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The purpose of this study is to evaluate the value of Quantiferon-TB Gold (QFT-G) assay in the screening for latent tuberculosis infection (LTBI) in rheumatologic patients due to start or on treatment with TNFα antagonists. The results of QFT-G will be compared to tuberculin skin testing (TST) and correlated to clinical and demographic data. The study hypothesis is that the inclusion of QTF-G in the screening strategy will allow a more accurate assessment of LTBI infection.
Treatment with TNFα antagonists is associated with an increased risk of active tuberculosis. Screening for LTBI and adherence to published guidelines have been shown to greatly decrease the risk of active tuberculosis. However, the best screening strategy is still object of debate. The validity of TST in patients on immunosuppressive treatment has been questioned. Recently, interferon-γ assays based on RD1-specific antigens have shown to cause less confounding by BCG vaccination and from most non-tuberculosis mycobacteria than TST, and have shown improved accuracy over TST in several settings. However, data on their use in rheumatologic patients are limited, and their superiority in patients on immunosuppressive treatment is unclear since indeterminate results may limit their clinical usefulness in this setting.
Purpose of the study is to investigate the added value of the inclusion of QTF-G assay in the screening strategy of LTBI in rheumatologic patients before and during treatment with TNFα antagonists.
The study will compare the results of TST with the results of QFT-G assay in rheumatologic patients being evaluated for treatment with anti-TNFα agents or already on treatment with anti-TNFα agents. The rate of positive and negative results of the two test will be compared, end results correlated to clinical and demographic variables.
Allocation: Non-Randomized, Control: Uncontrolled, Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Diagnostic
Rheumatoid Arthritis
Quantiferon-TB Gold assay, Tuberculin skin test
Rheumatology Unit, Ospedale L. Sacco Polo Universitario
Ospedale L. Sacco – Polo Universitario
Published on BioPortfolio: 2014-07-23T21:29:01-0400
Comparison of Quantiferon-TB Gold Assay With Tuberculin Skin Testing in Patients With Chronic Liver Disease
The purpose of the study is to estimate the usefulness of the QuantiFERON®-TB Gold test for the diagnosis of latent tuberculosis infection in liver transplant candidates by correlating th...
Comparison of the Tuberculin Skin Test (TST) and QuantiFERON ®-TB Gold Test (QFT-G) In Patients With Rheumatoid Arthritis Being Considered for Anti-TNF-Alpha Therapy
This research will help doctors interested in the usefulness of a new test to discover hidden tuberculosis infections in patients diagnosed with rheumatoid arthritis (RA). This new test i...
T Cell Interferon-Gamma Release Assay (TIGRA) in Immunocompromised Individuals
Until recently, the tuberculin skin test (TST) was the only available diagnostic assay for detection of latent infection with M. tuberculosis (LTBI). Despite the low overall incidence of s...
Quantiferon for Detection of Latent Tuberculosis in Healthcare Workers
The accuracy of tuberculin skin test (TST) for detecting latent tuberculosis is limited in countries with a high proportion of population having received vaccination with the BCG. We aim t...
Screening for Latent Tuberculosis in Healthcare Workers With Quantiferon-Gold Assay: A Cost-Effectiveness Analysis
The ministry of health in Israel requires all health-care workers to undergo screening for latent Tuberculosis infection (LTBI) prior to starting work. This is based on the Mantoux skin te...
QuantiFERON-TB Gold Versus Tuberculin Screening and Care Retention Among Persons Experiencing Homelessness: Georgia, 2015-2017.
To characterize the cascade of care for latent tuberculosis infection (LTBI) in persons experiencing homelessness (PEH) and evaluate the effect of screening by QuantiFERON-TB Gold (QFT) versus tubercu...
Performance and variability of QuantiFERON Gold Plus assay associated with phlebotomy type.
QuantiFERON Gold Plus (Plus) assay has two approved methods for blood collection: direct in-tube (Plus direct) or the transfer of blood from a lithium heparin tube (Plus transfer). Currently, there is...
Sensitivity and characteristics associated with positive QuantiFERON-TB Gold-Plus assay in children with confirmed tuberculosis.
Although QuantiFERON-TB Gold Plus (QFT-Plus), a new interferon-gamma release assay, has shown good performance in adults, little data is available in children.
Superiority of Interferon Gamma Assay Over Tuberculin Skin Test for Latent Tuberculosis in Inflammatory Bowel Disease Patients in Brazil.
To compare tuberculin skin test (TST) and interferon gamma release assay (IGRA) in the screening of LTBI among patients with inflammatory bowel disease (IBD) in an endemic area for tuberculosis, to ev...
Serial Testing of Mycobacterium Tuberculosis Infection in Chinese Village Doctors by QuantiFERON-TB Gold Plus, QuantiFERON-TB Gold In-Tube and T-SPOT.TB.
To evaluate the performance of QuantiFERON-TB Gold Plus (QFT-Plus) on Mycobacterium tuberculosis (MTB) infection test among registered village doctors from China.
Gold Sodium Thiomalate
A variable mixture of the mono- and disodium salts of gold thiomalic acid used mainly for its anti-inflammatory action in the treatment of rheumatoid arthritis. It is most effective in active progressive rheumatoid arthritis and of little or no value in the presence of extensive deformities or in the treatment of other forms of arthritis.
A protein extracted from boiled culture of tubercle bacilli (MYCOBACTERIUM TUBERCULOSIS). It is used in the tuberculin skin test (TUBERCULIN TEST) for the diagnosis of tuberculosis infection in asymptomatic persons.
