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Man created impressive pallet bar in his backyard for only $112, shares how he did it
By Ashley Willis
How would you like to have your own bar in your backyard?
Sounds pretty cool, right? But pricey. That is, unless you build it yourself!
Paul Nowak from Sheffield, England decided to build his own bar using nothing else but pallets!
Facebook/Paul Nowak Source: Facebook/Paul Nowak
Doing so, cost him next to nothing to build. He saved a hefty amount of money by using discarded pallets and other material. The total cost for his stylish-looking bar was only $112.
If you're feeling overwhelmed at the thought of labor, don't be. Nowak said it only took him a couple of days to put the bar together.
To his credit, Nowak has built things before and has a love for woodworking.
"I always loved woodworking, and sometimes I still wonder what would have happened if I took it up professionally after leaving school. I do decking for friends and family, but this is the very first bar I've built. However, it's just the first of many bars, I hope."
The bar is perfectly placed near the jacuzzi and trampoline.
"I always wanted to make a home garden bar as we spend family time in the garden."
Nowak details his process in a post he wrote for Bored Panda.
"I got most of the materials I needed all for free: the pallets and crates cost absolutely nothing."
But he did express that while he was able to get most of the materials for free or cheap, he did have to spend a bit on other products, such as paint.
"However, I did need to spend some money on the roof (that was around 40 pounds or 50 dollars), the paint (around 30 pounds; 37 dollars), and some odds and ends. A good mate of mine owns a pub, so he gave me some beer mats and other things for free."
By the looks of the finished product, one may not even be able to tell that this was a one-man endeavor. The bar looks professionally built and really well manicured.
Nowak even has draft beers set up to make the bar look, well, more like an actual bar.
When he posted photos of his bar on Facebook, it went viral almost instantly after it was shared on "Extreme Couponing and Bargains."
"My friends and family loved my project, and it's been amazing how people have reacted to my bar online. I've already gotten over 47,000 likes and 75,000 comments. All I need now is a sponsor or a business to help me keep this going."
He may get his wish.
Nowak has already caught the attention of Celtic Marches Beverages. They liked his bar so much that they sent him enough of their beverages to stock his bar!
Nowak was still coming up for the name of the bar but it sounded like he was leaning towards "The Voyage."
The name pays homage to a favorite holiday destination in Turkey.
Sounds pretty fitting to me! The bar looks like the perfect escape.
What do ya say? Would you have a drink at "The Voyage"?
Great work, Paul!
Sources: Bored Panda, LADBible
Ashley Willis
Ashley Willis is a contributor at Shareably.
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redpajama_set_name: RedPajamaCommonCrawl


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" Bill of Rights "
| The Apple of Gold/Frame of Silver
The Declaration of Independence The Declaration of Independence With the War for Independence over a year old and hope for a peaceful resolution nonexistent, the Continental Congress appointed a Committee of Five—including Thomas Jefferson, John Adams, and Benjamin Franklin— to draft a document "declar[ing] the causes which impel [the American colonies] to the separation." Thirty-three-year-old Jefferson composed the initial draft, completing it in seventeen days. The committee submitted its draft to Congress on June 28, 1776, and on July 2, Congress voted for independence. Two days later, after numerous edits, Congress approved the Declaration of Independence by unanimous vote. July 4, 1776 The Unanimous Declaration of the Thirteen United States ...
The Constitution of the United States of America The Constitution of the United States of America Fifty-five delegates from twelve states (Rhode Island declined to participate) traveled to Philadelphia to attend the Constitutional Convention, which began in May 1787. They quickly scrapped the existing Articles of Confederation, and after four months they concluded their business by adopting a new frame of government. On September 17, thirty-nine delegates signed the Constitution. It was nine months before the requisite nine states ratified the Constitution, putting it into effect. The thirteenth state, Rhode Island, did not ratify it until 1790. Subsequently, it has been amended twenty-seven times. September 17, 1787 Preamble We the People of ...
Virginia Declaration of Rights
Virginia Declaration of Rights Virginia Declaration of Rights 1 George Mason (1725-1792) The Virginia Declaration of Rights, drafted by George Mason as a preamble to the Virginia Constitution, is—along with the Declaration of Independence that followed a month later—the clearest statement of the social contract theory of government found in major early American documents. June 12, 1776 A declaration of rights made by the Representatives of the good people of Virginia, assembled in full and free Convention; which rights do pertain to them and their posterity, as the basis and foundation of Government. Section 1. That all men are by nature equally free and independent, and have certain inherent rights, of which, when they enter into a state ...
Mason, George
The Northwest Ordinance
The Northwest Ordinance The Northwest Ordinance Adopted by the Congress of the Confederation in 1787, the Northwest Ordinance set forth a model for the expansion of the American republic. Providing a governing structure for the territory that would later become Ohio, Indiana, Illinois, Michigan, and Wisconsin, it prohibited slavery, protected religious liberty, and encouraged education. Following the adoption of the Constitution, the new Congress passed the Northwest Ordinance again in 1789. July 13, 1787 An Ordinance for the government of the territory of the United States northwest of the river Ohio Section 1. Be it ordained by the United States in Congress assembled, That the said territory, for the purpose of temporary government, be one ...
Federalist 84
| Rethinking Union and Government
Federalist 84 Federalist 84 1 Alexander Hamilton Although New York had ratified the Constitution by the time this essay was published, the debate it addresses lived on. The original Constitution did not include what came to be known as the Bill of Rights. Many Anti-Federalists ended up supporting the Constitution because of the concession made in some states that the first Congress would adopt a Bill of Rights. Publius here makes no such concession, arguing that a listing of rights would be potentially dangerous. In the end, Publius lost this battle, and even James Madison, despite his earlier opposition, ended up championing the Bill of Rights. August 9, 1788 Certain General and Miscellaneous Objections to the Constitution Considered and Answered ...
Republican Party Platform of 1856
| Crisis of Constitutionalism
Republican Party Platform of 1856 Republican Party Platform of 1856 1 Northern anger toward the Kansas-Nebraska Act reached its zenith in the late spring of 1854, when various anti-slavery forces coalesced in Jackson, Michigan. Organized around the principles of the Declaration of Independence, the Republican Party was born out of this meeting. It would adopt a platform two years later that called for repeal of the Kansas-Nebraska Act and restoration of the Missouri Compromise. June 17, 1856 This convention of delegates, assembled in pursuance of a call addressed to the people of the United States, without regard to past political differences or divisions, who are opposed to the repeal of the Missouri Compromise, to the policy of the present Administration ...
Dred Scott v. Sandford
Dred Scott v. Sandford Dred Scott v. Sandford 1 Roger Taney (1777-1864) Like Stephen Douglas, Supreme Court Chief Justice Taney believed that his response to the slavery controversy would resolve the issue. His ruling in Dred Scott v. Sandford had the opposite result, throwing the country into even greater turmoil. The case was brought by a slave, Dred Scott, who was taken by his master into territory in which slavery was illegal. Asked to rule simply on whether Scott's residency in a free territory meant that he should be granted freedom, the Court ruled that Congress had no power to regulate slavery in the territories and that persons of African descent could not be citizens, rendering both the Missouri Compromise and the Compromise of 1850 unconstitutional ...
Taney, Roger
The American Conception of Liberty
| Progressive Rejection of the Founding
The American Conception of Liberty The American Conception of Liberty 1 Frank Goodnow (1859-1939) Progressive political science was based on the assumption that society could be organized in such a way that social ills would disappear. Goodnow, president of Johns Hopkins University and the first president of the American Political Science Association, helped pioneer the idea that separating politics from administration was the key to progress. In this speech, given at Brown University, he addresses the need to move beyond the ideas of the Founders. 1916 The end of the eighteenth century was marked by the formulation and general acceptance by thinking men in Europe of a political philosophy which laid great emphasis on individual private rights ...
Goodnow, Frank
Sec. 10.03
The Right of the People to Rule
The Right of the People to Rule The Right of the People to Rule 1 Theodore Roosevelt Roosevelt relinquished the presidency in 1908, believing that his Progressive legacy lay safely in the hands of his handpicked successor, William Howard Taft. Although Taft expanded many of Roosevelt's policies and succeeded in passing through Congress the Sixteenth Amendment, permitting a national income tax, Roosevelt challenged Taft in the 1912 Republican primary. Losing the nomination, he announced an independent candidacy under the banner of the Progressive or "Bull Moose" Party. In this campaign speech, he urges more direct power to the people through recall elections, referenda and initiatives, and direct primaries. March 20, 1912 The great fundamental issue now before ...
Roosevelt, Theodore
Annual Message to Congress
| New Deal and Great Society
Annual Message to Congress Annual Message to Congress 1 Franklin D. Roosevelt As victory in the Second World War looked more and more likely, President Roosevelt turned his attention to postwar America. In this speech he proposes a "second Bill of Rights." January 11, 1944 ...It is our duty now to begin to lay the plans and determine the strategy for the winning of a lasting peace and the establishment of an American standard of living higher than ever before known. We cannot be content, no matter how high that general standard of living may be, if some fraction of our people—whether it be one-third or one-fifth or one-tenth—is ill-fed, ill-clothed, ill-housed, and insecure. This Republic had its beginning, and grew to its present strength ...
Roosevelt, Franklin D.
The Apple of Gold/Frame of Silver (2)
Constitution of the United States (1)
Virginia Declaration of Rights (1)
Northwest Ordinance (1)
Rethinking Union and Government (1)
Federalist 84 (1)
Crisis of Constitutionalism (2)
Republican Platform of 1856 (1)
Dred Scott v. Sandford (1)
Progressive Rejection of the Founding (2)
American Conception of Liberty (1)
Right of the People to Rule (1)
New Deal and Great Society (1)
Annual Message to Congress (1)
American Founding (10)
Natural Law (7)
Self-Evident Truths (3)
U.S. Constitution (10)
Enumerated Powers (6)
Legislative Power (4)
Executive Power (3)
Presidency (1)
Judicial Power (5)
Self-Reliance (1)
Goodnow, Frank (1)
Hamilton, Alexander (1)
Mason, George (1)
Multiple (4)
Roosevelt, Franklin D. (1)
Taney, Roger (1)


