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This Father's Day, Let's Celebrate Single Dads!
Instead of marginalizing single dads, let's celebrate their accomplishments!
By Terry Gaspard Updated: August 02, 2019Categories: Children's and Parenting Issues after Divorce
Father's Day is a great time to reflect on the importance of dads in the lives of their children after divorce. Society perpetuates a negative view of dads after a family dissolves. Experts agree that fathers and their children suffer from assuming the worst about divorced dads.
In fact, all reputable social science research shows that children are better off having maximal contact with both of their parents post-divorce, according to author Grant Brown. So instead of marginalizing divorced dads, let's celebrate all of their accomplishments!
Author Vicki Larson explains: "As much as we love the idea of men being an equal partner in a marriage, we don't necessarily embrace the idea of men being an equal partner in a divorce. The divorced father who shows up for his kids in meaningful and obvious ways, such as taking a daughter to a midday, midweek ballet class, is still considered odd."
Larson continues: "And then there are single fathers, about 1.8 million in the United States – a 27 percent jump in the past decade, according to the latest census. Of those single-father families, 46 percent are divorced, and another 19 percent are separated. That's about two-thirds of all single-father families – a pretty substantial portion of men taking their children to ballet classes or Little League practice."
What's in the best interest of children after divorce? Dr. Joan Kelly, a renowned psychologist and parenting researcher, confirms that the outcomes for children of divorce improve when they have equal access to both parents. These include better psychological and behavioral adjustment, and enhanced academic performance. Clearly, research demonstrates numerous benefits to children when their living arrangements enable supportive and loving fathers to be actively involved in their lives on a regular basis – including overnights.
Celebrating Competent Single Dads
In my attempt to understand the obstacles faced by single dads after divorce, I interviewed several dads and daughters who blog on my website. The following comments came from these individuals when asked to define a "competent dad."
A competent dad:
Considers fatherhood an honor, a privilege, and a lifetime commitment.
Believes he plays an important role in the life of his kids.
Values input from his children's mother and speaks well of her.
Puts his kid's needs first and practices positive parenting.
Enjoys spending time with his kids.
The divorced dads who blog on my website are strongly motivated to build strong bonds with their children. For instance, Matt, in his late forties, never remarried after his five-year marriage to Brianna dissolved. He made his relationship with his daughter, Marissa, a priority. Having been raised by a single mom and rarely seeing his father, he has felt the sting of parental absence and he doesn't want Marissa to experience feelings of sadness and longing for her mother.
Matt describes his split from his ex-wife as contentious, saying, "I make a point of recognizing that I'm going to do whatever is in Marissa's best interest. Brianna left suddenly when Marissa was four and she has trust issues. But even if I'm getting a lot of flak from her mom, I'm not going to be a disruptive element in Marissa's life (since her mom is back in the picture). On the other hand, she has been through a lot so if Brianna's parenting time becomes unpredictable, I'll have to step in."
Marissa, age ten, lives with her father and spends every other weekend and one weeknight with her mom. Matt has worked hard to reduce conflict with his ex-wife and reports swallowing many words and biting his tongue in an effort to keep the peace. With intensity in his voice, he explains, "I always say to Marissa, we will do what works for you – to help you feel connected to both me and your mom."
One of the biggest challenges Matt and other dads face is the stereotypes that exist about divorced fathers. It's crucial to examine our beliefs and attitudes about the role of dads after divorce if we are going to break down barriers that create distance between fathers and children. In my opinion, fostering alienation between a child and his or her dad is one of the cruelest and most selfish acts a parent can do to their own child.
The Father-Daughter Relationship After Divorce
In a divorced family, there are many ways a father-daughter relationship may suffer. Based on her research, Dr. Linda Nielsen found that only 10 to 15 percent of fathers get to enjoy the benefits of shared parenting. She also discovered that divorce often damages a daughter's relationship with her father more than a son's. This can be explained by the fact that boys tend to spend more time with their father after a family dissolves.
Nielsen explains that while most daughters of divorce are well-adjusted several years after their parents' divorce, many have damaged relationships with their fathers. Unfortunately, if the damage is severe, a girl can grow into adulthood with low self-esteem and troubled relationships with men.
For the most part, a good relationship with an intimate partner is strongly tied to a woman's relationship with her dad. A father's presence (or lack of presence) in his daughter's life will affect how she will relate to all men who come after him and can impact her view of herself and psychological well-being.
My research for Daughters of Divorce spanned over three years and was comprised of 327 interviews of young women who reflected upon their parents' divorce. The most common themes that emerged from these interviews were trust issues and a wound in the father-daughter relationship. My previous study published in the Journal of Divorce and Remarriage concluded that lack of access to both parents and an inability to deal with conflict in a constructive manner were associated with low self-esteem in young women raised in divorced homes.
What are some of the barriers that prevent dads and their children from maintaining a close bond after divorce? Many experts cite the importance of a divorced mom promoting her children's relationship with his or her father. Whenever possible, mothers need to encourage their children to sustain regular contact – such as phone calls, holiday time, and special occasions when separated from him.
What all children need is a loving, predictable father figure – whether married to her mother or divorced. This Father's Day, let's celebrate single dads who make their children a priority!
Father's Day, Mother's Day, and Divorce: 5 Ways to Be a Hero
Divorced Dads and Moms Father's Day Tips
Surviving Father's Day After Separation and Divorce: 7 Tips
June 14, 2017 (0) Comments Categories: Children's and Parenting Issues after DivorceTags: Father's Day after divorce, Single Father
About Terry Gaspard
I am a licensed therapist, college instructor, and non-fiction author specializing in divorce, remarriage, women's issues, children, and relationships. I am a regular contributor to The Gottman Institute Blog, Huffington Post Divorce, TheGoodMenProject.com, DivorcedMoms.com, DivorceMagazine.com, and a few other websites.
As a therapist, I am interested in helping people adapt to the challenges they experience related to divorce and remarriage. I became a published writer while attending graduate school in the 1990s, where I began researching the long-term impact of parental divorce and remarriage.
My interest in the lives of women who grew up in divorced families began with my own experience. My passion for this topic grew as my clinical practice included many daughters of divorce and I experienced divorce.
My daughter Tracy and I co-authored Daughters of Divorce (Sourcebooks, 2016). When I wrote the book, I supplemented my clinical and personal experience by interviewing more than 300 hundred women raised in divorced families. My second book The Remarriage Manual: How to Make Everything Work Better the Second Time Around will be published by Sounds True in the spring of 2020.
My initial research study in 1995 included 198 women, and I discovered that the loss of access to both parents was associated with low-self-esteem in daughters of divorce. Following that, I studied a larger, diverse sample of over 300 adults and examined issues such as interpersonal relationships, family climate, and self-esteem. Both studies were published in the Journal of Divorce and Remarriage. My other publications focus on parenting and remarriage.
Terry's forthcoming book, The Remarriage Manual: How to Make Everything Work Better the Second Time Around, will be published by Sounds True in February of 2020.


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Home Entertainment Music collective to perform new classical composition
Music collective to perform new classical composition
Violinist Jeffrey Armstrong, pianist Tertia Visser, viola player Stéphanie Lawrenson and cellist Graham du Plessis are members of the Cape Chamber Music Collective.
A brand new South African classical composition will première at the inaugural five concerts by the Cape Chamber Music Collective (CCMC).
Supported by the National Youth Music Foundation (NYMF), the CCMC, a registered non-profit organisation, consists of musicians, ranging from young students to professionals, doing performances in a way that is approachable and informative to all audiences.
These concerts take place on:
Wednesday January 19 at 6 Spin Street in the Cape Town CBD, at 7.30pm.
Friday January 21 at the Dutch Reformed Church in Franschhoek, at 7pm.
Saturday January 22 at the Old Tannery, Wellington, at 4pm and 7pm.
Sunday January 23 at Erin Hall in Rondebosch, at 2.30pm.
The CCMC commissioned composer and arranger, Matthijs van Dijk, 39, to complete the sole surviving work of chamber music by Austro-Bohemian Romantic composer, Gustav Mahler. Matthijs is the son of acclaimed South African composer, Peter Louis van Dijk.
