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The proportion of the United States population with chronic illness continues to rise. Understanding the determinants of quality of care—particularly social determinants—is critical to the provision of care in this population.
To estimate the prevalence of housing and food insecurity among persons with common chronic conditions and to assess the independent effects of chronic illness and sociodemographic characteristics on (1) housing and food insecurity, and (2) health care access hardship and health status.
Cross-sectional study.
We used data from the 11 states and one territory that completed the social context module of the 2015 Behavioral Risk Factor Surveillance System (BRFSS).
Main Measures
We estimated the prevalence of housing and food insecurity among patients with cancer, stroke, cardiovascular disease, and chronic lung disease. Logistic regression models were used to assess the independent effects of housing and food insecurity, chronic conditions, and demographics on health care access and health status.
Key Results
Among the chronically ill, 36.71% (95% CI: 35.54–37.88) experienced housing insecurity and 30.60% (95% CI: 29.49–31.71) experienced food insecurity. Cardiovascular and lung disease increased the likelihood of housing (OR 1.69, 95% CI: 1.07–2.66 and OR 1.71, 95% CI: 1.12–2.60, respectively) and food insecurity (OR 1.75, 95% CI: 1.12–2.73 and OR 1.78, 95% CI: 1.20–2.63, respectively). Housing and food insecurity significantly increased the risk of health care access hardship. Being insured or having an income level above 200% of the federal poverty level significantly reduced the likelihood of access hardship, while female gender significantly increased the likelihood.
Chronic illness independently affects housing and food insecurity. In turn, food and housing anxiety leads to reduced access to care, likely due to cost concerns, and correlates with poorer health. A more complete understanding of the pathways by which chronic illness influences social determinants and clinical outcomes is needed.
Nearly half of all adults in the United States—117 million individuals—had at least one chronic condition in 2012.1 Despite significant health care utilization among chronic disease patients, low-quality care remains common in this vulnerable group.2 Increased cost of care and reduced affordability have been reported as the leading cause of medication nonadherence3 in this group. The financial burden of medical care as a cause of poorer health outcome is exacerbated in those who face other hardships, including the ability to afford housing and proper nutrition.
Housing and food insecurity are emerging critical social determinants of health. With regard to the epidemiology of these determinants, there is higher prevalence of both among women, younger adults, and those with a lower level of education.4 Food insecurity correlates with mental stress,4 obesity,5 peripheral arterial disease,6 hypertension, and diabetes.7 Both food and housing insecurity increase the likelihood of poorer health8 and less access to health care.9 Various studies have addressed the vital roles of social determinants of health and the influence of housing and food insecurity on sociodemographic features such as ethnicity and preventable conditions including obesity and psychological distress using the Behavioral Risk Factor Surveillance System (BRFSS) data4 , 5 , 10; however, the relationship between housing and food insecurity, and treatable but generally irreversible chronic illness and health outcomes is less well known. We aim to assess the prevalence of housing and food insecurity among the chronically ill. We further characterize the independent effects of chronic illness and sociodemographic characteristics on (1) housing and food insecurity, and (2) health care access hardship and health status. We focus our analyses on four chronic illnesses—cancer, stroke, cardiovascular disease, and chronic lung disease—as these represent four of the five most common causes of death in US adults.11
Data Source
We used data from the 2015 Behavioral Risk Factor Surveillance System (BRFSS). BRFSS is a nationwide telephone-based survey of US residents 18 years of age and older which collects information regarding health-related risk behaviors, chronic health conditions, and use of preventive services.12 Alabama, Arkansas, Delaware, Georgia, Louisiana, Minnesota, Mississippi, Missouri, Rhode Island, Tennessee, Utah, and the District of Columbia (DC) used the optional social context module in the 2015 BRFSS, covering about 15% of the population.
Our primary independent variables were housing insecurity and food insecurity. We defined housing insecurity as a response of "always," "usually," or "sometimes" to the question: "How often in the past 12 months would you say you were worried about having enough money to pay your rent/mortgage?" Food insecurity was similarly defined in response to the question: "How often in the past 12 months would you say you were worried about having enough money to buy nutritious meals?" We estimated the prevalence of housing and food insecurity among patients with the following four chronic conditions: (1) cancer excluding skin cancer, (2) stroke, (3) cardiovascular disease including myocardial infarction, angina, or coronary heart disease, and (4) chronic lung disease including chronic obstructive pulmonary disease and emphysema. The Centers for Disease Control and Prevention (CDC) has identified these conditions as four of the top five causes of death in the United States.11
Our primary outcomes were health care access hardship and health status. We defined health care access hardship as needing to see a doctor in the past 12 months but unable to due to cost. Good health status was defined as having excellent, good, or fair health.
We also examined the following sociodemographic factors as covariates: age, race/ethnicity, sex, educational attainment, marital status, employment and insurance status, and household percentage of the poverty line. Education was dichotomized to those who attended at least some college and those who did not.
Statistical Analysis
All analyses were conducted with STATA 11.0 software (StataCorp LP, College Station, TX), and used BRFSS sampling weights and stratum indicators to adjust for the complex sampling design.
We first used descriptive statistics for sociodemographic characteristics. Continuous data were summarized using weighted means and standard deviations; binary and categorical data were summarized using weighted percentages (± 95% confidence intervals [CI]). Demographic characteristics of those with and without chronic illness were compared using chi-square tests.
We then performed a series of design-based multivariate logistic regressions, fully accounting for the BRFSS sampling weights and the other sample design features (e.g., stratification).
Housing and food insecurity: We evaluated the independent effects of chronic illness on housing and food insecurity using separate regression models. In both models, we adjusted for sociodemographic characteristics.
Health care access hardship: We assessed the independent effects of housing and food insecurity and chronic illness, adjusting for sociodemographic characteristics. Acknowledging that housing and food insecurity may be correlated, we included an interaction term between these two as a predictor of health care access hardship.
Health status: We estimated the effects of housing and food insecurity and chronic illness, adjusting for sociodemographic characteristics and health care access hardship. As in the model above, we included an interaction term between these two as a predictor of health care access hardship in both models.
Sample characteristics and key study variables are summarized in Table 1. Of the chronically ill, 36.71% (95% CI: 35.54–37.88) and 30.60% (95% CI: 29.49–31.71) experienced housing and food insecurity, compared to 32.80% (95% CI: 31.99–33.62) and 23.80% (95% CI: 23.09–24.51), respectively, among those without chronic illness. The prevalence of reported housing and food insecurity varied by condition, with chronic lung disease patients having the highest prevalence (51.16%, 95% CI: 48.97–53.35 and 44.71%, 95% CI: 42.61–46.82, respectively) and cancer patients the lowest (28.23%, 95% CI: 26.79–29.66 and 22.66%, 95% CI: 21.31–24.01, respectively).
With regard to social determinants of health, having any chronic condition increased the likelihood of housing (adjusted odds ratio [AOR] 1.42, 95% CI: 1.13–1.80) and food (AOR 1.62, 95% CI: 1.27–2.06) insecurity (Table 2). Cardiovascular disease and chronic lung disease significantly increased the likelihood of housing insecurity (AOR 1.69, 95% CI: 1.07–2.66 and AOR 1.71, 95% CI: 1.12–2.60, respectively). Cancer, cardiovascular disease, and chronic lung disease all increased the likelihood of food insecurity (AOR 1.39, 95% CI: 1.02–1.91, AOR 1.75, 95% CI: 1.12–2.73, and AOR 1.78, 95% CI: 1.20–2.63, respectively). Stroke was associated with neither housing nor food insecurity. Accounting for chronic illness, women and the unemployed were more likely to report housing and food insecurity, while those with income ≥ 100% of the 2015 federal poverty level and those with a partner were less likely to experience housing or food insecurity. Also, those who had completed at least some college were less likely to report housing insecurity. Adjusting for the independent effects of chronic illness and other sociodemographic variables, Latinos were not at increased risk of housing or food insecurity compared to non-Latinos. Blacks were less likely than whites to report food insecurity (which is in line with a previous study on food insecurity using the BRFSS10).
In logistic regression models predicting health care access hardship (Table 3), housing and food insecurity significantly increased the likelihood of health care access hardship (AOR 2.49, 95% CI: 1.78–3.49 and AOR 2.48, 95% CI: 1.65–3.73, respectively); however, we detected no interaction between these independent variables. All chronic conditions with the exception of stroke significantly increased the risk of access hardship. Adjusting for chronic illness, being insured or having an income level ≥ 200% of the federal poverty level significantly decreased the likelihood of access hardship, while female gender was associated with a significant increase. No independent effect of race or ethnicity on health status or health care access was detected.
Housing insecurity (AOR 0.57, 95% CI: 0.46–0.72), but not food insecurity, significantly decreased the likelihood of better health status, adjusting for other variables (Table 3). No interaction between housing and food insecurity was detected with regard to effect on health status. All evaluated chronic conditions correlated variably with poorer health status. Cardiovascular disease decreased the likelihood of good health almost sevenfold (AOR 0.14, 95% CI: 0.07–0.28), the highest among all chronic illnesses, while cancer had the most modest effect on health status (AOR 0.60, 95% CI: 0.44–0.82). As predicted, care access hardship independently reduced reported health status (AOR 0.54, 95% CI: 0.42–0.69). Those who were older, unemployed, or retired were less likely to report good health, while those with income ≥ 200% of the federal poverty level and some college education were more likely.
