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The Rundown

Entertainment Express: Aerosmith, Tony Scott, Vivienne Jolie-Pitt, Green Day, Smashing Pumpkins, Ellen

* Aerosmith’s latest single, the raucous Lover Alot, is streaming on their site, ahead of their new album release in November.

* A private memorial will take place for Tony Scott this weekend, as the investigation into his death continues.

* In Hollywood, you’re never too young to make your film debut – four-year-old Vivienne Jolie-Pitt, daughter of Brad and Angelina, will feature in Malificent, which Angie is currently filming – alongside South Africa’s Sharlto Copley.

* In touring news, the Smashing Pumpkins have announced North American tour dates, while Green Day will perform their major record label debut Dookie in full at the Reading Festival in England this weekend, before shows there next year.

* Ellen Degeneres’ daytime show goes into its 10th season next month – The Hollywood Reporter looks at the story of how she went from banished and broke to having a booming empire.

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MMR Marine Mammal Rescue Centre Patient Directory

Patient Record

Species: Harbour Seal

Patient ID: PV1839

Admitted on: 2018/07/14

Collection Site: Bowyer Island

Reason for Admission: Maternal separation

Weight at Admission: 7 kg

Patient Status: released

Time in Care: 74 days (2 months, 1 week, 6 days)

Transfer History

Received from: N/A

Mode of Transport: N/A

Release Date: 2018/09/26

Release Site: Brunswick Beach

Release Weight: 22.4 kg

Patient Updates

Coral was released after 74 days in our care.

You can see the list of all animals released at this release in the release record.

Guestbook for Coral

If you would like to share a story about Coral or leave any comments or well wishes, this is the place to do it.

Your email address is recorded to respond to your comment and to detect spam, but it will not be published, used for any other reason or given to any third parties.

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FSC - TRADEMARK - MN Climbing Walls

Environmentally friendly and sustainable

For the construction of climbing and bouldering walls Mountain Network has chosen the use wood with the FSC trademark.

The FSC (the Forest Stewardship Council) is an international organization that promotes responsible forest management and sustainable timber. FSC is an independent, widely supported and global system, that has created the standards for forest management and the chain of custody worldwide. All FSC products have a label for identification.

The core work of the FSC is to ensure that forests, both tropical and non-tropical, are well managed. To be sure that the timber comes from well managed forests, the FSC followes the entire supply chain. Only when the global FSC standards are met, the product may be equipped with an FSC certificate.

tuv certificering All our climbing walls conform to the European EN-12572 norm for artificial climbing objects.

MN Climbing Walls

Nieuwe Kade 4
6827 AA Arnhem


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There’s something for everyone at St Mary’s Scone

Over the past two years, teachers at St Mary’s Primary School, Scone have been sharing their various strengths and talents with students during their lunch break via a number of activities to suit a range of age groups and interests across the school.

The variety of activities that students at St Mary’s are able to engage with during their lunch breaks has been beneficial in enabling them to use and build on their strengths, share their interests with others and develop strong friendships across all year groups.

One example of this is those students who are interested in performing arts, there are choir and dance groups.

The choir meets every Tuesday to enjoy singing popular songs. This activity has become so successful that the choir won the Primary Choir Own Choice division of the Muswellbrook and Upper Hunter Eisteddfod in Term 2.

Members of the dance group relish the opportunity to practise moves and have fun with their friends. The group has been working on some new performances to share with the rest of the school community.

Throughout the year the choir and dance groups perform at school events such as open days, Grandparents Day and the End-of-Year Presentation evening.

Another example is the many younger students who engage with their friends through playing board games and card games as well as learning about coding and robotics.

Each of these groups allows the students to pursue their interests and further develop their talents through a range of experiences.

The Tournament of the Minds (TOM) group is a team of Year 6 students who are given the opportunity to solve authentic, open-ended challenges that foster creative, divergent thinking whilst developing teamwork. Challenges are set in the disciplines of the Arts, Language Literature, Social Sciences and Science, Technology, Engineering and Maths (STEM). The TOM team will compete in a competition later in Term 3.

In addition to the above, from Kindergarten to Year 6, students address social justice issues through their involvement in the Mini Vinnies group. This group take part in activities which support those in need including the Vinnies Sleep Out which raises awareness of homelessness and various fundraising activities to support the St Mary’s sister school in Cambodia and Catholic Missions.

St Mary’s Student Representative Council has also been active in raising awareness of our responsibility in the stewardship of creation by running a toy and blanket appeal in conjunction with the Mini Vinnies group and embarking on the innovative recycling program of donating ink cartridges for Planet Ark.

To find out more about St Mary’s, click here.


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TUESDAYS WITH TERESA: Born from mystery, to seek Mystery

Jesus’ going at his Ascension was one of expectation, where he was lifted up while the apostles looked on. Jesus had appeared to them in many settings during the forty days after his rising and told them that while John had baptised with water, they would be baptised with the Spirit. The promise was that Jesus would return.

JesusOn this Mother’s Day, I find myself pondering Mary’s pregnancy and giving birth to a son. I think of Mary as a mother, who took time to be with her child, to nurture him, to feed him, to keep him safe, to teach him life’s lessons, to teach him values, to provide him with guidance, to……… . I find it unfathomable that God would choose to be born of a woman, to become flesh and blood as we are flesh and blood and to be formed in a family setting.

Pope Francis wrote about mothers in his Apostolic Exhortation, Amoris Laetitia

Mothers are the strongest antidote to the spread of self‐centred individualism…It is they who testify to the beauty of life. Certainly, a society without mothers would be dehumanised, for mothers are always, even in the worst of times, witnesses to tenderness, dedication and moral strength. Mothers often communicate the deepest meaning of religious practice in the first prayers and acts of devotion that their children learn… Without mothers, not only would there be no new faithful, but the faith itself would lose a good part of its simple and profound warmth… Dear mothers: thank you! Thank you for what you are in your family and for what you give to the Church and the world. (n174)

Jesus charges his apostles and indeed all of us to be his witnesses to the ends of the earth. We are the ones pregnant with Jesus and giving birth to God each and every Missionary of Mercy bannermoment that we move and breathe. We are all invited to be mothers of the living God.

I refer to our Missionary of Mercy, Fr Richard Shortall SJ as MOM. This week he is at Mayfield West and once again will be available to greet anyone who comes with a warm smile, a set of listening ears and an open heart. He offers God’s mercy and compassion. He is our MOM, the one commissioned by Pope Francis to bring forgiveness, healing and hope.

The following reading from Isaiah (58:6-11) was used at our Mother’s Day Liturgy on Friday and I think it reflects the role of mums:

This is the kind of life I want. Remove the chains of oppression and the yoke of injustice and let the oppressed go free. Share your food with the hungry and open your homes to the homeless poor. Give clothes to those who have nothing to wear, and do not refuse to help your own relatives. Then my favour will shine on you like the morning sun, and your wounds will be quickly healed. I will always be with you to save you, my presence will protect you on every side. When you pray, I will answer you. When you call, I will respond. If you give food to the hungry and satisfy those who are in need, then the darkness around you will turn to the brightness of noon. I will always guide you and satisfy you with good things and keep you strong and well. You will be like a garden that has plenty of water that never runs dry.

Giving birth to the Mystery because of Jesus should compel us to:

... go in, let us be sincere in heart and filled with faith, our minds sprinkled and fee from any trace of bad conscience and our bodies washed with pure water. Let us keep firm in the hope we profess, because the one who made the promise is faithful. (Hebrews 10: 22-23)

It is our vocation as individuals, and as the Church, to reveal Jesus. This revelation comes from being loved and in loving. And as we know, there is risk associated in loving and living. As Jesus suffered for what was right and just, so will we experience the grief of loving and losing.

Mary and JesusOn this Mother’s Day, I have been mindful of our daughter Angela and her grief at losing her baby because she dared to love. Mary grieved greatly as she stood at the foot of the cross, and then held her son before laying him in a tomb. And yet Angela and Sam are courageous enough to continue on with each day, and to say yes to a new pregnancy. They are able to be hopeful in the midst of despair. This is what the Ascension is about.

Our God surrounds us with a mother’s embrace. This God does not abandon us, but holds each of us in the palm of ‘her’ hand and soothes our aching hearts. We have something amazing to share, especially for those who are lost and seeking. It will be rejected by those who seek a rational response to life. I hope you are open to capturing this great mystery in your relationships, in art, in music, in creation and wherever you find ‘awe and wonder’.

We were born from the Mystery, to return to the Mystery, and to live each day in between seeking the Mystery.

Teresa Brierley Image
Teresa Brierley

Teresa Brierley is Director Pastoral Ministries of the Catholic Diocese of Maitland-Newcastle.

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Five immigration officers interdicted for allowing foreigners illegal entry at Aflao

Read Article

Comment: Look at you.