In the new composition, Matthijs has taken the themes and motifs in his artistic way to sketch out two additional movements to follow Mahler's movement.
Mahler's works are generally designed for large orchestral forces, symphonic choruses and operatic soloists. The Piano Quartet in A minor is the first movement to an abandoned piano quartet. The new work is aptly dubbed part ii: a Mahler Fanfiction.
Two of the four musicians for these concerts are well-known faces of the annual National Youth Music Competition (NYMC). They are violinist Jeffrey Armstrong, the overall winner and gold medallist of the 2014 NYMC, and pianist Tertia Visser, a regular accompanist at the competitions.
The other two are viola player Stéphanie Lawrenson, 25, and cellist Graham du Plessis, 38.
The concert programme includes the first movement of Mahler's Piano Quartet, Van Dijk's part ii: a Mahler Fanfiction and the Piano Quartet No 3 in C minor Op 60 by Johannes Brahms.
The CCMC initially planned to launch in January last year but had to be put on hold when the third wave of Covid-19 hit the country.
"These inaugural concerts fit hand in glove with the NYMF's vision to identify, expose and develop young classical musicians in South Africa," says Michael Maas, chairman of the NYMF.
Tickets range from R120 to R200, depending on the venue. All tickets include some wine, beer at the Old Tannery and canapes at the Spin Street venue and can be booked on Quicket via the CCMC website at www.capechambercollective.com
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Home › The Head And The Heart Vinyl LP (180 gram)
The Head And The Heart
The Head And The Heart Vinyl LP (180 gram)
Vinyl edition of the debut self-titled release from The Head & The Heart. Includes coupon for album MP3 download. This debut by the aptly named The Head and the Heart is a solid showcase for the band's easy, earthy Americana-pop sound that taps into both body parts with the familiar touch of an old friend. The Seattle six-piece has a winning combination of vocals in Charity Rose Thielen (who also plays violin) and core members Josiah Johnson and Jonathan Russell, who deliver refreshingly reverb-free performances; they are masters of heartpounding crescendos and deliriously infectious folkisms (foot stomping, hand-clapping, etc.). Pianos and guitars rule, and smart, touching lyrics are uncluttered by clever instrumental overkill. The carefree Cats and Dogs opens things up, like a rope swing on a summer day: My roots have grown / but I don't know where they are. That theme of wandering roots is further explored in the gorgeous Down in the Valley, which uses a lithe violin and a beautifully nostalgia-laced vocal melody to sculpt a palpable longing. If you like your new Americana music honest and direct - think Avett Brothers or The Civil Wars - you'll be delighted to discover The Head and The Heart. - iTunes
Record Label: Sub Pop


Copyright © 2013 Jeannette Winkelhage et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: The opinion of physicians clearly counts in prioritizing health care, but there is little information on the rationales underlying treatment decisions and whether these rationales are accepted by patients. Objective: To compare physicians and patients regarding their understanding and use of therapeutic benefit and treatment costs as criteria for prioritizing health care. Methods: Seven physicians and twelve patients were purposefully selected to yield a heterogeneous sample. Participants were interviewed face-to-face, following a semi-structured topic guide comprising three scenarios that focused on interventions with low or unproven therapeutic benefit and high costs, respectively. For data analysis we used qualitative content analysis. Results: We found that patients and physicians differed in their understanding of therapeutic benefit, their expectations of what medicine can do and their use of costs as criteria for prioritizing health care. Physicians were less likely to assess a certain intervention as effective, and they less often accepted upper funding limits in health care. Unlike the physicians, patients raised non-medical aspects in decision making such as the patient's consent and social inequalities. Conclusions: The revealed differences point toward the necessity to strengthen the doctor-patient communication, to improve information for patients about the possibilities and limits of health care and to gain a deeper understanding of their attitudes, wishes and concerns to reach an agreement by physicians and patients on the treatment to be implemented.
As a consequence of budget constraints in all western health care systems, priority setting seems inevitable. In several countries, such as Great Britain, New Zealand and Israel, prioritization guidelines for the allocation of health care resources have been developed; in this, criteria such as therapeutic benefit and costs played an important role . However, in practice at the doctor- patient level, physicians decide whether a certain treatment is effective and cost-worthy or not. But do patients share physicians' opinions about health care priorities? Do both have similar attitudes regarding treatment effectiveness and costs in patient care? This question is crucial: If physicians base their decisions on criteria and rationales that are not shared by patients, patients might perceive these decisions to not be in their best interest. This perception in turn can undermine patients' trust in the doctor-patient relationship which is important for patient satisfaction and adherence [2,3].
Several studies show that laypersons as well as physicians strongly support the therapeutic benefit as a criterion for prioritizing medical services [4-6], whereas priority setting on the basis of costs is less accepted by both groups [4,7]. However, studies comparing the attitudes of physicians and the general public regarding costs and therapeutic benefit for prioritizing health services show some differences between these two groups [8-10]. For instance, Ryynänen et al.  found that physicians were more willing to accept the restriction of expensive health care than the general public; Oddsson  reported that physicians were more likely to prioritize an effective outcome than the general public.
One drawback of all these studies is their focus on the comparison between physicians and laypersons in general. But medical decision making mostly occurs between the physician and the patient. Patients differ from the general public because the scarcity of medical services affects them directly. They differ from the physicians insofar as they are assigned a passive role whereas physicians act as gatekeepers who are held responsible for containing health care costs . Moreover, patients are personally affected by their disease but do not normally have the expertise to cope with it. They are vulnerable and depend on the goodwill and the competence of the physician who, in contrast to the patients, performs a professional role and has expert knowledge . These different positions and asymmetries might well result in additional differences concerning the role of treatment effectiveness and costs in health care, over and above differences between physicians and the general public that were revealed by previous studies.
Moreover, all the above studies have used quantitative methods such as closed-ended questionnaire items in the survey-type studies. These methods typically allow for the breadth and generalizability, providing information on attitudes of large samples of a variety of items. But the restructured format makes it difficult to consider the various rationales underlying these decisions. Also, closedended items are based on the assumption that all participants share the same understanding of pertinent concepts. But there is some evidence that laypersons and physicians differ in their understanding of criteria such as therapeutic benefit and costs [7,11]. The findings of the above quantitative studies might therefore obscure additional differences between physicians and laypersons concerning priority setting in health care. To reveal these, more in-depth qualitative methods are required.
RQ1: What are the attitudes of physicians toward therapeutic benefit and cost as criteria for prioritizing health care?
RQ2: What are the attitudes of patients toward therapeutic benefit and cost as criteria for prioritizing health care?
RQ3: What are the similarities and differences between physicians' and patients' attitudes toward therapeutic benefit and cost as criteria for prioritizing health care?
The present study is part of an exploratory interview study on prioritizing health care with members of six different interest groups . Here, we report only parts of the results comparing physicians and patients.
We implemented a qualitative survey design . Unlike the quantitative survey, which aims at inferences about the distribution of characteristics in a population, the qualitative survey is concerned with representing the diversity of a given phenomenon.
The qualitative survey requires a purposive diversity sample . In line with this requirement, we purposefully selected the participants according to predefined criteria  that were chosen so as to yield a maximally heterogeneous sample. To this end, we implemented a strategy of stratified purposive sampling . We included physicians from different professional categories to encompass different stages in a physicians' career as well as a wide range of professional specializations. Moreover, we selected physicians from different working environments (clinic or private practice). In the patient group we included individuals who suffered from an illness that requires medical treatment. We used the term severity of illness to encompass a variety of physical and mental as well as acute and chronic medical conditions at different stages. Moreover, we selected individuals that were as diverse as possible based on their educational level , age, provenance (former East or West Germany) and severity of illness. We identified physicians who met the above criteria through the internet and contacted them by telephone; patients were recruited via their physicians. In addition, we incorporated an element of snowball sampling by asking (potential) interviewees to propose other potential participants. A total of seven physicians (2 women, 5 men) and twelve patients (5 women, 7 men) from different cities in Germany participated in the study. The physicians were between 25 and 68 and the patients between 21 and 69 years old (mean = 44, and 47 years, respectively) (for more details on the sample see Table 1).