In this study, we assessed the prevalence of housing and food insecurity in adults with common chronic diseases. In states that administered the optional social context module of the BRFSS in 2015, we found a high prevalence of housing and food insecurity among individuals with common chronic conditions. Cardiovascular disease and chronic lung disease significantly increased the risk of housing and food insecurity, after controlling for relevant confounders such as socioeconomic and health insurance status, with cancer increasing risk of food insecurity alone. In turn, we showed that housing and food insecurity independently increased the likelihood of health care access hardship and poorer health status, although we did not detect an interaction between the two independent variables. All chronic illnesses except stroke increased the risk of health care access hardship. All chronic illnesses without exception increased the risk of poorer health.
Our results are in line with previous studies showing that housing and food insecurity can worsen health status and reduce access to health care.9 Pobutsky et al., correlating data from the 2012 BRFSS with the Hawaii Health Survey, demonstrated increased mental stress with perceived food and housing insecurity among Hawaiians.4 Using the 2009 BRFSS, Pan et al. described obesity in the food-insecure, and revealed that one in three food-insecure adults suffered from obesity.5 Among Washington state residents, the housing-insecure were twice as likely to report poorer health and delayed doctor visits.8 Others have demonstrated that disabled adults are more likely to report housing and food insecurity, regardless of employment status.13
The mechanisms by which different chronic illnesses influence housing and food insecurity were varied. Notably, stroke correlated with neither housing nor food insecurity. Stroke is the leading cause of long-term disability in the United States.14 Studies have found that about 65% of patients cannot use the affected hand for their usual activities 6 month after stroke,15 and only 25% of patients were found to return to the level of everyday physical functioning in matched controls who had not had a stroke.16 Stroke survivors are more likely to move in with family (or into nursing facilities), which we hypothesize explains, at least in part, the lack of housing and food insecurity compared to other chronic illnesses. Choi and colleagues found that among cardiovascular events (stroke, myocardial infarction, and chronic heart failure), stroke was the most significant predictor of disability and of family moving geographically closer.17 Individuals experiencing a first stroke were almost twice as likely either to move in with or move closer to their children,17 increasing the availability of support systems and potentially alleviating housing and food anxiety. We posit that the same family circumstances also mitigate the development of care access hardship. However, as with other chronic illnesses, the disease condition itself significantly affects health status.
Cardiovascular and chronic lung disease significantly increased the likelihood of housing and food insecurity. The total annual cost of cardiovascular disease in the United States in 2012–2013 averaged $316.1 billion,18 surpassing the costs of other chronic conditions. Pharmaceutical costs contribute to the expense of chronic heart and lung disease treatment. Medicare Part B generally does not cover most prescription drugs used at home,19 creating a financial burden for patients with these chronic conditions. Researchers found that patients with chronic ischemic heart disease were reimbursed for approximately 64% of the total medication expense; average out-of-pocket costs approached $80 per month.20 Inhaled medications are critical for relief of symptoms in patients with chronic obstructive pulmonary disease (COPD). However, up to 31% of Medicare beneficiaries using COPD inhalers have reported nonadherence due to cost.21 Tseng and colleagues demonstrated projected annual out-of-pocket costs of at least $900 under a standard 2015 Medicare Part D plan for patients using a single inhaler each month, even without other medications.22 A study including 60 patients with COPD showed that about 60% of patients experienced two or three exacerbations per year, which resulted in almost a doubling of treatment costs.23 Unlike those with stroke, patients with chronic heart and lung disease are less likely to relocate closer to their children,17 reducing the probability of additional family support that could alleviate housing and food insecurity.
Cancer increased the likelihood of food but not housing insecurity. The expense and out-of-pocket costs for cancer treatment depend on a variety of factors, including cancer type and stage, insurance status and type, service location, and treatment.24 The stage of the disease impacts the quality of life for cancer patients, as many with stage I or II cancers can work and live independently, minimizing the effect on their pre- versus post-diagnosis income.25 Further, the effect of treatment costs on housing and food security status may be blunted by insurance coverage of outpatient chemotherapy and radiotherapy. Insurance may also cover prescription drugs such as oral medication and anti-nausea medication, thereby reducing the burden of treatment cost to cancer patients19 compared to those with cardiovascular or chronic lung disease, lowering the risk of housing insecurity. We cannot deny that the cost of cancer care induces distress,26 but the extent, and impact on housing and food security, depends on a variety of clinical factors, analyses of which are beyond the scope of our review.
Comparing across chronic illnesses, we speculate that as costs of care increase, there is a corresponding development of food and then housing insecurity, until individuals are sufficiently disabled as to require family support and non-independent housing, thereby reducing food and housing anxiety. As expected, however, all chronic illnesses reduced health status independent of housing and food insecurity, due to decrements in physical and mental health. Insurance status and gender independently influenced health care access after controlling for chronic illness. However, the effects of these sociodemographic variables on health status dissipated after adjusting for health care access hardship, which we hypothesized would mediate the effect of insurance status and gender. Similarly, the effects of education and employment on health care access hardship were likely mediated by insurance status; however, persistent independent effects—particularly of employment—on health status may be due to psychological effects such as social connection and meaningful activity,27 self-identity,28 or mental health,29 the measurement of which was beyond the scope of our study. These effects may be accentuated if individuals lose employment due to chronic illness before they are prepared to leave work formally.
Previous studies have focused on adult general populations.9 Our study highlights the association of housing and food insecurity with health status and care access among the chronically ill adult population. As chronic illness may affect half of the US population by 2025,30 factors associated with managing chronic conditions require special attention, particularly as housing and food insecurity can result from chronic illness and, in turn, can exacerbate it.31
Social factors can have a significant impact on health outcomes. A meta-analysis of 47 studies found that lower level of education, racial discrimination, lack of social support, and poverty were factors in over one third of all deaths in the United States in 2000.32 Food insecurity increases the likelihood of cost-related medication underuse,33 which can lead to poorer health status. Poverty can also negatively impact patient health care utilization, as those who struggle financially may prioritize meeting their basic needs over seeking health care. In 2015, 12.7% of American households were affected by food insecurity, meaning they did not have access to adequate food for an active, healthy life for all household members.34 Estimates show that about 6.4 million low-income renters and 11 million homeowners will be spending more than 30% of their income on housing by 2035.35 With the cost of care rising, patients with chronic illness are at particular risk of financial hardship, including housing and food insecurity. Those who cannot afford basic necessities such as housing and food tend to perceive appropriate health care as a lower priority.36
Several limitations in this study are worth noting. First, BRFSS relies on self-reported information, which may under/overestimate the frequency of our main variables. In addition, the study's cross-sectional design limits our ability to provide information on causal effects of housing and food insecurity with regard to health care access and health status. Finally, as information on housing and food insecurity is available only for 12 states and jurisdictions, the findings may not be generalizable to all US adults.
Chronic illness independently affects housing and food insecurity; however, individual chronic conditions differ in their effects on these important social determinants of health. In turn, food and housing anxiety reduces access to care due to cost concerns, and housing anxiety correlates with poorer health. A more complete understanding of the pathways by which chronic illness influences social determinants and clinical outcomes is needed in order to develop appropriately targeted interventions in this vulnerable population.
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RCC is supported in part by NIH 5UG1CA189828. SFD is supported by NIH T32 EB005970-09. PC was responsible for the data analysis and interpretation, manuscript preparation and revision. SFD participated in data analysis and interpretation and revision of the manuscript. RCC designed the study and the analytic plan and participated in data analysis and interpretation and manuscript preparation and revision. All authors read and approved the final manuscript. The contents of this article have not been previously presented elsewhere. No financial disclosures were reported by the authors of this paper.
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Charkhchi, P., Fazeli Dehkordy, S. & Carlos, R.C. Housing and Food Insecurity, Care Access, and Health Status Among the Chronically Ill: An Analysis of the Behavioral Risk Factor Surveillance System. J GEN INTERN MED 33, 644–650 (2018). https://doi.org/10.1007/s11606-017-4255-z
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- health care cost
- health care access
- health status
- homelessness
- chronic disease
- social determinants of health
- stroke
- cardiovascular disease


