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Alcohol Interventions Among Underage Drinkers in the ED: A Randomized Controlled Trial

Intervention strategies are needed to reduce underage drinking. Meta-analyses of youth alcohol brief interventions (BIs) conclude that therapist-delivered BIs are efficacious; however, to maximize public health impact, recommendations include using technology to streamline intervention delivery, for which evidence is lacking.

A single-session BI, delivered by a computer or therapist in the emergency department, shows promise for underage drinkers. Findings for the stand-alone computer BI are particularly appealing given the ease of future implementation. (Read the full article)




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The Adventurers

Embarking on an outreach in another country with people you don't know. Adventurers share about their experiences in Bulgaria.




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As dating apps try to pivot to virtual events, some users are trying to get people to violate social distancing rules

Source: www.businessinsider.com - Saturday, May 09, 2020
Dating apps like Tinder, Bumble, and Hinge have reported increased use amid the coronavirus pandemic, while touting virtual dating alternatives for users instead of meeting up in person. Swaths of users are still encouraging matches to break quarantine to have sex and go on dates, despite social distancing guidelines and fines to comply with them. An illustrator on Instagram has been collecting screenshots of these situations, and told Business Insider that users will brand themselves as "badasses," dispute the effectiveness of isolating, and lash out in anger and hurl abusive language when they're rejected. Spokespeople for Grindr, Tinder and Bumble told Business Insider they've informed users to adhere to social-distancing guidelines, but did not respond to inquiries about actions they're taking against users in places where violating lockdown orders can be against the law. Visit Business Insider's homepage for more stories . As millions remain confined to their homes to prevent the spread of coronavirus, the desire for human contact and connection has risen dramatically and led some to search for ways to break those social distancing rules. Popular dating apps — including Tinder , Bumble , and Hinge — have reported significant increases during the outbreak of swiping activity, matches between users, and messages exchanged. It's also led to the introduction of a breed of users who are interested in shirking lockdown orders, an




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Fin24.com | Deutsche Bank, Siemens CEOs waver on attending Saudi event after journo goes missing

The heads of Deutsche Bank and Siemens, two of Germany’s biggest companies, are among a dwindling number of high-profile delegates still scheduled to attend an investment conference in Saudi Arabia following the disappearance of dissident journalist Jamal Khashoggi.




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Disarmament in the Congo: Investing in Conflict Prevention




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Get Moving Now to Prevent Genocide in Burundi




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Disarmament in the Congo: Jump-Starting DDRRR to Prevent Further War




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Congo Crisis: Military Intervention in Ituri




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Les FDLR doivent desarmer




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Cameroon: Prevention is Better than Cure

Cameroon’s apparent stability belies the variety of internal and external pressures threatening the country’s future. Without social and political change, a weakened Cameroon could become another flashpoint in the region.




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Impact of KPC-production and high-level meropenem resistance on all-cause mortality of ventilator-associated pneumonia in association with Klebisella pneumoniae [Clinical Therapeutics]

Objectives: Carbapenemase-producing Enterobacterales and specifically KPC-producing Klebsiella pneumoniae (KPC-Kp) are rapidly spreading worldwide. The prognosis of ventilator-associated pneumonia (VAP) caused by KPC-producing Klebsiella pneumoniae (KPC-Kp) is not well known. Our study tries to assess whether ventilator-associated pneumonia caused by a KPC-Kp strain is associated with higher all-cause mortality than if caused by carbapenem-susceptible isolates.

Study design and methods: This is a retrospective cohort study of patients with VAP due to K. pneumoniae from a 35-bed polyvalent Intensive Care Unit in a university hospital (> 40,000 annual admissions) between January 2012 and December 2016. Adjusted multivariate analysis was used to study the association of KPC-Kp with 30-day all-cause mortality (Cox regression).

Results. We analyze 69 cases of K. pneumoniae VAP of which 39 were produced by a KPC-Kp strain with high-level resistance to meropenem (MIC > 16 mg/mL). All-cause mortality at 30 days was 41% in the KPC-Kp group (16/39) and 33.3% in the carbapenem-susceptible cases (10/30). KPC-Kp etiology was not associated with higher mortality when controlled for confounders (adjusted hazard ratio [lsqb]HR[rsqb] 1.25; 95% CI: 0.46–3.41). Adequate targeted therapy (HR 0.03; 95% CI: <0.01–0.23) was associated with all-cause mortality.