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Lung Cancer Choices©© 5th Edition Menu
Using Lung Cancer Choices
Chapter 1: Diagnosis and Staging of Lung Cancer
Chapter 2: Comprehensive Biomarker Testing
Chapter 3: Surgery for Lung Cancer Patients
Chapter 4: Systemic Therapy for Non-Small Cell Lung Cancer (Chemotherapy, Targeted Therapy, and Immunotherapy)
Chapter 5: Radiation Therapy for Non-Small Cell Lung Cancer
Chapter 6: Treatment for Small Cell Lung Cancer
Chapter 7:Clinical Trials and Emerging Therapies for Lung Cancer
Chapter 8: Supportive Care
Chapter 9: Nutrition in the Patient with Lung Cancer
Chapter 10: Sexuality and Lung Cancer
Chapter 11: Integrative Medicine,Complementary Therapies, and Chinese Medicine in Lung Cancer
Chapter 12: Lung Cancer in People who have Never Smoked
Chapter 13: How to Quit Smoking Confidently and Successfully
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Chapter 7: Clinical Trials and Emerging Therapies for Lung Cancer
Back to Lung Cancer Choices©
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Lung Cancer in People who have Never Smoked
Jessica A. Hellyer, MD and Heather A. Wakelee, MD
Lung cancer is the leading cause of cancer death for both men and women in the United States, and globally it is the leading cause of cancer death in men and the third leading cause in women.1-2 Smoking is the most common cause of lung cancer, but there are many people who have never smoked who develop lung cancer. Lung cancer in people who have never smoked is more common in Asia and Asian populations globally, Hispanic populations and in women.1 The causes of lung cancer in people who have never smoked are not well understood. Lung cancer treatment is similar for patients with early stage disease regardless of whether they smoked. However, for patients with advanced (stage IV) disease, many people who have never smoked who develop lung cancer will have mutations in their tumor which allow the tumor to respond to specific targeted treatments.
The information about how many people develop cancer each year comes from cancer registries. These databases compile information about the type of cancer and age of the person, but often lack information about smoking history. Therefore, it is difficult to know how many cases of lung cancer are attributable or caused by tobacco use. Separate registries on smoking patterns are often used to estimate how many people in a population use tobacco. This information can be loosely correlated to the trends in lung cancer incidence from cancer registries to make estimates about how many people with lung cancer have develop the disease without a smoking history. Worldwide, approximately 15% to 20% of men with lung cancer, and 50% of women with lung cancer, are people who have never smoked.1 In the United States, approximately 1 in 10 men, and 1 in 5 women, with lung cancer are people who have never smoked.3
It is unknown whether the incidence of lung cancer is increasing in people who have never smoked. A study in Swedish construction workers who had never smoked showed an increased frequency of lung cancer in the 1990s compared with the 1970s.4 In the United States, more women who had never smoked died of lung cancer in the 1980s and 1990s than in the 1960s.5 Moreover, although lung cancer incidence rates have been declining overall due to the success of tobacco cessation programs, recent data show that lung cancer rates have declined quicker among non-Hispanic men than women, reversing a long-observed trend that more men develop lung cancer than women. Correlation with data from tobacco registries suggests that the relative increase in lung cancer among women in the US is not due to increase in tobacco use.6-7 However, these studies are difficult to do because we do not have smoking information available in the same databases that capture information about the number of patients who develop lung cancer and other reports have shown no increase in lung cancer in people who have never smoked.8-9 There is a sense among doctors who treat lung cancer that the number of people with lung cancer who have never smoked is increasing and this area is being actively investigated. In Taiwan, for example, the majority of patients (53%) diagnosed with lung cancer do not have a smoking history and the type of cancer (adenocarcinoma) and tumor characteristics tend to be different in the lung cancer of people who have never smoked compared to those that have.10 Studies are ongoing to better understand this important issue.
The causes of lung cancer in people who have never smoked are unknown, but several factors may increase the risk (Table 1).11
Many environmental toxins have been implicated in increasing the lung cancer risk. Second hand smoke may cause approximately 20% of the lung cancers in people who have never smoked.12 Air pollution is thought to be responsible for 5% of cases of lung cancer but it may be higher.13 Indoor air pollution, such as fumes from cooking oil and smoke from burning coal, may increase lung cancer risk, especially in Asia.14
Radon is a colorless, odorless, radioactive gas that occurs naturally in some parts of the United States and other countries. Some homes have high levels of radon, and this can be tested with home kits. People who live in homes with high levels of radon are at a higher risk of developing lung cancer, whether or not they smoke.15-16 Jobs that expose people to toxic substances, such as uranium, asbestos, chromium, and arsenic, may increase the risk of developing lung cancer.17-18 Arsenic may be present in drinking water in some areas such as Taiwan and Chile.19-20 Nutritional deficiencies may contribute to the development of cancer, and people who eat more fruits and vegetables may be at lower risk for developing lung cancer.21-22
Chronic inflammatory diseases of the lung, such as pulmonary fibrosis or interstitial lung disease, can increase the risk of developing lung cancer.23 Lung damage from prior radiation therapy (for example, people who received chest radiation for Hodgkin's Disease (a type of Lymphoma) or other cancers of the chest) also increases the risk of developing lung cancer.24 In addition, lung cancer risk may be increased in people who hav4e the human papilloma virus, but not everyone agrees with that risk.25 At this time there is no proof that human papilloma virus causes lung cancer.
People with family members who have lung cancer have a slightly higher risk of developing lung cancer, but the magnitude and cause of this risk are unknown.11,26-27 Research is being done to try to find what changes in the DNA (genes) may make certain families at higher risk for lung cancer. So far we don't know any DNA changes that are definitely linked to a higher risk of lung cancer in families and we don't have a test to help people know if they are at risk. This research is ongoing.
Table 1. Possible Causes of Lung Cancer in People Who Have Never Smoked
Second hand smoke
Radon exposure
Other toxins (asbestos, chromium, or arsenic)
Dietary Factors (diet deficient in fruits and vegetables)
Air pollution (including cooking fumes)
Radiation therapy to the chest
Other lung diseases such as idiopathic pulmonary fibrosis
Human papillomavirus (controversial)
Other family members with lung cancer
Differences in ability to fix DNA damage
There are several known differences between lung cancer in smokers and people who have never smoked, including the specific type of cancer. Lung cancer in smokers is often a type called small cell lung cancer or a form of non-small cell lung cancer (NSCLC) known as squamous cell carcinoma. Adenocarcinoma, a different type of NSCLC, is more common in people who have never smoked.1, 28 However, people with a smoking history can also develop adenocarcinoma of the lung and those who have never smoked are rarely diagnosed with squamous cell lung cancer or small cell lung cancer. The only way to know what kind of lung cancer it is for sure is to have a biopsy that is examined by a pathology doctor.
It is also known that there are racial/ethnic and gender disparities in non-smoking lung cancer. Non-smoking lung cancer is more common in people of Asian ancestry and Hispanics as well as in women.29-31 We know that the percentage of women with lung cancer who have never smoked is higher than the percentage of men with lung cancer who have never smoked, and rising.3, 6 The reason for these differences is not known although theories include a difference in biologic susceptibility to toxins or unequal reduction in workplace exposures.7 Recently we learned more about the risks of lung cancer in Hispanic populations and some evidence of lung cancer susceptibility.32
In about half of the cases of lung cancer in people who have never-smoked, we are able to detect a genetic difference in the tumor which not only caused the cancer, but also serves as a target for therapy. Testing for these DNA changes is now considered standard for patients who have been diagnosed with non-small cell lung cancer, especially adenocarcinoma, to help guide treatment and better understand the disease in each individual. For example, tumors from patients who have never smoked are more likely to have mutations in a protein known as the epidermal growth factor receptor (EGFR).33-34 Tumors with specific changes in the EGFR protein are more likely to shrink when treated with drugs that attack the EGFR protein, such as osimertinib, erlotinib, gefitinib, dacomitinib and afatinib. Another mutation that is more common in the tumors of people with no smoking history is in the Anaplastic Lymphoma Kinase (ALK) gene.35-36 The drugs alectinib, brigatinib, crizotinib, lorlatinib and ceritinib are used to treat lung cancer patients who have the ALK gene rearrangement.
There are other, less common, DNA mutations that are found more frequently in the tumors of patients with non-smoking lung cancer. In addition to EGFR, ALK and ROS1 we now can look for changes in BRAF, RET, MET, HER2 and NTRK and can offer specific "targeted" therapy when identified in tumors of patients with metastatic disease. In general, patients will have only a single major change in the DNA (for example, a patient with a change in the EGFR gene usually does not also have an ALK gene rearrangement). It is important that testing is done to look for EGFR, ALK, ROS1, BRAF and NTRK at a minimum in lung cancer patients who have never-smoked, though there are many other gene changes in tumors of patients who have never smoked which have been identified such as RET, MET and HER2. As more "targeted" treatments are developed it becomes even more important that a tumor is tested for all the mutations that could allow for other treatment options. See Chapter 2: Comprehensive Biomarker Testing