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text: Popularly known as the 'regular language of businesses,' Accounting is one of the most dreaded subjects in the UK. Accounting dissertations are not just limited to identifying, measuring, recording and communicating economic details of an organisation. You may have to calculate and explain the sales, purchases and expenses with the help of fundamental theories and examples. It's okay if you struggle with your accounting dissertation writing. Connect with us and we will take care of everything.


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Hi all,
I am in desperate need of some 13 oz New Hampshire tartan to make a kilt for our little grandson so that he can look like his Grampa for an event in early October. I totally assumed that the New Hampshire St. Andrew's Society would keep it in stock, but they ran out some time last summer and haven't ordered any more yet. Anyone have two yards double width?? PM me please!!


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H.R.F. Keating.
First edition.
London : Macmillan, 1999. 282 pages.
(Macmillan crime).
Ghote's wife inherits a house in Calcutta, which is occupied by squatters. The twenty-second book in the Inspector Ghote series.
VG in VG unclipped DW with light wear at extremities, and creasing to spine ends. Spine ends and bottom front corner bumped. Pages toning, and spotting to top edge.
Ref No: 920
Author: Keating, H. R. F.
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1 bevy
A large gathering of people of a particular type.
Roget 72: assemblage; collection, collocation, colligation†; compilation, levy, gathering, ingathering, muster, attroupement†; team; concourse, conflux†, congregation, ... show more
Roget 102: multitude; numerous etc. adj.; numerosity, numerality; multiplicity; profusion etc. (plenty) 639; legion, host; great number, ... show more
2 bevy
A flock of birds (especially when gathered close together on the ground).
Moby thesaurus: a mass of, a world of, age group, army, assembly, band, battalion, body, brigade, bunch, cabal, cast, charm, clique, cloud, cluster, clutter, cohort, company, complement ... show more.
debug info: 0.0239


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Why pay to watch them play?
Ian Stone, Staff Writer
April 1, 2015
Howell High School offers 19 sports for men and 21 sports for women. While there are many athletes in-season at any given point, there are plenty of other athletes in off-season along with other non-athlete students that want to come watch their friends play. This can be difficult, however, as admission prices to every game are five dollars; a small cost that builds up over the course of a year.
Prom tickets go up for sale
Jordan Pudvay, Social Media Editor
March 24, 2015
Tickets will be available Monday, March 23 through Wednesday, April 1 for $50. After spring break, tickets will go up to $55 for the week of Monday, April 13 through Friday, April 17. The tickets will be sold in the commons during all lunches through all dates.
Senior year comes at a price
Rachel Cichon, Editor-in-Chief
November 11, 2014
As an underclassmen, whenever I imagined my senior year I pictured myself chanting "senior power", taking thousands of photographs and sobbing over complicated college applications. Although all of these things are unquestionably present, I didn't realize that the thing I would do most as a senior is spend money. By Editor-in-Chief: Rachel Cichon
Would you rather have more time or more money?
Kaylee Hamilton, InDesign Editor
November 11, 2014
This past week 62 Howell High School students from all grades and teachers alike were asked, Would you rather have more time or more money? The response? 34 people chose time and 28 people chose money. By Weekly Editor: Kaylee Hamilton
Celebrate safe driving with concerts and school grants
Kira Cleer, Staff Writer
October 8, 2014
Howell senior of the Interact Club begins fundraiser called 2n2 to promote safe driving at Howell High in the hopes to win grants and a concert
Summer jobs worth more than just paychecks
May 14, 2014
By Staff Writer: Alexis Klask There is usually a feeling of responsibility upon working a first job. It can be fulfilling to say that the money received was money earned based off of hard work and motivation. For most people, especially a high-schooler, first jobs are a way to define them. As important as it...
Local scholarships make college funding more attainable
March 18, 2014
By Staff Writer: Rachel Brauer College expenses can be frightening, especially if money is tight to begin with. Not everyone qualifies for the Free Application for Federal Student Aid (FAFSA), which is a completely free application, but most everyone could qualify for scholarships or grants. According to the sch...
Grasping the concept
Alexis Klask and Alexis Klask
October 28, 2013
Ideas on how to save money, create a budget By Staff Writer: Alexis Klask If someone told me that I could be a millionaire by the time I'm 55, I would tell them there's no way. There is no way that I could save that much money with all of the expenses I have to pay and especially not when I have to pay...
Going as two can save students money
Gabriel Seck, Photo Editor
September 24, 2013
By Photo Editor: Gabriel Seck Homecoming fever is about to take over Howell High School, a well deserved distraction after the hard first month back in the swing of things. Besides the green and gold, the glitter, floats. Spirit week, and the ever promising Homecoming football game, there is one thing...


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10701 S Broadway Ave, Oklahoma City, OK
Addition: Roxboro, School: Putnam City
Date Sold: 06/04/2020
Very Nice remodel, Granite counter tops, ceramic tile flooring, tile back splashes, Fixtures, lighting, paint and textures, lighted ceiling fan, large master suite with garden tub and shower, walk in closet. Nice back yard over a quarter acre lot. title work ready at Stewart Title, Home warranty of america Home warranty will transfer to buyer at closing.
- Rich Brand
- Keller Williams Green Meadow
- 1624 SW 122nd
- Oklahoma City, OK 73170
- (405) 691-2556
- Mobile: (405) 570-3365
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Hi. I'm pretty much an "advanced beginner" (I think) when it comes to photography (digital or film) and have just recently started doing more with post processing. Below are some miscellaneous pictures I took at some point. I messed with them a bit on my PC and am curious to see what others think of the results.
The two car pix taken in the garage are a bit darker but I did that on purpose (I liked the way it looked; a little bit more...ominous). The backgroundof the "salty car pic" is pretty well....overexposed; a combination, I think,of it being REALLY sunny and bright out (w/ the reflection off thesnow) and me taking the picture from inside the shaded garage.
Anyways, for anyone that is willing, feel free to critique these pix. I'm looking to improve so tips/pointers are welcome. Hopefully they're not too horrible....I finished doing some of these around 3am yesterday. :-) Sorry if the pix are too big and TIA!