For data collection we used semi-structured interviews. Here we focus on that part of the interview guide that is concerned with priority setting of interventions, taking into account costs and health care effectiveness. This part comprised three sections.
Table 1. Sample composition of the interview study.
participants with a realistic decision-making situation in a medical context that is concerned with both therapeutic benefit and ethical issues. The second section focused on evidence-based medicine. We asked the participants whether public health care should stop covering treatments that are effective from the perspective of medical experts but do not meet the criteria of evidence-based medicine . Here our concern was with the role of therapeutic benefit and with participants' concepts of effectiveness and evidence. The third section focused on the acceptance of upper funding limits. We confronted the participants with a rule adopted in the United Kingdom according to which the costs of cancer therapy must not exceed 30.000 Euro per life year gained by administering the therapy. Participants were asked for their opinion about implementing this type of rule in Germany. The rule was adapted from the English QALY (see www. nice.org.uk) and simplified to make it easier to understand, with a focus on costs, not on different aspects of therapeutic benefit (which are already covered by the second subsection).1 We conducted the interviews in locations of the participants' choice. All of the physicians and two patients were interviewed in the work place. The majority of the patients were interviewed at home. Prior to each interview, participants signed a consent form. Interviews lasted between 32 and 128 minutes (mean = 66 minutes). We recorded and fully transcribed the interviews. At this point we removed all identifying information.
We used qualitative content analysis to summarize and to systematize the interview material , identifying relevant themes and categorizing them into main categories and subcategories. Main categories were mostly concept-driven and derived from the interview questions. Subcategories were data-driven and were based on a thorough reading of the material: Whenever we identified a pertinent theme that was mentioned by two or more participants, we added it as a new subcategory. For this first version of the coding frame, we conducted a pilot coding with two independent researchers categorizing the same four transcripts. Coding consistency was 87.1% across main and 73.9% across subcategories for the pilot version of the frame and 96.6% across main and 83.7% across subcategories for the revised, final version of the frame. During the main coding, one third of the transcripts were again categorized by two independent researchers. Inconsistencies were resolved by discussion, and one researcher categorized the remaining material. To support data analysis, we used the computer software MAXQDA (VERBI GmbH, Berlin/Marburg).
In presenting our findings, we are concerned with the categories and subcategories identified in the material, both within and across stakeholder groups (for a summary of main categories and subcategories by question and stakeholder group see Table 2). Category names are given throughout in italics. Coding frequencies are not relevant considering the small sample size and will not be reported.
Table 2. Main arguments of physicians and patients in the interview study.
Ö = mentioned; - = not mentioned.
Medical or economic criteria played no role in the physicians' reasoning against the removal of the feeding tube.
Those physicians who supported the funding of nonevidence-based medicine believed that these measures often do have an effect which current methods fail to detect (therapeutic benefit), or else that potential effects are not investigated in the first place for economic reasons (missing studies).
Apart from this moral concern, patients worried that with upper funding limits, only the rich would be able to afford costly treatments (intensification of social inequalities).
In the study reported here we used a qualitative approach to investigate in detail decisions and rationales used by patients and physicians regarding the limitation of treatments with problematic or unproven therapeutic benefit and high costs, respectively.
Our first research question concerned the attitudes of physicians toward therapeutic benefit and cost as criteria for prioritizing health care. The physicians in our sample clearly considered therapeutic benefit an important criterion for prioritizing health care. They supported the termination of the life-prolonging treatment because of its low therapeutic benefit and most of them found nonevidence-based measures not effective enough to be included in health care. Treatment costs were seen to be secondary to other criteria and therefore, not crucial for prioritizing health care. In the life-prolonging treatment section costs gained in importance when participants assessed therapeutic benefit as low. Concerning upper funding limits the physicians typically emphasized that medical interventions must not depend on costs alone; that is why most of them did not accept upper funding limits.
In our second research question, we were concerned with the attitudes of patients toward these same criteria. The patients in our sample also considered therapeutic benefit an important criterion for health care priority setting. Most of them stated that the life-prolonging treatment does not provide enough therapeutic benefit to be maintained, and in the evidence-based medicine section the majority of the patients supported the funding of nonevidence-based measures, typically arguing that these measures are effective. Costs were considered as subordinate to other criteria, such as therapeutic benefit. Upper funding limits for a certain treatment were only accepted if the saved money would be invested in treatments that would benefit more people.
Our third research question relates to the comparison between physicians and patients concerning their attitudes regarding the importance of therapeutic benefit and costs as criteria for prioritizing health care. The results show many similarities between the attitudes of the two groups. Both considered therapeutic benefit as an important criterion for priority setting decisions, whereas treatment costs were seen as secondary to other criteria. However, some differences emerged concerning the understanding and use of therapeutic benefit and treatment costs for prioritizing health care services. The physicians in our sample were more critical of the notion of therapeutic benefit than the patients. For instance, in the lifeprolonging treatment scenario physicians ruled out the possibility that the patient might recover from coma, whereas some patients expressed trust in the potential therapeutic benefit of the treatment, even after a time period of 15 years. Moreover, physicians were more likely to decide against covering non-evidence-based medicine by public health care funds because of its low or unconfirmed therapeutic benefit, whereas patients were more convinced that these measures are sufficiently effective. These results correspond to the finding by Ginsburg  who reported that most of the physicians in her sample complained about patients who insist on having treatments that the physicians believe are cost-ineffective or unnecessary. The different understanding of therapeutic benefit and the different expectations of what medicine can do, respectively, might be due to the fact that patients are not sufficiently informed about the benefits of different interventions, which might create unreasonable expectations. Here, a differentiated reporting on medical achievements could generate more moderate expectations. Whatever the causes of these differences might be, the building of trust between doctor and patients and increased communication might help to overcome these differences. In their interview study Skirbekk and Norvedt  revealed that in poor trust relations patients more often negotiate with their physician and finally obtain treatments that are not necessary. A more trusting relationship can overcome differences between patients and physicians by giving the physician the opportunity to confront the patients with perspectives that they might not have considered otherwise . Sharing information and treatment preferences is a precondition to reaching a consensus on the treatment to be implemented .
Physicians and patients furthermore differed regarding their reasoning why costs should be considered. Whereas physicians pointed to the financial constraints in the health care system and the necessity to save money, patients mostly emphasized that money should be saved and reinvested into treating patients with a more promising diagnosis. This might reflect the pressure on physicians to contain health care costs . Moreover, selfinterest might play a role here, i.e., patients might want to save money that can be reinvested in their own health care. Stronks et al.  also found that patients based their reasoning concerning priority setting in health care on self-interest.
Physicians and patients also differed in their final decision regarding the acceptance of upper funding limits. Although the former had pointed to the necessity to save money, they finally rejected general funding limits, whereas the latter endorsed them. The position of the physicians might originate from their responsibility toward the individual patient. In their interview study with physicians Skirbekk and Norvedt  revealed a type of "patient-centered partiality": The authors found that physicians base their care on the medical and health related needs of their particular patients, not considering directions from the hospital management. However, the physicians' reasoning in favor and against the acceptance of upper funding limits in our interview study reflects some degree of conflict between their role as patients' advocates and as gatekeepers . The physicians criticized that a general funding limit does not meet the needs of individual patients, but they also argued that priorities are necessary in the health care system. The patients' endorsement of upper funding limits might indicate willingness to accept health care limitations and to set priorities. This again corresponds to the above mentioned study by Ginsburg  who reported that a majority of the participating physicians stated that patients would accept financial explanations for a decision against a certain treatment as soon as they understand that it would be a waste of resources.
Not surprisingly, patients were more likely than physicians to raise non-medical aspects when making decisions about treatments. When asked whether they agree to the termination of the life-prolonging treatment of the coma patient, some of them broached the issue of shared decision making; they emphasized that such a decision has to be discussed with the family. This finding again emphasizes the importance of the doctor-patient communication. Concerning evidence-based medicine, some patients expressed that medical practitioners should decide whether a medical treatment should be funded or not, showing full confidence in their expertise and decisions. This is in line with other studies which have found that the public want doctors to decide on prioritizing medical interventions . This might seem contradictory to patients' demand for shared decision making. However, there is evidence that treatment decisions made by physicians alone disrupt the trust in the doctor-patient relationship . The claim for patient involvement in medical decision making therefore remains essential. In the context of upper funding limits, patients furthermore raised concerns about social inequalities. Such concerns must be taken into account when setting health care priorities, because a discrimination of persons with lower social status could increase health inequalities in a society .