Treatment of Lung Cancer in People Who Have Never Smoked
Early-Stage Lung Cancer (Stage I-III)
Treatment for people who have never smoked who have early stage non-small cell lung cancer is the same as treatment for smoking-associated lung cancer. For patients with tumors that can be removed with surgery, surgery is preferred therapy, followed by chemotherapy in some cases (depending on tumor characteristics). For people with stage III lung cancer that cannot be removed with surgery, treatment is a combination of chemotherapy plus radiation therapy, followed by a year of immunotherapy. The latest research now shows that EGFR targeted drugs may help prevent the return of cancer in people early stage lung cancer that has been removed with surgery if the cancer has the EGFR mutation. Recently published data on the use of osimertinib in patients with stage IB-IIIA lung cancer following completion of surgery showed an improvement in the length of time prior to the cancer recurring compared with patients who did not receive osimertinib.37 Though we do not yet know if that approach will change cure rates, the delay in return of cancer is very significant and osimertinib is now a treatment option in this setting.
Advanced Stage Lung Cancer (Stage IV)
People who have never smoked and who have lung cancer are more likely to have changes in specific genes such as EGFR, ALK or ROS1. These gene changes are not seen in the normal cells from a person with lung cancer, only in the cancer cells. In recent years, other genetic changes have been discovered including alterations in BRAF, RET, MET, NTRK, HER2 and others. For most people diagnosed with stage IV non-small cell lung cancer, the first treatment is chemotherapy plus immune therapy or immune therapy alone. Chemotherapy can also work very well for patients with tumors with specific gene mutations; however, if we find the gene mutation before chemotherapy is started we usually start with a drug "targeted" to treat the gene mutation. It is very important for all patients with advanced stage lung cancer, especially patients who have never smoked, to have their tumor tested for genetic changes. This is also called biomarker testing. See Chapter 2: Comprehensive Biomarker Testing
Patients with metastatic lung cancer who have specific EGFR gene changes should receive osimertinib as the initial treatment as this has been shown on average to control the tumor longer than chemotherapy and may even lead to living longer compared to starting with other treatments.38 For patients who are unable to receive osimertinib, treatment with erlotinib, gefitinib, dacomitinib or afatinib is preferred over chemotherapy based on studies that have shown that they have a higher chance of shrinking the tumor than chemotherapy for these patients.39-40 In the patients who start on one of the earlier EGFR treatments such as erlotinib, gefitinib, dacomitinib or afatinib, but who have tumor progression, testing for a resistance mutation called T790M is done to see if they would benefit from osimertinib prior to going on to chemotherapy.
The EGFR-targeted drugs are not generally added to chemotherapy, although this is an area of active investigation. A study looking at gefitinib alone versus gefitinib plus chemotherapy showed patients who received gefitinib plus chemotherapy had a longer time on treatment and improvement in overall survival compared with gefitinib alone.41 However, gefitinib is rarely used as first line therapy in the US anymore so it is unclear how to apply this information. Studies looking at osimertinib plus chemotherapy are ongoing. Other studies have looked at whether to add chemotherapy to the targeted drug once it has stopped working. The IMPRESS trial showed that it is not beneficial in the majority of patients to continue the targeted drug when chemotherapy is started when the drug gefitinib was used in this trial.42
Adding other targeted agents to EGFR drugs has also been examined. For example, bevacizumab, a drug that reduces blood vessel formation in tumors, was investigated in combination with erlotinib. On average, patients who received both drugs together had their tumor controlled almost twice as long as patients who received erlotinib alone. Despite this, there was no difference between in the two groups in how long patients lived with cancer.43 Another blood vessel targeted therapy, ramucirumab, was also looked at in combination with erlotinib and showed that when given together patients had longer tumor control compared to erlotinib alone. Based off of this data, this is a reasonable initial treatment option, although we are still waiting to see whether this combination will result in an increase in survival.44 Trials looking at osimertinib in combination with bevacizumab are underway although the preliminary data from a study looking at osimertinib in combination with bevacizumab in patients with a tumor containing a specific EGFR mutation (T790M) failed to show a benefit.45 Most of the information above is for the most common mutations in EGFR (the del19 and L858R mutations). There are other less common EGFR mutations that are treated similarly. However other mutations in EGFR, especially those known as "exon20" mutations make tumors less likely to respond and newer treatments are being developed.
There are many targeted drug options for patients who have the ALK gene rearrangement (most common in lung cancer patients who have never smoked). Crizotinib was the only clinically available ALK+ targeted agent for several years but is no longer the preferred front line therapy. There are three recommended options for first line treatment of ALK+ lung cancer. First, is alectinib based off data from the ALEX trial showing improved disease control (almost three times longer) on alectinib compared to crizotinib and found that alectinib had fewer side effects.46 In addition, alectinib does a better job of controlling and preventing cancer metastases to the brain compared with crizotinib. Other options for front line treatment include brigatinib based off of data that showed that brigatinib did a better job controlling tumors (both in and out of the brain) than crizotinib.47 Lorlatinib was the most recent agent to be approved as a front line option after results from the CROWN trial showed a doubling of the number of patients alive and without disease progression in the group that was treated with lorlatinib compared with crizotinib.48 Finally, Certinib, an older ALK targeted agent is also an option for front line treatment. Ceritinib has not been compared to crizotinib, but was studied against chemotherapy in the ASCEND-4 study that showed that ceritinib did a better job of controlling disease compared with chemotherapy.49
After progression, treatment with another ALK targeted agent is preferred prior to chemotherapy. Options in the second line setting depend in part on which drug was given first and is tailored to each patient. Alectinib is the most common drug used in this setting but the other ALK drugs may also be appropriate depending on each patient's treatment history.
ROS1
ROS1 rearrangements are also more common in patients who have never smoked. In early studies of crizotinib in patients with previously treated ROS1 positive lung cancer, the majority of patients had their tumor respond to crizotinib and this response lasted on average about a year and a half. For this reason, crizotinib is approved as a first treatment of ROS1 lung cancer.50 More recently, entrectinib was also approved for up front treatment of ROS1 positive lung cancer. This was based off of information from three small studies that showed that about three quarters of patients treated with entrectinib had a response in their tumor. Importantly, entrectinib also seems to work well in patients whose lung cancer has grown in the brain.51 Ceritinib also has some activity in ROS1 mutant tumors and is another option for first line treatment.52 There are multiple options when the first line treatment stops working and this includes other ROS1 "targeted" drugs, chemotherapy or clinical trial.
Other genetic changes
In addition to EGFR, ALK and ROS1 we now can look for changes in BRAF, RET, MET, NTRK and HER2 and can offer specific "targeted" therapy when identified in tumors of patients with metastatic disease. BRAF inhibitors approved for use in lung cancer are the combination of dabrafenib/trametinib. HER2 active drugs include TDM-1, afatinib and trastuzumab. Multiple drugs are active for RET including selpercatinib, pralsetinib, cabozantinib and vandetinib. Cabozantinib is also active for METexon 14 splice site variations, as are tepotinib, capmatinib and crizotinib. Larotrectinib and entrectinib were both recently approved for treatment of tumors with NTRK fusions.
Chemotherapy and Immune therapy
One theory as to how cancer is able to develop and grow is that it acquires mechanisms to evade the body's immune system. Immune therapy is a cancer treatment designed to teach the body to recognize tumor as foreign and attack it. Those drugs have been shown to work in lung cancer regardless of smoking history, but perhaps less so in patients with no smoking history. Patients with mutations in EGFR or ALK were excluded from many of the early immune therapy trials, so it is unknown how well this group benefits from immune therapy and there is some evidence to suggest their tumors do not respond as well. Efforts to get immune therapy to work in patients with limited smoking history are ongoing with multiple combination drug studies. For patients without targetable mutations, preferred first line treatment is a combination of chemotherapy plus immunotherapy. This has been shown to work in some patients regardless of smoking status.53