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Color = Strength
In chapter 644, page 3, shikimaru notes that the color scheme seems to have some relationship to the strength of the barrier. Can anyone confirm from raws? — SimAnt 00:54, August 29, 2013 (UTC)
- I was under the impression that he figured the red barrier Tobi put up was equal in strength to the red barrier the Kage put up. Could be hilariously wrong though.--TheUltimate3 (talk) 01:01, August 29, 2013 (UTC)
Community content is available under CC-BY-SA unless otherwise noted.


text: Three leukemias that affect as many as 100,000 people in the United States are all caused by acquired mutations that alter a specific enzyme controlling blood cell proliferation, according to new studies by Howard Hughes Medical Institute (HHMI) researchers. Identifying the genetic malfunction that causes these disorders raises the hope that researchers may be able to devise a targeted therapy, just as they have done for chronic myelogenous leukemia (CML), which is presently treated with Gleevec. The three leukemias that share a common genetic cause are polycythemia vera (PV), essential thrombocythemia (ET) and myeloid metaplasia with myelofibrosis (MMM). The research team, which was led by Gary Gilliland, an HHMI investigator at Brigham and Women's Hospital and Harvard Medical School, published its findings on March 24, 2005, in an immediate early publication in the journal Cancer Cell. Gilliland and Stephanie Lee of the Dana-Farber Cancer Institute, and co-first authors Ross Levine and Martha Wadleigh, collaborated with researchers from the University of Leuven - Flanders Interuniversity Institute for Biotechnology in Belgium, University Hospital of Ulm in Germany, the Broad Institute, and the Mayo Clinic. According to Gilliland, the researchers analyzed the blood of patients with the three leukemias for a defect that permanently activated a particular type of enzyme called a tyrosine kinase. Tyrosine kinases are cellular switches that control an array of cellular processes. The researchers concentrated on the enzymes because activated tyrosine kinases had been shown to cause other similar myeloproliferative diseases such as CML, he said. Also, in earlier work, Gilliland and his colleagues had isolated the mutated gene that produces the activated tyrosine kinase responsible for the myeloproliferative disease hypereosinophilic syndrome.