Tuberculin Test
One of several skin tests to determine past or present tuberculosis infection. A purified protein derivative of the tubercle bacilli, called tuberculin, is introduced into the skin by scratch, puncture, or interdermal injection.
Arthritis, Juvenile
Arthritis in children, with onset before 16 years of age. The terms juvenile rheumatoid arthritis (JRA) and juvenile idiopathic arthritis (JIA) refer to classification systems for chronic arthritis in children. Only one subtype of juvenile arthritis (polyarticular-onset, rheumatoid factor-positive) clinically resembles adult rheumatoid arthritis and is considered its childhood equivalent.
Arthritis, Juvenile Rheumatoid
Rheumatoid arthritis of children occurring in three major subtypes defined by the symptoms present during the first six months following onset: systemic-onset (Still's Disease, Juvenile-Onset), polyarticular-onset, and pauciarticular-onset. Adult-onset cases of Still's disease (STILL'S DISEASE, ADULT-ONSET) are also known. Only one subtype of juvenile rheumatoid arthritis (polyarticular-onset, rheumatoid factor-positive) clinically resembles adult rheumatoid arthritis and is considered its childhood equivalent.
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An assay is an analytic procedure for qualitatively assessing or quantitatively measuring the presence or amount or the functional activity of a target entity. This can be a drug or biochemical substance or a cell in an organism or organic sample. ...
Antiretroviral Therapy Clostridium Difficile Ebola HIV & AIDS Infectious Diseases Influenza Malaria Measles Sepsis Swine Flu Tropical Medicine Tuberculosis Infectious diseases are caused by pathogenic...
Cytokine Tumour Necrosis Factor (TNF)
TNF is a compound that is classified as a cytokine which plays a central role in the cellular mechanisms of apoptosis or cell death. However, there are a number of different kinds of TNF, just under twenty, but the family of molecules have very similar a...
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This light weight drawstring bag can be used as a back pack.
It doesn't matter whether you need help getting started or help finishing any project, join us in our big, bright classroom and get the help you need!
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Spotlight on Implementing Online Learning
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Latest News on Urmila Matondkar
Showing of 0 - 10 from 29 results
Urmila Matondkar - Total results - 29
Mar 29, 2019
Urmila Matondkar to contest from Mumbai North Lok Sabha seat; actor will be up against BJP's sitting MP Gopal ShettyMumbai Congress chief Milind Deora had on Thursday said that he has requested the high command to give a Lok Sabha ticket to Urmila Matondkar
Mar 26, 2019
Congress may field Urmila Matonkdar from Mumbai North Lok Sabha seat, say reports; to be pitted against BJP's Gopal ShettyBollywood actress Urmila Matondkar may be given a Congress Lok Sabha ticket from the Mumbai North constituency, claimed reports
Jan 28, 2019
Shah Rukh, Salman, Amitabh Bachchan attend Amit Thackeray's wedding reception in MumbaiRaj Thackeray's son Amit's wedding reception was attended by many prominent names of the entertainment industry.
Dec 12, 2018
Indian 2: Anirudh Ravichander to compose music for Kamal Haasan's upcoming filmIndian 2 will see Kamal Haasan reprise the role of Senapathy.
Sep 26, 2018
China Gate song 'Chamma Chamma' to be recreated for Prakash Jha's film, Fraud Saiyyan'Chamma Chamma' was originally composed by Anu Malik, who sang portions of the song with Sapna Awasthi Singh
Apr 10, 2018
Urmila Matondkar on her Blackmail song, doing lesser films and how Bollywood has improved over the yearsUrmila Matondkar, in an exclusive interview to Firstpost, on why she took a gap of 10 years to return to the big screen and what has kept her busy.
Mar 22, 2018
Urmila Matondkar returns to screens after ten years with Blackmail song 'Bewafa Beauty' along with Irrfan KhanUrmila Matondkar, who was last seen in the 2008 film EMI opposite Sanjay Dutt, will now be seen seducing Irrfan Khan in Blackmail.
Mar 04, 2018
Srinivasa Kalyanam starts filming; Urmila Matondkar celebrates wedding anniversary: Social Media Stalkers' GuideThe motion poster of Nithiin and Raashi Khanna's Srinivasa Kalyanam has been released. Urmila Matondkar celebrated her wedding anniversary.
Feb 03, 2018
Tracing Ram Gopal Varma's obsession with women — from Sridevi, Urmila Matondkar to Mia Malkova, Tori BlackWhether it's the songs of his films, his book Guns And Thighs or his most recent project, Ram Gopal Varma has been all praise — and lust — for his muses.
Jun 04, 2017
Hey Ram, Khamosh Pani: Here are films that capture the India Pakistan dynamicAs India and Pakistan clash in cricket, here's a look back at a few movies which captured the essence of the this rivalry perfectly.


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Special Agent Al Tribble
FBI Recruitment Video: Al Tribble
Video Transcript
Al Tribble: Prior to joining the FBI, I was a banking officer for Fidelity Bank.
Back in the late 90s, all the banks were being gobbled up by larger banks, and so I started looking. At a job fair, one of the recruiters told me that the only thing different between a banker and a FBI special agent is that I would now have a gun to go with my suit.
My chief responsibilities here are supervising a squad of professionals that are responsible for investigating violent crimes against children and human trafficking. We're trying to target the pimp activity here in Houston.
