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Should democracy withstand another infusion of dark money into politics? We think not. That's why we are asking Congress to make sure charitable nonprofits remain protected from becoming a vehicle for partisan politics and campaign spending.
A bedrock tenet of effective civic engagement in our country is the right and responsibility to petition government at every level. Individual citizens, for-profit businesses and nonprofit organizations participate in this fundamental American activity when they advocate for or against issues that impact them. Unlike individuals and some businesses, however, charitable nonprofits must stop short of endorsing political candidates or spending their money on election activities. This legal restriction is integral to the identity, reputation, and mission of charitable nonprofits and is supported by almost all nonprofits.
The Johnson Amendment is the statute which keeps political spending and campaign activity out of charitable nonprofit activity. It was placed into law in 1954 under President Eisenhower and, since then, has effectively protected nonprofits, including religious congregations and foundations, from being used inappropriately by politicians, political parties and political operatives who seek contributions, endorsements and favoritism.
As Congress works on passing a tax bill this year, the protections of the Johnson Amendment are imperiled. Both the House and Senate passed their versions of tax reform legislation, and one of the significant differences between the two centered around this provision.
The House tax reform bill, the "Tax Cuts and Jobs Act", includes Section 5201 which creates a giant loophole in the existing, highly-favored prohibition. The loophole is significant enough that, according to Thomas Barthold, Joint Committee on Taxation Chief of Staff, the alteration will cost an estimated $2.1 billion over the next ten years. The Senate bill contains no such provision to undermine the existing statute. However, the process has begun for the two chambers to reconcile their differences, which creates an opportunity for House changes to the Johnson Amendment to make their way into tax reform at the last minute. Should that happen, nonprofit organizations will become another avenue for partisan electioneering and dark money.
Organizations that want to engage in partisan political activity are free to do so, but they can't and shouldn't receive tax-exempt status from the federal government at the same time. Furthermore, donors who want to contribute to political campaigns can and should do so. But they should not receive a tax deduction in return. Politicizing nonprofit organizations, including foundations and houses of worship, is antithetical to how we expect nonprofits and democracy to work. It should alarm every American.
Many of us freely admit we're tired of the political cacophony. The weakening of the Johnson Amendment will make it worse, allowing politicking to enter our nonprofit board rooms, houses of worship, constituent and donor relations, and institutional identities. Legalizing the use of tax deductible donations for political activities will erode the confidence Americans have in nonprofit organizations which do so much to make our communities great places to live, work and raise a family.
158 Montana nonprofit organizations have taken a stand against changes to the Johnson Amendment by signing a nation-wide Community Letter in Support of Nonprofit Nonpartisanship (givevoice.org). Please stand with us for integrity of charitable nonprofits, the good name of the nonprofit sector, and transparency in politics by resisting change to the current law. Today, ask Senators Steve Daines and Jon Tester and Representative Greg Gianforte to insist on "no changes to the Johnson Amendment" in order to keep the lines clean between political and charitable activity. Nonprofits are here to serve communities, not candidates. Let's keep it that way.
Linda Engh-Grady, Whitefish Community Foundation Foundation, (Whitefish); Leslie Modrow, Billings Public Library Foundation,(Billings); Richard Turbiak, Citizens for a Better Flathead, (Kalispell); Mary Rutherford, Montana Community Foundation; Susan Hay Patrick, United Way of Missoula County, (Missoula); Tracy Timmons, Red Lodge Community Foundation, (Red Lodge); Matt Lundgren, Friendship House of Christian Service, (Billings); Kathy Hadley, National Center for Appropriate Technology, (Butte); Susan Denson Guy, The Emerson Center for the Arts & Culture, (Bozeman); Geoff Birnbaum Youth Homes, (Missoula); Michelle Belknap, Easter Seals-Goodwill Northern Rocky Mountain, (Great Falls); Jason Rittal, (Broadus); Sherm Weimer, Eastern Montana Industries; (Miles City); Paul Tuss, Bear Paw Development Corporation (Havre); Sheila Rice, NeighborWorks (Great Falls); Chany Ockert, Chany Reon Ockert Consulting, LLC, (Kalispell); CB Pearson, M+R Strategic Services; Liz Moore, Montana Nonprofit Association
How to Take Action, National Council of Nonprofits
Comparison of House and Senate Tax Bills and Impacts on Nonprofits, National Council of Nonprofits
December 4 Tax Reform Update, Nonprofit Quarterly


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subset: commoncrawl


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James Patterson's strongest team since the Women's Murder Club are the first responders when their seafront town is targeted by vicious criminals.
Bill Robinson is starting over.
The Inn at Gloucester stands alone on the rocky New England shoreline. Its seclusion suits former Boston police detective Bill Robinson, novice owner and innkeeper. As long as the dozen residents pay their rent, Robinson doesn't ask any questions.
Yet all too soon Robinson discovers that leaving the city is no escape from the dangers he left behind. A new crew of deadly criminals move into the small town, bringing drugs and violence to the front door of the inn.
Robinson feels the weight of responsibility on his shoulders. His sense of duty compels him to fight off the threat to his town. But he can't do it alone. Before time runs out, the residents of the inn will face a choice.
Stand together? Or die alone.
'James Patterson is The Boss. End of.' Ian Rankin
'No one gets this big without amazing natural storytelling talent - which is what Jim has, in spades.' Lee Child
James Patterson (Author) JAMES PATTERSON is one of the best-known and biggest-selling writers of all time. His books have sold in excess of 375 million copies worldwide. He is the author of some of the most popular series of the past two decades - the Alex Cross, Women's Murder Club, Detective Michael Bennett and Private novels - and he has written many other number one bestsellers including romance novels and stand-alone thrillers.
James is passionate about encouraging children to read. Inspired by his own son who was a reluctant reader, he also writes a range of books for young readers, including the Middle School, I Funny, Treasure Hunters, House of Robots, Confessions, and Maximum Ride series. James has donated millions in grants to independent bookshops and has been the most borrowed author of adult fiction in UK libraries for the past eleven years in a row. He lives in Florida with his wife and son.
Candice Fox (Author) Hades, Candice Fox's first novel, won the Ned Kelly Award for best debut in 2014 from the Australian Crime Writers Association. The sequel, Eden, won the Ned Kelly Award for best crime novel in 2015, making Candice only the second author to win these accolades back to back. All her subsequent novels - Fall, Crimson Lake, Redemption Point and Gone by Midnight - have been shortlisted for the Ned Kelly Award.
In 2015 Candice began collaborating with James Patterson. Their first novel together, Never Never, set in the vast Australian outback, was a huge bestseller in Australia and went straight to number 1 on the New York Times bestseller list in the US and also to the top of the charts in the UK. Their subsequent novels Fifty Fifty, Liar Liar and Hush Hush have all been massive bestsellers across the world. Their most recent collaboration, The Inn, was released in August 2019.
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The TEC Awards have announced actor, comedian, and musician Fred Armisen as host of the 35th Annual Technical Excellence and Creativity Awards (NAMM TEC Awards), being held Saturday, January 18, 2020 in Anaheim, California. Nominees for the awards, which honor individuals, companies and technical innovations used in sound recordings, films, broadcast television, and video games, were recently announced in Nashville at Summer NAMM. The TEC Awards are presented annually as part of The NAMM Show, the global crossroads of the music products, pro audio and sound, and entertainment technology industries.
The actor, comedian, writer, producer, and musician is best known as an alumnus of Saturday Night Live, and as the co-creator of iconic series, Portlandia. Armisen assembled and is the bandleader and frequent drummer for the Late Night with Seth Meyers house band, The 8G Band. In 2018, Armisen's Netflix one-hour special, Fred Armisen: Standup for Drummers, earned rave reviews from critics and viewers alike in what was described as "comedy for musicians but everyone is welcome."
"I have really enjoyed attending NAMM in the past, and I am so happy to be a part of this upcoming convention," says Armisen. "Music means everything to me. I'm looking forward to being there and to getting to meet musicians and music fans."
While his TV and film credits are impressive, Armisen's passion for making music ignited in the early 80s when he began playing drums in a local band with some Valley Stream, New York high school friends. In 1988, he moved to Chicago to play drums for the punk rock band Trenchmouth, and in the 1990s he played background drums with Blue Man Group. Armisen played drums on three tracks for Les Savy Fav's 2007 album Let's Stay Friends, as well as tracks for Matthew Sweet's 2011 album Modern Art, and Wandering Lucy's 2015 album Leap Year.
Tickets to see Fred Armisen and winners of the 35th NAMM TEC Awards Saturday, January 18, 2020, are available for purchase on-site at the Hilton Anaheim or in advance for $65 (General Admission) or $195 (VIP). The show begins with a VIP-only reception at 6 PM, followed by the awards ceremony at 7 PM, held in the hotel's 2nd floor Pacific Ballroom.
The TEC Awards supporters include The Les Paul Foundation, Amazon Musical Instruments, Sennheiser Electronic Corporation, Neumann, Solid State Logic, Softube, Yamaha, Antelope Audio, Universal Audio, AVN Systems, Wells Fargo Commercial Distribution Finance, Hal Leonard, Broadjam, Inc., Pioneer DJ, PreSonus Audio Electronics, d&b audiotechnik, Meyer Sound Laboratories, Inc., United States Postal Service, L-Acoustics, Cable Wrangler, Slick Audio, Genelec, The Recording Academy: Producers & Engineers Wing, Izotope, Inc., Leapwing Audio, Adam Hall Group, Oktava Design & Marketing, Musilla, Inc., NTi Audio, Inc., IMSTA (International Music Software Trade Association), Gearslutz.com United, CITT/ITS (Canadian Institute of Theater and Technology), Sonic Scoop, Wonder Wonder Sound and AMS Consultants, among many others.
The Les Paul Innovation Award and NAMM TEC Hall of Fame honoree(s) will be announced at a later date. Past honorees include 2019's Les Paul Innovation Award Peter Frampton and TEC Hall of Fame inductee, Leslie Ann Jones. Previous Les Paul Innovation Award winners include Jackson Browne, Joe Perry (Aerosmith), Don Was, Slash, Todd Rundgren, Pete Townshend, Steve Vai, and others who have received the award since it began in 1991.