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Date Date Location Location Arrival Arrival Departure Departure
Sat, Oct 03, 2020 GREAT STIRRUP CAY 10:00 am 6:00 pmSun, Oct 04, 2020 NASSAU 8:00 am 4:00 pmMon, Oct 05, 2020 ORLANDO-BEACHES-PORT CANAVERAL 7:00 am 4:00 pmTue, Oct 06, 2020 AT SEA -- --Wed, Oct 07, 2020 COSTA MAYA 12:00 pm 8:00 pmThu, Oct 08, 2020 COZUMEL 8:00 am 6:00 pmFri, Oct 09, 2020 AT SEA -- --Sat, Oct 10, 2020 ORLANDO-BEACHES-PORT CANAVERAL 7:00 am 4:00 pmSun, Oct 11, 2020 KEY WEST 1:00 pm 9:00 pmMon, Oct 12, 2020 AT SEA -- --Tue, Oct 13, 2020 COZUMEL 8:00 am 6:00 pmWed, Oct 14, 2020 AT SEA -- --Thu, Oct 15, 2020 ORLANDO-BEACHES-PORT CANAVERAL 7:00 am 4:00 pmFri, Oct 16, 2020 KEY WEST 1:00 pm 6:00 pmSat, Oct 17, 2020 GREAT STIRRUP CAY 10:00 am 6:00 pm
Arrival Port
Arrival | Departure Mon, Oct 12, 2020
Arrival | Departure Tue, Oct 13, 2020
Arrival | Departure Sun, Oct 18, 2020
Norwegian Cruise Line is the innovator in cruise travel with a 51-year history of breaking the boundaries of traditional cruising. Most notably, Norwegian revolutionized the cruise industry by offering guests the freedom and flexibility to design their ideal cruise vacation on their schedule with no set dining times, a variety of entertainment options and no formal dress codes. Today, Norwegian invites guests to enjoy a relaxed, resort-style cruise vacation on some of the newest and most contemporary ships at sea with a wide variety of accommodations options, including The Haven by Norwegian, a luxury enclave with suites, private pool and dining, concierge service and personal butlers. Norwegian Cruise Line sails around the globe, offering guests the freedom and flexibility to explore the world on their own time and experience up to 27 dining options, award-winning entertainment, superior guest service and more across all of the brand's 16 ships.
Recently, the line was named "Europe's Leading Cruise Line" for the tenth consecutive year, "World's Leading Large Ship Cruise Line" for the sixth consecutive year, the "Caribbean's Leading Cruise Line" for the fifth consecutive year, as well as "World's Leading Cruise Line" and "North America's Leading Cruise Line" both for the second straight year by the World Travel Awards. Norwegian's next new build, the highly anticipated Norwegian Bliss, will be delivered in April 2018 featuring many firsts-at-sea for the global market including the largest race track at sea, award-winning Broadway entertainment, two observation lounges for guests to enjoy stunning ocean and glacier views and more. Norwegian will introduce an additional new "Breakaway Plus" Class cruise ship in 2019 and has six additional ships on order for delivery beginning in 2022.
Where in the world do you want to cruise? Chances are Norwegian Sun can take you there with cruises to the laid-back Caribbean, the world's greatest short cut the Panama Canal, up the Pacific Coast to America's frontier state on an Alaska cruise, and to the exotic depths of South America- our newest destination! While you're becoming a world traveler, you won't have to worry about what to do or where to go, as there are 14 dining options, 12 bars and lounges, the relaxing Body Waves Spa and the always-exciting Sun Club Casino.
Pure Variety Enjoy a fantastic evening of song and dance as the Norwegian Production Cast brings a night of entertainment; showcasing the many talents and styles from our production cast. Featuring the Norwegian Show Band.
Rock You Tonight Take a walk on the wild side with tonight's production of Rock You Tonight. The high-energy grooves of the Norwegian Sun Orchestra to bring you an all and out tribute to such rock icons as Queen, Journey and The Who. So give in to your inner James Taylor or Tina Turner and rock the night away!
What The World Needs Now What The World Needs Now - The Music of Burt Bacharach celebrates the song-writing legend, Burt Bacharach. In the 1960's, he turned popular music on its head with his unique style. He broke musical boundaries as he composed some of the most recognizable melodies ever created. The Production Cast and Show Band Orchestra takes you on an elegant musical journey with vibrant dance numbers and beautiful heart felt songs about love and loss.
World Beat A musical voyage around the world! Feel the percussive beats of Irish tap dancing, the soulful cadences of New York City street stomps, the haunting drums of Africa, the dramatic Kodo rhythms of Asia & more.
Windjammer Bar This quiet little piano bar is known for its martinis and first-class entertainment nightly.
Bliss Ultra Lounge The electrifying aura of this hip, high-energy ultra lounge literally surrounds you. High-voltage tunes make everyone want to get their groove on and custom loungers are the perfect spot to cap off the evening with a cocktail.
Champagne Bar Known for a premium selection of champagne and vodka, caviar, pate, and foie gras. The cool sophistication and charm of this establishment makes it an ideal venue for an intimate cocktail party or reception.
Great Outdoors Cafe Come as you are, even in your swimsuit, to this casual, buffet bar serving grilled favorites like burgers, hot dogs and great ocean views.
Spinnaker Lounge Be entertained by our nightly shows or get on the dance floor at this hot spot.
Los Lobos Cantina Enjoy a delicious variety of handcrafted margaritas at Los Lobos Cantina. Then dine on traditional favorites including tacos and enchiladas or try one of our house specialties like carne asada.More Choices
- Atrium Cafe & Bar
- Champs Bar
- Sports Bar
- Sun Casino Bar
- Topsiders Bar
Seven Seas (Main Dining Room) Stunning in design with ocean views, enjoy fine dining in this Main Restaurant featuring the beautifully crafted menus created specifically for the Main Dining Rooms.
Four Seasons (Main Dining Room) Dine in this intimate and inviting Main Restaurant offering the beautifully crafted Main Dining Room menus showcasing a variety of entrees and the freshest ingredients.
Garden Cafe Our buffet serves up complimentary breakfast, lunch and dinner - and the floor-to-ceiling windows provide picturesque ocean views. Action stations include meat-carving, made-to-order pastas, omelets, waffles, soft-serve ice cream and more, including specialty dishes from around the world - satisfying your every craving.More Choices
- Topsiders Bar & Grill
- Room Service
- Sports Bar
- Great Outdoors Cafe
Specialty Dining (Additional Charge)
Le Bistro Norwegian's signature French restaurant featuring Mediterranean, nouveau and classic French cuisine.
Los Lobos Cantina Enjoy a delicious variety of handcrafted margaritas at Los Lobos Cantina. Then dine on traditional favorites including tacos and enchiladas or try one of our house specialties like carne asada.
Moderno Churrascaria Looking for a unique experience? Our authentic Brazilian steakhouse is a must. Start with an impressive salad bar, but save room for skewers of slow-roasted meats carved tableside by our Pasadores.More Choices
- Sushi Bar
- Teppanyaki
- La Cucina
- Atrium Cafe
- Cagney's Steakhouse
Enjoy the most inclusive contemporary vacations at sea with Norwegian's Free at Sea! Get 1, 2 or ALL 5 Free Offers, plus Free Unlimited Beverages for Norwegian Sun 3 & 4-Day Sailings departing from Port Canaveral.
- Free Specialty Dining
Delight in a $50 Dining Credit per stateroom for Guests 1 & 2.
- FREE Shore Excursions
Enjoy a $50 per port, per stateroom Shore Excursion credit.
- Free WiFi
Each stateroom receives 100 minutes of Free WiFi to use throughout the ship.
- Free Photo Package
Strike a pose and enjoy 10 free prints per stateroom.
- Friends & Family Sail Free
Your 3rd and 4th roomies sail free on select sailings.
Lifestyles Room Looking for a quiet place to write postcards, play cards or read a book? Drop by the Lifestyles Room.
Mandara Spa & Salon The Mandara Spa & Salon offers unique and exotic spa treatments reflecting the beauty, spirit and traditions of rejuvenation from around the world. You'll find everything from the traditional to the exotic in spa and salon treatments.
Splash Academy Get into the zone of fun because Splash Academy is just for kids! With interactive games, an arts and crafts area and creative theme nights kids can do what they do best - be a kid!
Teen Club A hip place for teens to hang out, complete with dance floor, bar, video, jukebox, table football and air hockey.
Video Zone Stop by the video arcade and shoot a few aliens, win a car race, play pinball and fly a jet fighter. Let your imagination run wild at Video Zone.
East Indies Conference Center Norwegian Sun's meeting room area offers all the amenities of a world-class boardroom including a stunning view in a professional setting. The Bali, Malaysia and Borneo Rooms can also be combined into one large room.More Choices
- The Oasis Pool
- The Chapel
- Sun Casino
- Stardust Lounge
- Splashes Kid's Pool
- Art Gallery
- Basketball/Volleyball Court
- Jogging/Walking Track
- East Indies Library
- Golf Driving Net
- Hot Tubs
- Internet Cafe
- Passenger Capacity: 1,936 (double occupancy)
- Gross Register Tonnage: 78,309
- Overall Length: 848 feet
- Max Beam: 123.1 feet
- Draft: 26 feet
- Engines: Diesel Electric (Six diesel generators)
- Cruise Speed: 21 knots
- Crew: 906
- Year Built: 2001
- Refurbished: 2018
Please note: Stateroom images and features are samples only. Actual furniture, fixtures, colors, configurations and window/porthole views may vary.
Deck Plans
Sport Deck
In Vancouver, you're never out of sight of towering peaks--or of the sea. It is a prosperous city adorned with flowers lining the streets and lush greenery like Stanley Park. Museums offer fine collections of the dramatic Northwest native arts. Vancouver's Chinatown is the second-largest in the world. The waterfront Gastown district recalls the city's colorful past as a premier Pacific port since the days of the Clipper ships.
Alaska's capital can't be reached by road. You fly or sail here to enjoy its greeting of dockside flags and flowers. It is surprisingly urban and cultured for being so remote. Visit the museum for insights into Inuit culture and crafts. Drive up to Mendenhall, the only glacier inside city limits! Or get an aerial view from a helicopter. Fish for silver salmon, or just enjoy some off the grill--then kick back at the Red Dog Saloon.
Skagway was born during the great Alaska gold rush. Those were the days when Skagway had 80 saloons and was known as "the roughest town on earth." The city's rip-roaring past will come alive when you walk down Broadway, a main street so authentic it is part of the Klondike Gold Rush National Historical Park! Special shore excursions explore Skagway's fascinating history. Take a train up to White Pass and follow the old path to gold and glory in the Yukon, or take a scenic flight to view the amazing wonders of Glacier Bay National Park.
Preserved as a National Monument, Glacier Bay is an extraordinary collection of glaciers in a contained region. Only two ships per day are permitted to enter the bay during the summer months, when whales come here to feed. The ice in Glacier Bay fell as snow, hundreds of years ago, on the icefields in the mountains above. Compressed by its own tremendous weight, it slowly flows through valleys to the sea, where in some cases, it breaks off in great chunks called calves, to float free as icebergs and "bergy bits."
When Alaska belonged to Russia, Sitka was the capital and center for its fur trading empire. Today, Sitka's Russian heritage and magnificent setting make it an enchanting destination. The city features a harbor studded with islands, a backdrop of mountains, and spectacular Mt. Edgecumbe, a volcano often compared to Japan's Mt. Fuji. Sitka displays its past in such attractions as St. Michael's Cathedral with its striking onion-shaped dome, the Russian Blockhouse, and world famous New Archangel Dancers. Visit the Historic Park, with a ruined Indian fort where Tlingit Indians battled Russian settlers in 1804.
Ketchikan is the salmon capital of the world. The canneries are busy, and the stream below Creek Street's rustic boardwalk bustles with life. Visit the ancient grove of Totem Bight, the largest collection of authentic totem poles anywhere. Make a flight to nearby Misty Fjords--a breathtaking vista of Alaska's unspoiled wilderness and America's newest national monument, or, try a little salmon fishing.
Located in the midst of mountains and water, Seattle's scenery is truly a sight to see. Along with the alluring appearance of Seattle it also entails plenty of entertainment and attractions. If you're a sports fanatic, Seattle offers games by the Seattle Seahawks, Sonics, Angels or the Rainier's. If you acquire more of an artsy taste, Seattle also provides museums such as the Bellevue Art Museum, Frye Art Museum, Seattle Art Museum, Seattle Asian Art Museum, and the Henry Art Gallery. For those of you who are more into Science and History, you'll be more interested in the Burke Museum, Museum of Flight, Museum of History and Industry, Pacific Science Center, Seattle Aquarium, etc. No matter what your preference includes, Seattle accommodates all.
Prim and proper, neat and clean, friendly little Victoria island is like a breath of fresh air. Its British heritage is apparent in the double-decker buses, the Royal British Columbia Museum and High Tea at the Empress Hotel. Go out to the renowned Butchart Gardens, where sunken floral beds reflect international themes.
The city of Astoria is located on the northwestern region in Oregon west of the Rockies. This historically enriched city was visit for the first time in 1792 by Captain Robert Gray and also by the Lewis & Clark Corps of Discovery in 1805. If you're a rest and relaxation lover you'll fall in love with the Columbia River Day Spa, which is the most popular place in Astoria. This Day Spa provides the utmost therapeutic treatment for your indulging pleasure. You have the choice of basking in a massage, body treatments, hot stones, hand and foot treatments, aromatherapy, sauna, facial treatment, and more.
Blessed with a sunny climate and a fine natural harbor, San Diego has grown from a Spanish mission into a thriving town. With two universities, a world-class zoo and safari park, the famous Hotel Del Coronado and the museums and attractions of Balboa Park, it's well worth exploring.