If I were hand-selecting an individual to work with my group, I would want to know are they capable of doing the impossible, working long hours when everybody else has long given up? We have personnel that pull 12-, 14-, 16 hour days at times just to make sure that the public can sleep at night. And so I want to know, are you committed? I want to know, do you have the wherewith all to be a self-motivator to go out and get the job done? And if you have that, we certainly want you in the FBI.
My wife is a forensic accountant for the FBI, so we commute together, we talk about case work, and I have one grown daughter. And Dad has spoken at every school, every university, every graduate school that she's attended, and I think she's quite proud of her old man. So, I want all the boys to know that she's got someone looking out for her.
Video Download
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- 04.15.2019 — Seeking Information: Feb. 14, 2019, Bank Robbery, Las Vegas
- 03.27.2019 — FBI Boston Seeking Witnesses in Jassy Correia Kidnapping Case
- 03.26.2019 — FBI and Partners Target Darknet Opioid Traffickers
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- 03.13.2019 — FBI Agents and Analysts Tour 9/11 Memorial & Museum
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Senate advocates of criminal justice reform voiced optimism on Thursday that President TrumpDonald John TrumpNew EPA rule would expand Trump officials' powers to reject FOIA requests Democratic senator introduces bill to ban gun silencers Democrats: Ex-Commerce aide said Ross asked him to examine adding census citizenship question MORE would back a bipartisan push to pass legislation soon after the November midterm elections.
Lawmakers weighed in after Trump threw cold water on a criminal justice reform package being crafted in the Senate, making it clear at a White House meeting that he wants to visit the politically charged issue after the midterms.
Sen. Chuck GrassleyCharles (Chuck) Ernest GrassleyGrassley raises concerns about objectivity of report critical of GOP tax law's effects Overnight Health Care: Key Trump drug pricing proposal takes step forward | Missouri Planned Parenthood clinic loses bid for license | 2020 Democrats to take part in Saturday forum on abortion rights Key Trump proposal to lower drug prices takes step forward MORE (R-Iowa), the chairman of the Judiciary Committee who has been pushing for the reforms, said in a statement that he is "very encouraged by the leadership shown today by President Trump to make prison and sentencing reform a priority soon after the election."
Grassley also praised Senate Majority Leader Mitch McConnellAddison (Mitch) Mitchell McConnellEXCLUSIVE: Trump on reparations: 'I don't see it happening' Overnight Health Care — Sponsored by Campaign for Tobacco-Free Kids — Trump issues order to bring transparency to health care prices | Fight over billions in ObamaCare payments heads to Supreme Court Hillicon Valley: Senate bill would force companies to disclose value of user data | Waters to hold hearing on Facebook cryptocurrency | GOP divided on election security bills | US tracking Russian, Iranian social media campaigns MORE's (R-Ky.) "openness to bring it up this year." McConnell hasn't publicly given any indication he would bring a criminal justice bill to the Senate floor.
"I'm confident with the President's continued backing, we'll have more than enough votes to pass a bill overwhelmingly. Americans strongly support these fixes, but previous administrations have not been able to deliver. I believe this one will," Grassley said.
Sen. Mike LeeMichael (Mike) Shumway LeeOvernight Defense: Officials brief Congress after Iran shoots down drone | Lawmakers fear 'grave situation' | Trump warns Iran | Senate votes to block Saudi arms sales | Bombshell confession at Navy SEAL's murder trial The 7 GOP senators who voted to block all or part of Trump's Saudi arms sale Senate votes to block Trump's Saudi arms sale MORE (R-Utah), another proponent of reform, said Republicans held two meetings on Capitol Hill to discuss a potential compromise that would link a House-passed prison reform bill with four sentencing reform provisions that have bipartisan support in the Senate.
"Today's meeting was a huge step forward in getting a bill passed that will help keep communities safe and make our criminal justice system more fair," Lee said in a statement. "I hope to see this bill passed by the end of the year, and expect large bipartisan support as we strive to make our penal system work better for all Americans."
A broader Senate proposal has languished in the chamber for years—despite supporters saying they had enough votes for it to pass—because of reluctance among leadership to move a bill that would put a spotlight on GOP infighting.
Then-Sen. Jeff SessionsJefferson (Jeff) Beauregard SessionsTrump: Appointing Sessions was my biggest mistake Nikki Haley blasts Roy Moore's Senate bid: 'He does not represent our Republican Party' Time magazine: Trump threatened reporter with prison time MORE (R-Ala.) and Sens. Tom CottonThomas (Tom) Bryant CottonUS officials express optimism negotiations with Iran possible Cotton: 'Healthy skepticism warranted' when dealing with Democrats on immigration Cotton: I hope Trump's statement 'got through' to Iran's leaders MORE (R-Ark.), Orrin HatchOrrin Grant HatchTrump to award racing legend Roger Penske with Presidential Medal of Freedom Trump awards Presidential Medal of Freedom to economist, former Reagan adviser Arthur Laffer Second ex-Senate staffer charged in aiding doxxing of GOP senators MORE (R-Utah) and David Perdue (R-Ga.) opposed the broader Senate bill during the Obama administration. Hatch has since signed onto the effort, while Sessions has gone on to lead the Justice Department.
Perdue told The Hill on Thursday that he has spoken with GOP senators as well as Kushner and Trump about the ongoing negotiations and that they were "making progress" and that he was "encouraged" by the White House's endgame.