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Vodacom Profit Target Increases After Purchasing Safaricom Shares
The Vodacom Group has announced that it has updated its profit outlook following its acquisition of East Africa's largest mobile phone firm that's helping it enter into the financial services market.
Vodacom's CEO Shameel Joosub issued an emailed statement saying that the wireless provider now expects a higher growth rate in profit for the next three years.
Vodacom purchased 35% of Nairobi-based Safaricom from the Vodafone Group in 2017 to expand its operations in sub-Saharan Africa operations and to add mobile money to its offering.
Vodacom revealed that it had been struggling with a sluggish economy in South Africa, where it is under pressure to decrease its data costs following a recent competition probe. Sales growth in the mobile operator's businesses elsewhere in Africa increased 15% faster than that of South Africa.
While the results weren't great, there would be no more bad news for Vodacom because the Safaricom acquisition has brought a decent outlook for the group, according to Nick Kunze, a manager at Sanlam Private Wealth.
Vodacom shares have increased by 2.7%, paring losses to 14% this year.
Joosub said that the Safaricom acquisition had proven to be an essential element for extending Vodacom's mobile money leadership position in Africa and in making sure that financial services become a significant contributor to the group's overall revenue.
Credit: This article originated from www.techcentral.co.za


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Главная • Биографии • Стихи по темам • Случайное стихотворение • Переводчики • Ссылки • Антологии
Рейтинг поэтов • Рейтинг стихотворений
Robert William Service (Роберт Уильям Сервис)
The English and the French were met Upon the field of future battle; The foes were formidably set And waiting for the guns to rattle; When from the serried ranks of France The English saw with woeful presage Under a flaming flag advance A trumpeter who bore a message. 'Twas from their Marshal, quite polite, Yet made the English leader shiver. "We're perched," said he, "upon the height, While you're exposed beside the river. We have the vantage, you'll agree, And your look-out is melancholy; But being famed for courtesy We'll let you fire the starting volley." The English General was moved, In fact his eyes were almost tearful; Then he too his politeness proved By writing back: "We are not fearful. Our England is too proud to take The privilege you thrust upon her; So let your guns in thunder break: To you, M'sieu, shall be the houour." Again a note the Marshall sent By envoy for his battle station: "Your spirit wins my compliment, Your courage my appreciation. Yet you are weak and we are strong, And though your faith is most inspiring, Don't let us linger all day long - Mon General, begin the firing." "How chivalrous the soul of France." The English General reflected. "I hate to take this happy chance, But I suppose it's what's expected. Politeness is a platitude In this fair land of gallant foemen." So with a heart of gratitude He primed his guns and cried: "Let's go men!" The General was puzzled when No answer came, said he: "What is it? Why don't they give us hell?" And then The herald paid another visit. The Marshall wrote: "to your salute Please pardon us for not replying; To shatter you we cannot shoot... My men are dead and I am dying."
Robert William Service's other poems:
Poems of other poets with the same name (Стихотворения других поэтов с таким же названием):
Распечатать стихотворение (Poem to print)
Количество обращений к стихотворению: 724
Английская поэзия. Адрес для связи firstname.lastname@example.com


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Since 2007, the "Stilfser" has been the only South Tyrolean cheese with the right to bear the "Protected Designation of Origin" quality assurance. This designation stands for unadulterated quality, authenticity, and the historical relation to its geographic origins.
The Stilfser is a typical Alpine cheese made natural milk South Tyrolean Alpine dairies. It has a smooth, soft consistency and is easy to melt. It has a wonderfully aromatic flavour and an unmistakable character. Cheese connoisseurs and cheese fans are always pleasantly astonished by the Stilfser's unique qualities.
Cut cheese bovine raw milk, Appearance: wrapped in hay, Aroma: hay, Flavour: full - well - rounded flavour, Consistency: rubbery - crumbly, Maturation: 5-12 months in barrique
>> dettaglio
Apricots Jam 65% 600 gr. - Breon
Kofler Speck is a South Tyrolean family enterprise with passion for bacon, sausages and meat products. After traditional and transmitted recipe refined generations and with very modern processing technologies we produce for over 30 years decent bacon, spicy Kaminwurzen (smoked sausages), Gselchtes (smoked cattle ham) and other high-class specialities.
Merlot rosé is a rose-coloured to light ruby wine, delicately fruity on the nose. On palate it is delicious and pleasantly fresh in flavour.


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Postponed: KDCR Welcomes 'Rend Collective' to Dordt University
BREAKING: The Rend Collective concert scheduled for March 14 in Sioux Center, IA, has been postponed. Detailed information related to ticketing and a rescheduled date will be provided as soon as details are worked out. We appreciate your grace as we work to reschedule. #KDCR885
KDCR, the Dordt University-owned radio station, welcomes Rend Collective to the B.J. Haan Auditorium on Saturday, March 14, 2020.
The popular Northern Irish Christian folk worship band continues "The Revival Anthem World Tour" with its return to Sioux Center. Rend Collective last performed in the B.J. Haan Auditorium in November 2016 during the "As Family We Go" tour. This evening of music and worship will include a special performance with Sean Curran of Passion.
Rend Collective is a Christian folk worship band consisting of five current members: Gareth Gilkeson, Chris Llewellyn, Ali Gilkeson, Patrick Thompson, and Stephen Mitchell. In 2018, their Good News album was nominated for a GMA Dove Award. Good News, along with The Art of Celebration (2014) and As Family We Go (2015), have reached the top spot on the U.S. Christian album charts.
Tickets for the show can be purchased in the Dordt University Campus Store or at eventbrite.com. Three types of tickets are available: general admission, early entry, and VIP. Special group and college student rates are available. Doors open at 6:15 p.m. for general admission. Those with early entry tickets will be able to enter at 6 p.m., prior to the general public. VIP tickets include first entry at 4:30 p.m., a VIP lanyard, a photo opportunity with Rend Collective and an exclusive pre-show "Campfire" Worship Experience.
For more information, tune in to KDCR 88.5 FM and visit kdcr885.com.


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May 30, 2017 Some people taking SSRIs aren't able to have an orgasm at all. (BuSpar), can restore the ability to have an orgasm and increase libido.
Feb 21, 2018 Several months earlier, I had started taking Lexapro for my anxiety, which . By accepting that orgasms would be more difficult and maybe not.
Apr 4, 2019 However, that same sense of calm and stability can lower our libido. It prevents the hormones that cause our bodies to respond to sex from.


