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Bay Area Brain Injury Attorney
Brain injuries develop from a number of different types of accidents. Birth injuries, vehicle accidents, motorcycle accidents, sports injuries, and other types of head trauma can all lead to life-altering brain injuries. Some injuries are apparent immediately, while others take time to develop. Anytime someone's carelessness causes an accident that results in a brain injury, the victim may pursue a legal claim against the individual responsible.
Brain injuries are catastrophic and often prevent a victim from fully recovering after an accident. Those who do recover may spend years regaining full cognitive abilities, and the range of effects for everyone varies widely. Because the brain is such a complex organ, every person experiences these injuries differently and may experience varying levels of recovery.
Legal Action Provides Much Needed Compensation
Those who suffer from brain injuries often face a lifetime of constant or partial care, rehabilitative therapy, medication, surgical treatments, or tests. They may have to make career adjustments or quit working altogether. Young people who suffer from brain injuries may never live the life they should because of the limitations a brain injury can cause.
These cases are not only heartbreaking, they are financially and emotionally devastating for victims and their families. Without added financial compensation, many may face a lifetime of struggle with medical and general living expenses. Seeking legal action allows victims to bring responsible parties to justice and provides fair compensation to ensure victims receive necessary treatment and support.
Accidents and Brain Injuries
If you experience whiplash, head trauma, or any other type of head injury, always tell your medical provider. Sometimes, the effects of a brain injury may not manifest until sometime after an accident. Prompt medical attention can alert you to the gravity of yours or a loved one's situation, so you can take prompt legal action against the person responsible for the injury.
A brain injury can cause an individual to experience his or her senses differently. It can cause personality changes, or it can completely change an individual's ability to think, understand, speak, or otherwise function normally in society. Each brain injury case is entirely unique. The set of circumstances surrounding the accident, the defendant's liability, and the extent of damage all figure into the outcome of a civil claim. Brain injury victims need legal supporters who understand brain injuries and the laws that apply in these cases.
Finding a Brain Injury Attorney
Many Bay Area personal injury attorneys offer brain injury case representation, but most do not offer the same level of service as others. At the Law Offices of Sterns & Walker, we have the experience, resources, and compassion to make this difficult time an easier burden to bear.
A qualified personal injury attorney who understands the ramifications of brain injuries will oversee each case. Our attorneys stay in direct communication with clients throughout the duration of the case, and we're there to provide advice on medical support, insurance, and other aspects of the injury. Moreover, our network of professional experts and resources is available to you through legal proceedings and helps build a strong case.
Whether you're just starting to learn about a brain injury or you've been struggling for months, contacting an attorney is the first step towards obtaining the compensation you and your family need to cope with the diagnosis. California's statute of limitations for personal injury cases is 2 years. The timeframe begins when you discover a brain injury after an accident. Allow the team at the Law Offices of Sterns & Walker to help you start recovering today. For more information or a free case evaluation, please contact our office in Oakland today.


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CQ Today Midday Update
Midday Update for FRIDAY, JUNE 13, 2008 – 2:16 P.M.
In This Issue
Today in Washington
The House convenes 10 a.m. in pro forma session.
The Senate is not in session
The President meets with Pope Benedict XVI at the Vatican; addresses an Organization for Economic Cooperation and Development meeting in Paris; dines with French President Nicolas Sarkozy and his wife, Carla Bruni.
In Washington, the Hudson Institute holds a roundtable discussion on U.S. interagency efforts to combat international terrorism, 3 p.m., 1015 15th St. N.W.
Top Stories
Senate Appropriations Announces MarkupsAppropriators in both chambers will be busy next week, as the Senate begins marking up individual fiscal 2009 spending bills and the House continues moving its own. [Read More]
Judge Denies Jefferson's Request to Move Corruption, Bribery TrialALEXANDRIA, Va. — A federal judge Friday denied indicted Rep. William J. Jefferson's request to relocate the Louisiana Democrat's postponed corruption and bribery trial from Alexandria, Va. [Read More]
Farm Bill: Handle With CareCongress is being a bit more careful with the farm bill this time around. [Read More]
Political Trivia for June 13What was the highest GOP presidential vote share ever in the District of Columbia? [Read More]
"Research Skills for the Real World: Going Beyond Google"
This course helps anyone responsible for research at any Washington-area organization, whether an agency, association, business, elected official or nonprofit. It is designed for anyone who wants to improve their research skills.
WHERE: Goethe-Institut, 812 Seventh Street N.W.
WHEN: June 25, 2008, 9:00 a.m. to 4:00 p.m.
Registration Fee: $395
Full program description and secure online registration, or call our registrar at 202-678-1600.
This training conference is sponsored by TheCapitol.Net, exclusive provider of Congressional Quarterly Executive Conferences.
Political ClippingsThe Salt Lake Tribune reports that Utah Republican Rep. Chris Cannon "has easily outraised challenger Jason Chaffetz, but the six-term incumbent congressman has less than $10,000 to carry him down the home stretch of the primary election race." According to the newspaper, the Cannon campaign says it has raised $70,000 since the June 4 cut off for the report to the Federal Elections Commission. "Campaign reports from the two candidates show that Cannon has burned through nearly $662,000 during his re-election bid, compared with Chaffetz' $98,664," the Tribune reports. But Chaffetz, a Democrat, "had $65,165 left in his campaign account, while Cannon has just $9,259 left, according to pre-primary reports filed Thursday by the candidates." Cannon is heavily favored to win re-election.
The Concord Monitor reports that Democratic New Hampshire Gov. John Lynch "made his quest for a third term official yesterday, touting himself as a nonpartisan problem-solver and citing achievements such as raising the minimum wage and increasing the school dropout age." Lynch has rejected a call from Republican opponent Joe Kenney, a state senator, to cap the amount of spending on the race at $1.2 million per candidate. "Lynch entered his second term with the strongest endorsement ever won by a governor in New Hampshire: 74 percent of the vote and a 48-point margin of victory," the newspaper reports. "His popularity numbers have hovered near the mid-70s through last month, seeming to indicate that this year's struggles have taken little toll on Lynch."
Today on Governing.com
State and local government news from CQ's sister publication
CEDAR RAPIDS, Iowa: Surging River Floods City
OAKLAND COUNTY, Mich.: County OKs 4-Day Work Week for Some
CALIFORNIA: Governor Orders More Water for Farmers
TEXAS: ACLU Charges Youth-Prison Agency with Abusing Girls
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subset: commoncrawl


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Hundreds of people gathered in Springwood on Palm Sunday to show their support for people seeking asylum. The rally was organised by the Blue Mountains Refugee Support Group and took place in the front courtyard of the Hub.
Paul Power CEO of the Refugee Council of Australia also addressed the gathering. He talked about the extremely harsh treatment of innocent people who are simply trying to escape torture and imprisonment . He explained that years of being locked up in detention centres is also a form of torture. Mr Power said that these desperate people have committed no crime and that Australia is in breach of international law by locking them up for six years or more.
Rev. Crews described scenes that he witnessed in refugee camps in Europe during his recent visit. He suggested to the audience that we should not wait for our government to do the right thing but that we should reach out and help people seeking asylum.
The Mayor thanked residents for their support for these most needy of people and affirmed that Council would continue to support in whatever way they could .
Local musicians Isabel Knight and Snez entertained the crowd.
Local federal election candidates Labor's Susan Templeman and Green's Terry Morgan were also in attendance.
Some members and supporters of BMRSG also took a banner to the March in Sydney which was one of 17 rallies around Australia to protest against the Turnbull government's treatment of refugees.Leave a reply


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The following video procedure relates to adding an event directly into Vault. The example used is logging an "Injury" type event. It covers off ALL sections that could be included in other event types and therefore it may include sections that are NOT present in the event you're working on.
The result will be an event logged into the Events Register within Vault.
If you are unable to access the above video or for a printable/presentation version of its content, feel free to download the PDF file or PPT file.


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Meet Clare Gallagher – renowned ultrarunner with several major wins including the 2nd fastest female time ever at the 2016 Leadville 100 mile race, first American to win the CC Ultra Marathon in the Alps in 2017, and more. The truly amazing thing is that she did all of this in the few short years after she graduated from Princeton in 2014! Yes – she is one of the fastest-rising athletes I've ever known. Think about it. It took me 10 years to win an Ironman! The really amazing thing about Clare is her depth. She is so much more than an athlete. She has a passion for doing the right thing by our planet and she has crafted a career to include sponsors and events that allow her to focus on this platform.
It's funny, I interviewed Clare just an hour after my daughter Wilder's Kindergarten graduation. I was of course totally emotional as the little 6 year olds sang songs about their wide open futures. And I was thinking about what kind of girl I hope wilder will be. Then Clare walked up. Literally walked up. We didn't realize that she lives about 8 houses away from me! I looked at her and thought – her parents must be so proud. She is so strong and clear minded. I hope I can craft a future for Wilder that allows her to find strength and clarity of mind too.
Today we talk about:
- Growing up as an "adventurer" in her own backyard
- Ballet, yes, ballet 🙂
- Injuries: how they stop when you stop depriving your body
- Celiac disease
- Overcoming self-doubt
- Earthraging
- Ultrarunning & saving the planet: How they go hand in hand
- Valuing health over everything
- Bucket lists
There are lots of gems in this one that we can take away as people, as parents, and as humans who walk this precious earth. I love the basic truth that Clare explains so simply, "Value your health over everything." That's the key folks. Our health is our ticket to happiness. Yes age happens, bodies change, things happen outside of our control, but if we prioritize the things we can control to prioritize our health, we have a better chance of happiness. I also love Clare's passion for our planet. Her final nugget is so cool. I'm working on it right now for myself and Wilder: Make a list of the places you want to go this summer and start ticking them off. You will discover beauty you didn't realize was there. So let's get on it and make our bucket lists! Check out the post on Skirt Sports facebook page about this episode. Post your bucket list and we'll give away a $25 gift cert to one of you!


