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He doesn't know how much longer the European men would need to be watched, but thinks it would eventually become clear that PSA testing saved many more from a prostate cancer death. He doesn't think the Preventive Services Task Force should have taken a stand against testing at this time.
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Dr. Michael Barry, head of the Informed Medical Decisions Foundation in Boston, thinks Thompson has a point.
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"I'm reluctant myself to make a decision for someone else about PSA screening," Barry says. "And as a result, I'm also reluctant for expert panels to take that position of telling men what to do here."
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Barry says his way out of the controversy is to take it "one man at a time." That is, doctors need to lay out the evidence as clearly as they can, which he says indicates there's very little, if any, benefit to PSA testing.
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"I think many men won't want the test in that circumstance," he says. "But some will, and I'm comfortable with that."
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Up to now, Barry says, those discussions haven't been happening nearly enough.
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WASHINGTON (Reuters) - President Donald Trump’s Supreme Court nominee Brett Kavanaugh visited top U.S. Senate Republicans on Capitol Hill on Tuesday, seeking to build support among lawmakers in what promises to be a contentious confirmation battle with Democrats.
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Top Senate Democrat Chuck Schumer vowed an all-out battle against Kavanaugh, but senators in his party cannot block Kavanaugh’s confirmation if no Republicans break ranks. Trump’s fellow Republicans hold a 51-49 Senate majority, leaving them little margin for error.
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Advocacy groups for and against Kavanaugh planned to spend millions of dollars in advertising to try to sway lawmakers.
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The morning after being nominated by Trump for a lifetime seat on the nine-member conservative-majority court, Kavanaugh began making the rounds in the Senate, first visiting Republican leader Mitch McConnell and then Judiciary Committee Chairman Chuck Grassley, whose panel will hold confirmation hearings.
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Vice President Mike Pence, who holds a tie-breaking vote in the Senate, accompanied Kavanaugh to the meeting with McConnell.
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“We look forward to the confirmation process, which will unfold in the next few weeks,” McConnell said, ignoring a question about whether Democrats would support the nomination.
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Kavanaugh, a conservative appeals court judge, did not respond to questions.
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McConnell told reporters later in the day he hoped for a confirmation vote “sometime this fall.” Other Republicans said they hoped to confirm Kavanaugh before the court reconvenes in October.
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Republicans want a speedy process to ensure the vote is held well before the Nov. 6 midterm elections in which all 435 seats in the House of Representatives and 35 of the 100 Senate seats are up for grabs, with Democrats trying to seize control of Congress.
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“I will oppose this nominee with everything that I’ve got,” Schumer told MSNBC, warning that a more conservative court including Kavanaugh could overturn the landmark 1973 Roe v. Wade ruling legalizing abortion and end protections under the Affordable Care Act healthcare law known as Obamacare.
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Advocacy groups are targeting five senators as pivotal in the confirmation fight. Democrats plan to pressure two moderate Senate Republicans, Lisa Murkowski of Alaska and Susan Collins of Maine, to oppose the nomination. Both senators have been non-committal toward Kavanaugh’s nomination.
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“He clearly is qualified for the job, but there are other issues involving judicial temperament and his judicial philosophy that also will play into my decision,” Collins told reporters.
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Republicans will target three Democrats facing re-election in conservative states where Trump won big majorities in the 2016 election - Heidi Heitkamp of North Dakota, Joe Manchin of West Virginia and Joe Donnelly of Indiana - to support Kavanaugh.
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All three Democrats have touted their ability to work with Trump. They all voted last year to support Trump’s first Supreme Court nominee, Neil Gorsuch, but have been non-committal on Kavanaugh. Kavanaugh is Trump’s second nominee, giving the president a chance to solidify conservative control of the court for years to come.
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The Judicial Crisis Network, which pushes for conservative judicial nominees, will launch a $1.4 million ad campaign aimed at Donnelly, Heitkamp and Manchin, according to a representative for the group.
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Americans for Prosperity, a conservative policy advocacy group backed by the influential Koch network, has planned a seven-figure ad campaign to support Kavanaugh, as it did last year on behalf of Gorsuch, as well as mounting a grassroots campaign in Indiana, North Dakota and West Virginia.