The heterogeneous sample of this study spanned a wide range of patients and physicians. However, it is not statistically representative and merely served as a basis for exploring different perspectives on prioritization. Studies with large representative samples as reported, for instance, by Diederich and Schreier  are necessary to confirm our findings. Note, however, that those studies cannot provide information on the rationales underlying decisions. Moreover, it is possible that physicians' and patients' attitudes and reasoning about prioritizing in health care are shaped by factors other than the ones represented in our sampling criteria. Physicians' specialist fields, for example, are barely represented here; with patients, prior experience with health care might play an important role. Additional in-depth qualitative studies are needed to explore the role of these and other additional factors in shaping attitudes toward decision making in health care.
To sum up: Previous studies investigating the preferences of physicians and healthy laypersons regarding medical supply have shown that both groups strongly support therapeutic benefit as priority setting criterion whereas priority setting on the basis of costs is less accepted [4,7]. In the study presented here with physicians and patients we confirmed these results. However, we also revealed differences that quantitative studies until now have failed to detect and we provided an insight into the rationales underlying different attitudes. Our findings point toward the necessity to strengthen doctor-patient communication, to improve information for patients about the possibilities and limitations of health care, and to gain a deeper understanding of their attitudes, wishes and concerns to reach an agreement by physicians and patients on the treatment to be implemented.
The authors thank those who participated in the interview study. This work has been realized within the research project "Prioritizing in Medicine" supported by the German Research Foundation (DFG, Deutsche Forschungsgemeinschaft) grant number Di506/10-1.
Ginsburg, M.E. (2000) A survey of physician attitudes and practices concerning cost-effectiveness in patient care. The Western Journal of Medicine, 173, 390-394.
Berney, L., Kelly, M., Doyal, L., Feder, G., Griffiths, C. and Jones, R.I. (2005) Ethical principles and the rationing of health care: A qualitative study in general practice. British Journal of General Practice, 55, 620-625.
Patton, M.Q. (2002) Qualitative research and evaluation methods. 3rd Edition, Sage, Thousand Oaks.
1The real QALY takes into consideration not only life prolongation but also quality of life; the NICE limit is £30.000 not 30.000 Euro and it is not as clear-cut as it is implied here (www.nice.org.uk).
2All quotations were translated into English by the authors.


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Report: Checking In: Do Classroom Assignments Reflect Today's Higher Standards?
Sep 2, 2015 by Sonja Brookins Santelises
Nearly every state has adopted new, more rigorous standards for college and career readiness over the past five years. But after many hours of professional development and revised observational protocols, is the rigor of the new standards reaching students? In a new report, The Education Trust responds with "not so much."
In "Checking In: Do Classroom Assignments Reflect Today's Higher Standards?" assignments analysis conducted by an Ed Trust team of content experts finds that middle grades assignments do not reflect the high-level goals set by new, more rigorous college- and career-ready standards.
Prepared for school district and education leaders, "Checking In" is the first in our Equity in Motion series, which will scrutinize how issues of equity are translating into the daily activities of schools and educators.
Sonja Brookins Santelises, vice president of K-12 policy and practice, The Education Trust.
Classroom Assignments Fail to Meet Common-Core's Higher Bar, Study Says
There have been several notable efforts recently to determine whether textbooks are aligned to the Common Core State Standards—most of which have had fairly negative findings.
A new report looks at whether individual classroom assignments meet the common-core criteria for literacy. And it, too, finds that alignment, for the most part, is lacking.
Read the full article on Education Week
The idea vs. the on-the-ground reality of Common Core standards
The Common Core State Standards that most states have adopted have triggered plenty of political debate. But have they transformed how teachers are teaching — and what students are learning?
Not nearly enough, according to Education Trust, a nonprofit dedicated to closing achievement gaps.
Read the full article on The Washington Post


When it comes to tangible problems in the world, it's pretty hard for the average person to get to know the ins and outs of them without a connection to the industry. And that's why we are here — to knowledgeably complain; to provide a space to learn, to digest, and to hopefully get you inspired to work on your next project.
Talking with everyone from education CEOs, former ambassadors, investment professionals, government leaders, and more about the why's, the who's, and the what's of problems they've seen in the world. We want our listeners to better understand the problems of today and build a community around fixing them.
So whether you're here to dive deep with us into problems just out of casual interest, or want to leave each episode with a new perspective and inspiration to work on a problem you discovered, tune in each week as we talk to our guests about problems and do some good ol' knowledgeable complaining.


I have a tiny design question to ask.
everywhere. Its bloating my codebase and is an eye-sore to look at!
manage the lifetime of the actual logging object.
And do it so that outputting 'flush' is an atomic operation.
that to inherit the functionality available to cout and friends?
No, it doesn't have to. Just define operator << for it.
whether he be right or wrong." Now, we are getting very close to the truth of the matter here.
Bill Clinton. "whether he be right or wrong".
long ago been selected to lead America into the coming New World Order.
as a witness against a Brother Mason, be always sure to shield him.
1.. Senator Trent Lott [Republican] is a 33rd Degree Mason.
4.. Robert Byrd, Democrat, 33rd Degree.
February 13, 1999, p. 1, 6.


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Home Discover our stories and collections Museum blog (Re)Displaying longitude
(Re)Displaying longitude
This week's blog comes from Louise Devoy, Curator of the Royal Observatory
We've had a few months to refresh the Time and Longitude Gallery after the de-installation of Longitude Punk'd but it's flown by like a 60-minute TV makeover programme! After the success of last year's exhibition Ships, Clocks and Stars, many of the featured objects will be going on tour to venues in the United States and Australia. While this is a great opportunity to share our objects with new audiences, it's been a logistical challenge trying to identify similar objects to fill the depleted displays at the Observatory. After many months of preparation, the new displays are starting to take shape and will soon be reopened for all visitors to enjoy from 16 March 2015 onwards.
Situated within the oldest part of the Royal Observatory, the Time and Longitude gallery is located within Flamsteed House. It's an important space for us to show how the Royal Observatory played a pivotal role in the quest to determine longitude at sea during the 18th century. The first part of the gallery will tell the same story as before with a range of traditional navigational instruments, pendulum clocks and an explanation of why navigators struggled to use these devices to determine longitude at sea. This area is peppered with dramatic stories of shipwrecks and culminates with the Act of Longitude in 1714.
In the second part of the gallery, we introduce the two main approaches used in solving the longitude problem: one involved using astronomical methods to compare your local time against a known home time at port, while the other was based on similar principles using a timekeeper that could function at sea. While the timekeepers made by John Harrison will be back on display in their previous cases, the astronomical method display case has been completely overhauled to explain how the lunar distance method was transformed from theory into practice, thanks to the meticulous work of mathematicians, astronomers, instrument makers and navigators. We've worked hard to highlight the role of the Observatory, particularly the work of the fifth Astronomer Royal, Nevil Maskelyne, and the production of the Nautical Almanac from 1767 onwards.
Our emphasis on the work of the Observatory continues in the final case where we've selected a few examples of the marine chronometers which were tested at the ROG from 1840 onwards. Thanks to some digital design wizardry, we've been able to take an image from an atlas made in 1860 to create a wall graphic which illustrates the voyages on which these chronometers were taken around the globe - it's a great visual addition to the display. Similarly, we've been inspired by the bold wall graphics of Longitude Punk'd to add new graphics throughout the gallery, from portraits and quotations to large scale maps and a new 'Design your own navigational instrument' area for your creative comments. We've also tried to weave in some of the digital content developed for Ships, Clocks and Stars such as the explanatory animation for the lunar distance method and a detailed view inside Harrison's fourth timekeeper, 'H4'.