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Paroles Just As I Am de Johnny Cash
Les chansons similaires
Just As I Am de Olivia Newton-John
Just as I am without one plea But that thy blood was shed for me And that thou bidd'st me to come to thee Oh, Lamb of God I come I come Just as I am tho' tossed about With many a conflict, many a doubt Fightings...
The Lamb de Greg Brown
(Music by Greg Brown / poem of William Blake) Little Lamb, who made thee? Dost thou know who made thee? Gave thee life, and bid thee feed, By the stream and o'er the mead; Gave thee clothing of delight, Softest...
Thou Art Worthy de The New Life Community Choir
[Chorus:] Holy Lamb, Thou art worthy, Worthy of all of all of the praise. Holy lamb, Thou art worthy, Oh, how we reverence Your name. [Verse:] I must tell of my new life And what it means to me (true...
Be Thou My Vision de Kate Campbell
Be Thou my Vision, O Lord of my heart Naught be all else to me, save that Thou art Thou my best thought, by day or by night Waking or sleeping, Thy presence my light Be Thou my Wisdom, and Thou my true...
How Great de Remedy Drive
O Lord my God! when I in awesome wonder Consider all the worlds Thy hands have made, I see the stars, I hear the rolling thunder, Thy power throughout the universe displayed: Then sings my soul, my Savior...
Textes et Paroles de Just As I Am
Just as I am without one plea but that
Thy blood was shed for me
And that Thou bid'st me come to Thee
Oh lamb of God I come I come
Just as I am and waiting not
To rid my soul of one dark blot
To Thee who's blood can cleanse each spot
Oh lamb of God I come I come
Just as I am Lord Thou tossed about
With many a conflict and many a doubt
Fightings fears within and without
Oh lamb of God I come I come
Just as I am Thou wilt recieve
Will dwell come pardon cleanse relieve
Because Thy promise I believe
Oh lamb of God I come I come
Voir les autres titres de Johnny Cash.
- Nouvelles paroles :
- Le lit sauvage - Quand vint la grâce - Vive les tamalous - Après les Drapeaux - L'age des possibles - DON'T STOP JAMMIN'
- Nouveaux artistes :
- Sébastien PERRIN - Dominique Fidanza - BIGA*RANX - Albert Babin - Guylaine et Celine Royer - Caroline Levasseur
- Meilleur classement :
- Comme un boomerang - La nuit je mens - Fais dodo, Colas mon p'tit frère - Céline - La montagne - You Know Who You Are
- Retrouvez-nous sur Facebook :
- Autres paroles de Johnny Cash :
- The Beast In Me
- I See A Darkness
- One
- Like The 309
- Nobody
- Cry, Cry, Cry
- I'm A Drifter
- Give My Love To Rose
- I'm Movin' On
- Country Trash
- Daddy Sang Bass
- Sea Of Heartbreak
- The Caretaker (Who's Gonna Cry)
- If I Give My Soul
- That Lucky Old Sun (Just Rolls Around Heaven All Day)
- Voir tous les textes et paroles de Johnny Cash.


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Hello boardgame players,
last month there was a lot going on behind the scenes and a lot of organisational stuff. But also in September we were on the road again. At the Ratinger Spieltage LIGHT, at a demo round in the Voyager and at the fair "BRETT" in Hamburg. As usual, many thanks to all of you who dropped by our booth. But after the fair is before the fair. In October there will be the biggest board games fair in Europe. >> >>


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Oh Donna.
'Black Ink Crew' Star Donna Says Sleeping with Coworkers Gives Her Points During a Hot Girl Summer
By: Amanda Anderson-Niles
"Black Ink Crew" star Donna is no stranger to controversy. But she doesn't let it affect how she feels about herself. Season after season, she does what she wants. Even if it doesn't sit well with a lot of people on social media.
To no surprise, she had some interesting things to say about sleeping with her coworkers. She feels like doing so gives her points amid the Hot Girl Summer. So does having that freaky moment with Alex in a public restroom. She truly has no regrets.
Click next for the details.
9 Comments
Yeah I don't think this was what Meg envisioned when she started the movement. LOL.
This is the goofiest sh-t I've heard in a while.
Donna is a mess. I do like her relationship with Alex though.
I think she is so pretty…..I don't down Donna one bit. She survived the awful highly abusive relationship with that prison-rat Max from down south. He just looked scary! I was so scared for her when he was just talking greasy over the phone from prison…Whatever gets you along I guess Donna. I'm just glad you didn't let that man kill your spirit…BTW she wasn't screwing Alex in the bathroom, they were dancing looking like he was screwing her!
She a beautiful young women. Perhaps appears to look unwashed but beautiful. Too bad she doesnt love herself. Be free but have standards.That is why none if the men or women in shop respect her
IMO it seems like she hasn't found her selfworth beyond her s-xuality and outer beauty. She be single n enjoy it for a while, she could get her life together. She could be doing so much more.
OHHH DOOOONNNNAAA.. I DO like her Buuuuttttt HOT GIRL SUMMER HAS ZILCH TO DO WITH BANGING UR CO-WORKERS.. but you do you girl. If that's her definition of Hot Girl Summer,then bang away
Well I agree not my definition of a hot girl summer either LMFAO


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Artificial Intelligence driven Marketing Communications
The global oligonucleotide synthesis market is likely to witness a stiff completion among the prominent players in the upcoming years. This is due to the continuous entry of new players in the market, states a report by the Transparency Market Research on the market. Some of the predominant players of the global oligonucleotide synthesis market are Applied Biosystems, Thermo Fisher Scientific, DNA Technologies, GE Healthcare and BioAutomation,
A recently added report on global oligonucleotide synthesis market by Transparency Market Research estimates that the market is likely to attain worth of US$4.189 bn by 2025 growing at a steady CAGR of 11.2% from 2017 to 2025. Whereas the market stood at US$1.65 bn in 2016.
Read Report Overview –
On the basis of geography, the global oligonucleotide synthesis market has been classified into five prime segments, namely, Asia-Pacific, North America, Latin America, the Middle East & Africa, and Europe. Among all these region North America continuous to dominate the market in the near future. This is due to the presence of better health care infrastructure and increasing usage of oligonucleotides by pharmaceutical companies of the region. It accounts for 33.3 percent of total regional market share. Whereas on the basis of end user, research institutes segment holds maximum potential for the global oligonucleotide synthesis market.
Rising Applications of Synthesized Oligonucleotides in Research and Diagnostic to Rise Demand
The global oligonucleotides synthesis market has been on a sustained growth trajectory on account of the rapidly growing biotechnology and life sciences sectors. The increased usage of oligonucleotides in research and diagnostic fields propel growth of the global oligonucleotides synthesis market. On the basis of type, synthesis oligonucleotides segment is expected to register growth in the near future due high preference of pharmaceutical, biotechnology and research and diagnostic companies.
The ready to use and customization ability of the synthesis oligonucleotide is one factor which boost growth of the global oligonucleotide synthesis market. The increased demand in the segment has significantly increased the global oligonucleotides synthesis market..
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Significant Rise in Pharmaceutical Industry buoy growth
North America accounts for nearly one third of total market share of the global oligonucleotide synthesis market. Several factor which increased the consumption of oligonucleotide synthesis in the region are high prevalence of genetic diseases, increased research and development activity and presence of prominent players. Further, continuous emergence of new players in the region is making completion stiff, which is favorable for the growth of the global oligonucleotide synthesis market.
The market of global oligonucleotide synthesis market has heated up competition. Small players of the market are adopting new growth strategy like cutting down prices to draw customer attention. This has increased pressure on the other prominent players of the market to cut down the price. While prominent players are focusing towards the niche area of oligonucleotide to increase their market share.


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The elevation stud and spring clip are the most commonly lost parts on a S&W rear More...
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3. Playing the victim
A toxic grandparent is someone with an overinflated ego and the lack of empathy for other people's feelings. That makes them incapable of reflecting on their own flaws and wrongdoings. However, they are hyper aware of everyone else's. Even the slightest offense can be perceived as an attack, and all of the sudden grandma is "sick," or grandpa is having "chest pains."
They act like they don't want anyone to know, but this is very intentional. They aim to illicit sympathy and to remind everyone – kids and grandkids – that things need to be going theirway, or else.


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The Rate Of Suicide In Chinese Women Is Astonishing
In this photo, you see people on a bus crowded around a Chinese woman who just tried to commit suicide. They are trying desperately to help her. Unfortunately, the rate of suicide in China at the time of this incident was extremely high compared to other places around the world.
In fact, China accounts for 26 percent of suicides around the entire world. 25% more women in China commit suicide than men, which is a horrific statistic that cannot be ignored.
Many women in China feel forced into suicide because of the country's harsh view on the female gender.


text: I just thought I would share this wonderful news with you all. My daughter, 9, asked me the other day to start her locs! Before, she wanted to wait until she turned 10, but she has been begging me since the new year began. Last night, I two strand twisted he hair for the last time!She is so excited! I am too. I do feel a little sad, though.:cry: I mean, I have been the only person to comb her hair all of her life. She has beautiful hair that takes at least an hour to do. This was our bonding time. :amour Not that we wont have it, Its just she is growing so fast. I am amazed. I dont know...Maybe its just me.