2020-07-10 20:10:54
Comment to:
Re: Five immigration officers interdicted for allo

Is it that you think the definition of tyrant is a leader who does not allow people illegal access into his country or you you just want to insult the president. Kwasia! You wish there were no soldiers on the borders so that Ghanaians will be at the mercy of foreigners. Kwasia! Stupid people all over Ghana born to be party sympathisers.Vipers.

This article is closed for comments.

PB on Jul 10, 2020 20:10


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Pediatrics Series

Crumbling Walls

Understanding the Challenges of Mobilizing Clients with Osteogenesis Imperfecta

Osteogenesis ImperfectaTo understand osteogenesis imperfecta (OI) — a condition commonly referred to as brittle bone disease — first picture the walls inside your home.

“In a basic wall, for it to stand up, you have to have certain-size studs, and they have to be a particular number of inches apart so that wall will stand,” explains Mary Beth Huber, director of program services for the Osteogenesis Imperfecta (OI) Foundation. “To that you attach your wallboard, your mineral.”

Think of those wall studs as collagen, the most prevalent protein in the human body, responsible for giving bones structure.

Some people with OI have normal collagen, but they have only a third or half as many “studs” in their walls as they need, Huber says. Therefore, when you attach mineral to those studs, the walls are likely to fall.

That is an apt metaphor for type 1 OI, which accounts for 50 percent of all cases and manifests with mild symptoms including bone fragility, some fractures and minimal limb deformities, according to the OI Foundation.

In other types of OI, the collagen, or wall stud, is simply not as sturdy as it should be. Huber says these wall studs are constructed of a material more akin to balsa wood than 2x4s.

Genetic abnormalities cause these changes in the body’s production of collagen. Eleven types of OI have been identified based on different genetic mutations (of which there are hundreds) as well as the severity of symptoms — ranging from mild to moderate to severe, according to the OI Foundation.

“The part that we always encourage people to understand is that OI is so variable,” Huber says.

The Collagen Challenge

While OI does cause a fragile skeleton with frequent broken bones or fractures, those symptoms describe only half the story.

“All collagen-rich tissues are affected,” Huber says. “So additional symptoms include loose joints, low muscle strength, and weak tendons and ligaments. Shoulders and elbows may dislocate. Bone deformity and significant short stature are seen in the moderate and severe forms. Additional symptoms include respiratory complications, fatigue, hearing loss, dentinogenesis imperfecta and other oral cavity problems.”

Respiratory complications tend to be the most serious, and those with more severe forms of OI might experience a shortened lifespan because of related respiratory issues.

“Lung tissue contains a significant amount of type I collagen,” says Petra Harvey, health educator for the OI Foundation. “All people with OI have some degree of respiratory compromise and are at risk for serious respiratory infections. Scoliosis and ribcage deformities make respiratory problems more severe.”

Plotting a Course for OI

Many people with OI live long, full lives that include careers, community involvement and children.

The good prognosis brings its own challenges, however, as orthopedists and other healthcare providers must make decisions to plan for the long term. Harvey lists the following as the top considerations to accommodate a longer lifespan:

  • Helping children relearn motor skills aft er rodding surgery or a lengthy cycle of fractures and immobilization.
  • Managing fatigue and chronic pain.
  • Dealing with scoliosis (the most frequent progressive deformity) and hip and knee problems possibly caused by awkward walking gait.
  • Recognizing that fractures are most common from childhood to puberty and again aft er menopause, and that tendon, ligament and muscle injuries increase during teen and early adult years.
  • Planning for differences in stature, as people with severe OI might be in the 3-foot to 4-foot range as adults.

In many cases, OI is first suspected around the time toddlers begin walking. A clinical evaluation helps rule out other conditions, and a DNA analysis confirms the diagnosis, Huber says.

The OI Foundation estimates that OI occurs in one in 15,000 births and that 30,000 to 50,000 people of all ages are currently living with OI in the United States. Approximately 90 percent of OI cases are inherited directly from an aff ected parent or caused by spontaneous mutation.

Depending on the severity of OI, treatment might include repairing fractures and surgery (rodding) to reinforce long bones or reduce bone curves/deformities, physical and occupational therapy, lifestyle management strategies including mobility equipment, and bone-building drugs such as bisphosphonates, growth hormones and teriparatide.

These drugs “will treat to some extent the osteoporosis symptoms, but they do not treat the underlying OI issues. It also addresses only half the problem: It looks at the skeleton, which is a huge deal to have a fragile skeleton, but it doesn’t address any of the other collagen-related issues — muscle, tendon, ligament, lung problems — that go along with OI and are not affected by bone-building medicines that we currently have,” Huber says. “It makes a huge difference, particularly in a child with very severe OI, but it’s not the full answer yet.”

Clinician’s Blueprint: Assessment Insights

Because the diagnosis of OI is so variable, you might be wondering how to prepare for the seating & mobility evaluation. The good news is that when assessing a client with OI you can follow the same course as any other assessment: Pay more attention to the individual in front of you than to the diagnosis on the file.

“Just like with everyone else, we want to know what their goals are, how they want to live their lives and what we can do to help maximize their function in their world,” says Jill Monger, PT, MS, ATP, wheelchair seating & mobility clinic coordinator at Medical University of South Carolina in North Charleston, S.C.

In fact, the real difference lies in the goals of the equipment. “The main thing that’s different with OI is protection, protection, protection,” Monger explains. “The other huge issue is transfers. They’ve got to be able to get in and out of the system without someone lifting them or physically handling them because this puts them at higher risk for fractures.”

That means in addition to providing mobility, you also have to look at creating a safe environment for the child through the chair.

For Monger, achieving these goals involves a two-step process: (1) consider making the equipment a bit larger to create a buffer between the person with OI and his or her surroundings and (2) use power options such as seat elevation and seat-to-floor to add variability and independence in transfers.

However, even clients with the same types of OI can have different goals.

Tamara Kittelson-Aldred, MS, OTR/L, ATP/SMS, who works at Community Medical Center in Missoula, Mont., and is the founder of Eleanore’s Project, has worked with two children with type 1 OI.

One was a young girl in Peru who needed a wheelchair mostly for protection, to prevent falling and fractures, Kittelson-Aldred says. The other was a young boy in Missoula who needed a wheelchair only when he had a fracture. The rest of the time he walked.

Another critical difference in an OI assessment is deciding how much to handle the client. Again, that decision depends greatly on the individual client.

Kittelson-Aldred is typically very hands on when evaluating children with mobility conditions to assess head and trunk control, range of motion, sitting and posture.

“I was able to do that with a type 1 kid that I know, but the little girl with type 3, it was actually the first wheelchair evaluation I have ever done where I have not laid my hands on the child,” she says.

Kittelson-Aldred found out that even the child’s father did not pick her up. What’s more, this particular child had fractured herself when getting upset just by throwing herself around a little.

“I really didn’t want to take that risk to tell you the truth. I would’ve been really careful, but given all of the anxiety about it, I didn’t want to take a chance,” Kittelson-Aldred says. “Basically I had her mother move her in the ways that I wanted to see her move so that I could see what her range of motion was like and see what her head control and her trunk control were like. … And that’s not something that I would ever usually do, but that’s what I did in that situation.”

Monger, on the other hand, does handle children with OI, but says doing so is not without risk.

“I do handle them, and I’m very careful,” Monger says. “But again as a PT who’s been doing this for almost 30 years, I’ve had people break in my hands, whether they’re OI or someone with spinal cord injury who has extreme osteoporosis. It’s not a pleasant experience but also not always avoidable.”

Monger believes that’s a risk you have to take because you can’t build a system that will protect a patient if you don’t know what joints move or what limitations they have. But even Monger is especially careful when it comes to transferring.

“If they can transfer themselves, I’m going to find a way to let them do that,” she says. “Or if they have someone who transfers them on a regular basis, I’m going to have that person transfer them for me.”

Barbara Crume, PT, ATP, a seating & mobility clinic specialist at CarePartners Health Services in Asheville, N.C., also does what she can to minimize the risk of fractures, and that means not giving a manual muscle test.

“I will look at them functionally, what they can do, but I won’t give resistance to their movement,” she says, because of the risk of fracture.

A Case for Manual or Power

Choosing manual or power chairs often depends on the type of OI and the goals for each client. The environment also plays a deciding role.

Crume cites a case of a 2-year-old with type 3 OI who was a prime candidate for a power chair because he already had fractures in his arms.

“I was very concerned for him to even push a manual chair,” Crume says. In addition, the child had some discomfort in his pelvis.

“I thought if we could do a little power chair with tilt he could stay in the chair and tilt back off his bottom and be more comfortable throughout the day,” Crume says. “But I couldn’t do power because (the family) had no means to transport it, and in North Carolina, Medicaid will not cover the cost of a power chair if the family can’t transport the power chair.”

Instead, Crume recommended an ultralightweight, rigid manual chair.