Conclussion. Assuming the limitations due to the available sample size, the prognosis of VAP caused by KPC-Kp is similar to VAPs caused by carbapenem-susceptible K. pneumoniae when appropriate treatment is used.




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Rapid-Release Griffithsin Fibers for the Dual Prevention of HSV-2 and HIV-1 Infections [Antiviral Agents]

The biologic Griffithsin (GRFT) has recently emerged as a candidate to safely prevent sexually transmitted infections (STIs) including human immunodeficiency virus (HIV-1) and herpes simplex virus 2 (HSV-2). However, to date, there are few delivery platforms that are available to effectively deliver biologics to the female reproductive tract (FRT). The goal of this work was to evaluate rapid-release polyethylene oxide (PEO), polyvinyl alcohol (PVA) and polyvinylpyrrolidone (PVP) fibers, that incorporate GRFT, in in vitro (HIV-1 and HSV-2) and in vivo (HSV-2) infection models. GRFT loading was determined via ELISA, and the bioactivity of GRFT fibers was assessed using in vitro HIV-1 pseudovirus and HSV-2 plaque assays. Afterwards, the efficacy of GRFT fibers was assessed in a murine model of lethal HSV-2 infection. Finally, murine reproductive tracts and vaginal lavages were evaluated for histology and cytokine expression, 24 and 72 hr after fiber administration, to determine safety. All rapid-release formulations achieved high levels of GRFT incorporation and were completely efficacious against in vitro HIV-1 and HSV-2 infections. Importantly, all rapid-release GRFT fibers provided potent protection in a murine model of HSV-2 infection. Moreover, histology and cytokine levels, evaluated from collected murine reproductive tissues and vaginal lavages treated with blank fibers, showed no increased cytokine production or histological aberrations, demonstrating the preliminary safety of rapid-release GRFT fibers in vaginal tissue.




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Development of probiotic formulations for oral candidiasis prevention: Gellan gum as a carrier to deliver Lactobacillus paracasei 28.4 [Experimental Therapeutics]

Probiotics might provide an alternative approach for the control of oral candidiasis. However, studies on the antifungal activity of probiotics in the oral cavity are based on the consumption of yogurt or other dietary products, and there is a necessary to use appropriate biomaterials and specific strains to obtain probiotic formulations targeting local oral administration. In this study, we impregnated gellan gum, a natural biopolymer used as a food-additive, with a probiotic and investigated its antifungal activity against Candida albicans. Lactobacillus paracasei 28.4, a strain recently isolated from the oral cavity of a caries-free individual, was incorporated in several concentrations of gellan gum (0.6% to 1%). All tested concentrations could incorporate L. paracasei cells while maintaining bacterial viability. Probiotic/gellan formulations were stable for 7 days when stored at room temperature or 4°C. Long-term storage of bacteria-impregnated gellan gum was achieved when L. paracasei 28.4 was lyophilized. The probiotic/gellan formulations provided a release of L. paracasei cells over 24 hours that was sufficient to inhibit the growth of C. albicans with effects dependent on the cell concentrations incorporated into gellan gum. The probiotic/gellan formulations also had inhibitory activity against Candida spp. biofilms by reducing the number of Candida spp. cells (p < 0.0001), decreasing the total biomass (p = 0.0003), and impairing hyphae formation (p = 0.0002), compared to the control group which received no treatment. Interestingly, probiotic formulation of 1% w/v gellan gum provided an oral colonization of L. paracasei in mice with approximately 6 log of CFU/mL after 10 days. This formulation inhibited the C. albicans growth (p < 0.0001), prevented the development of candidiasis lesions (p = 0.0013), and suppressed inflammation (p = 0.0006) when compared to the mice not treated in the microscopic analysis of the tongue dorsum. These results indicate that gellan gum is a promising biomaterial and can be used as a carrier system to promote oral colonization for probiotics that prevent oral candidiasis.