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A new liberal interest group, Demand Justice, plans to spend as much as $5 million to push Democrats to oppose Kavanaugh, and try to persuade Republicans Collins and Murkowski to do the same.
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“Now the tough job for all of us is to go to work. We’ve got some due diligence,” Murkowski told reporters.
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Police in Doncaster seized a car belonging to a takeaway delivery driver last night.
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Police in South Yorkshire have issued a warning about buying fireworks from disreputable outlets.
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Former students of South Yorkshire secondary schools are to use their career experience and skills to boost current pupils’ chances of going to university.
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The region has escaped the worst of Storm Callum – but the rain is set to continue today.
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Mystery surrounds the future of Doncaster teenager Charlotte Lee on the X Factor.
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Education in South Yorkshire has received a major boost with three announcements which will benefit the region’s young people – including funding from the Sheffield City Region Mayor.
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Rail passengers across South Yorkshire face further disruption today as workers hold a further strike in the long-running dispute over the role of guards.
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Seven people have been injured after a bus and car crashed on the A19 near Doncaster.
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Maths lessons in dozens of primary schools in Doncaster are set to be improved following a £600,000 investment.
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Headteachers from South Yorkshire are sent to descend on Downing Street to demand more money for schools.
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I'd been to Great Yarmouth several time when I was a child and so after having a family of my own I couldn't wait to return.
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Fans have been paying tribute to Barry Chuckle following his death aged 73.
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South Yorkshire television star Barry Chuckle - one half of The Chuckle Brothers - has died aged 73.
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A warning has been issued about a scam involving fake emails purporting to be from British Gas.
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Police were called to a South Yorkshire bus station yesterday after reports a 'suspicious item' had been discovered.
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Another fine weekend is on the cards for South Yorkshire.
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Motorists travelling on Yorkshire's motorways could be disrupted next week by a number of roadworks planned for the region.
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A South Yorkshire Police community support officer has become an internet sensation after being caught on camera dancing at Tramlines.
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An education charity has been awarded Government funding to improve the employability skills of students in Doncaster by using former students.
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MOSCOW, Idaho – Their job was to stay at the bus station and wait.
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Paul and Bobby Petrino, with a $1.25 from their dad in their pockets, would park themselves at the pinball machines and keep an eye out for the right bus. They didn’t mind the work.
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This was in Helena, Montana, in the 1970s, when pinball cost 10 cents and college football coaches like Bob Petrino Sr. at Carroll College had to wait for 16-millimeter game film of their opponents to arrive before they could make cut-ups.
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Petrino Sr. wanted to get his hands on the tape as soon as he could. So he enlisted his sons – future quarterbacks for him at Carroll – and ordered them to call right when the film arrived.
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Paul Petrino, now 47 and the coach at Idaho, smiled as he recalled those bus station visits with his older brother and how different the coaching profession looks today than it did when he helped his father as a boy.
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Technology advances have opened up opportunities for more film study. Time away in the offseason is shorter because of new NCAA rules. Recruiting is a 12-month endeavor.
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All things considered, the job is more consuming.
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Petrino Sr. drove a taxi in the summer to help provide for his family, in addition to serving as Carroll College’s athletic director and only full-time football coach for part of his successful 28-year tenure. Now Paul and Bobby, the coach at Louisville, spend their summers recruiting and monitoring players’ offseason conditioning.
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The really long hours, though, start in August. With the Vandals preparing for their Aug. 30 season opener at Florida, Petrino and his staff are often in their offices until midnight after arriving at 7 or 7:30 a.m.
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Late in the evening, the offensive and defensive staffs split up to parse every detail from that day’s practice or practices and prep for the next day’s meetings with players.
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Practice and game “tape” is now all digital, and it’s available in quantities that coaches from another era could scarcely imagine.
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“They didn’t video practice back in the day and we video practice and stay till midnight getting it graded and making corrections and stuff,” Idaho offensive coordinator and offensive line coach Kris Cinkovich said. “So that part has made it more time-intensive.
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Petrino, a self-described football junkie, analyzes as much practice or game film as he can partly because he knows opposing coaches are obsessing over it too. He and Bobby used to spend parts of their offseason examining two or three NFL offenses at a time.