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Sunday on MSNBC, Rep. Maxine Waters told network host Thomas Roberts that the DNC should return the money sexual predator Harvey Weinstein had donated to it.
Waters argued it would send a message that the DNC did want that kind of money involved in campaigns and elections, Breitbart reported.
"They may not have known what was going on, but the fact that they now know — they know now — they ought to give him the money back and make sure the word goes out that the Democratic Party does not welcome that kind of money coming into our campaigns and dealing with, you know, our elections. It is not to be accepted by us."
Maxine should tell that to Hillary Clinton who announced today that the Clinton Foundation will not be returning the $250,000 they received from Weinstein.
Foundation spokesman Craig Minassian tweeted that donations, ranging from $100,000 to $250,000, have already been spent on projects, the Daily Mail reported.
Suggesting @ClintonFdn return funds from our 330,000+ donors ignores the fact that donations have been used to help people across the world. https://t.co/dBXNZwAkWS
— Craig Minassian (@MinassianMedia) October 14, 2017
On "Fox & Friends" this morning, former Utah Congressman Jason Chaffetz said Hillary Clinton is again demonstrating why she is not the president of the United States.
"There's no excuse for this," Chaffetz said. "She's arguing that she wants to lead with women and women's issues. And then this issue comes up and she's like, 'No, I'm going to go ahead and keep that money.'"


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Ray Lugos mind is very fertile, and hes been rather prolific over the last decade, putting out a variety of groovy sounds ranging from organic to electronic, afrobeat to soul, Latin to Brazilian and many different sorts of mashup/fusions in between. But, just because he is creatively fecund doesnt mean the quality suffers - each album is hand-crafted and Ray takes his time to shape and mold it to just the right proportions.
So when Ray told me he had some new music he was working on, I didnt know what to expect, but I knew it was going to be sabroso, whatever the ingredients. Turned out it was his second Latin soul record with the Boogaloo Destroyers, and destroy the dance floor is just what they will do when you put this record on the Hi-Fi. The title of the album translates loosely as "how groovy!" and its a very apt one. The Boogaloo Destroyers sound is inspired by the warmth, diversity, and youthful spirit of classic New York Latin Boogaloo of the 1960s, yet at the same time, as composer and lead vocalist, Ray feels he is bringing some of his afrobeat sensibilities and vocal personality to the proceedings, to make it fresh for todays audiences. He also told me he feels the Boogaloo Destroyers serve the dual purpose of emphasizing his pride in being Latino as well as helping to build a musical bridge for people from around to world to come together and learn a little bit about each other, and with this sophomore release, hes gonna do just that. When I asked him to talk about the songs, he offered some entertaining insights:
¡Que Chevere! (My Babys Got Latin Soul): talking about non-Latin gals that still got that soul!
Ven Al Jala Jala: ¡puro vacilón! (a pure ass-shaking time)!
Cmon Everybody: I dont now why but KC And The Sunshine band came to mind when thinking about this one. A simple call to everyone to come and dance the sweet boogaloo.
El Ritmo De Nueva York: I wanted to feature some real descarga tunes as we lacked those on the first album. Also wanted to show NYC pride.
La Tumba De Fu Manchu: had a strange dream with a kung fu savant coming out of cave. Also was intrigued with mixing a boogaloo them on top of a cumbia beat = cumbialoo!
Hong Kong Shin-A-Ling: I lived in Spanish Harlem for a couple of years in my 20s above a Chinese chicken wing spot and my girl used to work at Tower Records on 4th Street. She would take home videos for us to watch after hours and always stopped at the Chinese spot and picked up some chicken wings to accompany our movie watching.
Terremoto: another descarga track bringing about an earthquake as a result.
Batongo: I love Watusi Boogaloo by Willie Rosario so wanted to have a similar tune but with a character of its own, putting my stamp on it. On a trip I took to Cuba in 1999 I encountered a fellow the neighbors called Batongo and he used to love to eat kimbombo (okra) with rice, so he was the inspiration for this.
I want to leave you, the listener, with this thought Ray shared with me recently: In a hyper difficult music environment Ray has had the great fortune to bring so many of his concepts to life, and he feels this new boogaloo album has come at the perfect time in his career. Now is a time in his life when hes never been more comfortable making music, and he feels blessed to be finding himself constantly amazed by peoples kind consideration of his work. After they hear this one, I can assure you Ray, the deal will be sealed!
- DJ Bongohead, New York City, 2013
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Special Jury Award (Dramatic Short Film, Original)
Welcome to Fandor. Watch thousands of award-winning films online. ×
Click here to take a look at our newly redesigned movie page.
Burgeon and Fade2007
Sorry. This film is not currently available.
During a party, the insecurities of a middle-aged mother threatens the close relationship she has with her daughter (whose burgeoning beauty has managed to swivel every head in the room).
Cast & CrewGenresFestivals & AwardsRelated Articles
- Maggie Cassella - Linda
- Dan Duran - Rick
- Toni Ellwand - Anna
- Sarah Gadon - Haley
- Vickie Papavs - Kathleen
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Member Reviews (3)
I think this is an incredibly mature vignette of the mother-daughter dyad. Well conceived and well acted. It was also entertaining. Very authentic. Highly recommended.
Liked the acting and the story, the pace was a bit slow I think but an entertaining short.
Not believable


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We are ware that, as a buyer, it matters to you to know what type of decide order look forward with. And when you decide to order tickets, you look forward to find trustworthy decide to which you could transfer your information and feel confident that they are in secure hands.
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Located in the border area between Sweden and Norway about two hundred kilometers north of the Arctic Circle, Niehku Mountain Villa is a five-star accommodation that offers a fantastic experience, stunning natural landscapes, and the best comfort services. Niehku Mountain Villa is located between the beautiful Lapland mountains, in a small village called Riksgränsen. This Mountain Villa is a mountain gem for adventure lovers.
Niehku Mountain Villa has 14 exclusive double rooms, a restaurant, lounge and spa. The interior is designed like a house to provide comfort for guests. This mountain villa puts forward a personal and relaxed atmosphere so it is perfect for holidays with family members, building closeness with friends, or just to enjoy a restful break.
The culinary experience here also spoils guests with daytime reindeer stew and six-course meals featuring Swedish caviar for dinner. But the real adventure here is skiing. Niehku Mountain Villa offers helicopter assistance and experienced guides to make it easier for skiers to access more than sixty mountain peaks.
In addition to skiing, the experienced guide also offers the opportunity for guests to hiking, climbing, cycling, running, hunting, fishing, and direct access to go to the unique location in an amazing natural mountain landscape in Lapland Sweden. Here guests can fly to roadless terrain and visit remote locations rarely marked on the tourist trail.