As you leave the gallery, you will see a giant sketch of the Time ball on the roof of Flamsteed House, as seen in the Illustrated London News in November 1844. It's a bold visual reminder of how all this new knowledge and technology was used in practice and a great way to introduce these themes before they're explained in more detail in the exhibits of the Time and Greenwich Gallery.
More behind-the scenes stories from Time and Longitude in the next few weeks
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WHAT'S YOUR MISSION
Federal Resources Corporation Earns "Great Place to Work" Certification
Federal Resources Corporation Open's New Corporate Headquarters in Erie's 'Our West Bayfront'
FRC Welcomes New Chief Financial Officer, Mr. Douglas Campbell
February 3, 2021, Erie PA - Federal Resources Corporation is excited to announce that Doug Campbell has joined the company as Chief Financial Officer.
Mr. Campbell was born and raised in Erie, PA and was a graduate of Cathedral Preparatory School. After obtaining his Accounting degree from John Carroll University, he joined Ernst & Young where he had spent the past 24 years, seven of which he served as a Strategy and Transaction Partner assisting Fortune 50 clients driving enterprise value.
"I am extremely excited to join the FRC family", says Campbell, "It's great to be a part of an organization in a hyper-growth stage, but also the ability to come home to Erie and work with local talent and be a part of the FRC Community Mission."
"A cornerstone of our company is the talent of our people," says Jeremy Young, President & CEO of Federal Resources Corporation. "We have been able to attract industry leading expertise to support our customers and Doug is a further testament of our maturity as an organization."
Erie Company, FRC, ranks 5th in Pennsylvania on Inc. 5000 America's Fastest-Growing Private Companies
EY Announces Jeremy Young of Federal Resources Corporation as an Entrepreneur of the Year 2022 East Center Award Finalist
Starting a Software Business? Silicon Valley or Pennsylvania
PRIMARY NAICS CODES:
541519 - Other Computer Related Services
Federal Resources Corporation is a HUBZone Certified Small Business
CONTRACT VEHICLES:
NASA SEWP V: #NNG15SC61B
GSA IT-70 Schedule: GS-35F-0585T
DoD ESI BPA – McAfee: #N66001-18-A-007
FRC SALES TEAM
sales@fedresources.com
© Copyright Federal Resources Corporation | Return Policy


Make hands-on science easy and fun with this book.
The Physical, Life and Earth science activities require little or no preparation and will excite and stimulate your students.
Learn why raisins ?dance? in soda water, observe pet animals or germinate seeds in the Sprouting Sponge activity.


We now have one of the most advanced production machines, experienced and qualified engineers and workers, regarded quality manage systems and a friendly skilled sales group pre/after-sales support for Craft Led Light , Craft LED Light , Usb Led Light , Our products are widely recognized and trusted by users and can meet continuously changing economic and social needs. We welcome new and old customers from all walks of life to contact us for future business relationships and mutual success!
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I am not a recruiter or human resources agent, but I have had my fair share of jobs, and I have had probably thousands of interviews in my life. It may seem easy to forget the basic skills that can still impress, so I wanted to share with you those qualities that people need to remember, that they probably have let slip from their minds.
This one is always forgotten. Demonstrating the times in previous jobs, schools, etc. that you excelled in communication is extremely important. Something that is commonly lost or goes largely unused in today's job markets is a steady, confident stream of communication. Whether it is between coworkers or customers, being able to relay the information that needs to be, and to be able to understand what is being asked of you is so important. If you have great communicative abilities, do not hide those, let them shine through.
It seems an odd thing to point out in today's society. Computer skills such as typing, use of programs like Excel/Word, being able to know how to use quick keys, 10-key typing, all of these skills are in high demand, and to be frank, they are not as common as you would think. Yes, many people have an understanding of the ins and outs on how to use a computer, but how many people do you know that can actually type without looking at 70 words per minute with zero errors? How many people do you know that would know what putting: "for * out loud"; would mean in a search engine like Google?
Many people don't realize that they have a very marketable skill by being able to format a table correctly in Word, or by being able to properly name documents, maybe they know how to convert a Word document to a PDF just through Word itself. Not everyone has these skills, and you need to have faith in the ones that you might take for granted. Even if it seems minuscule, promote it. You might just have that one 'hidden trait' that an employer is looking for.
Many of us got our career start as a cashier, customer service associate, etc. These sorts of jobs are some of the best pools of quality skills that I can think of. They boost your communication talents, they push you to be flexible and attentive to your employers needs as far as scheduling and such, and they give you ample time handling money. What is more a show of trust in someone than letting them handle money? As a cashier, you have so much trust put on your shoulders from the company and your bosses. Many people need to realize that if you have had a job as a cashier, teller, errand runner, etc. you are literally holding your company's financial future, and you are trusted with that. Why not brag about it a little bit? It shows trust, capability, math skills (when it comes to counting cash back), attention to detail, and it is a good example of your organizational skills.
If you can boast that your till at a retail job was never off by even a penny, you are amazing! If you can show that you were trusted with large amounts of money, unsupervised, at any given time and that that trust was not misplaced, then show it!
I will leave you with this, you never know what exactly a job or employer is looking for when it comes to skill sets. The requirements that are posted with jobs are obviously going to be touched on by anyone applying, so go above and beyond that. Never forget to show that you have skills in even the most mundane places, common sense is one of the biggest keys in today's society, use it and show your marketable traits!


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Privacy information & data collection
Diet Schmiet
Book review: Get Poor Slow by David Free
Saturday, July 1, 2017 Permalink
The first part of this book took my breath away. I found myself marking paragraphs and sentences that leapt out at me, folding over page after page. That did slow down and whether I became inured to David Free's prose or his writing reduced to a (still amazing, but) low simmer, I'm not sure but I was initially mesmerised.
Get Poor Slow
by David Free
Published by Picador Australia
on June 27th 2017
Source: PanMacmillan
Genres: Thriller / Suspense, Literary Fiction
ISBN: 1760552135, 9781760552138
Ray Saint is in trouble. A young woman is dead and he was the last person to see her alive. No one is impressed by his excuses: Ray, you see, is the most hated book reviewer in Australia - a hatchet man with a belly full of bourbon and curdled dreams of literary greatness. Now he will need all of his acid-tongued wit and even some moments of lucidity if he is to discover who murdered the beautiful publishing assistant who got so far beneath his skin.
As a battered and bloodied Ray investigates more deeply, he is obliged to face the truth: he can't be entirely sure that he isn't the killer.
Interestingly this book is written by a literary critic. And it's about a literary critic. Of course I'm no critic. And not even vaguely literary. But I blog about books and review books so could relate to a lot of this book's narrative.
It's hard to describe Ray, the key suspect and our book's narrator. We're in his head and the book's written in first person so we've got little choice but to trust him. I've read a spate of books by unreliable and secretive narrators lately, but that's not Ray. Indeed, Ray's incredibly honest with us and himself. Although not with the police. Ray's problem is well… Ray.
I have this strange inertia these days. My tastebuds are all shorn off, and the world feels bleached-out, as if every day is the day after someone has died. p 2
He blames his heavy drinking and pill taking on severe headaches which are the result of an accident when he was young. Indeed he feels (and seems) defined by the scars (physically, mentally and emotionally) he suffered. As a result – of the headaches and / or pills and booze – he has blackouts and cannot remember significant chunks of time. Which, of course, makes it difficult for him to really know what happened during the time of the murder or, indeed, remember his own movements.
Tumbleweeds of razor wire clashed in my skull…
I do not get headaches because I drink. I drink because I get headaches. If you don't get the distinction, leave now. On mornings like this one, the crack in my skull feels blazingly reborn. It feels as if it got put there overnight. I feel thick hot blood raging inside it, like lava. The pain detaches me from the here and now. I rarely feel present in my own life. If it's not the pain, it's the stuff I take to get rid of it. pp 4-5
I liked Ray, and his self-deprecating ways made up for his smug (literary) arrogance. You get a sense he's using the few weapons he has in his (metaphorical) arsenal against his detractors and those he believes belittle him.
Free cleverly unpicks Ray's story and movements slowly and we learn he's keeping secrets. Not from us, but from the police. He's playing the long game, waiting to reveal the cards he thinks will exonerate him. At least, that's what he hopes.