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Their eye for detail and precision on the football field came early, when they started charting tackles, breaking down tape and announcing defensive coverages – anything they could do – for their dad.
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That goes for the players, too.
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Players and coaches are together 10 months out of the year, or potentially longer for teams that reach a bowl game. The only breaks for players come after the season and after the school year when spring camp wraps up.
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The winter weightlifting and summer workouts can be draining. But only to a point.
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Regardless of the time he spends in his second-floor office in the Kibbie Dome, Petrino will never consider himself a harder worker than his father. As a small-school coach at Carroll College, Petrino Sr. met regularly with the offense and the defense. He coached pretty much every position. For seven or eight years, he was also AD and building coordinator.
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Just as Idaho players and coaches take notice of Petrino’s work ethic, he took notice of the time his father put into coaching and making ends meet.
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No matter how the job changes.
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Defense Secretary Jim Mattis, left, accompanied by Joint Chiefs Chairman Gen. Joseph Dunford, right, speaks to members of the media outside the West Wing of the White House in Washington, Sept. 3, 2017.
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TAMPA, Fla. (AP) — The Islamic extremists that ambushed and killed U.S. Army commandoes in Niger last week hadn't operated in that area before, Defense Secretary Jim Mattis said Wednesday, referring to what officials believe was a relatively new offshoot of the Islamic State group there.
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Speaking to reporters traveling with him to Tampa, Mattis said he rejected suggestions that rescue forces were slow to respond to the assault, noting that French aircraft were overhead within 30 minutes. But he said the U.S. military is reviewing whether changes should be made to these types of training missions in Africa.
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"We will look at this and say was there something we have to adapt to now, should we have been in a better stance," said Mattis. "We need to always look at this. We're not complacent, we're going to be better."
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U.S. Africa Command has launched an investigation into the attack that will review what went wrong and whether additional security or overhead armed support may be needed for some of these missions.
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American officials have said they believe the militants belonged to a tribal group that previously may have been tied to al-Qaida or other extremists, but more recently re-branded themselves as IS. The officials said they do not believe the militants were fighters who came to Niger from outside the region. The officials were not authorized to discuss the matter publicly so spoke on condition of anonymity.
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Three Army commandoes and a soldier were killed a week ago when dozens of militants ambushed them during a joint patrol with Niger troops. The U.S. and Niger troops were in unarmored trucks.
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Mattis and other officials haven't said how long it took to evacuate the troops, including several U.S. and Niger forces who were wounded. One U.S. Army soldier was missing for nearly two days before he was finally found by Niger troops around the area where the attack happened.
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A US special forces soldier demonstrates how to detain a suspect in Niger.
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According to U.S. officials, details about the exact timeline for the rescue effort are still unfolding. The troops were evacuated by French aircraft.
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Army special forces have been working with Niger troops for some time, and that training effort has been increasing in recent years.
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They are often working in remote locations well beyond what the U.S. military likes to call the "golden hour." That one-hour standard for medical evacuation was set during the peak war years in Iraq and Afghanistan and was aimed at getting wounded troops out within an hour of their injury, making it more likely they will get the treatment needed to survive.
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Mattis praised the quick response of the French and Niger support forces.
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"The French pilots were overhead with fast movers with bombs on them ready to help, and helicopters were coming in behind," he said adding that Niger forces with French advisers also responded to the attack, which took place attack about 200 kilometers (120 miles) north of Niger's capital, Niamey.
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The U.S. and Niger forces were leaving a meeting with tribal leaders when they were ambushed. There were about a dozen U.S. troops and a company of Niger forces, for a total of about 40 service members in the joint mission.
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U.S. officials have described a chaotic assault in a densely wooded area, as 40-50 extremists in vehicles and on motorcycles fired rocket-propelled grenades and heavy machine guns at the patrol, setting off explosions and shattering windows. The soldiers got out of their trucks, returning fire and calling in support from the French aircraft.