For Monger, the clients who have wanted manual chairs have been very clear about their expectations.

“They don’t always want it to be very light because they don’t want it to feel like it can turn or flip,” she says. “They often actually want a little bit of a heavier chair.”

Even when prescribing power chairs, Crume asks very specific questions about transferring. For example, she recommended a power base with a power seat elevator for a child with type 1 OI who was starting to get fractures in his upper extremities and clavicle. However, the family did not have him use this chair.

“They weren’t able to transfer him the way they were used to transferring him,” Crume says. “This was an unusual case — it turns out the way the dad had to pick him up from behind to support the child’s spine against his own trunk, he could not do it now in the power chair because the back came up too high.”

So when the child was eligible for a new chair, Crume recommended a folding cross-frame power chair. The back post had a hinge so that the frame could fold down.

“It looked like a manual chair but with motors,” she explains. “The dad could release that hinge, fold it down and lift his son up that way.”

Sometimes, however, the case of OI is so severe that a power chair is really the only option.

Kittelson-Aldred has a client who is classified as either a severe type 3 or a type 2 who somehow survived. The girl has no head control and cannot sit up by herself.

“She has a power chair with everything: manual recline, tilt in space, a seat elevator. Her chair can do practically everything but talk because that’s what she needs,” Kittelson-Aldred says.

Making the Right Equipment Choices

When it comes to making equipment choices, there are three important considerations: comfortable seating and positioning, safe transferring and good suspension.

In terms of seating, Monger says that generally people with OI have good core strength, including trunk and head control. So she focuses on client comfort when it comes to seating needs.

Unfortunately, “There’s this precarious balance between them being able to slide on and off the cushion independently and having a cushion that’s soft enough for them to feel comfortable and to have pressure relief,” Monger says.

Power tilt is a good option to bridge this gap by providing a safe transferring surface as well as the comfort and pressure relief the client needs.

Wider and shorter seat depths are another variable for people with OI, Crume says. In one case, Crume positioned a boy with his legs fully out in front and the seat short with his knees bent.

“This gave him a lot more stability and balance to let him long sit in the seat,” she says.

Sometimes Crume even recommends a pediatric seating system on an adult power base because the depth is shorter.

“Adult seats usually start at 16" deep, and these guys might only need 14" deep,” she explains.

For children, the power seat-to-floor option, as found on chairs such as Permobil’s K450MX, are invaluable, especially for preschool-age kids.

“They can get down to the floor, get out of the chair themselves, scoot around on the floor, (have) story time on the floor, whatever, and then get back in by themselves without a caregiver having to pick them up,” Crume says.

This option also raises the chair to help children transfer at varying heights, Monger says.

Because the simple act of touching can cause fractures, minimizing bumping and jarring in a chair is imperative when building a mobility system.

Crume always recommends pneumatic tires to reduce the risk of hairline fractures.

“Most children and their families don’t really keep up with keeping air in the tires, so we usually recommend airless inserts and thus we really stress to these families that it’s very important that you keep the air in the tires. It gives them that suspension,” Crume says. “And we can often recommend Frog Legs [suspension components] on the casters also to help with going over thresholds and reducing impact there too to the front of the chair.”

Monger decides which shock-absorbing components to include by considering whether the chair is manual or power and if the client will self-propel or be pushed. She says shock-absorbing components are more necessary for manual chairs when someone else is pushing. In this situation, the child might encounter more challenging terrain.

“But if they’re a limited self-propeller, they’re probably not going to be going over a lot of the lumps and bumps because they can’t usually do it,” Monger says.

Many of today’s power chairs have good suspension systems built in, so shock-absorbing components are less of an issue.

In addition, an air-filled seating system can help reduce the risk of fractures. Kittelson-Aldred actually designed such a system for her client with type 3 OI.

“We actually created a fairly wide backrest for her that has gentle curves, and we lined it with ROHO cells, air-filled cells that can be inflated or deflated by her parents if they deem necessary,” Kittelson-Aldred says.

This particular system enabled the parents to deflate the air cells to give their daughter some freedom, yet have the option of filling the air cells to build in some protection or to support her when she was in pain or fractured.

Challenges Ahead

Even with the best mobility system, OI has one inherently unavoidable outcome: “They’re going to fracture,” Monger says.

Therefore, mobility equipment needs to help minimize the possibility of fractures and retain some flexibility to accommodate fractures when they do happen, Monger concludes.

The system must allow a leg or arm to be in a different position if it’s in a cast, and “That’s a tough one, especially for those who really, really want to use manual chairs,” Monger says.

Kittelson-Aldred says when someone is in a cast, power tilt can help adjust the client’s orientation, and an infl atable air cell seating system can provide support.

Another thing to consider is how treatment might affect physiological changes down the road. For example, Crume has one client whose long bones had all been rodded, but she later developed a pelvic obliquity and scoliosis.

“It’s a change of condition due to the OI over the years,” Crume says. “So we modified her seating to accommodate and provide pressure distribution for her asymmetries.”

Growth, even though minor, might also affect the mobility system. Monger says for those using power chairs, building in growability is not as much of an issue because she typically puts these children in a bigger base for protection anyway. But it’s a diff erent story for children self-propelling manual chairs.

“If someone is using a performance manual chair that they have to push themselves, the last thing I’m going to do to anybody who is trying to get their arms up on a wheel to self-propel is build it too big because they won’t be able to use it until they grow to that size,” she says. “If it’s a true performance chair that they’re going to try to self-propel, it needs to fit them now.”

Kittelson-Aldred says there is one important difference for building in growability for children with OI:

“I think the thing for kids who have OI is that they’re probably going to tend to not outgrow things as quickly because they’re not going to be as big,” she says.

Despite these challenges, an OI diagnosis is no different from other mobility conditions.

“People overcomplicate things sometimes,” Monger says. “It’s really not that complicated. It’s really all about what everybody else in the world who experiences challenges with mobility needs; they want and need to be as independent as possible and as active as possible in their world.”

OI and Viking Lore

Osteogenesis Imperfecta and the VikingsHistorians believe that Viking Prince Ivan the Boneless might have had osteogenesis imperfecta. He was carried into battle on a shield because he had difficulty walking on his soft legs, according to the OI Foundation Web site.

Search for a Cure

Although OI currently has no cure, research to improve the quality of life for people with this condition is ongoing. Mary Beth Huber, with the OI Foundation, points out the following areas of study:

  • Uncovering details about genetic causes and bone formation.
  • Identifying new targets for treatment, especially drugs.
  • Testing bone-building drugs currently used to treat osteoporosis.
  • Researching stem cell therapies.
  • Learning more about variables in how people with OI walk, including gait analysis laboratories.
  • Examining how OI changes during adulthood via longitudinal natural history studies.

“I think what we’re excited about is that there are initiatives going on in all of these now. It’s not just looking at fracture prevention; it’s not just looking at the genetics,” Huber says.

This article originally appeared in the July 2013 issue of Mobility Management.

Mobility Management Podcast


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Monthly Archives: September 2019

September 26, 2019
Elisa Freeman

Errath & Haslam Named 2020 MREIF Co-Chairs

Revista is thrilled to announce that Andrew Haslam, Chief Asset Officer for Providence St. Joseph’s Health System and Tom Errath, Director for Harrison Street Real Estate Capital will co-chair the 2020 Revista Medical Real Estate Investment Forum.
September 26, 2019
John B. Mugford

Healthcare Realty Trust is Finding MOB Acquisition Opportunities to its Liking

The country’s healthcare-focused REITs have always been, and are likely to continue to be, an important investor group in the medical office building (MOB) acquisitions sector.
September 26, 2019
Hilda Martin

2019 Continues with Flurry of Hospital Deliveries

While MOB transaction activity might have cooled somewhat and MOB construction remains steady, deliveries of hospital projects have been on a spike. Based on projects that have either opened or are scheduled to open by the end of the year, we will be adding roughly 35 million square feet to inventory in 2019.


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August 19, 2020
Hilda Martin

Metro Highlight – Phoenix

Phoenix is an investor favorite for sure. While nationwide roughly 65% of medical office space is user owned, in Phoenix only 30% is user owned. A whopping 70% of inventory in the market is owned by investors. A significant driver of this is how incredibly fast Phoenix is growing. In 2019 Phoenix edged out Boston as the 10th largest metro area in the country. The market is 3rd for 10 year numeric growth and Maricopa county has been the fastest growing county in the entire US for 3 years running. Whew!

According to Trisha Talbot, Managing Director at Newmark Knight Frank in Arizona, “Phoenix’s phenomenal rate of growth is a tremendous factor in the resilience of medical office assets in the market.  The valley also has a significant 65 and over population that require additional healthcare spending on services and procedures.”

Developers and providers are very active in delivering the needed services and space to this growing population – Phoenix is 3rd only behind New York and Chicago for total medical office construction currently under way. These projects are either self developed by the provider or largely pre-leased when developed by a third party, so most of the deliveries tend to be absorbed upon opening.