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By School
Charter College offers certificate and degree programs in many different industries. The private institution's blended learning environment combines in-class and online instruction, giving students with busy lives more flexibility.
- 2221 East Northern Lights Blvd Anchorage, AK 99508
- 721 W Parks Highway Wasilla, AK 99654
- Business, Computer and Information Technology, Construction and Architecture, Healthcare Administration and Services, Healthcare and Nursing, HVAC and Building Services


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The mobile team has developed an enhanced SSO (Single Sign On) login experience for app users, allowing users to remain logged-in for a longer period of time (90 days).
Key benefits:
- SSO login is safe and convenient: Users can login with their usual work credentials through your company's identity provider.
- To increase your employees' satisfaction, Egencia is releasing an enhancement to the SSO login experience.
- Travelers will remain logged-in for a period of time that can be customized at company level.
- The default setting is 90 days (same as for non-SSO users).
- If an employee is no longer authorized to access Egencia, they will not be able to access the Egencia app.
This will be rolled out globally in several weeks – Launch date will be confirmed in an upcoming update.
If you are interested in getting this enhancement earlier (end of October), please reach out to your Account Manager.
Android, App, iOS, iPhone, Mobile, SSO


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Throwing up an hour after eating here, was assured they would cook the omlet in a separate area, also assured the breakfast potatoes were fried in a separate fryer - eat at your own risk
Great staff, definitely celiac friendly. They have great options for breakfast fans and non breakfast fans. I got the breakfast tacos with a single gf pancake! I was in heaven to say the least. The waitress even came up to my table to ensure the food runner had the right food. Definitely recommend this place for sure!
The staff was great. My son said these were the best gluten free pancakes he has ever had! I loved the precautions they took and were very honest about things they were not sure about. On the whole a great experience.
Great, friendly service and lots of GF choice on the menu. The fryer is NOT dedicated so fried foods were not safe. My only negative comment is they were so busy on Sunday morning that we had to remind them many times of my Celiacs. Even with the reminders, the gave me the fried potatoes which they had to take off my plate. Even so, I did not get sick. The GF pancakes and English muffin on the eggs Benedict were delicious. I would come here again.
Awesome buttermilk gluten free pancakes
Great gluten-free businesses need our help now more than ever. We compiled a list of companies shipping gluten-free food directly to you.


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South of the Boarder: Flatlanders help 'work cows' in the Hills
October 16, 2019
Columnist's note: In 2000, when my wife graduated from seminary and started a new career as a Presbyterian minister, we made an agreement: she had followed me and my career locations for about 30 years, now I would follow her and her career. While she pastored churches the arrangement has allowed me to try some interesting jobs in some far flung places-working on a grain farm in North Dakota, at a sugar beet plant in Minnesota, being a "toilet ranger" for the Forest Service in the Kootenai Forest and serving, alongside my wife, at a church camp on Flathead Lake.
With our move to the Sweet Grass Hills where my wife is Pastor-in-residence we've been looking forward to experiencing a bit of what ranch life is about. We recently got a chance to help "work cows in the Sweet Grass Hills" as guests of Bob and Diana Thompson who own and operate, along with their son, Jeff, 3U Cattle Company just south of Whitlash. They invited us to "have lunch with us while we work the calves." After lunch and some time helping work the calves, we understood a bit more about one of many steps involved in getting animals to market.
A primer about preconditioning calves for the market
In Chinook we watched loaded cattle trailers hauling calves in the fall. We visited brandings and saw that aspect of ranching. I travelled a couple times with local vets as they tested and checked cattle. I even spent a day with a cattle buyer one fall. But neither my wife nor I had heard of preconditioning or knew why it's done.
Basically, preconditioning is "activities by ranchers that prepare calves to enter the feedlot, reducing stress and disease susceptibility." Bob Thompson explained that he, family and friends, were giving shots to calves going to a feedlot in Kansas at the end of October. He added, "While the preconditioning shots are a cost to our operation the buyers want to know they are getting healthy animals that won't cause problems or losses at the feedlot."
I asked Thompson if there was a financial benefit from spending resources to precondition the calves. He explained, "While the rancher may not get a bonus there won't be a discount. You could say the cost is neutral, but in my opinion preconditioning is necessary." He added, "consistently providing reliable and quality animals has paid off for us. I believe we get better prices because our buyers know what we will provide."
I also learned there is "no one-size-fits-all" preconditioning program. "There is a vast difference in preconditioning," a manager of a commercial health tracking company wrote, "depending on where you are in the country." Thompson, of 3U Cattle Company, agreed, "My shot protocols are based on advice from local veterinarians and my own experience. What works in the Sweet Grass Hills and on my place may not work for others."
For the upcoming shipment of calves Thompson was giving two shots: one 'live shot' contained an active virus to treat five potential respiratory problems; the second for 'blackleg.' Blackleg is a problem that's been around since medieval times and loosely describes several diseases caused by spore-forming organisms in the soil or environment. One symptom can be blackened muscles on a sickened animal, hence the name blackleg. This group of diseases is found worldwide, spreads rapidly and is usually fatal.
We flatlanders use our skills to work the cows
While Diana Thompson was at the house putting lunch together, Bob was operating the head gate and two syringes. My wife, who was a registered nurse for many years, asked Bob if she could help give shots. He showed her how to open a gate at the head chute to access the calves and the proper way to 'pinch' the skin to assure a correct shot. In a couple of minutes she was giving the 'live shot.'
Since I'm notoriously mechanically-impaired, Bob made sure I didn't do anything with equipment where I could hurt myself or break something. He did give me one of those fiberglass sorting sticks which I felt made me sort of look like a cowboy and had no sharp points. I opened and closed the little gate at the head gate so my wife, Sherry, could reach in and give shots. I have to admit, I got pretty good at opening that little gate.
Finally, Jeff Thompson, who was working at the back of the chute and moving the calves to the head gate, called me over to help him 'sort cows.' We would go to a pen in the corral, separate several calves from the cows and move the calves toward the chute that fed to the head gate.
One thing I learned while sorting calves was that "herd instinct" is sort of a vague notion as far as calves are concerned. One or two insisted they were going to head the opposite direction from the rest of the herd that was moving the right way. It was good exercise for me as I had to shuffle back and forth to turn back the rogue calves going their own way. I waved the sorting stick at them but was careful not to stick or whack myself.
It was a great first experience for us, all sunny and nice with a great view of Gold Butte just west of the big corral. I'm guessing it's not always all sunshine and dry feet. Maybe next time working cows we'll get the full deal-bad weather and all.


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Coronavirus Precautions
As we all deal with the spread of Coronavirus, we hold in prayer those affected, and those who will be treating and caring for them.
The church and halls are closed and all activities are suspended until further notice.
Please look out for vulnerable friends and neighbours and safely help with shopping and domestic tasks that become difficult. Keeping in touch by phone and email is a good way to help people feel less isolated.
Greenbank Church will continue to follow all advice from the Government and Church of Scotland.
Help the Homeless
Please don't forget that homeless people still need to be fed! Amidst supermarket shelves stripped by panic-buying, please remember to leave something at the edge to glean – a tin or two of food could make all the difference. Julia and Richard Dunbar would be glad to receive donations for distribution, which can be left outside their home at 26 Easter Steil. Call them if in doubt: (Tel 0131 447 6218.)
Greenbank Property Convener
David Allan has ended his term as Property Convener. In his time as convener, we have spread out responsibility amongst a team of people with a range of specialist skills such as health and safety and technology, but we are now looking to recruit someone to oversee the maintenance and development side of our buildings along with the team. Could you help? Speak to David, Roddy Morrison, or the Minister for more details.
Zoom Holiday Club: 3–7 August, 10am–12noon
Bounceback Bunker!
We can announce that there will be all the usual fun this year but in our Zoom Holiday Club – 'Bounceback Bunker' – which will use the Zoom technology that we have for virtual Sunday Club, QII, and Scouts.
You can register your children now. Alison, Steve, and the team are working away on fun ideas and we'll have the usual stories, games, crafts, chat, daily dramas, and some extra things that we can't normally do. Even if your family is away somewhere on holiday during that week, you could still be part of it!!