For patients with mutations in EGFR or ALK who have had growth of their cancer on targeted therapy, a 4-drug combination of chemotherapy plus bevacizumab (target against blood vessels) plus immunotherapy was found to have a small benefit in tumor control and the suggestion of possible improvement in survival.54 However, the number of patients in the study with EGFR or ALK mutations who received this combination was small (111 patients) so additional data is needed to understand how to best use these treatments in patients who develop molecularly targeted mutations. Chemotherapy alone is another good option for patients with non-smoking lung cancer that has grown on targeted therapy (in the case of having a targetable mutation) or on a chemo-immunotherapy combination. The combination of targeted therapy plus immunotherapy has been examined in a number of trials but unfortunately this combination has not been very effective and notably has a high rate of toxicity.55 The most important point is that the best treatment cannot be chosen until all the information about a tumor is known. The results for immune therapy (PD-L1) often come back sooner than the results about EGFR, ALK and the other potential tumor mutations. But when lung cancer develops in someone with a limited history of smoking the chance of a tumor having a mutation that can be treated is very high. So it is critical to wait to get the tumor mutation results back before starting treatment, unless there is a medical reason that treatment must start sooner. Starting immune therapy (even with chemotherapy) can increase the risk of toxicity from some of the targeted treatments (like osimertinib), which can be a problem if that treatment is started before knowing about the tumor mutations.
Lung cancer can happen to anybody, whether or not that person has ever smoked. Although lung cancer is very similar in patients whether or not they have a history of smoking, there are some differences. These include the types of people with the disease (lung cancer in people who have never smoked happens more often in women and in people from different ethnic groups including Asian or Hispanic. It is also seen more often if someone develop cancer very young. When lung cancer develops in someone who has never smoked it is more likely to be the adenocarcinoma type.
Some causes of lung cancer other than smoking have been identified, including second-hand smoke, radon exposure, cooking fumes, family history, and others. We know that patients with the disease who have never smoked are more likely to have tumors with mutations in the EGFR gene, ALK gene rearrangements or other gene changes in the tumor that can change treatment plans. Patients who have specific EGFR gene changes have a better response to EGFR blocking drugs like osimertinib or erlotinib, and patients with the ALK gene rearrangement usually respond well to alectinib, brigatinib or ceritinib. Further research will provide more information about the cause of this type of lung cancer and how to best treat patients with this illness. People who want to know more about this topic can look at recent reviews that have been written for doctors.28,56
Chapter Thirteen
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Thun MJ, Henley SJ, Burns D, Jemal A, Shanks TG, Calle EE. Lung cancer death rates in lifelong nonsmokers. J Natl Cancer Inst. 2006;98(10):691-699.
Jemal A, Miller KD, Ma J, et al. Higher Lung Cancer Incidence in Young Women Than Young Men in the United States. N Engl J Med. 2018;378(21):1999-2009.
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Yang P-C. National Lung Cancer Screening Program in Taiwan: The TALENT Study. January 26-31, 2021. World Conference on Lung Cancer Singapore.
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Subramanian J, Govindan R. Lung cancer in 'Never-smokers': a unique entity. Oncology (Williston Park). 2010;24(1):29-35.
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Gomez SL, Chang ET, Shema SJ, et al. Survival following non-small cell lung cancer among Asian/Pacific Islander, Latina, and Non-Hispanic white women who have never smoked. Cancer Epidemiol Biomarkers Prev. 2011;20(3):545-554.
Ou S, Ziogas A, Zell J. Epidemiology study of never-smokers with non-small cell lung cancer (NSCLC): High percentages of Asian and Hispanic female never-smokers and the significance of Asian ethnicity. In. Vol 26. J Clin Onc. 2008:8004.
Carrot-Zhang J, Soca-Chafre G, Patterson N, et al. Genetic Ancestry Contributes to Somatic Mutations in Lung Cancers from Admixed Latin American Populations. Cancer Discov. Mar 2021;11(3):591-598. doi:10.1158/2159-8290.CD-20-1165
Sonobe M, Manabe T, Wada H, Tanaka F. Mutations in the epidermal growth factor receptor gene are linked to smoking-independent, lung adenocarcinoma. Br J Cancer. 2005;93(3):355-363.
Tam IY, Chung LP, Suen WS, et al. Distinct epidermal growth factor receptor and KRAS mutation patterns in non-small cell lung cancer patients with different tobacco exposure and clinicopathologic features. Clin Cancer Res. 2006;12(5):1647-1653.
Rodig SJ, Mino-Kenudson M, Dacic S, et al. Unique clinicopathologic features characterize ALK-rearranged lung adenocarcinoma in the western population. Clin Cancer Res. 2009;15(16):5216-5223.
Shaw AT, Yeap BY, Mino-Kenudson M, et al. Clinical features and outcome of patients with non-small-cell lung cancer who harbor EML4-ALK. J Clin Oncol. 2009;27(26):4247-4253.
Wu YL, Tsuboi M, He J, et al. Osimertinib in Resected EGFR-Mutated Non-Small-Cell Lung Cancer. N Engl J Med. 10 2020;383(18):1711-1723. doi:10.1056/NEJMoa2027071
Soria JC, Ohe Y, Vansteenkiste J, et al. Osimertinib in Untreated EGFR-Mutated Advanced Non-Small-Cell Lung Cancer. N Engl J Med. 2018;378(2):113-125.
Tsao MS, Sakurada A, Cutz JC, et al. Erlotinib in lung cancer – molecular and clinical predictors of outcome. N Engl J Med. 2005;353(2):133-144.
Mok TS, Wu YL, Thongprasert S, et al. Gefitinib or carboplatin-paclitaxel in pulmonary adenocarcinoma. N Engl J Med. 2009;361(10):947-957.
Noronha V, Joshi A, Patil VM, Chougule A, Mahajan A, al. e. Phase III randomized trial comparing gefitinib to gefitinib with pemetrexed-carboplatin chemotherapy in patients with advanced untreated EGFR mutant non-small cell lung cancer (gef vs gef+C). In. Vol 37. J Clin Oncol. 2019.
Mok TSK, Kim SW, Wu YL, et al. Gefitinib Plus Chemotherapy Versus Chemotherapy in Epidermal Growth Factor Receptor Mutation-Positive Non-Small-Cell Lung Cancer Resistant to First-Line Gefitinib (IMPRESS): Overall Survival and Biomarker Analyses. J Clin Oncol. 2017;35(36):4027-4034.
Yamamoto N, Seto T, Nishio M, Goto K, Okamoto I, al e. Erlotinib plus bevacizumab (EB) versus erlotinib alone (E) as first-line treatment for advanced EGFR mutation–positive non-squamous non–small-cell lung cancer (NSCLC): Survival follow-up results of JO25567. In. Vol 36. J Clin Oncol. 2018:9007.
Nakagawa K, Garon EB, Seto T, al e. RELAY: A multinational, double-blind, randomized Phase 3 study of erlotinib (ERL) in combination with ramucirumab (RAM) or placebo (PL) in previously untreated patients with epidermal growth factor receptor mutation-positive (EGFRm) metastatic non-small cell lung cancer (NSCLC). In. Vol 37. J Clin Oncol. 2019:9000.
Akamatsu H, Toi Y, Hayashi H, et al. Efficacy of Osimertinib Plus Bevacizumab vs Osimertinib in Patients With EGFR T790M-Mutated Non-Small Cell Lung Cancer Previously Treated With Epidermal Growth Factor Receptor-Tyrosine Kinase Inhibitor: West Japan Oncology Group 8715L Phase 2 Randomized Clinical Trial. JAMA Oncol. Mar 2021;7(3):386-394. doi:10.1001/jamaoncol.2020.6758
Hida T, Nokihara H, Kondo M, et al. Alectinib versus crizotinib in patients with ALK-positive non-small-cell lung cancer (J-ALEX): an open-label, randomised phase 3 trial. 2017;390(10089):29-39.
Camidge DR, Kim HR, Ahn MJ, et al. Brigatinib versus Crizotinib in ALK-Positive Non-Small-Cell Lung Cancer. N Engl J Med. 2018;379(21):2027-2039.
Shaw AT, Bauer TM, de Marinis F, et al. First-Line Lorlatinib or Crizotinib in Advanced. N Engl J Med. 11 2020;383(21):2018-2029. doi:10.1056/NEJMoa2027187
Soria JC, Tan DSW, Chiari R, et al. First-line ceritinib versus platinum-based chemotherapy in advanced ALK-rearranged non-small-cell lung cancer (ASCEND-4): a randomised, open-label, phase 3 study. Lancet. 03 2017;389(10072):917-929. doi:10.1016/S0140-6736(17)30123-X
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We offer the very best of New Zealand's seafood harvest, sustainably caught, sourced fresh daily, custom processed and delivered to your door.
You'll find our sustainable seafood in Auckland's best restaurants, cafés, hotels, lodges and flying the kiwi flag aboard superyachts.
Our Daily Fresh Catch includes Snapper, Tarakihi, Gurnard, Hapuka, John Dory, Kingfish and Tuna.
But of course everyday out on the water is different! Our fishermen's catch bags often include many other delights and a few surprises too!
Whether you are after ruby, gemfish, monkfish, warehou, alfonsino or something else – just give us a call.
Whitebait direct from the river mouth when in season.
We have an extensive range of shellfish live, chilled and frozen, including pacific oysters, bluff oysters , scallops, greenshell mussels, clams, tua tua and paua (abalone).
And of course live Red Rock Lobster / Crayfish – you can't get fresher than that!
Our exceptional quality Regal and Ora King Salmon comes from the pristine Marlborough Sounds.
Whole, Fillets or Smoked! Talk to us about any special requirements.
Prawns, scampi, squid, crabs, etc – we have all your favourites!
We are always happy to source something special. Please talk to us about your frozen requirements.
We pride ourselves on supplying the best of New Zealand's seafood harvest.
Kiwifish is an accredited export facility.
IS THE SEAFOOD FROM SUSTAINABLE SOURCES?
Yes. Our fishermen use sustainable fishing methods including Long Line, Danish Seine and Potting. All our suppliers comply with NZ's world leading Quote Management System, which ensures the sustainability of our fisheries for generations to come.
I work on A SUPERYACHT – HOW DO I ORDER?
We pride ourselves on our full service capabilities and have staff dedicated to servicing the superyacht market. We are located in central Auckland and can turn around orders on the same day.
You are also welcome to pop in and see us, select your seafood and watch our talented filleters work their magic!
No problems! We are happy to supply you, but as our team work through the night, we just ask that you give us 24 hours notice so that we can process and pack your order ready for pick up. Pick up is required by 1.30pm daily or a courier can be arranged if prepaid. Please note: A 2kg minimum order applies for filleted fish.