It wouldn’t be fair to talk about any market without discussing the effects of the pandemic. In addition to the virtually nationwide shutdown in early spring, Phoenix had to deal with a significant spike in COVID cases in June. Since then cases have come down and seem to remain under control. Throughout all of this, occupancy has remained steady. Phoenix is exhibiting this stability in sync with the national trends and can be attributed to lack of turnover and systems even taking on more space. In addition to new space being absorbed, providers are almost all renewing their leases. In fact, nationwide in the Revista Fundamentals report, tenant retention is at an all time high in the second quarter as far back as the report tracks ~2009.

Want to learn more about your market? Subscribe to Revista!


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On Complete Streets

29 Jun

Omaha’s Complete Streets Policy will go before the Planning Board on Wednesday July 1 and, assuming it passes, will find its way to the City Council for its first of three readings on July 28. Four Mode Shift Omaha board members served as stakeholders throughout the process, and we’re generally pretty happy with where everything stands.

Here’s our quick take:

This policy doesn’t require anything. It’s not an ordinance. It’s not a change in code. It doesn’t have much for teeth. BUT, it could lay the foundation for something good. Ultimately, it all depends on how it’s implemented.

The next steps in the process are really critical. Namely the creation of Street Design Guidelines, which hopefully include a detailed section on implementation, are the most important aspect of the entire process. The Guidelines should get down into the details of what it means for a street to be “complete” in certain contexts and transects. Treatments will need to vary based on each street’s typology, and the Guidelines should be built to ensure the treatments are good.

The policy specifically references design manuals from the National Association of City Transportation Officials (NACTO) and the Institute of Transportation Engineers (ITE) as models, which is promising. They are both great and form the basis for many cities’ successful Complete Streets programs. For example, Chicago’s guidelines list priorities between the modes for each type of street based on context and purpose. Pedestrians are nearly always listed first, which makes a lot of sense to us.

The proposed policy also makes the case for adequate staffing in Public Works to handle multimodal issues. We couldn’t agree more and hope that means they will be able/willing to hire someone who knows the ins and outs of this work like the back of their hand.

One concern within the policy is the latitude provided for exceptions to occur and the limited transparency around reporting on those exceptions. While these aren’t ideal, we don’t believe it’s worth throwing the baby out with the bath water.

The main questions: how will these new guidelines actually affect the design and construction of our city’s streets? How will these guidelines work with land use controls to create places where driving isn’t the default means of getting around? Will there be a dedicated funding stream for non-motorized transportation projects? These questions will be answered in the next phases of this project: development of guidelines and actual implementation. And, to be successful, the forthcoming process and its outcomes need commitment from Public Works and the Mayor. So far it looks like they’re committed.

3 Responses to “On Complete Streets”

  1. provomaha June 29, 2015 at 3:11 pm #

    Having read the policy, I have a couple of questions. First, on page two, item 5 under exceptions states an exception could be granted if cost outweighs probable use. How will probable use be determined? Then how will that possibly non-monetary value be compared to the monetary cost?

    My second concern is one of transparency. On page 7, under reporting, I see no requirement for public availability of the reports. Will they be readily open for public review, particularly the quarterly reports to the committee?

    • modeshiftomaha June 30, 2015 at 11:45 am #

      Regarding the first point, it is also a concern of ours, but we’re hoping the details of that point can be better ironed out in the next phase. It’s quite honestly not possible to remove all ambiguity from a policy document like this. Ultimately, we won’t know if that is an exception that will be overused until the policy is implemented. If it is, we’ll have to address it then.

      On the second point, the exceptions reports are supposed to be made available to the public through the City’s website, and the annual reports to City Council will presumably appear in the council packets available online.

  2. cyndonna tefft June 29, 2015 at 7:22 pm #

    Thank-you for all the work you are doing the make Omaha a city more easy to navigate by all modes of transportation.

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to Mohel Training

“KORAYT HABRIT” – Establishing the Covenant
A comprehensive surgical training program for physicians becoming mohelim.

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Many communities in North America and around the world have a shortage of trained mohelim to perform the mitzvah of Brit Milah, ritual circumcision.
The older generation of mohelim is retiring and few are replacing them to meet the needs of the community.

Our program delivers surgical training for medical doctors wishing to become mohels.

Training is hands-on under the close guidance of Dr. Neil Pollock, one of the foremost circumcision experts in the world.

“I had the opportunity to take Dr. Pollock’s course.

I was impressed with his medical techniques as well as the personal care he takes with his students, patients and their parents.

I heartily recommend the Pollock course to anyone considering becoming a Mohel or to any Mohel who wants to refine his technique. This is certainly the course to take.”

– Jerome Kosoy, M.D.

Surgical Training for Physicians Becoming Mohelim

To qualify as a mohel one needs to be proficient in two key areas:

Religious training. This includes all the Halacha (laws governing circumcision) as well as training in carrying out a beautiful and meaningful ceremony.

Surgical training. This means being meticulously trained in carrying out a safe, painless and virtually bloodless circumcision. It is equally as important to be educated in recognizing anatomical anomalies that will obviate a circumcision and to be proficient and skilled in recognizing and treating post-operative complications.

Our Program – Hands-On Circumcision Course

Dr. Neil Pollock of Vancouver, British Columbia, has created the most comprehensive mohel training course focused on the surgical training required to perform the mitzah with safety and elegance.

Course participants will study at Dr. Pollock’s clinics in Vancouver, where he has developed a program including the provision of a detailed manual, and hands on experience operating on models, followed by patient exposure.

Doctors who participate in the program will perform up to 100 infant circumcisions during the initial training period, and will have the opportunity to do more during a second round of procedures at Pollock Clinics.

Highly Qualified
Circumcision Trainer

Dr. Pollock is Medical Director of The Pollock Clinics, which specialize in the provision of infant circumcision. Dr. Pollock is well known internationally for his pioneering efforts and research into creating a safe and painless circumcision technique for infants. He has personally performed over 35,000 circumcisions to date.

Dr. Pollock has completed the Brit Kodesh mohel training program sponsored by the Rabbinical Assembly and the Jewish Theological Seminary of America, the center of Conservative Judaism.

This is a wonderful mitzvah to teach and especially to do. To bring a newborn child into the Covenant of Abraham, as Jews have done for generations, is a true joy for any mohel.” Dr. Pollock stated that, “It has been a true privilege and pleasure to train physicians to become practicing mohelim. There can be no substitute for a rigorous and detailed surgical training program provided by a qualified and experienced clinician for any would-be mohel.

Key Benefits of Our Program

Direct instruction from a world-class circumcision expert

Dr. Neil Pollock is one of the most experienced circumcision providers. His virtually painless methods are recognized and implemented around the world.

Perform 100 or more circumcisions under close supervision

The high volume of procedures performed at Pollock Clinics affords a unique opportunity to perform dozens of procedures daily during your training period.

Ongoing support and training with direct access to Dr. Pollock

Come back for a refresher course or advanced training. Call Dr. Pollock anytime after your course with questions or for a professional consultation.

Next Steps

Please get in touch to discuss potential next steps toward circumcision training and becoming a Mohel.


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Heidi-Klum most dangerous celebrity on the internetPhoto by Doctor Hyde on Flickr.

The Internet Security Company, McAfee, named the famous German supermodel as this year’s most dangerous celebrity in cyberspace. Apparently, if you Google her name you have almost a 10% chance of landing on a malicious site. On the second place came Cameron Diaz, who was last year’s most dangerous celebrity and on third, the British talk-show host, Piers Morgan, who’s also the most dangerous male celebrity.

Mila-Kunis most dangerous celebrity on the internetPhoto by Nick Slide on Flickr.

On forth came Jessica Biel and Katherine Heigl rounded up the top five. Next on the list there are also Friends With BenefitsMila Kunis, True Blood’s Anna Paquin, supermodel Adriana Lima, and actors Brad Pitt, Emma Stone and Rachel McAdams.

Justin-Bieber most dangerous celebrity on the internetPhoto by jake.auzzie on Flickr.

This is the fifth annual list that McAfee published and this year the most famous music and sport’s stars were much lower on the list then previous years. Not even the Bieber Fever wasn’t that contagious for the cybercriminals, since Justin Bieber only came on the 49th place. Despite the craziness surrounding Charlie Sheen the past months, he turned out to be one of the safest celebrities on the Internet ranking on the 59th place, with a risk of less than 3 percents.

What do you think about this list? Did you ever find more than you bargained for when searching for a celebrity? Let us know in the comment section below.


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Holiday, Kitchen Fun, Theme Nights, Working Mom

How to Make an Adorable, Simple Valentine’s Day Brunch

Valentine’s day is approaching and my tinies are already in the swing of the season.  Since they are already thinking in shades of pink and red, I decided to treat them to a little Valentine’s brunch this past weekend.