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The news story shows a drone operation-the screen lights ups with a flash, followed by the crumbling of a building. To the viewer at home, it is a smooth, seamless operation far away. But to Capt. Joseph Siler, he would tell you that it took a team of highly-trained and dedicated intelligence professionals to carry out the critical mission witnessed on television. However, with each successful mission comes an everlasting impact. In Siler’s case, that impact came in the form of an invisible wound.
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Siler commissioned in 2010. He attended the Intelligence Officer Initial Skills course where he met his now wife, Katherine. He spent the first three years of his career supporting dynamic intelligence, surveillance and reconnaissance missions. In 2014, he deployed to Afghanistan, where he continued collecting, analyzing, and disseminating intelligence.
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Upon his return from deployment in October 2014, Siler and Katherine married. After spending several years working over 12-hour shifts (or ‘abnormally long shifts’) in a fast-paced, highly stressful position, Siler and his wife decided it was time to take a step away from operations. This decision prompted his transition to a more consistent 8 a.m.-5 p.m. work environment at the Air University at Maxwell Air Force Base.
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It was not until his life slowed down that Siler started feeling as though his world was caving in. In August 2015, he began experiencing a loss of balance, nausea, and frequent panic attacks.
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He rapidly lost 20 pounds and struggled to keep food down. His only relief from the nausea and panic attacks came when he was finally able to get a few hours of sleep.
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After that first panic attack, the couple knew he needed to see someone and went to an urgent care facility off-base where doctors prescribed him medication to alleviate the attacks. After 72 hours of taking the medication and still unable to get relief, he decided that he needed to go to the Mental Health Clinic on base. There, the team arranged for Siler to be admitted to a psychiatric ward in the town outside the base for the night.
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While Siler was in the hospital, Katherine recalled from her own past Air Force training that resources were available but found it hard to know how and where to start. The one person she knew to call was the base chaplain, who immediately came to sit with her at the hospital while she waited to be reunited with her husband.
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“Having the chaplain was a huge source of support and kept me grounded while I was unable to see him,” she said.
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Once released from the hospital, Siler spent two weeks at a behavioral health facility. It was there he was diagnosed with post-traumatic stress disorder, received counseling services and met with a psychiatrist every day. During those two weeks, they walked him through his medications, helped him work through his experiences, and taught him how to embrace his post-traumatic stress disorder.
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He was nervous about returning to work following his recovery but found that his leadership and fellow Airmen were understanding and supportive as he transitioned back into work life.
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For Siler, the biggest takeaway was understanding the tools he had at his disposal to help him overcome his PTSD.
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“Medicine is just one quick fix tool, but medicine alone does not help you change the behavior that contributes to stress,” said Siler.
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In addition to medicine, he identified a network of people who could support him, such as his wife and extended family. He rediscovered his love of exercise and found practicing music to be an effective outlet for stress reduction.
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“Using all of the tools that were available to control and limit my anxiety, I was able to come off all medication about a year and a half later, after exhibiting healthy behaviors,” he explained.
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Siler believes the Air Force’s perspective on mental health needs reframing so that people know it’s okay to seek help.
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Now, as a leader in the 492nd Special Operations Support Squadron, Siler has become an advocate for what he believes are healthy techniques for dealing with stress, noting that he is back in the fight as a stronger officer and more resilient Airman than he was before.
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Editor’s Note: Are you or someone you know suffering from an invisible wound? Visit the Invisible Wounds Initiative website or the Air Force Wounded Warrior Program for more information. Ultimately, Airmen taking care of Airmen is what this is all about. Finding strength in yourselves and others, to go the extra distance, seek help, and come back stronger. The Air Force is committed to ensuring you have the resources to do so.
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Works by 42 prominent cartoonists, including Kambiz Derambakhsh, Javad Alizadeh, Mohammad-Ali Baniasadi, Ahmad Arabani, Bozorgmehr Hosseinpur and Bahram Azimi, will be showcased at the exhibition, which will open on April 22.
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The exhibit entitled “The Role of Kindness” will continue until May 2.
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The recent heavy rainfall in Fars, Golestan, Mazandaran, Lorestan, Khuzestan and several other provinces in western, southwestern and northeastern Iran led to severe flooding, which struck and damaged many cities and villages and left 78 people dead and hundreds displaced and injured.
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Photo: A poster for “The Role of Kindness”.
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