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Therapeutic efficacy of a mixed formulation of conventional and PEGylated liposomes containing meglumine antimoniate, combined with allopurinol, in dogs naturally infected with Leishmania infantum [Experimental Therapeutics]

Treatment of dogs naturally infected with Leishmania infantum using meglumine antimoniate (MA) encapsulated in conventional liposomes (LC) in association with allopurinol has been previously reported to promote marked reduction in the parasite burden in the main infection sites. Here, a new assay in naturally infected dogs was performed using a novel liposome formulation of MA consisting of a mixture of conventional and long-circulating (PEGylated) liposomes (LCP), with expected broader distribution among affected tissues of the mononuclear phagocyte system. Experimental groups of naturally infected dogs were as follows: LCP+Allop, receiving LCP intravenously as 2 cycles of 6 doses (6.5 mg Sb/kg/dose) at 4-day intervals, plus allopurinol at 30 mg/kg/12 h p.o. during 130 days; LC+Allop, receiving LC intravenously as 2 cycles of 6 doses (6.5 mg Sb/kg/dose), plus allopurinol during 130 days; Allop, treated with allopurinol only; non-treated control. Parasite loads were evaluated by quantitative PCR in liver, spleen and bone marrow and by immunohistochemistry in the ear skin, before, just after treatment and 4 months later. LCP+Allop and LC+Allop groups, but not the Allop group, showed significant suppression of the parasites in the liver, spleen and bone marrow 4 months after treatment, compared to the pre-treatment period or the control group. Only LCP+Allop group showed significantly lower parasite burden in the skin, in comparison to the control group. On the basis of clinical staging and parasitological evaluations, LCP formulation exhibited a more favorable therapeutic profile, when compared to LC one, being therefore promising for treatment of canine visceral leishmaniasis.




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Combination Therapy Using Benznidazole and Aspirin During the Acute Phase of Experimental Chagas Disease Prevents Cardiovascular Dysfunction and Decreases Typical Cardiac Lesions in the Chronic Phase [Clinical Therapeutics]

Chagas disease, caused by the protozoan Trypanosoma cruzi, is one of the main causes of death due to cardiomyopathy and heart failure in Latin American countries. The treatment of Chagas disease is directed at eliminating the parasite, decreasing the probability of cardiomyopathy, and disrupting the disease transmission cycle. Benznidazole (BZ) and nifurtimox (NFX) are recognized as effective drugs for the treatment of Chagas disease by the World Health Organization, but both have high toxicity and limited efficacy, especially in the chronic disease phase. At low doses, aspirin (ASA) has been reported to protect against T. cruzi infection. We evaluated the effectiveness of BZ in combination with ASA at low doses during the acute disease phase and evaluated cardiovascular aspects and cardiac lesions in the chronic phase. ASA treatment prevented the cardiovascular dysfunction (hypertension and tachycardia) and typical cardiac lesions. Moreover, BZ+ASA-treated mice had a smaller cardiac fibrotic area than that in BZ-treated mice. These results were associated with an increase in the number of eosinophils and reticulocytes and level of nitric oxide in the plasma and cardiac tissue of ASA-treated mice relative to respective controls. These effects of ASA and BZ+ASA in chronically infected mice were inhibited by pretreatment with the LXA4 receptor antagonist, Boc-2, indicating that the protective effects of ASA are mediated by ASA-triggered lipoxin. These results emphasize the importance of exploring new drug combinations for treatments of acute phase of Chagas disease that are beneficial for chronic patients.




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NewSchools Venture Fund CEO on Education Philanthropy During Coronavirus

"Folks in some foundations are quietly expressing frustration that they've been cautioned to stay in their lane and only fund things aligned with their pre-COVID strategy," says Stacey Childress.




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Transgender Youth Experiences and Perspectives Related to HIV Preventive Services

BACKGROUND:

In the United States, transgender youth are at especially high risk for HIV infection. Literature regarding HIV prevention strategies for this vulnerable, often-hidden population is scant. Before effective, population-based HIV prevention strategies may be adequately developed, it is necessary to first enhance the contextual understanding of transgender youth HIV risk and experiences with HIV preventive services.

METHODS:

Two 3-day, online, asynchronous focus groups were conducted with transgender youth from across the United States to better understand participant HIV risk and experiences with HIV preventive services. Participants were recruited by using online advertisements posted via youth organizations. Qualitative data were analyzed by using content analysis.