I don’t know what it is about making something they commonly already like into a fun shape that makes them so happy, but it seems to work every time.

This brunch was super simple to make, and works up quite quickly.  I served heart shaped French toast bites, heart shaped bacon, and garnished it with chocolate covered strawberry hearts.  Super easy!

Use your favorite French toast recipe.  I didn’t have any milk this time, so I used coconut milk.  It worked wonderfully in both the bake and the regular French toast recipes!  If you are lactose intolerant, have no fear, coconut milk to the rescue!

I mix two to three eggs with about 2 cups of milk, 2 tablespoons of vanilla, and 1 tablespoon each nutmeg and cinnamon.  Give it a good whisk and you have your basic batter for the toast.  I cut adorable hearts from a loaf of sliced brioche for my base and simply dipped and griddled until they were golden.

I couldn’t bare to waste all of the bits of bread that were not used in my toast bites, so I shredded them and put them aside.  Once I finished the hearts for the tinies, I mixed the bread bits into the left over batter, added a few pecans and chocolate chips and baked in heart shaped ramekins at 350 degrees for approximately 25 minutes.

These were for myself and Papa Bear – well, they were supposed to be – the largest of the tiny ones zeroed in on the chocolate chips pretty quickly and claimed one for herself.  This mixture can be put in a well oiled dish and frozen to use within 3 months – be sure to freeze it uncooked and cook when you thaw – super easy if you have a holiday or company coming soon.

The heart shaped bacon was also super easy.  Simply fold the bacon into a semi pretzel shape and bake at 400 degrees for 20 minutes.  This is the easiest way to cook bacon, once you bake it, you will never go back to pan frying again!  No popping, no dripping, no burns!

The chocolate covered strawberries were also super easy – as a matter of fact, I made them the night before and let them sit overnight in the fridge to set.  Simply top and halve your strawberries, skewer them into shape with a toothpick, and dip in chocolate.  You may want to use a cotton dish cloth to blot the moisture from the cut sides of the strawberry before dipping as chocolate and water are not friends (the chocolate will not stick).

Simply plate with a dish of syrup for the toast and you have a perfect and simple Valentine’s brunch that will please the pickiest of eaters.

If you prefer a full dinner style theme night – never fear, click here! Or for a more kid friendly meal, check out this Lady and the Tramp theme night – completely with heart shaped meatballs! So fun!

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Recipes and Family History

One of the better pivots I witnessed in the past 15-plus months is new podcasts that popped up as a result. I mean, who didn't relish every minute of Home Cooking that Samin Nosrat and Hrishi Hirway dreamed up? Another favorite was Travel Tales that AFAR magazine put together. Rather [...]

2021-07-07T22:25:22+00:00July 7th, 2021|Family and Friends, Recipe Wednesday|

Food in These Unsettling Times

It’s hard to know what words, what perspective to even begin with here. We’re experiencing something so disorienting, so unsettling, so turning-our-world-upside-down, so downright frightening. So truly universal in scope. The emotions, worries, roller-coaster of it all is pretty overwhelming. But there’s food. Food has of course LONG been a [...]

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My Travel Bug

A friend nailed it in a recent email, lamenting how hard it is to coordinate our work schedules to plan a group trip... "Why can't we all just be independently wealthy and travel the world at our leisure?" Yes! Why not, indeed. It's almost enough to make me buy a [...]

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The Gift of Experience

As a culture we've gotten incredibly good at accumulating things. Buying things that we need. Things that we don't need. Replacing things with new things because we get bored. Buying shiny-pretty-ooooh-gotta-have-it things just because. And then trying to figure out where to put it all. So then, what are we [...]

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DSEI 2021: Hensoldt Launches QUADOME Radar

3D Multi-Mission Naval Surveillance Sensor

Hensoldt launched the newly-developed QUADOME 3D radar system for naval surveillance and target acquisition at DSEI last week.

Featuring the latest technology, the multi-mission QUADOME provides rapid response and high precision, at an excellent price-performance ratio. It modernises one of the company’s key radar product lines and further enhances the group’s extensive radar portfolio. “QUADOME builds on the reputation and track record of Hensoldt’s naval tactical radar family, which has been very successful and has sold over 100 units over a 25-year timespan,” says Peter Schlote, Head of the Radar and Naval Solutions Division.

This innovative dual-mode, multi-mission surveillance radar will provide naval forces and maritime security authorities with unprecedented situational awareness and enable extremely short reaction times. Fast detection and tracking of small, slow and fast targets offers a reliable and stable air picture, with fast track initiation to support longer effector keep-out range. The new-generation radar features the latest gallium nitride (GaN)-based active electronically steered antenna (AESA) technology, and is software-defined, thus being a future-proof solution with an extended operational lifetime.

QUADOME features two main operational modes to simplify operator interaction and to reduce operator workload. Surveillance mode is used for general surface and air surveillance, while the self-defence mode is employed for high-threat situations and target engagement, with helicopter support continuously available in either mode.

The system is aimed at the global market for tactical naval radar systems, mainly targeting offshore patrol vessels (OPVs), corvettes, light frigates and support vessels. Because of its compact size, relatively low mass and excellent price-performance ratio, QUADOME brings 3D air surveillance and air defence capabilities to vessels that that may otherwise only feature a 2D target detection capability.

Designed for the modern operational needs of the naval domain, QUADOME offers robust capabilities for the detection and tracking of small surface targets and accurate 3D tracking of small, low-flying, fast-moving air targets, ensuring effective threat evaluation, weapon assignment and a longer effector ‘keep-out’ range due to fast-track initiation. “QUADOME operates in C-Band for operationally advantageous reasons, offering the best compromise for small- and medium-sized vessels demanding a high-performance,” explained Ryszard Bil, Head of Portfolio Development and Technical Director for Hensoldt’s Radar and Naval Solutions Division.

Operators will benefit from lower life-cycle costs, reduced user-effort due to lower workloads, training and skills and comprehensive modern support concepts. The lifespan of the product is also significantly extended with new-generation, future-proof technology that offers the ability to add new features as new threats emerge, using the software-defined architecture. “QUADOME is the culmination of Hensoldt’s significant international footprint and global spectrum of expertise,” observed Russell Gould, Head of International Business Development. With the unique advantage of over 50 years’ radar innovation in Germany, the UK and South Africa, Hensoldt is a truly global leader in the radar market.

The C-band QUADOME offers 3D multi-mission capability and is primarily aimed at frigate-sized vessels and OPVs. (Image via Hensoldt)

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Monday, October 25, 2021

Great Tips For Winning In Football Betting

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Monday, October 25, 2021

Personal Unsecured Loan Without Getting A Increase Payment Along With An Escrow Account – Will You Be Outrageous?

the full report thinking behind home improvement, remodeling, or remodel is essentially identical to the expression signifies. Do-it-yourself in essence necessitates the repair or development of any section of your residence, like but isn’t on a locations, porches, porches or outside patio’s. Do it yourself occasionally includes assignments that update a current home composition, boost its aesthetics, produce a much better atmosphere for living or add additional living quarters. Reconstruction however, is essentially putting new ingredients with a dwelling construction. In any case, either redesigning and residential remodeling are required to get a owner of a house to within his/her dwelling for a long time. Additionally, they add to the monatary amount of a property with the help of importance towards the resale cost.

Burglar alarm systems can even be thought of as forms of home improvement. It is because techniques tend to be mounted which keeps property owners resistant to shoot risks. Legally to have with the Country wide Flame Safeguard Organization orNFPA showed that 600 thousand dollars is used each and every year on that will fire in america on your own. With such a income being chucked into hearth alarms along with safe practices equipment, it is no wonder that burglar alarm systems became a billion dollars business. This companies are so significant that it has spawned many different types of alarm systems in the fundamental home alarm systems to classy programs that contain quite a few functions. Inspite of all the different options there for customers, most owners continue to select simple burglar alarm systems with basic still successful attributes.

One of the most main reasons home based enhancement and remodelling could be the full report designing as well as the preparation in the area or area getting refurbished or built. This involves the review of the requirements of the consumer and design for the bedroom or space. A residence development professional by way of example, would only will deliver that’s essential to have a specific room purposeful, and also visually attracting your customer. He’d only decide to set up cabinets or completing units that meet up with the company’s requires. These types of everything’s not very costly to obtain and so are easy enough to install by your self.

A further popular good reason why a lot of people engage in home improvement andAndor remodeling initiatives is they want more space for storing, quite often. As everyone knows, the current households are overflowing with various merchandise, most of which are usually not permanent fixtures at home, but alternatively temporary self storage right up until they become a little more vital and lasting accessories. Among this can be a lately bought laptop or computer, that is expensive and needs to be kept in a good pantry until finally it becomes more vital. If these types of dwelling enhancement and reconstruction projects are handled by an effective home improvement builder, then this is averted, because the work will be performed proficiently and effectively, as well as the client can get the best from his dollars.