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Enyeribe Ejiogu, Noah Ebije (Kaduna) and Abdullahi Hassan (Zaria), Bamigbola Gbolagunte (Akure), Rose Ejembi (Makurdi), Timothy Olanrewaju (Maiduguri), Raphael Ede (Enugu), Paul Osuyi (Asaba), Tony Osauzo and Ighomuaye Lucky (Benin), Emmanuel Adeyemi (Lokoja), Laide Raheem (Abeokuta), Layi Olanrewaju (Ilorin), Judex Okoro (Calabar)
Across the country, most tertiary and secondary health facilities (teaching hospitals and federal medical centres) are nothing to write home about. In most of these institutions, the situation is so bad that patients are required to provide their own medicaments such as hand-gloves, syringes, bandages, among others. This is just as many have to purchase drugs from pharmacies outside the hospitals before they could get the attention of the ostensibly overwhelmed doctors.
Hospital structures in many instances are dilapidated just as many vital diagnostic equipment have either broken down, outdated or simply not available. In the face of these daunting challenges, several doctors, motivated by their Chief Medical Directors (CMD) still strive to give their best in the face of the bad situation.
In this report, our reporters in the various state present a picture of the state of Federal Government hospitals, which the present administration promised in 2015 to bring to world class standard before 2019. As the nation awaits the inauguration of the second term of the President Muhammadu Buhari administration, many say this is the time for the various teaching hospitals and FMCs to receive the attention of the government? For the people, Buhari having done relatively well in his fight against corruption and insurgency, as well as chanelling good efforts in revamping the economy, he should now focus attention on health facilities in the country, saying that a heathy nation is a wealthy nation.
At the University of Benin Teaching Hospital, UBTH, Benin, Edo State, healthcare professionals are making the best of a bad situation as they struggle to use the available equipment to render services to patients.
One major diagnostic equipment procured by the institution, Magnetic Resonance Imaging (MRI), broke down a long time ago. Ever since then, the hospital has had to refer patients to private facilities that have the equipment for MRI tests.
However, the chairman of the UBTH chapter of the National Association of Nigerian Nurses and Midwives, Mr. Augustine Osigbeme, is full of praise for the management of the tertiary health institution, for its efforts to keep some of the available equipment marginally functional. Osigbeme's earnest desire is that the Federal Government would assist the university to fix the existing one, as well as acquire a new one. This would end the era of referring patients to neighbouring states for tests that could have been easily handled at the hospital, if the requisite machines were available, he said.
"With regard to the state of diagnostic equipment in UBTH, and considering the efforts of the current management, I would say that our equipment are working. It is common knowledge that diagnostic machines may break down for one reason or the other, but they would be given prompt attention. However, there are some equipment that would have been helpful if we had them like the Magnetic Resonance Imaging (MRI), but the issue is that we do not have MRI in UBTH.
"When some doctors want to perform simple surgery, they have to send the patient to Ondo or Asaba in Delta State. I know one or two centres in Benin have these machines, but they are not available at the Federal Government hospital.
"So, it will not be bad if the Federal Government can buy these machines because we know how much they budgeted for Aso Rock Clinic, which serves less than one thousand persons compared to how much they budgeted for the public hospitals.
"So government should give adequate funds to the teaching hospitals and federal medical centres to acquire vital modern equipment for the sake of the people. When you send these people to a private facility, the bill will be too high," he said.
Osigbeme also called for improved welfare package for the healthcare providers to curtail brain drain in the country's health sector.
"Do you know why they are leaving? They are leaving because salaries are poor, welfare of the people is also poor. It is the fault of the government. So, when you are talking of machines, you should talk about the human beings that operate the machines because the machine cannot run itself.
"So, we are asking the Federal Government to employ appropriate staff and to also make conditions in Nigeria conducive for the workers, especially these in the health sector so that the people can enjoy the facilities and good health", he said.
A medical doctor who spoke on condition of anonymity, disclosed that basic things such as oxygen cylinders are sometimes not available for treatment of patients requiring them.
"There is no difference between now and the past," the doctor said in reference to the state of equipment and services in the hospital.
Also commenting on the services rendered by the health workers at UBTH, a patient who preferred anonymity said the hospital renders one of the best services in the country. She said the hospital places premium on the wellbeing of its patients.
The Chief Medical Director of the hospital, Dr. Darlignton Obaseki, was away when our correspondent visited. And no other official was mandated to speak on his behalf while the chairman of the Association of Resident Doctors, UBTH, Dr. Ese Eseigbe did not respond to several calls made to his mobile phone.
Lokoja General Hospital was converted to a Federal Medical Centre (FMC) few years after Kogi State was created in August 21, 1991. A visit to the FMC, revealed that the hospital is the largest hospital in the state with about 6,000 staff. It also has the highest concentration of medical doctors, consultants, pharmacists, laboratory scientists, nurses and other medical personnel, among others.
Investigation revealed that most of complex health issues are referred to the centre from the 21 local government areas in the state because of the facilities on ground and the capable hands available, even far better than the state specialist hospital located a short distance from it.
However, a visit to the FMC revealed that some of the equipment/ facilities in the hospital are now obsolete with some of them in bad shape while others have stopped working.
For instance, patients that need to undergo endoscopy are referred to other private hospitals, where they pay as much as N60,000 instead of the normal N30,000. Similarly, it was observed that only one of the five x-ray machines available in the hospital is modern. The older ones are in very bad shape and indeed hazardous to use now. Also, at the medical science laboratory, it was learnt that some equipment that could aid accurate analysis are now in bad shape and need replacement.
Although, the in-patient wards are essentially neat, there is clear and present need for more beds and beddings. However, drugs are in short supply. The National Health Insurance Scheme introduced by the Federal Government to aid some categories of patients is non-existent in the hospital as patients would often be told that the drugs prescribed for them were out of stock.
Also, Sunday Sun investigations showed that morticians at the mortuary department lacked requisite chemicals for embalmment of corpses. Hence, bereaved families are compelled to pay for the purchase of the relevant chemicals from outside. One other challenge confronting the mortuary is the growing number of unclaimed corpses of accident and kidnapping victims, robbery attacks and such other dead bodies deposited by officers of the Federal Road Safety Commission
It was learnt that some of these corpses could be held up to 10-12 months in the mortuary, thereby blocking spaces and causing offensive odour to pollute the environment.
The Accident and Emergency Unit suffers a severe lack of staff, resulting in the available staff to be overstretched and overwhelmed by the deluge of cases. This often leads to loss of lives of patients before they could receive attention.
A natural outcome of the daunting situation at FMC Lokoja is that commitment and morale have gone down with the attendant effect that most of the medical doctors run private clinics/ hospitals outside.
Investigation revealed that some of them hardly stay long enough at the hospital before closing for the day and resuming at their private clinics, where they refer patients from the FMC to regularly. This practice is said to be so rampant in the hospital that even in-house pharmacists also operate their own pharmacies outside, where they sell drugs to patients.
A patient, Abdullahi Eneojo, complained to Sunday Sun that his young son, who was operated on for hernia was left on the bed and nobody attended to him for three days.
"The worst thing is the uncaring attitude of the medical personnel to patients and show of outright wickedness by the FMC staff, especially the nurses who are so arrogant and saucy," Eneojo said.
Curiously the effort made to speak with the Chief Medical Director was not successful at the appointment was cancelled after Sunday Sun reporter had waited for three hours. The Public Relations Officer, Blessing Anthony Sule, who had previously arranged the botched interview with the CMD declined to comment on the challenges confronting the hospital on ground that she was not authorised to speak on behalf of the CMD.
When the then General Hospital Abeokuta was taken over by the Federal Government and converted into a Federal Medical Centre, Idi-Aba, Abeokuta, to serve as a tertiary medical facility to provide specialist healthcare to the people of Ogun State, it was thought that healthcare service would improve. Unfortunately, FMC-Abeokuta has not been spared from the challenges confronting similar facilities across the country. It also has to contend with obsolete equipment, dilapidated infrastructure and insufficient staff, among others.
Notwithstanding the pitiable situation of the hospital, the appointment of the incumbent Chief Medical Director, Prof. Adewale Musa-Olowu in 2017, has seen the hospital witnessed considerable improvement.
Several structures are being built and the Accident and Emergency Section has been given a facelift.
Before now, the medical centre was embroiled in crisis emanating from agitations and strikes by the Joint Health Sector Unions (JOHESU). But the situation has significantly improved under the leadership of Musa-Olowu.
Sunday Sun learnt from the Public Relations Officer of Joint Health Sector Unions (JOHESU), FMC Abeokuta chapter, Taiwo Tiamiyu, that in addition to other personnel shortages, the hospital needs a well-equipped medical laboratory that can meet the demands of the high number of patients that troop to the health facility daily.
Although the hospital has about 75 consultants, many resident doctors are needed to support the consultants. He, however, commended the CMD for facilitating about eight new structures, including the pharmacy department and a four-wing medical complex for physiotherapy, gynaecology, ENT and social workers.
Interestingly, the hospital has taken delivery of a modular theatre equipment and also has a new ICT centre that currently provides free WiFi service. Notwithstanding, the hospital desperately needs to repair the second X-ray machine in the radiography unit.
As at the time of filing this report, the CMD was unavailable to speak with Sunday Sun as he was said to be away on official engagement at Joga Orile in Abeokuta North Local Government Area of the state, to supervise the establishment of an annex of the hospital to cater for the medical needs of the rural community and its environs.
Ahmadu Bello University Teaching Hospital (ABUTH), Shika, Zaria is located on a massive expanse of land in an isolated area dotted with old and modern structures, and hamstrung by scanty number of medical personnel operating with obsolete equipment. Many wards are idle without patients. A number of the hospital buildings are dilapidated and in grave need of complete renovation.
As at the time of filing this report, Sunday Sun learnt from the Acting Chief Medical Director and Chairman, Medical Advisory Council, Prof Adamu Ahmed, that the dilapidated state of the structures in the hospital could be attributed to the fact that they were built about 40 years ago, but were not occupied and put to use until 2004, by which time the structures had started to show signs of deterioration and disrepair.
"You can see some leakages in the building and we have not rehabilitated these buildings since we came in 2005; there is need to rehabilitate them, to have a befitting status," he said.
Lamenting over the problem of lack of equipment, he said: "As at today, one of the major problems in the hospital is that most of our important equipment, which should aid our operations, are not functioning optimally. The X-ray department is the typical example where major equipment are not working. It is really embarrassing that a tertiary health facility like this which is a teaching hospital does not have CT (computed tomography) scanning machine.
"Today, if a patient needs to undergo CT scanning, we have to send him or her to a hospital outside this place to obtain such services. CT scan is mandatory and absolutely necessary for most patients. The same situation exists in radiology and oncology departments; we have some equipment that are not working.
"Ahmadu Bello University Teaching Hospital is the centre of excellence for oncology in Nigeria. It is one of the hospitals chosen for the treatment of cancer, but as at today, we have well trained and specialized doctors and medical personnel who have acquired experience in the treatment of any cancer disease. But unfortunately, basic facilities for radiotherapy, which is a vital component of cancer treatment, are lacking. Our only functional equipment in the department has broken down for more than one year now."
On state of the laboratories in the hospital, Ahmed said: "We have well functional laboratories in the hospital, for medical microbiology, chemical pathology and anatomy. These laboratories have basic equipment that are working very well and we have well-trained personnel to manage these places. All the same, we need to acquire some sophisticated equipment for the laboratories to enhance their operations."
Speaking about the hospital wards, he said ABUTH has capacity for 750 beds for patients which are shared and distributed among the departments depending on the specialty.
"The basic requirement in every ward is that there should be facilities and personnel to run those places. But unfortunately, we have shortage of manpower at the moment. For quite some time, we have not recruited healthcare personnel; so we have shortage of doctors, nurses, other professional healthcare personnel and even cleaners.
"Now that government has contracted out the services of cleaners, the hospital is not allowed to employ cleaners, security officers or gardeners. The companies handling these jobs are paid directly by the Federal Ministry of Health.
"For the past two years, these companies have not received any amount from the ministry. So, we had to find ways to manage their services otherwise the hospital would have been hygienically disastrous.
"At present, the morale of gardeners and cleaners is low because of their predicament as they only receive stipends from us instead of salary. You see, we have to do a lot to keep them working, but for how long will this continue? Any time you come to this hospital you find not less than 350 patients on admission. Few days ago, we had 398 patients on admission.
"These patients came with their relatives; so we have to clean, sweep and even wash the wards every day, we have to provide doctors and nurses to look after the patients. We are seriously under-staffed and we are working very hard to ensure that we recruit more medical and paramedical staff,'' he said.
Regarding funding, the Acting Medical Director said: "The funding of ABUTH is grossly inadequate because as we speak, we get only about N5 million to N6.3 million monthly as overhead cost, and it does not come every month.
"In the past, the hospital spent seven months without receiving overhead cost. Out of this N5 million, we have to pay for electricity which hits N10 to N12 million every month. So, you can see that the money coming as overhead cost is not enough to cover our electricity bill alone, not to talk of other expenses. Besides this payment, we have to buy diesel for our generators.
"Though we are lucky to have received our capital expenditure for 2018 from the national budget in time, the internally generated revenue usually comes from the services we offer. We have a drug revolving fund programme which enables us purchase drugs directly from manufacturers and sell at low price to patients, our drugs are of best quality and affordable.
"We offer paid services in our laboratories, from which we raise some money to keep us functioning. We also generate some money from the NHIS programme and collaborations with donor agencies. We have also approached philanthropists in the community, but this has not yielded any positive result.''
The current situation at the Federal Medical Centre, Owo in Ondo State, is a source of worry for stakeholders in the health sector, especially those working in the hospital. This is because of the poor working condition and lack of vital medical facilities in the hospital occasioned by alleged maladministration on the part of the management of the hospital.
Sunday Sun gathered that basic medical facilities needed for the treatment of some ailments are not available in the hospital, a situation which oftentimes necessitate the transfer of patients to other hospitals.
Also, it was learnt that many medical experts in the hospital have no opportunity for further training like their counterparts in other tertiary health centres in the country.
A visit to the hospital showed that many outpatients undergo some basic medical tests at private centres while many patients on admission in the hospital also have some tests done outside the hospital. This is even as patients were asked to buy drugs and other necessary medical items needed by them from private medical stores as such items were not available in the hospital.
The hospital which is the only tertiary health institution located in the state is always flooded with patients, especially accident victims, who are most times referred to other health centres due to paucity of medical facilities.
A staff of the hospital who spoke on condition of anonymity hinted that the welfare of the workers of the hospital was not given priority, hence the strike often embarked upon by various categories of workers in the hospital.
He also blamed the management of the hospital for not putting in place necessary facilities for the medical care of patients, and thereby called on the Minister of Health, Prof. Isaac Adewole to embark on an unscheduled visit to the hospital.
He lamented the high level of insecurity in the town, recalling that some members of staff of the hospital had been victims of kidnapping and killing on their way to work.
As at today, the Federal Medical Center (FMC), Makurdi, is the only health facility owned by the Federal Government in Benue State.
Although management of the health institution has continued to try its best to ensure maintenance of facilities in the hospital, some of the patients believe that the efforts of the management was like using a spoon to fetch water from an ocean.
Patients and their families who confided in Sunday Sun lamented that the hospital is gradually becoming a mere prescription centre as they have to virtually purchase all drugs from outside the hospital.
The Medical Director, Dr. Peteru Inunduh, who expressed worry over the infrastructural deficiencies in the hospital as a result of inadequate funding, however, noted that no hospital in Nigeria is self-sufficient in all areas.
"Healthcare delivery is very wide. I don't think there is any hospital in this country that is self-sufficient or has all the equipment it needs to carry out service delivery because medicine is a very wide subject.
"In the hospital, we are offering close to 20 different specialities. And I want to tell you that every specialty has its own needs. So, when you conduct a needs assessment survey, you will discover that in every department of the hospital, there is a gap in terms of infrastructure and equipment," he said.
Inunduh disclosed that the hospital, which was built in 1927, attended to 135,000 patients in 2016 and 165,000 patients in 2017 respectively.
He explained that the facilities in the wards are hardly enough for the increasing number of patients that throng the health facility daily.
"Now, we are limited because even the number of beds are not enough. Sometimes, patients come in and there are no beds because our patient turnover is very huge. Sometimes, we see as much 165,000 patients in a year. That is way beyond the capacity of the hospital. We are doing our best, but our patient load is much," he said.
He also lamented that because of the low budgetary provision for the health facility, outsourced staff of the hospital such as security and cleaners have not been paid in the last four years.