text:
using System.Collections;

namespace SynchronizerData
{
    // BeatValue determines which beat to synchronize with, and is specified for each BeatCounter instance.
    // (A sequence of beat values are specified for PatternCounter instances).
    public enum BeatValue
    {
        None,
        SixteenthBeat,
        SixteenthDottedBeat,
        EighthBeat,
        EighthDottedBeat,
        QuarterBeat,
        QuarterDottedBeat,
        HalfBeat,
        HalfDottedBeat,
        WholeBeat,
        WholeDottedBeat
    };

    // BeatType is used to specify whether the beat value is an off-beat, on-beat, up-beat, or a down-beat.
    // This value is sent along with the notify message when a beat occurs so that different action
    // may be taken for the different beat types.
    // This information is stored in a beatMask field in each BeatObserver instance.
    public enum BeatType
    {
        None = 0,
        OffBeat = 1,
        OnBeat = 2,
        UpBeat = 4,
        DownBeat = 8
    };

    // The decimal values associated with each beat value are used in calculating the sample position in the audio
    // where the beat will occur. The values array acts as a LUT, with index positions corresponding to BeatValue.
    // These values are relative to quarter beats (which have a value of 1).
    public struct BeatDecimalValues
    {
        private static float dottedBeatModifier = 1.5f;
        public static float[] values =
        {
            0f,
            4f, 4f / dottedBeatModifier,        // sixteenth, dotted sixteenth
            2f, 2f / dottedBeatModifier,        // eighth, dotted eighth
            1f, 1f / dottedBeatModifier,        // quarter, dotted quarter
            0.5f, 0.5f / dottedBeatModifier,    // half, dotted half
            0.25f, 0.25f / dottedBeatModifier   // whole, dotted whole
        };
    }
}

redpajama_set_name: RedPajamaGithub


text:
Paramedic used ancient healing skill on woman who didn't want meds. He said it got him fired
Updated Apr 17, 2019 ; Posted Apr 16, 2019
By Chris Franklin | For NJ.com
A paramedic who used an ancient healing technique on a patient — instead of following doctor's orders — says the move shouldn't have gotten him fired because he was following the patient's wishes.
Michael Senisch, 62, of Bridgeton, had been a paramedic for 34 years but also holds a certification as a second-degree Reiki Practitioner — a Japanese technique for stress reduction and relaxation that also promotes healing.
He claimed he offered to help a patient with an open wound by using a Reiki practice, in which he held his hands close to the covered wound without touching it, to provide warmth and relieve the discomfort. The woman had declined doctor's advice to have a catheter drilled into her bone, and because Senisch didn't perform the procedure, he was fired, he claims.
In the lawsuit, filed against AtlantiCare Regional Medical Center, in Superior Court in Atlantic County, Senisch said his dismissal stemmed from a call made to a Mays Landing home on Feb. 28, 2016.
Senisch said he saw New Age crystals and other items inside the house, which was owned by the patient, Wendy Johnson, 59 at the time, and her husband, Brian Johnson Sr.
The couple owned a store in Smithville, called Herban Legend, a boutique shop that sells crystals and religious statues, and incense, according to the claim.
Wendy Johnson was suffering from a wound on her breast — about 12 mm, by 8 mm by 5 mm deep. Her husband, a retired Pleasantville deputy fire chief, and former EMT, said he and his wife had been treating the wound with "colloidal silver," but the treatment method had not worked. Colloidal silver products contain tiny particles of silver in a liquid, and have been marketed as an over the counter dietary supplement, but in 1999 the U.S. Food and Drug Administration ruled they were not safe or effective.
She was reluctant to return to a hospital, because she allegedly previously contracted MRSA, a staph infection, while she was admitted before.
Another paramedic on the scene attempted to insert an IV into Johnson's arm twice, but was unsuccessful.
A doctor at the AtlantiCare-City's Medical Control Unit then recommended performing an intraosseous infusion (IO), a process in which a catheter is "drilled" into the bone in Johnson's upper arm to administer fluids and medicine into the bone marrow.
Senisch claims Johnson refused the treatment, and her husband, who Senisch spoke to, said "She would not want that."
In the ambulance on the way to the hospital, Senisch said he tried to put another IV into Johnson, but was unsuccessful. It was at that time that he offered to perform the Reiki practice.
The lawsuit states when Johnson was taken into the emergency room, one of the doctors became "visibly angry" that Senisch had not administered the IV and the IO, spoke to Johnson "briefly," and administered the IO to Johnson while Johnson's husband and Senisch were outside the room.
More than a week later, Senisch was called into a meeting where he was allegedly fired for using Reiki, a practice for which the supervising physician said he would "refuse to put my license on the line."
The document states that after learning Senisch was fired, Johnson and her family pushed for Senisch to be rehired. Before Johnson died a month later, she said the paramedic honored her wishes of not administering the IO. The family also wrote a letter in support of Senisch, but the paramedic was not rehired.
"The lawsuit filed in 2016 by a former paramedic contains a number of claims that are simply untrue," said AtlantiCare spokeswoman Jennifer Tornetta. "It is unfortunate that the former paramedic and his attorney waited until now, only weeks before jury selection, to publicize his false allegations in the media. We look forward to presenting the actual facts of the case to a jury in a few weeks. The care and safety of our patients is always our highest priority. Until we have the opportunity to share the facts of this case in an impartial court of law, we will refrain from commenting further."
Senisch is being represented by attorneys Philip Burnham of the Burnham Law Group and Michelle Douglass of the Douglass Law Group. The two say the firing of the paramedic violated New Jersey's Conscientious Employee Protection Act because he refused a doctor's orders to administer a procedure against the patient's wishes.
"I think that what is important for people to take away is that they also have an obligation to know what is going on because it is their body that is being intruded upon," Douglass said. "You have a right, from an emergency room setting or just a general routine medical checkup, to be advised fully of the benefits and the consequences of the medical treatment and procedures that a medical provider wants to perform on you. Doctors are people too, and they also have emotions and anger, biases and prejudices, and people need to be aware of that. I know that sometimes doctors are motivated to do things out of their own emotions or experiences."
"In this day and time, no still means no," Burnham said. "It is your body. You have a right to say no, and this woman has alleged in our complaint she said no and that she did not want this invasive procedure."
Senisch is requesting a jury trial and is seeking damages alleging the incident has created emotional distress, physical illness, economic damages, and stress.
The civil trial is scheduled to begin May 13.


Costume attendants help performers manage their costumes and keep track of the costume changes they must make during a show. Their job includes selecting, fitting, and taking care of the costumes. A costume attendant may be in charge of all the costumes for the entire cast of a play, or may be assigned to an individual performer with many costumes. Costume attendant is considered an entry-level job within the performing arts community, but costume attendants play a very important role in making sure that every performance goes smoothly and looks as good as possible. If a show goes poorly due to costume problems, a costume attendant may have to shoulder much of the blame.
In shows in which a performer or performers have to make a lot of quick costume changes, it is the attendant's job to arrange the costumes in the right order. To make this possible, they must create special lists, notes, and charts that outline exactly who must change into what costume at what point during the show.
Costume attendants are typically assigned the task of cleaning and pressing costumes before and after each performance, and they must also perform any necessary minor repairs to costumes, such as replacing buttons or sewing up small tears. This requires carefully examining the costumes to make sure they will look presentable on stage under the bright lights. The costume attendant is also often responsible for assigning lockers and/or dressing rooms to performers, and for maintaining and organizing dressing rooms, costume storage spaces, and laundry areas.
Sometimes costume attendants are also responsible for items other than clothing, such as table skirts, draperies, flags, or other props or elements of the set that are made of fabric. Attendants must keep careful track of all items under their care and keep careful notes about the condition of costumes, the sizes and fitting needs of performers, and any necessary alterations. It is also important for costume attendants to keep track of what costumes are available and what materials exist on hand for any costuming needs that may suddenly arise.
Costume attendants generally perform all of these tasks in collaboration with other members of the show's production team, including production designers, costume designers, and others. Some costume attendants have a lot of authority to make costume decisions on their own, while others are mainly assigned to carry out directions from higher-ranking production staff.
Costume attendants must be good problem solvers, be extremely well organized, and show good judgment under pressure. Successful costume attendants enjoy working in a creative environment with artists and performers and thrive on the fast-paced lifestyle of the theater.
On-the-job training is the most important form of training for costume attendants, although many have degrees from college theater programs or schools of design. Experience with costuming in high school or college productions is very helpful, and internships with theater companies and other performing groups can also provide excellent training.
College placement offices, as well as theater and design departments, can often provide information about how to find a job in this field. Local performing arts organizations may be another valuable source of information about job openings and internship opportunities.
Costume attendants can advance to costume designer positions and other supervisory positions within the production team. The outlook for costume attendants is currently very good, with the number of jobs expected to increase faster than average through 2014.
Costume attendants usually work backstage in a performance setting. This can range from a modern, high-end facility with good temperature control and superior lighting to an older, stuffy facility with poor ventilation and inadequate lighting. Others may work at tourist attractions, where the working conditions may be quite different, and the attendant may even work outdoors. Costume attendants must often work in the evening. Many positions are seasonal, and the number of hours worked can fluctuate dramatically based on performance schedules. More than half of the available jobs are in New York.
The median hourly wage for a costume attendant is $12.04. Full-time positions may offer health insurance and paid vacations. However, many costume attendant positions are temporary, lasting only the length of a show's run, which may be just months or even weeks. These positions typically offer few benefits.