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Pattern Recognition
Pattern recognition is one the vital field in information science. Machine learning is developed in technology. However, those subjects are viewed as two facts of constant field. each in along has well-versed a speedy development over the past years. theorem ways have big from skilled keyword to become thought, whereas graphical models have emerged as a general framework for describing and applying probabilistic models. The attainable relevance of those ways has been improved through the event of a scale of approximate reasoning algorithms like variational Bayes and expectation propagation. New models supported components have had a notable impact on each algorithm and applications.
- Track 1-1 Pattern analysis
- Track 2-2 Data network connection
- Track 3-3 Linear and nonlinear system
- Track 4-4 Pattern control


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Pete Davidson 'Falling In Love' With Kate Beckinsale: She Helped His Heart Heal After Ariana Split
Ariana Grande who? Dating Kate Beckinsale has done wonders for Pete Davidson, as we've EXCLUSIVELY learned this new love has helped him forget about his 'broken engagement.'
While Pete Davidson's romance with Ariana Grande, 25, only lasted a handful of months, the breakup was still pretty painful for the 25-year-old Saturday Night Live star. While it seemed like he wasn't going to recover from the breakup, in comes Kate Beckinsale, 45, and suddenly, Pete's living his best life. "He is loving his new relationship with Kate, it is like he has completely forgotten about being engaged only a few months ago to Ariana," a source EXCLUSIVELY tells HollywoodLife.com.
"He and Kate have incredible chemistry and he is quickly falling in love all over again and he loves it." Kate, the source tells HollywoodLife.com, came to Pete "during a time when he [was] struggling" post-breakup. Since they started dating, he hasn't posted any disturbing messages to social media. In fact, whenever anyone sees him out in public, he has a huge smile on his face. "He is happy and is as surprised as anyone that Kate seems to feel the same way about him."
"Being with Kate has been such a great thing for Pete," a friend of Pete's also tells HollywoodLife.com EXCLUSIVELY. "In many ways, she is like an angel for him because he was very, very heartbroken over Ariana when they got together. But Kate has totally helped him heal his heart and find a happy place after his broken engagement." This friend notes that Pete "can hardly believe he's actually dating Kate Beckinsale" and never expected the Underworld star to be the one "to mend his broken heart. it blows his mind."
On top of that, Pete's pal tells HollywoodLife.com that everyone in his life – "all his friends" – are "very taken with Kate. They love that she makes Pete so happy." A rep for Pete, when responding to HollywoodLife.com, had no comment on this.
Pete's not the only one loving this relationship. Kate is head over heels for her bae, too, especially when she was referred to as his "girlfriend" on a recent episode of Saturday Night Live. "That scored points with Kate," a source EXCLUSIVELY told HollywoodLife.com. "She loved it." Certainly, Pete has been scoring points left and right, as the two were caught kissing at the LA premiere of Motley Crüe rock biopic, The Dirt on March 18. A day later, Pete and Kate had dinner with her mom at Nobu! Things are indeed getting serious between these two.


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Sean Leary Director of Digital Media
Sean Leary is an author, director, artist, musician, producer and entrepreneur who has been writing professionally since debuting at age 11 in the pages of the Comics Buyers Guide.
An honors graduate of the University of Southern California masters program, he has written almost 30 books including the best-sellers The Arimathean, Every Number is Lucky to Someone and We Are All Characters.
An honors graduate of the University of Southern California masters program, he has written almost 30 books including the best-sellers The Arimathean, Every Number is Lucky to Someone and We Are All Characters.
Sean's Recent Content
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- Western Illinois University Fall 2020 Enrollment Sees Gains Over Past Decade Rock Island Library Offering Tons Of Awesome Events During September! Skeleton Key Art And Antiques Adding New Local Artists This Weekend Netflix' 'Social Dilemma' Is A Dark, Must-See Mirror Into Our World Betcha Didn't See THIS Coming: Long Island Medium's Adler Show Postponed Western Illinois University GIS Students, Center Director Receive Statewide Awards Wallessance Coming To Skeleton Key In Rock Island Saturday! Milan Non-Profits Eligible For Grants From The Brissman Foundation Western Illinois University Student Benefits from Great River Teacher Corps Program Rock Island Public Library Community Shred Day Offers a Secure Way to Destroy Confidential Papers
- 'Virginia Woolf' howling into District Theatre Irish stars Don't Be Brothers On To Do List For Circa QC Rollers ready to rock into QC Enter the Power Play Fan Giveaway! Take a trip to 'Nocturne Falls' for oddball fun 'Moon' a charming comedy of errors 'Pokeballs' gets all Dr. Who on fans QC Toastmasters Clubs Host Public Open House Feb. 20 Family Museum hosting 'Kids Table' benefit 'Moon' rises over District to start 2016 season
- Netflix' 'Social Dilemma' Is A Dark, Must-See Mirror Into Our World This Week's Featured Quad-Cities Artist Is Kevin Richard Schafer! Meet Diesel, Our Pupper Of The Week! Soy Un Perdidor… It's The Video You Deserve Baby Downtown Rock Island Is Ripe For A Renaissance What's The Good News For September? Miranda Vavrosky Is Our Artist Spotlighted In The QuadCities.com Virtual Art Gallery Meet Cheese, Our Pupper Of The Week Here We Go Again… It's The Video You Deserve Should You Judge Someone On Their Musical Tastes? Even If They Like Nickelback?
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Boost :
Subject: Re: [boost] c++11 and gcc 4.7
From: Leo Goodstadt (bunbun68_at_[hidden])
Date: 2011-12-07 11:24:34
> From: Bruce Adams <tortoise_74_at_[hidden]>
> Date: Tue, 6 Dec 2011 19:08:56 +0000 (GMT)
> Hi,
> I am attempting to do a cost benefit analysis to justify adopting the
> subset of C++11 that is supported by gcc 4.7.
> As threads are one of the biggest features of c++11, I may be asked to
> justify just boost.thread vs
> gcc 4.7 + boost.thread.
You may also wish to consider using a higher level threading library on top
of std::thread / boost::thread. We have been using Intel Threading Building
Blocks (http://threadingbuildingblocks.org/) for a while now, and it seems
to live very happily alongside Boost. TBB means that you don't have to roll
your own thread pools, or adjust the parallelism each time your programme
is run. It is also a very thin layer in terms of efficiency.
The modern trend across many programming languages also seems to move away
from using (manual) synchronisation primitives whenever possible (just as
"raw" new and delete has become rare in c++ over the past 20 years). TBB
allows complex pipelines to be supported quite naturally in terms of a data
flow. My only reservation is that it requires dynamic linking, which is not
always desirable or even possible.
Finally, the extra level of abstraction in TBB probably means that the onus
on supporting varying standards of c++ 11 conformance falls on Intel and
not you or your company!
Boost list run by bdawes at acm.org, gregod at cs.rpi.edu, cpdaniel at pacbell.net, john at johnmaddock.co.uk


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3 Tips for Traveling With Kids
Traveling with kids can be a challenge. It can also be really great when approached right. Hopefully these three tips will help take out some of the stress and increase the fun in your adventure. Bring Snacks Sometimes it seems like kids never stop eating. That is why having snacks on hand is … Read more 3 Tips for Traveling With Kids


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Prayer Wall
Welcome to the Family Life Radio Prayer Wall! Share your prayer request below (anonymously, if you'd prefer) and pray for others at the same time. All prayer posts are moderated, so please allow 24 hours for your request to appear.
For my marriage that my husband becomes more Christlike that we are able to communicate in a manner that God would want us to! They we become stellar role models for our 9 children! That their is unity within the home! That outside influences no longer dictate his actions concerning our marriage! That he stops being so controlling and abusive! That his thought process is more of us being a team and not him acting alone or telling me that I need to leave our home! I'm really struggling with continuing to love him as God our father would want me to! I knew I was unequally yoked when we got married! But I've been praying and believing God for change! Not just for us but for these precious children God has entrusted us with!