He identified poor funding as the major challenge of the health facility, which has hampered the management in carrying out some critical developmental projects.
The University of Maiduguri Teaching Hospital, continues to strive to render healthcare service in the face of the huge challenge posed by Boko Haram insurgency.
"Fate has put the University of Maiduguri Teaching Hospital (UMTH) at its present position otherwise Borno and the Northeast would have suffered greatly and probably too many victims of the Boko Haram insurgency," said the Borno State governor, Kashim Shettima, when he reviewed the services provided by the hospital in the heat of the violence.
For nearly two decades, UMTH which was established in July 1983, has remained the only tertiary hospital in the six Northeast states, providing medical services for referral cases from other secondary hospitals.
"It was established to provide clinical services, training medical personnel and conduct research in health issues," Chief Medical Director, Prof Ahmed Ahidjo, said.
He explained that the hospital has not fared badly in carrying out its role. Until few years ago, it was the only referral point for patients from Adamawa, Gombe, Yobe and Bauchi states.
Over the years, the hospital has developed and its site witnessed erection of more structures and facilities. The accident and emergency unit of the hospital is the centre of activities receiving scores of victims of insurgency.
Chairman, Medical Advisory Committee (CMAC), Dr Mala Bukar Sandabe, said that the hospital received huge numbers of victims of bomb blasts and Boko Haram attacks, among others.
He said that the Gen. Theophilus Danjuma-led Presidential Victims Support Fund has been providing drugs and other medicaments specifically for victims of insurgency.
He also said that the hospital entered into agreement with the National Emergency Management Agency (NEMA) to provide over N70 million for the treatment of victims of insurgency since 2003, but said more than half of the money was yet to be released to the hospital.
"We are left with no other alternative than to use our scarce resources to handle the treatment,"he said, adding that the situation has been affecting the hospital's finances.
The General Outpatient Department (GOPD) believed to be the eye of the hospital due to its strategic position as the first contact clinic receives over 73 per cent of total patients who come to the hospital, the Chief Medical Director, Dr Ahmad Abba, explained.
With 28 medical doctors, including those in administrative cadre, the hospital has only six consulting rooms for medical personnel to attend to over 200 out-patients who come to the hospital daily. Worse still, these medical personnel have to contend with inadequate equipment. For instance, the doctors share only one BP apparatus for patients.
"This means that we have to wait for ourselves to have access to the tool. This slows down work and takes more time especially on busy days," Abba disclosed.
But the CMD said personnel were not deterred by these odds as they were more concerned with giving medical attention to patients. "The hospital should be a place of succour and that is what we strive to give to our patients," he said.
The radiology department which provides diagnosis for other medical cases in the hospital has witnessed a lot of transformation especially with the introduction of the VAMED intervention by the Federal Government in 2005. The VAMED intervention was a special project that saw the contractors providing medical equipment, which they maintained for a period of five years. We got some of them that time and after five years, the contract wound up," the Head of Radiology Department, Dr Muhammad Ahmadu said.
He said that the department started having challenges with the radiography machines after the expiration of VAMED contract. "We needed periodic and preventive maintenance, but these were not done. Most parts of the equipment are unavailable in the country. They are very costly, very expensive."
Although the CT scan machine is functioning, it ought to be upgraded from 16 slides to over 600. Aside, the magnetic resonance imaging, MRI, the only machine being used in the radiology department is of low magnetic strength compared to what operates in other climes. "Even the X-Ray machine should be upgraded to digital radiography," he stated.
Despite these challenges, the radiologist said that the hospital has been playing vital role in the diagnosis and treatment of renal cases.
At the University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, patients complain of lack of water in the hospital and power supply. They said patients provide water for themselves. They also buy hand-gloves for doctors or nurses to attend to them.
UNTH was setup as a centre of excellence in research and training of high manpower in health sector as well as providing health services to Nigerians. However, due to poor funding, the management has been struggling to do what it can to keep the facility running.
When Sunday Sun visited the hospital patients complained that before a sick person would be attended to, relations would be required to procure some items such as, JIK bleach, Dettol disinfectant, Morning Fresh dishwashing liquid and a packet of hand gloves
A patient who gave his name as Hycinth Dugwu told Sunday Sun that he had been in the hospital for over two weeks and for that period of time he had to spend more than N350 every day to buy water. "I buy 10 liters of water for N60 in this hospital."
He lamented that patients were required to buy everything including drugs, syringe and hand-gloves before doctors would even attend to them. "You can imagine if someone is rushed to hospital under an emergency, for instance, accident victims; the person would be required to procure hand glove before a doctor could attend to the person. That is the situation. I don't blame the management because if the government provided adequate funds those things would be available for emergency cases at least.
Dugwu said that the hospital does not provide food to even patients in the ward. "For two weeks I have been here, my family has been buying food for me."
Another patient, Mr Okenwa Michael, told Sunday Sun that his father was left on a stretcher at the casualty ward because there was no bed space.
Some staff who spoke to Sunday Sun on condition of anonymity said that the major challenges of the hospital are lack of power supply and water. "Several scheduled surgical operations have been cancelled due to non-availability of power supply. The hospital depends largely on a generator and when it breaks down, any surgery set for that day would be cancelled," a source revealed.
Speaking in an interview, the Chief Medical Director, CMD, Dr. Christopher Amah, acknowledged the fact that power and water have been major challenges of the hospital.
According to him, the hospital spends N15 to N18 million every month to provide energy to the hospital, but receives only N5.5 million as overhead to run the entire hospital including the old site, three rural comprehensive health centres and the federal secretariat.
Amah who said that if not for the collaboration of the hospital with foreign donors from US, UK, Italia, among who have provided some level of infrastructure the hospital would have been in a sorry state.
"As you know, the mandate of the hospital first and foremost is research, training of high level manpower in the health sector and then rendering service. In terms of infrastructural facilities, it is not adequate and we can do better if there is fund. The assistance we get from number of foreign collaborators from US, UK, Italia and other countries have helped to improve our infrastructure. We get a lot of support from them and that is what has been helping us, especially in the cardiac programme."
Prior to the commencement of the treasury single account (TSA) scheme, the CMD said that their internally generated revenue was used to replace some of the ageing equipment and refurbishing some wards.
On the power challenges, he said the hospital has generators to power the hospital, but stated that funds to fuel them adequately has been a major challenge. "We run generators here as the primary source of power instead of the public power. For instance, in the cardiac center when we are operating we don't talk about public power, we switch on to generator. We have two 350KVA generators to run the cardiac centre because you cannot trust the public power supply.
"Cancellation of operations is largely due to power. When the backup generator for any reason is faulty or lack of diesel we cancel operations for that day. It is unfortunate, but we cannot help it. In 2018 we received the money for seven months out of 12 months."
On water, he said that the water challenge is being addressed. At the Orthopedic Hospital, Enugu, the story is the same. Most of the wards have their widows broken down.
The story at the Federal Neuro-Psychiatric Hospital, Enugu the story is no different from others. Lack of funding has resulted in so many projects being abandoned.
The Federal Medical Centre (FMC), Asaba, Delta State is a tertiary health institution with about 350 bed spaces, the health facility is often overwhelmed by a deluge of patients seeking medical services.
As a tertiary health institution, Asaba FMC is supposed to handle referrals from primary and secondary healthcare facilities. But that is not the case as the place witnesses an influx of patients with various ailments including malaria.
The rush at the Asaba FMC, it was gathered, is partly due to the inadequacies at the primary and secondary healthcare centres across the oil-rich state. Besides, the FMC boasts of medical facilities that are non-existent even in some private healthcare centres in the state.
However, not all equipment in the hospital are fully functional while some need to be upgraded to conform to modern standards. Besides, some equipment breakdown without being fixed immediately, thereby necessitating the procurement of such services from outside the hospital.
In the radiology department, for instance, there are about four ultrasound machines, but the facilities are often over stretched by the huge number of patients seeking X-Ray services. At times when it breaks down, patients are referred to private facilities to carry out X-Ray.
Medical Director of the hospital, Dr. Victor Azubuike Osiatumah, a radiologist, admits that not all the ultrasound scan machines were functional when our correspondent confronted him with the reality.
"All four are not functional right now, but at least two are working. In this year's budget there is a provision for acquisition of two additional X-ray machines, we have given letters of award," he disclosed.
Osiatumah adds: "You know, when a machine breaks down and you are servicing it, at that point in time, it would not be available for use, and people would say that they came and it was not available.
"For the greater part of the year, the services are available, and if for one month that it was being serviced and, therefore, not available, it is not enough to generalize that there are no equipment. But again, it is possible that there are one or two staff playing some pranks which we will find out and apply sanction.
"If there is any staff deliberately sending patients out for such services for pecuniary gains, we will sanction because there is no laboratory anywhere in this state that can compare to what we have here. So, there is no better laboratory."
The outpatient department is located in a one-storey building, which has the basic facilities to attend to any patient before referrals are made to other relevant departments. But for patients seeking admission, the hospital sometimes runs out of space due to the influx of patients, an obvious indication that the structures are inadequate to cope with the number of people, irrespective of the fact the FMC is supposed to be a referral centre.
For patients requesting surgical services, there are six theatre suites at the hospital with two of the suites at the obstetrics and gynecology unit, three in the main theatre while one is at the accident and emergency unit.
In addition to six functional theatre suites, Osiatumah said another being built for the accident and emergency unit would bring the number to seven, when completed.
He said that management has taken steps to develop other sub-specialties in medical practice at the hospital in order to reflect its tertiary status.
University of Ilorin Teaching Hospital (UITH), Ilorin, Kwara State, belongs to the second generation of teaching hospitals established by law on the May 2 1980. It took off in July 1980 and started operation from its temporary site located at the General Hospital and Maternity Hospital, both owned by the Kwara State Government.
In May 2007, former President Olusegun Obasanjo commissioned the permanent site while complete movement took place three years later in April 2010. The university is credited with starting the Community Based Experience and Service (COBES), which was its own unique expression of community medicine which gave its medical students opportunity for practical, hands-on learning.
Typical of other teaching hospitals owned and funded by the federal government, evidence of infrastructural deficiency dogs the health institution. Take one simple case: the laundry building, which is vital to the process of patient care, in terms of surgery and admission in the wards, is not up to standard. More importantly, the machines are obsolete.
Again the teaching hospital does not have a standard mortuary and the internal road network is bad. There is no water in the hospital and no electricity supply. The hospital relies on generators most of the time. In addition, most of the equipment in the hospital are obsolete. Drugs are either not available or priced out of reach of patients, thereby leaving the relations of the patients to patronize pharmacy shops outside the hospital. The wards are in a fair state but the beds need to upgraded and new beddings provided.
The hospital has two X-ray machines which are not modern. Two are available but marginally functional. Other diagnostic imaging machines for CT scan, MRI and mammography were not working as at the time of filing this report. Sunday Sun gathered from a source that "lack of spare parts and competent engineers to service the machines are the two major problems of the diagnostic machines."
"The former chief medical director was more interested in brick and mortar projects; he preferred building houses, which have not yet been put to use," the source said.
The surgical theatre staff disclosed it is one vital facility said to be relatively good state as staff who work there did not complain much about it. The laboratory rooms were found not to be spacious as would befit a standard medical laboratory science facility. Some of the machines in the laboratory have outlived their usefulness and need to be discarded.
At the hospital, patients are compelled to provide gloves, syringes and needles as well as detergents for cleaning.
A patient, Wosilat Ajetunmobi, who was on admission at the hospital said she had to provide gloves, syringe and soap before the nurses on duty would attend to her. Another patient, 67-year-old Amosa Abdullahi, commended the staff for treatment he received at the hospital.
He added: "But it takes long before many patients are attended to because the hospital is under-staffed. I want to appeal to the government to employ more hands to reduce the time people spend before getting treatment.
The chairman of JOHESU at the UITH, Comrade Olatunde Oluwawumi, who spoke with Sunday Sun on the state of affairs at the teaching hospital acknowledged and commended the efforts of the new CMD to improve the standard of the hospital generally, and noted that only so little could be done with available resources.
"The issues of health should not be toyed with. We are concerned with the health of Nigerians but we cannot continue to groan in pains even as we work to save people's lives," Oluwawumi said.
Despite the unsavoury deficiencies observed, there appears to be a silver lining in the horizon given the onerous efforts of the new Chief Medical Director, Professor A. D. Yussuf, who has made infrastructural upgrading as the focal point of his administration. Under his leadership, replacement of basic things like beddings has commenced; broken down equipment have either been replaced or repaired.
Under the present setting, the twin theatres of the hospital can now handle complex simultaneous surgeries as power supply has been boosted.
However, the health facility is still hamstrung by the daily gridlock on the road that leads into the hospital, due primarily to the construction work being done on the road.
The University of Calabar Teaching Hospital, UCTH, like the other tertiary health institutions has been contending with infrastructural problems. The bad situation has driven patients into the waiting arms of private clinics for medical attention.
As in other teaching hospitals adequate power supply has resulted in dismal services being rendered to patients. On several occasions, doctors were compelled to cancel scheduled surgical operations. In some critical situations, they resort to using rechargeable lamps to carry out surgeries, especially at night.
The state of wards is bad. When Sunday Sun visited some of the wards including the male and female surgical wards, neonatal wards, etc, are infested with mosquitoes as the mesh on the windows have been torn.
To aid themselves, patients are forced to provide some of the medicaments required and other items such as rechargeable lamps, disinfectants and to purchase water. Sometimes, they could be required to buy electric bulbs to replace the ones that have burnt out.
However, the management has embarked on some developmental projects, among which are rehabilitation of the nurses' hostel, construction of Ebola centre and the establishment of a well-equipped ophthalmology unit.
Some of the staff, who didn't want their names in print, blamed nurses, consultants, resident doctors and management for the poor state of affairs at the hospital.
A union leader, who pleaded anonymity, said: "The hospital is not functioning at optimum capacity because of lack of power supply and lack no materials for staff to work with and the facilities at the wards are in poor state. I think everything boils down to the attitude of the healthcare professionals. Everybody -nurses, doctors, management and medical health workers – should change their attitude towards work, bearing in mind always that we managing human beings with critical health issues."
Reaction of Prof Thomas Agan, CMD UCTH
Four years ago, University of Calabar Teaching Hospital (UCTH) relocated to its permanent site, which was for long not put into use after completion. The Chief Medical Director, Prof Thomas Agan, said the hospital lost a lot when the facilities at the permanent site were vandalised.
He noted that progressively dwindling funding from the government has created some infrastructural deficiencies and made it difficult to provide standard amenities in the wards, standard visitors car pack, cafeteria, utility vehicles just as the hospital suffers from equipment gaps. Moreover, the replacement of broken down patient beds, mattresses and beddings as well as other items needed in the wards was hampered.
Agan, who doubles as the chairman, Committee of Chief Medical Directors and Medical Directors of Federal Tertiary Hospitals, said: "The state of the wards when compared to what obtains in other parts of the world cannot be described as good as the initial concept for these wards cannot match the modern day concept due to poor funding and low level of internally generated revenue."
With regard to outpatient clinics, he said: "We have most basic facilities for patient care. However, it is not possible to provide every need at all times. For example, you may enter the clinic sometimes and discover that the blood pressure equipment, ECG, echocardiogram or any other equipment is malfunctioning.
"We have two digital x-ray and a mobile x-ray machines. Unfortunately, as a result of power fluctuation they have been damaged. These machines were temporarily shot down. We have now acquired a generator dedicated to the building housing the vital equipment."
Continuing, he said: "The hospital has adequate operating theatres for all the specialties. These theatres may not be optimally equipped as compared to what obtains elsewhere but they have all the basic needs and we have constructed new four operating rooms for gynecological cases to reduce the syndrome of cancelling operations as a result of space to operate.
"Unfortunately, the medical laboratories for some time did not function maximally because of the crisis between the laboratory scientists and the pathologists. The board of our hospital waded into the crisis to resolve the issues."
He lamented over the unfortunate situation where patients were sometimes asked to provide certain consumables that the hospital ordinarily should provide, and that such happens only times of acute shortages or at weekends. The crisis in the medical laboratories compelled patients to run some tests in private laboratories. He blamed the negative attitude of health care givers towards patients, and urged them to have a change of heart and bear the biblical golden rule in mind at all times.