RESULTS:

A total of 30 transgender youth participated. The average age was 18.6 years, and youth reported a wide range of gender identities (eg, 27% were transgender male, 17% were transgender female, and 27% used ≥1 term) and sexual orientations. Four themes emerged: (1) barriers to self-efficacy in sexual decision-making; (2) safety concerns, fear, and other challenges in forming romantic and/or sexual relationships; (3) need for support and education; and (4) desire for affirmative and culturally competent experiences and interactions (eg, home, school, and health care).

CONCLUSIONS:

Youth discussed experiences and perspectives related to their gender identities, sexual health education, and HIV preventive services. Findings should inform intervention development to improve support and/or services, including the following: (1) increasing provider knowledge and skills to provide gender-affirming care, (2) addressing barriers to services (eg, accessibility and affordability as well as stigma and discrimination), and (3) expanding sexual health education to be inclusive of all gender identities, sexual orientations, and definitions of sex and sexual activity.




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Juventus v Lyon facts

Lucas Tousart's first-leg goal gave Lyon a first win against Juventus, who once against face a round of 16 deficit on home soil.




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Lehigh Valley hosts virtual Transfer Thursday events

Prospective transfer students can explore the Lehigh Valley Campus virtually during the Transfer Thursday events




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AERA Cancels In-Person Conference Due to Coronavirus. The Event Will Be Held Virtually

The world's largest education research group said it will work to convert much of the annual meeting into a virtual experience for attendees and presenters.




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The Efficacy of Bacillus Calmette-Guerin Vaccination of Newborns and Infants in the Prevention of Tuberculosis: Meta-Analyses of the Published Literature

Graham A. Colditz
Jul 1, 1995; 96:29-35
ARTICLES




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Early Diagnosis of Cystic Fibrosis Through Neonatal Screening Prevents Severe Malnutrition and Improves Long-Term Growth

Philip M. Farrell
Jan 1, 2001; 107:1-13
ARTICLES




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Randomized Placebo-controlled Trial of a 42-Day Tapering Course of Dexamethasone to Reduce the Duration of Ventilator Dependency in Very Low Birth Weight Infants: Outcome of Study Participants at 1-Year Adjusted Age

T. Michael O'Shea
Jul 1, 1999; 104:15-21
ARTICLES




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Worldwide Timing of Growth Faltering: Revisiting Implications for Interventions

Cesar Gomes Victora
Mar 1, 2010; 125:e473-e480
ARTICLES




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A CONTROLLED TRIAL OF ANTEPARTUM GLUCOCORTICOID TREATMENT FOR PREVENTION OF THE RESPIRATORY DISTRESS SYNDROME IN PREMATURE INFANTS

G. C. Liggins
Oct 1, 1972; 50:515-525
ARTICLES




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Is Chronic Lung Disease in Low Birth Weight Infants Preventable? A Survey of Eight Centers

Mary Ellen Avery
Jan 1, 1987; 79:26-30
ARTICLES




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Centers for Disease Control and Prevention 2000 Growth Charts for the United States: Improvements to the 1977 National Center for Health Statistics Version

Cynthia L. Ogden
Jan 1, 2002; 109:45-60
ARTICLES




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Invent Penn State Innovation Hub Network pivots to offer digital resources

Across Pennsylvania, the Invent Penn State innovation hub network has pivoted to deliver needed programming and services online, by providing online mentoring, webinars, virtual speaker series, and a Virtual Idea TestLab.




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Privacy worries prevent use of social media account for signing up for apps

People find it convenient to use Facebook or other social media accounts to sign up for most new apps and services, but they prefer to use their e-mail address or open a new account if they feel the information in the app is too sensitive, according to a team of researchers.




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Timeline: Events leading up to the arrest of 2 men for murder of Ahmaud Arbery

After two prosecutors recused themselves from investigating Ahmaud Arbery's death, Gregory and Travis McMichael were arrested.




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Penn State Law event sponsors become supporters of students during pandemic

When Penn State Law in University Park transitioned its annual Careers in the Law event to a virtual one due to COVID-19 concerns, Assistant Dean of Career Services Magen Mihok offered the sponsoring firms a choice: to receive a full refund of their registration fee, or to consider a donation to Penn State Law’s Future Fund to support students impacted by COVID-19. The result was a true embodiment of the "We Are" spirit.