"I think we're narrowing it down to a point where ... we might be able to get some consensus," Perdue said. "There has been some significant movement here in just the last two weeks."
Trump, who had previously indicated he was open to the reform plan, made clear during a meeting with Sessions and his senior adviser and son-in-law Jared KushnerJared Corey KushnerTrump puts the cart before the horse in Palestine Negotiators face major obstacles to meeting July border deadline GOP launches 'WinRed' online fundraising site in response to Democrats' small-donor advantage MORE that he wants to revisit the reform package after the midterms, a source told The Hill.
Senate Republican leaders have been reluctant to take a vote on an issue that could divide the GOP ahead of the November midterms.
White House spokesman Hogan Gidley said in a statement that Trump "remains committed to meaningful prison reform and will continue working with the Senate on their proposed additions to the bill. The administration remains focused on reducing crime, keeping communities safe and saving taxpayer dollars."
Grassley on Thursday sent out a poll from the committee showing widespread public support for reforms such as changing mandatory minimum sentences and making retroactive adjustments to sentencing disparities between crack and powder cocaine offenses.


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Villagers react to annexation proposal
It didn't take long before former Big Park Regional Coordinating Council President Dick Byrnes reacted to Chuck Aurand's contention that the Village of Oak Creek should be annexed into the City of Sedona.
"I can picture the primary advantage in annexation for the City of Sedona is gaining a major increase in the tax base, while expending relatively little in terms of infrastructure. Whatever income Aurand pictures being due to the Village, that it's currently not obtaining,, would be donated to the City of Sedona. I personally think there is no advantage to the residents of Big Park to being absorbed by the City of Sedona," said Byrnes, who has been a political force in the Village.
Aurand, a former dean at Northern Arizona University, asserts he has financial or political interest but that, along with 12 others, is leading the march advocating annexation.
Byrnes doesn't buy it.
He maintains Aurand, who is president of the Citizens for an Alternate Route (CFAR), has an additional motive.
"I think there is lots more to be said. I personally feel the basic issue is the Red Rock Crossing, and I have had discussions with Aurand on those comments," Byrnes said.
Aurand denies any connection indicating he didn't discuss the annexation issue with his CFAR board. He said the reason he's pursuing annexation is due to the loss of tax dollars and lack of services. Aurand contends Big Park is a "cash cow" for the county.
Yavapai County Supervisor Chip Davis responded to Aurand's comments.
"In regards to our ability to offer urbanized services, it is true. I think we do a lot of things to try and provide the types of services that Big Park needs. We have a very successful VIP program to assist the sheriff's office. We have quarterly town hall meetings to communicate with the citizens. I think we have a very responsible public works (roads) department; and flood control. We have spent a lot of time and money in that particular community.
"As far as Big Park being a cash cow for Yavapai County — if they annex, Yavapai County property taxes would not lower; they would stay the same. We are funded primarily through property taxes with the exception of the one-half cent county sales tax (80 percent goes for regional road improvements and 20 percent toward property tax reduction). If the community became annexed or incorporated, those taxes wouldn't change."
Davis went on to say, "It has to be a community decision, and I know I will be there to help the community whether annexed or if they stay as they are."
Byrnes suggests the seven-mile boundary between the City of Sedona and the Village is a natural boundary. It also causes an emotional division between the two areas. He believes that at some point, Villagers may want to consider incorporation instead of annexation and that incorporation might solve the problem of services that Aurand complains about. Byrnes wasn't the only one to express concern over the possibility of annexation.
"The reason we don't want to be annexed from a personal standpoint, the county government is very responsive thanks to the formation of the Big Park Council, a council that has no official function other than to make recommendations to the county requested by the county. It is not an elected body, but it represents all the homeowners associations and one business association in the Big Park area. The City of Sedona has the largest debt ratio per person in the state of Arizona. Why would any reasonable person in another community want to be a party to this debt if they had a choice?" said Joan McClelland, long-time resident and member representative of the Big Park Council said.
Concern over the Sedona sewer debt, estimated at $60 million, has been a concern among many Villagers, and a sewer takeover is of real concern to sewer board officials.
Sewer board Chair Ruth Kane said she has already been in contact with the district's legal counsel to discuss the complexities of the city taking over the wastewater district. She said they need to discuss with Sedona what sales tax in VOC would go for.
"Would it be used to reduce debt for their sewer debt; if it isn't going to be used for the advantage of Big Park, for instance to build sewer lines, I don't know what good it is to anybody. There are lots of additional costs involved. Without answers, I don't know how anyone can be entertaining this annexation idea," Kane asserted.
Answers may be coming sooner than expected. Aurand has already scheduled a public meeting for June 19 at 7 p.m. in the Village of Oak Creek Association Clubhouse.
Guest speaker will be Cathy Connolly, executive director of the Arizona League of Cities and Towns.
Connolly, according to Aurand, is considered by some to be the most informed person in Arizona on the subject of annexation and incorporation.
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Foschini, Clicks offering good returns
By Edward West - Jun 10th, 14:55
Prospects for retail sector companies on the JSE had withered this year in line with the slumping economy, but there were outliers, such as Foschini and Clicks, providing good returns for shareholders in the sector, analysts said.
Analysts, chief executive comments and economic statistics have all painted the same picture: weak household balance sheets, limited real growth in disposable income and high unemployment continue to limit retailers' scope to boost growth and returns for shareholders.
While the successful election has brought some hope for renewed growth, Goldman Sachs analysts Yulia Gerasimova and Mikhail Butkov wrote in a note last week that "structural economic reforms are likely to take time."
They favoured stocks with defensive business models and strong or improving returns and free cash flow generation; and reiterated their buy ratings on Foschini and Clicks.
One analyst, who chose to remain anonymous, said it would take a long time for the economy to grow sufficiently to the point that it would result in meaningful growth in retailer margins. He said one of the best defensive characteristics at Clicks, apart from its strong performance track record, was its pharmacy chain and its personal care products.
He cited the so-called "lipstick effect", which was when consumers will still spend on small indulgences during recessions or periods of very low economic growth, or when they had little cash. Many of Clicks' beauty and healthcare products fell within the price range of a "lipstick effect" purchase, he said.
He said a great deal of Clicks product sales were also promotionally driven, which was often supplier supported, adding to its defensive qualities. In addition, it was growing its brands in stores, with a growing emphasis on the range of private label goods. The sale of premium goods and of private brand labels selling higher quality goods was at least one of the faster-growing niches in retail, he said.
The defensiveness of being the country's biggest pharmaceuticals chain was due to a view that people cannot do without their medicine, the analyst said.
He said Foschini derived its defensiveness from its wide array of well-known brands, and from its well-diversified expansion in the UK and Australia, and from price points that were "still palatable" in the "very tight" South African consumer environment.
Adding to this was a strong track record of earnings growth. Foschini has reported 17.3percent compound annual turnover growth over the past five years, while headline earnings per share has increased at an annual compound rate of 7.8percent over the same period.
Another analyst, also speaking on condition of anonymity, said, however, he was sceptical of the claim that Clicks' pharmaceutical business made it more resistant to a consumer downturn because the hospital and medical aid membership figures had started to decline in the current weak economy.
In addition, Clicks' share price was high, with the price-earnings ratio at 31, which made it expensive relative to its peers, the analyst said.
He agreed that Foschini's diversification was paying off well and he said Foschini was "the only" South African retailer to have made a successful acquisition in that country.
He believed that Shoprite, which was dealing with a change of management, should instead be considered a defensive stock, because "during these times people tend to buy down" and they might decide to shop at a Shoprite store instead of going to Woolworths to save money, he said.
The analyst, however, questioned why an investor would invest in local retailers in any case, as South Africa had among the lowest per capita gross domestic product per square metres of retail space in the world, and among the highest per square metre retail space per capita.
Local retailers are facing particularly strong headwinds. Rising taxes, fuel costs and other bills and sluggish economic growth have dented consumer confidence, while unemployment remains stubbornly high. Public and private sector investment has fallen very low.
Sanisha Packirisamy, an economist at Momentum Investments, said in a recent note that total retailer confidence published by the Bureau of Economic Research slumped further to 24 index points in the first quarter of 2019, substantially below the neutral 50-point mark.IOL
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The pharmaceutical sector - both locally and globally - is following suite with general retail and going through uncertain times. More consumers are shopping the basics with baskets of necessities only. As CEO of the Shoprite Group, Pieter Engelbrecht, said in response to their interim results (which speak for the average South African), "In the external operating environment, economic conditions have left the group's core customer under significant financial pressure."
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Shares in Woolworths have rebounded in recent weeks, thanks to a recovery in the sector and optimism that the worst may be over for the high-end retailer, whose foray into Australia has proven costly for investors.


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The highest unintended pregnancy rates among these states were found in Arkansas 41 per 1, women younger than 20 , Oklahoma and Tennessee. Finer LB et al. In , the rate among black males aged 15—19 19 per 1, was almost twice that among their white counterparts 10 per 1, Boonstra HD, Meeting the sexual and reproductive health needs of adolescents in school-based health centers, Guttmacher Policy Review, , 18 1: As they develop, adolescents and young adults need access to comprehensive and non-stigmatizing information about sexual and reproductive health, support networks to have the pregnancies they want, and high-quality, affordable and confidential contraceptive services and abortion services to avoid the pregnancies they do not want. Hamilton BE et al. Guttmacher Institute, Restricting insurance coverage of abortion, State Laws and Policies as of August , , https: Vaccines to Prevent Human Papillomavirus, Atlanta: Guttmacher Institute, , https: At 43 per 1, women aged 15—19 in , it is significantly higher than recent rates found in other developed countries, including France 25 per 1, and Sweden 29 per 1, Drolet M et al. Among non-Hispanic black adolescents, rates of diagnosed chlamydia are more than five times those among non-Hispanic white adolescents, and rates of gonorrhea are more than fourteen times those among non-Hispanic white adolescents. In other words, about 0. In , New Mexico had the highest adolescent pregnancy rate 62 per 1, women aged 15—19 , followed by Arkansas, Mississippi, Oklahoma, Texas and Louisiana. Pregnancies, Births and Abortions Among U. However, certain types, if left undetected and untreated, can lead to cervical cancer. Reagan-Steiner S et al. Satterwhite CL et al. However, European adolescents are more likely than U. What can we learn from these comparisons? Martinez G et al. This is the lowest rate observed since abortion was legalized nationwide in , and just one-fourth of the peak rate in This rate represented a decline to just over one-third of the peak rate of per 1,, which occurred in Many are prohibited from doing so by state or local policies. In —, about half of adolescents aged 15—19 reported ever having oral sex with an opposite-sex partner and about one in 10 reported ever having anal sex with an opposite-sex partner. Martin JA et al.
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Patrice Evra believes Paul Pogba is ready to end his time at Manchester United and says he needs to play somewhere where he is loved.
Alexis Sanchez has disappointed at Manchester United, and the former Barcelona forward took to social media to apologise to the club's fans.
Ole Gunnar Solskjaer has recalled Alexis Sanchez to Manchester United's starting line-up for the first time since early March.
Alexis Sanchez and his Manchester United team-mates have been issued a stark warning to start performing by Ole Gunnar Solskjaer.
Ivan Rakitic and Sergi Roberto have been named in Barcelona's squad for Tuesday's Champions League clash with Manchester United.
Alexis Sanchez has been tipped to prove a point against old club Barcelona by Manchester United boss Ole Gunnar Solskjaer.
Ole Gunnar Solskjaer has been handed a boost ahead of the trip to Barcelona with the return of Alexis Sanchez and Nemanja Matic.
Marcus Rashford and Nemanja Matic could feature against Barcelona but the game will come too soon for Alexis Sanchez and Ander Herrera.
After being named Manchester United's permanent manager, Ole Gunnar Solskjaer should quickly move to unload the dead wood.
After a tough 14 months at Manchester United, Alexis Sanchez has vowed to make a success of his Old Trafford career.


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After a few minutes, the group decided to take a break and we walked south towards the pier. The surrounding area is filled with tourist shops, bars, tattoo parlors, and restaurants lined up and down the street adjacent to the beach. We continued towards the end of the street and climbed the steps leading to the pier. The pier was a massive boardwalk that led about a quarter of a mile out to the water. There were people fishing everywhere, some who have been there all day with several rods resting against the railing hoping to catch the big one. We spotted several artists selling their paintings as we walked by. Some of the pictures were abstract paintings while others were canvas paintings of the beach and various landmarks around town.
All the above tips are mostly about taking care of yourself. Give back to the ocean by taking care of it also. Do not touch corals, fish or turtles. The only thing you can touch safely is sand and rock and water (that means with your fins also). Read our snorkeling etiquette page for learning how to develop skills for taking a break in the water without having to stand.
Variations of the term are used to describe stylistic variations for promotional purposes and industry classifications, including monokini, microkini, tankini, trikini, pubikini, bandeaukini and skirtini. A man's brief swimsuit may also be referred to as a bikini.[2] Similarly, a variety of men's and women's underwear types are described as bikini underwear.
Do you like history and water sports? Then Appledore Star will be the breath of fresh air you needed for your Key West vacation and snorkel adventure. You'll feel like you're stepping back in time after boarding this wooden 65' schooner. And on top of the awesome boat, the crew leads you out to the only living coral reefs in the continental United States. After snorkeling the waters that lie a few miles off the coast of Key West, and navigating your kayaks through the heart of Key West Wildlife, guests are provided with a lunch filled with fresh shrimp, fried chicken, fixings to make your own sandwiches, and a variety of fruits to refuel. On the breezy ride back to mainland, guests can enjoy complimentary beer, homemade sangria, and wine as a nice treat to end this 6 hour adventure.
Kids rode the waterslides in endless loops; couples walked around in matching robes or napped in sync. On the lazy river jet stream channel, I read the words "Memento Mori" tattooed in a scripty font between the shoulder blades of the man in front of me. I ate a frozen yogurt at Café Borneo while an employee wearing a harness walked by. He was pulling a hot air balloon filled with guests.
However, the FIVB's mandating of the bikini ran into problems. Some sports officials consider it exploitative and impractical in colder weather.[175] It also drew the ire of some athletes.[181] At the 2006 Asian Games at Doha, Qatar, only one Muslim country – Iraq – fielded a team in the beach volleyball competition because of concerns that the uniform was inappropriate. They refused to wear bikinis.[182] The weather during the evening games in 2012 London Olympics was so cold that the players sometimes had to wear shirts and leggings.[183] Earlier in 2012, FIVB had announced it would allow shorts (maximum length 3 cm (1.2 in) above the knee) and sleeved tops at the games. Richard Baker, the federation spokesperson, said that "many of these countries have religious and cultural requirements so the uniform needed to be more flexible".[184]
By that small claims court's rules, and as long as such matter is only pending in that court. You may bring claims only on your own behalf. Neither you nor Forever 21 will participate in a class action or class-wide arbitration for any claims covered by this agreement. You also agree not to participate in claims brought in a private attorney general or representative capacity, or consolidated claims involving another person's account, if Forever 21 is a party to the proceeding. This dispute resolution provision will be governed by the Federal Arbitration Act. In the event the American Arbitration Association is unwilling or unable to set a hearing date within one hundred and sixty (160) days of filing the case, then either Forever 21 or you can elect to have the arbitration administered instead by the Judicial Arbitration and Mediation Services. Judgment on the award rendered by the arbitrator may be entered in any court having competent jurisdiction. Any provision of applicable law notwithstanding, the arbitrator will not have authority to award damages, remedies or awards that conflict with these Terms of Use.
Depending on the style of bikini-bottom and the amount of skin visible outside the bikini,[246] pubic hair may be styled into several styles[236][237][238] — American waxing (removal of pubic hair from the sides, top of the thighs, and under the navel), French waxing (leaves only a vertical strip in front), Brazilian waxing (removal of all hair in the pelvic area, particularly suitable for thong bottoms).[247]
A day as exciting as this is sure to wear you out. So when darkness settles over the tropics and the South Seas paradise falls quiet, why not spend the night in one of Tropical Islands' well-appointed lodges? It's also possible to go rustic and stay overnight in a tropical tent. Well-equipped tents of various sizes are available in the rainforest camp within the dome. Set amid the beautiful scenery of the Brandenburg heath, the nearby Tropical Islands campsite offers an ideal mix of camping adventure, water-park fun and wellness holiday across 6,000m². And best of all: Tropical Islands is open 24 hours a day, 365 days a year! Check in here for an experience to remember!
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An hour before, in a maze of punch-colored lockers, I located number seven-thousand-something and began shoving all signs of winter weather into it. Puffy coat, recently unwound scarf, thick socks, boots, and sweater all went in, but not before I removed a bikini and beach gear from my overnight bag. An hour outside of Berlin, Tropical Islands (T.I.) fills an airfield hanger originally built in 1938 for the Nazi Luftwaffe. The Red Army overtook the site in 1945 and the Soviet Air Force stayed until 1992. A Malaysian company purchased the hanger at a steep discount in 2003, after some kind of German cargo-blimp enterprise went bankrupt. T.I. opened a year later.
Jet Ski • Parasail • Mini Water Park • Banana Boat
Trikini 1967 The trikini appeared briefly in 1967, defined as "a handkerchief and two small saucers."[161] It reappeared in the 1990s as a bikini bottom with a stringed halter of two triangular pieces covering the breasts,[162] and in the 2000s as a costume of three separate pieces.[163] The trikini top comes essentially in two separate parts.[164] The name of this woman's bathing suit is formed from the word "bikini", replacing "bi-", meaning "two", with "tri-", meaning "three".[165] In a variation the three pieces are sold as part of one continuous garment.[166] A variation is called strapless bikini[167] or a no string bikini, often a combination of two pasties with a matching maebari-style bottom.[168]
For hanging with Europeans I'd say Thailand, Bali or India. It's an easy flight from Europe to those places, similar to how Latin America or the Caribbean is a quick flight for Canadians and Americans to get some sunshine in the winter. Generally, I find you meet the epic people off-the-beaten-path, which usually means expat communities a couple hours from an international airport, away from all the drunken idiots and touristy consumerism. I haven't been to Puerto Rico, it sounds like a decent place.
It's easy for visitors to equate paradise with the thousand islands that make up the Maldives. Incredibly, each of the 90 resorts in the Maldives is situated on its own island. From the remarkable undersea restaurant of Conrad Maldives Rangali Island to the Four Seasons Maldives annual surfing championship on KudaHuraa, there is plenty to see and do.Visitors will find terrific diving and snorkeling around scads of coral house reefs inhabited with colorful marine life. Powdery white sand beaches and translucent turquoise waters beckon beachgoers.Honeymooners, eco-travelers, and those who can't get enough of the earth's natural beauty will find their Shangri-La here in the Indian Ocean.
Trade winds that are constantly sweeping Aruba cool the fragrant tropical air, whip up great surfing waves and bend local Divi-divi trees all the way over beaches providing shade to beachgoers. A tiny Dutch island in the Caribbean off the coast of Venezuela, Aruba has perfect, sunny weather year around, sparkling white beaches, clear waters and gentle surf. Strong European influence makes architecture in the capital Oranjestad interesting, such as Dutch gables among more typical vividly colored Caribbean houses.
I couldn't tell whether other visitors were drawn to T.I. for the same reasons I was, namely that winter sucks and a tropical air hanger seemed like the strangest way to deal with it. But while there, it occurred to me that T.I. also offers an alternative for people priced out of international travel. And for families with small kids, the heated dome offers a level of logistical ease that's hard to beat. T.I. may be an approximation of a tropical vacation, but it's one without long flights or passport stress, where no child could ever claim to be bored and nothing is more than a two minute walk away.
When you want to relax and get some work done then I recommend settling for awhile in Goa. It's something of a global mecca for hedonists, expat hippies and psychedelic raver mysticism. There is an interesting mix of people and you will almost never have a dull moment in a place like this. At the same time, it gets tiresome after awhile seeing all the preachy spiritual hipsters competing with each other in the game of spiritual one-upmanship.
Just north of Point Loma, this small beach town is a favorite among locals who spend their days surfing, sunbathing around the pier, hanging out in their vintage VW vans, and strolling through the many surf shops, taco stands and antique malls. Ocean Beach has a throw-back groovy vibe of vintage SoCal, coupled with friendly locals, great dining and micro brews, and a vibrant nightlife scene.
VacationIdea Tip: Look for off season specials and less expensive island getaway destinations such as Jamaica or Curacao where you can get a room with sea views for under $100. Top luxury tropical vacations include private island resorts in Fiji, five star getaways in Bora Bora, beach hotels in Hawaii, Thailand, Maldives and Australia. These islands are located within 23.5 degrees north and south of the equator.
If you're looking for miles of tropical beach that seem to stretch into the skyline, beautiful lush gardens and tropical landscapes that will mesmerize you, then Turks and Caicos should be on your radar. There are 40 islands in total, though only eight of them are inhabited. It's a rare chance to go where there are very few people – far away from the hustle and bustle of the city. You can leave the noise behind and find your own little piece of paradise on an island where few people ever go. If you're a diver, you may already know that the longest reef in the world can be found here.