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1. IVF is the only option available for couples trying to conceive.
There are many assisted reproductive procedures available including timed intercourse, IUI (intra-uterine insemination), ovulation induction and others. IVF is only one of the treatments available. Talk to your fertility doctor to determine which is right for you.
2. IVF is for young people
It is true that age does play a role in fertility, however, IVF can be successful for women in a wide range of ages. For women who are in the older age range, IVF with donor eggs is an option.
3. IVF leads to a multiple pregnancy
While there are cases of multiple pregnancies through IVF, the risk is contained by transferring the least amount of embryos, ideally one. The decision on how many embryos to transfer is one that you and your partner will be making, along with your fertility doctor. Ultimately, the doctor will only transfer what is safe and ethical.
4. Special Diets can improve IVF success
We like all of our patients to follow a well-balanced diet and a healthy lifestyle, but also to be aware that there is no one diet or special food that will increase the chance of an IVF cycle being successful. There is, however, a connection between a woman's BMI and fertility. A BMI of 30 or over, in addition to being unhealthy, can significantly impact the success of an IVF cycle.
5. IVF will diminish your egg pool, and cause you to enter menopause at an earlier age.
Each month the body chooses 10-20 follicles, one of which grows while the rest die and get reabsorbed into the body. The purpose of the ovarian stimulation medications used during IVF is to allow the 10-20 eggs that would otherwise die, to grow and be used to achieve pregnancy. This does not impact the other eggs a woman may have.
6. It is better to lose weight and be healthy before starting an IVF cycle.
This may or may not be true. If the egg count is low it is very important to start treatment sooner rather than later. Waiting to improve your weight may not improve your chances of success, because egg quality, and therefore success rates, can decline rapidly.