It becomes obviously pretty quickly that Ray has been played. And played again. Sadly he doesn't seem to go with his gut in this instance and continues to believe in someone who never really existed.
Her secrets are my secrets now. If I don't keep them, who will? p 15
I probably wasn't as enamoured by the plot itself as I was by Free's writing – particularly in the beginning. I'm a fan of the old gumshoe / PI authors (like Robert B Parker and similar) so there's something slightly spoofy and ironic about this book, which I think is reflected by the cover – giving it that retro vibe.
I squinted at the clock and hated what it said. p 3
I was a bit surprised it took Ray soooo long to realise what was happening as the hint we're given in the beginning (as to what might be afoot) is a pretty big one… so when the plot goes in that direction I thought it was a tad obvious. The ending / climax was probably a little outrageous so I wasn't fully convinced, though did appreciate Free avoided giving everyone their happily-ever-after or complete sense of closure. There was however, a sense of introspection.
Piano trills rippled frailly in the wind. They sounded better than I'd remembered, either because I was drunk or because I was about to die. You should have listened to thinks like this more often, I thought. You should have had that sort of life….
Squandering your life is not a small deal. But it doesn't happen all at once. The bad news creeps up on you. pp 212-213
I must now seek out David Free's reviews as I'm intrigued if they're as nasty (and eloquent) as Ray's. This read is also a bit confronting for those of us who write about books and authors. I always try to be honest in my reviews, though not vicious. There are probably occasions I skim over negative elements more than I could or should, just as there are times I nit-pick for no reason other than that something annoyed me. This book's not getting a lot of press, which is interesting, as I think it has a bit to say about the publishing industry and popular culture. I'd suggest Free is a 'great new voice in Australian literature' but that would sound a bit wanky – like the fictional 'industry lapdog' Barrett Lodge.
Get Poor Slow by David Free was published in Australia by PanMacmillan and is now available.
I received a copy of this book from the publisher for review purposes.
*** NB. I read an early version of this novel, so there may have been changes to page numbering / quotes ***
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Hi, I'm Deborah… a seachanger living on Australia's Fraser Coast, in Queensland. I write about books and life in general.
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Sacramento, California has just been named America's 'Farm to Fork Capital.' I would like to map the "trip" food must take to get from a local farm to a local restaurant. I may need to narrow it down to one specific food (a certain type of vegetable, meat, etc.), but I'd like to visually illustrate the way some of our local restaurants are sourcing their food.
This map is just a fun exercise. I'm not a designer or a true Sacramento foodie, but I love design, my city, food and I married into a farming family. So, I'm going for it!
My target audience would be anyone who loves food and appreciates knowing where their food comes from. I would love for Sacramentans to enjoy this map, but I'm hoping those who live elsewhere can see its value as well.
As far as the finished project, I'm going to focus on digital applications for now. I think it would be interesting to see how interactive I can make it. I'll need to include some specific locations, but only to the places that are open to the public (some farms are not).
Okay, so I'm still waiting to hear back from Soil Born Farms, an "urban" farm here in Sacramento. I'm hoping they can shed a bit of light on their distribution process. In the mean time, I've drawn a map and key with the routes I *think* the food might take to get from farm to fork.
I'm still deciding if I need to be exact about the routes (meaning I would add streets, freeways, etc.) or if this can be more conceptual and still illustrate Sacramento's "Farm to Fork" movement. Anyone have thoughts or ideas on that? I'd love to hear your opinions as we get ready to go digital!
For our most recent milestone, I decided to zoom in on the Sacramento map around the area of the confluence of the American and Sacramento Rivers.
I kept the map fairly simple, but it was a great way to dust off my Adobe Illustrator knowledge. I haven't used the pen tool for quite some time, so it was really great practice!
I do have to say that the colors are completely different upon upload than they are when I open the file in Illustrator or Photoshop. They aren't this bright and garish in my original file. I'm not sure why that's happening.
I've set up a field trip for tomorrow morning, so I'll be spending time on a local urban farm during harvest and will be onsite at a local restaurant for delivery. Wish me luck!
Anyone else having funny rendering issues with illustrator-to-eps-to-jpeg files?
I can't believe our class is coming to a close already!
I decided to follow this beautiful Red Russian Kale from Feeding Crane Farms to one of our wonderful local restaurants to get the story behind what it takes to get the food from the ground to our table.
If you'd like to read more about the farm visit, you can do so here. I'm still working to set up the restaurant portion of the project and it looks like I may finally be able make that happen this Friday. I know that will make my project a bit late, but I'm too excited to follow the food to stop now!
I'd like to acknowledge the "final" day of class (so sad!) with a little teaser from my final project. Since this is the true map portion of my end product, I hope it fits the bill!
You'll notice that I've decided not to map the multiple locations where we can find the Red Russian Kale around town. Because Feeding Crane Farms is doing so well and expanding so quickly, the project could have taken me all month! For my Sacramento friends, you can find a link to where their products end up right here.
I'll continue telling the story on my blog and will share the final final project next week.
I do want to thank all of my fellow classmates and our lovely teacher, Anne, for making this class so enjoyable. I feel like I've learned so much in such a short time!
I have (finally) finished my Farm-to-Fork mapping project!
You can read more about the project on my blog.
Thanks again for all of the inspiration! This class was incredible!


Property Location A stay at Mersina Exclusive places you in the heart of Paros, just a 4-minute walk from Piperi Beach and within a 5-minute drive of Naoussa Harbour. This 4-star apartment is 1.2 mi (1.9 km) from Moraitis Winery and 1.7 mi (2.8 km) from Agioi Anargyri Beach.Rooms Make yourself at home in one of the 17 individually decorated guestrooms, featuring refrigerators and minibars. Rooms have private furnished balconies or patios. Complimentary wireless Internet access keeps you connected, and 26-inch flat-screen televisions are provided for your entertainment. Private bathrooms with showers feature rainfall showerheads and designer toiletries.Amenities Pamper yourself with onsite massages or take in the view from a terrace and a garden. Additional amenities at this apartment include complimentary wireless Internet access, concierge services, and babysitting/childcare (surcharge). Guests can catch a ride to nearby destinations on the area shuttle (surcharge).Dining Enjoy a meal at the restaurant or snacks in the coffee shop/café. The apartment also offers room service (during limited hours). Quench your thirst with your favorite drink at the bar/lounge. Breakfast is available for a fee.Business, Other Amenities Featured amenities include express check-in, express check-out, and complimentary newspapers in the lobby. Free self parking is available onsite.


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Rush Limbaugh knocks Trump's legal team: They promised 'bombshells' at press conference and 'nothing happened'
Rush Limbaugh knocked President Trump's legal team for underdelivering at last week's widely-hyped press conference alleging widespread voter fraud that stole a "landslide" victory from their client.
The press conference last Thursday, led by Trump's personal lawyer Rudy Giuliani, outlined several accusations of illegal votes cast in several states that were projected for President-elect Biden. Attorney Sidney Powell spoke out about an alleged global plot with financial ties to Cuba, Venezuela, and China over the Dominion voting machines that were used in several states that Powell insisted shifted votes from Trump to Biden. However, while she and others expressed confidence that the evidence that will be presented in the courts will overturn the results of the election, none of the evidence was presented at the press conference or shared with the media in the days since then.
On Sunday, Giuliani and Trump campaign senior legal adviser Jenna Ellis released a statement saying she is "not a member of the Trump Legal Team" and is not serving as a lawyer for President Trump "in his personal capacity."
BILL MAHER ASSERTS BIDEN WON FAIRLY, TRUMP ADVISER JENNA ELLIS PUSHES BACK: 'WE DON'T KNOW THAT'
During his radio show on Monday, Limbaugh began by knocking the legal team's efforts to distance itself from Powell, telling his listeners "It's a tough thing to deny that she was ever a part of it because they introduced her as part of it. I mean, she was at that press conference last week."
"The problem with that press conference last week, folks, it goes way beyond Sidney Powell," Limbaugh said. "You call a gigantic press conference like that, one that lasts an hour, and you announce massive bombshells, then you better have some bombshells," said the syndicated host who is heard on nearly 600 stations.