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A question we sometimes get asked is " Why aren't people flocking to my gorgeous new Net Effect website in their droves?' (or words to that effect 😉 . The simple answer is most likely to be because you aren't telling enough people where it is! Companies spend millions of pounds chasing top spots on search listings but a specialist travel professional requires a more subtle approach to reach the right audience.
It is important to remember here that
1. The travel industry is one of the most crowded spaces online, and
2. your website is a just a tool. It requires operating to do its job and the more skilled you become at this the better it will work for your business.
Your website can be the most lavish looking affair, in this seasons colours and fonts and bursting with seductive imagery but without your hands on input, it's as effective as a glossy sales brochure left in a drawer.
The good news is that this is something that you can easily change. And all for FREE! Your secret weapons are email marketing, adding content via a blog and of course Social Media. The really great thing is that Social Media puts the smaller business with its personal service at an advantage compared to its larger competitors. It is so much easier for smaller businesses to create a genuine social connection with their customers online than a larger corporate organisation. So time to strike up a conversation!
But before we start, an important thing to remember is that being local is one of your strongest marketing cards so the first task today is to check your Google Business page is doing its job. A Google My Business (previously Google Places) profile is an essential for local SEO. It's free and will enable you to appear in local search results for queries specific to your products or services and shows clearly you are open for business.
- Check all the contact, location & opening hours details are up to date
- Check your photos show you in your best light.
- Make sure you have completed the verification process for your business.
- You can also now collect and reply to reviews.
Click here for more info https://www.google.com/business/
I founded Net Effect to provide digital marketing tools and websites to Independent Travel Businesses who sometimes find it hard to compete online with the larger Online Travel Agents.
I started off my career in Zimbabwe with British American Tobacco having developed his love of travel from spending part of my childhood in Malaysia. I quickly realised that growing tobacco wasn't the thing he wanted to devote his life to and so returned to the UK, trained as a Chartered Accountant and joined the travel industry as Finance Director of Simply Travel and then MD, later selling the business to TUI and after a brief spell with the travel giant, realised my passion was with small businesses.
Fast forward to 2011 and a number of different businesses I saw a niche to provide marketing tools and expertise to Independent Travel Businesses whom otherwise would be unable to find the right tools to help grow their business and Net Effect was founded
Net Effect now provide CRM and Quote software, email marketing, specialist holiday search and cruise search and marketing tools to over 200 clients.


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Our story
Hi. We're Chaz and Esti, and we love watches. In 2014, we saw a problem: a huge segment of watch lovers were being excluded from the market. Excluded by retail prices bloated with mid-channel markups and celebrity endorsements. We envisioned a different approach--a direct-to-consumer microbrand that stripped away all unnecessary costs so that everyone could experience a Swiss-made timepiece without breaking their budget. Inspired by our love for outdoor sports and luxury watches, acquired from nearly 20 years of experience in the watch industry, we launched our brand with a blockbuster Kickstarter campaign and we haven't looked back since.


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See the article in its original context from
September 30, 1906, Page 8Buy Reprints
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We surrender!
Fortunately for us, we don't need to cruise too far to find beautiful scenery. In fact, the area we live in is probably one of the best cruising grounds in the country.
We spent the last two evenings in Navy Bay, a new-to-us anchorage just in between Fort Henry and the Royal Military College. Not only are the sights of the old fort and towers compelling, we were treated to bagpipes, drums, fireworks and the odd canon shot (more on that last item in a moment).
Fort Henry, Kingston, Ontario.
Yesterday, in a break between the showers, we decided to hop in our dinghy and zip around the point to check out the adjacent bay. With all of the required safety gear, paddles, camera, dinghy anchor, etc. on board, we set off for the relatively long trek (the longest we have made to date in our dinghy). Shortly after turning around to come back I made the comment that we really needed to make sure we check the fuel level before setting out, and perhaps bring along the spare can. The engine no doubt heard this and within minutes stopped dead. Right… out of fuel. What a great excuse to exercise, right? A nice long row back to our boat.
Katana anchored below one of the Martello Towers.
Remember that I mentioned we were just below Fort Henry? On the trip back, we were actually close enough to hear some military commands being issued on the hill above us, although not quite close enough to distinguish what was being said. If we had been able to tell what the commands were, we might not have been quite so surprised when they shot off a cannon right above us! Fortunately, we didn't see any cannon ball lob into the bay near us so I'll have to assume that it was not actually loaded. It startled us just the same.
Planning the next day's sail.


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Digital - A Passion For Pink
Check out a flip through of the book
A collection of 10 designer pages plus 5 journal pages that are in both a portrait and landscape format. All images print on an 8.5 x 11 inch sized paper in a 300 dpi format for clear images. I recommend a matte photo paper in a 24 - 26 lb weight for best results.
Customer Reviews
I love this kit, it's so beautiful!
Cheryl's Digi kits are always OUTSTANDING!!
I highly recommend her YouTube channel and Digi Kits!!! Thank you Cheryl 🤗🇨🇦
Thanks for your gorgeous work! I love your designs and your workmanship shows you really love your job!
Cant wait to start all of the cutting. Your printables are beautiful too.
I love this kit! The colors are my choice in journaling, home decorating and crafting.


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Photo: Alcoa Care-free Home, ca. 1957, 1589 Clover Street, Brighton, NY. Making a reputation as a trend-setter in use of materials and their fabrication, the Aluminum Corporation of American hired world-renowned architect, Charles M. Goodman in the spring of 1957 to design the "Alcoa Care-Free Home." An advertisement of the time announced: "To make a reality of your dreams of lighter, brighter living." Alcoa relied on the genius of Goodman, famous for his residential designs, and the creator of plans for 38,000 postwar homes. The result was the "Alcoa Care-Free Home" of 1957, with more than forty houses eventually built in 15 states across the country, including this one in Brighton, NY, one in Hollin Hills, Virginia, one in Pittsburgh, Pennsylvania, and one in Lafayette, Indiana, among others. Listed on the National Register of Historic Places in 2010. Photographed by User:DanielPenfield (own work), 2012, [cc-by-3.0 (creativecommons.org/licenses/by/3.0)], via Wikimedia Commons, accessed April, 2015.
Brighton Town Hall is located at 2300 Elmwood Avenue, Rochester NY 14618; phone 585‑784‑5250.
Brighton as described in 1937 [1]
Originally the town of Brighton was known as Boyle, afterwards as Smallwood. Its present name was taken from the English watering place in Sussex.
One of the towns which has given most of its territory to the fast-growing city of Rochester, Brighton had in 1930 a population of 9,033, in 1937 an estimated population of 10,000 [2009, approx. 35,000]. It lies along the complete southern boundary of Rochester from the Genesee eastward to Pittsford Township with a spur extending north several miles along Rochester's eastern border, covering in all an area of 14.3 square miles. It has no incorporated villages. Its residents occupy either farms or home sites convenient to business activities in Rochester.
The town [in 1939] has 4 fire companies, a new high school, and 5 district schools. The initial tax rate is $10.10 per thousand dollars assessment. The school tax ranges from $4 to $8 per thousand. Brighton takes its water supply from the Rochester and Lake Ontario Water Company and its gas and electricity from the Rochester Gas and Electric Corporation.
Nearby Towns: East Rochester Town • East Rochester Vlg • Henrietta Town • Irondequoit Town • Pittsford Town • Pittsford Vlg • Rochester City •


text:
Park Security Contracts
Received: 28 April 2020
We are presently looking at the park security market to include contracting and in house labour and would appeciate details in conection to this matter under the Freedom of information request.
Annual spend:
Annual spend:
Security Training
What is your spend on security annually?
What is your spend on training?
How much of the spend is with subcontractors?
Do you use ad-hoc security for events
I would be very grateful if you could provide the following as well,
1. The Head of Procurement contact details?
Outcome / Documents
- Response (not held) - application/pdf - Download


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Caffeine required, all day everyday.
These brand new buttery soft vnecks are professionally printed with our metallic purple ink. This is a unisex fit garment, and we recommend sticking with your normal size for a relaxed fit. If you prefer a slim fit please size down.
Product Details:
91/9 polyester/airlume combed and ringspun cotton