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Home Tech Market Growing, Says CEA
According to the third annual "State of the Builder Technology Market Survey," released by the Consumer Electronics Association (CEA), the market for home technologies among new homes is again on the rise. The number of builders profiting from the installations of these home technologies has increased steadily since the inaugural builder's study was launched in 2003.
"One of the trends driving growth in the consumer electronics industry is an increasing focus among consumers on design and how well technology products integrate into the home. Buyer or architect specification stands as the most common reason that home technologies are installed, underscoring that consumer demand is driving the market," says Senior Industry Analyst Steve Koenig. "The trend towards integrating home technologies also is helping to propel consumer demand of multi-room audio, lighting controls and structured wiring."
CEA reports that 79 percent of builders say that the technologies are important to marketing new homes. The most common technology installed in new homes today is structured wiring, which is now available in 88 percent of new homes versus only 76 percent last year. Following structured wiring, other popular technologies include monitored security, multi-room audio and home theaters.


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Rorcal "Creon" 2x12"
€20.00 / Sold Out
Three years after the monstruous and blackened "Világvége", RORCAL is back with a brand new full length entitled "CREON". Again, this new beast is showing a different face of the band by the mean of 4 hellish tracks for more than 50 minutes of music. Furious, but also melodic, these new songs display a wild range of atmosphere, each one serving the purpose of an epic story. Yes, it's the death of 4 well known Greek characters, all linked to Creon, that are narrated in this new concept album. Punishing blast beats, heavy riffs, progressive structures expressed through brilliant song writing, possessed vocals ; everything is here reunited to create a new level of insanity in the field of extreme music. This 4th full length, recorded in three days in live conditions by Steph Kroug and mixed in Sweden by Daniel Bergstrand, is a journey nobody could have dreamed of. Let the magic do its job, let yourself drown in this beautiful and savage piece of aggression.
All songs by Rorcal
Recorded by Stéphane Kroug at Blend Studio
Editing and Engineering by JP Schopfer at Yellow RecordingsMixed by Daniel Bergstrand & Giorgos Nerantzis at Dugout Productions
Mastered by Stéphane Kroug at Electric Room Mastering Studio
Photography Bastien Vermeuenl
Artwork and Layout by Diogo Almeida
Double 180gr black vinyl in gatefold,printed innersleeve with insert