unparalleled entertainment career spanning seven decades, Frank Sinatra became a timeless, indelible cultural icon for the world. His live performances are legendary, imbued with an innate warmth and ease unmatched by any other performer, then or now. A stellar new collection, Frank Sinatra - Standing Room Only, presents three captivating rare and previously unreleased Sinatra concerts from the 1960s, '70s and '80s. Available now for preorder in deluxe 3CD and digital formats, Standing Room Only will be released worldwide on May 4 by Capitol/UMe and Frank Sinatra Enterprises.
Starting today, "Fly Me To The Moon," recorded live at The Sands, Las Vegas in 1966, is available for streaming and for immediate download with digital preorder. Preorder Frank Sinatra – Standing Room Only:
https://UMe.lnk.to/SinatraSRO
"I get an audience involved, personally involved, in a song, because I'm involved myself.
It's not something I do deliberately. I can't help myself." – Frank Sinatra
Sinatra's acclaimed concerts always sold out, leaving many fans clamoring to try to score a spot to stand behind the seats or along a wall with a rare and coveted "standing room only" ticket to the big show. Being in the room for Sinatra's performances of "Come Fly With Me," "My Way," "You Make Me Feel So Young," "The Lady Is A Tramp," "The Theme From 'New York, New York'," and so many more of his iconic songs was a thrilling experience for anyone who had the opportunity.
Standing Room Only presents three remarkable complete concerts from three decades of Sinatra's career: his January 28, 1966 second show with Count Basie at The Sands, Las Vegas (previously unreleased on CD); his October 7, 1974 concert at Philadelphia's Spectrum arena (previously unreleased); and his October 24, 1987 concert at Dallas' Reunion Arena (previously unreleased in its entirety). The collection's audio is newly remixed by Larry Walsh at NBCUniversal Audio and mastered by Seth Foster at Universal Mastering Studios. The deluxe 3CD package includes a 30-page booklet with liner notes plus several rare and never-before-published photos.
FRANK SINATRA - STANDING ROOM ONLY [3CD; Digital]
CD 1: The Sands, Las Vegas - January 28, 1966 (2nd show)
2. I've Got A Crush On You
3. I've Got You Under My Skin
4. The September Of My Years
5. Street Of Dreams
6. Angel Eyes
7. Fly Me To The Moon
8. "The Tea Break" (Monologue)
9. You Make Me Feel So Young
11. Luck Be A Lady
12. It Was A Very Good Year
13. Where Or When
14. My Kind Of Town
15. A Few Last Words (Monologue)
16. My Kind Of Town (Reprise)
CD 2: The Spectrum, Philadelphia - October 7, 1974
2. The Lady Is A Tramp
3. I Get A Kick Out Of You
4. Let Me Try Again
5. My Kind Of Town
7. Ol' Man River
8. Monologue
9. I Get Along Without You Very Well
10. I've Got You Under My Skin
11. "The Tea Break" (Monologue)
12. Send In The Clowns
13. If
14. You Are The Sunshine Of My Life
15. What Are You Doing The Rest Of Your Life?
16. My Way
17. Bows: My Way
CD 3: Reunion Arena, Dallas - October 24, 1987
1. Overture / Introduction
2. You Are The Sunshine Of My Life
4. My Heart Stood Still
5. Moonlight In Vermont
6. Summer Wind
7. You Will Be My Music
8. More Than You Know
9. Mack The Knife
10. Monologue
11. What's New?
13. Angel Eyes
15. When Joanna Loved Me
16. For Once In My Life
17. Lonely Town
18. Theme From "New York, New York"
19. Bows: Theme From "New York, New York"
22. Maybe This Time
23. The Lady Is A Tramp
24. Bows: You Are There
Frank Sinatra 'Baby Blue Eyes... May The First Voice You Hear Be Mine' Popular Tina Sinatra-Curated Lullaby For Children and Parents Alike Set For Worldwide Release on CD and 2LP Vinyl on April 6