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Terms and Conditions ("Terms")
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Please read these Terms and Conditions ("Terms", "Terms and Conditions") carefully before using the GamE-blyopia mobile application (the "Service(s)") operated by Minian Software Ltd. ("Minian Software", "us","we", or "our").
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This article was originally published on March 22, 2018.
Ask any Roger Federer obsessive to name his five greatest matches and chances are the 2004 U.S. Open final won't be on the list. It took place a long time ago and was soon overshadowed by his epic battles against Rafael Nadal and Novak Djokovic. But the '04 Open final was arguably Federer's most dominant performance ever, and also the moment the world realized that his talent was possibly at a level beyond anything the sport had seen.
Although Federer, then 23, had already won three majors, this was his first U.S. Open title match, and it was against the most accomplished opponent he had yet faced in a slam final: Lleyton Hewitt, the two-time grand slam champ and former world No. 1 who had beaten Federer in seven of their first 10 meetings. Everyone expected a war; instead, the match turned out to be a historic rout, with Federer drubbing Hewitt 6-0, 7-6, 6-0. That the Aussie came into the final riding a 16-match winning streak and having not dropped a set at the Open made the beatdown he suffered that Sunday afternoon all the more incredible. Hewitt fought like hell — he always fought like hell — but he had no chance. He was simply overwhelmed by Federer's pace, touch and ability to conjure angles that seemed outside the realm of geometric possibility. Earlier in the tournament, John McEnroe, working as a commentator for CBS, had said of Federer, "You're witnessing someone who may go down in history as the greatest player who ever lived." That seemed like a hasty judgment at the time. After the Hewitt match, it didn't. This is the never-before-told oral history of that moment.
Roger Federer: The 2004 U.S. Open final was a major breakthrough for me. I had won Wimbledon and the Australian, and it was about confirming my status at the top of tennis. But playing Lleyton was tough. Every time I played him, I was ready for long rallies, a very physical match, a mental challenge.
Mary Carillo, broadcaster, booth announcer for the match: You anticipate a certain match. You think it's going to be about the tenacious Lleyton, there's going to be a lot of long rallies, he's going to leg out a lot of these shots that most people can't get back …
Roger Rasheed, Hewitt's coach, 2003-07: Lleyton was confident going in. We tried to bring Roger in on our own terms. He came in to a couple of short balls during the first set — they were low because Lleyton chipped them — and he hit this low-ball topspin off the service line that went just over the net and bounced twice before the service line. I was sitting with John Fitzgerald, who was [Australia's] Davis Cup captain at the time. Fitzy said to me, "That was a mishit." I said, "No, no, that was done intentionally."
Federer blanks Hewitt, a two-time major champ, in the first set, taking it 6-0 in just 18 minutes.
Federer: The way I was playing and serving — I felt I could really maintain this level. I was feeling it. But there was a difficult situation in the second set. I was up a set and a break, 6-0, 3-1, and all of a sudden he came back. I knew Lleyton could go through spells where he would not miss a ball for an hour. He would get you in these rallies time and again. Then maybe your legs go, your mind starts wandering and it becomes more complicated. I had to win the second set and not go into the third set on even terms.
Rasheed: There was one moment late in that second set: Lleyton had a second-serve return, Roger went to his backhand and Lleyton dumped it. I thought we were going to get to 15-40, and he dumped it. That was his chance. My god, I wish he'd gotten that ball back.
Carillo: Hewitt played the best tennis he could possibly play, and he still lost that set. Now where do you go?
After winning the second set 7-6, Federer breaks Hewitt to start the third set, then breaks him again to go up 3-0.
Rasheed: Lleyton is still busting his ass, but once Roger grabs you … Roger was just [playing] so free. He's got the ability to get access to every single part of the court. There are not many players in our sport who have ever had that ability. The way he can spin the ball, his creativity with his hands and his shot selection …
Federer: At this point, I'm fairly confident there's no coming back for him. Once you do the double break, you're like, "If I mess this up, then I'm a majorly bad player."
Carillo: You want it to be competitive, and it's a terrible thing when it is not. At a certain point, you're only talking about one side of the net, and that happens a lot with Roger. He was luminous. You just say, "This guy on every level is lapping his very feisty opponent."
Federer: One-sided matches are a bit of a bummer for people. But as a player, they are the ones you are most excited about because you were able not only to hold your serve but also to break almost at will. You broke the guy six or seven times, and the guy is a top-five player in the world. Australian Open last year: five sets; Australian Open this year: five sets. Yes, they are epic and they stay in your heart because they are so emotional, but the demolition ones stay with you.
Carillo: Love, six, love — Roger threw him down a flight of stairs. You knew what he could do, but you didn't know he could do that. I thought that Sampras' 14 [majors, a record] was going to stand there for a while. I think Pete thought the same thing. And all of a sudden [Federer] comes galloping along …
Federer: I knew by winning that one — winning three majors in the same year — that's no joke. I felt like this career could really become special at this point. Beating Agassi, beating Lleyton, all these were major milestones in getting to believe that I could do this. I came to realize I was able to do stuff that I wasn't sure I was able to do. Maybe backhand passing shots. Maybe my transition game. My clutch serving. This was stuff I still had to prove to myself, and that's when I was really able to tell myself, "Big stage, I like it. I can really bring it." For the rest of my career, it made me believe that this is who I am. I like the big stage.
In addition to tennis, Michael Steinberger shares an interest in wine with Federer. His stories pair well with red burgundies.
Source: espn.com


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Continuing along with my senseless nomenclature for this anime, this week's episode is hereby dubbed 'Lost Exile' which appropriately describes how Millia, Fam, and Giselle were marooned in the barren tundra of Glacies. The whole episode revolves around our trio of heroes interacting with Rocket Fighter pilot and native to Glacies, Dian, and repairing their wrecked vanship before departing to the home base, the Silvus. But before going from point A to point B, the episode exposed a vast schism in cultures, customs, and philosophies between Glacies and the rest of nations neighboring the Grand Lake. Thought the episode did minimal to advance the plot, its exposition on world building was exceptional and it enriched the setting in a way I admire: thought character action rather than narration or guesstimation.
What continues to impress me through each episode of Last Exile is the diligence of the elaborate setting, not only through its tireless details in every scene but through the way the characters use the setting to tell themselves and tell the story. This episode was all about the setting and specifically on a subsection we knew little about and seen ever less of. We knew Glacies was a faraway landscape eternally blanketed in snow, below unhappy gray skies, and home to spiffy-looking airships that would patrol their boarders like an attentive guard dog housed in junkyard. Oh, and they speak Russian, so there are subtitles translating their tongue into something the subbers understand. But that was it. They always felt like a foreboding and intimidating country that the characters dreaded. We were even reminded of this soon after the episode began when Fam likened Dian to some sort of ogre that would club them and eat their bones. But in reality, we saw something completely different.
Dian is our ambassador to Glacies, representing her entire nation's cultures, traditions, and beliefs throughout the episode. That's not to say Dian is the embodiment of Glacies through and through, she does have some individual qualities that separate her from the rest of the Rocket Fighters and elevates her to this role, but for the purpose of the episode Dian is a living, breathing representative of Glacies to our heroic trinity and to us, the audience. Through Dian's interactions with Millia and the others, we can begin to learn about the last relevant nation in the world.
Aside from the language barrier which was the most obvious dissimilarity, perhaps the most significant between the two were their airships and their philosophies about flying in the skies. The airships of Glacies completely encapsulate the pilots in their cockpits and show various screens brimming with data and information. Because of this engineering design, Dian has never felt the wind until she piloted Fam's vanship after it finished being repaired. Just imagine how this new sensation and new perspective influenced her view of flying, feeling the freezing air against her face and seeing the world through her own eyes rather than various computerized screens. Must've been something else for her. Probably gave Dian something else to think about when she criticized Fam and Giselle's flying philosophies earlier in the episode. Dian had trouble understanding why someone would fly without weapons and assist others in the sky when all she is familiar with, and the isolated nation of Glacies too, is patrolling her boarders, protecting her people, and killing those who threaten her sovereignty. Certainly flying in Fam's vanship helped give her some idea on why Fam does what she does and loves what she loves.
And for Millia, Fam, and Giselle, they were able to experience Glacies, meet its people, and survive through their efforts. Through Dian and the others that helped them during their stay, they began to realize that Glacies was not as intimidating and threatening as they first imagined, despite the image from all the patrols and battles they must see or hear about. And Fam's fear of imprisonment and death were quickly dispelled when Dian showed them her compassion and warmth. Likewise with Dian's philosophy of flying disturbed by Fam's line of thinking, the others were exposed to a side of flying without love for others or itself, that it was special but not special. While it doesn't seem like much was gained for the story or the characters themselves though these exchanges, it did create a new and comprehensive image of Glacies for us.
What really impressed me with this episode was not what Glacies was developed into but how we saw the development of the setting take place. That is, we saw it though Dian's actions instead of through a myriad of other, lesser options. The two languages really created a divide among the cast as they attempted to work together to repair the vanship and was effective, not only in creating hardships to overcome, but to show how different Glacies and the rest of the world is. It's not often you see something like this done in anime. Usually the two different cultures will speak Japanese and rely on lesser devices to show the difference in culture (clothes, food, body language), so showing us the two languages and the characters finding difficulties communicating made the difference in cultures much more effective and significant. Seeing the two sides learn about each other's aircrafts through dialogue and later, thorough experience, really drove home the fact that these two nations have vastly different approaches to aviation and the purpose behind flying. Had the two just discussed it back and forth (not questioning each other) it simply would not have been enough. By doing it the way they did it, we were able to visualize the differences and see the reactions of Dian and Fam to the new knowledge. Through these and other actions, we were able to understand the world of Last Exile even further and experience this new knowledge along with the characters of these lands. The setting has always been a favorite aspect of mine in Last Exile largely due to its appeal but through developments like these, I appreciate it that much further and enjoy it that much more.
Since when did the Ades Military branch join up with the Department of Infinite Money to build all those airships? At one point, I counted around 240 on screen during one shot this episode. That's absolutely absurd and unbelievable. Seriously, these airships all must cost a fortune, not only to construct, outfit and maintain, but to pay for the crew that operates them, the military onboard, the food and supplies for everyone, and ultimately upgrade. And they have thousands of these. This war must be incredibly costly for the people of Ades and for what gain? They're not doing much with the ruins of Turan now after decimating the capital to rubble. But it doesn't appear they know or care what's going on, they just cheer wildly because someone somewhere established a link of this war to Augusta and, like the blind and uneducated masses they are, they go wild and give it their full support. I don't understand how this war is finaced or how its backed by its people but whatever, I could make this argument in any anime and still get the same answer every time: shrugged shoulders.