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As a final point, redesigning trades-people have contacts that you could get in touch with – a number of them might even be accessible to be removed to your residence unannounced, if you ever desire, although in either case, the job will ask you to apply energy and follow up to obtain your primary goal. With the advantages of ease, you are able to plan a finding any of these companies during the night or each time it truly is handiest for you personally. And in case you do not like the possibilities of having strangers at your house as you are carrying out a property reconstruction or upgrading project, these kind of trades-people will also be acquainted with coping with these types of circumstances by themselves and is pleased to keep up any devices for you personally, together with choosing a remodeling company that is licensed and capable of singing the species of function you’d like carried out.

These benefits already mentioned are perfect, but there’s another that should be stated. That is certainly that diy projects ordinarily include even larger pitfalls and costs, since you’ll modernize and repair something. The correct answer is actually possible to make redecorating lending options without having many desire. That’s what’s promising. In truth, several personal loans and residential enhancement lending options are offered at quite low interest rates, specifically for significant projects. As outlined by your program, should you prefer a big home improvement venture however are not in a big hurry for getting one particular executed, you can consider your home advancement financial loan using a long time to repay, so the full report total price will likely be distribute on the long time.

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Five Money Scams to Watch Out for on Craigslist Appleton

Craigslist is a popular online resource that many people use to advertise various items that they have for sale or trade. It’s also commonly used to list homes for sale or rent as well as to provide job opportunities. There are many satisfied customers who make successful deals that they are pleased with, but as with any good thing, there are those who are not honest. Scammers are making their appearance on the site and have already stolen thousands of dollars from unsuspecting victims of bogus ads. You have to stay on your guard when dealing with people that you don’t know. Here are five money scams to watch out for on Craigslist Appleton.

1. Craigslist Appleton rental scam

An Appleton Woman was surprised when people showed up to look at her home and disclosed that it had been listed on Craigslist as a rental home. She had not placed the ad, which asked for a price that was well below the going rate in the area. The rent in the phony advertisement also included utilities. There was a picture of the home and pertinent details including the address of the home. The fake landlord was asking for a $500 deposit on the place to be sent Western Union. These con artists are after the money along with the personal information of the victims who are instructed to complete a rental application prior. They offer to mail a set of keys after the money is received.

2. One Girl Painting Craigslist scam

There have been seven complaints filed against the One Girl Painting Company in Appleton, Wisconsin. The ad lists painting services for hire by a contractor in the area. Several people have reported that they responded to the ad and paid the money in advance for painting jobs to be completed on their homes. The person who is supposed to do the work would answer the phone and give excuses for not coming at the scheduled times, next the scammer stopped responding to all texts and calls. Money for paint and services was paid in advance of the work and the victims who trusted the woman were out the money they fronted.

3. Nanny Scam in Appleton

A scammer named Michael Kelly is luring victims into his scam by running a nanny scam. Unsuspecting women are instructed to purchase brand new toys and other items they will need when caring for their new charges, and they are sent a fake check, which the banks cash. They purchase the requested supplies and mails them to the scammer within a specified time frame. They soon learn that the check was bogus and they are required to pay back the money or they will face criminal charges. They never hear from the scammer again and they are simply out the money that they spent for the so-called nanny supplies.

4. Fishing lure scam

A Wisconsin man scammed investors by telling them that they will get rich by putting money into a fishing lure company. The con man told his victims that Screamline Lures was expected to bring in $100,000 per month in sales and he went so far as to post pictures of the manufacturing plant. As it turned out, Andrew Reyent had taken more than $350,000 of investment money from people on Craigslist and other sites who were duped by his investment pitch. When investors saw no results they questioned him about it. He would make up excuses to keep them at bay, but eventually, they caught on to him.

5. Fraudulent Auto Seller network

A man who advertised his 2007 Ford Mustang for sale on Craigslist received a response to his ad, asking if the car was still available. He said that it was and the man introduced himself, going by the name of Kevin Dodge and he said that he worked as a Rep for the Auto Seller network which was alleged to be a Walmart affiliate. He asked a series of questions about the car then told the seller that their company could sell the car in roughly two weeks and he wouldn’t be required to do anything other than put down a deposit of $499.99. They would refinance the car and if the car didn’t sell, he would get $400 of the money back and they would keep the rest as insurance. The man said that he could keep the car in his possession until it sold and the buyer wrote him a check. They said that when it cleared his bank he would release the car. He went for the deal and used his credit card to pay. The company took the $400, plus the $99,99. They had promised to send him an email that included a confirmation number but they never did. When he tried to have the charges stopped, he was unable to.

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The starting stage of a marriage is very thrilling. In Orthodox Jewish weddings, the bride doesn’t communicate under the chuppah and solely she receives a hoop. The groom recites “Harei at mekudeshet li ok’dat Moshe V’Yisrael”- “behold you are thus sanctified to me by the law of Moses and Israel” as he locations the ring on the bride’s proper index finger. The bride’s silence and acceptance of the ring signify her agreement to the marriage. This part of the ceremony known as kiddushin The groom’s giving an object of value to the bride is important for the wedding to be legitimate.

I want you both (turn towards the bride and groom) the most effective of luck, health, and a cheerful life collectively. May all your desires come true. I know you both will accomplish whatever you set your minds to. Your love for each other is clear. Might it develop stronger daily. Let’s all congratulate Amy and Robert (carry your glass, everybody else will follow go well with and raise their glasses too, take a drink) on their marriage. Thanks (and have a seat, your speech is done).

Elopement is the act of getting married, typically unexpectedly, without inviting company to the marriage. In some cases, a small group of family or pals may be present, while in others, the engaged couple could marry without the consent or knowledge of fogeys or others. While the couple might or is probably not broadly identified to be engaged previous to the elopement, the wedding itself is generally a surprise to those that are later informed of its occurrence. My friends and family nonetheless love these popcorns by Thatcher’s connoisseur popcorn. Thank you, Abe.

The function of the ushers is equally essential after the ceremony is completed. The ushers help escort or direct the guests out of the church starting with the entrance pews and dealing their method back. As soon as the happy couple have left for the reception venue, the ushers can calm down, benefit from the reception and the remainder of day. The wedding ceremony is commonly followed by wedding reception or a marriage breakfast , by which the rituals might include speeches from the groom, finest man, father of the bride and possibly the bride, eight the newlyweds’ first dance as a pair, and the reducing of a chic marriage ceremony cake In recent years traditions has modified to include a father-daughter dance for the bride and her father, and generally also a mother-son dance for the groom and his mother.

In the event you prefer to have a whole spiritual conventional wedding ceremony, the priest will read out the vows for you. It’s good to follow it by the words I DOâ€. Each vow is not only a sentence learn out however is actually a promise you make to the one you love in entrance of the Lord and likewise follow it for the remainder of your life. After the wedding, you’ll also wish to thank your company for his or her love and assist in ways that may warm their hearts. Send them considerate thank you cards, and choose from one-of-a-variety bridal party gifts to thank your bridesmaids and groomsmen for being by your facet from the start.


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How To Choose E Cigarette

Vape Mods

Marketing materials of e-cigarettes cannot make claims that their product exposes users to fewer toxins or reduces harm except the FDA grants an order permitting such claims. In September 2019, the FDA sent JUUL a warning letter cautioning in opposition to unauthorized cessation claims and questioning recent advertising practices that appeared to be focused to youth. As of Aug. 28, 2019, 220 localities had prohibited the sale of flavored tobacco products, together with flavored e-cigarettes. These include Berkeley, Oakland, Sacramento and San Francisco, California; Aspen, Colorado; Chicago, Illinois; Boston, Massachusetts; Minneapolis and St. Paul, Minnesota; and Providence, Rhode Island. However, a large majority of the U.S. inhabitants — greater than ninety% — just isn’t covered by such restrictions. However, this request for comment is not a guarantee of company motion on this issue and no further rule-making motion on flavors has been taken or announced by the FDA as of this writing. In March 2018, a gaggle of public health organizations, together with Truth Initiative, sued the FDA for unlawfully delaying the implementation of the deeming rule.

  • It requires the purchaser for e-cigarettes to be a minimum of 18 and doesn’t permit buying them for anyone less than 18 years of age.
  • Around half of e-cigarette firm websites have a minimum age notice that prohibited underage individuals from coming into.
  • The updated Tobacco Products Directive has been disputed by tobacco lobbyists whose companies could be impacted by these revisions.
  • The revised EU Tobacco Products Directive got here into impact in May 2016, offering stricter laws for e-cigarettes.
  • The ease to get previous the age verification system at e-cigarette firm websites allows underage people to access and be exposed to advertising.