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Remote events scheduled for Financial Literacy Month in April

The Sokolov-Miller Family Financial and Life Skills Center at Penn State has a slate of programming for Financial Literacy Month this April and is offering help to anyone in the University community who is anxious about their financial future.




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Student Activities offering virtual events this month

The Student Activities Office at Penn State Wilkes-Barre typically offers a full slate of activities for students and will continue to do so throughout April — even though the way those activities are delivered may look a little different.




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Virtual events provide information about campus, programs, and more

Virtual visits provide opportunities to learn about what Penn State York has to offer. Programming scheduled through May.




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Penn State York honors student-athletes with virtual event

Penn State York honored student-athletes during a Zoom presentation with plenty of Penn State pride.




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LinkUp: Relevent topics for youth

During OM France’s last LinkUp, an interdenominational event for all teens and young adults in the Nantes region, OMers focused on the theme of sexuality.




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A TeenStreet fundraising adventure

A church youth group sees God provide finances for the teens to attend TeenStreet Europe 2013 in Germany.




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New Year, new venture

This New Year, OM France will be part of a Christian youth festival, “Mad in France,” delivering a 4D experience of world mission.




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Online tutor helps general public turn COVID-19 prevention efforts into action

Penn State researchers have developed a comprehensive online tutor to educate the general public about the science behind COVID-19 and appropriate steps anyone can take to help reduce its transmission.




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The Best Inventory Management Software for 2020

Inventory management is more than simply knowing what's left in the warehouse. Today these systems track the warehouse, a product's shelf life, and even your customers' experience. We test top players to help you choose.




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How to Create Events to Help Girls Prepare for STEM Careers

Want to encourage girls to become professional technologists? Here's how to make sure your girls-in-tech events help them to accurately set their Science, Technology, Engineering, and Mathematics (STEM) career expectations.




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“Keeping Your Home Afloat”: DSHA and Partners to Host Statewide Foreclosure Prevention Open House

The Delaware State Housing Authority (DSHA), in partnership with five local housing counseling agencies, is hosting “Keeping Your Home Afloat”, a Statewide Foreclosure Prevention Open House, on Monday, July 22nd from 5:00pm to 7:30pm. Attendees will learn how the Making Home Affordable Program may be able to help them reduce the amount they owe on their mortgage. Homeowners who are “underwater”, or owe more than their homes are worth, are especially encouraged to come get more information about the MHA Program’s Principal Reduction Alternative.




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Free! Lunch & Learn About Homeownership Programs and Foreclosure Prevention

Delaware State Housing Authority (DSHA) and the Delaware Council of Faith-Based Partnerships will be hosting a free Lunch & Learn on Tuesday, March 3, 2015 in the Carvel State Office Building, 3rd Floor Conference Room, at 820 N. French Street, Wilmington, Delaware.




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'LaunchBox Ladies: Navigating the New Normal’ May event announced

The first program, focused on Small Business, will be held on May 13.




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Film Your Underwater Adventures With This Tiny Scooter

At CES, Chinese company Sublue will demo the MixPro, which it claims is the smallest double-propeller underwater scooter to come to market. It also comes with a waterproof smartphone case so you can record your underwater adventures.




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Notice of Correction: Ryan SA, Ammerman SD, OConnor ME; AAP Committee on Substance Use and Prevention; AAP Section on Breastfeeding. Marijuana Use During Pregnancy and Breastfeeding: Implications for Neonatal and Childhood Outcomes. Pediatrics. 2018;142(3




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Racial Segregation and Intraventricular Hemorrhage in Preterm Infants

Through propensity score analysis, we examine the effect of living in a segregated area on the development of neonatal IVH, stratified by maternal race.




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Fin24.com | Inventory turn

The inventory table, unfortunately, can only be applied selectively.




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EVENT CHANGE OF VENUE: “First People of the First State: 12,000 Years, 300 Years and One Year” program in Dover, Del. on Sept. 2, 2017 moved indoors due to inclement weather

Sept. 2, 2017 event moved from outdoors on the Dover Green to indoors at The Old State House.