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13You have been in Eden the backyard of God; every precious stone was your masking, the sardius, topaz, and the diamond, the beryl, the onyx, and the jasper, the sapphire, the emerald, and the carbuncle, and gold: the workmanship of your timbrels and of your pipes was prepared in you in the day that you just had been created.
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7And I heard the man clothed in linen, who was above the waters of the river, when he held up his right hand and his left … Read More


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War is not inevitable
In 2010, the Bristish Pugwash Group published a statement in which three distinguished scientists argue that "War is not inevitable: aggressiveness can be tamed"
Read it here.
British Pugwash is the UK arm of the Pugwash Conferences on Science and World Affairs, an international network of scientists and others concerned about the social impact of science, with particular emphasis on abolishing weapons of mass destruction and war.
Their website is well worth a visit.


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Sleep Drunk: The Dangers of Too Much Sleep, Pt 2
Originally aired on 4/07/2014
Dr. Oz reveals a surprising fact about sleep: Too much shut-eye can cause fatigue, heart disease, obesity and diabetes! It's called being "sleep drunk" and is caused by a break in your body's natural sleep cycle.
Guests: Dr. Carol Ash , Dr. Martin Blaser , Eve Schaub , Jennifer Stack


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Extension Form
More Info
We will take care of your either Tourist Visa or Social Visa Extension. Contact us through this page by filling the form or call us to this number below. Our phone number also stand by for whatsapp message.
Address: Jalan Raya Semat Blok CIII Number 6 Canggu
80361 North Kuta, BADUNG – BALI
Phone: +62 36183120
Business Hours: 9AM – 9PM (Monday to Saturday)


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Deuteronomy 21:22-23 (Jewish Law) says to bury the corpses of those crucified (before sunset).1 This is relevant because Jews considered the demands of Jewish Law to be morally obligatory.
So? Couldn't it simply be that…
• …Jews didn't obey Dt 21 by the 1st century?2
• …Jews only applied Dt 21 to hanging corpses on crosses?
11Q Temple Scroll 64:7-13 (150-75 BC?) instructs Jews to bury corpses before sunset.1
Josephus's Jewish Wars 3.377 says Jews ensured they were buried before sunset.1
Josephus's Jewish Wars 4.317 says Jews ensured they were buried before sunset.1
So? Couldn't it simply be that…
• … Jews then only applied Dt 21:22-23 to those crucified/hung after death (and here Josephus refers to individuals already dead)
Josephus's, Antiquities of the Jews 4.202 & 4.265.1
Philo in De Specialibus Legibus III 151-152 records, "let not the sun set" on the crucified.1 (cf. Post C. 61; Somn. 2.213)
b. Sanhedrin 46b instructs Jews to bury corpses before sunset.1
m Sanh 6:5 (Mishnah) says "whoever keeps his dead unburied overnight transgresses…".1 This applied in Jesus's time.2
4Q492, 4Q285, & 4Q251 indicate that Jews (historically) did bury corpses before sunset.1
-Craig Evans (Ashbury Prof. of NT, Founder of DSS Inst.): "This is probably the rationale that lies behind the concern regarding slain enemy soldiers. In the fragmentary conclusion of the War Scroll we have reference to the fallen Kittim (i.e., Romans) and their allies. Their corpses lie on the field of battle, unburied. Priests, including the high priest, stand over the corpses and praise God. What is said is not preserved (1QM 19:9–14 = 4Q492 frag. 1 lines 8–13), but it is probable that the priests oversee burial of the corpses and cleansing of the land." [...]
-[Evans continued...] "The related 4Q285, which is also fragmentary, supports this interpretation. It seems to say that while Israel celebrates victory over the Kittim (with women beating timbrels and dancing, as in the great victories recounted in Scripture; cf. Exod 15:20; Judg 11:34; perhaps also 4QpIsac 25 iii 1–3), the high priest shall give orders for the disposal of the corpses, evidently to avoid corpse impurity (4Q285 frag. 7, lines 1–6, esp. lines 5–6; cf. frag. 10, lines 4–6: "and you shall eat [the spoil of your enemy . . . and they shall dig] graves for them [ . . . and you shall cleanse yourselves from al]l their corpses . . . "). This then explains the meaning in 1QM 7:2–3, which refers to the men who "strip the slain, plunder the spoil, cleanse the land . . ." Cleansing the land would include burying the corpses of the enemy. [...]"
-[Evans continued...] "Related material is found in 4Q251 frag. 18 (or frag. 13), which apparently expands legislation concerned with the discovery of the corpse of one slain out in the field (Deut 21:1–9). In Deuteronomy nothing is said of burial, but evidently that is a detail added by 4Q251: "[. . . if] a corpse [is found] lying in [a field . . . and they shall break the heifer's neck there in the wad]i in return for the life [of the slain . . . ] it is a substitution which is put to death for [the slain . . . ] everyone who has no soul within him is dead, [he must be buried] in a g[rave . . . ]" (lines 3–6). The last part is not found in Deuteronomy (or elsewhere in Hebrew Scripture)." [Jewish Burial Traditions and the Resurrection of Jesus, article]
Gospel of Peter 3-5, 15 indicates that Jews did bury corpses before sunset.1
In general, Jews felt obligated to ensure pre-sunset (A.S.A.P.) burial of any corpse (including those not crucified).
• …[Jews felt obligated to bury ASAP]() (e.g. Semahot 9:9)
• …[Jews must sleep on the floor until burial was done]() • …[Finishing burial outweighed reciting the Shema and all Jewish law]()
Old Testament examples exist which demonstrated burial before sunset.1 This is relevant because Jews would have attempted to pattern themselves after these examples.
Acts 5:6-10 demonstrates burial before sunset, even among Christians.1
• Acts 5:6-10 -- The young men got up and covered him up, and after carrying him out, they buried him. 7Now there elapsed an interval of about three hours, and his wife came in, not knowing what had happened. 8And Peter responded to her, "Tell me whether you sold the land for such and such a price?" And she said, "Yes, that was the price." 9Then Peter said to her, "Why is it that you have agreed together to put the Spirit of the Lord to the test? Behold, the feet of those who have buried your husband are at the door, and they will carry you out as well." 10And immediately she fell at his feet and breathed her last, and the young men came in and found her dead, and they carried her out and buried her beside her husband.


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Southampton Academy Have Biggest Gain in Europe
Southampton Academy Have Biggest Gain in Europe
London – Southampton Academy diligently not only spawned many talented footballer, but the Saints are also the most profit from the sale of the former academy among European teams lately.
That the results of a study of a sport organization, the International Centre for Sports Studies (CIES), which carried out since 2012 in the five top European leagues such as English, Spanish, Italian, German, and French, as quoted by Soccernet. For age range, CIES take a range between 15 to 21 years.
In the top 10 highest income, there is Southampton in the top spot with a value of 90.2 million euros (USD 1.2 billion) after selling several academy players. Of the total, 40 percent come from Luke Shaw (35 million euros to Manchester United), Adam Lallana (30 million euros to Liverpool), and Calum Chambers (20 million euros to Arsenal).
Emerging Soton achievements since promotion to the Premier League in the 2012/2013 season makes many players ogled English clubs. Before the three names, Soton is often sell their academy graduates into the Premier League club and names such as Gareth Bale, Theo Walcott and Alex Oxlade-Chamberlain has now been transformed to be a top player.
Even Bale's status as the world's most expensive player after Real Madrid bought it with a tag of 100 million euros in the summer of 2013 from Tottenham Hotspur.
Under the existing Soton Ligue 1, Lille, which gets around 76 million euros revenue with its largest sales is Eden Hazard (37 million euros to Chelsea) and Mathieu Debuchy (16 million euros to Arsenal).
Real Sociedad is in third position with $ 62.2 million euros. Antoine Griezmann (30 million euros to Atletico Madrid) and Asier Illarramendi (32.2 million euros to Real Madrid) so their highest sales.
In fourth position is Sevilla who received 51.5 million euros in the last three years after selling Luis Alberto, Jose Campana, Antonio Luna, Jesus Navas, and the last Alberto Moreno.
Borussia Dortmund in fifth place after selling several academy players including Mario Goetze (32 million euros to Bayern Munich) with revenues of 43.5 million euros.
Although often spend a lot of money to spend players, Madrid is also smart in the academy players sell at high prices. Names such as Jose Maria Callejon, Daniel Carvajal, Esteban Granero, Alvaro Morata and final accounts for the largest percentage of the total 43 million euros, which makes Los Blancos is in sixth position.
Barcelona seventh there are a total gain of 38.8 million euros from the sale of La Masia players to other clubs such as Thiago Alcantara, Jonathan Dos Santos, Andreu Fontas, Bojan Krkic, and Antonio Sanabria.
Completing the top 10 are Rennes (33.6 million euros), Montpellier (33.5 million euros), and St. Etienne (32.8 million euros), which made the French league so the league with the highest intake of about 292 million euros from the sale of players throughout the club's academy.
In second place is La Liga with 276 million euros, and the Premier League with 227 million euros, 163 million euros Bundesliga, Serie A and the smallest with 114 million euros.
For Premier League club Southampton itself only in the standings 10, because after that at position 11 there Swansea City which gets about 31.6 million euros after selling Joe Allen and Ben Davies. Manchester United in 13th place with $ 28.7 million euros from the sale of Michael Keane, Robert Brady, Matt James, Joshua King, and Danny Welbeck (20 million euros to Arsenal).
Bayern in 12th place with $ 31.1 million for the academy players like Emre Can, Diego Contento, Earn Husic, and Toni Kroos. In the last position or 14th there Paris St-Germain with revenues of 25.2 million euros after selling Clement Chantome, Antoine Conte, Mamadou Sakho, and Ilan Boccara.
* 1 euro = 14 179 dollars