After purchasing a new mask and for maintaining the quality of your mask, prepare a diluted solution of neutral, mild soap to wash the inside of the masks lens. If this is not done, the mask surface could easily become foggy. After the lens has been washed with the soap solution,thoroughly rinse away all soap from the mask surface with water.Use of an petroleum based or strong soap can cause the frame to deteriorate. Your mask, fins and snorkel should be rinsed thoroughly with clean water after each use. Store them in a cool place with no exposure to the sun for longer life.
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I couldn't tell whether other visitors were drawn to T.I. for the same reasons I was, namely that winter sucks and a tropical air hanger seemed like the strangest way to deal with it. But while there, it occurred to me that T.I. also offers an alternative for people priced out of international travel. And for families with small kids, the heated dome offers a level of logistical ease that's hard to beat. T.I. may be an approximation of a tropical vacation, but it's one without long flights or passport stress, where no child could ever claim to be bored and nothing is more than a two minute walk away.
"The area is so clean! They do a pretty good job maintaining it especially with all of the sand and everything. For a break from the pools there is a GREAT kids play area! Many different areas to eat. Good snacks, drinks, etc. A few different pool areas to chose from and the sauna area is so relaxing and peaceful! There is just so much too do! We always only stay one night but would love to do 2 nights so it doesn't seem like we are squeezing it all into one. Definitely a fun, exciting experience for the whole family!"
Monokini 1964 A monokini (also called topless swimsuit, unikini or numokini) is a women's one-piece garment equivalent to the lower half of a bikini.[142] Originally a specific design conceived by Rudi Gernreich in 1964, the term is now used to describe any topless swimsuit,[143] particularly a bikini bottom worn without a top.[144] An extreme version of the monokini, the thong-style pubikini (which exposed the pubic region), was also designed by Rudi Gernreich in 1985.[145][146]


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By John M. Sherrard
With the win Cerritos remains undefeated this season at 12-0. Mt. SAC, which won state dual titles in 2013 and '15, finished at 2-1 in the team duals. Palomar College placed third.
To get to the championship the Mounties defeated East Los Angeles College 43-9, and No. 2 Palomar College in the semifinal, 20-17.
Mt. SAC had three wrestlers go undefeated in their three matches: freshman George Torres, 125 lbs., freshman Vincent Herrera, 157 lbs., and sophomore 174 lbs. Reed South.
Mt. SAC opened the duals with the easy victory over ELAC by winning seven of the nine weight classes, including falls by Torres, Herrera and freshman Freddie Garcia.
In the semifinal win over host Palomar College, the match came down to the end for a winner to be declared.
Torres, in the 125 lb. weight class went into overtime, winning 8-6, to give the Mounties the 20-17 victory and advanced to the championship.
"The second round was an intense match between the No. 2 seed Palomar team and our No. 3 seed team, which came down to the last match," Mt. SAC Wrestling coach David Rivera said.
Mt. SAC defeated Palomar last year in the So Cal Duals Championship.
The Mounties got off to a good start in the finals against Cerritos College by winning the first three matches.
The finals began at the 141 lb. weight class, with sophomore Casper Sherow, freshman Joseph Dominguez at 149 lbs. and Herrera (157 lbs.) all winning by decisions to give the Mounties a 9-0 lead. Cerritos got into the scoring column with a major decision win at 165 lbs. to trail, 9-4.
South (174 lbs.) won by a 6-5 decision for the 12-4 lead. But, the Falcons came right back with a win (184 lbs.) to trail, 12-7.
Cerritos tied the match at 12-12 with a win in the 197 lb. weight class by technical decision (20-4).
David Zavala, at 285 lbs., gave Cerritos the lead for good, 18-12, with a pin in the first period over freshman Guillermo Padilla.
Torres then closed the gap to 18-15 with a 7-5 decision at 125 lbs. before the final match of the night.
In that deciding match (133 lbs.), Cerritos' Anthony Vargas broke a scoreless tie in the second period with a takedown and had two more in the third period and eventually won, 7-2, over Mt. SAC freshman Roy Galvan.
Mt. SAC returns to conference action against Rio Hondo on Wednesday, October 19th at 7:30 pm.
For more information contact Mt. SAC Sports Information at 909.274.4630.


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My name is Suresh, I am raising funds for my education and family finance crisis.
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I must now fund-raise for my own life to settle our remaining debt, Becoming a certified financial analyst has always been a dream of mine. I plan to do my Post Graduate(MBA) and further my knowledge by pursuing CFA training, The only thing left standing in my way is the INR 1000000 ($ 15000) debt balance I still have to settle, and INR 300000 ($ 5000) towards college coaching fees and other expenses. With your help, I can regain a normal quality of life, I am willing to do this with even more effort than I have put in 2 years to pursue my goals and build a strong future for myself and the people around me.
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Guitarist picks sad way to save mother
News, Jeerawat Na Thalang, Published on 28/08/2016
» Young classical guitar virtuoso Irin Prechanvinit is selling a cherished musical instrument she considers her "best buddy" to pay for her mother's cancer treatment.
Serious Moonlighting
Brunch, Jeerawat Na Thalang, Published on 17/01/2016
» David Bowie's concert in Thailand on the night of Dec 5, 1983, was not supposed to happen. With a price tag of US$1 million per show, a Bowie concert was too expensive for those who hoped to lure him here. Yet, the singer took a huge pay cut simply so he could be in Bangkok and explore the city.
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