And though most states prohibit the sale of e-cigarettes to individuals beneath the age of 18, increasingly more teenagers are utilizing them. In truth, current surveys2 present dramatic will increase annually within the variety of teens who’ve tried an e-cigarette in their lifetime, in addition to within the number who have used them up to now month. This is at a time when smoking tobacco cigarettes is at an all-time low among center and highschool college students. The FDA is now evaluating hundreds of such applications to sell e-cigarettes. In these applications and associated ads, the homeowners of e-cigarette brands claim that their merchandise assist people who smoke give up and may due to this fact be thought of “applicable for the safety of public well being,” as stipulated by law. But a brand new systematic evaluation by UC San Francisco researchers of the scientific literature on this matter places those claims to the check. VaporFi is a web-based hub coupled with brick and mortar locations serving the ever-rising and passionate vaping community.
Anecdotally, youth are reporting signs of severe dependence, similar to lack of ability to concentrate in school, utilizing an e-cigarette upon waking, and utilizing e-cigarettes at evening after waking with a craving. Some e-cigarette products ship nicotine as effectively as a cigarette. The use of nicotine salts additionally lowers the pH of e-liquids, which allows higher concentrations of nicotine to be delivered with much less irritation. For instance, the maker of JUUL claims the product has a nicotine content material like conventional cigarettes, and that it delivers the nicotine up to 2.7 occasions sooner than different e-cigarettes. As e-cigarette customers ourselves, we now have perfected the shortcomings that we perceived in different greatest e-cig manufacturers.

Yet another study affirms: e-cigarettes do not reduce the risk of smoking – Mental Daily

Yet another study affirms: e-cigarettes do not reduce the risk of smoking.

Posted: Sun, 20 Dec 2020 04:58:00 GMT [source]

The FDA seems to have accepted this timetable, although trade teams are still challenging the federal decide’s choice. However, when the agency finalized the deeming regulation, the FDA issued a “compliance policy” that would give e-cigarette manufacturers extra time to arrange these submissions and nonetheless permit the merchandise to be in the marketplace. In different words, every e-cigarette in the marketplace right nows illegal because it has not gone through an FDA evaluation, and is just allowed to be bought as a result of the FDA gave them a short lived pass. Among adults who used multiple tobacco product in 2017, the commonest combination was cigarettes and e-cigarettes. In addition to the rate of nicotine supply, the nicotine content of merchandise like JUUL additionally raises considerations about the potential for addiction. A 2018 Truth Initiative examine published in Tobacco Control found that amongst present youth and young adult JUUL users, the majority — sixty three% — did not know that the product at all times accommodates nicotine.

Electronic Cigarettes

Comprehensive Report on E-Cigarette Market 2021 | Size, Growth, Demand, Opportunities

The Debate About E Cigarette

Regulation of e-cigarettes varies across countries and states, starting from no regulation to banning them totally. For instance, e-cigarettes are unlawful in Japan, forcing the market to use heated tobacco products for cigarette alternatives. Others have launched strict restrictions and some have licensed gadgets as medicines such as in the UK.
Some countries have regulated e-cigarettes as a medical product despite the fact that they haven’t approved them as a smoking cessation aid. A 2014 evaluation acknowledged the rising phenomenon of e-cigarettes has raised considerations in the well being community, governments, and most of the people and recommended that e-cigarettes should be regulated to guard customers.

Congressional Ban On Mailing E-Cigarettes Appears To Cover Marijuana Vapes – Marijuana Moment

Congressional Ban On Mailing E-Cigarettes Appears To Cover Marijuana Vapes.

Posted: Tue, 22 Dec 2020 14:35:50 GMT [source]

Fin Electronic Vapor Cigarettes

Celebrity endorsements are used to encourage e-cigarette use. Cynthia Hallett of Americans for Non-Smokers’ Rights described the US promoting campaign as trying to “re-establish a norm that smoking is okay, that smoking is glamorous and acceptable”. University of Pennsylvania communications professor Joseph Cappella stated that the setting of the commercial close to an ocean was meant to counsel an association of unpolluted air with the nicotine product. In 2012 and 2013, e-cigarette companies advertised to a large tv viewers within the US which included 24 million youth. The channels to which e-cigarette advertising reached the biggest numbers of youth (ages 12–17) were AMC, Country Music Television, Comedy Central, WGN America, TV Land, and VH1. E-cigarettes containing nicotine have been listed as drug supply devices in numerous nations, and the advertising of such products has been restricted or placed on hold until security and efficacy medical trials are conclusive. Since they do not contain tobacco, television promoting within the US just isn’t restricted.
e cigarette
Because of the potential relationship with tobacco laws and medical drug policies, e-cigarette laws is being debated in lots of nations. The corporations that make e-cigarettes have been pushing for laws that assist their interests. In 2016 the US Department of Transportation banned using e-cigarettes on industrial flights. E-cigarettes create vapor that consists of fantastic and ultrafine particles of particulate matter, with the vast majority of particles in the ultrafine range. The vapor have been found to include propylene glycol, glycerin, nicotine, flavors, small amounts of toxicants, carcinogens, and heavy metals, in addition to metal nanoparticles, and other substances. Exactly what the vapor consists of varies in composition and concentration across and inside producers, and is determined by the contents of the liquid, the physical and electrical design of the device, and user behavior, amongst other elements. E-cigarette vapor probably accommodates harmful chemical compounds not present in tobacco smoke.

Youth E

However, as of February 2018, there isn’t any e-cigarette system that has been given a medical license that’s commercially offered or available by prescription in the UK. As of 2015, around two thirds of major nations have regulated e-cigarettes in some way.
A large number of smokers need to cut back hurt from smoking by using e-cigarettes. The argument for hurt reduction doesn’t keep in mind the opposed effects of nicotine.

What Is Juul?

This is known as “dual use.” The twin use of e-cigarettes and tobacco cigarettes can result in significant health dangers because smoking any quantity of normal cigarettes is very harmful. People shouldn’t use both products at the similar time and are strongly inspired to fully stop utilizing all tobacco merchandise. Electronic cigarettes, or e-cigarettes, are tobacco merchandise which have been bought within the U.S. for a couple of decade. They include e-pens, e-pipes, e-hookah, and e-cigars, recognized collectively as ENDS—electronic nicotine delivery methods. They’re additionally sometimes known as JUULs, “vapes” and “vape pens.” E-cigarettes are the most commonly used tobacco merchandise among youngsters—and it’s turn into an epidemic. While much remains to be determined in regards to the lasting health consequences of e-cigarettes, there’s evolving evidence about the health risks of e-cigarettes on the lungs—including irreversible lung harm and lung disease.

  • A 2015 meta-analysis on medical trials found that e-cigarettes containing nicotine are simpler than nicotine-free ones for quitting smoking.
  • E-cigarettes without nicotine might cut back tobacco cravings because of the smoking-associated bodily stimuli.
  • They in contrast their finding that nicotine-containing e-cigarettes helped 20% of people stop with the results from different research that found nicotine replacement merchandise helps 10% of individuals give up.
  • The benefits and the well being dangers of e-cigarettes are unsure, together with their long-term results.
  • A 2016 review found low quality proof of a pattern towards advantage of e-cigarettes with nicotine for smoking cessation.

The majority of toxic chemical substances present in cigarette smoke are absent in e-cigarette vapor. E-cigarette vapor accommodates decrease concentrations of potentially toxic chemicals than with cigarette smoke. Those that are current, are largely under 1% of the corresponding ranges permissible by office safety requirements. But office security requirements don’t recognize exposure to sure weak teams such as people with medical ailments, children, and infants who may be exposed to second-hand vapor. Concern exists that a number of the mainstream vapor exhaled by e-cigarette customers could also be inhaled by bystanders, particularly indoors.

Teen vaping epidemic: Smoking and e-cigarette use during Covid crisis – TODAY

Teen vaping epidemic: Smoking and e-cigarette use during Covid crisis.

Posted: Thu, 03 Dec 2020 08:00:00 GMT [source]

There cannot be a defensible cause for harm reduction in kids who’re vaping with a base of nicotine. Quitting smoking is essentially the most eﬀective technique to tobacco hurt discount. Because the youth e-cigarette epidemic in the United States and the youth appeal of flavored e-cigarettes go hand in hand, Truth Initiative strongly supports eradicating all flavored e-cigarettes from the market, regardless of device kind. At a minimal, an e-cigarette producer should present that the flavour itself is secure, helps smokers change utterly from flamable cigarettes, and doesn’t attract youth earlier than a product is allowed in the marketplace. In addition to taste restrictions, Truth Initiative supports sturdy laws to maintain all tobacco products, together with e-cigarettes, away from youth. Some individuals who smoke choose to use both cigarettes and e-cigarettes on the same time on an ongoing basis, whether or not they are trying to stop or not.