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Communication is key to many of the things we want for ourselves
and our children. It underpins everything we do and helps us live
life to the full.
It's fundamental to children's development; children need to be
able to understand and be understood; it's the foundation of
relationships and is essential for learning, play and social
Children with speech, language communication needs (SLCN) are at
high risk of difficulties with reading, writing and spelling. If
children can't say words, they will be more likely to have
difficulties in 'sounding out' words for reading and spelling, or
writing them down. If they can't understand the words they hear,
they will struggle to understand what they have read.
Children with communication difficulties are more likely to have
behaviour difficulties. Many children with identified behaviour
needs have previously unidentified SLCN. Imagine the frustration of
not getting your message across.
This is why it's so important to support not only children who
have communication difficulties but all children's communication
Some facts and stats
Please click here to view more facts and stats.
Share this page with others:


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Emily Barber, Chief HR Officer
Emily Barber brings more than 11 years of experience in management to her role as Chief HR Officer. At SPCA Tampa Bay, she develops and executes the nonprofit's strategic staffing plan, which includes compensation, benefits, policies, training and budget.
As part of this work, Barber develops processes and policies for staff and volunteers to maintain the organization's daily operations. Barber leads SPCA Tampa Bay's employee development programs, provides orientation for staff and volunteers, and evaluates the organization's effectiveness through data analysis. She maintains compliance with federal, state and local laws that govern equal opportunities and employee records, among other topics, and advises SPCA Tampa Bay's leaders on laws and policy changes that can affect the organization and its employees.
Prior to joining SPCA Tampa Bay, Barber worked in management roles in both non-profit and corporate settings. Most recently, she worked on the contracts negotiation team at Tech Data, a Clearwater-based Fortune 500 corporation, providing advice to internal departments regarding key business issues with a focus on risk mitigation strategies. She previously served as communications director for a national non-profit association that worked to increase the use of research-proven strategies to help at-risk youth and families nationwide.
Barber graduated with a degree in Foreign Affairs from the University of Virginia. She completed post-graduate studies in Contracts Management and Human Resources at Villanova University.
A lifelong equestrian, she relocated to Florida in 2010 and now lives in St. Petersburg. She joined the SPCA Tampa Bay team in 2016.