Limbaugh noted that the press conference needed to offer more than "a hacker who can tell us, 'Yep, everything these guys have said is true. I've looked into it, I've run the software, I've hacked this, I've hacked that.' Even put him behind a screen to protect his identity, but you don't- you can't- I've talked to so many people who were blown away by it, by the very nature of the press conference, but they promised blockbuster stuff and then nothing happened. And that's just- that's not- well, it's not good if you're gonna promise blockbuster stuff like that."
The conservative talk radio giant continued, "I understand- I'm the one that's been telling everybody this stuff doesn't happen at warp speed, at lightspeed the way cases are made for presentation in court, but if you're going to do a press conference like that with the promise of blockbusters, then there has to be something more than what that press conference delivered.
Limbaugh, who is a strong supporter of President Trump, went on to say that Powell appeared to have gotten "out over her skis" as part of Trump's legal team and how she will continue to work alongside attorney Lin Wood, but stressed that "time is of the essence as it is speedily vanishing."
https://www.foxnews.com/media/rush-limbaugh-knocks-trumps-legal-team-they-promised-blockbuster-stuff-and-then-nothing-happened
limbaugh
GOP Rep. Chip Roy: 'Will Not Be Deterred' in Fulfilling Oath by 'Mob Demand'
Breitbart November 24, 2020
Jake Tapper Thoroughly Dismantles Trump's Latest Dishonest Tweet About The Election
Headlines November 24, 2020
Coronavirus vaccine distribution plans: State-by-state breakdown
FoxNews November 24, 2020


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SpeedRunner
Tower of Babel, Book 1
By: Adam Elliott
Series: Tower of Babel, Book 1
Liar King
From the very first hour Cayden had set foot inside the massive, real-life game that was the Tower of Babel, nothing had gone according to plan. A unique skill, a handful of new friends, and the wrath of an ultra-wealthy, patricidal lunatic were just some of the complications to his best laid plans.
So why was he even surprised when a special event trapped him, his companions, and dozens of other players inside the tower, squaring them off against a murderous army of stone-faced warriors?
Felt like filler.
By Kyle Garrett on 04-19-18
Defiance of the Fall 3
After traversing the dangerous Dead Zone, Zac has finally managed to save his sister and bring her back to Port Atwood. But Zac knows he can't relax. Not if he wants to keep her safe. The foreign factions keep spreading their influence, and ancient foes have set their sights on Earth. With his newfound abilities, Zac has joined the Limited Hunt to gain the strength needed to protect his family and his world. However, the System is unwilling to let Zac train in peace, and the hunt is not what it seems...
ignore the reviews
By Chasen on 12-04-21
Mother of Learning Arc 1
Mother of Learning, Book 1
By: nobody103, Domagoj Kurmaic
Narrated by: Jack Voraces
A teenage mage of humble birth and slightly above-average skill, Zorian is attending his third year of education at Cyoria's magical academy. A driven and quiet young man, he is consumed by a desire to ensure his own future and free himself of the influence of his family, resenting the Kazinskis for favoring his brothers over him. Consequently, Zorian has no time for pointless distractions, much less other people's problems.
Fantastic Start
By David on 12-21-21
By: nobody103, and others
Lord January
A LitRPG Cultivation Saga (Year of the Sword, Book 1)
Grant Leap is an orphaned, mortal farmhand in a world where cultivation methods and Weapons of Power are jealously guarded and only passed down among family. He's not content with his lot; as a Januarian, someone living in District January, he should be living the good life just like everyone else. Food, parties, food, entertainment, and food are the minimum requirement. As an orphan, specifically a reviled Leap, there's not even a chance of being treated as a human.
not so great
Jake's Magical Market
By: J.R. Mathews
Jake is working at the neighborhood market under his apartment when the world ends. He expected nuclear war, a computer virus, or even climate change burning everyone to a crisp to bring about the downfall of civilization. But cruel and arbitrary gods from another world? Who would have guessed that? When these cruel gods shuffled Earth like a deck of cards, nothing was in the same place anymore. Monsters, dungeons, and magical items appear scattered across the globe. And suddenly, everyone has access to a new, strange magical card system that gives them magical powers.
great progression story
By cory on 11-30-21
Dungeon Crawler Carl
A LitRPG/Gamelit Adventure
By: Matt Dinniman
A man. His ex-girlfriend's cat. A sadistic game show unlike anything in the universe: a dungeon crawl where survival depends on killing your prey in the most entertaining way possible. In a flash, every human-erected construction on Earth - from Buckingham Palace to the tiniest of sheds - collapses in a heap, sinking into the ground. The buildings and all the people inside have all been atomized and transformed into the dungeon: an 18-level labyrinth filled with traps, monsters, and loot.
A refreshing take on apocalyptical LITRPG
By Jason Baisden on 03-01-21
Blessed Time 2
Coda: A LitRPG Adventure
By: Cale Plamann
Ever since his 16th birthday, disaster has loomed over Micah Silver's head, threatening him and everything he loved. Twice he tried to deny his fate, only to suffer for his hubris. Finally, he made the sacrifices necessary to confront the danger facing him head-on. Micah succeeded. At the head of an army of daemons, he defeated the Durgh Khan and saved Basil's Cove from disaster. Only, it wasn't to be.
Another 3.75, But a solid title.
By RogueNPC on 11-09-21
The Two Week Curse: A LitRPG Fantasy Series
The Ten Realms, Book 1
By: Michael Chatfield
Erik West is an ex-combat medic. He and his best friend, marine recon sniper Jimmy "Rugrat" Rodriguez, have been thrown into another world. They've become one of the "cursed". Now they have to figure out this fantasy world, where cultivation, skills, and abilities must be grown...or death awaits.
Reborn: Apocalypse, Book 1
A LitRPG/Wuxia Story
By: L. M. Kerr
Narrated by: Adam Stubbs
Humanity has fallen, killed by stronger races of beings after being warped away to a new reality, the mystical Seven Layers. Humanity's goal had been simple. Make it through all Seven Layers and reach Heaven. Humanity failed. Humanity died. Micheal Care's memories have been transported back into his past self thanks to a magical Artifact he found by chance. He is no chosen savior. He is no divinely picked hero. Can he change the future?
I am reborn from reading this book
By Ray Johnson on 12-23-19
Soulhome
The Weirkey Chronicles, Book 1
By: Sarah Lin
Theo's adventure ended with his mentor's hands around his neck. The betrayal cost him his friends, allies and everything he had built...but not his life. Though broken and powerless, Theo has one last chance to enter the Nine Worlds, wielding the knowledge and expertise of his first life. This time, he needs more than just power, he needs to unravel the deception that killed him once...and is coming for him again.
I love the magic system
By Michael on 12-11-21
Oh, Great! I Was Reincarnated as a Farmer
By: Benjamin Kerei
Accidentally murdered by a cleric in another universe during a botched resurrection, Arnold, a semi-pro gamer, wakes upon an altar to find himself incarnated into the overweight body of a farmer who could have been his fatter twin. He's not the hero. He's not the villain. He's certainly not the chosen one who is there to save the world. He's a clerical error. It could be a bad joke, but apparently, it happens so often that they have a standard procedure for returning you.
Not bad, but not as good as the hype suggests.
A LitRPG Adventure (Master Hunter K, Book 1)
By: From Hell
Without so much as a warning, humanity is moved into another dimension. Every person...without exception. This new world, with all its opportunities and gifts of wondrous abilities, is a stadium, a deadly arena of an unimaginable scale, and all of humanity are its gladiators. Every man, woman, and child has been given a weapon and ordered to fight. Stuck in this dimension without a way out, only two options exist for the would-be hunters: Fight to complete the many trials ahead, or perish.
Great fun, and excellent narration.