What Everyone Does What You Need To Do Different And When It Comes To Caliburn Pods

UWell market the Crown pod system as a MTL vape and half direct lung. Depending on which kind of pod you’re using and the way the airflow is adjusted can differ the vaping expertise. The 1.4Ω pods have been originally manufactured for the unique Uwell Caliburn, and are the same pods that include the caliburn package. They had been originally manufactured for and included with the Uwell Caliburn KoKo. They each work with either system, are equally priced, and hit similarly.
Bigger battery, more power, bigger juice capacity and adjustable airflow make the UWell Crown probably the most have pod vape for 2020. The draw is different compared to the Caliburn pods.
Each pod holds a maximum of 2mL of your favourite e-liquid and is available in both 1.2 ohm or 1.4 ohm resistance. The Caliburn pod options straightforward prime-fill design and organic Japanese cotton. Suitable for use with each freebase and salt nicotine. E-liquids, Atomizers, Tanks, Rebuildable products, batteries, chargers, mechanical mods, drip tips, coils or any other accessories on the system itself are NOT coated. For best results, swap out your pods every one to two weeks, relying in your vaping habits and the type of e-liquid that you use. Salt nicotine pods are suitable with this e-liquid.
A new atomizer means getting probably the most out of your vaping expertise. As atomizers degrade, your clouds and flavor will lessen. Mt Baker Vapor, the primary store for all of your vaping needs! We are devoted to giving you the easiest private vaporizer and electronic cigarette gear, be it vape juice, vape equipment, or vape hardware. We do enterprise with a focus on aggressive merchandise, impeccable shipping, and out-of-this-world customer service.
We started stocking the 1.2Ω instead if the opposite is out of inventory. The Uwell Caliburn Replacement Pods provides vapers an ultra-compact cartridge that can retailer 2mL vape juice of your favourite salt nicotine juice.

Device Brands

FDA Tells Uwell to Remove the Caliburn from the Market – Vaping360 News

FDA Tells Uwell to Remove the Caliburn from the Market.

Posted: Tue, 28 Apr 2020 07:00:00 GMT [source]

Uwell Caliburn Replacement Pods are a set of food-grade plastic pods. Coming with 2.0ml e juice capacity and 1.4ohm coil, the Uwell Caliburn pod is stoppered by a high cap drip tip. With a high filling system, vapers need to detach the drip tip to refill, decreasing e-liquid leakage to an excellent extent. The magnetic connection makes it straightforward to insert into the battery. The Caliburn pod is specifically designed to suit the Caliburn pod system by Uwell. The Caliburn substitute pods are available in a pack of 4.

Uwell Caliburn Pods 4 Pack

Atomizers are used to vaporize vape juice (e-liquid) in your tank. Atomizers are consumables as they degrade with use and must be changed. Higher resistance coils will last more however produce less vapor. Lower resistance atomizers will final a shorter time frame but produce more clouds. Temperature control atomizers (NI/ TI) are to be used solely with a temperature control gadget, in temperature management mode. Temperature management atomizers save battery and give vapers extra management over their vaping experience.
caliburn pods
These pods are available in a pack of 4 and have a 2ml e-liquid capacity. The vertical coil presents discreet cloud production and drag, improving the experience, and providing extra flavor. The pod is suitable with the Uwell Caliburn Kit as well as the Koko Pod Kit. Each refillable pod for the Caliburn Pod Kit and the Caliburn Koko Pod Kit from Uwell has a 2mL e-liquid capability with out there resistances of 1.four ohm and 1.2 ohm.

Central Illinois vape shops prepare for federal ban on some flavored vaping products – Herald


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Moore:Music ®

Witch Cross • BC Sweet • Gonads • Christie

Germany Double

Jeff and Kev

Jeff and Kev

A quick weekend away with CHRISTIE allowed me to hang out with a lot of old friends, who also happen to be part of Pop history.  We did 2 shows, in Eberswalde and Landsberg, and had a great time with T. Rex, Sailor, Middle of the Road, and Dozy, Beaky Mick & Tich. handling guitar duties for T.Rex was my great friend Graham Oliver of Saxon, and on the kit was the last drummer of the Bolan era, Paul Fenton, who also just so happened to be the Christie drummer from 1972-75!  Jeff and I were well pleased to see our old mates, and we got Paul up on stage at the first show to play “Yellow River” with us, the first time he’d done so for around 35 years!

It was also great to see Sailor stalwarts Phil, Henry and Grant, who has just returned to gigging after a nasty hand injury. These trips can be endurance tests, particularly with the flights and road trips, but the shows and the chance to spend time with friends more than makes up for that.

My next sojourn away will be in around 10 days, when BC Sweet descend on an unsuspecting Gronau, in Germany.

Kev Moore

August 5, 2009 - Posted by | Music, Rock, Touring, Writing | , , , , , , , , ,

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Bar Harbor & Acadia National Park
Just an hour north of our camp, the mountains meet the sea! Acadia National Park consists of over 47,000 acres and receives about 3 million visitors a year. This first national park east of the Mississippi boasts the highest point on the U.S. Atlantic coast, with Mt. Cadillac reaching 1,532 feet. You’ll find vast and varied landscapes of mountains, woodlands, lakes, ponds, and the ocean shore, plus Acadia’s famed stone bridges.
About half a dozen are easily accessible within an hour’s drive from our resort.

The ferry from Lincolnville to Islesboro Island, runs on the hour throughout the day (duration: 20 minutes). The ferry from Rockland to Vinalhaven Island runs about six times throughout the day (duration: 75 minutes). Several other islands are easily accessible from Rockland’s port, which is only 27 miles from Belfast.

The Belfast Museum, which is open June-October, displays historical objects such as postcards, photographs, and maps. Penobscot Marine Museum in Searsport, open from Memorial Day weekend to mid-October, features an historic overview of the once-popular local shipbuilding industry and the bustling port. Owls Head Transportation Museum in Owls Head, open everyday all year long, is home to a large display of antique aircraft, automobiles, motorcycles, bicycles, and much more. Several other nearby museums, such as Seal Cove Museum and Farnsworth Art Museum, include antique cars and art.
Antique/Craft Shopping
You’re sure to find a trinket or a treasure to take home from Midcoast Maine. Choose from literally dozens of shops, flea markets and art galleries.

Sea Kayaking
This ever-popular sport is widespread throughout the state. Local guides lead excursions ranging from 2-3 hours to all day…or launch your own excursion from our shoreline!

Hiking & Biking
Explore 30 miles of trails in Camden Hills State Park in Camden, over 50 miles of cycling trails in Acadia National Park, or easy afternoon hikes in nearby Moose Point State Park between Belfast and Searsport.  Or go back in time to when Maine was first discovered at the local Sears Island in Searsport.

Belfast City Park offers an outdoor swimming pool,
Lake St. George
offers a guarded swimming area in Liberty, Swan Lake in Swanville is a popular swimming hole… and of course there’s the chilly Atlantic Ocean for the brave of heart!

Fresh or ocean? Brook trout, lake trout, smallmouth bass, or flounder? We can point you in the right direction! We have brochures in the office if you want a deep sea or lobster excursion…or how about a local fly fishing class? The Outdoor Sportsman in Northport offers courses in casting, knots, fly selection, and more. They also can answer any question about fishing in the area, direct you to the best locations, or go along with you. Get your fishing license there as well!

Boating Excursions
Choose from several different sailing and windjammer cruises. There are also whale-watching expeditions originating from Bar Harbor, only 58 miles away.

Several nearby nine- and eighteen-hole courses offer everything from breathtaking coastal fairways to tree-studded countryside views. Northport Golf Club, Searsport Pines Golf Course, Bucksport Golf Club, Goose River Golf Course, Rockland Golf Club and Samoset Resort, to name a few…

A picturesque tourist town, Camden has great restaurants, shopping and an artsy feel… it’s definitely worth exploring! Drive south on Rt. 1 for about 20 miles and you’ll run right into it.

State Parks
Fort Knox State Park in Prospect is near our camp. It offers an educational overview of how and why it was built during the mid-19th century, to thwart a third British invasion that never came. While you’re in the area, enjoy the breathtaking view from the brand-new Penobscot Narrows Observatory, which opened to the public on May 21, 2007. Fort Point State Park in Stockton Springs has an adjacent lighthouse and 154 acres to explore.

Belfast’s Arts in the Park, in early- to mid-July, displays local color, local flavors, and Maine’s best artists. Surrounding communities such as Camden and Rockland have several festivals as well. You don’t want to miss Rockland’s Blues Festival in late July and its annual Lobster Festival in early August.

Explore the coastline of our camp, and then visit other beaches such as Lincolnville Beach and those in Acadia.Belfast Maskers
Enjoy a local live theatre performances in a former railroad depot on the waterfront in downtown Belfast.

Fine dining and casual atmospheres abound. Not sure what you’re looking for? Thumb through our local menu selection or just ask us!Tides, Weather and Local Knowledge
Click HERE.


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LadyDesireé3 LV.24 Rare Candy
Jan 13, 2021, 02:35 PM 16 read

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