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Salivary gland neoplasms may be benign or malignant, and malignant tumors can be primary or metastatic. Due to the epithelial and the non-epithelial histology of the affected organ, many histological types of parotid tumors are possible, although some are rare.[1] Salivary gland tumors are characterized by diverse histological appearances and variable biological behavior. The distinction between tumor types can be difficult, particularly based on material from fine-needle aspiration (FNA). There are several other aspects of salivary gland tumors that make them interesting. The commonest benign tumor (pleomorphic adenoma) has a malignant transformation potential, and, although considered benign, there is a propensity for recurrence after treatment.[2] It is not surprising that with such a wealth of pathology, clinical features, investigation issues, and contentious treatment options that salivary gland neoplasms are regularly used in clinical examinations.
Malignant salivary gland tumors usually present after the 6th decade of life, whereas benign lesions present in the 4-5th decade of life. Benign lesions tend to be more common in women, but malignant lesions tend to occur with equal frequency in both genders. The majority of salivary gland tumors occur in the parotid, about 10% occur in the submandibular gland, and less than 4% occur in the minor salivary glands. Most parotid gland tumors are benign, of which the most important is the pleomorphic adenoma. On the other hand, lesions occurring in the submandibular gland and the minor salivary glands are more likely to be malignant.
Mortality from salivary gland tumors depends on the stage. Five-year survival averages about 70%.
There are two main theories of how salivary gland tumors arise, but the consensus is with the multicellular theory, that each tumor type forms from a specific differentiated cell of origin within the salivary gland unit. Excretory stem cells give rise to mucoepidermoid and squamous cell carcinomas, while intercalated stem cells can lead to pleomorphic adenomas, adenoid cystic carcinomas, oncocytomas, adenocarcinomas, and acinic cell carcinomas.
Radiation exposure has been linked to parotid gland carcinomas 15 years after the event. Cigarette smoking and alcohol is associated with head and neck squamous cell carcinoma, skin malignancies in the head and neck have been known to metastases to the parotid glands. Some cases of a link between occupational exposure to silica dust and nitrosamines have been reported.[3]
It is important to note that both alcohol and smoking are not linked to salivary gland tumors, except for Warthin tumors.
Salivary glands are a common source of benign pathology; malignant tumors are rare. Approximately 300 cases per year of primary salivary gland malignancy are registered in the United Kingdom, of which fewer than ten occur in children.[4] Patients with malignant lesions typically present in their sixth decade. The worldwide incidence is estimated at 0.5 to 3.0 per 100,000 per year, accounting for about 5% of all head and neck malignancies.[5][6] The overall 5-year survival of malignant salivary disease depends on the stage of the disease but has been reported around 70%.
The WHO histological classification of salivary gland tumors now includes over 40 variants as well as tumor-like lesions (e.g., salivary gland cysts). A simplified classification is presented below:
Carcinomas can further be classified as high grade, low grade, or mixed, the latter indicating a variable behavior depending on the histological picture. It is important to recognize that the clinical behavior of a tumor rather than the histology can provide a better treatment guide, and it is recommended that clinical factors, in addition to histology and grade, are considered when treatment planning. Salivary gland tumors are uncommon in children, but a greater proportion of them (30%) are malignant and are usually low-grade mucoepidermoid carcinoma.
A good rule of thumb to remember is the rule of 80s; that 80% of all salivary tumors are in the parotid, 80% of parotid tumors are benign, and 80% of the benign tumors that arise in the parotid are pleomorphic adenomas. Warthin's tumor is the second most common benign lesion. The most common malignant tumor is mucoepidermoid carcinoma, followed by acinic cell carcinoma and adenoid cystic carcinoma. It is also important to remember that the parotid gland is a common site for metastases from squamous cell carcinomas arising in the skin of the head and neck.
Several oncogenes have been implicated in salivary gland tumors. Mutations of P53, MDM2, Bcl-2, and ras have been found in both benign and malignant lesions.
Malignant tumors[4]
Mucoepidermoid Carcinoma
This is the most prevalent malignant major salivary gland tumor and arises in any salivary tissue but predominantly the parotid gland. It is the commonest salivary neoplasm in children. Low-grade or well-differentiated tumors usually behave benignly, intermediate ones are more aggressive and high-grade, or undifferentiated tumors metastasize early to regional lymph nodes and carry a poor prognosis. However, the behavior is not always accurately predicted by the histological appearance. Five-year survival varies between 86% for low-grade and 22% for high-grade tumors.
Adenoid Cystic Carcinoma
This is overall (for all glands) the most frequent malignant salivary gland tumor and may arise from any salivary tissue, but is more common in the minor (rather than in major) salivary glands. The gender incidence is equal, and they are seen most often in patients in their sixth decade. The tumor usually presents as a slow-growing mass and tends to spread along nerve sheaths. The patients often complain of facial pain and may present with facial paresis. The incidence of lymph node metastases is low. Local recurrences are common, and distant metastases occur in 30% to 40% patients, usually in the lungs, many years later. Stage I and II cancers have good cure rates, although the prognostic survival curve never flattens even after 20 years. Patients with stage III and IV diseases have a poorer prognosis with low survival rates (as low as 15% to 50%) at 10 years. Patients with lung metastases may live up to 5 years before succumbing to the disease.
Acinic Cell Carcinoma
This is the third most common cancer of the parotid gland. These grow slowly and usually do not spread to local nodes. However, they do recur or present with distant metastases many years after apparent disease-free survival. This is reflected in excellent survival rates of 90% at 5 years, which drops to 55% at 20 years.
Polymorphous Adenocarcinoma
Polymorphous adenocarcinoma is increasingly recognized, particularly as a tumor of the minor salivary glands on the soft palate. It is rare in the parotid. It is easily confused histologically with pleomorphic adenoma and adenoid cystic carcinoma. It generally behaves in an indolent, low-grade fashion, but can be unpredictable with perineural invasion and lymph node metastases.
Squamous Cell Carcinoma
Most cases of squamous cell carcinoma (SCC) are metastases to the parotid from skin cancers. Associated neck nodes are common so that these cases should also have an elective selective neck dissection, even in an N0 neck. Squamous cell carcinoma tends towards early extracapsular extension. In the parotid, this may threaten local structures and so prompt surgical intervention is required. A few weeks' delays can make a significant difference to the complexity of the planned surgery, with tumors readily invading the skin and surrounding structures.
Lymphomas may develop in intra-parotid lymph nodes. The risk of lymphoma is increased in patients with Sjogren syndrome. They can be confused with Warthin tumor on cytology, and larger tissue samples are usually requested, and immunohistochemistry is required.
Benign lesions
Pleomorphic adenoma is commonly found in the parotid gland and affects both genders equally. The tumors are slow-growing and cause no symptoms. The lesions have a smooth texture and are surrounded by a capsule. Lesions that have pseudopodia are most likely to recur after surgery. Most superficial lesions can be removed with simple enucleation. Damage to the facial nerve can occur and is associated with high morbidity.
Warthin tumor is the 2nd most common benign lesion. The tumor is more common in men than women and is known to be bilateral in 10%-15% of cases. It has been linked to smoking and presents after the 4th decade of life.
Oncocytomas are rare tumors that occur in older patients. These lesions are firm and are identified using electron microscopy.
Monomorphic adenomas may feel like pleomorphic adenomas but lack the pleomorphic features. These slow-growing lesions are benign and likely to occur in the minor salivary glands.
The usual presentation is a slow-growing painless mass. Rapid growth, pain, tethering of the skin, ulceration of the skin, cervical lymphadenopathy, and facial nerve paralysis are all suggestive of malignancy. Tumors low in the tail of the parotid gland can easily be confused with an upper cervical lymph node. Bilateral parotid tumors are most common in Warthin tumors and HIV related lymphoepithelial cysts. Taking a detailed history is important in treating patients with parotid lumps, as infectious, autoimmune, and inflammatory processes may masquerade as neoplasms.
All patients with a mass in a salivary gland should have an inspection and palpation of the mass itself. The oral examination should be with an inspection of the relevant salivary gland duct. The submandibular duct (Wharton duct) orifice is found on the floor of the mouth, and the parotid (Stenson duct) is situated opposite the upper second molar. Perioral palpation can be useful to assess the extent of tumors, particularly with submandibular gland tumors. Inspection of the oropharynx for para-pharyngeal extension should be performed, which will usually manifest as the medicalization of the tonsil. Facial nerve assessment is mandatory, as is neck node palpation. A facial nerve palsy may indicate a malignant lesion with infiltration into the nerve. The head and neck skin should be checked for cancers.
Fine-Needle Aspiration Biopsy
Fine-needle aspiration biopsy (FNA) is the primary diagnostic tool for salivary gland lesions, but the role of FNA in the diagnosis of benign and malignant salivary gland disease still carries some controversy. It is a relatively painless procedure, has few complications (seeding of the tumor does not seem to occur), and may prevent an ill-advised and often ill-fated incisional or excisional biopsy of a parotid mass. However, it is far from straightforward with issues regarding aspiration technique, adequacy of the specimen, cytological expertise, and limitations of the interpretation. If the result of FNA is at variance with other findings, then clinical judgment should prevail. It is important to be aware that false-positive results can occur, leading to misdiagnosis of malignant lesions.
Ultrasound scan (USS) provides invaluable information about the site, size, and nature of salivary gland tumors and the presence of any significant cervical lymphadenopathy.[7] The position of a tumor in the superficial or deep aspect of the parotid gland is established by the identification of its relation to the retromandibular vein. It is usually combined with FNA (USSgFNAB), which improves the adequacy rate. In experienced hands, this can distinguish malignant from benign disease in 80% to 90% of cases. Cross-sectional imaging is not essential in straightforward benign tumors, but MRI scanning of a parotid tumor is useful in the assessment and delineation of anatomical structures, extension into the deep lobe, and relation to the facial nerve.
If the patient is suspected of having metastatic spread, the use of F-18 fluorodeoxyglucose PET scan is useful. Recently the use of a technetium scan aided with lemon juice stimulation has been used to diagnose Warthin tumors.
Parotid Gland Tumors
Benign Tumors
Superficial parotidectomy with identification and exposure of was traditionally the preferred procedure. The facial nerve us found 1cm inferior and 1-cm deep to the tragal pointer and bisecting the angle of the insertion of the digastric muscle into the digastric ridge. It is now generally accepted that an adequate margin in benign tumors, is a cuff of 1 to 2 mm. There is thus an increasing recognition that operations less than the traditional procedures are acceptable. Partial parotidectomy or hemi-superficial parotidectomy has become commonplace. An extracapsular dissection for benign pathology, away from the main branches of the facial nerve is an option, and even endoscopically-assisted parotidectomy can be effective in selected patients. These procedures should be undertaken by expert surgeons in carefully selected cases, e.g., small tumors confined to the superficial lobe. A "lumpectomy" is not considered an appropriate procedure due to high recurrence rates. Recurrence will occur if there has been incomplete excision and may occur if there has been tumor spillage. Complications from parotid surgery are well documented and include a scar, facial nerve injury, hematoma, seroma, salivary fistula, and Frey syndrome (gustatory sweating).
Intraoperative tumor spillage carries with it an increased rate of recurrence over a prolonged period of time, and so long-term follow-up is recommended in such cases. Adjuvant postoperative radiation therapy (RT) can be given in such cases, but this should be discussed in an interprofessional team setting. The use of RT in these cases is controversial and is sometimes not recommended, especially in younger patients due to the risk of radiation-induced tumors.
Management of a recurrent tumor is difficult. It can be multifocal, and as the facial nerve may be involved, its sheath may need to be stripped. The facial nerve should, if at all feasible, not be sacrificed; rarely, radical surgery is needed with resection of the facial nerve. The facial nerve may be encased in scar tissue, so the traditional method of finding it may have to be augmented by exposing it in the mastoid bone, or more hazardously a peripheral branch traced back. There is a high rate of transient facial nerve paresis in this group of patients. The patient should be discussed in the team for the suitability of postoperative RT to reduce recurrence.
Malignant Tumors
In small, low-grade superficial parotid tumors, a superficial parotidectomy with a margin of at least 1.5 cm may suffice, but otherwise, a total conservative parotidectomy is advised with resection of adjacent neck structures if necessary to achieve an en-bloc resection. A functioning facial nerve should be preserved unless found to be infiltrated with the tumor itself at the time of resection. If the nerve is sacrificed because of involvement, then primary nerve grafting should be performed. The greater auricular nerve as a donor is an option, but it may be involved, so the sural nerve from the leg may be preferred.
Neck dissection should be carried out in patients with clinical or radiological evidence of nodal disease. A prophylactic selective neck dissection (levels I to III) should be performed for patients with high-stage (T3/T4) disease-free clinically high-grade tumors (i.e., high-grade mucoepidermoid carcinoma, carcinoma ex-pleomorphic adenoma, adenocarcinoma, squamous and undifferentiated carcinomas).
Salivary gland neoplasms respond poorly to chemotherapy, with adjuvant chemotherapy used only for palliation. Adjuvant radiotherapy is recommended for large tumors (greater than 4 cm), patients with incomplete or close margins, recurrent disease, perineural and vascular invasion, nodal disease, in metastatic disease, and is usually indicated for adenoid cystic carcinomas and high-grade tumors.
Mucoepidermoid Carcinoma
Adenoid Cystic Carcinoma
Acinic Cell Carcinoma
The classification applies only to carcinomas of the major salivary glands. Tumors arising in minor salivary glands are not included in this classification. The staging of metastatic neck nodes for salivary gland cancer is similar to that for other metastatic diseases. T-stage, according to the 8th edition of the UICC/AJCC staging manual (2016) is as follows:
* Extraparenchymal extension is clinical or macroscopic evidence of invasion of soft tissues or nerve, except those listed under T4a and 4b. Microscopic evidence alone does not constitute extra-parenchymal extension for classification purposes.
The survival rates of patients with salivary gland cancer depend on the histological type and the stage of cancer.
The overall 5-year survival rate for salivary gland cancer is 72%.
Maxillofacial surgeon
Because of the possibility of recurrence and distant metastasis, patients with a history of salivary gland, cancer must be monitored throughout their lifetime. During the follow-up care, the otolaryngologist can give patients personalized information about the risk of recurrence. Patients may have blood tests or imaging tests as part of regular follow-up care. However, testing recommendations depend on the type and stage of cancer originally diagnosed and the types of treatment given.
Salivary gland cancer can be prevented by avoiding the possible risk factors namely tobacco and alcohol. For patients who work in certain industries linked with an increased risk of salivary gland cancer, taking precautions to protect themselves might help lower the risk of cancer.
Salivary gland carcinomas are a remain a heterogeneous group of tumors challenging to both pathologists and clinicians. Management of salivary gland cancer needs an interprofessional approach involving a team that consists of an otolaryngologist, a maxillofacial surgeon, a pathologist, and a radiologist.
The majority of patients first present to the primary care clinician or nurse practitioner with complaints of a painless lump. If the history and physical are suggestive of a tumor, these patients should be referred to the otolaryngologist for workup. The universal treatment for salivary gland tumors is surgery; hence, patients need to be told about the potential complication, including recurrence.
After the treatment of salivary gland carcinomas, long-term follow up is necessary to detect local and distant relapse. These patients should be followed by the oncology nurse and/or the primary care clinician for several years as there is a small risk of recurrence. Patients who relapse can be treated with palliative chemotherapy. Oncologic pharmacists are involved in the formulation, dosing, and patient education. [8][9] [Level 5]
|Lyu HX,Wang ZR,Gao YQ,Yu M,Li BQ,Zhang ZB, [Clinical pathologic analysis on 3 724 cases of salivary gland tumors]. Zhonghua kou qiang yi xue za zhi = Zhonghua kouqiang yixue zazhi = Chinese journal of stomatology. 2019 Jan 9; [PubMed PMID: 30630253]
|Hu YH,Li W,Zhang CY,Xia RH,Tian Z,Wang LZ,Xie L,Li J, Prognostic nomogram for disease-specific survival of carcinoma ex pleomorphic adenoma of the salivary gland. Head [PubMed PMID: 28945292]
|Straif K,Weiland SK,Bungers M,Holthenrich D,Keil U, Exposure to nitrosamines and mortality from salivary gland cancer among rubber workers. Epidemiology (Cambridge, Mass.). 1999 Nov; [PubMed PMID: 10535801]
|Sood S,McGurk M,Vaz F, Management of Salivary Gland Tumours: United Kingdom National Multidisciplinary Guidelines. The Journal of laryngology and otology. 2016 May [PubMed PMID: 27841127]
|Pinkston JA,Cole P, Incidence rates of salivary gland tumors: results from a population-based study. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery. 1999 Jun; [PubMed PMID: 10352436]
|Stenner M,Klussmann JP, Current update on established and novel biomarkers in salivary gland carcinoma pathology and the molecular pathways involved. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery. 2009 Mar; [PubMed PMID: 19052760]
|Zengel P,Notter F,Clevert DA, VTIQ and VTQ in combination with B-mode and color Doppler ultrasound improve classification of salivary gland tumors, especially for inexperienced physicians. Clinical hemorheology and microcirculation. 2018 Oct 16; [PubMed PMID: 30347609]
|Wang K,Pearlstein KA,Moon DH,Mahbooba ZM,Deal AM,Wang Y,Sutton SR,Motley BB,Judy GD,Holmes JA,Sheets NC,Kasibhatla MS,Pacholke HD,Shen CJ,Zagar TM,Marks LB,Chera BS, Assessment of Risk of Xerostomia After Whole-Brain Radiation Therapy and Association With Parotid Dose. JAMA oncology. 2018 Nov 29 [PubMed PMID: 30489607]
|Sethi RKV,Deschler DG, National trends in inpatient parotidectomy: A fourteen-year retrospective analysis. American journal of otolaryngology. 2018 Sep - Oct [PubMed PMID: 29907428]