By Trey on 10-13-21
Towers of Heaven: Book 1
(A LitRPG Adventure)
By: Cameron Milan
Narrated by: Steve Campbell
One day, six towers appear on Earth. Each one stands hundreds of stories tall, and are invulnerable to all attacks. At the base of each tower is a portal, welcoming in all who dare enter it. All sorts of magical monsters can be found inside the towers. Even treasure, magic, and superhuman strength can be acquired. The problem is that the towers aren't a friendly place. Even worse, the towers sometimes release waves of monsters to attack Earth. In the year 2083, there are only a hundred survivors. In one last attempt, they challenge the final floor without regard for their lives.
horribly written
By Justin Ramelli on 02-11-20
Battlefield Reclaimer
Guardian of Aster Fall, Book 1
By: David North
Across the world of Aster Fall, there are unique classes, but not all of them can be trained. They require quests and accomplishments that simply don't exist in the world. Some say the World Law itself is broken and that the world is falling apart. In comes Sam Hastern. His family has been cursed by one of these classes for the last 50 years. No one has ever managed to level it, condemning them to the lowest paying jobs and life in a barren village.
book is awesome
By Jonathan on 01-13-22
Into Twilight
An Apocalyptic LitRPG
Narrated by: Daniel Wisniewski
Daniel Thrush is the only known human with the ability to learn the magic which runs the various empires of the universe. Earth is in the crosshairs of the Tellask Empire, a race that discovered magic millennia before humanity even mastered fire. All known aliens focus on the arcane. Upon learning of magic, their technological progress all but halted as great voidships spread their colonies across the galaxy. For all of Earth's military might, their only hope is to incorporate the alien's magic into technology, to use the enemy's own tools to fight them.
Not recommended for readers with any SI slant
By Joseph on 12-01-21
Launch day.
That was what they called it. The day when over four million people vanished in an instant from the island of Manhattan. The day earthquakes ravaged the east coast. The day a 101-kilometer tall tower rose from the wreckage of the now empty city. The day every screen, newspaper, and smart phone displayed a single message from an unknown source: The Great Emperor has issued his challenge. From the ruins of the Old World rise the Tower. Its doors will soon open, and the great game will begin. A hundred floors and a hundred challenges await the worthy. And to the victor? A Wish of Unlimited Power.
Cayden Caros yearned to play that game. His only problem? The Terms and Conditions. A strict set of rules that, among other things, prevented anyone under the age of 16 from entering the tower.
Forced to wait for over two years, Cayden did the only thing he could do to pass the time. He researched, he practiced, and he prepared. It would take a lot to catch up to players with such an enormous head start. Lucky for him, he was a special type of gamer.
©2017 Adam Elliott (P)2017 Podium Publishing
Fantasy Cyberpunk
The Goodbye Coast
The Almanack of Naval Ravikant
What listeners say about SpeedRunner
Honest Review; No Hype No Hate
I really liked this book and it was hard to put it down once I started. It's geared more towards the younger generation and has it's bumps along the way. However the main character is believable and develops slowly along the way. I will break it down for fellow readers.
1. Story Consistency
The Story starts out as a Speed run, but it slowly diverges away from that. In my opinion this is a strength since it adds real story instead of kill this, go here, and repeat. However it still keeps some of the tropes of the "Streamer" generation to be relateable. The main character is going to encounter roadblocks. The same roadblocks you encounter in life that regular video games are devoid of. I feel this makes the tower of babel seem more realistic than anything.
2. Plot Holes
This is probably the weakest part of the book. There are quite a few deus ex machinas in here. But unless you only read the best of the best it's hard to get around. Part of the tower though is it's mysteriousness and the hidden aspects that power gamers will probably miss and casuals won't understand.
3. Character Development
This is a strength of the book. The main character starts out the same way many of us as the same dumb kid next to us. But no were all super unique am I right? He starts growing up in the tower, facing real life consequences and deciding why he is the person he is. It isn't a great work of literature but it does a decent job and gave me a few laughs along the way.
5. Character likeability
The main character is generic in a lot of ways but echoes a lot of what the gamer generations feels. Perhaps (Spoiler Alert, fyi this isn't word for word) my favorite line is this "Exploration, seeing new worlds, quests, etc. It's all I ever wanted and I feel like I was robbed of something that doesn't exist."
6. Overall
I rated this a 4/5 because it is way better than most litrpgs out there but not a show stopper. If you like the genre you'll love the book. If not it's still a good book to pick up and enjoy.
zeft
If you are into Litrpg, it is worth the credit
The plot line is different from the usual approach to Litrpg. Usually it people accidentally get transported for some reason or the world is ending and people go in the game to seek refuge.
Tower of babel instead went the route of a tower mysteriously appeared in NYC. A real life tower dive with game like mechanics. Kinda like SAO where you will perma die but you are not trapped in the tower where you can leave any time. People just live there for there own reasons.
Its not perfect but it is a good enough listen.
I really hope that the next book is on audible soon, this was a very good listen!
Joona
Yeah, I'm going to be that guy.
Since no one likes long ranting reviews or spoilers, I'll try to keep this short.
The book in whole is boring, predictable, unoriginal, rushed and full of cliches. The speedrunning aspect feels like it was added as an afterthought and is forgotten after the first chapter. Character interactions are forced. Rules are convoluted to cover the plot holes and plot devices are just...ugh.
Narrator was pretty much the only good thing about this audiobook. Definately getting my credit back from this one.
Ron-Kristin Cardarelli
Beginning = good, Middle = great, End = cant wait for the next book. Story was way better then I expected and I'm glad I decided to purchase.
Cons: the author likes to explain things after the fact. Ex. Drones are introduced as part of Livestreaming equipment and aren't mentioned again until after a plot hole develops. Reading a book with a plot hole is frustrating by itself but to later see the author cover it up and correct it shows that another effect was intended and completely missed.
Pros: good character interactions that produced a couple laughs for me.
Good plot development that, in the end, felt believable enough to pass par.
Neat innovative mechanics are thrown in here and there, that I really like, as part of the main characters speedrunner background.
And to top it all off the tower is nostalgic as its style form and function is a nice interpretation from the anime swordart online.
Steven Ng
interesting world, spoiled main character
a decent story and interesting world. I find the main character to be spoiled, unlikable. the worst stereotypical gamer that is self obsessed, ungrateful and has no specific strengths. he has and succeeds only with great luck. I actually like the villain and parts of his plan.
Zakery Tippins
Good, but not great.
A good story with an interesting premise, but it tries to hard in places. Some of the comedy seems a bit forced. The main character also seems to lose his motivation and focus about half way. Overall though a good book.
Very slow start.
Only problem is first half is lots of world building and the game's mechanics. Game skills are easier to deal with on paper. In audio book format it much more jarring.
Brian D. Hughes
Speed run? More like Slow walk & talk
Not great. Reasonable premise, for a tower/progression tale. But a speed run it is not. Will I follow this series? Uh, no.
RickG73
Seriously? 4mins of just reading out menus
I started enjoying the book until it keeps reading out the new menus and stat points. Wouldn't be bad if it only took 10 seconds. But really! Reapeaing it over and over. One time A full 4mins just reading out new menus that got a bit too much. Sorry I'm not a mmrpg player, maybe you all like to hear every menu every hp, lp, and whatever else there is. But it really grated on me.
David Cooke
made it through quickly but not great tbh
managed to make it to the book but the story wasn't cohesive and I felt as if it jumps all over the place. I wasn't sure if it's game or if it was reality.
performance was good but story not so much
Andrew Lowrie
A fun journey
Well written for the genre, fun and unique with some twists to catch you off guard.
If you enjoy this genre then you'll enjoy this book.
Absolutely loved it. Brilliant story and narration. Can't wait to listed to the next one.
Mr P A Daines
hooked from the first...
An absolute must for any fan of the fantasy gamer genre. I was hooked from the first to the last.
Ibraar Hussain
Not My Type of Audiobook
If you like books like Game of Thrones you will enjoy this book.
As I am not in to fantasy books I did not enjoy it and will be giving it back.
Moo review
Oh this is interesting and fun I loved this book and recommend it for all readers
I enjoyed this
I enjoyed it but not bothering with the second book I didn't like this book quite enough too
mcrackar
good read but a missed opportunity
this book is a good example of where less would be more. the speed runner angle is interesting but ruined by the usual litrpg special snowflake tropes. the two main plot points should have been 2 separate standalone books
Great intro to the series
great book to listen to. I recommend the narrator and the book wasn't bad either. good action all the way through Too!


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