Looking for some funny and hilarious Thanksgiving sayings? Here we are with this list of super funny Thanksgiving sayings. Sayings thanks can be done in a funny way too, who said the opposite? Enjoy!
What would you get if you crossed a Pilgrim with a type of cracker?
What did the little turkey say to the big turkey?
"Peck" on someone your own size!
If your father could see you now, he'd turn over in his gravy!
Why was the dog chasing the band in the Thanksgiving parade?
He wanted to bury the trombones.
I was going to serve sweet potatoes with Thanksgiving dinner, but I sat on them.
So what are you serving now?
Why did the turkey eat his meal so quickly?
Because he was a gobbler.
Why did the monster get a ticket at Thanksgiving dinner?
He was exceeding the feed limit!
What would you get if you crossed Thanksgiving and Easter?
How does a Turkey drink her wine?
What do turkeys use to clean themselves?
Pleased to eat you .


The monthly pages in this list of posts on topics are arranged so that you can stay ahead of your schedule. This is not intended to be a day-by-day listing of what you should teach, or even in what order you the topics should be taught. The topics for each month are arranged so that you can read them before you get to that topic – that is, so that you can use them to plan several weeks ahead of when you teach the topics, or use a different order.
A list with links to a variety of resources for teachers including the Course and Exam Description, indices to questions and other topics of interest.
Getting started – Resources and other start of the year information. Includes notes on graphing calculator use.


The distance from Luka to Kwakwasa is 630 kilometers by road including 333 kilometers on motorways. Road takes approximately 7 hours and 16 minutes and goes through Minna, Yelwa, Ibeto, Utachu, Kontagora, Tegina and Daga.
The distance between Luka and Kwakwasa is 630 kilometers by road including 333 kilometers on motorways. Distance from Luka to Kwakwasa by car takes approximately 7 hours and 16 minutes.
The distance between Luka and Kwakwasa is ranked 84th in the ranking popularity.
The driving time from Luka to Kwakwasa is approximately 7 hours and 16 minutes without intermediate stops.
Use the "Intermediate points" field inside the "Show advanced options" to find out how to get from Luka to Kwakwasa through specific transit points.
You can calculate the route from Luka to Kwakwasa through any specific transit point by dragging and dropping the route on the map.
To find out how far is Luka from Kwakwasa, all the intermediate path segments were totalized. Precise satellite coordinates of highways were used for this calculation.
Reverse route: from Kwakwasa to Luka.


Welcome to 2018 Around The World Cultural Food Festival at Freedom Plaza and Pennsylvania Avenue between 13th and 14th Street, right accross from the White House!!
Around the World Cultural, Food Festival brings together diverse, authentic, living traditions from different countries around the world. Our mission is to preserve and strengthen the culture of each country while presenting it to the public throughout the course of this event and give all the participants a chance to learn from one another and understand the cultural differences and similarities.
The event is free of charge and the public will have the opportunity to learn, to eat, to dance, to shop, to witness these vibrantly connected cultures and create their own connections with each and every single country presented in the event.
- Seated enclosed area, where you can enjoy the food and watch the shows from under the shade of a large tent.
Please be reminded -- NO ALCOHOL is allowed in the VIP area; there is an enclosed designated area for alcoholic beverages on site.
Tickets are limited, so make sure you get yours now!!! Tickets can be purchased online ONLY.
*** All sales are final. This is a rain or shine event.
Even if you cannot attend the event, please consider making a small contribution to this cultural and educational family-friendly festival.