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One of my friends is a big fan of pretty rocks and takes the most amazing micro photographs of them. So, when I saw that a whole floor at the Australian Museum in Sydney was dedicated to rocks and geological stuff I just had to go.
And I can sure see why she is fascinated with them — there are some AMAZING structures and colours below the dirt!
Here are a couple of the photos I took; the rest are in my Flickr page for my recent trip to Sydney (https://www.flickr.com/photos/rhondamadeit/sets/72157646639145299/).


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STORIES FROM THE HEART: It was `only' a warning stroke; good thing she took it seriously
After teaching two fitness classes and attending another, 36-year-old Jessica Diaz was taking a shower when she felt a strange sensation shoot down the left side of her body.
Jessica particularly noticed the odd feeling in her left hand.
"It was like it was there, but it wasn't mine," she recalled. […]


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Hey worms,
Ayy it's the forth of July! (That probably means nothing to a lot of you)(lol it's cool) America, frick yah! What a wonderful day to look back at the past and how America became independent- jk let's look at the past month because that's as much history as I can take (Can you tell history isn't really my thing, or is it not blunt enough?)(Fuck history)(There, much better). June was filled with a lot of cool things (some of which I forgot to take pictures of because hi I can barely remember my name, so how am I expected to remember to take pictures?), so I'm just going to go straight to it!
- Exploring beach caves!
Me and the bf went out and about on the first day of June to go explore some local beach caves, and they were so cool! There weren't many people there (I don't think the caves are too well known) so it was super chill and calm. The only part that was slightly terrifying was that there were so many fallen boulders that must've rolled down the insane cliff- so I was on the look out lol.
- Friend's Art Show!
One of my friends asked me to work at her art show, and it was pretty dope. Honestly, I hang out with a lot of art majors and they talk a lot of art, so I was a little out of my element- but it was super fun getting to know some artsy fartsy people! Not to mention, art shows are way cooler when you know the artist(:
- "Dance with Films" at the Chinese theatre in Hollywood!
This also had to do with a friend aha. Basically one of my friends makes short films and one of them got into this cool film festival at the Chinese theatre. He wasn't going one day so he let me and the bae use his passes for the day! Unfortunately, I didn't get to see his film at the festival because it was the wrong day (I've seen it before but I wanted to see the reactions from the audience lol), but it was still a lot of fun! I got to see a lot of unique short films- the only thing was the majority of them were really sad or morbid (but I think that's just an artsy fartsy thing, I don't know man). (The picture is from the top level-ish of the mall at a cool waffle place called Waffle Jack)
- Birthday Escape Room!
A lot of you already know this one, but I went to an escape room for my birthday! + We escaped, so it's an extra cool thing that happened this month aha. It was actually really interesting to see how my friend group would work out in a stressful situation (honestly, not very well and super dysfunctional- but we escaped!) At one point, my friend and I were sick of trying to work with the others so we just hung around in a corner room while everyone was freaking out to find a button- turned out it was right next to me and was a literal "oh what's this" kind of a moment. Overall, it was a lot of fun, and I think it convinced us all to give it another go at a 'horror' escape room for Halloween!
- First Wedding
I went to my first wedding! (she said at the solid age of 19) It's never too late to go to your first wedding aha (I mean, I thought I'd be a flower girl for my first wedding but no one seemed to want to get married when I was the appropriate age, so shame on everyone else). Weddings are interesting, man. Super emotional. It was the first time in my life that I actually cried tears of happiness (I figured happy tears were fake lol, well I figured wrong). It was a beach wedding (how very California of them) and we blew bubbles instead of throwing rice at the end(: Super cute.
- Went to a friend's musical!
One of my friends helped with tech on a high school production of The Lion King. It was a little uncomfortable seeing people from my high school theater class performing (let's just say those were some of the worst times of my high school career), but it was nice to go and see a live show. There's something about the 'live' factor that makes plays and musicals so much better than a movie. I also got some gummy worms as a snack at intermission and thought of all of you guys lol.
- Saw The Book of Mormon at the Pantages theater in Hollywood!
Another musical! Can't get enough musicals! (I feel a little bit like my girl Pamela aha). This. Show. Was. Beautiful. It was so me, I died laughing. Just 'Spooky Mormon Hell Dream'. Listen to that song and tell me this musical wasn't meant for me. My fam and I went to the show on father's day, so it was like a two in one aha (my dad also decided the best thing to do on father's day was to teach his kids stick shift)(ayy it's ya girl, driving 10 mph in parking lots only, aka don't fuck with me or ima mess you up)
- Blogging everyday!
You all know how this went if you read my last post, but I'm glad I went through with it. I learned a lot and got a lot of ish done, so woot woot for that! Also, I did my first colab, which turned out to be dope af! Plus, 500 followers happened so bless up for that! Lastly, the wormal Instagram account is giving me life.
Overall, June was crazy and filled to the brim with constant ish happening. I had a great time being busy as hell and doing new + fun things this month. How did your June go?
hmu on Instagram: @wormal.bish