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I'm so proud to celebrate 10 years since my first neighborhood map design. I can remember dreaming early on about the business lasting five years, and now all of a sudden it's 10?! It truly is beyond my dreams. It is only thanks to all of our wonderful customers that I made it here today. Without their support, Ork Posters wouldn't exist, and not a day passes by where I don't think about it. Whether you bought a poster yesterday or 10 years ago, I hope it provides as much enjoyment as I've gotten from creating them.
In celebration of our 10th Anniversary we'll be releasing a series of artist collaboration prints of the neighborhood maps. The first collaboration is with Dan Elliott of Pieces of Craft. I was first introduced to Dan's work through a mutual friend and once you see Dan's work for yourself, you'll see why it immediately caught my eye! Dan's line of work applies bold quotes to old maps, creating striking visuals and wanderlust themes.
"My infatuation with maps started at an early age. I remember laying on the floor in the living room with my parent's atlas, following the roads from page to page, figuring out the best way to get to cities I had only heard of in the movies. I didn't travel much as a child, so most of my ideas of foreign places—like Los Angeles—was through other peoples experiences which I discovered through literature and pop-culture. I may have created some of my notions of these cities, leaning heavily on my sense of imagination while I day dreamed & pored over those maps. When I began visiting the Hamilton Wood Type & Printing Museum, I discovered the brayer as a tool for applying ink, not just to antique type, but to paper as well. I combined this "new-to-me" tool, my collection of maps built over the years, and literary references describing the places found in—or ideas relating to—the maps as a starting point for this series of explorations."
– in the words of Dan Elliott, Pieces of Craft
Obviously Dan's use of maps aligns well with Ork Posters subject matter, but his type-forward style also carries a certain "urban" look that coordinates but doesn't compete with the type style of my neighborhood maps. Dan and I chose a quote from author Nelson Algren for the series, "For the masses who do the city's labor also keep the city's heart." Algren was speaking of Chicago – fitting since it's Ork Posters home and the first city map I designed – but it's also relevant to all of our cities. The people make the city and the city dies without their work and their love. I don't know why I'm trying to say it another way, Algren says it so much better!
Dan created the design in the 18″ x 24″ size, so we selected only cities with those poster dimensions for this particular series, and selected cities that to us, in particular, seem to have an undercurrent of existing on the backs of its people – Chicago, Philadelphia, Boston, and Brooklyn. Dan created the design through his original method, applying colors with a brayer over the type as a stencil to block it out. We then digitized his design to create color separations and then screen printed it with transparent inks over top of our offset printed Classic Black and White posters.
Boston 10th Anniversary Limited Edition PrintFrom: $40.00 Add to cart
Brooklyn 10th Anniversary Limited Edition PrintFrom: $40.00 Add to cart
Chicago Neighborhood Map 10th Anniversary Limited Edition PrintFrom: $40.00 Add to cart
Philadelphia 10th Anniversary Limited Edition PrintFrom: $40.00 Add to cart
If you're looking for an artist collaboration print for one of our other cities, consider joining our email list, as we'll be adding more later on this year!
Cheers to 10 more!
Jenny Beorkrem – Owner and Designer of Ork Posters


text: .pass_color_to_child_links a.u-margin-left--xs.u-margin-right--sm.u-padding-left--xs.u-padding-right--xs.u-absolute.u-absolute--center.u-width--100.u-flex-align-self--center.u-flex-justify--between.u-serif-font-main--regular.js-wf-loaded .u-serif-font-main--regular.amp-page .u-serif-font-main--regular.u-sans-font-main--small.u-border-radius--ellipse.u-hover-bg--black-transparent.u-hover-bg--black-transparent:hover.loading. Content Header .feed_item_answer_user.js-wf-loaded . use of levaquin for minor toe osteomyelitis Zoloft (sertraline) is a medication that's frequently prescribed to treat a number of different psychiatric disorders including depression, obsessive-compulsive disorder, and social anxiety disorder. It's also often prescribed for people who've been diagnosed with panic disorder, a condition that causes frequent episodes of specific symptoms call panic attacks. If your doctor suggests you take Zoloft as part of a treatment plan for panic disorder, it can be helpful to learn how the drug might work to help you manage your symptoms. The more you understand about any medication you take, including how it affects the body and any potential side effects it might cause, the more comfortable you're likely to feel about taking it. The generic form of Zoloft, sertraline, has been used to treat anxiety orders since the mid-1990s. In that time many studies have found the drug to be highly effective for treating panic disorder as well. is a medication that is prescribed to treat mental illnesses like depression, obsessive-compulsive People who take Zoloft often report improvements in mood, appetite, sleep quality, energy level, and interest in daily life. Zithromax liver So to the question does Zoloft cause insomnia? The answer is without a doubt a yes! Most patients who were being treated for OCD seemed to experience cases of. clomid reactions A Zoloft sertraline is a medicine that is used to treat depression, obsessive-compulsive disorder, posttraumatic stress disorder, and social anxiety disorder. It can also used to relieve the. Zoloft generic name sertraline is part of a large family of antidepressants known as SSRI's selective serotonin reuptake inhibitors which increase serotonin in the brain. It is used for many different conditions such as depression, anxiety disorders and obsessive compulsive disorder. "I credit huge amounts to News Target, which has provided me with education, humor, and courage to step away from the established medical assumptions which have actually been making me worse all these years.""I am writing to tell you how much I appreciate your newsletter. I am an RN case manager and I regularly share the information I learn from your site with my patients. Thank you for doing such fine work."Your site is so interesting! The articles on the real estate bubble are very clear and, I believe, right on target (thank goodness I own my house free and clear and don't have a second one). Your nutrition stuff is always excellent too, and the political stuff is so fun and right on "target". ""Thank you for all the time and effort that's gone into the CWRC and Newstarget sites, I've spent the last two weeks or so plowing through them, and have come out the other side much more educated, and motivated to start paying a lot more attention to my own health.""Outstanding work! It has helped me to organize my confused ideas about many health topics, such as diabetes and high blood pressure. Doctors I have visited do not like to spend the time educating you. I have only learned through your many written articles. Zoloft (generic name: sertraline) is part of a large family of antidepressants known as SSRI's (selective serotonin reuptake inhibitors) which increase serotonin in the brain. It is used for many different conditions such as depression, anxiety disorders and obsessive compulsive disorder. Zoloft is similar to the other SSRI's with side effects such as dry mouth, insomnia or fatigue, and nausea and vomiting. and xanax as needed has really helped me with agoraphobia. I also dropped out of college because I couldn't walk to class or if I did I couldn't sit in class without having a panic attack. " Read more positive discussions Prozac is prescribed for Depression and is mostly mentioned together with this indication. In addition, our data suggest that some patients take it for Anxiety, although this is not an approved use*. So, for some reason my pharm and doc have a communication problem, and because of that I went through three and a half days of Zoloft withdrawals. I have epilepsy, and I have had all kinds of different types of seizures, and the Zoloft withdrawals felt a lot like a partial petite-mal seizure, only it was more of a numb-vibrating type feeling in all my pressure points along with my eyes shaking with every "heart flutter" which happened every time a took a deep breath or a semi-deep breath, or anything that made my heart beat a little more than sitting idly. As someone who has taken almost everything in the search for the right meds, I really don't thin it's wise to try natural methods. All of that would happen in unison with my heart beats. Zoloft what does it treat How Does Zoloft sertraline Treat Panic. -, Zoloft Sertraline - Side Effects, Dosage, Interactions - Drugs Cialis 30mg Sertraline is an antidepressant in a group of drugs called selective serotonin reuptake inhibitors SSRIs. Sertraline affects chemicals in the brain that may be unbalanced in people with depression, panic, anxiety, or obsessive-compulsive symptoms. Sertraline is used to treat depression, obsessive. Zoloft sertraline Side Effects, Interactions, Uses & Drug. Zoloft - Complete Drug Facts, Side Effects and Dosages Prozac vs. Zoloft What's the Difference? - Answers - Posted in zoloft, pain, panic disorder, muscle pain, tramadol - Answer with the half life of the med your looking at approximatley 22. azithromycin yeast infection treatment Sertraline, sold under the trade name Zoloft among others, is an antidepressant of the selective serotonin reuptake inhibitor SSRI class. It is used to treat major. The forms the basis for treatment with Zoloft, or sertraline. Sertraline is a SSRI selective serotonin reuptake inhibitor that modifies the signalling pathways of serotonin in the brain. This is important as serotonin is involved in both depression and anxiety.


text: POMODORI NEWBURYPORT Call 978-255-1722 VIEW THE MENU POMODORI NBPT IS HIRING! APPLY TODAY Specials Menu Get them while they're hot SEE OUR SPECIALS We Cater! Let us help you feed your friends Let us make it easier for you! Just tell us about your upcoming event and we'll be in touch. LEARN MORE Follow Us on Instagram @pomodori_nbpt *NOW HIRING* All locations and all positions! We'r Summer's not *quite* over yet - grab a fried seafo Treat yo self! Equal parts penne, broccoli, chicken and alfredo i If being back to the grind has you down, pick up y