text:
Government expels women defender
Modified date: November 27, 2018
The Nicaraguan government, on Monday, expelled the feminist and human rights defender Ana Quirós. Although there was no official statement from the Nicaraguan authorities, Costa Rican Foreign Minister Epsy Cambell announced Monday night on her official Twitter account.
Ana Quirós presented herself yesterday to immigration where she was stripped of her Nicaraguan nationality before being expelled to Costa Rica.
Costa Rican authorities confirmed that Ana Quirós has already been deported and soon there were published audios of Quirós arrival to the border of Peñas Blancas.
The General Directorate of Migration and Immigration warned three other defenders of the Colectivo de Mujeres de Matagalpa (Collective of Women of Matagalpa), to refrain from participating in political activities due to their status as foreign residents.
Beatrice Uber, a citizen of Switzerland and the sisters Ana María and Ana de Jesús Ara Soberriba, of Spain, are the activists cited to immigration warning.
The government withdrew the residence cards of the Matagalpa activists and had them sign a document in which they pledge not to participate more in political activities.
In the same way, they were told that they must appear to immigration every 15 days, while they process a new residency application.
"They made us sign a document, something that we already knew we should not do, in which we committed ourselves not to participate in political activities. They took our residence card and we have to start again as if applying the first time. We, in the last 33 years of living here, have only had to renew ", explained Ana María Ara Sobarriba, after leaving immigration.
Notified on Saturday
Juanita Jiménez, executive director of the Movimiento Autónomo de Mujeres (MAM) – Autonomous Women's Movement, explained that Quirós has Nicaraguan nationality, and last Saturday she was notified that she had to appear at immigration on Monday. In the citation, the reasons were not specified, only to be there at 10 am.
Before going to the interview, the activist tried to file an appeal for review before the Court of Appeals of Managua (TAM), in the Central Judicial Complex of Managua, but could not get past the main gate.
Later, she went to a hotel in the capital were, accompanied by other activists and lawyers from the Nicaraguan Center for Human Rights (Cenidh), she denounced the summons at a press conference.
"It is not a piece of paper that gives one nationality, nor will that will take it away from me, if that were the case. I have always been committed to Nicaragua since the first time I came, when I was 15 years old, when the rubble of the earthquake was still smoldering. Since then I feel committed to Nicaragua, its people and its laws," said Quirós
- paying the bills --
At the end of the press conference, Quirós, accompanied by a lawyer from the Cenidh, arrived at immigration; and shortly after entering the government office, a strong police presence was evident.
Ana María Tello and Alexander Álvarez, from the Mecanismo Especial de Seguimiento para Nicaragua (Meseni) – Special Follow-up Mechanism for Nicaragua – of the Inter-American Commission on Human Rights (IACHR), presented themselves at immigration to find out what was happening around Quiros and the strong police presence.
But they found no answers.
"We wanted to approach just to see first-hand the strong presence of riot police and the situation of the defenders who were here waiting for a resolution from another human rights defender, such as Ana Quirós," Tello said upon her arrival at immigration.
Later on Monday, the consul of Costa Rica in Nicaragua, Óscar Camacho, confirmed that Quirós was already on the border of Peñas Blancas.
Read the original in Spanish
costa rican woman stripped of nationality
crisis in nicaragua
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text:
An Occupied City
I felt quite embarrassed, last Saturday, walking round Oxford with some American friends. I felt I had to explain that the Rainbow 'diversity' flag did not normally fly from the flagpole of every college. "I'm afraid it's Pink Week", I rather wetly said.
When film-makers produce WWII films, they very often show Swastika flags hanging down the fronts of buildings in occupied cities. It must have been a good period for having shares in flag-making businesses! It's much the same over here now, with the fascist 'rainbow' flags much in evidence. We are, indeed, an occupied land. I wonder who is carting off the profits.
Although Abortion is still an important cause for Establishment Fascism, the more up-to-the-minute trendy ikon is now transgenderism. Our papers regale us with stories of police activity to crush Christianity and Decency and plain Common Sense by categorising them as 'Transphobia'. An old woman had the police in her house telling her off. A young mother was taken to the plodshop for seven hours, despite her autistic child and the baby at her breast. A witty TV scriptwriter (the creator of Father Ted) is being hauled through the courts. Getting one's pronouns wrong is a dangerous mistake.
British Police, you indignantly ask me, persecuting old women and nursing mothers? You needn't be surprised. It's happened before. When the Germans occupied our Channel Islands, the police collaborated manfully with the occupiers in rounding up Jews. (So did the governing elite of the Islands; a post-War intelligence report made clear that while every attempt was made to protect the Freemasons, no protest was made at the removal of Jews. After Liberation, it was decided that it was more in the interest of rebuilding national cohesion for the top islanders to be knighted rather than hanged.)
Policemen, of course, are only human. And they are trained to do as they are told. If Sir says"Round up the Jews", then your good English bobbies will get on with it. If the Gender-Fascists who run our Police Forces tell them to intimidate helpless citizens, the only question will be "How loud shall we shout?" If they are made to sit through Diversity Awareness Lectures, I doubt if many of them will get their cards marked and their careers ruined by protesting.
So we are all going to be bullied to acknowledge that a human with silicone breasts and a vagina that leads nowhere is a woman ... or pay the penalty of denying Caesar his pinch of incense. But there are compensations. We find, standing with us, some of the old-style feminists: such as dear old Germaine Greer, as brilliant as ever she was in the days of The Female Eunuch, who is now no-platformed for her preposterous notion that women are women and men are not women. And in the Times newspaper (on Saturdays) there is a very able columnist called Janice Turner, who knows her facts and knows how to deploy stylish rhetorical skills. Cicero would have been proud of her.
Whenever intelligent people of whatever background realise that it is their duty to resist the crass and sinister idiocies of the Zeitgeist, they are walking in the right direction. There is hope for humanity.
scotchlil said...
I remember being both encouraged and entertained to hear Germaine Greer say, à propos men who thought that they were really women. "How do they know?" She is not a particular idol of mine, but in this case she seemed to speak complete common sense. Is there really an epistemological trick by which we can now access the internal experiences of other genders - or species?
John Fannon said...
In any organisation it is natural for the people to go for the 'quick wins' or management speak 'the low hanging fruit'. So it seems for the police, arresting breast feeding mothers is far easier than catching nasty burglars who might get rough.
I wouldn't personally identify myself very much with Linehan or Greer. They remind me of the Jacobins who found themselves guillotined by those succeeding Jacobins who shared their ideas, but only in a more extreme fashion.
It is twistedly logical that Greer's notion of equality should eventually lead to the extreme of biological equality, for it is the premise of 'equality' which is wrong, in the first place. Vive les differences.
A brave post and much appreciated.
By the way, while the police are right on the enormity of wrong pronouns, they overlook trivialities such as burglaries, am I correct?
Tony V said...
I had the exact same feeling when I was in Dublin last autumn: rainbow flags everywhere, in breathless anticipation of the upcoming 'Pride March'. ('Pride' used to be one of the seven deadly sins; sodomy was so bizarre it didn't even make the list.) This was, I distinctly felt, what it must have been like in Paris when all those swastikas fluttered so proudly.
It wasn't long afterwards, if I have my chronology right, that once-Catholic Ireland, with the full support and connivance of its homosexual PM, reversed its constitutional ban on abortion.
Here in England, the BBC and Channel 4 try to out-do each other in championing the normalisation of homosexuality and other perversions (with our money, no less). It's nice that the few curmudgeonly voices Fr H alludes to still speak from whatever platform is left to them, but really, it's far from enough. Where are our Catholic bishops? They have a teaching office. Why aren't they speaking out against this depravity, as they did in the days of the early church?
(Oh yeah, now I remember why ...)
It's nice that there are a few
Dear Father. Not a few have observed that the movement for Free Speech was actually a war against Governmental Blasphemy Laws and so now the same sort of ideologues who realised free speech are those who want to punish your speech now that they have control of the switch points of communications.
Said another way, they consider themselves God and so their thoughts and ideas are sacred and the ideas and rhetoric of you and your ilk make you heretics when you are not apostates.
The secular Gods are not like the Popes ands Prelates of the modern Catholic Church because the ideologues will use their coercitive power to protect their hard won turf and punish heretics and apostates.
Of course, this is all another justifiable reason to advance Happy Hour by another sixty minutes.
A Daughter of Mary said...
Regarding 'the rainbow' and its uses:
At the Canadian end of The Rainbow Bridge from Canada to the US there is an imposing tower - it even has bells. At the base is a large tablet on which is written the story of Noah, and the Rainbow God showed as a sign of....etc.
If you wait in line to get through the Custom windows you have lots of time to read it - gosh, it's gotta be 15 feet high. I often wonder how this little marvel slipped through the fine-toothed comb of the homosexualist folks.
Ignatius, Cornwall said...
Dear Fr., Tony V asked, vis-à-vis transgender and other sexual weirdness and perversions so popular amongst the media and political establishment today: "WHERE ARE OUR CATHOLIC BISHOPS?" (Caps mine) He may well ask! I've often wondered that myself. He went on: "They have a teaching office. Why aren't they speaking out against this depravity, as they did in the days of the early church?" It's obvious why. Because most of 'em are professional career bishops who want to keep their jobs and hopefully get promoted. (Look at Cupich.) They are basically politicians who owe their jobs to a Politician-Pope and keep their heads down. They suck-up to the UK Establishment and the regime in the Vatican. The poor little things are not valiant Christians as were the REAL LEADERS & APOSTOLIC TEACHERS, the great Bishops of Catholic history! THEY taught and led their flocks, even unto death as martyrs. The UK today has a bunch of sad little insignificant Bishops and tiny Cardinals cowering before the populist vastly immoral culture; infamous in their lack of valour. OH, just a thought: perhaps some of 'em actually agree with the UK establishment's present pop-immorality? If they do, they should excommunicate themselves, as it were, by resigning and joining the CoE where most trendy stuff get accepted eventually and are written into doctrine - as long as there are enough votes in the synod. (I really mean no offence to our CofE friends but that does seem to be the truth.)
Kathleen1031 said...
When Islam takes over officially will the police still arrest the indigenous people for transgressions against transgender pronouns? I have heard most political leaders such as mayors, etc., in London are now Muslim, and Muslims make up a growing segment of the population and they have lots of children, so their ascent to full control seems a given, but when that happens, will they care so deeply about LGBT issues, or is this a temporary phenomenon until they take the reins?
Dear Marl. Yes, as a consequence of the ideology of multiculturalism, the government has now created a system of punishment that the late Sam Francis called Anrcho-Tyranny:
Samuel Francis argued that the problems of managerial state extend to issues of crime and justice. In 1992, he introduced the word "anarcho-tyranny" into the paleocon vocabulary.[28] He once defined it this way: "we refuse to control real criminals (that's the anarchy) so we control the innocent (that's the tyranny)."[29]
In one of his last essays, he explained the concept:
What we have in this country today, then, is both anarchy (the failure of the state to enforce the laws) and, at the same time, tyranny—the enforcement of laws by the state for oppressive purposes; the criminalization of the law-abiding and innocent through exorbitant taxation, bureaucratic regulation, the invasion of privacy, and the engineering of social institutions, such as the family and local schools; the imposition of thought control through "sensitivity training" and multiculturalist curricula, "hate crime" laws, gun-control laws that punish or disarm otherwise law-abiding citizens but have no impact on violent criminals who get guns illegally, and a vast labyrinth of other measures. In a word, anarcho-tyranny.[30] ...
The laws that are enforced are either those that extend or entrench the power of the state and its allies and internal elites … or else they are the laws that directly punish those recalcitrant and "pathological" elements in society who insist on behaving according to traditional norms—people who do not like to pay taxes, wear seat belts, or deliver their children to the mind-bending therapists who run the public schools; or the people who own and keep firearms, display or even wear the Confederate flag, put up Christmas trees, spank their children, and quote the Constitution or the Bible—not to mention dissident political figures who actually run for office and try to do something about mass immigration by Third World populations.[32]
Francis argued that anarcho-tyranny is built into the managerial system and cannot be solved simply by fighting corruption or voting out incumbents. In fact, he says that the system generates a false "conservatism" that encourages people to act passively in the face of perpetual revolution. He concludes that only by devolving power back toward law-abiding citizens can sanity be restored. [33]
++++++++++++++ end quotes +++++++++
In its wisdom, the establishment in America has turned a country that in 1960 was 90% white and over 75 % Christian into a Neo-Yugoslavia; a country that was multi-cultural, multi-religious, multi-ethnic, multi-lingual and we all know how well things worked out for Yugoslavia.
America is on a the path to a civil war because the establishment has invited into America a larger number of aliens than the number of German troops who invaded Russia in Operation Barbarossa.
Since 1965, America has had the biggest influx of foreigners into its country than any other country in any other time frame in history.
If a small community of white Christians in, say, Maine, has the Catholic Bishops of America being paid to resettle black muslims from Somalia into that community we know that will make that community stronger because Diversity.
Nothing strengthens a community more than by rapidly remaking it by inviting in and resettling foreigners there who are a different race, who speak a different language, who have a different culture, who have not the slightest clue about or experience with the concepts of English Common Law and who worship a completely different God
Michael Ortiz said...
I just this week reread Fr Oakes SJ's lecture from '99 on Shakespeare in First Things and he quotes Greer very wisely and approvingly on the bard. Let's hope she follows her intelligence to its source.
Catholic State said...
The Noahide movement identifies itself with a rainbow flag.
This is not a coincidence friends and neighbors.
Stephen Cooper said...
Please remember, that when you praise those who have publicly supported the great evil of abortion all their lives, and who have constantly mocked those of us who wish that the innocents get the same chance at life as we have had .... the same protection of the laws that we had .... please remember that even if you praise them in a witty way ....
please remember that you are praising people who support the greatest evil that can be imagined, the slaughter of the innocents, the slaughter of the innocents before they get even a single moment of pleasure in this world, before they get even one look of love from a fellow human being.
I have some good advice for you. People who suffer so much that they want to change their bodies to resemble the bodies of unattractive people of the opposite sex are VERY DIFFERENT from people who have comfortable lives, who are not all that bright, and who support abortion of the innocent. Yes the two groups overlap, but not completely. Try and remember that. You are obviously very intelligent and it should be easy for you to understand.
And if I missed the fact that Germaine Greer is pro-life, I apologize. I don't think she is, the poor old woman.
Yes, Stephen, true. But references here also include hopes for her conversion.
Abderrahim Kherchttou said...
You are absolutely correct, Stephen. I believe one of the key ingredients in the present-day triumph of Leftism and all its attendant evils is that leftists, unlike us who supposedly stand for sane and decent Christian principles, never EVER attack their own (until, that is, the Revolution is accomplished, at which time they turn on each other and devour one another voraciously). More importantly, psychologically speaking, they never EVER compliment or praise their ideological foes. We, in our foolish and ultimately self-destructive liberal complex to appear fair and charitable, go out of our way to "give the Devil his due." I, for one, will not give the abortion fanatics and other leftist devils "their due," even when in their perversions once in a while they hold something that may be true or somewhat logical (a rarity among them these days). If that makes me uncharitable, unfair and equally ideological, so be it. Better that than the ignominy of being bullied into social non-existence while whimpering about the few things our bullying castigators may be right about. It used to be that Christians had self-respect and dignity---but these, too, have been sacrificed at the altar of ecumenism and social "respectability" (read "cowardice"). Domage, as our French friends, who know something about selling out, would say.
The Chief Executive Officer
Verification principles
Father Rosica and Me and our Interns
SEXAGESIMA
WHO KNEW WHAT AND WHEN?
Fascist Flags
God bless your Nanny and your Butler and all your ...
Interreligious Ecumenism admirably in action
Long live Uncle Ted McCarrick!!!
A Philological question
Father Ernesto Cardenal
Antinous ... why did he have to be killed?
Cardinal Mueller's Manifesto (2)
This Blog Needs More Heraldry
My problems with a particular Novus Ordo Preface (...
Without the Father ... Cardinal Mueller's Manifest...
Catholicae Veritatis Magister
Archdeacon George Austin
The Bishop of Broadstairs
Newman on the Suspense of the Functions of the Mag...
"PIETY/PIETAS/GODLINESS"
Genesis 18:32 and Athanasius Schneider
Waugh and Pope Francis
Mohrmann
Prezzy?
"Diversity of religions is intended by God". Dr Ne...
Behold a Great Priest
"Invalidists"
Lust, Lust, Lust, and Bishops. (1)
Ante torum huius Virginis frequentate nobis dulcia...
"Annibale Bugnini ..." by Chiron (2)


text:
Smith to Stabler: Channel Charles Schultz
In the Bay Area Reporter, Gwen Smith responds to one of HRC's current token – and starry-eyed – trannies, Meghan Stabler.
I personally have seen a number of transgender activists get seduced by HRC, and firmly believe that this time it really was going to bat for us. They soon realize that they have been cast as Charlie Brown to HRC's Lucy, and they aren't going to get a chance to kick that particular football.
And Gwen also asks a question that doesn't get asked enough:
[E]xactly what rights has HRC ever actually won for anyone? Does it just take credit for other peoples' actions?
Inquiring minds already know.
Meghan Stabler either doesn't know – or doesn't care.
Leave a Comment »	| History, Human Rights Campaign	| Permalink
Posted by Katrina Rose
Always? Really?
From a Bay Area Reporter item on the anti-HRC protest:
"HRC does great work. Barney Frank is the one who should take the hit for this divisiveness," said Mirian Saez, an HRC Federal Club member and Mayor Gavin Newsom's director of operations on Treasure Island.
Saez attended the dinner with her partner, Julian Potter, a former top aide in the mayor's office. She said that the "T" in LGBT has always been a part of HRC.
Always?
Even back in the early 1980s, when it was little more than a one-man operation – with that one man being a guy who did his utmost to keep us out of a statewide gay rights bill in Minnesota?
But, all of this gets better.
Solmonese's speech was briefly interrupted by 63-year-old lesbian Catherine Cusic, the Harvey Milk LGBT Democratic Club's vice president of political action. Cusic had bought a ticket to the dinner at a discounted rate and began walking toward the stage while Solmonese was talking. Security, however, quickly approached her and dragged Cusic out of the room.
The following day Cusic circulated photos of her bruised arms and numerous LGBT Web sites ran her account of being roughed up by "security goons" at the event. She told the B.A.R. on Monday that she had filed charges of assault with the police and was demanding an apology from both HRC and Woolsey.
"I want both Woolsey and HRC to reconsider their position on ENDA, which is clearly discriminatory," said Cusic. "She calls herself a feminist and just sat there. I want an apology from HRC for using goons and want an apology from Woolsey for letting them beat up an old woman in front of her."
Once Cusic had left the room, Solmonese remarked that HRC has dinners across the country and that "each time it is different." He also joked it helps to take the anti-anxiety drug Xanax.
Trust us, Pee Wee.
We make jokes about you too.
However, ours tend only to insult those who deserve to be insulted – you know, people like yourself.
1 Comment	| History, Human Rights Campaign	| Permalink
Yet Another Elitist Who Wants a National Special Right to Discriminate Against Us
'BostonPaul' on Daily Kos:
T vs. the GLB: When Allies Attack
I'll comment later.
I'm still vomiting.
2 Comments	| Barney Frank, History, Human Rights Campaign	| Permalink
Bailey Brouhaha Video is Now Online!
[UPDATED: NOW WITH VIDEO EMBEDDED]
I have just received word from Andrea James that she has the video from the June 21 NWSA Bailey Brouhaha Panel online. It is available – in chunks – at Andrea's page on You Tube.
Below each embed is the direct link to the individual segment:
Joelle Ruby Ryan (part 1)
Élise Hendrick (part 1)
Yours Truly (part 1)
Andrea James (part 1)
Q&A (part 1)
Leave a Comment »	| History, Non-ENDA	| Permalink
Too Bad the Sam Houston Colisseum No Longer Exists
For those who don't like sport, we have……….
From the Houston Chronk:
In a stunning move designed to push the Rockets from solid playoff team toward legitimate NBA contenders, the Rockets reached agreement Tuesday with the Sacramento Kings to acquire gifted but controversial forward Ron Artest….
Yes, the old Colisseum hosted concerts (including one by the Beatles), hockey (the original Aeros) and even basketball (the Rockets), but the only events I ever remember seeing there were, thanks to my father, boxing matches.
Artest would have felt at home there.
Now, once again, back to your regularly scheduled blog.
Leave a Comment »	| Non-ENDA	| Permalink
News Flash: Massachusetts Legislature Now to Turn Its Attention to Gay Pet Rights
No – not really.
But it does seem that, on the civil rights agenda, anything and everything hops above the matter of rectifying the hate crime that was committed against trans people by the Massachusetts Legislature in 1989. And it does seem that no one who benefits from having that special right to discriminate against trans people really gives a shit. So why wouldn't a law dealing with the civil rights of the pets of gays and lesbians hop above trans rights?
From Bay Windows:
The bill to repeal the 1913 law is on its way to Governor Deval Patrick, who will sign it into law. The bill cleared a final hurdle this afternoon, when the House of Representatives passed the bill on a roll call vote after about 25 minutes of debate. The vote was 118-35, with five members not voting.
State Rep. Byron Rushing began debate on the repeal by giving a history of the law, and disputing statements by those who have said it does not have racist origins."Well sorry. sorry. There was a lot of concern about interracial marriage in this country in 1913," he stated, noting the controversy at the time over Jack Johnson, an African American prizefighter, marrying a white woman.
The 1913 law prohibits out-of-state couples from marrying in Massachusetts if their marriage would be considered void in their home state.
You got it.
Passing a law to benefit gays and lesbians who do not live in Massachusetts is a higher priority than passing a law to provide basic civil rights protections for trans people who do live in Massachusetts.
I'm assuming that after providing basic civil rights for pets of gays, the legislature will then turn to a resolution asking the Vatican to confer living sainthood upon Barney Frank?
Yeh – I know. He's Jewish.
But he's not a transsexual – and that seems to be all that matters in Massachusetts.
4 Comments	| Barney Frank, History, satire	| Permalink
I'm Sure Folks On Rhode Island Avenue Will Be Riiiiiiiight On It
From Queer Channel Media:
Two agencies charged with enforcing the city's anti-discrimination laws issued a proposed rule change earlier this month that would exempt the Department of Corrections from complying with the D.C. Human Rights Act as it applies to transgender prisoners.
In a July 11 notice of proposed rulemaking, the D.C. Office of Human Rights and the city's Commission on Human Rights called, among other things, for waiving a requirement that city government agencies "classify, house or provide access to gender-specific facilities to transgender individuals according to their gender identity or expression if the transgender individual is incarcerated, institutionalized or otherwise within the District's custody."
Department of Corrections officials have said the rule change was needed to address "safety and security" issues that have surfaced in the D.C. jail in connection with transgender inmates.
Gay and transgender activists this week said they were surprised and disappointed that the Human Rights Office and Commission on Human Rights apparently heeded requests by the Department of Correction to propose rolling back non-discrimination protections for transgender prisoners.
Among the Commission's members are Christopher Dyer, director of the Mayor's Office of Lesbian, Gay, Bisexual & Transgender Affairs; and gay D.C. residents Michael Ward and Thomas Fulton.
Mario Acosta-Velez, president of the Gertrude Stein Democratic Club, the city's largest gay political group, served as acting chair of the commission until his term expired in early July. Although Acosta-Velez no longer serves on the commission, he was a member at the time that Alexis Taylor, general counsel of the Office of Human Rights, introduced the proposed changes to the commission.
Acosta-Velez said he appointed a subcommittee of the commission to consider the proposed changes but chose not to become a member because his term on the commission was ending.
"This is not saying in any way that the commission is agreeing to these proposals or that it favors cutting back on the Human Rights Act," Acosta-Velez said. "We decided to let them go through the process and to seek out comments from the public. It was our understanding that the proposals would come back to the commission for a vote, and that's when the matter would be decided."
Ward echoed that sentiment, saying he has concerns over parts of the proposed rule changes.
"We all expected there would be some controversy," he said. "That's part of the reason for putting them out there for public comment."
Did they have the same laid-back attitude when Marilyn Musgrave and Wayne Allard put the Federal Marriage Amendment "out there for public comment"?
Somehow I doubt it.
Oh, BTW…
Among the groups joining the D.C. Trans Coalition in opposing the proposed changes are Transgender Health Empowerment, Helping Individual Prostitutes Survive (HIPS), D.C. Prisoners' Project, National Center for Transgender Equality, National Gay & Lesbian Task Force, Parents, Families and Friends of Lesbians & Gays (PFLAG) and Human Rights Campaign.
Oh yeh – I'm sure all of that expertise from the geniuses on Rhode Island Avenue will solve this whole controversy before you can say…
Tyra Hunter.
D.C. is as D.C. does.
2 Comments	| History, Human Rights Campaign, Non-ENDA	| Permalink
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