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On the 8th of June 2017, Safer Internet/Webrangers Program supported by Google Nigeria for the first time, partnered with Goge Africa Foundation (GAF) to train over 3500 students from over 68 schools across Lagos State. The event which was themed "Youth Against Violence" was held at the National Art Theatre Lagos with various other partners of GAF in attendance.
The 9th edition of career guidance and counseling seminar 2017 was organised by GAF to ensure that youths are empowered, educated and guided towards making best choices in their everyday lifestyle.
The event kicked off with a brief welcome remark and introduction from Ambassador Isaac-Moses, president GAF and Ambassador Nneka Isaac Moses, Vice president GAF respectively.
The event was fun packed with several activities such as; interactive hubs, dance and drama. There were also presentations from the organisers where the students were advised on ways the youths can assist in peaceful resolution of conflict and saying "No" to Violence now and in the future.
Webrangers program is geared at grooming teenagers to become online super heroes by creatively coming up with online positive messaging campaign that will drive the safer internet message across the country to ensure that their peers are safe online while enjoying all the benefits the internet offers.
Ms Fatima Yunusa, the first ever Nigerian Webranger Ambassador from Queen's college Yaba Lagos narrated her success story as a webranger. A short clip documentary of her story was shown to the students. Fatima addressed the students with an encouraging speech on internet safety and how to become a Webranger. According to her it was full of fun and adventurous.
Mrs. Titi Akinsanmi, the Public Policy & Government Relations Google addressed the students on the importance of staying safe online, she shared online safety tips with them and reminded them that whatever goes on the internet stays on the internet as the internet never forgets.
According to Titi, the internet offers numerous number of good opportunities, however the intent of a person changes the way they act or react while using the internet.
Therefore, this means that the internet is not bad but rather people use it to cause a lot of danger. However it's paramount to remember that the internet never forgets. Stay safe online and enjoy all the goodies it offers.
Many students showed great interest and applied to become webrangers. Anyone between the ages of 13 and 17 years old can also be a webranger. The following are easy steps on how to become a webranger
The event was a success and the aim of the event was achieved as we continue to empower and build young Ambassadors that will safeguard the internet.
See below more pictures from the event:


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Human-Computer Etiquette
Cultural Expectations and the Design Implications They Place on Computers and Technology
Prices & shipping based on shipping country
Book Description
Written by experts from various fields, this edited collection explores a wide range of issues pertaining to how computers evoke human social expectations. The book illustrates how socially acceptable conventions can strongly impact the effectiveness of human-computer interactions and how to consider such norms in the design of human-computer interfaces. Providing a complete introduction to the design of social responses to computers, the text emphasizes the value of social norms in the development of usable and enjoyable technology. It also describes the role of socially correct behavior in technology adoption and how to design human-computer interfaces for a competitive global market.
Table of Contents
Chapter 1: Human–Computer Etiquette: Should Computers Be Polite? Caroline C. Hayes and Christopher A. Miller
Part I: Etiquette and Multicultural Collisions
Chapter 2: As Human–Computer Interactions Go Global, Helen Altman Klein, Katherine Lippa, and Mei-Hua Lin
Chapter 3: Etiquette to Bridge Cultural Faultlines: Cultural Fault lines in Multinational
Teams: Potential for Unintended Rudeness, Kip Smith, Rego Granlund, and Ida Lindgren
Part II: Introducing Etiquette and Culture into Software
Chapter 4: Computational Models of Etiquette and Culture, Peggy Wu, Christopher Miller, Harry Funk, and Vanessa Vikili
Chapter 5: The Role of Politeness in Interactive Educational Software for Language Tutoring, W. Lewis Johnson and Ning Wang
Chapter 6: Designing for Other Cultures: Learning Tools Design in the Nasa Amerindian Context, Santiago Ruano Rincon, Gilles Coppin, Annabelle Boutet, Franck Poirier, and Tulio Rojas Curieux
Part III: Etiquette and Development of Trust
Chapter 7: Network Operations: Developing Trust in Human and Computer Agents, Mary T. Dzindolet, Hall P. Beck, and Linda G. Pierce
Chapter 8: Etiquette in Distributed Game-Based Training: Communication, Trust, Cohesion, James P. Bliss, Jason P. Kring, and Donald R. Lampton
Part IV: Anthropomorphism: Computer Agents that Look or Act Like People
Chapter 9: Etiquette in Motivational Agents: Engaging Users and Developing Relationships, Timothy Bickmore
Chapter 10: Anthropomorphism and Social Robots: Se tting Etiquette Expectations, Tao Zhang, Biwen Zhu, and David B. Kaber
Part V: Understanding Humans: Physiological and Neurological Indicators
Chapter 11: The Social Brain: Behavioral, Computational, and Neuroergonomic Perspectives, Ewart de Visser and Raja Parasuraman
Chapter 12: Etiquette Considerations for Adaptive Systems that Interrupt: Cost and Benefits, Michael C. Dorneich , Santosh Mathan, Stephen Whitlow, Patricia May Ververs, and Caroline C. Hayes
Part VI: The Future: Polite and Rude Computers as Agents of Social Change
Chapter 13: Etiquette-Based Sociotechnical Design, Brian Whitworth and Tong Liu
Chapter 14: Politechnology: Manners Maketh Machine, P.A. Hancock
Chapter 15: Epilogue, Caroline C. Hayes and Christopher A. Miller
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Development process of Orphan Medicinal Products
EuropaBio-EFPIA Joint Task Force on Rare Diseases and Orphan Medicinal Products
Report from the EuropaBio-EFPIA Joint Task Force on Rare Diseases and Orphan Medicinal Products looks at key facts about oprhan medicines, their life cycle and specific features. It also gives a glossary of regulatory terms relevant for orphan medicines.
Did you know that...
- A rare disease is officially defined as a lifethreatening or chronically debilitating condition that affects no more than 5 in 10,000
- There is very little knowledge about the underlying disease mechanism for a large majority of these conditions.
- Only 1 out of the 5,000 to 10,000 substances initially tested gets through to the marketing authorisation phase.
- The EU has a dedicated piece of legislation for orphan medicinal products (OMPs) – Regulation No 141/2000 of 16 December 1999 on Orphan Medicinal Products.
- It is estimated that between 6,000 and 8,000 distinct rare diseases exist today.
- It takes on average 10 to 12 years and 1,1172 million EUR to develop and bring a new treatment to the market.
- Overall, employment in all departments of companies working in the area of orphan drugs more than doubled between 2000 and 2008 increasing from about 2,000 in 2000 to more than 5,000 in 2008.
- 80% of rare diseases have a genetic cause. Other rare diseases are due to degenerative and proliferative causes.
- Prior to the creation of the EU's Orphan Medicinal Products Regulation, just 8 products had been authorised for treating such diseases. The European Commission subsequently formally identified these as "Orphan-like" products. Almost 15 years after its entry into force, more than 90 orphan medicinal products were approved to treat rare diseases.
About the Joint EFPIA-EuropaBio Task Force on Rare Diseases and Orphan Medicines
The Joint Task Force between EFPIA (the European Federation of Pharmaceutical Industries and Associations) and EuropaBio (the European Association for Bioindustries) on Orphan Medicinal Products and Rare Diseases is a European alliance of over 45 member companies committed to the development of orphan medicinal products (OMPs) and improving the lives of patients with rare diseases.
Read the report on your screen or download a copy below.


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Angelina Faccenda Bridesmaids by Mori Lee 20452
- Brand: Angelina Faccenda Bridesmaids by Morilee
- Style #: 20452 - Quick Delivery*Quick Delivery*
- Availability: In Stock
- $188
Long Luxe Chiffon One Shoulder Bridesmaid Dress with Drapes Designed by Madeline Gardner. Colors available: all Angelina Faccenda Bridemaids Luxe Chiffon colors.
Quick Delivery:
- Mint: 8
*A style on our web site listed as in-stock can usually be shipped today or next day for immediate delivery or quick delivery. An item listed as "Ships Today" can be sent the same business day as long as the order is placed before the cutoff time.


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Venom Spider Black Tungsten Engraved Ring - 4mm - 8mm
$ 155.00
This is a precision crafted ring from our line of Comfort Fit Tungsten Carbide Rings. This ring has the Venom logo engraved on the ring. The perfect gift for any fan. You can also have any spiderman or venom quote engraved on the inside of the ring. This ring can be worn as a Wedding Ring or Promise Ring by men or women.
Size: please message your ring size at time of order


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Japan´s very strong chemical, agrochemical and pharmaceutical industry needs regulatory and scientific support to stay competitive in the European market with its complex regulatory requirements. For chemicals, the European REACh regulation differs considerably from the respective Japanese laws and needs special attention. Japanese agrochemical companies are facing a similar challenge for their active ingredients and products, namely the very high regulatory barrier. With the support of knoell's worldwide locations, the Japanese subsidiary offers support to enter the EU market but also to register agrochemicals, industrial chemicals, pharmaceuticals and medical devices on a global scale. At the same time, Knoell Japan K.K. can assist European, US and other companies to get their necessary registrations in Japan, e.g. according to the chemical substance control law (CSCL). Thus, Knoell Japan K.K. is an efficient interface between our Japanese clients and knoell subsidiaries worldwide.
knoell Japan K.K.
8F, 16-4 Nihombashi-2 chome
Chuo-ku, Tokyo
103-0027 Japan
We offer a comprehensive, modular service portfolio based on the unique "Glocal Concept": worldwide industry sector know-how with experience in the key global markets – and local presence at your company. Discover the knoell network: