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April 22nd 2022Introduction
The US and China are vying for global influence. The US president, Joe Biden, is trying to convince "like-minded" (mostly Western) countries to collaboratively put pressure on China. This has included restrictions in trade, technology, finance and investment, along with sanctions, forcing some markets (and companies) to choose sides.
Although most evident in the technology arena, there is a risk that this strategy will encompass industrial or consumer-facing sectors. In an extreme scenario, this could lead to a neutral stance becoming economically prohibitive for third countries, dividing China-supporting and US-supporting economies.
Conclusion: Full global economic bifurcation, which could be exacerbated by geopolitical fallout of the war in Ukraine, would force companies to operate two supply chains with different technological standards. Implementation of 5G telecommunications networks could be postponed in some countries, and sanctions by China would heighten uncertainty surrounding global trade and investment.
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It has overhauled the government scheme and service delivery experience in the state. This has been done in a manner that aligns with the Digital India vision of a faceless, paperless and cashless service delivery model
Gaurav Goel | June 27, 2022
From obtaining an electricity connection to a driver's licence, ration card, or old-age allowance, delivery of government schemes and services is an aspect of governance that impacts citizens at various points throughout their lives. The Haryana state government provides over 600 such schemes and services. However, lack of awareness, ambiguity around eligibility, complicated application processes, long queues, involvement of touts, and documentation hassles, become impediments to swift delivery of these schemes and services. Haryana's nearly 2.7 crore citizens used to face myriad such challenges and more.
Building a bridge between citizens and government
This dismal state of affairs prompted the state’s leadership to re-imagine the way citizens apply and avail government schemes and services. To this end, led by the Chief Minister’s Office (CMO), National Informatics Centre (NIC), 40+ concerned departments, 22 districts and Samagra, a mission-driven governance consultancy, worked together to design and implement Antyodaya Saral. The primary goal of Antyodaya Saral was to institutionalise an efficient and transparent service delivery framework that enables seamless citizen experience. The team worked on three focus areas to enable this, (1) Antyodaya Saral Online Platform, (2) Citizen touchpoints, and (3) Enablers.
One-stop platform for all governance related concerns
The Antyodaya Saral online platform has brought all the 600+ government schemes and services across 40+ departments to one online integrated platform. Citizens can file applications online, track the status of their application and also receive proactive status updates on their application processing through SMS.
The streamlining of citizen touchpoints aimed at providing schemes and services through three mediums: (1) Online through mobile/computer (2) Saral Kendras at district headquarters, subdivision and tehsil levels (3) common service centres (CSCs) across the state. 117 state-of-the-art Saral Kendras were either revamped or established at the district, subdivision, and tehsil levels. These Kendras act as a single-point interface for citizens to avail all government schemes and services. Each Kendra has a standardised citizen-centric layout adhering to 60+ quality parameters such as token system, adequate waiting area, clean washrooms etc. In addition to the Kendras, more than 6,000 CSCs were trained and enabled on Antyodaya Saral platform. The physical touchpoints also helped in facilitating equitable access to those without the internet or those who are unable to use digital devices.
Both the digital and the physical platforms were also equipped with enablers like helpline, dashboards, knowledge management systems,ticketing system, e-token system and feedback system to further streamline the process of service delivery.
From a CMO mission to becoming a Digital India vision
In the 3.5 years since its implementation, Antyodaya Saral has come a long way in realising the chief minister’s vision of overhauling the scheme and service delivery experience in Haryana. This has been done in a manner that aligns with the Digital India vision of a faceless, paperless and cashless service delivery model. It has resulted in over 15% increase in the number of applications in 150 highest footfall schemes and services; 85% out of approximately 5 crore applications received have been closed within Right to Service (RTS) timelines. 36% applications now directly come online, without assistance from CSCs or Kendras. In addition, the role of touts has significantly reduced. 100% schemes/services have an online approval process, and the citizen-government interface with local department officers has reduced significantly. Every month, 10,00,000+ applications are received through the Antyodaya Saral platform, 15 lakh+ update SMSs are sent to citizens, 54,000+ calls are received at the Saral Helpline Centre, and 4,000+ grievances are disposed, significantly cutting down the public dealing time for officials. These grievances have pushed departments to improvise and further simplify delivery from a citizen perspective.
When the Covid-19 pandemic hit, Saral enabled services like movement pass and reopening of industrial establishments within a day, with verifiable QR Code and real-time updates to citizens. It is now also being leveraged by the RTS Commission to penalize non-performing officials.
The way ahead
Antyodaya Saral has been a collaborative effort by the state's IT & 40+ departments, districts, NIC Government of India and NIC Government of Haryana with constant monitoring by the CMO. The Digital Haryana Cell, comprising Samagra team members, and the chief minister’s Good Governance associates were the catalysts driving this initiative.
Given the resonance of Antyodaya Saral, the Haryana government wants to further push the boundaries of seamless service delivery by moving from a system of reactive to proactive delivery. To this end, the state has created the Parivar Pehchan Patra (PPP), a unique Family ID for every family in the state. PPP has led to the pre-filling of application forms on Antyodaya Saral and significantly reduced documentary requirements (primarily needed to check eligibility) for almost 50% of services and schemes offered by the state. Going forward, as all residents get verified under PPP, the vision is to offer schemes and services instantaneously (over the counter) at the time of application itself, without the need for any backend processing.
Gaurav Goel is the Founder & CEO of Samagra, a mission-driven governance consulting firm.
Hindustan Petroleum Corporation, HDFC, Tata Steel and Tech Mahindra are among the winners and the recipients of honourable mentions in the National CSR Awards 2020 announced by the ministry of corporate affairs (MCA) on Thursday. The MCA instituted the annual National Corporate Social Respon
A good monsoon has left the trees all washed and spruced up. It’s right time to take a good look at them, and also to tell the young generation about their diversity. So, tree lovers across the country have joined hands to celebrate a festival of trees this month. The August Tree Fest
Unbounded: My Experiments with Law, Physics, Policing and Super 30 By Abhayanand Rupa Publications, 344 pages, Rs 595 Abhayanand has
India after 1947: Reflections & Recollections By Rajmohan Gandhi Aleph, 118 pages, Rs 399 Rajmohan Gandhi was about 11 when India won independence. As the nation celebrates 75 years of freedom, how would he – and others like him – feel?
The BrihanMumbai municipal corporation (BMC) has rebutted a Shiv Sena leader’s allegation of breach of protocol in the implementation of the ‘Har Ghar Tiranga’ campaign. On Friday Rahul Shewale, group leader of Shiv Sena in Lok Sabha, had accused BMC commissioner IS Chahal
Land in Mumbai city, which is surrounded by water on three sides, is scarce and has a premium. Property prices in certain areas of financial capital of the country are as much as Rs 1 lakh per sq ft. Yet, 5,800 buildings have been lying in a stalled condition for the last 18 years. Meanwhile
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With my work, at one point I was trusted to take soil samples on a very large farm in Arkansas and carry them safely to a laboratory. There they could be analyzed and the farmer could learn what crops would grow best in the various areas of the farm, as well as what mineral supplements would be helpful to help grow a better crop in the various areas.
I have wondered for years how this might be something God was going to use in my life. Finally it dawned on me that this is a picture of when I start serving a specific people group. Many people groups I have been serving are very diverse and sometimes live even in different countries, different political environments, or different geographical environments. If I just work with a few people from one area, I might come up with one single approach, which may not work at all in other areas. If I learn about the differences, then I can learn to strategize as it is relevant. One of the people groups where I experienced this were the Khwe, who live in Northeast Namibia, Northwest Botswana, South Africa, and in Southern Angola. We were able to work in the first three groups and brought them together to see where there was common ground. In Namibia the people lived in small communities spread over hundreds of miles, with Afrikaans and some English as their secondary languages. In Botswana the people lived in villages planned by the government and their secondary languages were Setswana and English. In South Africa the people came primarily from one community that they shared with another related people group. In general the people from South Africa were more academically trained, had access to more technology (the people even had their own radio station) and there were many western influences. They arrived in South Africa with the military as a displaced group and their new home changed their worldview quite significantly. We learned how they could work together and where they should have different strategies.
Being wise stewards, it is essential that we consider these issues, but sadly we often do not consider this and take the attitude of ‘one size fits all,’ meaning that one approach would fit all these different situations. Like I collected soil samples for that farm to know the differences of the soil in context of significantly increasing the harvest, likewise unique strategies as relevant to the diversity of a people group can make us much more effective in ministry. Sometimes there is a lot of common ground, but it is necessary to learn where that common ground is and encourage the people we are serving to benefit from this the best way possible. It does take more effort and time, but in the end it is very important to consider, since the foundation of representing God and His word is to help people find their unique ways back to God and see a relationship restored with Him.
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Another meeting is coming up at work, and you’re dreading it. But if you want to get ahead, it’s important to speak confidently in meetings.
This is a goal one of my clients, Allison, had when she first started coaching. She came to me asking, “Why do I get so nervous before speaking in a meeting?”
Allison was an experienced cybersecurity professional – so highly regarded for her specialized expertise that she was recruited out of her current role into a new one.
Her new role was exciting and presented a huge opportunity for her career. But the thought of greater visibility made her impossibly anxious. The fear of speaking in meetings paralyzed her. Whenever it came time to contribute, Allison would freeze, overthink her response, and end up rambling.
Afterward, she’d beat herself up and feel like an imposter – incapable of doing the very job she had been recruited for. She desperately wanted to be more confident and less fearful in meetings and in her work overall.
Does Allison’s story sound familiar? If so, you’re far from alone.
Sensitive Strivers are high-achievers who are also highly sensitive. This describes 15-20% of the population who thinks and feels everything more deeply.
Common workplace situations might be moderately stressful to the average person can cause a Sensitive Striver to shut down, especially when overwhelmed. You bring many assets and talents to the table thanks to your ability to process information more thoroughly.
But it also means you are more susceptible to stress and emotional reactivity, particularly when it involves judgment or evaluation from others (like in a meeting or on a conference call).
You may be a Sensitive Striver if you agree with most of the following:
____I experience emotions to a high level of depth and complexity.
____I have a strong desire to “exceed expectations” in every aspect of my life.
____I have an inner critic that never takes a day off.
____I’m kind, compassionate, and empathetic to others.
____I often put other people’s needs ahead of my own.
____I’m easily impacted by stress.
____I struggle to “turn off” my mind because it’s constantly filled with thoughts.
____I have strong emotional reactions.
____I feel anxious when I’m caught off guard or know I’m being watched or evaluated.
____I hold myself to high standards and judge myself harshly if I make mistakes.
____I often get stuck in indecision and analysis paralysis.
____I take feedback and criticism to heart.
Meetings can be tough environments for Sensitive Strivers because:
Sitting frozen and fearful through yet another meeting is a terrible feeling. Take heart, because it doesn’t need to be this way. It is entirely within your power to take control and ditch a habit of staying silent so you can get ahead.
Elevating your visibility at work is essential if you want your career to evolve and grow. You work hard and have great ideas to contribute—you should be making an impact and getting the recognition you deserve.
With a little practice from these tips, you’ll finally feel like the integral team member you’ve always been.
Your hands are shaky. Your stomach is doing somersaults. You suddenly start second-guessing if you spelled the client’s name correctly on the agenda. These are common pre-meeting anxieties. It’s normal to experience anticipatory stress when you feel as if your intelligence or contributions are being evaluated.
Instead of impugning your jitters as a sign that you’re inadequate or otherwise not up to the task at hand, Stanford psychologist Kelly McGonigal suggests befriending your stress response, reframing it as a sign you’re ready for action and prepared to bring your best to the (conference) table.
It’s also essential to bring down your baseline level of stimulation before a meeting. Allison, the client I told you about in the story earlier, would use box breathing to shift from nervous to calm.
It may be tempting to arrive right before a meeting starts to appear prompt or avoid awkward small talk. But if you feel rushed or short on time, this will only exacerbate the existing stress you already feel during meetings.
Instead, build in a buffer and plan to settle in before things get underway. Give yourself the opportunity to ease into the physical meeting space. If it’s a virtual teleconference, get comfortable with the webinar controls, your mic, and webcam ahead of time.
As colleagues arrive, focus on making conversation with one or two people at a time, which can feel both socially fulfilling and less overwhelming. You’ll also already have an “in” of sorts as the meeting begins and the conversation turns towards agenda items. This can help ease anxiety and make speaking up for the duration of the session seamless.
Have you ever come to a meeting with ideas and plan for what you want to say, then left realizing you said nothing the entire time? While you’re not alone, staying quiet is doing yourself a disservice. It typically gets more difficult to enter the conversation as a meeting progresses. The longer you wait, the more your anxiety will build.
Growth often comes from discomfort, so push yourself to speak up early. Set a simple strategy to say something in the first 10 to 15 minutes of the session–whether it’s to welcome attendees, present your main argument, ask a question or offer an opinion on a new business proposal. It’s a surefire way to ensure you contribute.
You don’t have to be the loudest in the room. Even soft-spoken Sensitive Strivers can still make an impact by backing up a coworker’s comment with a simple, “Great idea! I can see that working really well.”
You can also focus on asking powerful questions. As a Sensitive Striver, you’re very observant, which gives you an edge when it comes to posing the kind of thought-provoking questions that haven’t crossed your colleagues’ minds quite yet.
Another way powerful to increase your impact and visibility even after the meeting wraps is by following up with an email to your boss summarizing key points raised, or better yet, providing a proposal for a new project sparked by the conversation. You’ll build up a reputation as someone who makes useful contributions and you’ll come to everyone’s mind more quickly when promotion time comes around. More importantly, you’ll gain confidence in yourself.
This is exactly what Allison did within the first weeks of starting her job. Armed with the new tools and courage she gained through coaching, she was soon able to say, “I’m proud of how confident and competent my new colleagues perceive me to be. But most importantly, I value myself.”
Did something come up in the meeting that could use more research? Commit to taking on something for the next meeting. It shows you have initiative and that you’re interested and invested in your organization.
This is a great example of employing a pre-commitment device, a habit formation technique you can use to nudge yourself towards behaviors you desire. You’ve committed yourself—now you’ll be more motivated and likely to follow through.
Many people’s leadership instincts may not have been nurtured to their full potential in childhood, and subconscious insecurities can seep into our behavior to this day when it comes to speaking up. So how do you overcome old, outdated scripts holding you back from feeling confident about speaking up? It requires a deep-dive into your presumptions about self-worth and speaking up.
Growing up, what were you told about standing out? Were you given the message by your parents, teachers, and community that you could be whatever you wanted, or did you internalize concepts like, “People won’t like you if you try to stand out”?
If you find yourself easily devastated by real or imagined negative feedback should you express your ideas, consider that you may be reverting back to an immature identity when your self-esteem was more contingent on others’ (especially that of authority figures’) opinions.
When you have a point to make yet find undermining thoughts creeping in, thank your inner critic for trying to do its job by keeping you protected. Fear can signal you’re saying something of significance. Seize the moment. Stop playing small. Remember, you’re part of your organization because you’re qualified, you’re effective, and you matter.
As a Sensitive Striver, you’ve got a lot to offer. Now it’s time to let everyone know it.
This article originally appeared on MelodyWilding.com.
© 2022 Fairygodboss
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A lifecycle rule for individual objects in an Amazon S3 bucket.
Specifies the days since the initiation of an incomplete multipart upload that Amazon S3 will wait before permanently removing all parts of the upload. For more information, see Aborting Incomplete Multipart Uploads Using a Bucket Lifecycle Policy in the Amazon S3 User Guide.
Specifies the expiration for the lifecycle of the object in the form of date, days and, whether the object has a delete marker.
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Specifies when noncurrent object versions expire. Upon expiration, Amazon S3 permanently deletes the noncurrent object versions. You set this lifecycle configuration action on a bucket that has versioning enabled (or suspended) to request that Amazon S3 delete noncurrent object versions at a specific period in the object's lifetime.
Specifies the transition rule for the lifecycle rule that describes when noncurrent objects transition to a specific storage class. If your bucket is versioning-enabled (or versioning is suspended), you can set this action to request that Amazon S3 transition noncurrent object versions to a specific storage class at a set period in the object's lifetime.
If 'Enabled', the rule is currently being applied. If 'Disabled', the rule is not currently being applied.
Specifies when an Amazon S3 object transitions to a specified storage class.
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A Senior Advocate of Nigeria (SAN) Robert Clarke has said that President Muhammadu Buhari is handicapped because the same system in which he operates is the one creating corruption.
Concise News reports that the senior lawyer, who was speaking as a guest on Channels Television’s Sunday politics, said that the 1999 constitution allows corruption to rear its head in every field of endeavour.
“You have a government that is fighting corruption whereas the system you are operating to fight the corruption is also breading the corruption. The system allows corruption to thrive,” Clarke said.
According to him, corruption cannot be eradicated because it emanates from the system.
On the solution, the lawyer, said that since the constitution is the canker-worm breeding corruption in Nigeria, then it must be done away with.
“The constitution we are operating upon is a corrupt one… Let us change the constitution and restructure,” he said.
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Category:Existing coal plants in Louisiana
Louisiana is 31st in the nation in coal power generation, with 6 operating coal-fired power stations at 4 locations totaling 6,136 megawatts (MW). Click on the locations shown on the map for plant details. (To return to the map of existing coal plants in the U.S., click here.) For additional information on coal issues in Louisiana, click here.
This category currently contains no pages or media.
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Title of Submission
Successful Rulemaking to List Species under the Endangered Species Act (ESA)
Public Policy and Administration, PhD
Major Advisor Name
Type of Submission
The ESA was enacted in 1973 to protect and recover species threatened with or endangered by extinction. Currently there are 2,344 species listed under the ESA. The federal rulemaking process to list a species can be lengthy and arduous, proving detrimental to the survival of the species. This dissertation identifies factors which influence the federal ESA listing process by examining 86 proposed rules published by U.S. Fish & Wildlife Service over a 5-year period. Factors found to influence the listing process include: solicited peer review input, new or additional scientific data/information, interest groups, public commenting, and state government political pressures.
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No or UNKNOWN RISK
No reports. No current evidence. Click FIELD REPORT to share with us a link or your first-hand account.
CONTINUITY of GOVERNMENT COMMENCES
Continuity of Government operations begin.
Background on this indicator will be provided here in the near future.
News relevant to this indicator that emerges from open sources may lead to threatening conditions for the American Nation. The team at FutureDanger will provide a clear explanation of these risks as soon as possible.
Developed by FutureDanger
Indicator Historical Trend
|LOW||26 May 2022||Secret US Plans for Apocalyptic Scenarios Revealed||[MSN]|
|LOW||16 Apr 2020||Joint Task Force National Capital Region activates 10,000 uniformed personnel, some units on 24/7 alert||[Newsweek]|
|LOW||05 Apr 2020||NORTHCOM Branch Plan 3560||[SCRIBD]|
|LOW||21 Mar 2020||CONPLAN 3400 homeland battlefield defense... CONPLAN 3500 martial law... CONPLAN 3600 operations in the National Capital Region...||[Newsweek]|
|LOW||21 Mar 2020||OCTAGON, FREEJACK, ZODIAC: Top Secret DoD Plans If Coronavirus Cripples the Government||[Newsweek]|
|LOW||21 Mar 2020||Preserving the Continuity of the Federal Government during the Coronavirus Pandemic||[Washington Times]|
|LOW||23 May 2017||Federal Government expanding Mount Weather...||[Globenewswire]|
|LOW||19 May 2017||Inside the US Government’s plans to survive a nuclear war||[Washington Post]|
|LOW||13 May 2017||Garrett Graff: What would the Government do after a WMD attack?||[Washington Post]|
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Please give a warm welcome to my librarian/blogger extraordinaire/Mom Friend The Fourth Musketeer! She graciously agreed to guest post on her favorite Historical Fiction chapter books of 2011. I really, really wanted her list because she’s an expert in children’s and young adult historical fiction, and selfishly, I wanted this list for myself and my kids! We will work our way through it in 2012!
How about you? What is your favorite historical fiction picture book, middle grade, or young adult book?
With apologies once again to Rogers and Hammerstein, here are a few of my favorite things (book-wise) from 2011. I have restricted myself to books reviewed here at The Fourth Musketeer. The books are presented in no particular order. Please note: these are not necessarily the books I think are “best” (whatever that means!) but rather books that I found personally compelling for one reason or another.
Best Historical Fiction Books for Kids and Teens
Best Young Adult Historical Fiction Books
Jefferson’s Sons: A Founding Father’s Secret Children by Kimberly Brubaker Bradley
A must-read look at life at Monticello through the eyes of three of his slaves, two of whom were his sons by his slave mistress, Sally Hemings.
Between Shades of Gray by Ruta Sepetys
In 1941, 15-year old Lina, her mother, and brother are taken from their Lithuanian home by Soviet guards and sent to Siberia, where her father is sentenced to death in a prison camp while Lina fights to survive. Based on the author’s own tragic family history.
The Berlin Boxing Club by Robert Sharenow
In 1936 Berlin, 14- year old Karl Stern, considered Jewish by the government despite a non-religious upbringing, learns to box from the legendary Max Schmeling while struggling with the realities of life as a Jew in Nazi Germany.
Best Tween/Middle Grade Historical Fiction Books
Saving Zasha by Randi Barrow
In 1945 Russia, anyone who owns German shepherds is considered a traitor, but Mikhail and his family are determined to keep the beautiful dog a dying man brought them, while trying to keep the secret from Mikhail’s nosy classmate Katia.
Inside Out and Back Again by Thanhha Lai
In free verse poems, a young girl chronicles the life-changing year of 1975, when she, her mother, and her brothers leave war-torn Vietnam to resettle in Alabama.
Best Historical Fiction Picture Books
For the Love of Music: The Remarkable Story of Maria Anna Mozart by Elizabeth Rusch
A lovely picture book biography of the sister of the famous composer.
These Hands by Margaret H. Mason
Combines a little known piece of labor history and the civil rights movement with a tender portrait of a grandfather’s relationship with his grandson.
Best Narrative Non-Fiction Historical Fiction Books
Flesh and Blood So Cheap by Albert Marri
2011 marked the 100th anniversary of the Triangle Fire, the worst disaster in American labor history; Marrin brings the tragic events of that spring afternoon to life, setting the fire in a sweeping historical narrative encompassing not only the events leading up to the fire, but what happened afterwards.
Tom Thumb: The Remarkable True Story of a Man in Miniature by George Sullivan
The fascinating story of the little person Charles Stratton, “discovered” by P. T. Barnum at the tender age of four, one of our nation’s first true celebrities.
Please click on image of book to view at Amazon.
As an Amazon Associate, I earn from qualified purchases.
p.s. Historical Fiction Book Lists
To examine any of the items listed, please click on image of item. As an Amazon Associate, I earn from qualifying purchases.
BEST #OWNVOICES CHILDREN’S BOOKS: My Favorite Diversity Books for Kids Ages 1-12 is a book that I created to highlight books written by authors who share the same marginalized identity as the characters in their books.
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No, why in the world did the tree cry? Was it lonely?
You Make the Whole World Cry was created in 1991.
I feel like the whole world hates me and I cry and cry and cry. :( but its ok, you'll get over it eventually!
The complete phrase is "Laugh and the whole world laughs with you, cry and the whole world crys with you."
Ella Wheeler Wilcox
The correct phrase is: "Laugh and the world laughs with you. Cry and you cry alone." The meaning is that it is better, and more popular, to be positive and light-hearted than pessimistic and sad.
The only song I know of that Jonathan Davis does with Marylin Manson is called Sleepy Hollow
AnswerOnly in Uniqua's world.
The common phrase, Laugh and the World Laughs with you Cry and you Cry alone, means that when you're happy and doing good, everyone wants to be around you. Then when things are not good, and you are sad and crying, you are left alone.
Cry Heard 'Round the World - 2013 was released on: USA: 15 October 2013
no he did not
The Wild Wild World of Animals - 1973 Cry Wolf was released on: USA: 1976
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Episode 204: Treating Fibromyalgia Naturally
with Chris Volesky, L.Ac.
Fibromyalgia is an incredibly complex syndrome that involves multiple, intertwined systems in the body. The collection of symptoms and expressions of fibromyalgia can often confound the conventional, allopathic medicine approach, leaving patients frustrated and disheartened.
In order to unravel that complexity, Chris Volesky has created a protocol to treat fibromyalgia that builds on itself rather than trying to treat individual symptoms and systems of the body separately. Chris shares some of the basis of his approach and how the body can begin to heal itself once we remove some of the obstacles in the way.
On Today’s Episode of A Healthy Curiosity:
- The 8 key problem areas he identified through treating hundreds of fibromyalgia patients
- What his treatment approach is like and why a lot of it is oddly simple
- One piece of common advice that helps almost all of his fibromyalgia patients
- Walking through a one minute practice that Chris recommends to everyone
Chris Volesky holds a masters in acupuncture and herbal medicine from Northwestern Health Sciences University and co-authored a fibromyalgia treatment protocol for Carolinas Healthcare System where he and his co-workers treated 100’s of patients suffering with fibromyalgia. In addition to educating dozens of medical doctors on the proper treatment of chronic pain, he’s worked in one of the busiest clinics in the US treating thousands of people suffering from fibromyalgia, autoimmune disease, chronic pain, and fatigue. He’s taught this fibromyalgia protocol to numerous doctors throughout the world and it’s being used in US, Canada, Mexica, UK, China, Germany, Amsterdam, Australia. He is also the co-founder of fibrosolution.com.
Connect With Chris Volesky:
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Among the paintings of the Pedro de Osma Museum are among other works of the sixteenth century, the time when the Spanish, with the help of art, tried to convert the indigenous to their faith.
These include, above all, religious scenes. Especially in this regard, the school in Cuzco should be noted. The art of this region was inspired by imported European styles, as well as the traditions of the indigenous peoples of Peru. With the republican period also the social scenes, the portraits and the representations of the landscape found the entrance to the painting.
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Why you shouldn?t worry about glyphosate in your breakfast cereals
Pictured: Probably not poison Source: Pexels
The modern world of food is a truly amazing place. You can go to a supermarket today, virtually anywhere in the world, and buy fresh strawberries, even though they only naturally grow for a few short months of the year. You can buy winter vegetables alongside summer fruits, a half-dozen variety of meats, and the weirdest part of it all is that it feels normal.
Pictured: Abnormal for most of human history Source: Pexels
But with all this advancement comes fear. That we?re breaking natural rules. That we?re doing something horribly wrong and will all suffer because of it. That something to do with the production of all this wonderful produce is secretly harming us all.
And according to the media, something is.
According to an outcry across the world, we have all been poisoning our children with pesticides. A recent report has apparently found ?unsafe? levels of glyphosate ? commercially most well known as RoundUp ? in breakfast cereals commonly marketed to kids like Honey Nut Cheerios and Baked Oat Bites. It sounds as if we?ve been giving our kids ? and ourselves ? cancer!
Quelle surprise! Source: Pexels
Fortunately for everyone who likes breakfast, the truth is a bit less scary than that.
Cheerios probably aren?t giving you cancer after all.
The study that everyone is talking about was very simple. The Environmental Working Group (EWG), who describe themselves as a ?non-profit, non-partisan organization dedicated to protecting human health and the environment?, took a number of breakfast foods containing oats and tested them for levels of glyphosate. They found amounts of the herbicide ranging from 70?800 parts per billion in the foods, using validated scientific measures.
So far, so good. It seems likely that there?s some herbicides in the foods we eat.
They then concluded that consumption of most of these foods ? in particular, Cheerios, which had the highest levels of glyphosate ? was above their safety threshold for children of 160 parts per billion per day. That?s about 0.0002 milligrams. What this means is that a child eating a single serving of these foods would go over the ?safe? amount of glyphosate and possibly be harmed.
Ideally, we don?t want to harm children Source: Pexels
This is where the issues come in. You see, it?s incredibly unlikely that someone could be harmed by eating such a small amount of glyphosate.
Dose Makes Poison
The thing about poisons ? or in this case, environmental pollutants ? is that the dose is key to everything. A small dose of caffeine is pleasant and enjoyable, but drink 30 coffees and you might experience caffeine poisoning which is no fun. Apples contain formaldehyde, which is also produced naturally in your body, but it?s perfectly safe because you only get a fraction of the amount needed to harm you.
Some things, of course, can be harmful in low doses as well. Like daytime TV Source: Pexels
Which brings us to the question ? how much glyphosate is needed to cause harm to a person?
This is a complex question. You can?t give people potential environmental toxins and see what happens, because it?s unethical and impractical. So instead, you give them to mice, and also conduct observational research to back it up. You then take the lowest possible dose that was observed in animal studies, divide it by 10, then divide it by 100 for safety, and say that that?s unlikely to harm humans.
This can all take time but luckily ? because glyphosate has been around for a while now ? we?ve got a lot of studies that have looked at this exact question. The Environmental Protection Agency in the US has looked into this question, and concluded that a dose of 2mg/kg/day of glyphosate would not harm a person if consumed throughout a lifetime. Basically, eating ~140mg per day, or 30?60mg for a child, would not cause you any harm. Some less conservative agencies have concluded that there doesn?t even need to be a reference dose, because it?s so unlikely that glyphosate causes harm.
The most conservative estimate around, which came from the Californian government, is that a dose of 1.1mg per day is unlikely to cause harm to humans. What this means is that a dose of 1.1mg/day of glyphosate would be expected to harm less than 1 person in every 100,000 across an 80-year lifespan.
How does all this relate to the EWG figures?
Warning: maths ahead. Bring your abacus Source: Pexels
If we go back to the EWG?s stats, the highest dose of glyphosate was for Honey Nut Cheerios, at 833 parts per billion. That means that, for every gram of cereal, they found 0.000000833 grams of glyphosate.
Let?s start with the EPA?s estimate of 30mg per day. This would mean that, according to the EPA, you have to eat 0.03/0.000000833 = 36,000 grams, or 36 kilograms, of breakfast cereal every day to be harmed.
Using the much more conservative estimate from California ? remember, this gives you a less than 0.0001% chance of being harmed in 80 years ? you can eat 0.002/0.000000883 = 2,265 grams, or 2.3 kilograms, every day and still be safe.
I?m not a parent, but two and a half kilos of Cheerios seems a lot, even for an active teen.
Pictured: Eating only Cheerios all day, presumably Source: Pexels
To get an estimate that might actually cause harm, we have to use the EWG?s own 160ppb/day estimate. This equates to 160 nanograms, so 0.00000016/0.000000883 = .18 grams, which is less than a teaspoonful of cereal.
The problem is that this 160ppb estimate is based on?well, we don?t really know. The EWG reports that it is so conservative because of ?additional factors?, which could mean anything from total guesswork to reasonable science.
What we do know is that the EPA and Californian estimates are based on very solid evidence. They both used a large number of studies, with the Californian team adding in a massive protective factor ? remember, less than 0.0001% chance ? for safety?s sake.
And there?s another problem. You see, the main funders of the EWG are from the organic industry. In fact, you can buy an EWG logo to put on your organic produce to certify that it?s ?safe?. It?s hard to tell the exact cost from a perusal online, but the application fee itself is $500 USD, so it?s probably not cheap.
All of this means that the EWG has a very significant conflict of interest in the matter. If glyphosate is harmful ? and people choose organics, that don?t use glyphosate ? their sponsors make more money. The press release from the EWG for the recent glyphosate testing even recommended that companies switch to organic producers for their oat products, which would of course include their sponsors. They also used the term ?cancer causing? or similar more than 5 times, despite the fact that strong scientific evidence has shown that glyphosate doesn?t cause cancer, at least in low doses like this.
Did they choose a low reference dose because of the conflicts of interest? It?s impossible to know. There are innumerable reasons to be cautious, many of them very good. They might have had a completely justifiable reason for choosing a dose hundreds of times lower than the very conservative Californian estimate.
It?s possible that farmers, who are exposed to 30,000x the dose that a normal consumer would be over a lifetime, might be at a 0.1?0.5% increased risk of cancer. This isn?t certain ? the biggest study on glyphosate and cancer, in more than 55,000 people didn?t find any link ? but it?s potentially possible.
But for consumers? For someone buying breakfast cereals off a supermarket shelf? The risk of harm is almost too low to calculate. If we use the maths from the Californian estimate, eating breakfast cereals every day for an entire lifetime would potentially harm about 1 in 10,000,000 people due to glyphosate exposure.
There are many reasons not to eat breakfast cereals, chief among them the high sugar content.
Just don?t avoid them because of glyphosate.
The dose is so small that you?re more likely to be harmed by choking on your breakfast.
If you enjoyed, follow me on Medium, Twitter or Facebook!
You can now listen to Gid on the Sensationalist Science podcast:
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A newborn baby asks for food when hungry and stops eating when full. As a child, we eat the food we enjoy and reject the ones we don’t. We were all born intuitive eaters.
Life can bring different passions. Mindful eating is one of those, borne out of a desire to maintain a conscious eating behavior without neglecting our internal hunger and fullness cues. It’s powerful than the diet mindset. We seek to encourage genuine connection with what we put into our stomach. Similarly, we always want to know if we truly enjoy how we feel about certain foods.
The difference between Mindful Eating and Intuitive Eating
Teaching children intuitive and mindful eating could eventually be the key ingredient to healing from eating disorders. It’s better than the disorientation that comes with empty speeches about “good food; bad food.” Even more purposeful than the ambiguity in the language of diet culture, like “I worked out today, I deserve that cake” or “I gotta hit the gym I ate way too much over the weekend.”
More so, it’s necessary to know the difference between mindful eating and intuitive eating as we seek to make peace with food. This also restate the myths behind them.
Intuitive eating is about letting go of rules and expectations.
To eat intuitively is to listen to your body’s needs and honor them. Firstly, you have to believe in your body’s ability to balance out your food consumption without restrictions or prescriptions from the outside.
There are no hard-and-fast rules about intuitive eating. Then again, it’s rooted in the belief that man must not think about food all the time. That’s where mindful eating comes in.
Even though they complement each other, they are not the same. Intuitive eating teaches us to let go of food. Mindful eating encourages conscious and non-judgemental connections with food.
Dietitians Evelyn Tribole and Elyse Resch, who created the radical solution, based it on ten guidelines. Half of these guidelines yearn towards mindfulness.
The ten principles of intuitive eating include:
- Rejecting the diet mentality
- Honoring your hunger
- Making peace with food
- Challenging the food police
- Knowing your fullness
- Discovering the satisfaction factor
- Coping with your emotions without using food
- Respecting your body
- Exercising to feel the difference
- Honoring your health through gentle nutrition
Mindful eating is normalizing food and eating instead of moralizing it.
Mindful eating is all about eating regularly and consistently while seeking an authentic connection with what enters the mouth. It’s eating intuitively with all your senses activated.
In the words of a fitness trainer, Jeanette Jenkins, “Every living cell in your body is made from the food you eat. If you consistently eat junk food, then you’ll have a junk body.”
Begin by eliminating buzz words that moralize food and eating. Instead, improve your relationship with food in ways that focus on “nourishment.” Take time to enjoy your food, concentrate on the flavors, and savor every bite.
Your history with food could have created a demon-like “anxiety” linked to certain foods. Such that you can binge on some food and ignore others. Mindful eating makes all food neutral – no good food, no bad food. See foods for what they are and understand the factors that go into satisfaction from them. It could be the time of the day or month, hunger, or nutritional needs.
So, what’s the difference?
Mindful eating is improving our relationship with food, while intuitive eating is eating to feel good.
For example, Christmas for Italians means eating for hours on end with friends or family.
Becoming a mindful eater during such the holidays involving lots of food means focusing on how meals appeal to the senses. It’s different from obsessing on our bias or fear for one food item against another. It’s seeking food for its distinctive aroma, tastes, colors, textures, and sounds.
To be an intuitive eater is to gnaw at every piece of the pizza without relishing its ingredient. It’s having the next available meal-offering to eat one’s fill.
The difference is in the state of the senses. We focus on the sensations derived from eating mindfully. The satisfaction of intuitive eating is often in eating “just the right amount of food” without necessarily seeking to experience the food.
It’s important to know that intuitive eating relies heavily on hunger and fullness cues. While mindful eating does not tell us to ignore our internal signals, it’s beyond just eating to get by and get through the day.
Mindful eating teaches us to expand our choices from a multitude of recipes. Try something new and different from the faraway cultures. Remember, we can always borrow a helping hand from the senses when we feel troubled by our evolving eating behaviors.
Hey Joyfreshers, how do you deal with the diet culture? Do you practice mindful eating or intuitive eating? Let’s discuss in the comment below!
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You spend a lot of time on your computer. You spend even more time online. Therefore, having the best and most secure VPN for your computer is essential. This article will explain everything you need to know about choosing the right VPN for your machine.
A Private Network or VPN is a secure connection between two devices – like your computer and your Smartphone, for example – that protect your data and personal information from falling into the wrong hands. In this article, we will explain everything you need to know about choosing the right VPN for your computer. We will also answer the most common questions about VPNs.
What is a VPN?
A VPN is a virtual private network, usually dispersed over several server locations. The routing and connections between the sites are secured by encryption algorithms to keep unauthorized users or providers from tracking your online activity. Typically, a VPN provider like iTop VPN will encrypt your data as it travels from your computer to the VPN server. The VPN server then decrypts your data once it reaches the final location – like your Smartphone in the case of a VPN app.
The encryption and decryption processes happen constantly and transparently—no information is being altered or removed from the data stream. A private VPN is also known as a secure VPN connection is a connection between two devices that don’t require a log-in or sign-up process. IP addresses are blocked and anonymity is guaranteed.
Setup and use a VPN on your PC
Start by connecting your computer to a VPN server. You can connect to a VPN server that is directly attached to your computer, or you can use a VPN for a PC client to connect to the VPN server on your computer. Before you can use a VPN client, you need to set it up. You can either use the free VPN client that comes with Windows, or you can buy a dedicated VPN client for your operating system.
Next, connect your computer to the Internet. You can either do this through a router or a modem. If you choose to use a modem, it’s highly recommended that you set it to a higher bitrate or via a 4 or 6-pole switch so that your data is protected but your connection is faster.
What is a Private Network?
A private network is a secure connection between two devices that protect your data and personal information from falling into the wrong hands. You can set up a private network using only the devices you want to share the connection with; you don’t need to connect each device to the same network segment. This secure connection can be used to share photos and videos, run applications, or stream content.
When using a free VPN or paid VPN to protect your computer, you’re not just protecting your data. You’re also protecting your privacy, security, and online anonymity. This is because your computer is not connected to the Internet, and the requests made by your computer don’t have to go through your ISP’s server. Your computer can just stay in the “private” network and the network itself can’t be accessed by anyone else. Another advantage of using a private network instead of a public one is that you can choose a provider that doesn’t log your data.
The article has provided a detailed guide to choosing the best VPN for your computer. We hope that reading this article will help you to make an informed decision when choosing the right VPN for your machine.
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Quantum Key Distribution: Is it as secure as claimed and what can it offer the enterprise?
Er... let's just ask the
Feature Do the laws of physics trump mathematical complexity, or is Quantum Key Distribution (QKD) nothing more than 21st-century enterprise encryption snake oil? The number of QKD news headlines that have included unhackable, uncrackable or unbreakable could certainly lead you towards the former conclusion.
However, we at The Reg are unrelenting sceptics for our sins and take all such claims with a bulk-buy bag of Saxa. What this correspondent is not, however, is a physicist nor a mathematician, let alone a quantum cryptography expert. Thankfully, I know several people who are, so I asked them the difficult questions. Here's how those conversations went.
WTAF is Quantum Key Distribution anyway?
I can tell you what QKD isn't, and that's quantum cryptography. Instead, as the name suggests, it's just the part that deals with the exchange of encryption keys.
As defined by the creators of the first Quantum key distribution (QKD) protocol, (Bennett and Brassard, 1984) it is a method to solve the problem of the need to distribute secret keys among distant Alice and Bobs in order for cryptography to work. The way QKD solves this problem is by using quantum communication. "It relies on the fact that any attempt of an adversary to wiretap the communication would, by the laws of quantum mechanics, inevitably introduce disturbances which can be detected."
Quantum security expert, mathematician and security researcher Dr Mark Carney explains there "are a few fundamental requirements for QKD to work between Alice (A) and Bob (B), these being a quantum key exchange protocol to guarantee the key exchange has a level of security, a quantum and classical channel between A and B, and the relevant hardware and control software for A and B to enact the protocol we started with."
If you are the diagrammatical type, there's a nifty if nerdy explanatory one here.
It's kind of a given that, in and of themselves, quantum key exchange protocols are primarily very secure, as Dr Carney says most are derived from either BB84 (said QKD protocol of Bennett and Brassard, 1984) or E91 (Eckert, 1991) and sometimes a mixture of the two.
"They've had a lot of scrutiny, but they are generally considered to be solid protocols," Dr Carney says, "and when you see people claiming that 'quantum key exchange is totally secure and unhackable' there are a few things that are meant: that the key length is good (at least 256 bits), the protocol can detect someone eavesdropping on the quantum channel and the entropy of the system gives unpredictable keys, and the use of quantum states to encode these means they are tamper-evident."
Sticky implementation: just add (snake) oil
So, if the protocol is accepted as secure, where do the snake oil claims enter the equation? According to Dr Carney, it's in the implementation where things start to get very sticky.
"We all know that hardware, firmware, and software have bugs – even the most well researched, well assessed, widely hacked pieces of tech such as the smartphone regularly has bug updates, security fixes, and emergency patches. Bug-free code is hard, and it shouldn't be considered that the control systems for QKD are any different," Carney insists.
In other words, it's all well and good having a perfected quantum protocol, but if someone can do memory analysis on A or B's systems, then your "super secure" key can get pwned. "It's monumentally naive in my view that the companies producing QKD tech don't take this head on," Dr Carney concludes. "Hiding behind 'magic quantum woo-woo security' is only going to go so far before people start realising."
Professor Rob Young, director of the Quantum Technology Centre at Lancaster University, agrees that there is a gap between an ideal QKD implementation and a real system, as putting the theory into practice isn't easy without making compromises.
QKD connections can be blocked using a DDoS attack as simple as using a pneumatic drill in the vicinity of the cable
"When you generate the states to send from the transmitter," he explains, "errors are made, and detecting them at the receiver efficiently is challenging. Security proofs typically rely on a long list of often unmet assumptions in the real world."
Then there are the hardware limitations, with most commercially implemented QKD systems using a discrete-state protocol sending single photons down low-loss fibres. "Photons can travel a surprising distance before being absorbed, but it means that the data exchange rate falls off exponentially with distance," Young says.
"Nodes in networks need to be trusted currently, as we can't practically relay or switch quantum channels without trusting the nodes. Solutions to these problems are in development, but they could be years away from commercial implementation."
This lack of quantum repeaters is a red flag, according to Duncan Jones, head of Quantum Cybersecurity at Cambridge Quantum, who warns that "trusted repeaters" are not the same thing. "In most cases this simply means a trusted box which reads the key material from one fibre cable and re-transmits it down another. This is not a quantum-safe approach and negates the security benefits of QKD."
Then there's the motorway junction conundrum. Over to Andersen Cheng, CEO at Post-Quantum, to explain. Cheng points to problems such as QKD only telling you that a person-in-the-middle attack has happened, with photons disturbed because of the interception, but not where that attack is taking place or how many attacks are happening.
"If someone is going to put a tap along your 150km high-grade clear fibre-optic cable, how are you going to locate and weed out those taps quickly?" Cheng asks.
What if an attacker locates your cable grid and cuts a cable off? Where is the contingency for redundancy to ensure no disruption? This is where the motorway junction conundrum comes in.
"QKD is like two junctions of a motorway," Cheng explains. "You know car accidents are happening because the road surface is being attacked, but you do not know how many accidents have happened or where or who the culprit is, so you cannot go and kick the offenders out and patch up the road surface."
- South Korea plans large scale quantum cryptography adoption, thanks in part to tech partnership with USA
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This all comes to the fore when Anderson insists: "QKD connections can be blocked using a DDoS attack as simple as using a pneumatic drill in the vicinity of the cable."
Sally Epstein, head of Strategic Technology at Cambridge Consultants, throws a couple of pertinent questions into the "ask any QKD vendor" ring.
Quantum-safe cryptography, coupled with verifiable quantum key generation, is an excellent approach to the same problem and works perfectly today
"1. Supply chain: There is a much greater potential for well-funded bad actors to get into the supply chain. How do they manage their supply chain security?
"2. Human fallibility: There are almost certainly exploitable weaknesses in the control software, optical sub-assemblies, electronic, firmware, etc. What penetration testing has the supplier conducted in terms of software and hardware?"
What can QKD offer the enterprise, right now, to justify the investment?
Professor Young thinks that QKD currently offers little return on investment for your average enterprise. "QKD can distribute keys with provable security metrics, but current systems are expensive, slow and difficult to implement," he says.
As has already been pointed out, security proofs are generally based on ideal cases without taking the actual physical implementation into account. This, Young says, "troubles the central premise of using QKD in the first place."
However, he doesn't think that the limitations are fundamental and sees an exciting future for the technology.
Because QKD technology is still maturing, and keys can only be sent across relatively short distances using dedicated fibre-optic cables, Jones argues that "only the biggest enterprises and telcos should be spending any money on researching this technology today."
Not least, he says, because the problems QKD solves are equally well addressed through different means. "Quantum-safe cryptography, coupled with verifiable quantum key generation, is an excellent approach to the same problem and works perfectly today," Jones concludes.
Professor Andrew Lord, head of Optical Network Research at BT, has a less pessimistic outlook.
"Our trial with NCC in Bristol illustrates a client with a need to transmit data which should remain secure for many years into the future," Lord told The Reg. "QKD is attractive here because it provides security against the 'tap now, decrypt later' risk, where data could be stored and decrypted when a quantum computer becomes available."
The biggest misunderstanding about QKD vs classical key exchange
The UK's National Cyber Security Centre (NCSC) has gone on the record to state it does not endorse the use of QKD for any government or military application, and the National Security Agency (NSA) in the US has reached the same conclusion.
Jones of Cambridge Quantum says he completely agrees with the NCSC/NSA perspectives because the "first generation of quantum security technologies has failed to deliver tangible benefits for commercial or government applications."
Young goes further: "Both NCSC and NSA echo the views of all serious cryptographers with regards to QKD, and I am in complete agreement with them."
So what needs to change to make QKD solutions relevant to enterprises in the real world? Lord admits that the specialised hardware requirements of QKD does mean it won't be the best solution for all use cases, but foresees "photonic-chip based QKD ultimately bringing the price down to a point where it can be integrated into standard optical transmission equipment."
Dr Carney adds: "In closing, all this leaves us with the biggest misunderstanding about QKD vs classical key exchange; in classical key exchange the mathematics that makes Elliptic Curve Diffie-Hellman Ephemeral (ECDHE) or your favourite Post-Quantum Cryptography (PQC) key exchange secure is distinct and independent of the physical channel (the classical channel) that is being used for the protocol.
"On a QKD system, the mathematics is in some way intrinsically, and necessarily, linked to the actual physicality of the system. This situation is unavoidable, and we would do well to design for and around it." ®
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THE CAUSES OF STUDENTS POOR PERFORMANCE IN MATHEMATICS IN JUNIOR SECONDARY SCHOOL:
A CASE STUDY OF AKOKO-EDO LOCAL GOVERNMENT AREA OF EDO STATE
- Format: Ms Word Document
- Pages: 89
- Price: N 3,000
- Chapters: 1-5
- Get the Complete Project
This project work is based on an attempt to identify the causes of student’s poor performance in mathematics in some selected secondary school in Akoko-Edo Local Government Area of Edo State. It is also obvious that a number of factors may have been responsible for this ugly trend in student’s poor performance in mathematics. The project work pointed out the following factors as the causes of student’s poor performance in mathematics in junior secondary school. (1). Lackadaisical attitude of students towards mathematics. (2). The attitude of the teacher as well as their professional qualification contributed to students poor performance in mathematics. (3). Deficiency in some instructional materials to teach and learn. (4). Socio-economic background of the students (environmental factors). These various factors were treated in chapter four of this project work based on the cause of student poor performances in mathematics in junior secondary school in Akoko-Edo Local Government Area of Edo State. The researcher gave the following recommendations; (1). Students on their own should show interest in the subject, do extra work at home and at school. (2). Parents should provide the requisite educational materials for their children both at home and school. (3). The teacher should evaluate his/her teaching methodology constantly in order to improve on his/her teaching method (4). Government should provide teaching aids, library facilities in the secondary school.
TABLE OF CONTENT
Background of the Study
Statement of problems
Purpose of study
Significance of the study
Scope of the study
Definition of terms
Sample and Sampling
Administration of instrument
Method of analysis
Data Presentation and Analysis
- BACKGROUND OF THE STUDY
Mathematics can be defined as the science of numbers and space and the language of science and technology. It is an essential requirement by every field of intellectual endeavour and human development to cope with the challenges of life, mathematics can also be defined as the queen and servant of all the school subject since it cut across the school curricula. It is equally seen as the language used to describe the problems arising in technology. It relates other school subjects in area like number and numeration, variations, graphs, fruitions, solutions of equation, and area and volumes.
Brief history of the found teaching of mathematics in Nigeria started with arithmetic’s of component of mathematics at the primary and post primary schools. Fajemidagba (1999) according to him, arithmetic’s was compulsory for every primary school pupils and must be passed before a pupil could obtain the primary school leaving certificate, the same condition hold for the Teacher Training Colleges either grade II or III. After the launching of the spulink the first earth satellite in space in November, 1957 by the Russians, which according to Griffiths and Howson (1974) has an enormous effects on American complacency about superiority in engineering capability over that of Russians. The result of the doubt were series of hot debates and arguments on the suitability or otherwise of the school mathematics and curricular. This occurrence were called “Issues and forces” behind the reformation of school mathematics curricular contents, which also affect various reforms in school mathematics curricula has continued to evolve considering its enormous importance to the development of the world.
Mathematics still remains one of the core and compulsory subjects for the Nigeria students at both primary and post primary schools. Recently, mathematics has become a determining factor to gaining admission into most Nigeria universities as it must be passed up to credit level before one gain admission. In spite of its importance to the student’s advancement in academics many students dread mathematics. Given the right to choose, many secondary school students would out rightly avoid mathematics, this is because many of them have developed some element of fears about the suspect, may be as a result of long time negative information they get every year about the poor and low level performance n WAEC examinations in mathematics or other factors. This research work sets out to unravel. According to Ajagun (2000) the performance of students in junior secondary science in Nigeria has remain an issue of concern to all stakeholders. Dwelling more on the fear of mathematics, by the secondary school students (junior) psychology today.com defined fear as a vital response to physical and emotional danger if we didn’t feel it, we couldn’t protect ourselves from the legitimate threats.
Toscany Academy (2012) this quote can be translated in the context of threat posed by mathematics to the candidate preparing for the examination. Since most of these students has lost hope and psychologically defeated due to fear, this affect their level of interest and passion in the subject and the greater percentage of students opt for examination malpractices and resort to external help. We all know that fear is learnt “a burnt child dreads fire” is a saying we often use showing that a child learns from his/her experiences. Fear is also contagious as children learn fear from observing other show fears. Children also learn fear from their contemporaries. Phobia on the other hand is a clinical or pathologically intense fear often irrational leading to a compulsive need to avoid a thing or event.
The team phobia in an everyday life can be used to refer to fears which have rational origin. When fear reaches an extreme pitch, it becomes a phobia. The implication of the above in a child is, if failure is greeted with schooling and corporal punishment with little attention to motivation, clarity and relevance, students will dislike to harm a particular subject. When experience of learning becomes so unpleasant, it creates the emotions of fear and boredom. In such situation even the brightest pupils will fail to profit from learning. It is therefore worthwhile to take a look at the causes of student’s poor performance in mathematics in junior secondary school in Akoko-Edo Local Government Area of Edo State.
- STATEMENT OF THE PROBLEM
The lackadaisical attitude of the students towards mathematics in our secondary school has reach such an extreme pitch, that every lover of education, growth and development of Nigeria cannot afford to keep mute on the happenings in the automatics education. Ajagun (2000) decried “the performance of students in secondary (junior) science has remain an issue of concern to all the stakeholders. The overwhelming personal observation on the types of student and teacher found in science classes of out-today secondary schools in Nigeria can be better imagined than to engage as ones study. In the past we used to have brilliant students in science, if that is true, it imples that something has gone wrong somewhere, either that our students do not work hard again, or they have been overtaken by fear of some of these subjects. Fear as we all know is learnt and it contagious and dangerous. It may have be struck our students into avoidance or poor performance in mathematics. This below statement can contribute to the poor performance of mathematics in secondary schools (junior) in Akoko-Edo Local Government Area of Edo State.
- The lackadaisical attitude of the students towards mathematics such as fear.
- The attitude of the teachers as well as their professional qualification contributed to student’s poor performance in mathematics.
- Deficiency in some instructional materials to teach and learn.
- Socio-economic background of the students (environmental factors).
- PURPOSE OF THE STUDY
The general purpose of this study is to investigate the possible causes and effects of student’s poor performance in mathematics as regards to imp0lication and threats posed to the development of our country Nigeria and the development of science and technology the specific purpose of this study is derived from the general purpose stated above, these include the following;
- To x-ray the causes of poor performance in mathematics amongst the secondary school students in Akoko-Edo Local Government Area.
- To investigate the effects pof this lackadaisical attitude of the students towards mathematics in both internal and external examination.
- To find out how teaching techniques and instructional materials would improve the lukewarm attitudes of students towards mathematics.
- To access the impact of socio-economic background of the students towards mathematics (environmental factors).
- SIGNIFICANCE OF THE STUDY
This study is of immense significant as the findings would use in the following ways;
- To help students overcome the unnecessary factors that has hampered the effective learning of mathematics in our secondary school.
- To help the students improve on their performances in mathematics and other science subjects.
- The prevalent cases of examination malpractice amongst the secondary school students especially in mathematics would reduce to the barest minimal.
- Knowledge of the causes of poor performances in junior secondary school will help the ministry of education board parent teachers and principal to evaluate their different role and make some innovations on their planning.
- It will equally help to improve on the number of candidates wishing to make career in mathematics in our tertiary institutions.
- Nigeria government stands to benefit from this research work in the aspect of positioning the country as a technological and industrialized nation since the bedrock of science and technology is mathematics.
- Finally, this work will help the curriculum designers in their job and how to improve on the mathematics curriculum.
- SCOPE OF THE STUDY
The research project will only explore on the causes of students poor performance in mathematics amongst the secondary schools in Akoko-Edo Local Government Area of Edo State and Nigeria at large so as to reach an irrevocable conclusion on rhte matter, but for time and financial aspects. The questionnaire and interview will be structured to cover only ten secondary schools in Akoko-Edo Local Government Area of Edo State and the content would span on the causes of students poor performance in mathematics in both internal and external examinations. It will equally harness the best teaching techniques and instructional materials for the effective learning and lesson delivery. The importance of mathematics to the national development will be brought to bear.
The secondary schools include;
- Somorika Secondary School, Somorika
- Okpameri Grammar School, Ibillo
- Ibillorkha Secondary School, Ibillo
- Canna Land Secondary School, Igara,
- Ososo Grammar School, Ososo
- Federal girls College, Ibillo
- Ewan Mise Secondary School, Ewan
- Success Secondary School, Igarra
- Universal secondary School, Igarra
- Solid Rock secondary School, Igarra
- RESEARCH QUESTIONS
According to Carl Friedrick Gauss (1777-1855) referred to mathematics as the queen of the science. If this is true, my question is that can the body function without the head or the mouth function properly without the teeth?
In the course of carrying out this project work the following questions have been formulates to provide the needed information to achieve the set objective of this study namely;
- What are the causes of lackadaisical attitude of students towards mathematics among the students of junior secondary schools in Akoko-Edo Local Government Area of Edo State?
- What effects do you think this attitude (fear) in mathematics has in the performance of students in both internal and external examinations?
- What impact has these causes of poor performance in mathematics on the national development?
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Center for Military Veterans, Service Members and Families
Center for Military Veterans, Service Members and Families
How would you describe a strong leader? In one leadership study, qualities such as assertiveness, adaptability, intelligence and conscientiousness were cited as the most important. "Research clearly shows that transformational leaders - leaders who are positive, inspiring, and who empower and develop followers - are better leaders," explains psychologist and leadership expert Ronald E. Riggio. "They are more valued by followers and have higher performing teams."
So what can you do embrace these characteristics and become a better leader? Transformational leaders are usually described as enthusiastic, passionate, genuine and energetic. These leaders are not just concerned about helping the group achieve its goals; they also care about helping each member of the group reach his or her full potential.
Consider some of the following tips for how to become a better leader and think about ways that you can implement these strategies in your daily life.
Understanding your current leadership style is essential. What are your strengths? Which areas need some improvement? One way to start assessing your skills is to take this leadership style quiz to get a general idea of how you lead. Once you have completed the quiz, read about the major characteristics of your dominant style. Are these qualities helping or hindering your leadership? Once you've determine which areas need some work, you can begin looking for ways to improve your leadership abilities.
Intellectual stimulation is one of the hallmarks of transformational leadership. Followers need to be encouraged to express their creativity. Effective leaders should offer new challenges with ample support to achieve these goals. One way to foster creativity is to offer challenges to group members, making sure that the goals are within the grasp of their abilities. The purpose of this type of exercise is to get people to stretch their limits, but to not become discouraged by barriers to success.
Idealized influence is another of the four key components of transformational leadership. Transformational leaders exemplify the behaviors and characteristics that they encourage in their followers. They walk the walk and talk the talk. As a result, group members admire these leaders and work to emulate these behaviors. If you want to become a better leader, work on modeling the qualities that you would like to see in your team members.
Would you look to someone for guidance and leadership if they did not truly care about the goals of the group? Of course not! Great leaders are not just focused on getting group members to finish tasks; they have a genuine passion and enthusiasm for the projects they work on. Start by thinking of different ways that you can express your zeal. Let people know that you care about their progress. When one person shares something with the rest of the group, be sure to tell them how much you appreciate such contributions.
Another important characteristic of transformational leadership involves a focus on providing one-on-one communication with group members. Good leaders should express sincere care and concern for the members of their group both verbally and nonverbally. By keeping the lines of communication open, these leaders can ensure that group members feel able to make contributions and receive recognition for their achievements.
Transformational leaders have an upbeat, optimistic attitude that serves as a source of inspiration for followers. If leaders seem discouraged or apathetic, members of the group are likely to also become uninspired. Even when things look bleak and your followers start to feel disheartened, try to stay positive. This does not mean viewing things through rose-colored glasses. It simply means maintaining a sense of optimism and hope in the face of challenges.
Let the members of your team know that you welcome their ideas. Leaders who encourage involvement from group members are often referred to as democratic or participative leaders. While they retain the final say over all decisions, they encourage team members to take an active role in coming up with ideas and plans. Research has shown that using a democratic leadership style leads to greater commitment, more creative problem-solving and improved productivity.
Transformational leaders also provide inspirational motivation to encourage their followers to get into action. Of course, being inspirational isn't always easy. Fortunately, you don't need motivational speeches to rouse your group members. Some ideas for leadership inspiration include being genuinely passionate about ideas or goals, helping followers feel included in the process and offering recognition, praise and rewards for people's accomplishments.
A good leader knows that offering effective recognition and rewards is one of the best ways to help followers feel appreciated and happy. It may also come as no surprise that happy people tend to perform better at work. According to researchers Teresa Amabile and Steven Kramer, leaders can help group members feel happier by offering help, removing barriers to success and rewarding strong efforts.
Susan M. Heathfield offers some great tips on how leaders can express recognition and reward team members. Some of these strategies include listening without distraction, putting your praise in writing and publicly thanking people for their efforts.
Who says leadership is a one-way relationship? As you work toward honing your leadership skills, don't forget to look to your followers for feedback an inspiration. Pay attention to the things that have been effective in the past and always be on the lookout for new ways to inspire, motivate and reward group members.
Amabile, T. & Kramer, S. (2011). Do happier people work harder? The New York Times. Retrieved from http://www.nytimes.com/2011/09/04/opinion/sunday/do-happier-people-work-harder.html
Riggio, R.E. (2009, March 24). Are you a transformational leader. Psychology Today. Retrieved from https://www.psychologytoday.com/blog/cutting-edge-leadership/200903/are-you-transformational-leader
Riggio, R. E. (2009, Oct. 29). Four things you can do to become a better leader. Psychology Today. Retrieved from http://www.psychologytoday.com/blog/cutting-edge-leadership/200910/four-things-you-can-do-become-better-leader
June 23rd, 2014
As members of the military, we are evaluated bi-annually or annually on certain performance criteria. These traits are simple and basic to service members and most of those we serve with, and sometimes it’s not apparent to us that a large number of non-military people don’t share the same “combined” traits.
Military members are conditioned to operate differently than civilians, and these traits can give us a competitive advantage in the job search if we are aware of them. Since they’re common to us, we may not be aware of them, or of how these combined traits set us apart from others. We need to highlight these traits in our interviews, showing the competitive edge we bring and how we can make significant contributions to the company we’re applying to.
Here are 8 top traits to make sure you mention:
Dependability is a key characteristic of veterans and is drilled into us at our entry source. When we say we are going to do something, we’re expected to follow through all the way to the end, whether the task is simple or complex. We are trained to figure it out, or use others to gain necessary input, and only seek guidance from the senior person once we have exhausted all other resources and need their expertise to complete the task.
But “simple” to military can be “complex” to others. If an appointment is made two weeks from now, a phone call is not necessary to remind us or re-confirm whether or not the appointment is still valid. We will show up on time at the specified location. If something changes, we will call to let the person know. We won’t just flake and not show without proper notification.
It’s a big deal to lie in the military. My favorite saying is “When you lie, people die.” We are taught to take full responsibility for our actions, and if wrong, we would rather suffer the consequences of being wrong than lie and be caught.
People outside of the military don’t have as many severe consequences for being untruthful, so a “little white lie” that may seem harmless to others is not so little to us.
Military personnel are conditioned to make decisions quickly. When decision-making in a two-minute time frame determines whether or not someone lives or dies, we are taught to use experience, gut and intuition.
There is rarely a time that 100% of the information will be available to make a decision, so we’re taught to use what we have, make the decision and then “make it right.” We aren’t afraid to make decisions and then make corrections along the way if we encounter unforeseen challenges.
Camaraderie is huge. We uplift the weakest point in the chain because we can’t afford for the chain to be broken. We are all about accomplishing the mission at hand and know that it can’t be done alone — it’s all for one and one for all.
Without request, we will step up to help others because we are for the mission and not personal gain. If our colleague looks bad, it’s a negative reflection on the team; and we’re more willing to go the extra mile to help fill in the gap because we feel the weak team member is a direct reflection of our performance.
We are conditioned to seek additional tasking, go above and beyond, and complete tasks with haste and minimal guidance or direction from our seniors. If we are clear on the task, we will drive it all the way home and surpass expectations.
We can be counted on to complete complex tasks. Military members love a good challenge; the more challenging, the better. But “challenging” is relative, as most of our missions require a different mindset and skill set than that of our civilian counterparts.
What may take a civilian four months to do can be done in four days by a military member. (Seriously!) Some veterans have challenges finding mentally stimulating work in the civilian sector, so please choose a job that will challenge you.
Grooming standards are very important to military members. Clean-cut, neat hair, shaven, clothes ironed, shoes polished. We give eye contact when we talk to people, walk with great posture, remain aware of our surroundings and greet others in passing. When we separate, we carry most of these traits with us into our civilian career (with the small exception of the beard, as some men love the idea of growing beards).
These are all elements that contribute to a professional appearance and presence.
Most military members move every two to four years, depending on their rank and desire for upward mobility. We are well-traveled and exposed to different cultures, since living in six different states over a 14-year period is not uncommon. Most civilians don’t move as often or face the uncertainty of which country or state they’ll reside in with five months’ notice.
We hope to move to Georgia from Texas, only to find out we got Alaska. While working full-time, we get five months to coordinate how to move a spouse, three kids, two dogs, the entire contents of a four-bedroom house and two cars to a part of the country where we don’t have any friends or family, don’t know if there are good schools and have no leads on employment opportunities for our spouse.
It can be nerve-wracking. However, we get it done without fail and make it all work; only to do it all again three years later. We are highly adaptable — and without complaint.
Sometimes military members are nervous about separating from the military because we don’t know how our skills and value convert into the civilian sector. For the most part, we recognize tangible achievements, such as rank, degree(s), certifications or medals we attained, but it’s the attributes that enabled us to achieve these that are important to highlight.
These traits can be lost upon us because they’re common in our lives and circles, but they aren’t that common in others. They are not only important to highlight in the interview, but are also key in the job search and in realizing our true value.
By: Max Vogt
Leaders who hold the highest offices in the world have often abused their power with few negative consequences. As a result, the moral fiber of the workplace has diminished considerably as workers follow the lead of their often misguided managers. Managers who have serious performance issues with their employees may need to take a long, hard look into the ethical mirror of their business establishments and see what type of leadership reflection they see.
Integrity is personal
The overall integrity of a place of business is a direct reflection of the people
who work there. Leaders set the moral tone of the organization. Therefore, moral decay
leads to theft, fraud, and abuse of company assets by all employees. As workers follow
their leaders, they may channel their energy and creativity into personal endeavors
instead of focusing on their intended job functions. They may become abusive or inconsiderate
of each other rather than working together as a team. They may boldly participate
in counterproductive or illegal activities including email or internet abuse, excessive
absenteeism or tardiness, violation of safety rules and other policies, destroying
or falsifying company records, and creating conflicts of interest in the workplace.
Even when employees are not at liberty to imitate all the abuses of their company leaders, they may be less inclined to perform their jobs to the best of their abilities.
Leaders have to chart the course
Company leaders who have taken moral inventory and found their places of business in arrears must be the initiators of change. Effective change starts at the top. Serious change takes time and money, as well as commitment. So the entire organization must be made aware of the "new direction" in which managers will be leading their teams. Outsourcing leadership training may be the boldest statement a business can make to demonstrate the importance of polishing the image of its leaders. But the organization's needs don't stop there. Clearly written and strictly enforced formal policies may help to underscore the seriousness of leadership commitment to ethical behavior. Cross-functional teams of employees may be the best source for identifying and addressing problem areas. The more everyone in the company is involved, the quicker and easier the changes will take place.
The approach must be upbeat
No matter what type of moral issues a company may be facing, a positive approach is critical. Instead of focusing on the negative behavior (although it does need to be mentioned), an organization may cultivate enthusiasm for the new initiative by focusing on the positive aspects of the change. By showing employees that the company genuinely cares about them and the environment in which they work, the change agent may be able to build momentum for the movement.
Employees know when they're doing something unethical and usually have some private justifications for their actions. In many cases, the justification may be that, "Everybody else is doing it, so it must be ok"; or, "The boss does it, so why can't I?" Most employees will embrace change when they see how it will improve the overall environment of the workplace. Also, most people do not object to rules as long as they apply equally to everybody, including the boss.
The basic premise is uncomplicated
Establishing the integrity of the workforce starts with good leadership. Moral fiber must be woven into the organization from the top and throughout every department. Integrity is not just a word; it is a way of doing business that should be reflected in every employee. Employers who provide their people with the resources they need to make ethical decisions will enjoy higher profits, more harmony among their associates, and leaders who will set a higher standard for a world of business leaders in moral deficit.
INSALA: November 15, 2007
Of organizations recently surveyed, 53% face leadership shortages, most of which are at the mid-management and director level.
- (High-Impact Leadership Development: Best Practices, Industry Solutions, and Vendor Profiles, Bersin & Associates, 2007)
With this crisis in full swing, the survey reported the biggest business drivers for leadership development programs are to:
Additional research from the Hay Group reports talent and leadership shortages for
many businesses around the world. Consequently, focusing on identifying and managing
the talents of high potential candidates will rise to the top of corporate agendas.
- (Hay Group, “Best Practices for Leaders,” 2006)
Leadership Development Creates Significant Business Benefits
Enlightened companies, already working to address leadership shortages, have formalized leadership development programs in place. According to recent research, those with the most mature programs are realizing significant business benefits including:
- (High-Impact Leadership Development: Best Practices, Industry Solutions, and
Vendor Profiles, Bersin & Associates, 2007)
Additional research links leadership development to shareholder return. The research found that top companies who identify and foster leadership talent perform better on the stock market. Their average 5 year total shareholder return beat the S&P 500 over the same period by 3.53%.
- (Hay Group, “Best Practices for Leaders,” 2006)
Competencies for Leadership Development
What is required for top leaders? A recent survey of 101 organizations reports the top 10 competencies chosen for leaders are:
The competencies least chosen were:
- (William Gentry and Jean Brittain Leslie, “Competencies for Leadership Development: What’s Hot and What’s Not When Assessing Leadership-Implications for Organizational Development,” Center for Creative Leadership, 2007)
A 2002 review of literature in the field of leadership development, found 53 competencies associated with “global leadership” (M. Mendenhall and J. Osland, 2002). They found that each of the 53 competencies could be categorized into one of six core dimensions:
Relationship building clearly is one of the most critical competencies for leaders,
as it appears in the #1 and #2 slots in the lists above.
Critical Success Factors for Leadership Development
Research shows that leadership practices at global top companies are an inherent part of the culture, and that developing future leaders is simply a way of operating that must be intertwined with running the business (Global Top Companies for Leaders, Hewitt Associates, 2007).
Hewitt identified five key areas that set the Global Top Companies apart from other companies around the world - 3 of those focus on leadership development:
A Strategic Business Commitment to Developing Leaders:
A Senior-Level Commitment to Developing Leaders:
A Clear Expectation of Desired Leadership Behaviors:
Best Practices for Leadership Development
Best practices for corporate leadership development, as determined by a recent study from the Hay Group, include:
Also identified were best practices that need to start with mid-level managers:
- (Hay Group, “Best Practices for Leaders,” 2006)
Least Effective Practices for Leadership Development
The Hay Group’s research also discovered what doesn’t work for developing leaders. Below is their list:
- (Hay Group, “Best Practices for Leaders,” 2006)
From this comprehensive review of literature on leadership development, it becomes clear that companies must make a commitment to the development of their leaders - their survival may depend upon it.
Mike Kacsmar, EY
Entrepreneurs all want to leave their mark. Be known for one great thing — or many great things — and be an inspiration to others as they make their way through their lives and careers.
But at what point does this happen? How do you make the turn from great to legendary? If you ask Denver Broncos quarterback Peyton Manning, he’s not an inspiration yet — far too young at 37, he says. “I’ve been being asked about my legacy since I was about 25 years old,” he said at this week’s Media Day, ahead of Super Bowl XLVIII. “I’m not sure you can have a legacy when you’re 25 years old. Even 37.”
Whether you consider him a football legend or not, I think there’s a lot to be learned from Manning, who leads his team in a way that most boards would love to see their CEOs lead.
Here are five things he can teach us:
Tell me: Do you know a CEO that demonstrates these traits ? What public figures do you try to emulate? How do you hope you’ll be regarded as a leader?
CMO Network – FORBES – 4-19-12
Forget 1-800-CEO Read. The greatest book on business and leadership was written in the 4th century BC by a Greek about a Persian King. Yeah, that’s right.
Behold: Cyrus the Great, the man that historians call “the most amiable of conquerors,” and the first king to found “his empire on generosity” instead of violence and tyranny. Consider Cyrus the antithesis to Machiavelli’s ideal Prince. The author, himself the opposite of Machiavelli, was Xenophon, a student of Socrates.
The book is a veritable classic in the art of leadership, execution, and responsibility. Adapted from Larry Hendrick’s excellent translation, here are nine lessons in leadership from Xenophon’s Cyrus the Great:
“Never be slow in replenishing your supplies. You’ll always be on better terms with your allies if you can secure your own provisions…Give them all they need and your troops will follow you to the end of the earth.”
“Success always calls for greater generosity–though most people, lost in the darkness of their own egos, treat it as an occasion for greater greed. Collecting boot [is] not an end itself, but only a means for building [an] empire. Riches would be of little use to us now–except as a means of winning new friends.”
“Brevity is the soul of command. Too much talking suggests desperation on the part of the leader. Speak shortly, decisively and to the point–and couch your desires in such natural logic that no one can raise objections. Then move on.”
Be a Force for Good
“Whenever you can, act as a liberator. Freedom, dignity, wealth–these three together constitute the greatest happiness of humanity. If you bequeath all three to your people, their love for you will never die.”
Be in Control
[After punishing some renegade commanders] “Here again, I would demonstrate the truth that, in my army, discipline always brings rewards.”
“When I became rich, I realized that no kindness between man and man comes more naturally than sharing food and drink, especially food and drink of the ambrosial excellence that I could now provide. Accordingly, I arranged that my table be spread everyday for many invitees, all of whom would dine on the same excellent food as myself. After my guests and I were finished, I would send out any extra food to my absent friends, in token of my esteem.”
[When asked how he planned to dress for a celebration] “If I can only do well by my friends, I’ll look glorious enough in whatever clothes I wear.”
Be an Example
“In my experience, men who respond to good fortune with modesty and kindness are harder to find than those who face adversity with courage.”
Be Courteous and Kind
“There is a deep–and usually frustrated–desire in the heart of everyone to act with benevolence rather than selfishness, and one fine instance
of generosity can inspire dozens more. Thus I established a stately court where all
my friends showed respect to each other and cultivated courtesy until it bloomed into
There’s a reason Cyrus found students and admirers in his own time as well as the ages that followed. From Thomas Jefferson and Benjamin Franklin to Julius Caesar and Alexander (and yes, even Machiavelli) great men have read his inspiring example and put it to use in the pursuit of their own endeavors.
That isn’t bad company.
Does military experience translate to leadership and business savvy? A glance at today’s most successful corporations would suggest that it does. Many of the biggest names in the business world — Verizon’s Lowell McAdam, FedEx CEO Frederick Smith, former General Motors CEO Daniel Akerson — have military backgrounds. http://www.businessinsider.com.au/what-the-military-teaches-about-leadership-2014-2
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Order this book
One of the newly written chapters, The Body: Eating, Illness and Ageing, exemplifies some of the strengths and weaknesses of Giddens's approach. It opens with a striking pair of photographs comparing two emaciated women, one a Somalian dying of hunger and the other an anorexic American. Rather surprisingly in view of the fact that comparison and globalization are stated to be major themes of the book, there is scant discussion of the former - but the contrast provides a suitable peg on which to hang a dis cussion of anorexia and bulimia as social diseases of affluence. Globalization is invoked in relation to the fact that, in the affluent countries, a very wide range of food is available throughout the year drawing on sources from all parts of the world. T he argument proceeds by noting that increased choice and susceptibility to norms of the healthy and aesthetic body forces us to make dietary decisions, but decisions which are fraught with tension and anxiety. The very vigour of the rhetoric tends to carr y the reader along - rather deceptively, for there is no account of why there should be such increased susceptibility and why it takes the forms it does. While it would be quite unjustifiable to criticise the explanation for being incomplete, it is a pity that the reader's attention is not drawn to the incompleteness. To take another example, there is a short passage stating that there have been deeply divided views and exercise of violence concerning abortion but no attempt to propound a sociological exp lanation for the sources and form of the disputes. In part, the source of the difficulty is the pressure to cram too much into only 21 pages - including eating disorders, reproductive technology, images of health and illness (including a discussion of AID S), health care systems and ageing - while still incorporating anecdotes, photographs and a cartoon. Incidentally, the section comparing the health systems of the UK and USA is somewhat anodyne and does not fit particularly well with the rest of the chapt er. In short, this chapter, like much of the text, resembles a meal consisting of a multitude of tasty appetisers -but no beef!
The above comment is not intended as a damning criticism but only a means to provoke some questioning as to how Sociology should be used. (These considerations apply equally to several other textbooks of similar high quality.) There is nothing wrong with appetisers as long as those consuming them are under no illusions as to what they are. Not being a school teacher, I am in no position to judge how far Sociology stimulates the taste for Sociology of sixth form students, but I guess its widespread adoptio n is a positive indication on that score. However, I do have reservations about its use as a first year text in universities. One problem is simply that a proportion of the first year class has already come across it or similar texts in their 'A' level st udies so it would be tedious and counter-productive to go over it again. Perhaps the author and publisher should come clean and state whether the book is intended for school or university. More fundamentally, I would be reluctant to use it as a university text because it seems to me that a central objective for the first year is to gain a sense of the level of depth and complexity for which students should be aiming; for this purpose, the scope needs to be narrowed and the style of learning needs to be mo re questioning, critical and reflexive than the model provided by Sociology.
University of East Anglia
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To summarize epidemiology of chronic kidney disease (CKD).
To identify effects of CKD on morbidity and mortality.
To define most effective strategies for evaluation and management of patients with CKD.
It is the policy of American Society of Nephrology (ASN) that all individuals in a position to control the content of ASN's educational activities are expected to disclose all their and their life spouse/partner's financial relationships with “ineligible companies” within the prior 24 months as well as other non-financial interests. (“Ineligible companies” are those whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients.) Participants should note that the use of products outside U.S. Food and Drug Administration (FDA) approved labeling should be considered experimental and are advised to consult current prescribing information for approval indications.
The intent of this policy is not to prevent expert faculty with relevant relationship(s) with commercial interest(s) from involvement in educational activities, but rather to ensure that these activities promote quality and safety, are effective in improving medical practice, are based on valid content, and are independent of control from commercial interests and free of commercial bias. In addition, all faculty were instructed to provide balanced, scientifically rigorous, and evidence-based presentations.
ASN requires all individuals in a position to control content for this activity to complete disclosure forms on the ASN website. Responses are listed below.
Disclosures have been reviewed and assessed by ASN. All relationships with ineligible companies have been identified and all relevant financial relationships have been mitigated.
Alice M. Sheridan, MD—Employer(s): Brigham and Women’s Hospital; No additional relevant financial relationship(s) with ineligible companies to disclose.
Martina M. McGrath, MBChB, FASN—Employer(s): Brigham and Women’s Hospital; VA Boston Medical Center; No additional relevant financial relationship(s) with ineligible companies to disclose.
Valerie A. Luyckx, MD, MS, PhD—Employer(s): Brigham and Women's Hospital, Renal Division, Boston, MA; Department of Paediatrics and Child Health, University of Cape Town; Other Interests or Relationships: Royalties from Elsevier as Editor of textbook “The Kidney”.
Brad C. Astor, PhD, MPH—Employer(s): University of Wisconsin School of Medicine and Public Health; Consultancy: VascAlert, Sonavex.
Teresa K. Chen, MD—Employer(s): Johns Hopkins University School of Medicine; Research Funding: NIH/NIDDK, Yale University; Honoraria: Anticipated honoraria for contributing to an issue of nephSAP (American Society of Nephrology).
Nimrit Goraya, MD, FASN—Employer(s): Baylor Scott and White Health; No additional relevant financial relationship(s) with ineligible companies to disclose.
Morgan Grams, MD, PhD—Employer(s): New York University; Advisory or Leadership Role: AJKD, CJASN, JASN Editorial Fellowship Committee, NKF Scientific Advisory Board, KDIGO Executive Committee, USRDS Scientific Advisory Board; Other Interests or Relationships: Grant funding from NKF — which receives funding from multiple pharmaceutical companies, grant funding from NIH.
Beini Lyu, MD—Employer(s): Johns Hopkins University Bloomberg School of Public Health; No additional relevant financial relationship(s) with ineligible companies to disclose.
Jennifer D. Moran, MD—Employer(s): Baylor Scott and White Health; No additional relevant financial relationship(s) with ineligible companies to disclose.
Tripti Singh, MBBS, MD, FASN—Employer(s): University of Wisconsin School of Medicine and Public Health; Consultancy: Snap Inc., Cruise, Ubicept — All three companies are consultancy by spouse.
Suzanne P. Armstrong, MA—Employer(s): American Society of Nephrology; No additional relevant financial relationship(s) with ineligible companies to disclose.
There is no commercial support for this issue.
The nephSAP editorial team and the KSAP editorial board extend their sincere appreciation to the following reviewers. Their efforts and insights help improve the quality of these postgraduate education offerings.
nephSAP Review Panel, Volume 21, Number 2, June 2022
Josephine Abraham, MD, MPH, FASN University of Utah United States
Olufemi A. Aduroja, MD, FASN Texas Tech University Health Sciences Center El Paso United States
Taha Ayach, MD, FASN University of Kentucky United States
Shweta Bansal, MD, MBBS, FASN University of Texas Health at San Antonio United States
Nadiesda Costa, MD, MPH, FASN Georgetown University United States
Steven M. Gorbatkin, MD, PhD, FASN University of Washington United States
Susan Grossman, MD Brooklyn VA United States
Aijaz A. Gundroo, MD, FASN The Ohio State University Wexner Medical Center United States
Aditi Gupta, MD, MS, FASN University of Kansas Medical Center United States
Swapnil Hiremath, MD, MPH, FASN University of Ottawa Canada
Nithin Karakala, MD, FASN University of Arkansas for Medical Sciences United States
Elizabeth A. Kendrick, MD, FASN UCLA Health United States
Daphne Harrington Knicely, MD, FASN Johns Hopkins University School of Medicine United States
Paul A. Kovach, MD, FASN Columbus Nephrology, Inc. United States
David J. Leehey,MD Hines VA Hospital United States
Rajil B. Mehta, MD, FASN Starzl Transplantation Institute United States
Georges Nakhoul, MD, FASN Cleveland Clinic Foundation United States
Robert Nee, MD, FASN Walter Reed National Military Medical Center United States
Sankar Narayan Niranjan, MD, FASN Greater Hartford Nephrology United States
Kevin P. O'Reilly, MD, FASN Columbus Nephrology, Inc. United States
Amay Parikh, MD, MS, MBA, FASN AdventHealth Medical Group; DialyzeDirect United States
Paul H. Pronovost, MD, FASN Temple Physicians, Inc United States
Nirupama Ramkumar, MD, MPH, FASN University of Utah United States
Rupam Ruchi, MD, FASN University of Florida United States
Mohammad A. Samih, MD, MBBS, FASN Cayuga Medical Center United States
Nagaraju Sarabu, MD University Hospital Cleveland Medical Center United States
Jeffrey I. Silberzweig, MD, FASN The Rogosin Institute United States
Gurmukteshwar Singh, MD, FASN Geisinger Medical Center- Nephrology United States
James Sondheimer Wayne State University United States
Stephen M. Sozio, MD, FASN Johns Hopkins University School of Medicine United States
Ekamol Tantisattamo, MD, FASN, MPH University of California, Irvine School of Medicine United States
Ravi K. Thimmisetty, MD, FASN Ochsner Clinic Foundation United States
George Thomas, MD, FASN Cleveland Clinic United States
Ruth L. Wintz, MD, FASN Kidney Associates United States
Program Mission and Objectives
nephSAP® provides a learning vehicle for physicians, scientists, advanced practitioners, nurses, pharmacists, and other health professionals working and training in the field of nephrology to renew and refresh their clinical knowledge, diagnostic, and therapeutic skills. This enduring material provides learners challenging, clinically-oriented questions based on case vignettes, detailed learning objectives, a series of articles that review recent publications, and an editorial on an important and evolving topic. This combination of materials enables learners to rigorously assess their strengths and weaknesses in the broad domain of nephrology.
Physicians, scientists, advanced practitioners, nurses, pharmacists, and other health professionals working and training in the field of nephrology.
Accreditation and AMA Credit Designation Statements
In support of improving patient care, the American Society of Nephrology is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The American Society of Nephrology designates this internet activity (enduring material) for a maximum of 10.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
ABIM MOC Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 10.0 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to Joint Accreditation for the purpose of granting ABIM MOC credit. MOC points will be applied to only those ABIM candidates who have enrolled in the MOC program. It is your responsibility to complete the ABIM MOC enrollment process.
Original Release Date: June 2022
CME/MOC Termination Date: May 31, 2024
Examination Available Online: On or before June 30, 2022
Estimated Time for Completion: 10 hours
Answers with explanations are provided with a passing score after the first and/or second attempt
This issue will be archived June 1, 2024, and answers with explanations will be posted on the ASN website
Method of Participation
Read the entire issue that is supplemented by original articles in the reference lists.
Complete the online self-assessment examination.
Each participant is allowed two attempts to pass the examination (75% correct) for CME and MOC.
Upon completion, review your score and incorrect answers and print your certificate.
Activity Evaluation, CME and MOC
Go to ASN eLEARNING CENTER (education.asn-online.org)
Select MY ACTIVITIES from the left-hand navigation.
Select the corresponding issue.
Read all information on the Overview screen.
Follow the onscreen instructions to:
Complete the Exam (i.e., post test),
Complete the Evaluation,
Claim credit/MOC, and
Print a Certificate
Your complete ASN Transcript is available on the ASN eLEARNING CENTER:
Select TRANSCRIPT on the left-hand navigation.
View course status, credits claimed, or print a certificate for completed learning activities.
Instructions to obtain American Board of Internal Medicine (ABIM) Maintenance of Certification (MOC) Points
Each issue of nephSAP provides 10 MOC points. Respondents must meet the following criteria:
Be certified by ABIM in internal medicine and/or nephrology and enrolled in the ABIM–MOC program...
Enter your (ABIM) Candidate Number and Date of Birth prior to completing the examination.
Take the self-assessment examination within the timeframe specified in this issue of nephSAP.
Upon completion, click Claim Your MOC points, the MOC points submitted will match your CME credits claimed, check the Attestation Statement box and submit.
ABIM will notify you when MOC points have been added to your record.
ABIM MOC Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 10.0 MOC points in the American Board of Internal Medicine’s (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider’s responsibility to submit participant completion information to Joint Accreditation for the purpose of granting ABIM MOC credit.
MOC points will be applied to only those ABIM candidates who have enrolled in the MOC program. It is your responsibility to complete the ABIM MOC enrollment process.
System Requirements Compatible Browser and Software
The nephSAP website (nephsap.org) is formatted for cross-browser functionality, and should display correctly in all currently supported web browsers. Individual nephSAP articles are available as dynamic HTML or in Portable Document Format (PDF), which requires Adobe Reader or comparable PDF viewing software.
The nephSAP website is designed for responsive display. This means the content display will respond to the device you use and to your devices screen resolution.
Medium or Combination of Media Used
The media used include content provided online as dynamic HTML or downloadable PDF, in addition to an online evaluation and self-assessment examination.
If you have difficulty viewing any of the pages, please refer to the nephSAP technical support page for possible solutions. If you continue having problems, contact ASN at email@example.com.
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The first time I tried hot yoga, I was nervous about the copious amount of sweat I'd ooze from my body. A then-spokesperson for the trendy New York studio told me not to worry: Sweating would help me eliminate toxins from my body. It would feel amazing.
I won't deny the class felt great — but the toxins had nothing to do with it. In fact, sweating out toxins isn't even possible.
Among hot yoga's many allures is the promise of "detoxification" via sweating — the idea that you can perspire away your impurities by working out in a room heated to 90 or 100 degrees Fahrenheit.
"The more you sweat, the more you detoxify," Arjuna Hot Yoga, a studio in Aspen, Colorado, claims on its website. "It's like taking a shower from the inside out — resulting in a body that is clean and pure after every practice."
Even outside of the world of hot yoga, sweating is touted as a quick and easy way to detox the body. For proof, look no further than Gwyneth Paltrow's wellness site, Goop, which advocates sweating as a way to purge the body of "harmful chemicals in everyday products." Articles abound on the detoxifying benefits of of infrared saunas and steam rooms.
Paltrow herself even hit up an infrared sauna in the hope of curing her contagious flu. "All contagion aside... Going to hit it with heat," she captioned an Instagram sauna selfie.
So can you sweat out toxins during hot yoga class?
Experts say no. Our bodies already detoxify themselves — and sweat isn't a part of it.
"Most of what you are sweating is water, but there are other chemicals that make up sweat, including salt, potassium, ammonia and urea," yoga teacher Amber Kim wrote on Breaking Muscle. "True toxin elimination comes from the kidneys and liver, and some from the colon."
"Doing a 90-minute hot yoga session and sweating to death is not releasing toxins," Kim continued. "You really are just dehydrating yourself and losing only water weight."
Kim has a point. As humans, our bodies have naturally been detoxifying themselves since long before hot yoga studios started appearing on the streets of Manhattan and Los Angeles. The key to our natural detoxification process? The liver.
Think of the liver like a filter for your blood. It takes in blood from the heart and intestines, which contains a mixture of nutrients and toxins. When it encounters nutrients, such as vitamins and minerals, it either converts them into energy our bodies can use, or stores them away for when we need them later. When it encounters toxins — such as drugs or alcohol — it processes them for elimination from the body via the intestines and kidneys.
The main purposes of sweating, meanwhile, is to regulate our body temperature. When our internal temperature gets too high, the roughly 2 million sweat glands that cover our bodies release perspiration to cool us down. Sweat is mostly water and salt, with small amounts of other substances like calcium, potassium and magnesium — but no toxins.
"Sweat glands sit in the skin and aren't connected to other systems in the body, so it makes no sense that they would eliminate waste," Dr. Rachel Vreeman, author of Don't Cross Your Eyes... They'll Get Stuck That Way!, said, according to Fitness Magazine. "The only role of perspiration is to keep us cool."
If detoxing is a lie, does a sweaty hot yoga class have any health benefits? Absolutely.
"It's a simple fact that practicing in warm temperatures means your muscles are just more soft, more open," Tamara Behar, owner of Tangerine Hot Power Yoga in New York City, told Mic. The heat is just another "prop" to help you open up — no different than a block or a strap.
Sweating can also make you feel lighter if you're feeling bloated, like when you're on your period, Behar said.
Unlike some other hot yoga practitioners, Behar isn't convinced that sweating releases toxins from the body.
"I like to not even go there about the detox thing," she said.
The biggest reason Behar keeps doing hot yoga — and why her clients keep coming back to class — isn't for any sort of physical cleansing, but rather the emotional cleansing that comes with intensely sweating through an hour-long class.
"It's more of a psychological benefit," Behar said. "You feel psychologically rinsed out."
I think that's why I liked my first hot yoga class so much, and why I've gone back a number of times since. After an anxiety-packed day at work, the thick drops of sweat that hit my yoga mat feel like a physical embodiment of stress leaving my body. At the end of class, I can leave my worries behind in the studio — albeit in the form of a smelly puddle.
Hot yoga certainly has mental and physical benefits. But when it comes to describing them, "I would never," Behar said, "use the word 'toxins.'"
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This happy learner has discovered a great language learning experience. Everything about this image identifies with a learning opportunity that builds enthusiasm, passion, and confidence when learning a new language with the cultural counterparts of that language. Let’s check it out. Let’s dissect the anatomy of this happy boy here.
- The Big Red Book: A love for reading in the new language that infuses nonfiction literature of current events of Spanish speaking countries as well as classic novels and poetry. The development of reading skills and vocabulary is built upon reading.
- Music Notes: The sounds of a new language being explored through certified instructors, native speakers, and music from a new language. Learning to be a good listener and identifying familiar vocabulary as well as learning how to develop an understanding of unfamiliar vocabulary builds language acquisition.
- Stars: The feedback received from an instructor through the development of writing skills in the new language. Learners increase their proficiency level by engaging in writing activities that support their learning pace and acquisition level to reduce frustration. Supportive and prompt feedback from instructor guides the learner so they may learn from their mistakes and develop into a clear communicator.
- Spirals: The engagement of each speaking activity should intrigue a learner and drive their motivation. This represents the thinking of how the learner will use the language in their present and their future. Being able to know the why of learning a language in order to apply the how, realistically and in authentic settings, sets a learner up for success. By being intrinsically motivated, they will want to pursue more language and it will drive their learning.
These four pieces of this picture represent the necessary reading, writing, listening, and speaking activities in order to create a great language learning experience. What you clearly see though, is the smile on the student’s face. This smile embodies the experience his instructor has provided him with a variety of authentic learning experiences to develop comfort and confidence in learning a new language.
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Now through October 15, 2022
Jeananne Wright’s collection of small pieced quilts is extraordinary. Her years and passion for the history of quilts are an important link to our past. While she has made more than 100 quilts, she is well-known for her research, knowledge, and care of the quilts in her collection, some dating back 200 years. As a renowned quilt appraiser, she has collected this amazing group of quilts.
Image: Pineapple Log Cabin 1925
Valerie C. White lives in Denver, Colo., and has been creating mixed media art quilts for more than two decades. Her work is in numerous publications and private collections internationally. Valerie is a mixed media artist who works with intent, her intent is to tell a story with each quilt she creates.
Image: Family Affair by Valerie C. White
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Main Building – Tailings Storage Facilities „Żelazny Most”
“Żelazny Most” is a permanent subject of design work and supervision performed by HaskoningDHV Polska specialists on behalf of KGHM Polska Miedź S.A. The project was started in 1974, and the landfill has been in continuous use since 1977. The Żelazny Most site covers an area of approximately 1,580 ha. The dams that surround it have a total length of over 14 km. The “Żelazny Most” flotation waste tank is the largest landfill of this type in Europe and one of the largest in the world.
The building is a hall, single-storey building, with a rectangular projection and dimensions of 36.73 x 141.33 and a height of 23.69 m in the ridge, without a basement, with a flat, gable roof. It is a building with hall, two-nave, skeletal, steel construction with walls made of sandwich panels, covered with steel truss trusses covered with heat-welded roofing felt.
The main function of the building is the technological function. A lower energy building adjoins the building from the south, a tower of hydrocyclones from the west.
The building has a separate office and social part, where a control room, two office rooms and a cloakroom and sanitary facilities for staff are located. This part provides independent entrance from the outside, enabling the use of this part of the building without having to go through the hall.
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15 Yard Dumpster
Small to medium size construction projects and cleanouts almost always require a dumpster rental. Whether you are cleaning out a basement, attic, or have a small home renovation project, a dumpster will be more efficient than carting truck loads of debris to the dump, if you even have one nearby.
How Big is a 15 Yard Dumpster?
A 15 yard dumpster is a medium size dumpster. It can hold 15 cubic yards of materials. There is a simple way to determine how much debris can be put in dumpster; try to determine how much a pickup truck can hold. If you have about four pickup trucks worth the trash, a 15 yard dumpster should be adequate.
Typically, one pickup truck can hold 4 cubic yard of waste. A 15 cubic yard dumpster can accommodate about four pick up trucks worth the debris. Be mindful that very large items take up more room than small items, so this needs to be taken into consideration when you get a dumpster. If the items are too tall or long for a 15 yard dumpster, a larger dumpster may be necessary if the item cannot be broken down safely into smaller pieces.
If you are considering your options and think that a 10 yard dumpster will be too small, but a 20 yard dumpster is too big, you can see if the rental company you want to work with rents out a 15 yard roll off dumpster. Just be sure that whatever you decide, that it will be large enough for your project. If you estimate poorly, it could cost you twice as much should you require the dumpster to be emptied before your job is done.
What Does a 15 Yard Dumpster Look Like?
A 15 yard dumpster is usually 16 feet long x 7.5 feet wide a x 4 .5 feet high in size. This dumpster size holds up to 15 cubic yards of debris—which is approximately 70-90 13-gallon trash bags. When getting a 15 yard dumpster, it is ideal for a clean-out of approximately 2,500 pounds of debris.
To put this into real-life perspective, the average toilet weights approximately 100 pounds. A large deck can also be broken down and hauled away in a 15 yard dumpster.
What Does a 10 Yard Dumpster Look Like?
A 10 yard dumpster rental is typically 12 feet x 8 feet x 4 feet and can hold one ton of material. This is less than three truck loads of trash. They can hold approximately 2,000 pounds of material, or one ton.
How Long is a 20 Yard Dumpster?
A 20 yard dumpster is approximately 22 feet x 7.5 feet x 4.5 feet. It can hold about three tons, or 6,000 pounds, of material and can cost as much as $650 to rent.
How is a 15 Yard Dumpster Delivered?
Most dumpsters are delivered as a roll off dumpster. They are typically too big to be delivered as a front loaded dumpster. Regardless how they are delivered, a 15 yard dumpster can accommodate the same amount of cubic yards as any other 15 yard dumpster. If you search "15 yard dumpster rental near me," you can find how the companies in your service area deliver their 15 yard dumpsters to your house or construction site.
When you call to schedule your rental, it is best to ask how much room they will need to deliver the dumpster, as well as the rental period prior to starting your project. Most places will give you a seven day rental period, while others have a longer time allowance. However, it is always best to ask. You don't want the pricing of the 15 yard dumpster to cost you twice as much as you expected because you kept it longer than the contracted time.
How Much Does a 15 Yard Dumpster Cost?
A 15 yard dumpster rental usually costs between $300-600. Some companies give discounts if you keep the rental unit for only a few days, in areas where demand is very high, while others will allow you to keep their dumpsters for at least seven days, with no additional fees. Service area has a great deal to do with price as it's a supply and demand situation. The national average of a 15 yard dumpster is $420.
What is the Weight Limit of a 15 Yard Bin?
The weight limit of dumpsters is an important piece of information to get and keep in mind when you are considering a dumpster rental in Lansing for your project. If you have a project that will be weight limit dependent, check with your dumpster rental company to see what their rate limit and get pricing if the weight limit exceeds their basic requirements.
A typical 15 yard bin can accommodate about a two and a half tons of debris. However, if your project consists of bricks or heavy materials, you may want to consider getting a larger size dumpster. A 20 yard dumpster can hold about 3,000 pounds of materials.
If you increase the cubic yards on your dumpster sizes, you increase the weight limit of the dumpster. While a 10 cubic yard rental cost is, on average, $150 cheaper than 15 yard dumpsters, the surcharge in pricing if you go over the weight limit, may make it financially lucrative to just go with one that is larger than you need.
On average, a roll off dumpster will increase in pricing by around $100 between dumpster sizes. If you are unsure if a 15 yard can accommodate the weight of your project debris, it is best to get a larger container, like 20 yard dumpster.
When renting dumpsters, keep in mind that there are weight limits. Heavy debris, such as brick or concrete, can exponentially increase the weight limit of a filled bin, versus lighter materials, such as roofing debris. If you aren't sure what size dumpsters you need to rent, call and ask the customer service representative what would be best so you don't go over your dumpster rental budget.
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Ian Southwell is a director at Vectos, Plasdŵr’s travel planning partner responsible for planning transport infrastructure including cycle routes.
“Plasdŵr has been designed with active travel at its core. A network of cycle routes, including three super cycleways, is key to this as well as working with Cardiff Council to encourage more people to travel sustainably.
“The cycle routes within Plasdŵr have been designed in line with the Welsh Government’s active travel design guidance. This means that they will be coherent, direct, safe, attractive and comfortable.
“Within the boundaries of Plasdŵr we’re working with a blank slate, which gives us more control over the scope and flexibility of the cycling provision. We’ve been able to design an outline transport infrastructure from scratch, with a carefully planned hierarchy which gives pedestrians, cyclists and public transport priority over private cars.
“Cycle routes within Plasdŵr will be designed to be safe and attractive to all users, and provide prominent, direct connections between key locations. Whether the cycle routes within Plasdŵr will be segregated (separate from pedestrian routes) or shared will depend on the route and location of the cycleway; for example, it wouldn’t be practical to have separate routes on narrower residential streets.
“Beyond Plasdŵr, where infrastructure is already in place, there are limits on what we can recommend, and Cardiff Council will be responsible for implementing many of the changes and improvements using financial contributions through the S106 agreement. The Council’s transport team is leading on a strategy for improved cycling provision across the city, including the creation of five cycling superhighways. Current proposals are for Plasdŵr to link directly with superhighway four shown on this map, which will allow residents to cycle into the city centre.
“Plasdŵr as a whole currently has outline planning consent, with detailed planning consent given to the areas currently under construction to the north and south of Llantrisant Road near Radyr, and the south of Pentrebane Road near St Fagans. As parcels of the land come forward for development, further detailed planning applications will be submitted to allow the infrastructure to be planned in more detail. This means we don’t have all the details at this stage, but the strategy that underpins the masterplan will remain the same and information will be communicated as it becomes available.
“As travel planners it’s been great for us to be part of such an important scheme for Cardiff, and one which places so much importance on active travel. Transport infrastructure in Cardiff is changing, sustainable travel is becoming more important and Plasdŵr is leading the way. “
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Search Engine Optimization or SEO has been undergoing rapid change over the years. The old methods are becoming outdated, and new trends are coming in. if you wish to smoothly update website rankings, produce relevant search results, and create brand awareness, then you need to know the latest SEO trends and how each of them works. Here are some of the important SEO trends ruling the current scenario of 2021:
Video SEO : Facts prove that videos are gaining more views than any other feature online. YouTube has officially announced a new upsurge of video watching this year, but it has also led to more traffic on these platforms. The solution here is optimizing your video content. Like normal search engines, keywords are the key in video optimization. If you have a concrete and superb video idea, just search about it online, and you will get the most searched keywords related to it. Use them in your videos to get maximum audience response.
Voice Searching : Try to optimize your content with longer and natural-sounding keywords. The keywords that people use while typing is totally different from those that they use during voice search. Also, try to keep common FAQs and voice answers to each one of them on your site. Google often presents voice suggestions to these FAQs, and it may well pull out yours too! You can also keep certain crisp contents ready for use, like answers to common questions, search-related queries, and so much more. They can be easily used for voice suggestions as and when necessary.
Mobile-First Index : Google has now started to consider the mobile version of your site to be the actual site and not the one on your desktop. This means that Google must be able to index all your content on your site through your mobile device. So, your site must work smoothly on your mobile and render services when required. You can take the mobile-friendly test for URLs on your website, which will ensure whether Google can retract all of your website content. Check your mobile speed and make necessary changes to keep going. You need to remember that just because you can view your entire website on your mobile does not mean Google also can. You must make sure that Google can effortlessly index your content and use them as suggestions as and when necessary.
Search Intent : People nowadays do not spend a lot of time processing things on the Internet. They are just narrowing their ideas and searching their ‘intent’ directly online. Thus, if your page succeeds to match the search intent of potential users, you automatically have much more views. Four main types of search intent are there- informational, navigational, commercial, and transactional. Your page should be uniquely optimized with each of these search intents separately, with the content matching the proper search intent. In simple words, you just have a mixed bag of various search intents, and you just need to arrange them in a proper way and add content to each one of them. This will ensure an increase in the popularity of your site.
Thus, SEO trends always keep changing, and the above-mentioned ones prove to be the best for this year. So, don’t just keep on reading these tips. Apply them to your sites for marvellous results. It can help you grow your website popularity to the next level. Many people know the basic rules of SEO but fail to implement the current trends with them. This results in low productivity and unsatisfactory results. If you want your website to be recognized by Google quite often, then you need to implement these tricks on your links and contents to make your dream come true.
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A landscape zodiac (or terrestrial zodiac) is a purported map of the stars on a gigantic scale, formed by features in the landscape, such as roads, streams and field boundaries. Perhaps the best known alleged example is the Glastonbury Temple of the Stars, situated around Glastonbury in Somerset, England. The temple is thought by some to depict a colossal zodiac.
The theory was first put forward in 1935 by Katherine Maltwood, an artist who "discovered" the zodiac in a vision, and held that the "temple" was created by Sumerians about 2700 BC. Interest was re-ignited in 1969 by Mary Caine in an article in the magazine Gandalf's Garden.
The idea was examined by two independent studies, one by Ian Burrow in 1975 and the other in 1983 by Tom Williamson and Liz Bellamy, using the standard methods of landscape historical research. Both studies concluded that the evidence contradicted the idea. The eye of Capricorn identified by Maltwood was a haystack. The western wing of the Aquarius phoenix was a road laid in 1782 to run around Glastonbury, and older maps dating back to the 1620s show the road had no predecessors. The Cancer boat (not a crab as would be expected) is made up of a network of eighteenth century drainage ditches and paths. There are some Neolithic paths preserved in the peat of the bog formerly comprising most of the area, but none of the known paths match the lines of the zodiac features. There is no support for this theory, or for the existence of the "temple" in any form, from conventional archaeologists or mainstream historians.
List of landscape zodiacs
Beside the Glastonbury arrangement further zodiacs have been alleged in Britain in following years including:
- Kingston upon Thames Zodiac
- The Lizard Zodiac, Cornwall
- Bodmin Moor Zodiac
- The Pumpsaint Zodiac
- Nuthampstead Terrestrial Zodiac
- The Sheffield Zodiac, South Yorkshire
There is rarely a strong scientific case for these discoveries. Their nebulous existence is in many ways similar to urban myths, ufology, or ley lines. They seem to play a part in personal belief systems; see Valentine (2016). Some are intentionally fictional; for example "The Brighton Zodiac" – created by Sally Hurst, based on the streets of that town – features as a plot device in Robert Rankin's novel The Brightonomicon.
Landscape zodiacs and psychogeography
- Ian Burrow, Somerset's Planning Department staff archeologist, concluded that "while the outlines of the effigies may be plotted today, their antiquity is illusory"
- Tom Williamson, Liz Bellamy, Ley Lines In Question, pages 162-168. (Tadworth, UK: World's Work, 1983). ISBN 0-437-19205-9
- Valentine, Mark (November 2016). "The Literature of Terrestrial Zodiacs in Britain". The Network of Ley Hunters Newsletter (compiled checklist).
- Iain Sinclair, London Orbital (Penguin Books, London, 2005), ISBN 0-14-101474-1
- Brinsley le Poer Trench(1962) Temple of the Stars
- Katherine E. Maltwood (1935) A Guide to Glastonbury's Temple of the Stars
- Peter James and Nick Thorpe (1999) Ancient Mysteries, Ballantine Books, New York, pp 298–304
- Iain Sinclair (2005) London Orbital, Penguin Books, London, ISBN 0-14-101474-1
- Mary Caine (2001) The Kingston Zodiac Capall Barn Publishing ISBN 1-86163-111-1
- Lewis Edwards, The Welsh Temple of the Zodiac (undated mimeographed pamphlet)
- John Michell (1975) The Earth Spirit - Its Ways, Shrines and Mysteries
- John Michell (1979) Simulacra - with 196 Illustrations of Faces and Figures in Nature London: Thames & Hudson
- Sheila Jeffries (1996) Cornwall's Landscape Zodiac St.Keverne:Elderberry Books
- R. Nichols (1993)Great Zodiac of Glastonbury Mandrake Press, Thame England
- Nigel Ayers (2007)The Bodmin Moor Zodiac Earthly Delights, Lostwithiel, Cornwall
- Oliver L. Reiser (1975) This Holyest Erthe: Glastonbury Zodiac and King Arthur's Avalon TRSP Publications ISBN 0-900588-10-1
- Caroline Hall Hovey (1985) The Somerset Sanctuary, Merlin Books LTD, Devon, ISBN 0-86303-197-8
- Hugh Newman (2008) Earth Grids - the Secret Patterns of Gaia's Sacred Sites Wooden Books ISBN 9781904263647
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By Ali Wazir
The past few months have transformed my life. Amid the agonies I have endured and the threats, suspicion, and accusations I face, the love, support, and respect I receive is overwhelming. Since February, when we began protesting to draw attention to the suffering of ethnic Pashtuns — among the worst victims of terrorism — I have learned a lot about the potential of ordinary Pakistanis. Their thirst for change is inspiring and heralds a peaceful, prosperous future we must build for generations to come.
As a Pashtun activist demanding security for Pakistan’s second-largest ethnic group, the most rewarding thing I have gathered is that peaceful protests and mobilization can still change societies and transform states for the better. I have learned that right trumps wrong. Pacifism overcomes violence and wars. And, ultimately, the truth prevails over lies and deception.
In a modern state, protection and welfare of all its citizens — irrespective of their caste and creed — is the first and foremost responsibility of all its institutions. This is the crux of what our organization, the Pashtun Tahafuz Movement (PTM) or Movement of the Protection of Pashtuns, has set out to achieve by articulating key demands and mobilizing masses to ensure our state fulfills its most basic responsibilities.
My personal ordeal best illustrates what prompted our demands. I was pursuing a degree in law at the turn of the century when my hometown, Wana, the headquarters of South Waziristan agency, became the epicenter of global terrorism when a host of Taliban-allied groups sought shelter in our communities. No doubt the terrorists had some individual local facilitators, but ultimately it was the state that failed to prevent them from using the territory. When my father, the chief of the Ahmadzai Wazir tribe, and other local leaders complained of their presence, government officials ignored and silenced them. Instead, Islamabad spent years denying the presence of any Afghan, Arab, or Central Asian militants.
By 2003, the militants had established a foothold in South and North Waziristan tribal agencies and were attempting to build a local emirate. My elder brother Farooq Wazir, a local political activist and youth leader, became the first victim of a long campaign in which thousands of Pashtun tribal leaders, activists, politicians, and clerics were killed with near absolute impunity. Their only crime was to question or oppose the presence of dangerous terrorists in our homeland.
In 2005, I was in prison when my father, brothers, cousins, and an uncle were killed in a single ambush. I was there because a draconian colonial-era Frontier Crimes Regulations (FCR) law holds an entire tribe or region responsible for the crimes of an individual or any alleged crime committed in the territory. I had committed no crime, never got a fair trial, and was not sentenced, yet I was prevented from participating in the funerals for my family. In the subsequent years, six more members of our extended family were assassinated. The authorities have not even investigated these crimes let alone held anyone responsible. While Pakistani leaders are keen to project the “sacrifices” their compatriots made, no one has ever sympathized with us.
We faced economic ruin after all of the notable men in our family were eliminated. The government failed to prevent the militants from demolishing our gas stations. They later used the bricks to build bathrooms, claiming we were munafiqin (hypocrites) so even the inanimate materials from our businesses were not appropriate to build proper buildings. Our apple and peach orchards in Wana were sprayed with poisonous chemicals, and our tube wells were filled with dirt to force us to surrender to the forces of darkness.
In 2016, our market in Wana was dynamited after a bomb blast there killed an army officer. While local officials admitted to me that it was an accident and we were not to blame for the incident, they nevertheless destroyed our livelihoods under the FCR. After the demolition, the government prevented the local community — mostly members of our Ahmadzai Wazir tribe — from collecting donations to help us. They were told it would set an unacceptable precedent because the government cannot let anyone help those it punishes.
During those years, I didn’t lose faith in nonviolence and remained committed to peaceful politics. This is why I ran in the parliamentary elections in 2008 and 2013. I can claim with some certainty that I won the contest in 2013, but my victory was changed into a defeat at gunpoint. I lost the election for just over 300 votes after the Taliban intimidated voters and tortured my supporters and campaign volunteers.
I am aware that since the beginning of the PTM’s campaign, our criticism is blunt and direct. We name names and are not shy to address powers that the rest of society, the media, and politicians are too scared to identify, let alone criticize. But as my suffering shows, we Pashtuns have been through hell. Just consider that tens of thousands of civilians were killed in militant attacks and military operations over the course of 15 years, and millions were displaced for years.
Amid the volcano of violence, thousands of civilians have disappeared, and thousands have fallen victim to extrajudicial killings. We are profiled as suspected terrorists across the country, face humiliation at security check posts, and our innocent civilians face violence during security sweeps and operations. As the world’s largest tribal society, the Pashtuns are known for their hospitality, commitment, and valor, yet we were falsely reduced to terrorist sympathizers despite the fact that we are their worst victims.
Now that we are protesting for change and demanding the state fulfill its most basic responsibilities, we are accused of treason and are being projected as enemies of the state. Taxpayer money is being squandered to foment and sustain a propaganda campaign. It is ironic that the institutions responsible for protecting Pakistan’s territorial integrity and protecting it from dangerous threats are bankrolling thugs to launch a Pakistan Zindabad Movement (Urdu for Long Live Pakistan Movement). Both the leaders and protesters of this movement are paid. All kinds of comical characters are having a field day at the taxpayers’ expense. It is telling that former Taliban commanders have addressed their gatherings. We also have indications that efforts are underway to mobilize sectarian terrorists and other fanatics to “counter” our peaceful campaign.
I want to reiterate, for the record, that we do not have a retrogressive or subversive agenda against Pakistan. A radical transformation of the system, society and state is required in Pakistan. We are, however, among the worst victims of terrorism in Pakistan, South Asia, and the world, and we are seeking justice for the wrongs and atrocities we have endured for so long and continue to face.
For Pakistan, the best and only way forward is to honor its own laws and constitution, which binds us in a social contract. Treating us outside these laws and constitution will only weaken the bonds that tie the country’s diverse 207 million people together. We have created a golden opportunity for Islamabad to shun its past as a security state and function as a normal country concerned with the welfare of its citizens.
We sincerely hope the saner elements of the upper echelons of power use this opportunity to exorcise our country of the demons and threats they are sworn to fight against. I know our solution is simple, but the only stable future for Pakistan is to become a nation of laws while upholding the rule of law. This is everything we seek.
Originally Published in The Diplomat, Specially re-edited by Comrade Ali Wazir for AMR Summer 2018.
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The topic is adolescent literacy and how technology can assist students in four specific areas: background knowledge and vocabulary, comprehension strategies, synergies of reading and writing, and interest and motivation. Strategies to assist struggling readers in their high school years has been a “hot” topic in the area of literacy instruction and special education research for many years. More recently, appropriate technology tools have been identified by researchers as an effective remediation practice.
Background knowledge and vocabulary-When we read, we rely heavily on our background knowledge to understand and place the content into context. Good readers integrate knowledge as they read. The authors recommend electronic references (ThinkMap visual thesaurus is a good one) and video supports (The National Library of Virtual Manipulatives) to develop this area.
Comprehension strategies-Comprehension strategies are extremely important for struggling readers and students with learning disabilities. Good readers set clear goals for reading, evaluate, question and make predictions of what’s to come in the text. Explicitly teaching these strategies will increase a student’s comprehension of the text. The authors of this article note that today’s specialized software, with text-to-speech, notetaking, bookmarking, highlighting and drafting capabilities, can assist students to become active readers. We recommend Kurtzweil by Cambium Learning Technologies or WriteOnline by Crick Software.
Synergy of Reading and Writing-In addition to assisting students with comprehension, explicit instruction is needed for writing instruction as well. The authors also mention the ability to transfer writing skills into many different genres, such as personal narrative, expository, technical, etc. Recommended technology for explicit writing instruction are spell checkers, word prediction software, graphic organizer software, and voice recognition software. inov8’s picks: Inspiration by Inspiration Software, Dragon by Nuance and WordQ by Quillsoft.
Interest and Motivation-And finally, one of the most important areas in which technology plays a huge role…without interest or motivation adolescents will not become active, engaged learners. The authors mention digital storytelling, digital project-based learning and online graphic organizers as great tools to engage learners. We agree…and we want to also add that new technologies that utilize interactivity and touchscreens are effective learning tools to support students with learning disabilities. Check out BrainPop or MyHomework on the iPad or iPod Touch to see how engaging these tools can be!
For more literacy information, tools and resources specific to adolescents, see adlit.org
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Alcohol is full of empty calories, leads to poor food choices, interferes with decision making, and disrupts the way the body processes nutrients.
If you opt to drink alcohol, drink responsibly.
Many people enjoy an occasional drink at the end of the day. But alcoholic drinks provide significant extra calories and increase the risk of health problems; therefore, minimal use is the better approach. For those who choose to drink but want a healthy lifestyle, the evidence is clear: alcohol is not your friend.
Calories in alcohol
If someone has an occasional glass of wine, beer or drink, the calories don’t matter that much. But if someone drinks to the extent that the calories do matter, then that is a problem and not a healthy lifestyle.
The exact number of calories in an alcoholic beverage can vary by type, brand, ingredients, and portion size. Here are some estimates (and don’t forget to take into account any additional calories added from mixers such as juice, soda, and tonic, cream, coconut cream, and other sweeteners):
•12-ounce beer = 150 calories
•5-ounce glass of wine =120 calories
•7-ounce rum and cola = 155 calories
•Cocktails can contain 300-900 calories per drink!
Alcohol calories are generally considered empty of nutrition. If you’re limiting your calories, it’s especially important to make sure any caloric intake fuels your body in nourishing ways. If you’re tempted to skip a meal to make room for the extra alcohol calories, don’t. Not only are you robbing your body of important nutrients, this method can backfire and lead to alcohol-induced overeating.
According to the Centers for Disease Control and Prevention (CDC), the average alcohol intake by an adult American is 100 calories per day. In general, men consume more alcohol calories than women, and younger adults more than older ones.
Less than modest drinking, or excessive drinking, can set you back hundreds of calories daily, and involves many risks to your overall health. Even a few drinks a week is linked with increased risk of several cancers.
Alcohol interferes with decision making
If you feel like overeating after drinking alcohol, you’re not alone. It’s a common reaction. Unfortunately, when our inhibitions are loosened by alcohol and we give in to those tipsy cravings, it becomes a time that we make poor food choices and overeat.
One research study, based on the drinking and eating habits of college freshman, shows that nearly half of moderate drinkers reported overeating and making unhealthy food choices after drinking, and demonstrated significant increases in body mass index (BMI), an indicator of body weight. Another study concludes that alcohol’s effect on one’s self-control leads to overeating and making poor food choices. Clearly, this situation isn’t complementary to a healthy lifestyle.
Tips for responsible drinking:
Drinking in moderation is key, if you drink at all (daily limit: 2 drinks for men, 1 drink for women). But the limit of one or two drinks per day is not permission to drink that much. There is no safe level of alcohol consumption recommended.
Eat a healthy meal before drinking.
Hydration is important, and it is easy to become dehydrated while drinking. Drink a large glass of water after every drink; or better yet, have sparkling or soda water with a twist and skip the alcohol.
Avoid high-calorie, sugar-laced mixed drinks. Cocktails with lots of cream and sugars are very high in calories, not good for us, and should be limited. Sugar and cream (fat) in mixed drinks add more calories than the alcohol. The alcohol is toxic to the body, and the sugars and fat add around 200-800 calories per drink to the 100 calories in 1.5 ounces of liquor.
Make healthier snack choices like veggies rather than common bar food and other snacks.
Plan your post-alcohol meal before you drink.
Get regular exercise as part of a healthy lifestyle.
When people drink to the extent that it is a calorie or weight issue, they are drinking too much for good health.
Finally, please review these warning signs and know how to recognize that you or someone you know may have an alcohol use problem. Talk to your doctor about the effects your drinking habits may have on your health. You can find a Providence provider here.
This information is not intended as a substitute for professional medical care. Always follow your health care professional's instructions
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First of all, I think McLuhan is brilliant. I love the way he effortly brings together seemingly disparate references like Greek antiquity to Shakespeare to pop culture to make his arguments. He has been on my “to read” list for a long time now, but I never got around to it until it was assigned for Comm Lab.
It is important to note that the subtitle of Understanding Media is “The Extensions of Man”. For McLuhan, media are not simply forms of communication such as TV, radio, newspapers, etc., but but any technology that extends the human body or mind. Clothing, cars, houses, are all media according to this broad definition. McLuhan gives an example of axes as media. When metal axes were introduced to an aboriginal community in Austrialia that previously only had stone tools, the entire patriarchal social order was disrupted.
This brings us to another point that media are agents of change. By extending the human body – the senses and the mind – media have both a prosthetic and an amputational effect. In encountering new media, we both gain and lose something.
McLuhan divides media into high definition/low definition, hot and cool. High definition is hot. It gives a lot of information and requires little interaction from the user. Low definition is cool. It provides little information and requires the user to make an effort to fill in the gaps. For example, the telephone is cool, while the radio is hot. Television is cool, while movies are hot.
Of course we need to talk about McLuhan’s famous aphorism, “The medium is the message.” I’m still trying to grapple with the full meaning of the phrase since I haven’t gotten through the whole book yet. But from what I understand, McLuhan seems to be saying that there is an inherent message embedded in media themselves, that transcends the explicit message transmitted by the media, and creates social change over time. If we return to the metal ax example, we could infer that the metal axes were not just about cutting things, but that their introduction to a stone age society represented a message of social upheaval that turned the hierachical order upside down.
Here is another quote that really resonated with me (page 31 of the Critical Edition of Understanding Media, edited by W. Terrence Gordon, 2003):
The effects of technology do not occur at the level of opinions or concepts, but alter sense ratios or patterns of perception steadily and without any resistance. The serious artist is the only person able to encounter technology with impunity, just because he is an expert aware of the changes in sense perception.
The mixing of art and technology – hmm, sounds just like ITP! It seems that the work we do here all relates to putting McLuhan’s theories into practice. Not that I presume to be a “serious artist,” although I certainly aspire to be one.
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The history of boxer dogs
As with most other pure breeds, the boxer dog’s history is covered in some uncertainty and small inaccuracies. Although not the oldest of breeds, the boxers have soon managed to spread all around the world, becoming one of the most popular family dogs of our times, as well as an appreciated working dog. But let’s go back a few hundred years and see where the history of the boxer dog starts.
By the 1800’s, Belgians had raised a new breed of dogs called the Brabanter Bullenbeisser, which were trained to become hunting dogs, even while they were still puppies. Descriptions of the Brabanter Bullenbeisser show that it was a strong dog, with a solid constitution, but one that did not lack the ability required for a hunting dog.
Elite nobleman from Germany soon heard of this specialized hunting dog and started bringing them in their country and raising them for the same purpose. Because the long wild boar chases through the woods of Germany would often end up with injuries to the hunting dog’s flapping ears, most owners would have their dogs’ ears shortened.
A few decades in the 19th century, at roughly 1830, the Brabanter Bullenbeisser was supposedly cross-bred with an English Bulldog in Germany, which could very well prove to be the breed’s birth certificate. This is practically the starting point for the history of the boxer dog, since the Brabanter Bullenbeisser didn’t hold all of the new breed’s characteristics.
The boxer’s traits are indeed predominantly taken from the Bullenbeisser, but the physiognomy and personality of the new breed was closer to the English bulldog than to the fierce Belgian hunting dog. Still, having such an aggressive parent in the Brabanter Bullenbeisser, boxers can easily adapt to being aggressive themselves, making them better guard and police dogs.
Although an extremely appreciated canine at that time, the boxer wasn’t really popular until late in the 1860s. That’s when the history of the boxer dog really took a step forward, with the development of the German Boxer Klub, an organization that focused on breeding boxers and setting standards to how a pure boxer should look like. Late in the century, in roughly 1895, the German Boxer Klub had finished these standards and the only boxers being accepted as pure, were white boxers.
These rules were quite strict and boxers that were different in color could not enter shows, or be used in boxer tournaments. However, by 1930 the boxer had started being used in police work and it was considered that white is not an appropriate color for a police dog, since it needed to be stealthier in many occasions. The rules were changed to standards that were less tight in what regarded the dog’s color and non-white boxers became increasingly common.
By 1915 the boxer entered the United States and entered a relative cone of mediocrity until 1950. This is when the history of the boxer reached its apogee, with the breed keeping the headlines of most specialized newspapers and with boxers winning several athletic and beauty contests.
One particular boxer, called Bang Away, should not miss from any interpretation of the history of boxers. Born to Sirrah Crest, Bang Away had an impressive “career”, winning the Westminster “Best in Show” award for several years, as well as numerous other contests of the time (over 120 wins in contests).
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Please help by correcting and extending the Wiki pages.
% ontogetdown edam:0000850 Get ontology term(s) by parent id Obo output file [0000850.obo]:
Go to the input files for this example
Go to the output files for this example
Get ontology term(s) by parent id Version: EMBOSS:22.214.171.124 Standard (Mandatory) qualifiers: [-oboterms] obo Obo term filename and optional format, or reference (input query) [-outfile] outobo [*.ontogetdown] Output ontology term file name Additional (Optional) qualifiers: -obsolete boolean [N] The default behaviour is to not use or return obsolete terms. This option if set will include all terms. Advanced (Unprompted) qualifiers: (none) Associated qualifiers: "-oboterms" associated qualifiers -iformat1 string Input obo format -idbname1 string User-provided database name "-outfile" associated qualifiers -odirectory2 string Output directory -oformat2 string Ontology term output format General qualifiers: -auto boolean Turn off prompts -stdout boolean Write first file to standard output -filter boolean Read first file from standard input, write first file to standard output -options boolean Prompt for standard and additional values -debug boolean Write debug output to program.dbg -verbose boolean Report some/full command line options -help boolean Report command line options and exit. More information on associated and general qualifiers can be found with -help -verbose -warning boolean Report warnings -error boolean Report errors -fatal boolean Report fatal errors -die boolean Report dying program messages -version boolean Report version number and exit
|Standard (Mandatory) qualifiers|
|obo||Obo term filename and optional format, or reference (input query)||OBO bio-ontology term(s)|
|outobo||Output ontology term file name||OBO ontology term(s)||<*>.ontogetdown|
|Additional (Optional) qualifiers|
|-obsolete||boolean||The default behaviour is to not use or return obsolete terms. This option if set will include all terms.||Boolean value Yes/No||No|
|Advanced (Unprompted) qualifiers|
|"-oboterms" associated obo qualifiers|
|string||Input obo format||Any string|
|string||User-provided database name||Any string|
|"-outfile" associated outobo qualifiers|
|string||Output directory||Any string|
|string||Ontology term output format||Any string|
|-auto||boolean||Turn off prompts||Boolean value Yes/No||N|
|-stdout||boolean||Write first file to standard output||Boolean value Yes/No||N|
|-filter||boolean||Read first file from standard input, write first file to standard output||Boolean value Yes/No||N|
|-options||boolean||Prompt for standard and additional values||Boolean value Yes/No||N|
|-debug||boolean||Write debug output to program.dbg||Boolean value Yes/No||N|
|-verbose||boolean||Report some/full command line options||Boolean value Yes/No||Y|
|-help||boolean||Report command line options and exit. More information on associated and general qualifiers can be found with -help -verbose||Boolean value Yes/No||N|
|-warning||boolean||Report warnings||Boolean value Yes/No||Y|
|-error||boolean||Report errors||Boolean value Yes/No||Y|
|-fatal||boolean||Report fatal errors||Boolean value Yes/No||Y|
|-die||boolean||Report dying program messages||Boolean value Yes/No||Y|
|-version||boolean||Report version number and exit||Boolean value Yes/No||N|
The input is a standard EMBOSS ontology query.
The major ontology sources defined as standard in EMBOSS installations are EDAM, GO (gene Ontology) and SO (Sequence Ontology).
Data can also be read from ontology output in "obo" format written by an EMBOSS application.
[Term] id: EDAM:0000850 name: Sequence set namespace: data def: A collection of multiple molecular sequences and associated metadata that do not (typically) correspond to molecular sequence database records or entries and which (typically) are derived from some analytical method. comment: This term may be used for arbitrary sequence sets and associated data arising from processing. subset: data is_a: EDAM:0002955 ! Sequence report
The output is a standard EMBOSS ontology term file.
The results can be output in one of several styles by using the command-line qualifier -oformat xxx, where 'xxx' is replaced by the name of the required format. The available format names are: obo, brief, list, html, xml, json, excel.
See: http://emboss.sf.net/docs/themes/OntologyFormats.html for further information on ontology formats.
[Term] id: EDAM:0001234 name: Sequence set (nucleic acid) namespace: data def: Any collection of multiple nucleotide sequences and associated metadata that do not (typically) correspond to common sequence database records or database entries. subset: data is_a: EDAM:0000850 ! Sequence set is_a: EDAM:0002977 ! Nucleic acid sequence [Term] id: EDAM:0001233 name: Sequence set (protein) namespace: data def: Any collection of multiple protein sequences and associated metadata that do not (typically) correspond to common sequence database records or database entries. subset: data is_a: EDAM:0000850 ! Sequence set [Term] id: EDAM:0001235 name: Sequence cluster namespace: data def: A set of sequences that have been clustered or otherwise classified as belonging to a group including (typically) sequence cluster information. comment: The cluster might include sequences identifiers, short descriptions, alignment and summary information. subset: data is_a: EDAM:0000850 ! Sequence set relationship: in_topic EDAM:0000164 ! Sequence clustering relationship: in_topic EDAM:0000724 ! Protein families [Term] id: EDAM:0002245 name: Sequence set (bootstrapped) namespace: data def: A collection of sequences output from a bootstrapping (resampling) procedure. comment: Bootstrapping is often performed in phylogenetic analysis. subset: data is_a: EDAM:0000850 ! Sequence set
|edamdef||Find EDAM ontology terms by definition|
|edamhasinput||Find EDAM ontology terms by has_input relation|
|edamhasoutput||Find EDAM ontology terms by has_output relation|
|edamisformat||Find EDAM ontology terms by is_format_of relation|
|edamisid||Find EDAM ontology terms by is_identifier_of relation|
|edamname||Find EDAM ontology terms by name|
|godef||Find GO ontology terms by definition|
|goname||Find GO ontology terms by name|
|ontocount||Count ontology term(s)|
|ontoget||Get ontology term(s)|
|ontogetcommon||Get common ancestor for terms|
|ontogetobsolete||Get ontology ontology terms|
|ontogetroot||Get ontology root terms by child identifier|
|ontogetsibs||Get ontology term(s) by id with common parent|
|ontogetup||Get ontology term(s) by id of child|
|ontoisobsolete||Report whether an ontology term id is obsolete|
|ontotext||Get ontology term(s) original full text|
Please report all bugs to the EMBOSS bug team (emboss-bug © emboss.open-bio.org) not to the original author.
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Doesn’t this look like social justice?
A jeweler kills an escaping robber in Nice, and ignites a debate about how to handle crime in France.
Theodore Dalrymple writes: “Revenge is a kind of wild justice,” said Francis Bacon, “which the more a man’s heart runs to, the more ought law to weed it out.” But what if that law, far from weeding it out, fertilizes and irrigates it by excessive leniency towards criminals?
In France the current minister of justice, Christiane Taubira, is determined to reduce the number of law-breakers sentenced to imprisonment, despite a recent steep rise in burglaries. By no means does all of the French public approve. Many want severe and unequivocal punishment of criminals, in the absence of which they approve—with varying degrees of reluctance or enthusiasm—of victims taking the law into their own hands.
This was illustrated to perfection recently in the case of Stéphan Turk in Nice. Just over…
View original post 818 more words
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Mark Madrid is a champion of Latino business
By Ana Radelat
Mark Madrid grew up in Friona, a small town in the Texas panhandle with a population of about 4,000. His parents were migrant workers who picked cotton, but now he is the CEO of the Latino Business Action Network (LBAN), a national nonprofit collaborating with Stanford University to boost Latino-owned businesses. Thousands of Latino entrepreneurs have benefitted from LBAN and Madrid’s tenacity and insight. “It’s been a journey, it’s been a journey,” he admitted.
Madrid, 48, learned the business of business by witnessing the transformation of his father, the son of Mexican immigrants who were also farmworkers. “My dad ended up pursuing entrepreneurship in his own right,” he said. “He opened his own welding service, which he owned for decades.” Madrid learned a hard lesson from his father who struggled for capital and suffered from a lack of social networks, as many Latino businessowners do today. “I can’t think of anything that is more honorable, that means more, than to serve small business owners like my father,” he said.
His zeal for entrepreneurship is a calling, and he thinks the drive to start a business is “in the DNA” of the Latino community. This passion is also ignited by a jarring disparity in the business world.
Madrid cites a Stanford Latino Entrepreneurship Initiative research report released this year. The report says the number of Latino business owners in the United States continues to grow significantly faster than the U.S. average. Over the past 10 years, the number of Latino business owners grew 34%, compared to 1% for all business owners in the U.S.
But there’s a catch. Latino-owned companies tend to remain smaller than non-Hispanic, white-owned firms, raking in average revenue of $1.2 million per year for those with paid employees. Meanwhile, non-Latino owned firms average annual revenues of about $2.3 million, double what Latino-owned firms take in.
Interviewed by LATINO at the height of the coronavirus crisis, Madrid said he was working to ensure Latino businesses did not get short-changed in stimulus programs that provided billions of dollars to small businesses, including the Paycheck Protection Program, an SBA forgivable loan program. “We’ve been left out before,” Madrid said, citing the federal government’s stimulus efforts during the last recession. “We want to right that ship, but it’s going to be a battle. It’s going to take every one of us working together to make sure that doesn’t happen again.”
Madrid admits his own shot at entrepreneurship failed. While he was working his way through college, the physical fitness buff and avid runner tried to start a personal training business. “Frankly, I failed. I failed at business,” he said. “It was a lot tougher than I imagined.” Yet he developed “good scars” from the experience. “I understood that undertaking a business means taking on managed risk and accessing external capital,” he recalls.
A graduate of the business school at the University of Texas at Austin, Madrid began his career on Wall Street, with JP Morgan. That banking career took off -- and it eventually brought him back home to Texas. “I was close to my childhood dream of becoming president of a bank,” he said. “I was one rung away from that.” But everything fell apart when the nation plummeted into the Great Recession of 2008, and Madrid said he was tasked to “take a lead role in closing the bank. … I was actually the one who handed the keys to the landlord.”
Out of a job, Madrid then volunteered at the Houston Hispanic Chamber of Commerce and eventually became its first-ever chief operating officer. That was a springboard for Madrid to move to Austin and become CEO of its transformed Hispanic chamber. The affable Madrid is a relentless architect and builder, which led to an invitation to head west to Silicon Valley and helm LBAN in a national leadership role.
LBAN funds research on Latino businesses and education-impact programs through a unique collaboration with the Stanford University called the Stanford Latino Entrepreneurship Initiative. Notably, Stanford Graduate School of Business Executive Education and LBAN produce the Stanford Latino Entrepreneurship Initiative Education-Scaling Program, an initiative that educates and mentors Latino businessowners who generate at least $1 million in annual gross revenue or have raised $500,000 in external capital. Madrid said 584 business owners have gone through the program over its four-year life. The entrepreneurs take an online, eight -week course and are mentored by a successful executive. They start their experience and graduate at Stanford Graduate School of Business.
Elizabeth Alegria, 39, a psychoanalyst and owner of two clinics in Texas was among those who graduated from the program last year. Growing up in what she calls an “ethnic enclave,” a colonia in south Texas, Alegria attended Columbia University to become a psychoanalyst, but learned little about the business world. Nevertheless, her practice grew at her Austin clinic and she opened a second facility in Round Rock. She’s looking to develop a third in Houston.
Alegria wanted to learn how to scale her growing business – which means how to handle an increase in sales, work, or output in a cost-effective, reasonable manner. “I wanted to learn about the scaling formula and I wanted to connect with a large network,” Alegria said. “Sometimes the process of entrepreneurship is very isolating.”
Although she does not need to raise capital right now, Alegria said the LBAN “kickoff” event for every new cohort includes a dinner with program alumni – as well as angel investors and bankers. She was assigned a mentor who owned a large range of businesses, including psychology, finance and real estate interests. Those mentors are “world class,” Madrid said.
Pat Martinez is one of them. President of a Charlotte-based management consulting firm called Leadership in the Clouds, Martinez has mentored 10 of the entrepreneurs in the LBAN program. She joined the program after someone she knew who was serving as a LBAN mentor phoned her and said “Pat, I know you would be a great mentor. I know you are interested in paying it forward.”
Of Madrid, Martinez said “his energy is infectious, his leadership is spot on.”
A tenet of the program, promoted by Madrid, is for the graduates of the Stanford scaling program to “do business with each other and get business for each other.” And if a mentor does not have an answer to something, they find someone within the system who does, Martinez said.
A Puerto Rican from New York, Martinez said she had to reinvent herself when she moved south because of her husband’s job. That taught her lessons she is now sharing with others, including how to put your foot in the door. “If they don’t let you in the front door, you find the side door, the back door, you find another entry way,” she said.
Martinez said she spends at least 90 minutes on the phone each week with whomever she mentors, and those Latino entrepreneurs have included restaurant and construction company owners as well as a founder of a nonprofit. “The end result is that you are helping someone scale up,” she said.
Friends and colleagues soon realize Madrid is a complex individual as well as a Type A super achiever. “He divulges a little piece of himself each time we talk,” Martinez said. Beside his work at LBAN, Madrid is an Honorary Colonel of the U.S. Army, founding member of the Silicon Valley Business Journal Leadership Trust, and member of the Forbes Nonprofit Council. Despite his hectic schedule, he devotes time to Latino student groups and generously mentors many young people. This inspired the Mark L. Madrid Scholarship, awarded to Latino and Latina college students who major in business at the University of Texas at Austin, the University of Notre Dame, and Texas State University. The San Francisco Business Times named Madrid one of ten OUTstanding Voices in the Bay Area for his advocacy for a safer, more inclusive space for LGBTQ employees and the United States Hispanic Chamber of Commerce named him the 2017 LGBT Advocate of the Year.
Madrid said Latinos are drawn to entrepreneurship because they have ganas, “and are resilient as hell.”
While Latino businesses are central to the nation’s economy, once again there’s a disparity. The Stanford Latino Entrepreneurship Initiative report states that, collectively, Latino-owned companies that employ others generated about $470 billion in revenue and employed over 3.2 million people in 2016. Taken as a whole, U.S. business owners enjoy better financial well-being than wage earners. However, the report found, this advantage does not exist in the Latino population, where wage earners have slightly higher financial well-being than entrepreneurs, even though they have lower incomes and home ownership rates. That’s because these advantages are offset by lack of health insurance coverage.
Only 63% of Latino business owners have health insurance, the lowest rate of coverage of any demographic group. “This leaves a significant portion of Latino entrepreneurs, and their families, at risk of a potentially debilitating financial outcome in the event of a healthcare crisis,” according to the report.
So, there’s plenty of work to be done, and Madrid is ready to do it. Despite the coronavirus’s blow to Latino entrepreneurs, Madrid maintains his trademark optimism. “Even in this pandemic we will graduate the 9th and 10th cohorts in 2020!” he exclaimed. “It will be a historic and legendary achievement. It is bold and resilient testament to our Board of Directors, chaired by Victor Arias with Professor Jerry Porras serving as Chairman Emeritus and the most dynamic team, Jennifer Garcia and Elian Savodivker, in the country. At the beginning and end of the day, our priorities and energies are laser focused on who we serve, U.S. Latino and Latina entrepreneurs. It is the highest honor imaginable.”
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“Oh, my aching ankle.” That’s a common refrain, some version of which we hear frequently at Essex Union Podiatry. Ankles are the source of some of the most common bone and joint injuries. While there are a variety of causes, and subsequently a variety of treatment solutions, it is crucial to understand two important sources of ankle pain: a sprain or a break (or fracture).
How common are these injuries? More than a million people head to the emergency room every year with ankle injuries, and for 25,000 people a day, they are ankle sprains. And ankle fractures are numbered at approximately 187 annually for every 100,000 people, a number that is on the rise.
Sprains and breaks can occur in a variety of ways—from stepping awkwardly off a curb or falling, and increasingly, from all levels of fitness and sports activities.
Sprain Versus Break
These two injuries can result in similar symptoms and can be hard for people to differentiate. It is important to understand the differences.
The ankle joint is made up of bones, muscles, cartilage, ligaments and tendons. An ankle sprain occurs when the ligaments, a strong band of tissue that support and stabilize the ankle bones, are stretched or torn. This happens when the ankle is moved in awkwardly with a twist, turn or roll.
A sprained ankle is an injury that occurs when you roll, twist or turn your ankle in an awkward way. This can stretch or tear the tough bands of tissue (ligaments) that help hold your ankle bones together.
Lateral ligament sprain-This is the most common ankle sprain, one which causes a throbbing pain on the outside of the ankle. This sprain may also cause swelling and bruising. With a tear, you may also have a distinct feeling of the joint giving out.
Medial and high ankle sprains-These are less frequent that lateral ligament sprains and usually occur if the ankle rolls outward. Pain is present on the inside of the ankle. If the foot rotates out in relation to the leg, it can cause a high ankle sprain (commonly seen in football players), characterized by pain above the ankle.
Symptoms of an Ankle Sprain
- Discolored skin
- Inability to bear weight
- Tender to the touch
An ankle fracture occurs when one or more of the related bones is broken. These include the lower leg bones
- Fibula—smaller bone of the lower leg, sometimes referred to as the calf bone
- Talus—foot bones
The injury can range from a simple, single break, to fractures of several bones at once. While you may still be able to walk on a single fracture, multiple fractures—which may also include ligament damage—may prevent you from walking, and require no weight bearing for several months to heal. People often have misconceptions about ankle fractures that can impede treatment and healing.
Symptoms of an Ankle Fracture
Depending on the severity of the break(s), you may experience:
- Ankle deformity
- Inability to bear weight
- Immediate, severe pain
- Tenderness to the touch
If pain is severe or prolonged (beyond five to seven days), your first step should be medical care. While a mild sprain can heal with self-treatment (see R.I.C.E. below), if symptoms persist you should seek medical care. In addition, sprains can be tricky, as weakened ligaments tend to result in vulnerability to future injury or problems, such as ankle instability.
A visit to a physician for ankle injury begins with the doctor taking a medical history and doing a physical exam of the injured area. Before ordering an imaging test, healthcare practitioners may use a set of diagnostic guidelines called the Ottawa Ankle Rules to determine if an X-ray is necessary. Tests for sprains or breaks may include:
- X-ray stress test
- CT (computed tomography) scan
- MRI (magnetic resonance imaging)
Doctors will usually start with an X-ray, because these types of imaging tests are particularly useful in diagnosing (or ruling out) fractures. The calcium in bone absorbs the X-rays, making bone stand out on the image. Fractures can often be seen clearly on an X-ray. If the X-ray shows no fracture or proves inconclusive, other imaging tests may be used.
The primary remedy for ankle injury is the classic R.I.C.E. This stands for rest, ice, compression, elevation. In addition, over-the-counter anti-inflammatories can be used if they do not conflict with other medications you may be taking. In addition to R.I.C.E. and anti-inflammatories, a sprain may be treated by:
- Keeping weight off with the use of crutches
- Elastic bandages
Depending on type and severity, a fracture may be treated by:
- Immobilization—requiring a cast, brace, boot or stiff-soled shoe
- Reduction—used to manipulate misplaced bones back into proper position
- Surgery—in the case of a severe fracture(s) and/or ankle instability, surgery may be performed. This includes the use of instrumentation (pins, screws, plates) to properly position bones for healing. These implements may or may not be removed.
If you experience an ankle injury, request an appointment with an Essex Union Podiatry specialist. We have decades of combined experience diagnosing the type of injury (sprain or break), and we will tailor a treatment plan for you as well as provide education on preventive measures to hopefully keep these injuries from recurring.
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Address Albany America Amsterdam boards Boston British called Canada Catalogue Charles Church City cloth Collection Colonies Columbus containing copy Description Discovery Dutch early edition England English engraved extra folio France French George gilt edges Gospel half calf half green mor half mor half red mor Henry History Illustrated Indians Indies interesting Island James Jersey John Journal King known land Language late leaves Letters Library London manuscript Memoirs Mexico Narrative Natural Netherland North America Notes notices numerous old calf original Paris Pennsylvania Philadelphia plates Portrait present printed Progress Province Public published rare relating remarkable reprinted River royal 8vo SAMUEL says scarce settlement sewed sheep Sketches Society South Spanish Thomas tion top edge gilt top gilt Tracts Translated Travels uncut United vellum View Virginia vols volume Voyages West World written York
Page 210 - New England's Memorial ; or, A brief relation of the most memorable and remarkable passages of the providence of God, manifested to the planters of New- England in America ; with special reference to the first colony thereof, called NewPlimouth.
Page 117 - Holy Bible: containing the Old Testament and the New. Translated into the Indian Language and ordered to be printed by the Commissioners of the United Colonies in New England, at the charge, and with the consent of the Corporation in England for the Propagation of the Gospel amongst the Indians in New England.
Page 88 - States, and the Constitutions of the several states comprising the Union. pp. 409. 12° boards, uncut. Washington, 1820 856 CONSTITUTIONS (The) of the several Independent States of America; the Declaration of Independence; the Articles of Confederation between the said States; the Treaties between His Most Christian Majesty and the United States of America.
Page 283 - Northwest regi-|ons, &c. 1577. worthily atchie-|ued by Capteine Frobisher of | the sayde voyage the first | finder and Ge-|nerall. | With a description of the people | there inhabiting, and other | circumstances | notable. | Written by Dionyse Settle, one of | the companie in the sayde voy-|age, and seruant to the Right | Honourable the Earle | of Cumberland.
Page 113 - Geographical, Historical, Political, Philosophical and Mechanical Essays. The First, containing an Analysis of a General Map of the Middle British Colonies in America...
Page 79 - England ; shewing to you that are now in authority, the unjust Paths that your Predecessors walked in, and of the Lord's Dealings with them in his severe judgments, for persecuting his Saints and Children.
Page 13 - The Original and Growth of Printing, collected out of History and the Records of this kingdome ; wherein is also demonstrated, that Printing appertaineth to the Prerogative Royal, and is a Flower of the Crown of England.
Page 333 - mend his Native Country, lamentably tattered, both in the upper-Leather and sole, with all the honest stitches he can take. And as willing never to bee paid for his work, by Old English wonted pay. It is his Trade to patch all the year long, gratis. Therefore I pray Gentlemen keep your purses.
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Native mass spectrometry involves transferring large biomolecular complexes into the gas phase, enabling the characterization of their composition and stoichiometry. However, the overlap in distributions created by residual solvation, ionic adducts, and post-translational modifications creates a high degree of complexity that typically goes unresolved at masses above ∼150 kDa. Therefore, native mass spectrometry would greatly benefit from higher resolution approaches for intact proteins and their complexes. By recording mass spectra of individual ions via charge detection mass spectrometry, we report isotopic resolution for pyruvate kinase (232 kDa) and β-galactosidase (466 kDa), extending the limits of isotopic resolution for high mass and high m/z by >2.5-fold and >1.6-fold, respectively.
ASJC Scopus subject areas
- Analytical Chemistry
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In Ancient Greece, women were considered a different species from men because of how different they were in their bodies and virtues. And as much as civil rights have changed, there are still many mysteries regarding the female body. We are taking every chance we can to show you new facts and studies about a large part of our population, and some of them might surprise even the most knowledgeable of people. Here are 10 Weird Things That Happen In a Woman Body.
1. Morning sickness is good for future moms
Scientists from the University of Colorado have found that morning sickness during pregnancy is actually a coping mechanism, helping the fetus to avoid toxins from fish, meat, and poultry the mother consumes. Also, if you get morning sickness, it could be a sign of a strong baby since according to the Quantity Review of Biology, women who have morning sickness have considerably lower chances of miscarrying.
2. Women are really good at hearing high-pitch
From a very young age, women can recognize really high-pitched noises. A 1-week-old girl can already tell her mother’s voice apart from the crying of a different baby. This skill can be useful in not only taking care of a baby but also in hearing when people lie to you — women can catch the slightest change in the pitch of a voice caused by lying and can call people out on it.
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Data mining can be defined as a form of back-office support services. And they are offered by many data mining companies to analyze data that is being harvested from various sources. This data is then amalgamated to perform useful tasks.
Data mining is necessary since businesses are in the need of developing strategies that will help them to follow market trends and thereby enable them to grow and perform well. The data mining process can be considered as the actual retrieving process of informative and essential data. This retrieving will go a long way in analyzing the business perspectives and further generate better interests. It does that by cutting operating costs, developing more revenue, and also acquiring valuable data on a variety of business service products.
Data Mining Process
The data mining process can be regarded as a powerful analytical tool that allows the user to customize a wide range of data contained in a number of formats and categories based on the need.
In fact, web data mining is an integral part of the business plan for large companies that need to undertake diverse research that is based on customer building process. The data mining process is usually undertaken by skilled experts in the data management industry who are able to assist companies to accelerate their growth by undertaking critical business activities. Data mining and management services, with their vast applicability in the present business operations, help businesses in predicting and understanding valuable information. Some of them include:
It is possible that not all customers are potential customers. By searching and mining over a database of customer profiles, it is possible to determine their potential customers whom you can engage with.
Customer Buying Behavior
This is a process of determining the products that are purchased together with a given product.
Customer Buying Trends
It is important to determine the seasons and times when customers make purchases.
This is the overall performance of a given industry. It is important to know where such an industry is heading to.
The Benefits Associated with Web Data Mining Process:
Understanding Customer Needs. By understanding the customer requirements it is possible for a business to have efficient planning of its distribution and production of goods and services.
Minimize Risk and Improve ROI. Through data mining, it is possible to reduce costs and losses that may be resulting from fraudulent transactions. It is also possible to determine ineffective marketing campaigns and thus avoid them.
More Business Generation. Data mining helps a business to focus on relevant market and business goals. By doing so, it is possible to realize growth and improve revenue.
Risk-free Outsourcing. With the emergence of companies that are specializing in data mining, web scraping, and other data management services, you are assured of timely and accurate data. This means that you are only paying for relevant data.
Provision of data to business analysis. The data mining process ensures that data experts and managers have the most accurate data to make decisions that affect a business. For instance, data experts are able to make sound decisions about various marketing campaigns or business operations.
- Business Intelligence Vs Data Analytics: What’s the Difference? - December 10, 2020
- Effective Ways Data Analytics Helps Improve Business Growth - July 28, 2020
- How the Automotive Industry is Benefitting From Web Scraping - July 23, 2020
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Amazing Facts about Dolphins!
Dolphins have the longest memory in the animal kingdom.
Dolphins Recognize and Admire Themselves in Mirrors.
There are 40 extant species of dolphins.
The U.S. Navy has 75 trained dolphins to detect enemy swimmers and underwater mines.
The average lifespan of a dolphin is 15 years. However, some of them lived for 50 years.
Dolphins sleep with one eye open.
Only one-half of a dolphin’s brain goes to sleep at a time.
Dolphins can communicate with one another over a telephone, and appear to know who they are talking to.
Dolphins and whales give birth with the tail first instead of the head.
Male dolphins are called “bulls”, and females “cows”.
A 2-headed dolphin was discovered on a beach in Turkey in 2014.
Killer Whales are actually dolphins, not whales.
Dolphin copulation happens belly to belly.
A dolphin’s stomach is compartmentalized for rapid digestion.
The wolphin is the result of the union of a bottlenose dolphin and a false killer whale.
A study indicates that dolphins talk to each other in sentences.
Dolphins shed the top layer of their skin every two hours.
Dolphin meat is consumed in Japan and Peru.
Infanticide has been observed in bottlenose dolphins.
There are albino bottlenose dolphins.
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On the eve of Berlin’s Christopher Street Day, hundreds of lesbians and their supporters took part in a rally against hatred and for equality. The participating ‘dykes’ wanted to increase their visibility in the LGBTIQ community.
Berlin, July 22nd, 2022 (The Berlin Spectator) — Hundreds of lesbians and other protesters appeared at Platz der Luftbrücke (Airlift Square) exactly 18 hours before Berlin’s Christopher Street Day parade was scheduled to begin. Within the LGBTIQ community, gay men were dominant, for several reasons, a participant of the Dyke March told The Berlin Spectator on site. This was why lesbians wanted their own event, in addition to the CSD parade, she explained.
Presence and Visibility
“For years now, thousands of dykes and their supporters have taken to the streets to celebrate lesbian presence in the LGBTQI community and to increase their visibility”, the organizers said before this year’s Dyke March commenced in Berlin. “We take a stand against hatred and violence and fight for equality, both within our communities and in society in general”, a statement read.
Before 6:00 p.m., the police blocked motorized traffic at the intersection of Tempdelhofer Damm, Columbiadamm, Dudenstrasse and Mehringdamm. From this starting point, the crowd moved towards Hermannplatz square, Sonnenallee and Treptower Park. At a club located there, a party was going to take place after the parade.
Protest on Motorcycles
Dykes on bikes, a group of lesbians on motorcycles, were part of the protest too. At some point, they separated from the walking protesters and staged they own rally. Both parades attracted a lot of attention. Passers-by stopped and looked at the women and their supporters of all genders. From their balconies, residents in Berlin’s Kreuzberg borough followed the action as well.
An incident slowed down the Dyke March at the beginning. As it turns out, there is a conflict within the lesbian community. A group of young women who oppose the inclusion of transsexual individuals with male sexual organs in the community tried to head the parade with their signs. But they were not the ones who registered the event. It took the police a while to talk them into making room for the actual parade by getting out of the way.
Around the Dyke March Berlin, traffic was tight. Hundreds of motorists were stuck on Mehringdamm when the parade commenced. Along the entire route, Berlin’s Friday evening traffic was affected. While the organizers of the Dyke March were hoping for 5,000 participants, half a million people were expected to join Berlin’s CSD parade on Saturday, July 23rd, 2022.
By the way: Subscribing to the The Berlin Spectator‘s newsletter is easy. You can do so right here:
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Security : Password : Password Manager : Enterprise
Accounts Open to Attack
Lieberman Software survey reveals security professionals don’t practice what they preach when it comes to passwords
IT security professionals are gambling with the security of their organizations by failing to update important service and process account passwords on a regular basis, with almost 15 percent admitting to either never updating passwords or only updating them annually, a survey from Lieberman Software Corporation revealed.
The company’s 2014 Information Security Survey which was carried out at a major global IT security event earlier this year, studied the attitudes of nearly 280 IT security professionals and also revealed that nine percent of organizations update their service and process account passwords on a six monthly basis, 53 percent update them on a quarterly basis, 21 percent update them on a monthly basis and only 1.5 percent update them on a daily basis.
In response to the findings, Philip Lieberman, noted cybersecurity expert and president of Lieberman Software, said, “As more and more security breaches are being uncovered, organizations should be taking a much more stringent approach at securing passwords. The defense and government industries, which are a very high target for cybercriminals, have come to realize that in order to improve security, passwords need to be changed on an hourly basis. If passwords only get updated on a monthly or quarterly basis, think about the damage a cybercriminal can do in that time -- one to three months of unlimited access into an organization’s critical systems? They could literally walk away with everything.”
In addition, half of the respondents of the survey who admitted to never updating service and process account passwords revealed that the reason for this was out of fear that changing passwords could potentially cause outages and downtime.
Commenting on these findings Lieberman said, “The organizations that choose not to update service and process account passwords because they are worried about causing outages, and believe the consequences of a cyber attack would be less severe than downtime, obviously do not understand how damaging a cyber attack can be and this points out a very worrying lack of awareness. The other respondents who admitted to never updating passwords, but didn’t cite network downtime as the reason, are playing with fire. Any organization that doesn’t update their service account passwords, or only updates them on an annual basis, quite frankly doesn’t understand the importance of these systems.”
The full survey report is available at: http://go.liebsoft.com/Information-Security-Survey-2014
About Lieberman Software Corporation
Lieberman Software provides award-winning privilege management products to more than 1200 enterprise customers worldwide, including nearly half of the Fortune 50. By automatically locating, securing and continuously auditing privileged identities, both on-premises and in the cloud, Lieberman Software helps protect access to systems with sensitive data, thereby reducing internal and external security vulnerabilities, improving IT productivity and helping ensure regulatory compliance. The company developed the first solution for the privilege management space, and its products, including Enterprise Random Password Manager (ERPM), continue to lead the market. Lieberman Software also provides a mature line of Windows security management tools. The company is headquartered in Los Angeles, CA, with offices and channel partners located around the world.
Advertise your product/service here!
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Atisha and Je Tsongkhapa
Kadampa Buddhism is a Mahayana Buddhist school founded by the great Indian Buddhist Master Atisha (AD 982-1054).
His followers are known as ‘Kadampas’. ‘Ka’ means ‘word’ and refers to Buddha’s teachings, and ‘dam’ refers to Atisha’s special Lamrim instructions known as ‘the stages of the path to enlightenment’.
TRANSFORMING DAILY ACTIVITIES INTO THE PATH
By integrating their knowledge of all Buddha’s teachings into their practice of Lamrim, and by integrating this into their everyday lives, Kadampa Buddhists are encouraged to use Buddha’s teachings as practical methods for transforming daily activities into the path to enlightenment.
The great Kadampa Teachers are famous not only for being great scholars but also for being spiritual practitioners of immense purity and sincerity.
The lineage of these teachings, both their oral transmission and blessings, was then passed from Teacher to disciple, spreading throughout much of Asia, and now to many countries throughout the western world.
Buddha’s teachings, which are known as ‘Dharma’, are likened to a wheel that moves from country to country in accordance with changing conditions and people’s karmic inclinations.
The external forms of presenting Buddhism may change as it meets with different cultures and societies, but its essential authenticity is ensured through the continuation of an unbroken lineage of realized practitioners.
Kadampa Buddhism in the West
Kadampa Buddhism was first introduced into the West in 1977 by the renowned Buddhist Master, Venerable Geshe Kelsang Gyatso.Since that time he has worked tirelessly to spread Kadampa Buddhism throughout the world by giving extensive teachings, writing many profound texts on Kadampa Buddhism, and founding the New Kadampa Tradition – International Kadampa Buddhist Union (NKT-IKBU) more about kadampa buddhism
For occasional relevant news from us
enter your details below.
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I recently read this and it inspired me. I’ve been really trying to embrace my life and my humanity, learning to separate what is worthy of change and what is not. The more I learn about what matters to me, the more confused I am sometimes about what we (as humans) spend our time worrying about. The backwards questions we ask ourselves… "Am I attractive enough?" not "Am I healthy enough?" or "Does my house look good enough?" not "Am I living a life that reflects my beliefs and my morals?" I don’t know, these are bad examples. But truly, I have my fair share of superficial and unrealistic standards for myself. Oddly enough, those standards generally don’t extend to other people. I love it when I enter a house that is slightly messy and lived in. It validates me and makes me feel at home. I might admire someone with a spotless house, but it’s not necessarily going to put me at ease, and so it begs the question- what are we doing this for? Now, I love to make my space feel nice- and being clean and making things colorful and pretty are a part of that for me, but I often feel like I can’t live up to the standards I’ve set for myself- especially the ones that have to do with image. Anyway, I don’t have all the answers. I don’t know which standards are unreasonable or which are purposeful. I do know that I like to see the imperfections. They aren’t imperfections at all to me- just proof that we are evolving and changing beings, and so similar, all working for good and growth and… I just like it.
Anyway, here’s a look into my unruly and beautiful life, behind the scenes.
This plant is barely surviving, and I keep trying to remember to water it but forget for weeks at a time. It looks dead, but it’s not. It is just slowly dying. It’s tucked away in a corner of the house and I forget to go there when I’m watering the other plants. It’s just pure lame on my part. Poor thing.
Sometimes I pretend that things are clean enough by putting them all in separate and relatively sorted bins rather than actually organizing them or putting them away.
I put on this one cartoon for Vera when I really want to get stuff done. I told myself I wouldn’t ever do this, but I do it all the time. Thankfully she watches about 3 minutes before she’s on to the next thing.
Maya sheds a lot, and I don’t vacuum nearly enough. I just crouch down on the floor and take pictures of the hair and then post them on the internet for everyone to see. Hmm…
The other day we were going to give Vera a little naked-in-the-yard-water time, but when I took off her diaper there was a poo-splosion (I didn’t even smell it!). We were caught outside without a wipe or anything and so Jeff swung her around by the arms and ran around the yard while I hurried inside for a wipe. It was just one of those "Oh shit!" moments that happen so often around here.
Quote of the day:
If you get me at a good angle
And you’re okay
In right the sort of light
We don’t look
Like pages from a magazine
But that’s all right
Oh baby, that’s all right
Oh baby that’s all right"
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Tree is a big part of our lives and it is not only good for the environment but also the health of our body. However, we need to know that we can’t live without trees. If we lose them, we may not be able to live at all. This is why we need to save trees and plant more trees.
Here is an essay on Save Tree For Students In Easy Words – Read Here. It is an informative article about the trees. The trees are not only beautiful but also very important for our daily life. We can find different types of trees in any part of the world. The best place for the trees is the forest. We can find there lots of different kinds of trees like oak, pine, chestnut, etc. We all know that trees are very useful for human life, because they help us with many different things.
An essay on save tree for students in easy words. Such thing is very important for all students. This kind of task is very essential for all students because this is very important. This kind of task is very essential for all students because this is very important and it’s very important for everyone.. Read more about short paragraph on save trees and let us know what you think.
The world was once a beautiful and peaceful place, as its inhabitants lived in harmony and peace with one another. But, because of the constant development and increasing population, the environment has been destroyed and further destroyed. People have come up with many ways to save the environment and its precious trees and animals: the best and the most efficient way is to recycle. The effects of recycling can be seen and felt, as the environment gets better again.. Read more about save tree save life and let us know what you think.
Frequently Asked Questions
How can we save trees in English essay?
You can save trees by not using paper.
How can we save trees with 5 lines?
You can use a paper clip to save trees.
How can we save a tree in 10 points?
To save a tree, you should plant one.
- 10 lines on save trees
- importance of trees essay 100 words
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- save trees drawing
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The European Union has an eco-label for green products. Its symbol is a flower. More than 3,000 products have made the grade and carry the flower. They include two widely sold brands of copying paper: Golden Plus and Lucky Boss.
No doubt thousands of European office workers have bought the brands reassured that they are sustainably produced. So what a shame that it seems both are partly made from timber logged from one of the largest but fastest disappearing tropical rainforests, on the Indonesian island of Sumatra.
What a shame, too, that the French eco-labelling agency – the "competent authority", according to the high-flown language of the EU – will not release any documents discussing the reasons why it granted the high-prized label, which can be used in all 27 countries of the EU.
The news of this gross deflowering of the EU's green logo is contained in a new report, EU Ecolabel Allows Forest Destruction, from the Forest and European Union Resources Network (FERN), an NGO set up by the World Rainforest Movement to track European policies on the world's forests.
Fern says it investigated the credentials of the green paper after its staffer Veerle Dossche spotted the product - which is manufactured by an Indonesian company called Pindo Deli - on sale in Belgium. Pindo Deli, she knew, was owned by Asia Pulp and Paper, a controversial paper company with extensive rights to log the Sumatran rainforest. APP is in turn owned by the Sinar Mas Group, founded by Singapore-based magnate Eka Tjipta Widjaja.
Fern asked the Jakarta-based rainforest researcher Chris Lang to investigate. Lang concluded that the two brands of eco-paper were partly made from timber much of which is logged from virgin forests by another APP subsidiary Wira Karya Sakti (WKS).
APP does not have a good reputation on environmental matters. Two years ago, the Forest Stewardship council, a certifying body for eco-timber run jointly by environmental groups and the timber industry, took the unusual step of "dissociating" itself from some of APP's activities.
The stakes are high because the Sumatran rainforests have been logged faster than any others on the planet in the past decade, much of it by APP and its twin logging behemoth, Asia Pacific Resources International (April). The forests are home to Sumatran tigers and elephants, as well as native Orang Rimba people, who say WKS is logging their land.
David Gilbert, a research associate at the Rainforest Action Network, a California-based NGO, was there last December. He told me: "I travelled for days along APP logging roads carved out of primary rainforest, and watched as bulldozers cleared natural forests and at least 20 trucks a day hauled rainforest timber out of WKS's operating estates."
How had these brands come by their coveted ecolabel? European laws grant national governments the right to appoint "competent authorities" to award the ecolabel, which can then be used for marketing throughout the EU. In France the competent authority is the Association Française de Normalisation (AFNOR), a private organisation for setting and verifying technical standards, with offices in 28 countries around the world.
Pindo Deli applied to AFNOR, which granted the label back in 2006. According to Lang, AFNOR has not released any details or documents describing the assessment process, or how the decision was arrived at. The EU web site discussing the label says that "the environmental criteria behind it are tough, and only the very best products, which are kindest to the environment, are entitled to carry the EU Ecolabel ... This is a label that consumers can genuinely trust." It adds that "Choosing ecolabelled paper guarantees paper coming from recycled fibres or sustainably managed forests."
In fact this statement is misleading. The detailed rules unearthed by Lang require, for instance, that "at least 10% of virgin wood fibres from forests shall come from forests that are certified as being managed so as to implement the principles and measures aimed at ensuring sustainable forest management." In other words, 90% need not meet such criteria.
AFNOR was unable to respond to the Guardian before deadline. But the EU may know there is a problem with its labelling system. This week officials were meeting to discuss revisions to the rules.
APP's director of sustainability, Aida Greenbury, issued a statement to the Guardian: "APP is playing a crucial role as a development agency for the countries it operates in." It said the Fern report was "ill-informed ... full of intent to undermine economic development in the developing world." It said the company's claims to sustainable forest practice were "based on national forest certification" within Indonesia, and Fern's questioning of their validity was a "neo-colonial approach" and "immoral". However it did not specifically address any of the claims in the report about making paper from virgin forest.
APP's website says the company has helped conserve some areas of Sumatran forest, and that only a small area of low-value land is used for pulpwood plantations. But the site also points out that almost 70m hectares of forest in Indonesia – an area larger than Sweden – is designated by the government "production forest" to help reduce the country's poverty. That means it is set aside for felling.
Turning the last rainforests into "production forest" may or may not be the right policy for developing the economy of Indonesia. But it is unlikely that Europe's green consumers would regard this as sufficient credentials to qualify for the Euro flower.
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About the Project
The proposed Kariboe Wind Farm midway between Biloela and Monto in central Queensland will have an installed capacity of up to 1000MW, able to generate enough clean green renewable energy to power 500,000 homes.
A battery facility on site will allow for the capture and storage of dispatchable energy.
The power generated either direct from the turbines or released from battery storage will feed into the electricity grid via the onsite Powerlink 275kV transmission line.
The project includes up to 170 wind turbines, with a maximum blade-tip height of 300m above the ground.
- Diversifying the local economy.
- Community benefit sharing.
- 400 jobs during construction, 40 jobs during operation.
- Business opportunities for local suppliers.
- Economic multiplier effect for local economy.
- Significant investment in local infrastructure.
- Renewable energy to power 500,000 homes.
The proposed wind farm site is 40km southeast of Biloela and 40km northwest of Monto on grazing land that lies within the North Burnett and Banana Shire council areas.
It is inside the Queensland Government's Central Queensland Renewable Energy Zone.
The project is in the very early stages of development and plans include:
- Internal access roads and upgrades to existing access roads, and access points from public roads.
- Hardstand and laydown area used for wind turbine installation and storage of wind turbine components.
- Power infrastructure providing connection to the onsite Powerlink transmission line.
- Temporary and permanent meteorological monitoring masts.
- Operations and maintenance building.
- Temporary infrastructure including construction compound and site office buildings, storage areas and concrete batching plants.
We will be engaging with the community during phases of development, providing information sessions and opportunities for community feedback.
Feedback and expressions of interest can always be made at kariboe-windfarm(at)baywa-re.com or by phoning (07) 3737 1980.
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<urn:uuid:966f1ff2-b9a6-4295-a385-c45a4251ec0f>
|
CC-MAIN-2022-33
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https://www.baywa-re.com.au/en/wind/projects/kariboe-wind-farm
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|
en
| 0.873351
| 419
| 2.015625
| 2
|
A microfluidic gadget that is ready to carry out dielectric spectroscopy is developed. The gadget consists of a measurement chamber that’s 250 μm thick and 750 μm in radius. Around 1000 cells match contained in the chamber assuming common portions for cell radius and quantity fraction. This quantity is about 1000 folds decrease than the capability of standard fixtures. A T-cell leukemia cell line Jurkat is examined utilizing the microfluidic gadget.
Measurements of deionized water and salt options are utilized to find out parasitic results and geometric capacitance of the gadget. Physical fashions, together with Maxwell-Wagner combination and double shell fashions, are used to derive portions for sub-cellular items. Clausius-Mossotti issue of Jurkat cells is extracted from the impedance spectrum.
Effects of mobile heterogeneity are mentioned and parameterized. Jurkat cells are additionally examined with a time area reflectometry system for verification of the microfluidic gadget. Results point out good settlement of values obtained with each methods. The gadget can be utilized as a distinctive cell diagnostic tool to yield info on sub-cellular items.
Microparticle bombardment as a tool in plant science and agricultural biotechnology.
Microparticle bombardment expertise has advanced as a technique for delivering exogenous nucleic acids into plant cells and is a generally employed approach in plant science.
Desired genetic materials is precipitated onto micron-sized metallic particles and positioned inside one among a number of gadgets designed to speed up these “microcarriers” to velocities required to penetrate the plant cell wall. In this way, transgenes will be delivered into the cell’s genome or plastome.
Since the late 1980s microparticle bombardment has turn into a highly effective tool for the research of gene expression and manufacturing of stably reworked tissues and entire transgenic vegetation for experimental functions and agricultural purposes.
This paper opinions growth and utility of the expertise, together with the protocols and mechanical programs employed as supply programs, and the forms of plant cells and tradition programs employed to generate efficient “targets” for receiving the incoming genetic materials.
Current understanding of how the exogenous DNA turns into built-in into the plant’s native genetic background are assessed as are strategies for enhancing the effectivity of this course of. Pros and cons of particle bombardment applied sciences in comparison with various direct gene switch strategies and Agrobacterium primarily based transformation programs are mentioned.
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<urn:uuid:57338dae-6fb0-4bc1-91e8-61e725b1c0f2>
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CC-MAIN-2022-33
|
https://bioinno.eu/category/microfluidic-impedance-spectroscopy-as-a-tool-for-quantitative-biology-and-biotechnology/
|
s3://commoncrawl/crawl-data/CC-MAIN-2022-33/segments/1659882570871.10/warc/CC-MAIN-20220808183040-20220808213040-00264.warc.gz
|
en
| 0.901233
| 513
| 2.703125
| 3
|
Necrotizing sarcoid granulomatosis (NSG) is a rare disease that presents with nodular lung lesions and necrosis. The pathology is consistent with sarcoidosis, but the necrosis can lead to a diagnosis of tuberculosis. Herein, we report a rare case of NSG that recurred four years after the initial diagnosis was made by surgical lung biopsy. A 51-year-old woman was initially referred to our hospital for the evaluation of multiple lung nodules. The pathological evaluation of a lung biopsy showed granulomas with necrosis and the infiltration of lymphocytes; thus, she was diagnosed with NSG. The lung nodules gradually improved after the diagnosis and we continued to follow her even though she did not require treatment. Four years after her initial diagnosis, she complained of back pain. Upon evaluation, we found that multiple lung nodules had recurred. Bronchoscopy also revealed a tracheal polypoid lesion, which showed granulomas with necrosis pathologically. Therefore, we diagnosed her with the recurrence of NSG. After the corticosteroid therapy, multiple lung nodules drastically improved. NSG patients should be carefully followed-up over several years, even if they do not require treatment.
- Necrotizing sarcoid granulomatosis
- Tracheal lesion
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
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<urn:uuid:4225490a-14c4-4356-a0ee-41a798b5d4f1>
|
CC-MAIN-2022-33
|
https://okayama.pure.elsevier.com/en/publications/successful-corticosteroid-treatment-of-necrotizing-sarcoid-granul
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s3://commoncrawl/crawl-data/CC-MAIN-2022-33/segments/1659882571097.39/warc/CC-MAIN-20220810010059-20220810040059-00264.warc.gz
|
en
| 0.941538
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| 2
|
COEUR D'ALENE, Idaho — A pair of University Idaho students have laid the foundation for a Coeur d'Alene parking app that they hope will one day take off.
Dubbed "Park My Ride," the app prototype uses a camera to identify open parking spaces and then transmit that information in real time to users. The app is designed to help drivers find parking spaces more efficiently.
"Someone could open this mobile app and see all of the available spaces within that parking lot," said UI senior Alex Parenti, who developed the app alongside fellow senior Amanda Ward. Both students are studying at UI's Coeur d'Alene extension and make up the second-ever class of graduating computer science students there.
The app is the result of a capstone project assignment given to both Parenti and Ward. The duo were tasked with finding a way to address parking challenges in downtown Coeur d'Alene.
"People are looking for parking all the time," said Parenti of Coeur d'Alene, noting that studies previously identified a lack of parking spaces in downtown Coeur d'Alene.
"We're constantly driving around residential [areas], trying to find a spot to park," said Ward, a Coeur d'Alene native. "Or if we are in two hour parking, we'll move our car just a little to avoid tickets."
The "Park My Ride" prototype utilizes a camera mounted to the roof of the former Elk's club located on Lakeside Avenue. The camera faces an adjacent parking lot, which serves as a test area for the app, and takes periodic photos of parking spaces.
The images are analyzed by an algorithm developed by Ward and Parenti and then sent to the "Park My Ride" app which shows available parking spaces in the lot in real time.
"I remember the first time that I had the server take a photo, real time, and send that to my phone. I saw accurate parking. That was a cool feeling," Parenti said.
Ward said that the app was designed to have room for advertisement space that could, in theory, be purchased by businesses located next to parking spots.
For now, it's not clear what the next steps for "Park My Ride" could be. Both Parenti and Ward hope that the app could one day be used across downtown Coeur d'Alene via multiple small cameras.
Parenti, noting that the app is a prototype, said that subsequent groups of UI Coeur d'Alene students could make continuous improvements to "Park My Ride" as well.
"It's just rewarding to be able to share that with the public and have it be complete," Ward said.
"As with any project, it was finally cool to see it come together," Parenti added.
|
<urn:uuid:dba1e8ea-702f-49a6-892c-bfcc467404ad>
|
CC-MAIN-2022-33
|
https://www.krem.com/article/news/local/kootenai-county/univ-of-idaho-students-create-app-to-find-empty-parking-spots-in-coeur-dalene/293-9d63580d-a945-4afa-915b-a76f90d2a587
|
s3://commoncrawl/crawl-data/CC-MAIN-2022-33/segments/1659882571097.39/warc/CC-MAIN-20220810010059-20220810040059-00264.warc.gz
|
en
| 0.974253
| 576
| 1.523438
| 2
|
|This poolhouse structure takes on heroic proportions as it
becomes the source of marked physical and spiritual transformation. In the
process of its making, the poolhouse rejuvenates its otherwise nondescript site,
a residential neighborhood along the Hudson River, while also serving to
rehabilitate its inhabitant, a woman stricken with multiple sclerosis.
Site: Three concrete retaining walls form the physical boundaries of the site and structure the rituals of healing as the folded metal plate roof records, in the residue of its patina, the presence, motion and direction of rainwater.
Threshold: Two thresholds, one horizontal the other vertical, organize the inhabitantís ritual of rehabilitation. The horizontal datum, which begins at the ground plane and continues at the water plane, and the vertical datum of seven pivoting glass panels invoke in their materiality three distinct conditions of interiority: the earth- in the approach and submergence of the structure into the site; the glass- in the physical and visual entry to the structure; and the water- in the submergence into the swimming vessel.
Container: Natural illumination is provided my direct, diffuse and reflected light. Light is directed along the interior wall at the underside of the floating roof plane; it is diffused through the five pivoting glass panels with integral angle directional film; and it is reflected off select portions of the exposed, internal face of the metal container.
Completed at John Nastasi Architects.
|
<urn:uuid:1b732091-14f1-482b-b0f3-9a0c7f5b5b91>
|
CC-MAIN-2022-33
|
http://seanaes.com/poolhouse/
|
s3://commoncrawl/crawl-data/CC-MAIN-2022-33/segments/1659882571246.56/warc/CC-MAIN-20220811073058-20220811103058-00264.warc.gz
|
en
| 0.913475
| 335
| 1.914063
| 2
|
It is common to think that you have to be abnormally intelligent and extra crazy to be able to invent, but this is not true; there are plenty of individuals who are making money off inventions that are everyday people. There are also many individuals who Invent Help Tech for fun and may never even earn an income from it because inventing can be a fun hobby, it also has a probability of making huge money. Lots of people don’t know about the many reasons to invent.
Do it on the side: Inventing isn’t an all day long commitment typically. You can easily focus on your inventions while still keeping your entire day job, actually, I would recommend keeping your task when you start because inventing could be more enjoyable should you don’t count on it; your job should be your main source of income while starting out. This also allows inventing as a relief from your task. A lot of people dread their job, but inventing will be your break where you can think freely to make money at the same time. You can invent each day while concentrating on other stuff because inventing has a lot to do with the points around you; surveying your surroundings enables you to find problems on earth that one could solve with inventions.
Mess around: Unlike most ways to generate money, inventing is a thing that may be fun since you can apply your imagination in crazy ways; a boss isn’t judging your thoughts. When people judge your ideas, you happen to be less likely to be successful because you will have the fear of failure and public ridicule. When you are inventing, you may use your imagination to generate invention ideas that solve things that you have always aspired to solve, which can be an exciting and fulfilling thing to achieve. It is additionally fun to generate crazy inventions that accomplish simple tasks; there isn’t a limit for the crazy ideas you can have.
Apply your opinions: There are a lot of ways to have fun by using your opinions and which makes them feel more tangible. A wonderful way to put your ideas into use is to make a prototype of something from cheap or household materials. There are lots of videos on YouTube of homemade flame throwers as well as other crazy gadgets or ideas because building a video can be enjoyable as well as offer you some feedback on your own invention idea. Also, it can be fun to provide your opinions to large corporations to view the way they react. For instance, in the event you designed an improved bottle you could present it to a soda company; however, you might like to receive a patent or provisional patent before you accomplish this.
It Opens Up Your Mind
Have something to take into account: Rather than floating through your days, you will be dedicated to your surroundings and coming up with invention ideas. You are going to feel like you might be accomplishing something during the day because you will be developing ideas that may cause you to rich. If you are focused on Ideas Inventions and potentially making profits, you will possess something to look ahead to everyday, so regardless of what your day may bring, you can understand that you will have the capacity to focus on your latest invention idea.
It can help you at your job: As I stated earlier, I wouldn’t recommend getting rid of your entire day job when you first start inventing, but inventing will actually assist you with your job. People appreciate somebody who thinks creatively and will be able to solve problems, that are both characteristics of a good inventor. The newest mind set and skills that you get from regularly inventing can help you get hired, because showing your potential employer a few of your invention ideas will help display what you can do to believe creatively and help you to get on his good side. If you currently have work, being able to add creative ideas can make you more valuable to the company you benefit and can greatly help your odds of being promoted.
Have a different perspective on things: Today, many things go unappreciated, including each of the inventions and innovations that define our everyday routine. We never really appreciate things until we all do them for ourselves and inventing is the same way. Inventing increases your appreciation of things which affect you every day, and you will begin to analyze things which you haven’t thought twice about. This is where you will quickly have your very best inventions because looking at previous inventions is a great way to be successful when inventing. Recognizing your surroundings can help you be a little more focused and associated with what is going on around you, which can help you become more successful in anything you want to pursue.
It Has a Possibility of Being Very Profitable
Many people generate income: Contrary to popular believe, you will find a lot of people making profits from an invention or patent. Lots of inventions are only valued in a specific business, sport, geographical location, etc, a lot of inventions go unseen by the public. The good thing about producing money from an invention is everybody can do it; you don’t need an education or lots of knowledge to invent something profitable. Inventing requires problem solving and inventive thinking, which is often acquired through practice, so you can start inventing regardless how much education you may have. Also, you are in charge of ensuring your success. With persistence, there exists a high possibility of success in inventing, which means a higher chance to earn money.
It may provide residual income: Many people believe inventing is surely an instant amount of money, then you certainly don’t generate income until the next invention, which is not true. It is very common to license your patent to a company who can then pay you royalties every time they make and sell your invention. This really is income which will come long once you have patented your invention, and may potentially provide enough revenue to support you without having a job. This income is wonderful simply because you aren’t doing any work, but are still earning money. In addition to this recurring income, it is extremely simple to keep inventing, especially if you are making enough cash on royalties to turn into a fulltime inventor. If you are able to generate plenty of potentially good ideas, chances are a few of them will continue being sufficiently good to produce a profit.
It’s a Low Pressure Money Maker
It doesn’t rely on one idea: When you find yourself inventing, you will most likely have only a couple of ideas which make money; however, that doesn’t mean you can’t consider thousands of invention ideas. So that you can have good ideas, you need to go through countless ideas that aren’t approximately par. You could have as many invention ideas while you please, because after performing some research, you could decide you don’t desire to patent your idea, meaning you don’t lose money every time you possess an idea.
It’s only you: Inventing is a thing you are doing yourself, not to get a boss. You are in complete control over your ability to succeed and there isn’t a boss to evaluate your ideas. Also, there isn’t anyone else who is dependent upon your ability to succeed; inventing is actually a one man show in most cases. Inventing is simply you solving problems and quite often making money from patents. When you find yourself inventing, you natmlt on your own time as well as help make your own decisions, it isn’t employment. You can easily keep your regular job and invent inside your leisure time without worrying time constraints.
It isn’t a large risk: When you consider the profit that will result from Invent Help Patent Invention, the cost of inventing is comparatively low. Inventing is a lot less than your small business, so if you do find yourself not making the money you hoped for, you could repeat the process. The entire process of acquiring a patent will be the main element of inventing, so any time you glance at the patent process, you get experience which makes the very next time easier. Should you be around inventing and patenting enough, it is possible to eventually make application for a patent on your own, which will reduce the cost as well as the overall risk of inventing.
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<urn:uuid:a758db0a-89f0-4968-84f8-c030a7eae58e>
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CC-MAIN-2022-33
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https://facebookbaixar.net/1530/inventhelp-number-bear-this-in-mind/
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|
en
| 0.96432
| 1,704
| 2.390625
| 2
|
One of the most important things students can do to help animals is FSI -- Friends Share Information. Recently I heard from three people looking to network with others so that they can encourage other young people to speak up for animals. Two are 8th grade students at Sligo Middle School in Silver Spring, MD. Both students wrote to me asking for materials to pass out at an upcoming Information Fair. The purpose of the event is to give students an opportunity to learn -- from their peers -- about various nonprofit organizations in the community. I'm often invited to speak at such events, and enjoy meeting students who care about animals. But, I believe that the Information Fair at Sligo Middle School will produce more student activists than the typical such event where adults tell kids about their work.
If these two students talk to 20 or 30 of their peers about the importance of responsible animal care, I guarantee that the number of kids who take animal welfare seriously, including the importance of spaying/neutering and reporting animal cruelty, will immediately increase. And, just think what happens when those newly educated animal advocates talk to 20 or 30 more students!
The other person who recently approached the League about getting students to speak up for animals is Kelly, with DoSomething.org. The organization, known primarily for the Bully movie, is speaking up for animals. To learn more about their efforts, go to
http://www.dosomething.org/cause/animals. And, Do Something!
|
<urn:uuid:5ff8cfa7-64eb-4b1b-93dd-c1c5e7c792d0>
|
CC-MAIN-2022-33
|
https://hrakids.blogspot.com/2012/05/friends-share-information-fsi-and-do.html
|
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|
en
| 0.970225
| 300
| 2.984375
| 3
|
Technology ecosystems tend to take off when the technology matches the use case and solves a really important problem. This works even if the technology itself can be a little clumsy. Yet sometimes new use cases will arise based on the fact that the platform is widely available, even if it’s not an ideal fit. We can expect the same for Ethereum.
We have an everyday example of this already. The internet is a fantastic network for sending data. It’s terrible, however, at getting it there in a very timely manner. Packets go off in all different directions and are likely to arrive out of order. The system is efficient, but it wasn’t necessarily designed to be fast, and it wasn’t designed to be able to discriminate between time-sensitive video content and text-only emails.
Paul Brody is EY's global blockchain leader and a CoinDesk columnist.
Early internet users and architects would have been horrified at the idea of real-time voice and video conferencing on the network. They would rightly have said the network isn’t designed for that and probably encouraged you instead to use a circuit-switched system that guaranteed bandwidth and availability. We experience the shortcomings of the internet’s traffic model nearly every day, as users drop in and out, audio breaks up and video stalls. Thanks to Murphy’s Law, this will only happen when you’ve said something especially brilliant or funny, however.
How then did we all end up spending eight hours a day on video calls during the pandemic on the internet? The answer is that it’s the network we have in our pockets and in our homes every day, and it’s connected to general purpose programmable devices, like computers and smartphones. And while it’s far from optimal, it’s much easier than fixing the legacy circuit-switched telephone network to support video calls and streaming media.
I believe this pattern will recur with Ethereum. Millions of users now have blockchain wallets and accounts. They have stablecoins and cryptocurrencies and access to digital contracts. They represent a ready market of investors and buyers with a demonstrated willingness to try new things. And that may, in turn, become more important than using blockchain technology for use cases that are ideally decentralized.
The result is likely to be quite a few new use cases that could be better executed in centralized ecosystems but that will instead be launched on public, decentralized blockchains. I’m already seeing some of these come up during conversations with clients. It is already happening in some respects, as many people are buying non-fungible tokens (NFTs) only to discover they don’t own anything other than the NFT. “Owning” this item doesn’t mean they truly own the copyright, any more than I “own” the music I have “purchased” online.
While I cannot predict how use cases are likely to evolve, I can make two predictions about how I think the future of Ethereum may well shake out. First, I used to rigorously assess use cases proposed by clients against how well they fit with decentralized technology. If there wasn’t a fit, I tended to push back against deploying to the blockchain. By almost any standard, it’s faster and cheaper to build a centralized application than a decentralized one. No longer. Now, the value proposition is instead market access to hundreds of billions of cutting-edge investment dollars.
Secondly, as use cases evolve that stretch Ethereum beyond its core functions, specialized tools and systems will evolve to support those use cases, just as it did on the internet. Content delivery networks, advertising networks and multi-protocol-label-switching (MPLS) routers have all arrived to help the internet deal with the flood of voice and video. Similar analogues will arise in the blockchain ecosystem. We’re already seeing a flood of startups designed to help build decentralized autonomous entities (DAOs) and NFT ecosystems. Many more are on the way.
For the idealists (including me) that populate the Ethereum ecosystem, some of this is going to be painful. The truth about the internet is that it’s the most successful network in history, but it’s far from the early ideal. It’s now sliced up with restrictions, national barriers, insecure security systems and “privacy” technologies that leak sensitive personal information. Compared to the global barrierless decentralized network we started with, it kinda sucks, but it's also impossible to go back.
Software is eating the world. Ethereum is going to eat the global economy. I believe it will make us all bigger and better stakeholders in our shared future. The price of that growth, however, is going to be a slow drift away from the decentralized, fully open ideal we started with. The benefits will outweigh those costs, but with careful design choices, the damage of that drift can be limited.
The views reflected in this article are the views of the author and do not necessarily reflect the views of the global EY organization or its member firms.
The leader in news and information on cryptocurrency, digital assets and the future of money, CoinDesk is a media outlet that strives for the highest journalistic standards and abides by a strict set of editorial policies. CoinDesk is an independent operating subsidiary of Digital Currency Group, which invests in cryptocurrencies and blockchain startups. As part of their compensation, certain CoinDesk employees, including editorial employees, may receive exposure to DCG equity in the form of stock appreciation rights, which vest over a multi-year period. CoinDesk journalists are not allowed to purchase stock outright in DCG.
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<urn:uuid:69b56303-a58d-474b-bdf0-e4dfc494412b>
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CC-MAIN-2022-33
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https://www.coindesk.com/layer2/2022/03/21/the-future-of-ethereum-sucks-and-i-feel-fine/
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s3://commoncrawl/crawl-data/CC-MAIN-2022-33/segments/1659882571097.39/warc/CC-MAIN-20220810010059-20220810040059-00264.warc.gz
|
en
| 0.940056
| 1,203
| 2.484375
| 2
|
by Kamna Shastri
Ray Corona knew hardly anything about politics and even less about the Washington State Legislature. Yet, as a high school student in 2009, he boldly stood at the head of a room full of legislators in Olympia and testified for a bill that would alter the lives of undocumented young adults forever. He was one of the first students to speaks candidly about his status as an undocumented person. Little did he know that the other students waiting in line to speak were not going to be doing that.
“In many ways that was the first time I sort of came out very publicly about my status, on the record for the [Washington] State Dream Act. That is sort of what prompted my activism with [the] immigrant community, specifically with the undocumented community,” said Corona.
Many of the other young students who had come to testify at this public hearing were part of other organizations and had been coached and mobilized to testify before the Legislature. Corona, however, had heard about the proposed bill from his school counselor who urged him to get involved.
From there, Corona began to organize and became friends with Monserrat Padilla (now at Washington Immigrant Solidarity Network). The two created what was at the time the Washington Dream Act Coalition (WADAC), a coalition that was led by and for young undocumented students.
“We wanted to make sure undocumented youth were at the center and were the ones coming up with these solutions because as the campaign evolved for the State Dream Act, there were many times that allies were willing to compromise just to get a bill passed,” said Corona.Continue reading Dream Away: Washington Dream ACT Coalition Is Led by and for Undocumented Youth
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<urn:uuid:e74425c1-9ae5-4d58-96fe-2ab67988b553>
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CC-MAIN-2022-33
|
https://southseattleemerald.com/tag/washington-state-dream-act/
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s3://commoncrawl/crawl-data/CC-MAIN-2022-33/segments/1659882571097.39/warc/CC-MAIN-20220810010059-20220810040059-00264.warc.gz
|
en
| 0.991058
| 347
| 2
| 2
|
Low Power Consumption 100mA Buck DC/DC Converter with Battery Monitor
The RP514 is a buck DC/DC converter with a Battery Monitor (BM) featuring ultra-low current and low-voltage resistance. The battery monitor divides the input voltage (VIN) into 1/3 or 1/4 to a buffer output and inputs a signal directly into the MCU’s built-in low voltage AD converter without external circuits. It is suitable for use in wearable and IoT devices that require miniaturization and long-lifetime of battery.
- Ultra-low consumption current (IQ: 0.3 µA) with the VFM control for DC/DC (switching frequency: 1 MHz max.)
- High efficiency under light load conditions: 90% with 1.8 V and 100 mA
- Reducing components and space by combining DC/DC and BM into a single chip
- Suitable for coin batteries and USB ports due to its wide input voltage range from 1.8 V to 5.5 V
Consumer Input Voltage Range 1.8 V to 5.5 V (6.5 V) Operating Temperature Range -40°C to 85°C (125°C) Standby Current Typ. 0.01 µA Operating Quiescent Current DC/DC Section: Typ. 0.3 µA
BM Section: Typ. 0.1 µA
Output Voltage Range 1.0 V to 4.0 V (0.1 V step) Output Voltage Accuracy ±1.5% (Ta = 25°C) Output Current 100 mA Oscillator Frequency Typ. 1 MHz Package WLCSP-9-P2, DFN(PLP)2527-10 BM Output Voltage VIN /3 (RP514xxx3x)
VIN /4 (RP514xxx4x)
BM Output Voltage Accuracy ±30 mV
Protections / Functions
TSD ILX OCP OVP UVLO OVLO Reverse Shutdown Soft Start SSCG PGOOD Auto Discharge Anti-ringing Sequencing Max Duty Ext. Phase LED Adjust
Efficiency vs. Output Current (VOUT = 1.8 V)
- Refer to the datasheets for the details on the product.
- The package file includes package dimensions, taping specifications, taping reels dimensions, power dissipations, and recommended land pattern.
- Please contact us or our distributors for unpublished reliability information.
Sample / Buy
Buy, Request for Samples, Request for Information Materials
Please contact your local distributors for any sales-related inquiry such as price, stock, delivery, etc.
|TSD||Thermal Shutdown Function|
|ILX||LX Current Limit Function|
|UVLO||Undervoltage Lockout Protection|
|OVLO||Overvoltage Lockout Protection|
|Reverse||Reverse Current Protection Circuit|
|Soft Start||Soft Start Function|
|SSCG||Spread Spectrum Clock Generator Function|
|PGOOD||Power Good Output|
|Auto Discharge||Auto Discharge Function|
|Anti-ringing||Anti-ringing Switch Function|
|Sequencing||Start-up Sequencing Control|
|Max Duty||Maximum Duty Cycle|
|Ext. Phase||Externally Adjustable Phase Compensation|
|LED Adjust||LED High-speed Dimming Control|
|
<urn:uuid:5a3570d2-bc6a-432f-b6b6-00ed5fe8a219>
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CC-MAIN-2022-33
|
https://www.nisshinbo-microdevices.co.jp/en/products/dc-dc-switching-regulator/spec/?product=rp514
|
s3://commoncrawl/crawl-data/CC-MAIN-2022-33/segments/1659882571097.39/warc/CC-MAIN-20220810010059-20220810040059-00264.warc.gz
|
en
| 0.671697
| 787
| 1.546875
| 2
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Hypothesis: The auditory impact of a cochlear third window differs by its location in the scala vestibuli or scala tympani. Background: Pathologic third window has been investigated primarily in the vestibular apparatus of animals and humans. Dehiscence of the superior semicircular canal is the clinical model. Methods: Fat sand rats (n = 11) have a unique inner-ear anatomy that allows easy surgical access. A window was drilled in the bony labyrinth over the scala vestibuli in 1 group (12 ears) and over the scala tympani in another (7 ears) while preserving the membranous labyrinth. Auditory brain stem responses to high- and low-frequency stimuli delivered by air and bone conduction were recorded before and after the procedure. Results: Scala vestibuli group: preoperative air-conduction thresholds to clicks and tone-bursts averaged 8.3 and 9.6 dB, respectively, and bone-conduction thresholds, 4.6 and 3.3 dB, respectively; after fenestration, air-conduction thresholds averaged 40.4 and 41.8 dB, respectively, and bone-conduction thresholds, -1 and 5.6 dB, respectively. Scala tympani group: preoperative air-conduction thresholds to clicks and tone-bursts averaged 8.6 dB each, and bone-conduction thresholds, 7.9 dB and 7.1 dB, respectively; after fenestration, air-conduction thresholds averaged 11.4 and 9.3 dB, respectively, and bone-conduction thresholds, 9.3 and 4.2 dB, respectively. The changes in air- (p = 0.0001) and bone-conduction (p = 0.04) thresholds were statistically significant only in the scala vestibuli group. Conclusion: The presence of a cochlear third window over the scala vestibuli, but not over the scala tympani, causes a significant increase in air-conduction auditory thresholds. These results agree with the theoretic model and clinical findings and contribute to our understanding of vestibular dehiscence.
- Air and bone auditory brainstem response
- Vestibular symptoms
ASJC Scopus subject areas
- Sensory Systems
- Clinical Neurology
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Understanding the behavior of cutting
It is estimated that 1 in 200 girls have cut themselves at some point in time, and that for as many as 3 million American young people, cutting is a serious problem. Even more disturbing is the fact that cutting is the sign of other underlying issues. It signifies a cry for help, but often that cry is not heard because family members are unaware that cutting is taking place.
What is cutting?
Cutting involves self-inflicting cuts on one’s skin, usually on the wrists and arms, but it can be inflicted on any part of the body. It is a behavior that tends to escalate, and when that happens, cutting may progress to body parts that are less visible (to avoid detection), such as on the inner thighs. The severity of the cuts can range from superficial scratches to permanent disfigurement with keloid formation and even life-threatening injuries.
Why do young people engage in cutting?
Researchers say that 85 percent of those who cut say they do so to relieve tension. Young people are often under a lot of pressure from various fronts and they feel unable to handle it. Cutting is an unhealthy coping mechanism that helps them manage stress and other negative feelings. Ninety-four percent of those who cut report emotional relief after doing so; endorphins are released into their bloodstream when they cut and they experience pleasure. Some people say they even feel a high when cutting. This high is why cutting often becomes addictive. Those who cut find themselves having to cut deeper as time passes in order to experience that sense of relief.
Cutting is not done to gain attention. It’s usually done in private, and most cutters feel their habit is a shameful secret that they do not want discovered. The more they cut, the more ashamed they feel, and thus the more they feel the need to cut in order to banish the negative feelings. Cutting creates a cycle of self-loathing and self-abuse.
Who engages in cutting?
Cutting usually starts between the ages of 10 and 16. About 60 percent of cutters are female, but 40 percent are male.
What are signs someone may be cutting themselves?
Cutters rarely ask for help on their own, and will often deny the behavior even when confronted with proof. Some signs to look for are:
— Wearing long sleeves in all types of weather.
— Unexplained bruises or cuts.
— Breakdown in communication, secrecy.
— Mood swings.
— Changes in eating or sleeping patterns.
— Carrying unnecessary sharp objects.
— Poor school or work performance.
— Loss of interest in activities.
What are some causes behind cutting?
People who cut have often been victims of bullying or suffered sexual, physical or emotional abuse or neglect. They may also have eating disorders, severe anxiety, major depression or be bipolar. There may also be a history of mental illness in the family.
Cutting is a way for young people to gain a sense of physical control over emotional pain. As mentioned before, cutting helps them manage strong feelings that they don’t know how to cope with, such as anger, anxiety, guilt, shame, frustration, loneliness, self-hatred, numbness, emptiness or alienation. It provides a release. It also helps them alleviate stress. Cutting can serve as a distraction from their emotional distress.
The pre-teen and teen years can be very traumatic as kids start dealing with relationships, figuring out how to fit in, face increasing pressure with schoolwork and exams, engage in more competitive sports, and deal with the challenges of getting into college and choosing a career. These changes are stressful enough, but if there are also issues on the homefront, then a child may feel completely overloaded and lost.
What are the dangers of cutting?
On the physical front, cutting does increase the risk of infection and deep cuts can lead to disfigurement or permanent injury. On the mental health side, the risks are higher as cutting often signals an underlying mental health disorder, such as anxiety, depression, being bipolar, or personality disorders that should be treated. Cutting can also lead to, or be accompanied by, other concerning behaviors such as eating disorders and drug use, which again can be influenced by mental health issues.
People do not usually commit suicide by cutting. However, those who cut are at greater risk for committing suicide because they often suffer from depression or anxiety.
How can cutting be treated?
The first step is to approach the child. Try not to show shock or pass judgment, and avoid showing great pity. Simply reach out with compassion and explain that you understand what this is about and that it’s time to get help. They need not feel this way any longer. A mental health professional can help cutters learn how to tolerate negative emotions and find healthy ways to deal with them. Breathing exercises, listening to music, writing in journals, and exercise are all tools that can be used to deal with stress in a healthy way. A mental health professional can also help identify any possible underlying mental health issues or other disorders and provide a treatment plan for those as well. Psychiatric medications can be helpful by treating the underlying mental health issues, or by directly reducing the sense of reward that comes from cutting. Cutting can be treated with time, patience and support.
Can anything be done to prevent cutting?
Yes, steps can be taken to help ensure that your child does not embark on cutting. First, acknowledge that your child does face legitimate stresses, concerns and emotional ups and downs. Make time to talk with them regularly about what is going on in their lives — not just their homework or sports, but on a personal level — what are their worries and fears; do they feel pressured about something? Really listen and don’t minimize their feelings or concerns.
It’s also important to let kids know that you are always there for them — unconditionally, and that they can always come to you no matter what the situation. If they are upset and not inclined to talk, try to spend time with them doing an activity — going to a game, heading out for a hike, or catching a movie. The important thing is to spend time with them, and the more time you spend, the more likely it is that they may open up.
Help your child build a strong support system with friends and relatives and through their school, church and community.
When kids feel well supported, they also feel stronger in their self-worth and more capable of dealing with life’s ups and downs.
Dr. David Schopick is a psychiatrist in private practice in Portsmouth. He is board certified by the American Board of Psychiatry and Neurology in adult, adolescent and child psychiatry and has been serving patients in the Greater Seacoast area and beyond for more than 25 years. For information, call 431-5411 or visit www.schopickpsychiatry.com.
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Blackcaps sentence example
Noteworthy counts of commoner migrants included 12 new blackcaps at the Obs.
Having just ticked Little Green Bee-eater down to 3 meters, we found 3 male blackcaps in one bush!
The area also held 79 chiffchaffs, 14 Blackcaps, 3 Whitethroats and 3 Wheatears.
Spring migrants were represented by 2 chiffchaffs and a surprising 5 Blackcaps.
Woodpigeons, starlings, resident and migrant thrushes and newly arrived summer migrants such as blackcaps feed on them.Advertisement
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Getting your “Beach Bod” Ready for Summer
The first day of Summer in the northern hemisphere is June 21st! Because it’s right around the corner, Summer is a great time to recommit to a healthy lifestyle and to get your “Beach Bod” ready to rock. As a life-long student of health, I’ll give you my opinion on what a beach bod is and isn’t, then we’ll jump into some great tips/tricks to help you look and feel comfortable in your flipflops and sunglasses.
What a beach body IS
First, it’s important to recognize that a beach body looks different to everyone. As a society, we have been conditioned to equate body weight with health status, but you’re better than that. You understand that no one’s body is perfect, and you understand that optimizing your health, regardless of your weight, is wonderful. Regardless of where you are on the health spectrum, you can improve, you can achieve better health, and you can enjoy the benefits that come from it.
The ideal beach body is confident, comfortable, and working every day to be healthy inside and out. You can almost immediately tell when you see someone who cares for their body. Being intentional with your diet, exercise, sleep, and grooming immediately give a positive vibe to the world that says, “I care about myself, and I’m working to be the best version of myself.” To me, that’s a beach body.
What a beach body is NOT
While a bit of sun can help you stay healthy (more on this below), I have put a shameless plug in here for sunscreen. A beach bod is NOT tan. Having worked in the dermatology industry for a time, I’ve helped countless individuals with melanoma and actinic keratosis (pre-cancer). There is nothing cute or macho about having half of your ear or a chunk of your nose removed because applying sunscreen was “inconvenient”. PLEASE keep your skin safe this Summer and stay lathered up. We work so hard to protect ourselves from the inside with good metabolic fuels and adequate hydration, then we assault it from the outside with UV rays and no protection. There’s only so much your body can do to keep skin cancer at bay. Help it out and protect yourself on the inside with good fuels and on the outside with sunscreen and protective clothing.
Tips and Tricks to Help you Look and Feel Your Best
As I mentioned, being intentional with your daily routines makes the biggest difference when it comes to optimizing your health and your beach body. Might I suggest four habits that will help you look your best for the beach days and pool parties.
1. Keep insulin under control. When the humble hormone insulin is low, the body has a metabolic advantage that helps it keep body fat under control. When insulin is low, not only is metabolic rate elevated, but hunger is kept at bay, and fat cells are more inclined to shrink [1,2,3]. There are numerous ways to help insulin stay low, but let’s highlight some key points.
One of my favorite parts of Summer is that fresh fruits and vegetables are in season. This is a great way to control the most metabolically-offensive carbohydrates, like refined sugars and starches. Beyond the benefits you’ll get from the vitamins, minerals, and fiber, fruits and vegetables are some of the least energy-dense foods available. This means that they have a relatively few numbers of calories for the volume you eat. When it comes to trimming up and looking good for the beach, this means that fruits and vegetables will fill up your stomach and help you not feel hungry without giving you tons of extra calories.
I would caution you to be a little bit careful with your fruits and veggies. Adding high-sugar sauces adds unnecessary calories and spikes your glucose and insulin. Non-starchy vegetables, like broccoli, zucchini, asparagus, spinach, lettuce, and carrots, are lower in energy density than starchy vegetables like potatoes, peas, and corn. Try making zucchini noodles or cauliflower rice to replace higher-carb options. When it comes to fruits, stick to fresh or frozen versions rather than fruit juices or dried fruits, which are higher in sugar and total calories per gram. I typically recommend filling half of your plate with fruits and vegetables to help you feel full without consuming more energy than you need/want.
Along these same lines, remember to ensure you’re prioritizing high-quality proteins and never fear the fats that come with those proteins. These are foods that have little to no insulin effect.
2. Move your body EVERY…SINGLE…DAY! Make a goal, schedule the time, and make it happen. I don’t care if it’s yoga, a walk around the block, a bike ride, yardwork, swimming, or volleyball. Any movement counts, and it’s all good for you. Plus, the warmer weather makes it so nice to exercise outside. Exercise improves your glucose control and insulin sensitivity, it reduces systemic inflammation, and it helps improve your metabolic rate (you’ll burn more calories because you have more muscles that need energy to survive), and you’ll improve the function of almost every organ system in your body.
I’ll add a word of caution with exercise as well. Not everyone who exercises regularly will lose weight. Everyone responds differently to exercise, and even though regular physical activity uses up calories, it also influences the control of appetite. Having measured hunger in my lab, I have found that immediately following exercise, appetite and hunger decrease for a short time. However, your body will seek to restore energy balance and signal for you to eat a few hours after exercise. It is very easy to eat more calories than you exercise off, so be sure to get 25-30 grams of good protein to help build your muscles and keep you full as well as some healthy fats to signal to your brain that you have plenty of energy (HLTH Code shakes check these boxes). Doing this will help you prevent post-exercise overeating.
3. Get sunlight. I lived near the artic circle in Finland for a few years. One thing I appreciate about Finnish culture (and that of many other Nordic countries) is that they take several weeks off work in the summer. They know that winters are dark and that their window for getting sunlight is limited, so they take time to soak up as much as they can. Sunlight helps convert cholesterol to Vitamin D, which helps control calcium and phosphorus absorption. It also signals melanocytes to produce a dark pigment known as melanin (that’s why you get more tan when exposed to the sun). This melanin will be converted in the brain to melatonin, which will help signal sleep patterns and reduce systemic inflammation. Sunlight also helps the body produce serotonin which is a “feel good” molecule vital for mood stabilization, digestion, wound healing, bone health and blood clotting. Maintaining healthy serotonin levels will help keep you calm, positive, and focused which can help you stay on track with your health goals. Keep your sunscreen on and get a little UV light exposure every day. Even 10 minutes will do your body wonders.
4. Stick to your regimen. It’s hard to keep to your fasting routine and your low carb diet when there are BBQ’s, pool parties, and summer events that surround you with sodas, popsicles, chips, and other delicious temptations. Live your life and enjoy the fun foods that come with Summer, but knowing your limits and sticking to your routines will help you keep your healthy beach body in ship shape. Setting yourself up for success will likely take some conscious effort on your part. Don’t be ashamed to bring a little of your own food to an event or fill up with some good protein and fat before going so that you don’t overindulge. A little planning can go a long way.
I would offer that you can be healthy and get the “beach body” you want, regardless of your current size or shape, if you are giving your body the tools it needs to succeed. Your body is amazing, and it has the capacity to self-regulate and self-heal. As you enjoy your Summer, remember to eat lots of veggies and fruits, get some exercise and sunshine in every day, and do your best to set goals and stick to them. As you do, your body will self-regulate to a healthier weight, and you will have the confidence to strut your stuff!
4. Holloszy JO. Exercise-induced increase in muscle insulin sensitivity. J Appl Physiol (1985). 2005;99(1):338-343.
5. Beavers KM, Brinkley TE, Nicklas BJ. Effect of exercise training on chronic inflammation. Clin Chim Acta. 2010;411(11-12):785-793.
6. Fletcher GF, Landolfo C, Niebauer J, Ozemek C, Arena R, Lavie CJ. Promoting Physical Activity and Exercise: JACC Health Promotion Series. J Am Coll Cardiol. 2018;72(14):1622-1639.
7. Blundell JE, Gibbons C, Caudwell P, Finlayson G, Hopkins M. Appetite control and energy balance: impact of exercise. Obes Rev. 2015;16 Suppl 1:67-76.
8. DeLuca HF. Overview of general physiologic features and functions of vitamin D. The American journal of clinical nutrition. 2004;80(6 Suppl):1689S-1696S.
9. Corbalan-Tutau D, Madrid JA, Nicolas F, Garaulet M. Daily profile in two circadian markers “melatonin and cortisol” and associations with metabolic syndrome components. Physiology & Behavior. 2014;123:231-235.
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"World Football": Football is the best spiritual home for Argentines to forget the pain and suffering, and Maradona is the best gift given to them by God. Blue Argentina, blue Boca youth, and blue Naples shared this gift together. Tears for football, 1994 were tears of sadness, 90 years were unyielding tears, and 86 years were tears of ecstasy. After 86 years, the Astec Stadium left a statue to Maradona's goal of the century.
Although everyone's favorite footballer may be different, there are only two recognized "King of Soccer" in the world--Pelé and Maradona. What we want to talk about today is Maradona, because only Maradona in the world led the team to win the World Cup by himself. In the 1986 World Cup, he showed his personal talent and ability to the fullest. His excellent performance fully explained the phrase "give the ball to Maradona and you can go for coffee".
▼ Who is Diego Maradona?
Diego Maradona is Argentina's national hero and pride, he seems to be born for this sport, and his appearance has also painted a wonderful stroke in football history. Despite his humble background and poor family finances, he entered football at the age of 10 and made his professional debut at 16. He scored 34 goals in 91 international appearances. What a genius he is! In a career of more than 21 years, he has grown from an inexperienced club player to the king of football in most people's minds.
The success of personal data is not the only reason for Maradona's popularity, but more importantly his spirit. For fans, he is a legend in football! Especially in 1986 when he became a legend. At that time, the Argentina team was still a grassroots team compared with Italy, Germany, Brazil and other favorites to win the championship. But Maradona used his excellent football skills and unparalleled leadership to save the entire Argentina team.
On July 5, 1984, Maradona joined Italian Napoli, established in 1926. He spent his glory days (24 to 30 years old) here. After owning Maradona, Napoli let the world know that Napoli in the south can also play beautiful football. In addition to Maradona's excellent football skills, his spirit of climbing up from the bottom of society and never giving in is why Napoli people love him so much. During these ten years, Maradona brought Napoli two league titles, a Coppa Italia and a UEFA Cup, which is almost everything Napoli football can get in history. That alone makes Maradona the king of Napoli.
After Maradona's death, the mayor of Napoli announced that a city-wide mourning event would be held for Maradona, and Napoli's home stadium, Stadio San Paolo, was renamed Stadio Diego Armando Maradona. In honor of the legend, Naples lit the stadium lights, giving the legendary star light on his way home.
▼ Basic Information of Diego Maradona
♤ Date of Birth:30 October 1960
♤ Place of Birth:Lanús, Argentina
♤ Maradona Death: 25 November 2020 (aged 60)
♤ Height: 1.65 m (5 ft 5 in)
♤ Positions: Attacking midfielder, second striker
♤ Maradona Number: 10
♤ Achievements in life：
▼ World Cup 1986 · Maradona
As we all know, Maradona's most famous match was Argentina's match against England in the quarter-finals of the 1986 World Cup in Mexico. Four years ago, there was a war between Argentina and England, during which Argentina was defeated badly. So although this game is not a final, Argentina has to win to some extent. In this game, Maradona scored two world-famous goals, one called "Hand of God" and the other "Goal of the Century".
♡ Hand of God
We all know that "one person dominates the entire football game" is impossible, because football games place great emphasis on teamwork. As for turning a peak event like the World Cup into a one-person performance stage, this is absolutely nonsense. But surprisingly, Maradona did it. I believe no one can deny that the 1986 World Cup was not Maradona's World Cup. No World Cup has been dominated by one person from start to finish like the 1986 World Cup.
In the 51st minute of that game, the famous "Hand of God" appeared: when Maradona wanted to pass the ball diagonally from the edge of the box to teammate Jorge Valdano, but because of the England defender's clearance, the ball flew to the England goalkeeper. Goalkeeper Peter Shilton was about to punch the ball out, but Maradona leaped in front of the keeper and slammed it into the net. The ball bounced into the goal. Tunisia referee Ali Bin Nasser said he did not see a foul and ruled the goal valid.
However, in fact this action is a volleyball action. Although the England players protested wildly, the referee determined that the ball was valid. This is how the most famous "Hand of God" and the most "classic" misjudgment in World Cup history was born.
♡ Goal of the Century
If Maradona's first goal was a little disgraceful, just four minutes later， he proved himself with another incomparably brilliant goal. "Goal of the Century" appeared! This is considered the greatest individual goal record of all time. In the 55th minute of the game, he dribbled the ball from his own half. 10.8 seconds, 12 touches, 44 steps, over 5 players, and scored. This series of operations is so smooth that when the final ball is kicked into the goal, people don't respond all of a sudden.
Many young fans may have questions: among so many classic goals, why is such a goal held to a mythical height? I think it may be because Maradona's goal happened not only in the context of the World Cup quarter-finals, but also in the context of the Falklands War. So this moment is very significant.
▼ How did maradona die?
In November 2020, the famous Maradona died of heart failure and pulmonary edema. He had just had brain surgery not long ago, so he's been recuperating. But instead of recuperating in a hospital, he recovered at a home on the outskirts of Buenos Aires. Prosecutors said Maradona's doctors and other paramedics should have known he was frail and had done more to save him.
But things took an unexpected turn. Eight people caring for football legend Diego Maradona are set to stand trial for homicide in an Argentine court following an investigation into Maradona's death. The eight, including doctors, nurses and a psychologist who cared for Maradona when he died, have been charged with "simple homicide," a serious charge meant to take life with intent.
In the 236-page document seen by Reuters, the judge in charge of the case questioned "the behaviors - active or by omission - of each of the accused which led to and contributed to the realization of the harmful result."
A medical committee appointed to investigate Maradona's death in 2021 concluded that the conduct of the football star's medical team was "inappropriate, flawed and reckless". But so far, the trial has not been finalized.
"World Football": Maradona. This is a person endowed by angels and demons from a young age to the present. No matter where it is, Maradona means genius and victory, but also means unrestrained and troublesome. People who hate Maradona may have thousands of reasons, but those who love him only need one reason. As an individual, Maradona will always have mixed reputations, but his football is always worth remembering and admiring...
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|Number of plants found: 28||Prev||Next||Go to page:||1||2||3|
Begonia maculata is an upright cane-type with large, dark green leaves that look like bat wings with pronounced silver dots.
Keep the soil moist. Needs humidity to thrive.
Begonia nigritarum has green leaves spotted with silver and has whiskers around the edges. Be careful no to over water to avoid rotting.
An elegant tropical perennial, sweet begonia is has glossy, succulent leaves and graceful pendulous white flowers that offer a faint pleasant fragrance.
It has a mounding yet rambling habit and is one of the few begonias that can tolerate full sunlight. Plant in mass plantings to brighten up a shady area or include it in a mixed border or collection of shade plants.
This is a group of rhizomatous cultivars grown for their multicolored foliage. They are derived from the Himalayan Begonia rex and some related Asian species.
The dwarf, shrubby begonias of this group are often grown as bedding annuals, or for borders in shaded garedns, and are also popular as potted plants for window boxes or patio tubs. Freely branching plants with soft, succulent stems, they have rounded, glossy green (bronze or variegated in some cultivars) leaves about 5 cm long.
Begonia soli-mutata is a lovely little plant, about 20cm high, with interesting, puckered leaves and covered in red or golden hairs. The leaves can change colour, depending on the light intensity. In good light the leaves turn light green and in darker conditions they turn dark green.
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News Desk, Amar Ujala, Jaipur
Published by: Pranjul Srivastava
Updated to Wednesday, 27 October 2021 08:43 AM IST
The internet was shut down today to prevent copying in the Rajasthan Public Service Commission (RPSC) exam. However, the internet works through broadband and lease line.
Listen to the news
The internet starts after the test
The local government says the ban on the Internet will continue only during the test. Services will be released again upon completion of the test. Users will be able to enjoy internet services after the test.
Where and when will the internet be shut down?
In Bharatpur, Rajasthan, the internet is completely shut down from 8 am to 1 pm. Apart from this, services in Bikaner, Churu, Hanumangarh and Ganganagar will be disrupted from 6 am to 2 pm. The internet will be completely shut down in Sawai Madhopur from 8 am to 1 pm and in three districts of Ajmer division from 6 am to 1:30 pm.
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Conservation architect Jack Warshaw is furious that Wandsworth council is proposing to give the go-ahead for vast amounts of development around Battersea Power Station – far more than would ever have been allowed, had permission ever been given for the site to be cleared. “On each occasion the excuse was that so much building was necessary to ‘save’ the Power Station – an enabling subsidy at no cost to the public purse,” he stresses.
The irony is that as each permission has been granted, the site has been sold on at a substantial profit from the added value it has acquired with the granting of these virtual developments. Its current owners Treasury Holdings may well do the same.
By contrast, the Station itself has been allowed to decay, which Warshaw feels may already well have gone beyond the point of economic repair. “And the Little Pumping Station, the one building that could be re-used at reasonable cost, is now the subject of a squalid application to demolish. Little by little, the heritage value of the site is being eroded. The permission already granted at the Power Station is a mockery of heritage conservation!” he exclaims.
As Wandsworth’s first Conservation Officer, he was proud of having built up its reputation as a leader in preserving London’s heritage. He was also the first to try, despite not succeeding, to bring about the rescue of Battersea Power Station.
So he feels strongly that the Little Pumping Station still stands apart “begging and able to be rescued. There is no credible case for demolition. Its loss, both of itself and as part of the ensemble, can only add a further insult, covering the Borough Council with still more ignominy.”
Warshaw is also a member of local activists Bordon Area Action Group (see www.baaga.co.uk) and is currently campaigning against another large and dense development in Whitehill Bordon, which will harm the local environment and character of this charming eco-town in east Hampshire.
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Arrests, tear gas as Occupy Oakland protesters attempt to seize a building
on January 28, 2012
On Saturday afternoon, Occupy Oakland protesters gathered in Frank Ogawa Plaza with a goal: To occupy a building and convert it into a social center to be used for the planned Oakland Rise Up Festival this weekend. But what began as a march with several hundred people quickly turned into yet another turf battle between protesters and the Oakland Police Department.
With signs and banners in hand, and with a sound truck blaring music and a bus following closely behind, the march was on. At about 1:30 pm, chanting “We are unstoppable, another world is possible,” carrying shields made of garbage can lids and holding up traffic, protesters took to the streets of Oakland to march to an undisclosed location which Occupy leaders had chosen to take over. Many of the protesters didn’t know where they were going.
“Make a right,” screamed a group of protesters. “No, it’s a left,” yelled others, as they wove through the streets near Laney College trying to find the building they were supposed to be occupying.
“I think this is great,” said Oakland resident Grayson Wolfe, 24, as he tried to figure out what the next move would be. “Hopefully the city supports us, and doesn’t do much to stop us.”
The march continued to grow, but not everyone in the streets had come out to support the protests.
“I’m here because I think Occupy Oakland is hurting the working people instead of helping,” said Don Grundman, 59, of San Leandro as he held a sign that read “Occupy attacks working people.” “This makes people feel good,” he said of the protest. “It gives everybody that warm feeling like they’ve accomplished something, and at the end of the day, they’ve accomplished nothing.”
As the protest threaded through the downtown, police officers began to form barricades along the streets. Every street the protesters turned down, the police followed. After being blocked by police from moving past 10th and Oak Streets, protesters took an unexpected turn toward Laney College. Hundreds of people marched through the campus, leaving the sound truck and bus behind.
While at Laney, protesters marched up a hill, and were soon met by a police line near the campus tennis court. As some protesters tried to decide if they should stay or keep walking, others crossed over a foot bridge and kept on marching, still unclear about which building they were supposed to be occupying.
After crossing the bridge, many of the protesters realized that they were headed for the former Henry J. Kaiser Convention Center, the organizers’ intended takeover site. But by the time they arrived, the police had that blocked off, too. Dozens of officers stood around the building, stopping anyone from entering.
“It’s sad that there’s 8,000 empty buildings and the city couldn’t spare one,” said Oakland resident Vincent Demarti, 40, who was observing from the sidewalk. “This is an attempt to keep people from participating non-violently. It’s instilling fear.”
Marchers then began tearing down the fencing around the Kaiser Center. According to an OPD press release, police officers issued an order to disperse once protesters began to throw bottles, rocks, spray cans and other items at officers.
Once protesters realized that the police had blocked off the building, they began marching back in the direction of city hall, only to have their progress blocked again by a line of police officers at 10th and Oak in front of the Oakland Museum of California.
As protesters began moving closer and closer to the police line, officers shot tear gas and smoke grenades at the crowd. While the marchers retreated a bit, they did not leave. Soon after, protesters began throwing chairs and rocks at the police. For a second time they advanced toward the police line, protecting themselves with corrugated metal barricades and homemade shields. Police began a new barrage of tear gas and also shot bean bag projectiles into the crowd until people began to move backwards, fleeing the advancing police line.
According to an OPD press release, three police officers were injured and approximately 19 protesters were arrested at this point.
The rest of the crowd congregated and regrouped at 11th and Madison.“I support what they [protesters] are doing,” said Oakland resident Nora Shourd, 63, who was participating in the protest. “I think we need to do radical moves. This is just the beginning.”
As protesters marched back up 12th Street, they were followed by a line of riot police until they reached Frank Ogawa Plaza. By 4 p.m., the protesters were discussing which building they would next try to occupy. At 5:20, they left the plaza and headed up Broadway amongst stalled traffic to attempt to take over the former Traveler’s Aid Society’s building on 16th Street, a building protesters had tried to occupy in November.
But when the crowd got to the building, they realized there were people inside working. “Be on the right side of the law,” said one protester as he tried to persuade the workers to unlock the building.
“I’m just trying to make a living,” responded the worker, who was installing a glass window.
The protesters kept walking, and ended up at the Henry J. Kaiser Memorial Park next to the Fox Theatre. The police briefly contained the marchers in the park, but then allowed them to leave.
The protesters kept on marching. Their next stop was the Oakland YMCA on Broadway.
“The occupiers came charging in [the YMCA] going all over the place—jumping over the counters, hiding in the exercise room,” said an Oakland resident who gave his name as Japan Shirley, age 65, as he was trying to get to his car, which had been blocked by a police barricade. “They scared the hell out of me.”
“Then,” he continued, “The police came in there. Hell, they thought everyone was with the occupiers. I said, ‘I’m a member, don’t hurt me. I’m just here to exercise.’”
Police officers gave a final order to disperse, after which they informed protesters that anyone remaining at the YMCA would be arrested. Approximately 200 protesters were ordered to sit down where they were standing as police went around to make arrests. (A press update released by the OPD at about 10:30 pm stated that approximately 200 people had been arrested by that time.) A handful of journalists were also taken into custody at this time, although as of early Sunday morning all five journalists who reported that they had been arrested had been released.
Meanwhile, other protesters headed back towards Ogawa Plaza and reassured people that the planned Occupy Oakland Rise Up Festival will still happen Sunday at the plaza. “I didn’t think this would be a cake walk, and it’s not over yet,” said protester Shourd as she returned to the plaza. “It may not work the first time, but failure doesn’t mean you quit.”
By 8 pm most of the crowd had dispersed, but a few protesters broke into the lobby of City Hall, where one person burned an American flag. Police quickly surrounded the front entrance and began to guard the building. By 9 pm everything at the plaza appeared to be calm, with the exception of a few officers remaining at the entrance to City Hall.
By 11:30 pm, the OPD had not yet released an official tally of the number of people arrested.
This story was updated on Sunday, January 29, around noon to add the OPD’s 10:30 pm arrest estimate.
You can see Oakland North’s complete coverage of Occupy Oakland here.
Text and photos by Byrhonda Lyons and Megan Molteni.
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Oakland North is an online news service produced by students at the UC Berkeley Graduate School of Journalism and covering Oakland, California. Our goals are to improve local coverage, innovate with digital media, and listen to you–about the issues that concern you and the reporting you’d like to see in your community. Please send news tips to: email@example.com.
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What are the factors or elements of 594 PC Vandalism?
Under Penal Code 594 PC, California’s vandalism and graffiti law, prohibits maliciously doing any of the following things to someone else’s property:
- Defacing it with graffiti or other written material,
- Damaging it, or
- Destroying it.
When most people hear the term “vandalism,” they may think of neighborhood kids who end up in the California juvenile court system for smashing peoples’ mailboxes.
But in fact the California crime of vandalism includes a number of activities that you might not immediately think of. Some examples are:
- During a fight with your husband, breaking some fine china that you own together;
- “Keying” the car of someone you know as an act of revenge for something awful they’ve done to you; and
- Writing your name in wet cement on a city sidewalk.
And, in fact, vandalism charges are serious business in California. A vandalism conviction can result in penalties that include jail time and very large fines.
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Nestled in the beautiful Bridger-Teton National Forest near Jackson, Wyoming, the American Wilderness Leadership School (AWLS) supplies the proper ambiance for educational applications. Established in 1976 with the vision of providing educators with a useful hands-on experience that they will convey residence to their lecture rooms, AWLS has offered an accredited conservation schooling program for greater than 6,000 teachers who attain more than one million college students annually and a difficult experience for more than 1,seven-hundred high school college students. Today The Wilderness Leadership School continues to provide an educational expertise to 1000’s of South African youth and abroad visitors. Funded community tasks be sure that the experience is made out there to our people from disadvantaged communities, thereby making certain the sustainability of the tenets of the organisation which is to result in consciousness of the natural environment through experiential schooling. The concept of wilderness trails was introduced by Ian Player as a method of introducing people from all corners of the globe and from all walks of life to the life altering process caused by strolling via the wilderness on foot and experiencing the wonder of nature at first hand.
Teachers will invite students to attend interim faculty in the event that they believe it to learn the scholar. All different college students will not attend. S tudents at ACE have been described as robust, perseverant, real, trustworthy, and diverse.
The International Wilderness Leadership School (IWLS) is an out of doors college that focuses on providing the best quality guide coaching, outdoor management training, wilderness education, and technical instruction. The Wilderness Leadership School was based in 1957 by the legendary Dr. Ian Player who, collectively with his friend and mentor Magqubu Ntombela, recognised the necessity for people to connect with the environment.
The best leaders are those that lead from the front — this means they lead by instance in thought, phrase and deed. Soldiers who choose Leadership Training are making it clear that they want to tackle extra duty and thus rise in rank.
Copyright © 2012 International Wilderness Leadership School – A Division of Alaska Mountain Guides and Climbing School Inc. All IWLS applications can be found for College Credit. In addition to scholarships, students can use Federal Financial Aid, Americorps Education Awards and the GI Bill through one of our affiliate Colleges or Universities in direction of tuition costs. IWLS leadership programs happen in some of the world’s most alluring wilderness, from glacier-capped mountains in South America to the wild rivers of Alaska to Africa’s wildlife-crammed savannas. The packages embrace technical coaching in alpine mountaineering, sea kayaking, rafting, canoeing, rock and ice climbing, backcountry skiing/snowboarding, backpacking, and more.
We serve younger individuals who have limited means to have successful careers by caring for their mental, physical, and emotional nicely-being as students. The Leadership Schools Network (LSN) is a community of cutting-edge, trade-focused colleges in Albuquerque, New Mexico. LSN schools are primarily based on strong and active industries in New Mexico and engage students via challenge-primarily based studying. The colleges search to offer college students with the necessary skills to turn into successful professionals and meet the wants of our future workforce. The design of these faculties is grounded in a deep data of trade from professionals, within the direct engagement with LSN colleges and students, and in analysis and expertise from Future Focused Education.
Many of our college students have skilled things that could derail a mean student. Our college students have made the selection to continue their schooling despite obstacles they’ve confronted. They study exterior of the box, and use problem-fixing and innovation to deal with real-world problems. Our college students will be the future, and they will be ready for work in any area. We encourage community pals, prospective college students and families to go to us!
Corporate leaders could fool themselves into believing that they’re implementing actual change through corporate education, however others in the organization know better, as we saw in the MEPD instance. Why don’t leaders get this?
Our trails run over three days, 5 days and for some, even longer intervals. You sleep beneath the celebs. You expertise a few of Africa’s most wild and sacred locations. But most importantly, the trail experience is about you, a private journey into wilderness and your self. Wilderness Trail with the Wilderness Leadership School is not like some other “trail” experience.
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Today and tomorrow, life skills training is a smart investment. The future of work is already impacting the decisions and fate of businesses, education, and government ministries. The pace of technological change makes it hard to decide the relevancy of various technical skills. According to research, the hardest skills for employers to find are those that machines can't master. They're the future-proof life skills Passport to Success has been cultivating in young people across six continents for over a decade.
In 60 percent of occupations, an average 30 percent of their work activities are automatable.
In a Wall Street Journal survey, 92 percent of employers said "soft skills" were as or more important than technical skills but 89 percent said they had a very or somewhat difficult time finding people with the right skills.
By 2030, workers will be spending 24 percent more time on the job using social-emotional skills [life skills] than they were in 2016.
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Here is an article regarding Writing Tips for Essays. Essay Scholarships are given to students from a wide range of backgrounds in many different professions. While some essay scholarships involve criteria in addition to the essay, including a GPA or proof of financial need, others only consider the quality of the writing submitted. Whatever the requirements, essay scholarships are a terrific way to leverage your writing talents to support your education.
Are Essay Scholarships Worth it ?
Essay Scholarships are worth it because there are numerous essay scholarships which a student can apply for. These essay scholarships are conducted on monthly basis every month. Winning an Essay Scholarship, you can receive scholarship grants of $1000, $2000, $5000 or sometimes even $25000.
The winners can use these scholarship funds to pay for tuition, accommodation, books, or any other educational expenses.
| Also Read –
Scholarship Essays vs. College Essays
In terms of strategy, scholarship essays are very similar to college application essays. Many scholarship applicants will have similar grades, test scores, and goals: the essay is your chance to stand out and grow that college scholarship fund.
Writing Tips for Essays Scholarships
Writing an essay appears to be a terrible task for many students. Whether writing an essay for a scholarship, a class, or even a contest, many students find the task daunting. There are various steps a student can take to break it down into manageable pieces. Following this process is the simplest way to write a successful essay, regardless of its purpose.
1. Begin the essay writing process as soon as possible.
Allow yourself enough time to write a well-thought-out entry. Take the same amount of time you would for any essay writing assignment in English class to brainstorm ideas, create an outline, and edit your entry.
2. Understand the overall mission and purpose of the scholarship provider.
Each scholarship provider seeks students who meet specific criteria. Consider writing about an experience or hobby that demonstrates your strong connection to the organization’s mission. Genuine enthusiasm and passion for your topic will shine through in your essay writing.
3. Follow the scholarship essay guidelines.
Before submitting your scholarship essay, make sure you have completed all of the necessary steps and have reviewed them. Believe us when we say that some of the brightest students have missed out on scholarships because they failed to follow instructions. You don’t want to be in that group!
4. Avoid essay topics that emphasize negativity or pessimism.
Scholarship committees would rather see how you overcame adversity and succeeded despite setbacks (or what you learned from the times you failed).
5. Be willing to get intimate.
Tell us something about yourself. This is your opportunity to expound on topics that you would not have been able to accomplish otherwise on your application. Telling your tale adds authenticity to your essay, making it more memorable to the scholarship jury.
6. Seek writing assistance and comments.
Requesting input on your essay from professors, counsellors, family members, or trustworthy friends will result in a stronger final output.
Some more easy Essay Scholarship writing tips
- Before you begin writing, read the instructions and make sure you understand them. This involves paying attention to formatting specifications such as font family and size.
- Before you begin writing, consider what you are going to write and arrange your thoughts. Brainstorm first, then edit your thoughts.
- Begin the writing process by creating a detailed plan. Include your thesis statement, supporting claims, and any quotes or citations you want to include in your essay.
- Throughout the article, use clear, brief, and basic language. To add rhythm to your writing, experiment with different sentence structures.
- Write confidently about your successes without boasting. Essay examiners want to see your self-assurance, but it always helps to come out as modest.
- Use the Spelling and Grammar check option in your word processor of choice to ensure that your grammar and spelling are flawless. Print out your essay to gain a different perspective on how it reads. Typos that you pass over on the computer may appear on paper.
- Keep track of your word count. Some scholarship essay contests have a word count minimum and maximum. To track your progress, your text editor should have a word count function. If your essay is too long and you need to cut some words, consider removing adverbs first.
- Use a standard essay format. Scholarship essay contests are not the place to experiment with format. Your essay should include an introduction, one to three body paragraphs, and a conclusion.
- Read the essay prompt/question again, and then read your essay to ensure that it answers every topic. If your essay falls short of one of the scholarship conditions, you may be disqualified right away.
- Before you submit the essay, have someone with good writing and editing abilities proofread it. This might be a parent, teacher, tutor, or even a friend.
- Spellings and punctuations are very important. Grammar errors are noticed by scholarship committees. Even little faults might detract from your overall message.
- Make sure to check your essay from beginning to end before submitting your application.
Never give up!
Take a rest when you’re tired, but don’t give up! Our online essay writing coaches are available to you whenever you need them. We can assist with everything from ideation and outlining to final document revision.
Useful Scholarship websites
Useful Scholarship community Groups
We hope, you find this article to be useful. If you have doubts or need clarification, please share in comments.
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From a young age, Alexis Drickel ’17 MBA has been a go-getter. She was always one of the first to raise her hand in class or try new things, purely because of her passion for learning. Early on, Drickel realized that her ambition was often seen as a negative thing. People would say, “Oh, there she goes again — why is she trying to do all these things?”
But over the years, Drickel noticed that not a single male she talked to felt negative connotations towards their ambition — they were never asked those same questions. So why was she?
“It sparked a passion and anger inside of me that made me want to do more,” Drickel says. So when she joined Syracuse University’s Martin J. Whitman School of Management to get her MBA, with a concentration in marketing, she became a part of Whitman Women in Business. Through social events and workshops, the organization aims to build a workforce of strong women leaders.
But Drickel’s passion for empowerment and inclusivity isn’t just limited to raising women up. In fact, the student group that had the largest impact on her Whitman experience was the Graduate Student Organization, which she ended up leading her second year. It gave Drickel not only a chance to give back to a school that she loved learning in, but also to build a community for the graduate students who were of different ages and came from so many different backgrounds, countries and cultures.
Building stronger, more connected communities is something that Drickel continues to do through her current role as a learning manager at PetSmart. As part of the human resources team, Drickel is responsible for training new hires, as well as conducting e-learning classes and distributing other educational materials, both for the corporate office and individual stores.
“We’re building out the strategy and thought that everyone belongs at PetSmart,” Drickel shares.
PetSmart has a Women’s Group, Pride Group and Multicultural Group, among others. Drickel even got the chance to help organize a new event the Women’s Group was sponsoring: Engaging Men in the Movement, in which a male senior vice president and sponsor of the group discussed what it’s like to be a man involved with women empowerment and how other men can combat internal biases and support women they work with.
Drickel interned with PetSmart while pursuing her MBA, and the positivity of all the associates, the company’s strong, innovative vision and an incredibly supportive boss and mentor made it a no-brainer when the time came for her to accept a full-time offer. “I go to work every single day, and I laugh a lot, I work hard, I’m learning,” Drickel shares.
And since company culture and fit is so crucial, Drickel encourages students who are searching for jobs and internships to be really pointed with the questions they ask during interviews. Instead of just asking, “What’s the company’s culture like?” focus on what’s important to you — whether that’s a work from home policy, flexible hours, how collaborative teams are or whether teams spend time together outside of work.
It’s also helpful to learn about what a career path at the company looks like and what could potentially lie beyond the role you’re seeking, Drickel says.
Most importantly, she urges students to be open to companies and locations they haven’t considered. She moved across the country to Phoenix, Arizona, after joining PetSmart, and while it was the hardest thing she’s ever done, Drickel also shares that it resulted in tremendous personal growth.
Even though she gets to pursue her passion for empowerment through her full-time role at PetSmart, Drickel is also on the board for the Network of Executive Women (NEW), a national nonprofit that believes the advancement of all women is simply good business.
Organizations like NEW are so important for women in business because they’re safe networks that encourage candid conversations and champion the next wave of young female professionals, Drickel says. “As many strides as women have made in the past, we still have a long way to go,” she adds. “It’s so important to have a group of women to remind folks that we’re not done there yet.”
- Study Abroad Strasbourg: A Small City Made a Big Impact - September 23, 2020
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- Study Abroad Santiago: Learning from the Women of Chile - September 7, 2020
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The National Theatre is the prime stage of the Czech Republic. It is also one of the symbols of national identity and a part of the European cultural space, with a tradition spanning more than 130 years. It is the bearer of the national cultural heritage, as well as a space for free artistic creation.
Today, the National Theatre is made up of four artistic companies – the Opera, Drama, Ballet and Laterna magika. It artistically manages four stages – the three historical buildings: the National Theatre (1883), the State Opera (1888), and the Estates Theatre (1783), and the more recently opened New Stage (1983). The Opera, Drama and Ballet companies perform not only titles from the ample classical legacy, in addition to Czech works, they also focus on contemporary international creation.
Dance Europe Network
112 30 Praha 1
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Physiology and Development will introduce students to medical terminology and common abbreviations used in healthcare, normal structures and functions of the human body, and changes associated with aging. Students will be encouraged, in anticipating their role as Health Care Assistants (HCA) in a variety of settings, to explore strategies and methods of communication in patientcentred practice as it relates to aging clients.
Completion of Communication Skills
Students are supplied with text books for ongoing reference. In addition to daily quizzes, presentations, individual and group projects, and chapter exams, there is a final exam upon completion of the course. Students must achieve a mark of 75% to successfully complete the course.
Medical Terminology: Identifying three word elements used in medical terms, and learning the meanings of the Greek and Latin prefixes, roots, and suffixes
Body Structure and Function: Identifying the structure and describing the functions of the of each body system
Growth and Development: Identifying the stages of growth and development and the normal age ranges for each
Caring for Older Adults: Describing the effects of retirement, and the changes that occur in the body’s system during aging and the care required
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“Knowing they weren’t going to give us certain experiences, we were just innovative and decided we were going to do it ourselves.”
—Tina Sloan Green, International Women’s Sports Hall of Fame, 1999
Did you know that the first record of the birth of a Black woman in Philadelphia was known as Black Alice? She was born in 1694 to African parents and would become a businesswoman who successfully ran Dunk’s Ferry which carried passengers across the Delaware River for many years. How about Dr. Helen Dickens? She was the first African American woman to be admitted to the College of Surgeonsat a time when only six percent of all doctors were women and later organized Black women to fight cancer by getting early cancer screening and advocated for the right of teens to get birth control. They are two of 95 Black women profiled in the book, They Carried Us: The Social Impact of Philadelphia’s Black Women Leaders.
Black Women have had a positive effect on all aspects of American culture and society, with names that are widely recognized. Think Harriet Tubman. Rosa Parks. But we’ve neglected to write about and tell the stories of thousands of Black women who have made extraordinary contributions to this country. In addition to focusing on systemic racism in the current national dialogue about race in America, it is also time to shine a bright light on the contributions of Black women since the founding days of the republic.
In their book, They Carried Us: The Social Impact of Philadelphia’s Black Women Leaders, Allener Baker-Rogers and Fasaha Traylor honor 95 Black women—historical figures and living women—whose vision, creativity, hard work and determination shaped the contours of Philadelphia from colonial times to the present day. They take us into the lives of women who organized and led protest movements, founded and ran successful businesses, excelled in sports, produced exceptional works of art and held powerful political offices, all while dealing with the complexities of everyday life.
The book is available on Amazon (https://www.amazon.com/They-Carried-Us-Philadelphias-Leaders/dp/1938798309 and you can also read more about it at www.theycarriedus.org. The stories will inspire you, your daughters, and all the proud Black women in your life!
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BUILDING & CONSTRUCTION
At CBD Law, we have experience with the key pieces of legislation that govern the rights and responsibilities of contractors and subcontractors within the building and construction industries. Read more below, or set up a time to speak with one of our solicitors.
The Building and Construction Industry Security of Payment Act 1999 (The Act) is a key piece of legislature for sub-contractors working on behalf of head contractors. The Act allows for a quick resolution of disputes over payment, where traditionally head contractors have been in a position to stall payment through lengthy and expensive litigation. The Act also enforces the timely payment of invoices where an objection in the appropriate form has not been lodged by the head contractor.
The Contractors Debt Act further allows for payment to be obtained directly from a principle where a judgement against the head contractor has been obtained and the principle still owes the head contractor money.
Below is some information that will help you understand the two Acts and how they might apply to you.
Building and Construction Industry Security of Payment Act 1999 (The Act)
The Act applies to most building and construction contracts. A construction contract is an agreement to carry out construction work or supply related goods and services (such as engineering, architectural advice, interior decoration work or the supply of building materials) and can be written or verbal. Certain contracts are excluded, most notably contracts for residential buildings, which are covered under the Home Building Act 1989.
Procedures for securing payment
Once a progress or payment claim (invoice) has been served to the person liable to make payment, the person receiving the claim has certain choices. The progress claim must:
- Identify the work
- Indicate the amount of the progress payment due
- State that the claim is made under the Act
Once the payment claim has been made, the person receiving has the choice to either pay the amount claimed in full, or dispute all or part of the claim.
Any dispute (in the form of a payment schedule) must be sent by the respondent either within the time stipulated in the Contract, or within ten business days from when the payment claim is served.
Consequences of not paying in full or issuing a payment schedule
If the liable party does not pay in full or issue a payment schedule, then the contractor may:
- Sue for the amount unpaid as debt due
- Serve a notice on the respondent advising of his/her intention to suspend the carrying out of construction work (suspension can take place within two (2) business days of giving notice)
Once a payment claim has been served, options are open to either pursue the debt in court as a debt due or alternatively seek to have the matter determined by an adjudicator (appointed through the Institute of Arbitrators).
The adjudication process is not a final determinant for the validity of the dispute claim, but it fixes an amount the respondent must pay as security for the amount claimed. The time limits are strict and any breach of the time limits will adversely affect the process. The time limits vary but can be summarised as follows:
- The respondent issues the payment schedule (usually 10 business days after the payment claim is served).
- Either within 5 business days after the payment schedule is sent by the respondent or within 10 days from the due date for payment (if no payment schedule is served), the claimant applies for adjudication.
- Within 5 business days of receiving a copy of the application or two days after receiving notice of the adjudicator’s acceptance of the application, the response to adjudication application must be made.
The adjudicator is obliged to determine the status of the application within 10 business days after acceptance of the application or within a timeframe agreed by all parties.
Respondent’s obligations following adjudicator’s determination
Once determination has been made, the respondent must either pay the amount to the claimant or give acceptable security for payment of that money.
What if no response is made to the claim for payment?
If the respondent does not respond to the claim for payment within the prescribed period, you can either elect to have an adjudication certificate issued by an adjudicator or alternatively proceed to Court. The difficulty is determining whether or not to file an adjudication application (given that this must be done within 10 days of payment falling due). Once the 10-day period has elapsed, you will need to either re-issue the progress claim at a later date or alternatively utilise the Court avenues for debt recovery.
Whilst some Courts have previously applied security of payment legislation strictly if a progress schedule has not been issued, and have entered judgement quickly, it remains to be seen as to whether all Courts will allow judgement to be entered on the basis of a claim being made and no response received within the statutory period. Whilst the Supreme Court has taken this approach on occasion (preventing a defendant from raising a defence/cross-claim where a payment schedule has not previously been issued) we are not confident that all Courts will follow their lead, which may lead to further difficulties and delays for you, the claimant.
Need some expert legal advice? Get in touch today for your personalised consultation.
Contractors Debts Act 1997
Under this Act, a sub-contractor can seek payment from a principle in cases where the head contractor is refusing or unable to pay what is due.
In the first stage, proceedings must be issued against the defaulting head contractor. If the head contractor then fails to lodge a defence, a ‘Debt Certificate’ may be issued, under which a subcontractor is entitled to payment directly from the principle.
If a defence is lodged by the head contractor, an application can then be made to the Court to prevent the principle from paying the disputed amount to the head contractor until Court proceedings have been finalised.
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On March 15, 2010, the Council asked the Independent Scientific Review Panel (ISRP) and Independent Scientific Advisory Board (ISAB) to jointly review and provide comments to improve the Council’s Draft Monitoring, Evaluation, Research, and Reporting (MERR) Plan for the Columbia River Basin Fish and Wildlife Program (Program). The goal of the Program is to protect, mitigate, and enhance fish and wildlife, and related spawning grounds and habitat that have been affected by the construction and operation of hydroelectric dams on the Columbia River and its tributaries. The MERR Plan is designed to provide a monitoring and evaluation framework to improve reporting of Program progress and to better inform Council decisions.
ISAB and ISRP General Comments
The draft MERR document has obviously benefited from much thought and revision. The document is comprehensive, well written, and well organized. The document will serve as a resource to explain the objectives of the Council, the planning process, and coordination with other groups/agencies. The MERR document is essential because inadequate monitoring, evaluation, and reporting hinder progress in the Columbia River Basin. A very important element recommended in the 2009 Fish and Wildlife Program for a RME plan was "increasing requirements for reporting of results and accountability." Over 40% of the ongoing projects that the ISRP has reviewed in the past several years have been characterized by inadequate reporting of results (ISRP 2007-1). Published and unpublished data and reports should be available in a timely manner and in a format that identifies species, ESU, locations, methods, and results. This will facilitate adaptive management, a better regional knowledge base, and more relevant, informed, and timely research proposals.
Although the draft MERR Plan is a credible and very useful effort to start the process, some revisions are suggested in this review. MERR will only be successful if mechanisms and resources are in place to accomplish some rather lofty goals, and if there is the ability and political will to refine the scope on a regular basis. Those details need to be well articulated in this document before its approval. Similar efforts outside the Columbia River Basin have failed because the enabling documents were vague on the details and did not identify responsibilities or point out the consequences of failing to meet programmatic goals. Another fundamental problem in other previous efforts was inadequate funding to implement actions. The document should describe how this plan would overcome these fundamental pitfalls to make the MERR Plan successful.
The MERR plan should reference successful endeavors, such as the Heinz State of the Ecosystem Report, that directly inform RME needs, the Long Term Ecological Research Network (US-LTER (USA)), and connections to BiOp RPAs and RIST documents that could help direct the MERR plan and provide context. The MERR Plan authors should review and critically evaluate other efforts to understand their strengths and weaknesses such as the reports: An adaptive system to link science, monitoring, and management in practice(Biggs and Rogers 2003) and The real river management challenge: Integrating scientists, stakeholders and service agencies (Rogers 2005).
The ISRP and ISAB are aware that the MERR document has a diverse audience of interested parties including Council members, staff, science groups, project managers, and project proposers. Inclusion of a glossary would be useful to provide a common understanding of terms used throughout the document. The challenge of addressing research, monitoring, evaluation, and reporting conceptually, as well as providing guidance at an operational level is substantial. The draft MERR Plan is an excellent start and is a living document that will evolve with advances in science, changes in the BiOp, and on-the-ground actions.
As a living document the MERR Plan can adapt as the goals of the Fish and Wildlife Program are revised to reflect the evolution of monitoring and evaluation, adaptive management experiments, and scientific research. A revised MERR Plan could provide an opportunity to inform changes in protection, mitigation, and enhancement goals by emphasizing a logical, scientific progression to problem identification, determining the best approach to answering key questions, and laying out a strategy for evaluating and reporting data.
See the attached memo and ISAB and ISRP comments embedded in the draft MERR Plan for details.
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For the Disembodied Cuisine art project, they attempt to grow frog skeletal muscle over biopolymer for potential food consumption. A biopsy is be taken from an animal which will continue to live and be displayed in the gallery along side the growing “steakâ€. This installation will culminate in a “feastâ€. The idea and research into this project began in Harvard in 2000. The first steak they have grown was made out of pre-natal sheep cells (skeletal muscle). We used cells harvested as part of research into tissue engineering techniques in utero. The steak was grown from an animal that was not yet born.
This amazing timeline, of nearly everthing, includes such factors as sunspots, population, popular music, major human events, epochs, war, and politcs among many others. It’s a visual representation of humanity that fits on one page. I’d love to have a poster of this in my office.
June 18th-24th is national lightning safety awareness week.
Each year lightning kills 50 to 100 people in the USA (500 injuries). During an average year in Colorado, lightning will kill 3 and injure 18 people. Men are struck by lightning four times more often than women. Colorado has the 3rd highest lightning casualty rate in the nation. A typical 100-million volt lightning flash can heat the air to more than 40,000°F. The contact voltage of a typical industrial electrical shock is 20 to 63 kilovolts, a lightning strike delivers about 300 kilovolts. The saying “lightning never strikes twice in the same place” is false. The Empire State Building is struck by lightning on average 100 times each year, and was once struck 15 times in 15 minutes.
People are struck by lightning all the time. In fact, here in Colorado, just last week a man was killed by lightning while walking to his parked car at the Mile-Hi Flea Market. Over the last few days, 69 people were killed by lightning in India.
Even airplanes get struck by lightning.
Although most lightning mortality is through cardiac and neurologic events, other organ systems can be affected. Further complications may include respiratory distress syndrome, pulmonary edema, renal failure, retinal lesions, and rhabdomyolysis. Most of the current from a lightning strike passes over the surface of the body in a process called “external flashover” and results in deep burns at the point of contact most commonly on the head, neck and shoulders. Sometimes the burns come in the form of Lichtenberg figures (graphic picture but SFW). Lightning can catch your hair on fire. All lightning strike burns are highly prone to infection. Other complications caused from lightning strike include: Contusion or internal hemorrhage of brain, lungs, liver, intestine or other organs, bone fractures and bruises, numbness/weakness in limbs, partial or complete (but temporary) paralysis, tympanic membrane ruptured (typical), transient blindness, photophobia , conjunctivitis, corneal damage, retinal abnormalities (macular hole), and cataracts.
If the physical effects weren’t enough, 70 percent of lightning survivors experience residual effects, most commonly affecting the brain (neuropsychiatric, vision and hearing). These effects can develop slowly, only becoming apparent much later. Survivors complain of intense headaches, ringing in the ears, dizziness, nausea, vomiting and other post-concussion types of symptoms. Survivors also experience difficulty sleeping, often sleeping excessively at first and then only two or three hours at a time. some develop seizure-like activity several weeks to months after the injury. Many lightning victims may suffer personality changes because of frontal lobe damage and become quite irritable and easy to anger. As a result, many isolate themselves, withdrawing from church, friends, family and other activities. Other neurologic disorders include: loss of consciousness or coma, amnesia, anxiety, confusion, aphasia, seizures, electroencephalographic abnormalities, brain damage, neuropathy, memory disorders, concentration disturbances, irritability, lightning storm phobia, and post traumatic stress disorder. The experience can be so dramatic that there is a Lightning Strike Survivors Support Group. The pathology of lightning, or keraunopathy, is known only to a few specialists.
And if all that wasn’t enough lightning will often explode, tear, shred, or burn your clothes right off you – leaving you not only very disoriented, but at least partially naked.
On a happier note, only about 20 percent of lightning victims are immediately struck dead.
Other links of note:
A recent scientific study strengthens the belief that metallic supports in modern bras could attract lightning and strike their wearers dead. An unconfirmed instance of this occurred circa 2000 in Hyde Park, London, when two women hiding under a tree died after being struck by lightning. The forensic report said “lightning discharge was channeled into the metal brassieres, leaving burn marks on the women’s chests.”
Roy Sullivan was struck by lightning seven times. His wife was struck once. He died by suicide.
US lightning strikes during the last two hours
Selected Incidents from the “It Can’t Happen to Me” Library
Over 200 cool lightning photos
Tips on taking photographs of lightning
Stories of lightning strike survivors
Your chance of being struck by lightning: 1 in 280,000
Lightning Kills! posters
Lightning Kills public service announcement
Benjamen Walker’s Theory Of Everything: I haven’t really gotten into this whole podcasting thing yet but this looks like it could be a good one.
Not your ordinary Mashup! This Beatles Mash-up Medley mix is made up by appx 40 Beatles songs, with sometimes five different songs playing at the same time. A must hear.
Transformational geometry and interation in cornrow hairstyles.
DVD Light Display: Turn your T.V. into a futuristic light display. Play this dvd and watch as 8 recorded colors are “played”. Use your T.V. as a cool new lighting element or lamp at your next party. It way too expensive, but a great idea.
The NOAA (National Oceanic and Atmospheric Association) here in Boulder, Colorado has issued an alert. The alert states that recently there have been large solar explosions (coronal mass ejections is what the scientists call them) on the sun. These flares are creating large x-ray bursts. The SEC (Space Environment Center) issues alerts at the M5 (5x10E-5 Watts/m2) and X1 (1x10E-4 Watts/m2) levels. As you can see
here, this has happened three times in the past two days. Below is a photo of one of todays flares. Here is a great video (mpeg), constantly updated, of the sun’s activity.
There have been over 18 alerts given by the SEC during the last two days for large x-ray and radio-wave bursts. Strong solar radio bursts (those M5 and greater) may cause major disruptions in satellite and other spacecraft operations, power systems (thus knocking out electric power), high frequency communications, and navigation systems. High altitude aircraft crews and passengers on polar routs are also susceptible to radiation hazards during similar events. However, there is one cool bonus effect of coronal mass ejections… the northern lights become much more spectacular and even visible from the northern US.
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Business Possessors seeking to vend their intimately possessed company will frequently retain a business conciliator grounded upon their moxie in the ensuing areas
Listing a business for trade in a quiet and discreet manner is critical as the consequences could be veritably negative if challengers, workers, and guests find out the proprietor is dealing the company. In numerous cases a business conciliator can pre-screen a number of buyers without revealing the name and position of the business, commodity that would be nearly insolvable for the proprietor to negotiate. Approaching the trade in a nonpublic manner will help challengers from exercising the data to impact guests or spread dangerous rumors, avoid issues with crucial workers who might be nervous about the query a change in power might bring, and exclude unwanted enterprises by guests who feel their relationship might be in jeopardy. There’s a delicate Why you should hire a Florida Business Broker balance in furnishing the necessary information to the buyer to allow them to make a proper evaluation and guarding the merchandisers’ need for confidentiality. Endured business brokers fete the significance of the nonpublic nature of the business trade and generally will give personal fiscal and business data in stages. Lower information is handed outspoken but will increase over time as the relationship with the buyer matures and it’s verified that they’re a serious and good seeker. It’s important for the buyer to fete that some largely nonpublic information, similar as client databases and contracts, won’t be made available until after a list DPA has been executed and the contingencies have been removed.
Valuing Your Business:
Credentialed business brokers are trained to establish a current fair request value of a business using the income, asset, and request approaches. Business brokers are professed at assessing andre-casting fiscal statements in addition to having a solid understanding of what crucial values buyers are seeking. These professionals have access to large business sale databases that are used as guidelines or reference points to establish an estimated price range grounded upon assiduity, fiscal, and geographical data. Understanding the worth of one’s business and how that value is deduced is extremely important. In some cases, there are minor changes that an proprietor can make that would dramatically increase the value of the business. Possessors who are equipped with a business value report will be well deposited to identify those areas that will drive company value in the coming times, enabling them to completely maximize the business value and prisoner a advanced deals price when it comes time to vend the enterprise. There are a variety of other situations where a business valuation will be important, including carrying fresh backing, recapitalizing the business, creating steal/ sell agreements, icing acceptable insurance is in place, dissolving a marriage/ cooperation, and establishing an hand stock power plan (ESOP), to name a many. There are several different types of valuations available so it’ll be important to identify the purpose to insure that the proper report is attained.
For the maturity of small business deals, it’s rare for a buyer to acquire a business without the backing of 3rd party backing. Endured business brokers have connections with a variety of backing sources including SBA lenders, marketable banks, and private capital companies. While the credit request has tensed vastly over the last several times, business brokers understand which lenders are active and the type of deals, cash inflow or asset grounded, they will finance. Business brokers are endured in preparing and submitting the needed documents to these small business lenders whereby they’re reviewed and a financing “pre-approval” can be generated. Lender involvement at an early stage will enable the business proprietor to be well educated on the type of backing and terms that are available, the buyer down payment needed for the loan, and any dealer backing commitments that may be requested. Also, performing this work up front, before a buyer is located, will frequently drop the time period in closing a sale. Securing fiscal capital is one of the most critical issues for buyers pursuing a business accession and it’s those businesses that are distinguished as being pre-qualified for backing that will be in lesser demand.
Dealing a intimately held business is a major undertaking as it can be a long, complex, tedious, and stressful process. Business possessors who have tried to approach a trade without a sale platoon are quick to realize that the process is a full- time job and can be extremely abstracting for those are who are active in managing the diurnal business operations. A business broker will take power of the entire deals process allowing the business proprietor, who’s formerly wearing numerous headdresses, to concentrate on their core faculty in furnishing 100 of their attention to running the business to maintain or increase its value, mollifying the threat of business corrosion during the trade process.
Established business brokerage enterprises have large databases of good buyers in addition to networks of business interposers and other professionals that have access to people who are in the request to buy a company. Utmost business brokers have the tools, coffers, and processes to attract and screen buyers through a structured and nonpublic marketing program designed to solicit interest from a wide range of buyers where they’re totally pre-qualified grounded upon experience, time table, and fiscal capacity. The broker will produce a comprehensive marketing indirect containing a literal summary of the business operations, help, products and services, acclimated fiscal statements, and valuation data. A marketing strategy will be developed, grounded upon the type and size of business, targeting either fiscal or strategic buyers, or in some cases, both. Fiscal buyers are characterized as either entrepreneurs or directors leaving commercial America, interested in pursuing their dream of retaining a business. Their focus is on the earnings and cash inflow that the business generates and whether it’ll induce sufficient finances to service debt and give the needed ‘proprietor fiscal benefit’ to support their life. Strategic buyers are generally companies who are either in a analogous assiduity looking to acquire request share/ husbandry of scale or a complimentary business seeking to broaden their product or service immolation. Strategic buyers will frequently pay a decoration for the business grounded upon anticipated solidarity that the accession offers.
A professed moderator acts as a buffer between the buyer and dealer and is suitable to diplomatically address any sensitive, combative, or centralizing issues without risking the chemistry that was developed between the buyer and dealer. Ending a sale is a complicated process with unique factors involved and a variety of clashing issues and personalities from each side. The paperwork involved can be astounding and the conciliator will bring enormous value in coordinating, propagating, and reviewing the plethora of documents involved with the buyer’s/ dealer’s professional counsels. There are frequently situations that bear the delivery of unwelcome information, a retraction or revision of an offer, the untangling of red vid, or addressing sensitive fiscal issues. Having a third party conciliator involved in the sale mitigates direct conflicts between the buyer and dealer, precluding implicit emotionally charged questions and enterprises from damaging the concession process. The broker’s crucial function is to close the sale and their involvement as a mediator will enable the proprietor to take a step back and approach the trade in a regular approach that maximizes the value, minimizes the stress, and one that should address both parties’ objects and be more likely to affect in a successful sale.
An Exit Plan is a written roadmap that’s developed in confluence with legal, account, and fiscal professionals and is designed to maximize the value an proprietor receives when exiting the business. Whether the thing is to exit the business in six months or ten times, it’s critical that a business proprietor fete that race planning is the single most important way to take control of the terms and conditions of exiting their business. Proper exit planning will reduce the variability of the business control transfer, and can secure a sound fiscal future for their family. By establishing the current request value of the business in confluence with a determination of the proprietor’s exit schedule and the income demanded for withdrawal, the Business Central will have the essential rudiments for the foundation of the exit plan. The longer that a business proprietor has to apply the exit plan, the lesser the openings will be to maximize the business value, minimize duty arrears, avoid crucial hand development, and exclude emotionally charged family issues. By developing a formal business exit plan and setting out a specific schedule of conduct to be taken, a business proprietor will have a clear plan of action and know exactly when and how they will be leaving the business.
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Vo l u m e x x v i i I , N o . 3 J u n e 2 014
Improving communication Working with patients who are blind or visually impaired By Maurita Christensen, MS, PhD, CRC
lmost every physician has had a patient who is blind or vision impaired. As the psychologist for Minnesota State Services for the Blind (SSB), I work exclusively with people who experience vision loss. This article provides some practical tips on working with patients with vision loss, and an overview of resources available through SSB. Legal blindness is defined as central visual acuity of 20/200 or worse with best correction, or a visual field of less than 20 degrees. Typically, visual impairment is visual acuity of 20/60 or worse in the better eye with best correction. However, people with vision loss use a variety of terms to describe themselves—blind, visually impaired, or having low vision. You may want to ask your patients for their personal preference.
Electronic media and children Health implications and the physician’s role By Nusheen Ameenuddin, MD, MPH
ad, we’re supposed to ask our doctor about Levitra.”
As a newly minted pediatrician, I never expected to deal with a question about a drug for erectile dysfunction, much less one posed by a 4-year-old patient who was simply following instructions put forth in a television ad.
But this experience drove home to me, in a way no statistic could, the power the media had on even the youngest members of society. Years later, I realize how much the media landscape has changed and expanded since that encounter. I think of how we, as physicians, need to understand Electronic media and children to page 10
According to 2010 census data, about 75,000 Minnesotans are legally blind. The National Center for Health Statistics indicates that the number of individuals who are legally blind will double in the next seven years, due in large part to our aging population. It is estimated that rates of vision loss increase nearly 400 percent as one moves from the 18 to 44-year-old bracket to the 70- to 84-year-old bracket. Roughly 17 percent of Minnesotans Improving communication to page 12
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This property is just a sample of our extensive medical portfolio. For more information on this or any of our other listings, contact the Healthcare Services Group today. Healthcare Services Group Direct 952 837 3061 email@example.com www.colliers-healthcareservicesmn.com
June 2014 • Volume XXVIII, No. 3
Features Electronic media and children Health implications and the physician’s role
MINNESOTA HEALTH CARE ROUNDTABLE 1
By Nusheen Ameenuddin, MD, MPH
Improving communication Working with patients who are blind or visually impaired
By Maurita Christensen, MS, PhD, CRC
DEPARTMENTS CAPSULES 4 MEDICUS 7 INTERVIEW
Mental health in transition By James J. Jordan, MD
Intranasal insulin By William H. Frey II, PhD
Catherine M. Rydell, CAE American Academy of Neurology
Hormone therapy and the WHI By Jon Nielsen, MD
2014 health care architecture honor roll Recognizes 10 outstanding building projects By MPP Staff
Special Focus: Medical Facility Design Phased building projects 30 By Richard Engan and Mitra Milani Engan
Beyond walls and built spaces By Allison Matthews
Background and focus: As tools and techniques for treating chronic illness have expanded, so have methods and mechanisms of provider reimbursement. More people now have access to care, and with this comes a heightened awareness of the impact of social determinants on health. The transition to rewarding physicians for maintaining a healthier population is slow but the promise is clear. Treating chronic illness remains an area of high-volume use and, improperly managed, quickly becomes an area of high cost. Objectives: We will evaluate changes that health care reform is bringing to chronic illness care. We will examine new community-based partnerships that are forming to address prevention, compliance, and better identification of risk. We will look at specific diseases and how workplace solutions, insurance companies, clinics, hospitals, long-term care facilities, and home care providers are working together to lower costs and improve outcomes. Please send me ____ tickets at $95.00 per ticket. Mail orders to Minnesota Physician Publishing, Inc., 2812 East 26th Street, Minneapolis, MN 55406. Tickets may also be ordered by phone 612.728.8600 or fax 612.728.8601.
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New Law Allows APRNs to Practice Independently Gov. Mark Dayton has signed a bill that allows advanced practice registered nurses (APRNs) in Minnesota to practice independently from physicians. The bill passed the Senate 64 to 0, and the House 119 to 13 earlier this month. The licensing change applies to nurse-midwives, nurse practitioners, clinical nurse specialists, and registered nurse anesthetists. It will go into effect Jan. 1, 2015. “We really believe that this is an important step for keeping our newly educated APRNs interested in staying in Minnesota and providing care to our citizens,” said Mary Chesney, PhD, RN, CNP, president of the Minnesota Advanced Practice Registered Nurse Coalition. Chesney says the legislation will help address a growing physician shortage in some areas of the state. “It’s going to increase access to care because it removes barriers that were keeping some
advanced practice registered nurses from being able to practice,” she said. New advanced practice nursing graduates must work 2,080 hours in a hospital or collaborative setting in order to qualify to gain full authority to practice independently.
Prenatal Nicotine Exposure Higher than Reported, Study Finds The Masonic Cancer Center at the University of Minnesota has released research showing that more women smoke tobacco products while pregnant than is reported on their babies’ birth certificates. Researchers used newly developed assay methods and newborn dried blood spots from four states that store and release samples anonymously for public health advancement: California, Michigan, New York, and Washington. “Prenatal exposure to tobacco smoke has been connected to both short- and long-term effects
Minnesota Physician June 2014
on babies, including lower birth weights, birth defects, asthma, and neurobehavioral problems,” said lead author Logan Spector, PhD, associate professor at the University of Minnesota. “These effects also don’t consider other potential [lifetime] risks, such as cancer.” Currently, maternal smoking rates are tracked mostly through information recorded on birth certificates. To determine smoking rates among pregnant women objectively, researchers tested the dried blood spots for cotinine, a marker created by the body after nicotine exposure. They found that 12 percent of the tested samples showed levels indicating the mother had smoked within the last several days before birth. However, 41 percent of those mothers were not noted to be smokers. “The numbers we found were similar to other studies of socially disapproved behaviors during pregnancy, showing many women underreported their tobacco use to physicians or nurses,” said Spector. “Still, this number may underestimate the number of women who smoke late in
pregnancy; our tests only show those babies exposed to tobacco products between three and five days prior to birth.” The new assay was developed by Sharon Murphy, PhD, at the University of Minnesota to collect quantitative data from small dried blood samples. “This collection method may be particularly useful in low-resource nations or in data collection points where many participants will be sharing their samples,” said Spector. “Dried blood spots are hygienic, lightweight, and do not require refrigeration, as well as being non-invasive for participants. It’s a very efficient model for research.”
Allina and Children’s Begin $30 Million Expansion On May 14, Allina Health and Children’s Hospitals and Clinics of Minnesota broke ground on a $30 million, 62,000-square-foot expansion at Mercy Hospital in Coon Rapids.
Mercy will move its current birth center into the two-story addition, called the Mother Baby Center. A skyway will connect the expansion to the hospital’s main operating room to better serve high-risk patients. The new facility will include 10 labor and delivery rooms, 22 postpartum rooms, two large operating rooms, an infant resuscitation room, a 10-room Level II special care nursery, and private patient rooms with full bathrooms and foldout sofas. “Adding more specialized services at Mercy, especially for high-risk mothers and babies, will mean fewer will need to go farther from home for care,” said Penny Wheeler, MD, president and chief clinical officer at Allina Health. Hospital officials expect the center to open by mid-2015. It initially will have the capacity for 2,700 births each year, with shelled space for growth and the potential to accommodate 3,500 births annually.
Researchers Study Strategies to Reduce Early Readmissions Mayo Clinic researchers reviewed 47 randomized studies that assessed several methods to reduce readmissions, and found that the rate of 30-day readmissions can be reduced by nearly 20 percent when specific preventive measures are taken. “Reducing early hospital readmissions is a policy priority aimed at improving quality of care and lowering costs,” said Aaron Leppin, MD, research associate at Mayo Clinic. “Most importantly, we need to address this issue because hospital readmissions have a big impact on our patients’ lives.” Currently, studies estimate that one in five Medicare beneficiaries is readmitted within 30 days of hospitalization, costing $26 billion annually. “Patients are sent home from hospitals because we have addressed their acute issues,” said Leppin. “They go home with a list of tasks that include what they were doing prior to the hospitalization and new self-care tasks prescribed on discharge. Some patients cannot handle all these requests, and it is not uncommon
for them to be readmitted soon after they get home. Sometimes these readmissions can be prevented.” Researchers found that the most effective interventions, those that reduced readmission rates by almost 40 percent, are more complex and help patients do the work that is needed on their part. In addition, researchers found that the trend toward simpler, high-tech strategies during the last two decades generally has been less effective in reducing readmissions.
Minnesota Ranks First on Health Performance Minnesota has ranked first among 50 states and the District of Columbia on the 2014 Commonwealth Fund’s Scorecard on State Health Performance. The scorecard measured 42 health indicators of health care access, quality, costs, and outcomes from 2007 through 2012. The majority of states in the bottom quartile rankings are located in the south, with the exception of Indiana and Nevada. Most states in the top quartile rankings are in the upper Midwest, along with Colorado and Hawaii. Despite the overall high ranking, Minnesota did not score well on several specific health indicators. It ranked 37th in “children ages 19 to 35 months who received all recommended seven doses of vaccines,” 48th in “home health patients whose wounds improved or healed after operation,” and 34th in “adults with a usual source of care.” In addition, some scores worsened from the last scorecard, including those in the categories “adults who went without care because of cost in the past year,” “children ages 10 to 17 who are overweight or obese,” “adults who smoke,” and “adults without a dental visit in the past year.” According to the overall results, most states did worse, or didn’t improve on the 34 indicators for which long-term data is available. “No state is making widespread progress toward the achievable outcomes that all individuals should expect considering Capsules to page 6
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The Lawyers and Lobbyists that Doctors Trust Medicine is complicated. So are the laws that doctors, hospitals and insurance companies have to manage. Lockridge Grindal Nauen is one of Minnesota’s leading health care law firms. Our health care clients are so satisfied they’ll write us a referral.
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From the Courtroom to the Capitol.® June 2014 Minnesota Physician
Capsules from page 5
the substantial and increasing resources devoted to health care in the United States,” noted Douglas McCarthy, Commonwealth Fund senior research director, and his colleagues in a commentary on the report. “Spending increased in all states on both a per-capita basis and as a share of total state income. And still, the scorecard points to deteriorating access to care for adults, stagnant or worsening performance on other key measures such as preventative care for adults, and widespread disparities in peoples’ health care experiences across and within states. These findings together suggest that the return on our nation’s health care investment is falling woefully short.”
UCare Releases P4P Details UCare has announced specifics of its 2014 Pay for Performance (P4P) program, including the health-care quality measures that will be used to determine rewards for providers and health care
systems serving the 400,000-plus Medicaid, Medicare, and Special Needs Plan members in Minnesota and western Wisconsin. Criteria were chosen to improve preventive care, identify health issues through screenings, and achieve improved outcomes for chronic conditions such as diabetes and cardiovascular disease. Quality measures are based on specifications from the Minnesota Department of Human Services, Minnesota Department of Health, the Healthcare Effectiveness Data and Information Set, the Institute for Clinical Systems Improvement, and MN Community Measurement. All measures will be rated equally in determining rewards. “We are pleased to offer a Pay for Performance program that encourages and supports providers in their work to help UCare members improve and maintain optimal health,” said Russel Kuzel, MD, MMM, senior vice president and chief medical officer at UCare. The program rewards improvement in the preventive care areas of breast cancer screenings,
cardiovascular LDL cholesterol screenings, diabetes LDL cholesterol screenings, diabetes-monitoring nephropathy, well-child visits within the first 15 months of life, adolescent well-care visits for 12- to 21-year-olds, antidepressant medication management, and postpartum care. Providers were required to opt in by Feb. 28 to participate in the program. UCare will prepare quarterly “action lists” for providers that contain the names and contact information for members who may be due for services related to the 2014 measures. UCare will examine patient care claims processed in 2014 for each provider, and compare them to the P4P criteria and provider’s goals to determine financial rewards in 2015. UCare has had a P4P program in place since 2002.
Park Nicollet Announces Maple Grove Expansion Park Nicollet has announced
plans to develop a $48 million, 115,000-square-foot outpatient regional center in Maple Grove. “Patients want access to primary and specialty care services in one convenient location where care teams are working together to make it easy for them,” said David Abelson, MD, Park Nicollet president. “This model is an opportunity to improve health, experience, and affordability for patients.” The regional center will consist of a newly constructed three-story medical building that will connect to the health care system’s existing clinic in Maple Grove. It will house specialty clinics, and offer primary care and outpatient services. The existing structure will be converted to an ambulatory surgery and endoscopy center, services that Park Nicollet currently does not offer in Maple Grove. Park Nicollet plans to begin construction on the new facility this summer and finish by late 2015. The ambulatory and endoscopy center conversion is expected to open in 2016.
9th AnnuAl PAin ConferenCe fridAy, november 14, 2014 Westin Hotel • Edina, MN
Save the Date! This conference is designed for primary care physicians, physician assistants and nurse practitioners who play an active role in the primary care of patients. Other health professionals such as chiropractors, mental health providers and physical therapists would also benefit from attending this conference.
Cutting edge expertise makes Episcopal Church Home your TCU of choice for patients requiring
Complex Wound Care
Introducing the newest member of our TCU team: Cristina Presbitero, BSN, RN, WCC
toPiCs inClude: • • • • • • •
Evaluation and Diagnosis of the Chronic Pain Patient The Psychology of Pain Lumbar Spine Examination & Assessment Physical Therapy and Pain ICSI Guidelines / Proper Prescribing Controlled Substance and Drug Diversion Advances in Implantable Treatment Options
Check here for conference updates and registration information: PainPhysicians.com/CME
Cristina Presbitero is a Med-Surg and Wound Care Certified RN with over eight years of experience in complex wound care and enterostomal nursing and consulting. This means: • More wounds managed in house versus out patient, reducing total care cost and rehospitalization. • Wound vac management. • Track healing rates on hospital and house-acquired wounds, incident bases on diagnosis and risk factors, reducing hospitalization. Questions? Please contact our Admissions Coordinator Kelly Emerson at 651-632-8842
Minnesota Physician June 2014
Medicus Sheldon Burns, MD, Edina Family Physicians, has been named 2014 Family Physician of the year by the Minnesota Academy of Family Physicians. The award is presented annually to a family physician that represents the highest ideals of family medicine, including caring, comprehensive medical services; community involvement; and service as a role model. In addition to his clinical practice, Burns serves Sheldon Burns, as medical director for the Minnesota TimMD berwolves, Lynx, and Wild, and has been the team physician for the Minnesota Vikings since 1985. He has volunteered at 11 Olympic games and is the on-call physician for the Target Center and Xcel Center to treat performers and touring staff. Burns is board-certified in family medicine, emergency medicine, and sports medicine. Patients, community members, and colleagues nominated physicians across the state for the award.
The Easiest Referral You Can Make!
Krisa Christian, MD, board-certified in internal medicine, has joined the hospitalist department at Essentia Health–St. Mary’s Medical Center, Duluth. She graduated from the University of Minnesota Medical School and completed a residency in internal medicine at Hennepin County Medical Center (HCMC), Minneapolis. William Allen, MD, board-certified in internal medicine, has joined HCMC’s internal medicine department. He graduated from the University of Minnesota Medical School and completed an internal medicine residency at HCMC. Sandra Lewis, MD, board-certified in family medicine, has joined the HCMC family medicine departWilliam Allen, MD ment. She graduated from the University of Minnesota Medical School and served a family medicine residency at HCMC, as did new HCMC family medicine staff member Bryan Nelson, MD, board-certified in family medicine. Krisa Christian, MD
William Lee, MD, board-certified in surgery, has joined Bryan Nelson, Glacial Ridge Hospital, MD Glenwood. Lee earned his medical degree from the University of Iowa Carver College of Medicine, Iowa City, and completed his internship and residency in general surgery at Michigan State University, Kalamazoo.
We accept all referrals, in or out of network, insured or uninsured. William Lee, MD
Timothy J. Wilt, MD, MPH, board-certified in internal medicine, has received the 2014 VA Undersecretary’s Award for Outstanding Achievement in Health Services Research. A staff physician in general medicine at the Minneapolis VA Medical Center and a professor of medicine at the University of Minnesota Medical School, Wilt’s research has led to the development of national pracTimothy J. Wilt, tice guidelines for implementing high-value, MD, MPH cost-conscious health care, especially in the area of screening. He earned a medical degree from the University of Illinois School of Medicine–Chicago, and completed an internal medicine residency at the University of Minnesota, where he also earned a master’s degree in public health.
Appointments: 612.596.6105 www.facebook.com/ShrinersTWI
June 2014 Minnesota Physician
The American Academy of Neurology A s executive director and CEO of the American Academy of Neurology (AAN), what are your duties?
Catherine M. Rydell, CAE American Academy of Neurology Catherine M. Rydell, CAE, has been the executive director and chief executive officer (CEO) of the American Academy of Neurology (AAN) since 1999 and is the executive director of the American Brain Foundation. Currently based in Minneapolis, Minn., with offices in Washington, D.C., and Rochester, N.Y., the AAN is a worldwide professional association of neurologists and neuroscience professionals dedicated to promoting the highest quality patientcentered neurologic care. Under Rydell’s leadership, membership in the AAN has grown from 16,000 to more than 27,000 members.
The textbooks will tell you an association CEO has ultimate management responsibility for the organization and primary responsibility for execution of strategic plans and policies as established by the Membership is a smart investment. By becoming board of directors. While all that is true, the poa member of the AAN, members join a group of sition is much more. I am committed to help staff neurologists committed to advancing the field of reach their potential, to develop a culture of trust, to neurology and improving the care of patients with assure the financial stability of the organization, and neurologic diseases. The AAN is the only neuroto keep our vision and mission the focus of all that logy organization of its kind that offers the array we do. We actively support continuing education of opportunities, products, programs, services, and for staff. Memberresources designed ship in professional to help all members organizations related These are exciting times for succeed at all stages of to their duties is their career⎯whether neurologists, and the options for encouraged. We they are a budding patients are expanding. also support their medical student conhigher education templating a career in goals through our neurology, a neurolotuition reimbursement program. For example, we gist in community practice, an academic educator, have supported two employees in pursuit of their law or a researcher. degrees. One of my greatest joys as CEO is seeing an employee, who has demonstrated a passion for the How has operating a medical specialty AAN mission, advance to a position with additional professional association changed during responsibility. your tenure? While the core remains the same, the scope and Why did you choose Minneapolis as your depth of the academy’s programs and services has headquarters? evolved dramatically in the last 15 years. When I beWe have a rich history that began in Minneapolis came the executive director/CEO, we had 68 people in 1948, when the AAN was founded by A.B. Baker, on staff, 15,000 members, and a budget of $14 milMD, the chair of the neurology department at the lion. We now have 160 people on staff, nearly 28,000 University of Minnesota. We have remained in the members, and a budget of $40 million. Our memTwin Cities for our 66 years, and until recently our bers, whether in private or academic practice, have office was in St Paul. In 2012, we were thrilled to seen dramatic changes in health care delivery and return to our roots in Minneapolis, establishing a we focus on getting them the resources they need to permanent global headquarters. With its proximity provide high-value, patient-centered care. to light rail transit, the Twin Cities airport, and numerous hotels, restaurants, and theaters, the historic As technology moves forward, more Mill District is an ideal destination for academy staff neurologists are partnering with other and the more than 800 neurologists who travel to kinds of physicians. What can you tell us Minneapolis each year to attend academy meetings. about this? And like many national professional associations, Neurologists have always partnered with other we also have an office in Washington, D.C., focused providers to optimize patient care. Telemedicine has on federal advocacy for our members and their brought neurologic expertise to areas of the country patients. where very little was available.
W hat services do you provide for your members? We are the world’s largest association of neurologists, with more than 27,000 members. AAN members have access to exclusive member benefits such
Minnesota Physician June 2014
as top-quality education, science, practice management tools, clinical guidelines, and much more. The AAN is indispensable to its members by upholding its mission to promote the highest quality patient-centered neurologic care and enhance member career satisfaction.
We were one of the first specialties to recognize and support the primary care “medical home.” Primary care physicians look to their neurology colleagues to provide care for patients with complex and chronic neurologic conditions. We partner with
nearly every other specialty in the development of evidence-based practice guidelines that are critical in providing high-value care. For example, we worked with the American College of Emergency Physicians (ACEP) to develop a guideline for use of tPA in stroke care, we partnered with the American Headache Society to update AAN’s 2012 migraine prevention guideline, and we often collaborate with the Child Neurology Society on our guidelines regarding a pediatric focus.
W hat do you have to say about all the research linking sports-related concussions to neurologic disorders later in life? Due to the emphasis and increased awareness surrounding concussion, the AAN, which is the world’s leading authority on sports concussion, is holding its first-ever “The Sports Concussion Conference” for health care professionals, including neurologists, athletic trainers, primary care physicians, neuropsychologists, and sports medicine professionals. The conference will focus on the chance for attendees to learn about the very latest scientific advances, the science behind concussion, applying the latest advancements in the diagnosis and treatment of sports concussion, and information about post-concussion syndrome
in professional, collegiate, or high school arenas.
W here do you see the future of neurology heading? As our population ages, we will see a greater need for neurologists. Baby boomers are at an age where their chance of having neurologic illness is increasing. We currently have a shortage of neurologists and that shortage is expected to grow. We need to attract young people to the neurosciences to assure that the pipeline of qualified professionals is large enough to meet the need.
W hat are the most important things that you believe other doctors don’t know about neurologists—but should? When I interviewed for this position nearly 16 years ago, I was the executive director of the North Dakota Medical Association (NDMA) and one of my references was my former NDMA president. He was a primary care physician in rural North Dakota. He said, “Are you sure you want to go work for neurologists? They’re a little weird.” I assured him the ones I had met were not “weird” but very bright and passionate people who cared deeply about their professional organization and the patients they treated. During my interview, I
admitted that I knew little about neurologic disease and was shocked to find out that a neurologic disease affects one in six Americans. In 1999, there were very few treatments, no preventions, and no cures, and, as a result, neurologists had the reputation of “diagnose and adios.” Whether that phrase was earned or merely perceived I’m pleased to say that things have changed dramatically. Research has developed and identified preventions; drugs and devices have been developed to slow progression and improve quality of life; and cures for some major neurologic diseases may be on the horizon. These are exciting times for neurologists, and the options for patients are expanding. Other physicians may or may not be as familiar with these changes. To assure the best possible care for their patients, they should consult and refer to the expertise of neurologists and child neurologists. Diagnosis of a serious neurologic disease is a complicated process. Misdiagnosis can be devastating to patients and their families. In my time working side by side with neurologists and child neurologists, I have come to know them as the brightest, most caring, and dedicated people I know. They follow their patients for years and even decades and help them and their families cope with devastating and debilitating diseases. They are my heroes.
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Memory loss that disrupts daily life
New problems with words in speaking or writing
Challenges in planning or solving problems
Misplacing things and losing the ability to retrace steps
Difficulty completing familiar tasks
Decreased or poor judgment
Confusion with time or place
Withdrawal from work or social activities
Trouble understanding visual images and spatial relationships
Difficulty completing familiar tasks
Recognizing the symptoms is the first step toward doing something about it. Early detection matters. The Alzheimer’s Association can help your patients develop a plan for the future.
June 2014 Minnesota Physician
Electronic media and children from cover
not only how this affects the health of our patients, but also how we can help guide them to make rational media choices for themselves and their families as we navigate the health-related and social implications of this new digital world together. Not long ago, pediatricians recommended two simple media rules: keep television
world, where the proliferation of smartphones and other mobile devices have put movies, television shows, video games, and Internet access literally in the palm of our hand? What does it mean for children to be connected 24/7 and how does that affect their health and well-being? Media saturation It’s important to understand why media use is even consid-
Homes with even a few rules for media use had markedly less media usage than those without rules.
sets out of children’s bedrooms and limit screen time to no more than two hours a day. But how does that play out in today’s technology-drenched
ered a health problem, especially for children and teens. To do that, we first need to look at the scope of youth media use.
Are Your Patients Ready? Minnesota’s New Immunization Law Goes into Effect 9/1/14 There are important changes that apply to children entering school, child care, and early childhood programs. This means you likely have patients Are Your Kids Ready? who will need to get caught up on some of their immunizations between now AreMinnesota’s Your Kids Ready? Immunization Law Minnesota’s Immunization Law and the end of summer. vaccines that are required recommended, Usethe this chart as a guideFor to determine which vaccines are required to enrollor in child care, early childImmunization chart asand a guide to determine which vaccines are required to enroll in child care, early childhoodthis programs, school (public or private). Immunization Requirements Use please use thishood chart (legal exemptions are available). programs, and school (public private). Requirements Find the child’s age/grade level andorlook to see if your child had the number of shots shown by the Find the child’s age/grade level and look tobirth see iftoyour number of shots shownLook by the checkmarks under each vaccine. Children age child 2 mayhad notthe have received all doses. at the checkmarks under iteach vaccine. Children birth to age 2 may not have received all doses. Look at the table on the back, shows the age when doses are due. table on the back, it shows the age when doses are due. Age: 5 through 6 years Age: 7 through 11 years Birth through 4 years Age: 12 years and older Age: 5 through 6 years Age: 7 through 11 years Birth through 4 years Age: 12thyears and older Early childhood programs For 1st through 6th For 7 through 12th For Kindergarten th Early childhood programs & Child care For 1stgrade through 6 For 7th grade through 12th For Kindergarten & Child care grade grade
Check marks represent number of doses
Hepatitis A (Hep A) Hepatitis A (Hep A) Hepatitis B (Hep B) Hepatitis B (Hep B)
Polio Polio MMR MMR Hib Hib Pneumococcal Pneumococcal Varicella Varicella
Hepatitis B B Hepatitis
B Hepatitis tetanus and anddoses tetanus diphtheria containing
diphtheria containing doses
Polio MMR MMR
Polio Polio MMR MMR
atTdap 7th grade at 7th grade
Polio Polio MMR MMR Meningococcal atMeningococcal 7th grade & at age 16
at 7th grade & at age 16
Varicella Immunizations recommended but not required: Immunizations recommended but not required: Influenza
Immunizations recommended but not required: Rotavirus For infants Rotavirus
Hepatitis B B Hepatitis
Annually for all children age 6 months and older Influenza Annually for all children age 6 months and older
Human papillomavirus At age 11 -12 years Human papillomavirus At age 11 -12 years
Call in patients who need vaccines. Use the Minnesota Immunization Information Connection (MIIC) to identify and call in children who still need to get their shots. For more information or technical assistance, contact your MIIC regional coordinator:
Looking for Records?for Looking Records?
To enroll in child care, early childhood programs, and school in Minnesota, children must show To enrollhad in child early childhood and school in Minnesota, children must show they’ve thesecare, immunizations or fileprograms, a legal exemption. they’ve or file a legal Parentshad maythese file a immunizations medical exemption signed byexemption. a health care provider or a conscientious objection Parents may file a medical exemption signed by a health care provider or a conscientious objection signed by a parent/guardian and notarized. signed by a parent/guardian and notarized. For copies of your child’s vaccination records, talk to your doctor or call the Minnesota Immunization Information Connectionrecords, (MIIC) attalk 651-201-5503 or or 1-800-657-3970. For copies of your child’s vaccination to your doctor call the Minnesota Immunization Information Connection (MIIC) at 651-201-5503 or 1-800-657-3970.
Minnesota Department of Health, Immunization Program Minnesota Department of Health, Immunization Program
Minnesota Physician June 2014
IC# 141-3830 (3/2014) IC# 141-3830 (3/2014)
In 2010, the Kaiser Family Foundation published a comprehensive report on media habits of children ages 8 to 18. The report found that children engaged in some type of media use (television, music, video games) for approximately 7.5 hours/day. In other words, media impacts nearly one-third of the child’s day, a duration that exceeds time spent in the classroom and, by some estimates, even sleep. This takes time away from the 60 minutes of moderate to vigorous physical activity on most days of the week for children and adolescents recommended by the American Academy of Pediatrics (AAP).
nology that facilitates social interaction that allows users to create, exchange, and discuss content online.
The Kaiser report noted that about one-third of the children’s total media time was spent watching television, while one-quarter was on a computer. Twenty percent of children used a mobile device to access media. The report also accounted for media multitasking, or using more than one type of media simultaneously, which increased total media impact to 10.75 hours/day. Of note, even though television remained the most-used media platform at nearly 4.5 hours/day, television watching began to shift to alternate platforms, such as mobile devices.
It has been suggested that the anonymity offered by the Internet may allow for identity exploration in teenagers, free from possible judgment by family and real-life peers.
Teens online The Pew Internet and American Life Project released data in 2013 showing that 95 percent of teenagers age 12 to 17 had access to the Internet, with 74 percent of them having access through a mobile device such as a smartphone or tablet. About 80 percent of teens who went online used a social network such as Facebook, MySpace, or Twitter. Almost half went online to shop and 62 percent looked up news or current events. Pew also noted that texting had become the communication style of choice for teens; more than half (54 percent) reported texting on a daily basis. Teenage girls led the pack with an average of 100 texts per day. Social media and teens Social media is an online arena that teens have gravitated toward in recent years. “Social media” refers broadly to tech-
For teenagers, social media allows access to a seemingly limitless source of information on issues of interest, along with the opportunity to interact with others who share those interests, regardless of geographic and other barriers. According to a 2010 Pew report, 31 percent of online teens sought health information from the Internet, including diet and fitness tips. Some 17 percent reported using the Internet to get information on sensitive topics like sexual health and drug use.
Online pitfalls Concerns have been raised about the safety, privacy, and health of young users of social networks. According to a 2007 Pew report, almost one-third of teens reported being the target of online bullying. Cyberbullying is a form of online harassment that may take the form of hostile messages, sharing of private information, spreading rumors, manipulating photographs, or other negative online communication. Unlike face-to-face bullying, cyberbullying is not confined by geography or time. Embarrassing or hurtful content can be shared with a larger audience for an indefinite time. There is no protected area to which bullied teens can escape. Studies have shown that victims of cyberbullying may have lower self-esteem, suffer more health problems, and have poor academic performance. Moreover, because of the virtual immortality of Internet content, cyberbullying may have more lasting consequences for teens. A 1998 study in American Psychologist suggested that time spent online may increase feelings of loneliness and depression. However, “Facebook depression” is still somewhat controversial due to conflicting evidence. A 2012 study from
the University of Wisconsin did not find a connection between Internet activity and a clinically validated measure of depression. A 2009 study published in the Archives of Pediatric and Adolescent Medicine focused on online candor regarding highrisk behavior in 18-year-olds, noting that 54 percent publicly posted about sexual behavior, alcohol, or drug use. Additional studies reported a correlation between increased media use and obesity, sleep disturbance, poor body image, early sexual activity, violence, and eating disorders. Good news But the news isn’t all bad. Media that contains educational content and promotes positive social values has shown promise, when used judiciously. Pediatricians still recommend no screen time for children under age 2, since there is no evidence to show any developmental benefit from infant-directed “educational programs.” In fact, researchers at the Seattle Children’s Research Institute noted expressive speech delays among infants exposed to purported educational videos, compared with those who were not exposed. But for preschool age children, ad-free educational programming has shown gains in school readiness and diversity awareness. Although results are mixed, some studies have shown that “exergames” (video
Adolescents and the Media” to better address children’s widespread exposure to electronic media. Physicians can share these recommendations with families as part of their anticipatory guidance: • Create a family media use plan with reasonable, but firm, rules that limit total screen time to less than 2 hours per day (none for children under age 2) and a curfew for electronic devices. • Keep all screens and devices with an Internet connection out of children’s bedrooms. • Monitor what media children are using, including social media sites. • Co-view and discuss media with children. • Encourage use of pro-social media and responsible digital citizenship. The physician’s role There has also been growing interest among physicians to use social media to reach out to patients. The Mayo Clinic Center for Social Media even offers a “Social Media Residency,” geared toward physicians who would like to leverage the power of social media to educate and communicate with patients and the larger public, while understanding the unique issues related to patient confidentiality and professionalism that arise with an online presence.
Physician media education resources • AAP Pedialink Online CME course: http://pedialink.aap.org/visitor/ cme/cme_finder/cme-detail?guid=e7b42dfa-a9a6-4c36-b3e51845295b82cd&pageId=18c39bb1-3268-4c87-9652-396d22e4c473 (Disclosure: I served as editor and lead author for this course, which was just launched in April 2014. There is a fee associated with it, but I receive no financial compensation whatsoever from it)
• AAP COCM Education and Resources page: www.aap.org/en-us/ about-the-aap/Committees-Councils-Sections/Council-on-Communications-Media/Pages/Education-and-Resources.aspx • Mayo Social Media Residency: http://network.socialmedia.mayoclinic. org/learning/social-media-residency
and possibly more relatable— way, to educate the public about immunizations, child development, preventive care, and other important health issues, including breaking medical news. The task of counseling families on rational media use may seem daunting, but the Kaiser study showed that homes with even a few rules for media use had markedly less media usage than those without rules. While elimination of media is unrealistic and potentially crippling in an increasingly tech-driven world, it’s important to strike
a balance with media use, in terms of quantity and quality. Moreover, the ubiquity of media may present physicians with a novel opportunity to reach a wider audience than the exam room alone would allow. This may be the best possible time to take advantage of a very powerful tool to promote health and well-being. Nusheen Ameenuddin, MD, MPH, is a board-certified pediatrician and an assistant professor of pediatrics at Mayo Clinic. She also serves on the executive board of the AAP’s Council on Communications and the Media.
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It’s important to strike a balance with media use, in terms of quantity and quality.
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games that require physical activity) can be a fun way for overweight or sedentary children to increase their physical activity. Guidelines The AAP recently updated its policy statement on “Children,
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Improving communication from cover
45 years or older self-report a vision problem. All these numbers indicate that it will become more common for physicians to have patients with vision loss. They should be treated like any other patient, of course, but a medical professional should be sensitive to a few issues. For example, it is all right to use the terms “see,” “look,” or “vision,” such as “It’s good to see you today.”
individual who is legally blind, who was seen at the emergency department for stomach pain and vomiting. The physician was more concerned about the vision loss experienced for years, however, rather than the reported pain. Adjusting to vision loss Although your patient with vision loss may have psychologically adjusted and is quite independent, occasionally, you may see a patient who is beginning the process, or you may
Patients with vision loss should be treated like any other patient, of course, but a medical professional should be sensitive to a few issues. When scheduling a patient with vision loss, it is important to ascertain if the vision loss will affect the appointment or treatment. At times, vision loss may be germane to the appointment, and at other times, it may not. For instance, I know of an
provide the initial diagnosis. It is important to let the patient know that even if nothing can be medically provided to save or repair his or her vision, it does not mean a future of dependence and isolation. This tends to be a tough time for patients,
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Minnesota Physician June 2014
but with time, education, and support, they can lead full and productive lives. As people adjust to vision loss, they need to incorporate vision loss into their self-concept. When first being told their vision loss is permanent or progressive, many people are shocked or saddened by the confirmation. They may appear depressed, but it usually does not indicate clinical depression and rarely is it chronic. I would encourage you to refer such patients to SSB, where they can learn about a variety of options available to them. Nonvisual skills can be learned. Aids, devices, and assistive technology are available to access print and other visual media. Hope can be provided when things seem hopeless. Tips for working with patients with a vision loss Overall, physicians are more aware of the breadth of human experience and the varieties of impairments than the general population. Nonetheless, it may be helpful to review some practical tips for interacting with patients who are blind, visually impaired, or deafblind. Always ask. The most straightforward and simplest guideline to remember is just to ask first, even questions to which you may already have a good idea of the answers. Ask your patient how much he or she can see or not see. Legal blindness does not necessarily mean total blindness or no vision. Interestingly, more than 90 percent of people with legal blindness have some vision. Conditions and diseases of the eye result in different kinds of vision loss, but even in instances where the eye condition is the same, the amount that one person can see—and the way they use what sight they have—may vary widely from another person with the same condition. Lighting conditions, glare, fatigue level, etc., all play a role in what a person is able to see. Ask if they would like assistance, and how they would like to be assisted. In general, it’s the prerogative of each individual to ask for assistance, and in the form they need it. But if you
are unsure, or believe a patient needs assistance, always ask first (e.g., “Would you like guidance to the chair?” or, “Would you like someone to guide you to the lab?”). These kinds of questions give the patient choices. When going from one area to another, some people who are blind or visually impaired prefer to use a sighted guide. This involves taking someone’s arm just above the elbow; others place a hand on the guide’s shoulder. In both cases, the guide is slightly in front of the individual, allowing for sensory cues on what is ahead. Many people with vision loss use white canes, which helps with locating doors, obstacles, curbs, people, or whatever is in the environment. White canes are long enough to be roughly two steps ahead of the person’s feet when walking, so the cane will find an object before the person. Canes come in all sizes; some fold for convenience. Some people use guide dogs. The dogs are trained to move the individual around things, locate doorways, and stop at curbs or steps. The person using the guide dog is in charge and must tell the dog what to do. Guide dogs are highly trained and should not be petted or distracted. Other people may prefer to navigate on their own and may ask for voice guidance. In such circumstances, remember to keep talking so that the individual has an extra audio cue for where you are headed—with or without the use of a white cane, they will be able to navigate from the sound of your voice. Patients who are deafblind will probably have some vision, some hearing, or both. They should have provided their preferred method of communication prior to the appointment, but if not, ask. There are a number of ways to communicate, including using an FM system; writing with a bold, black pen; tactile American Sign Language; or using a deafblind communicator. Be specific. We’re used to giving shorthand directions accompanied by gestures, such as “Sit here,” “The pharmacy is
that way,” or, “The papers are right there.” It’s important to remember to use specific language that doesn’t rely on a visual cue, or indicate a general direction such as “Sit over there.” When talking with a patient with a visual impairment, it can sometimes be helpful to use clock coordinates when identifying direction, such as “The table is at 1 o’clock from where you are standing.” In other cases, the more specific you can be, including adding references to tactile landmarks, the more helpful your directions will be, such as “Go down this hall and take a left when you reach the carpeted section,” or, “Follow the right-hand wall until you reach an opening.” Provide written materials in accessible formats. Many people who are blind or visually impaired use computers and can access documents in electronic formats. Some people use screen magnification programs, which enlarge the text,
provide options for color contrast settings, and offer other modifications. Others use screen-reading software, which translates text to speech. Making documents available in a digital format allows patients who are blind and visually impaired direct access. Fewer than 10 percent of people who are legally blind read Braille; most use enlargement or electronic formats. Resources available from State Services for the Blind The mission of SSB is to facilitate the achievement of vocational and personal independence by Minnesotans who are blind, visually impaired, or deafblind. All services are individualized according to a person’s unique needs. SSB serves individuals of all ages. SSB has several units to serve customers, including: • The Communication Center, which provides print
Do you have patients who are experiencing vision loss? If they are concerned with maintaining their independence, accessing print, remaining in their homes, or having difficulty with their employment due to vision loss, encourage them to contact State Services for the Blind. Its offices are located throughout the state of Minnesota. SSB’s main office is located at 2200 University Avenue West, Suite 240, St. Paul. The phone number is (651) 539-2300 or (800) 652-9000. Additional information can be found at www.mnssb.org
obtain, retain, and maintain employment
information in accessible formats including Braille and audio
When seeing patients with vision loss, just remember we are more alike than different. Treat these patients as you would anyone else, but be sensitive to accommodations they may need. If in doubt, just ask. Unless they have hearing loss, speak with a regular tone and volume to a person who is blind. There is no need to talk through their companions at the appointment. Just relax and focus on the common goal of your patients’ health.
• Senior Services, which serves individuals with vision loss who are not seeking employment and want to remain in their homes, but need the tools and knowledge to function with limited vision or non-visually • Workforce Development, which is part of the state-federal Vocational Rehabilitation Services assisting individuals with independence, and which works with customers to
Maurita Christensen, MS, PhD, CRC, is the psychologist at State Services for the Blind.
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anaged care payment mechanisms for mental health services have placed primary care physicians in an uncomfortable position. Often, during the typically brief patient visit, a primary care doctor encounters somatic complaints without a structured illness. These can include headaches, indigestion, insomnia, tiredness, lethargy, and backaches. Perhaps the primary care physician will prescribe medications to treat an underlying mental health issue, or maybe the underlying issue isn’t recognized at all. Most primary care doctors are unprepared by both time constraints and training to deal with patients whose primary concerns relate to mental health. Two recent developments suggest there may be hope for solving this problem. First, mental health parity became law in 2008. The late Minnesota Sen. Paul Wellstone, who spearheaded the legislation, wanted to address the stigma, isolation, and payment inequities that
Mental health in transition Integrating patient care into the medical home By James J. Jordan, MD
made the delivery of mental health services inadequate. Second, and occurring at approximately the same time, the concept of the “medical home”
When we embed a mental health professional directly into a group practice, a partnership is created between the patient and physician. gained momentum. The medical home provides an opportunity for holistic delivery of patient care, with an emphasis on
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prevention, early intervention, and sustained management of chronic illness. Recently, the representatives of six national family medicine organizations
Minnesota Physician June 2014
endorsed the incorporation of mental and behavioral health into the patient-centered medical home. This concept has great merit. Expanding on the idea, I believe that when we embed a mental health professional (MHP) directly into a group practice, a partnership is created between the patient and physician. The partnership involves looking at both the mental and physical condition of the patient. Some, but not all, family doctors are already well suited and sufficiently trained to treat most mental health disorders. Regardless of their training and suitability for the task, however, many doctors find they do not have adequate time to properly evaluate the mental health complexity and severity of a patient’s condition, and resort to drug therapy by default. But drug therapy often misses the mark and can cause additional side effects that complicate the picture. Luckily, Minnesota has an adequate supply of well-trained psychologists, social workers, and nurses prepared—or willing to be prepared—to work as MHPs along with family physicians. When MHPs are close at hand, family doctors can easily and more efficiently stratify risk, separating out the patients whose presenting concerns may
respond better to mental health treatment. MHPs can manage most routine mental health delivery. They can make recommendations as to when patients require medications and when a psychiatric consultation is needed. Creating a partnership The medical home model offers the opportunity to build a more robust partnership between the patient and primary care physician. Ideally, it would include a mental health evaluation with the physical examination. Patients in Minnesota benefit from access to a mental-health screening device, the PHQ9. This tool has been recommended as a screening measure for depression since 2008. It was initially promoted by the Depression Improvement Across Minnesota (DIAMOND) project. In 2013, the Minnesota Department of Health (MDH) issued final rules mandating the use of the PHQ9 for primary care patients. However, the MDH is not vigorously enforcing non-reporting because compliance has been so good. As of October 2013, 80 percent of family practice, internal medicine, psychiatry, and geriatric practices throughout Minnesota have been reporting PHQ9 data to MN Community Measurement. Access to the PHQ9 score gives the primary care physician some information regarding a patient’s mental health status. He or she can make better-informed decisions about whether the patient will benefit from referral to an MHP. It is important to remember that the PHQ9 is a measure for depression, and doesn’t address many other important elements of mental health. The mental health conversation The norm for a psychiatric first visit is one hour, but in my experience, a brief conversation can yield a gold mine of information. A method of investigation that I have found particularly helpful is something I call the “10-minute hour.” This is a term for a consultation liaison visit, and a skill I learned as psychiatry resident at the Mayo Clinic.
It can be adapted by primary care physicians assessing patients for functional determinants of illness. Taking approximately 10 minutes, a physician can elicit enough information from a patient to determine whether or not more tests are needed to uncover the cause of physical complaints, or if the complaints indicate the presence of somatic manifestations of mental illness. The doctor frames the discussion by telling the patient that “We have up to 10 minutes to talk about your concerns about stress, relationships, work problems, sleep and eating issues, etc.” Patients are surprised, but happy to be given permission to voice and give definition to their emotional lives. If the doctor detects one or more red-flag symptoms, rather than write a prescription for an anti-anxiety or an antidepressant medication, he or she explains that more needs to be done and that someone trained in further assessment is available to help address the patient’s
concerns. The doctor identifies the MHP at hand and writes a referral for the patient, then finishes the physical examination and necessary treatment. Only in a psychiatric emergency would the doctor prescribe drug medication at this point. The doctor informs the patient that he or she will be collaborating with the MHP. The doctor will undoubtedly want to see the patient again as soon as the mental health testing and consultation are completed; this is especially true if medication is required. The patient may continue working with the MHP, and this will be coordinated with the patient’s overall medical care. Furthering the partnership Patients who repeatedly raise concerns that need to be addressed by an MHP should be reassured that they are taken seriously and given an opportunity to talk with a mental health professional. Some primary care physicians are overwhelmed when
Learn more about the topic: • University of Minnesota Department of Family Medicine and Community Health (www.fm.umn.edu). CME credit available. • Collaborative Family Healthcare Association (www.cfha.net). Conference “From Fragmentation to Integration” will be held in Washington, D.C., October 2014. CME credit available. • Continuing mental health education for social workers, psychologists, psychiatrists, and family doctors sponsored by Hamm Clinic (www.hammclinic.org).
dealing with the chronically mentally ill patient. When the PHQ9 or the doctor’s impression of the patient raises concerns that the patient may have serious mental illness, the physician should waste no time in setting up a patient meeting with an MHP. Then, the doctor could work closely with the MHP in a long-term collaboration. The doctor may or may not be the first prescriber of psychoactive medication for the patient. An MHP could provide treatment plan monitoring and case management by contacting the patient to inquire whether medications are helping and/ or if the patient is suffering serious side effects. In addition,
an MHP could call patients to remind them of upcoming appointments, and provide treatment at home, much like a visiting nurse. Most primary care physicians have encountered patients like those discussed in this article. We have yet to establish or adopt best practices for how to approach the issues they pose. An expanded use of the medical home model, as I have proposed, holds significant promise. James J. Jordan, MD, is a board-certified psychiatrist. For 25 years, he was the director of Hamm Memorial Psychiatric Clinic, St. Paul. He now works as a consultant at Blue Cross and Blue Shield of Minnesota.
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June 2014 Minnesota Physician
he severe anxiety condition called post-traumatic stress disorder (PTSD) can develop after a person is exposed to one or more traumatic events, such as sexual assault, serious injury, or the threat of death. It is characterized by symptoms that may include high levels of anxiety; disturbing, recurring flashbacks; and avoidance or numbing of memories of the event, which continue for more than a month after the traumatic event.
Onset of PTSD symptoms doesn’t necessarily start immediately after the precipitating event. They can occur years later, and the duration of these symptoms can last a lifetime. The intrusive memories—occurring as flashbacks or nightmares—have been reported to contribute more to the biological and psychological dimensions of PTSD than the precipitating event itself. The delayed onset may offer a significant window of opportunity to treat
A potential therapeutic for post-traumatic stress disorder and Alzheimer’s By William H. Frey II, PhD
individuals with PTSD, or even to intervene to prevent the onset of the devastating symptoms.
Approximately 7.7 million American adults and many more millions worldwide have PTSD. Not an uncommon disorder Approximately 7.7 million American adults and many more millions worldwide have PTSD. Adults aren’t the only
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ones who are affected, either. Children and adolescents exposed to war, physical or sexual assault, abuse, accidents, disas-
Minnesota Physician June 2014
ters or other life-threatening or frightening events, are also at risk for PTSD. Some individuals may experience PTSD after a friend or family member is exposed to danger or is severely harmed. The sudden, unexpected death of a loved one can also precipitate PTSD. But not everyone is equally susceptible. Many people who are exposed to a traumatic event don’t develop the disorder. Additionally, there is some evidence that it may run in families. Women are more likely to develop PTSD than men, because they are likely to experience more high-impact trauma. Glucocorticoids are the key In the 1980s, research showed that glucocorticoids—released in response to stress—could damage nerve cells in the hippocampus, an area that is key to both memory and emotional response. Multiple mechanisms are likely involved in this action, one of which is the inhibition by glucocorticoids of glucose uptake and use in the hippocampus. This is critical, since glucose is the only source of energy used by brain cells under normal conditions. Glucocorticoids also decrease the capacity of the hippocampus to survive neurological damage, because
they inhibit glucose transport by 15 percent to 30 percent, as demonstrated in both primary and secondary hippocampal astrocytic cultures. This could impair the ability of astrocytes to help neurons by removing damaging glutamate from the synapse during times of neurological damage. Additionally, glucocorticoids released in response to major stress inhibit local cerebral glucose use throughout the brain, and inhibit glucose transport in both neurons and glia in vitro. Studies using mice demonstrated that glucocorticoids induce PTSD-like memory impairments. Cortisol, a major glucocorticoid, has been reported to reduce hippocampal glucose use in healthy elderly adults on the basis of imaging brain glucose use in response to hydrocortisone. It has also been found that mean cerebrospinal fluid cortisol concentrations are significantly higher in combat veterans with PTSD than in healthy subjects. In one study, patients with PTSD had 61 percent higher group mean cortisol levels in the time leading up to a cognitive stress challenge, and 46 percent higher cortisol levels during the period of the cognitive challenge. Treating PTSD Additional studies found that intranasal insulin (40 IU) treatment of 26 healthy adult men— minutes before they were exposed to the Trier Social Stress Test—significantly diminished both the saliva and plasma cortisol response, in a placebo-controlled, double-blind, between-subject design. Since intranasal insulin attenuates the hormonal response to stress in adult men and generally facilitates the uptake of glucose into cells, this could be helpful as a way to treat and even protect against PTSD. For example, insulin nasal sprays targeted to the upper third of the nasal cavity could be used to treat individuals exposed to a traumatic stressful event shortly after it occurred—or even to treat military personnel or first
The noninvasive intranasal method for bypassing the blood-brain barrier to target therapeutics (including insulin) to the brain to treat brain disorders was first discovered in 1989. Intranasal therapeutics bypass the blood-brain barrier and rapidly reach the brain by traveling extracellularly along the olfactory and trigeminal neural pathways. This increases efficacy while reducing systemic exposure and unwanted side effects. Intranasal insulin has already been shown in multiple phase 2 clinical trials to improve memory in normal healthy adults and in patients with mild cognitive impairment or in the early stage of Alzheimer’s disease, with no change in the blood levels of insulin or glucose.
PTSD and Alzheimer’s Why should a treatment that improves memory, cognition, and functioning in patients with Alzheimer’s disease be expected to also benefit those with PTSD? These two disorders have several key things in common. Both are characterized by elevations in blood levels of cortisol, which can increase beta amyloid and tau pathology in
utilization of glucose in both patients with Alzheimer’s and those with PTSD (although results with PTSD appear to be more variable). Finally, deficits in verbal declarative memory have been reported in patients with PTSD, and short-term memory deficits are characteristic of patients with Alzheimer’s disease.
Intranasal therapeutics rapidly reach the brain by traveling extracellularly along the olfactory and trigeminal neural pathways. rodent models of Alzheimer’s disease. In patients with Alzheimer’s, increased plasma cortisol levels are associated with more rapid disease progression. Next, hippocampal degeneration is common in Alzheimer’s disease and has been reported in patients with PTSD. Additionally, FDG-PET imaging reveals decreased uptake and
Since intranasal insulin has already been shown to improve short-term memory in both normal healthy adults and in patients in the early stages of Alzheimer’s disease, it would not be surprising if it also improved short-term memory in patients with PTSD. (It’s fortunate that it’s short-term memory, since one wouldn’t necessarily want
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responders, who are at immediate high risk for traumatic stress, by helping protect their brains against the damaging effects of such stress.
to improve long-term memory in patients with PTSD.) Timing of intranasal insulin treatment relative to the traumatic event and development of PTSD needs to be carefully examined, so that it would attenuate the cortisol response and improve short-term memory. New clinical trials are needed to determine if intranasal insulin can also be of benefit to individuals with PTSD or who are at high risk for PTSD. The first such clinical trial is scheduled for later this year.
William H. Frey II, PhD, is director of the HealthPartners Alzheimer’s Research Center at Regions Hospital, St. Paul. He invented and patented intranasal delivery of therapeutic proteins to the brain in 1989 and intranasal delivery of insulin to the brain in 1999. He thanks Drs. Amy Herstein Gervasio and Gihun Yoon for helpful discussions.
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June 2014 Minnesota Physician
Hormone therapy and the WHI
e are now more than 11 years beyond the initial release of the results of the Women’s Health Initiative (WHI) landmark study (see sidebar). This study of hormone therapy (HT) has had a profound effect on women’s health, and information about and interpretations of the data continue to emerge.
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With 10-plus years of hindsight, we can begin to put the lessons learned from the WHI hormone trials into perspective. And, to paraphrase Mark Twain, reports of the death of hormone therapy have been greatly exaggerated. The mass fear that led to a 71 percent decrease in hormone usage from 2002 through 2009 has softened, and the perceived risk of hormone usage has decreased. In the aftermath of all this reanalysis, my impression is that understanding and managing hormone therapy
An update of the update By Jon Nielsen, MD
are now easier than they have been for a long time.
• 65 percent less coronary heart disease • 40 percent less total MI
The key is to individualize therapy. WHI results and the timing hypothesis The key take-away from further study of the data is that the age of the patient and the length of time since the menopause began are very important variables. The WHI studied
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women with an average age of 63 who had documented cardiac disease and were without
disease. They found statistically significant differences between the estrogen-alone (E-alone) group vs. the estrogen/progesterone (E+P) group and between the older vs. younger groupings: 28 percent more breast cancer was seen in the E+P study vs. placebo, and 21 percent less breast cancer was seen in the E-alone study. Women in the age 50 to 59 group who used estrogen alone had:
Minnesota Physician June 2014
symptoms. The study was done to determine whether or not HT decreased further cardiac events. In the older women in the study, HT clearly had no benefit and actually caused some harm. In the women in the age range 50 to 59 years, HT generally caused no harm and had significant benefit. This “timing hypothesis”—that there is a window of opportunity where HT may be beneficial in younger women, but does not appear to have the same benefits for older women—has been tested from many angles and most experts agree it is valid. An excellent summary of the findings from the studies of the postintervention phase of the WHI, written by JoAnn Manson, MD, and many other original authors of the WHI, was presented in the Oct. 2, 2013, edition of the Journal of the American Medical Association (JAMA). They analyzed data from the nearly 81 percent of women in the WHI study who made themselves available for continued follow-up for up to 13 years. The authors’ objective was to try to provide insight into the value of HT for prevention of chronic disease, just as the original study was designed to do in relation to cardiovascular
• 20 percent less cancer (all types) • 18 percent fewer global index events (the global index is a very meaningful conglomerate of several endpoints, including coronary heart disease, invasive breast cancer, stroke, pulmonary embolism, colorectal cancer, endometrial cancer, hip fracture, and all-cause mortality) These data clearly offer reassurance that the risk of hormone therapy is not what was originally thought for the newly menopausal women who had had previous hysterectomy and were on E-alone therapy. In the younger women on E+P therapy, the overall trend was positive but not statistically significant. The older women in both groups had greater risk vs. placebo, and the data confirmed the concept that HT should not be used for prevention of chronic disease in this population. Reasonable conclusions from the subgroup analyses and the longer-term evaluations are twofold. First, the older women in the study had no disease prevention benefits in either trial group. Second, the 50 to 59 age group had an entirely different profile, with positive effects in many cases. Grouping all the study participants together in the original analysis
WHI postmenopausal hormone therapy trials • T he Women’s Health Initiative (WHI) was a major 15-year research program to address the most common causes of death, disability, and poor quality of life in postmenopausal women—cardiovascular disease, cancer, and osteoporosis. • T he WHI consisted of a set of clinical trials and an observational study, which together involved 161,808 generally healthy postmenopausal women. • T he clinical trials were designed to test the effects of postmenopausal hormone therapy, diet modification, and calcium and vitamin D supplements on heart disease, fractures, and breast and colorectal cancer. • T he hormone trial had two studies: the estrogen-plus-progestin study of women with a uterus and the estrogen-alone study of women without a uterus. (Women with a uterus were given progestin in combination with estrogen, a practice known to prevent endometrial cancer.) In both hormone therapy studies, women were randomly assigned to either the hormone medication being studied or to placebo. Source: www.nhlbi.nih.gov/whi/
of the WHI study led to negative conclusions that, in retrospect, probably disadvantaged many women. Ongoing disagreements— and further study Ongoing disagreement persists among experts about the overall value of and knowledge gained from these studies. JoAnn Manson, MD, a professor at Harvard Medical School and chief of preventive medicine at Brigham and Women’s Hospital, Boston, has stated that the original study information led to millions of women stopping their hormone therapy and thus “undoubtedly saved countless lives and have been linked to a reduced risk of breast cancer in the population.” This statement is based on the theory that the progressive decrease in breast cancer deaths in the last decade is based on less hormone usage. In an interesting article published in the September 2013 issue of American Journal of Public Health, Philip Sarrel, MD, an emeritus professor of obstetrics, gynecology, and reproductive sciences at Yale University School of Medicine, reached an entirely different conclusion. His analysis (entitled “The mortality toll of estrogen avoidance: an analysis of excess deaths among hysterectomized women aged 50 to 59 years”) compared the mortal-
ity data for the women 50 to 59 years of age in WHI vs. the entire population of women in the U.S., found that a minimum of 18,601 and maximum of 91,610 women died prematurely by not having the advantage of hormone therapy. Even though this study had inherently messy assumptions, it has a very valuable message. His concluding recommendation is that we need to “apply rational distinction” between the population subgroups in an informed discussion with patients about the risks/benefits of hormone therapy. This may allay the excessive fear of hormone therapy still present in so many women. During the past decade, other information about hormone therapy has emerged. The safety and efficacy of transdermal as opposed to oral hormone therapy continues to be evaluated. Two recently published studies—the British Million Women’s Study and a study from the Netherlands—show no increased venous thrombosis risk at all in transdermal users. There are now six well-done observational studies showing that transdermal estrogen is safer than oral estrogen with respect to venous thromboembolism risk. Add in the benefits of steady-state dose delivery of the transdermals, and the ability to use blood levels at any time to help manage dosage
efficacy, and there is a fairly compelling argument for transdermal preference. Due to cost and logistical challenges, it is probably inappropriate to wait and hope for definitive randomized trials to compare oral vs. transdermal HT.
Talking with patients about hormone therapy Despite our better understanding of the limitations of the WHI study and the effects of HT, it is common for informed, educated patients to present with this stated dilemma: “I feel miserable, but with all the
Hormone therapy and the WHI to page 38
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2014 health care architecture honor roll
innesota Physician’s 2014 Health Care Architecture Honor Roll recognizes 10 outstanding projects completed recently. This year’s Honor Roll projects include new clinics, hospital renovations, remodeled spaces, and facility expansions in urban, suburban, Greater Minnesota, and the borders with neighboring states. The medical services range from routine clinic visits to specialized care. Populations served include the standard roster of patients seen at outpatient clinics, as well as specialized groups—such as women, seniors seeking assisted-living housing, and patients of all ages seeking psychiatric services. Alhough the facilities differ in intended use and population served, they share a focus on providing a welcoming environment, cutting-edge technology, and waiting areas designed to engage children. Several projects incorporated sustainability and energysaving elements into their design, such as a green roof. Recovery and therapy rooms have been designed to be bright, airy, and to offer patients comfort and privacy. Minnesota Physician Publishing thanks all those who participated in the 2014 Honor Roll. Top: The Legacy Building Middle: A lower-level lobby Bottom: Main lobby
Minnesota Physician June 2014
Park Nicollet Women’s Center Type of facility: Clinic Location: St. Louis Park Client: Park Nicollet/HealthPartners Architect/Interior design: AECOM Contractor: Mortenson Construction Completion Date: April 2014 Total Cost: $4,900,000 Square feet: 27,000 Park Nicollet’s new outpatient Women’s Center consolidates more than 15 preventive and specialty services into one location on the top floor of Methodist Hospital’s existing Heart and Vascular Center. The center was designed to support comprehensive health services for women of all ages in a convenient, comfortable environment. Upon entering the floor, patients are greeted by a relaxing, spa-like atmosphere. Services such as aromatherapy, massage, and plush robes are offered to enhance wellness and reduce stress. Access to daylight is maximized and the use of natural materials, artwork, and decorative lighting presents a contemporary image of wellness. Flexible space for group visits and education classes have been integrated into the design. The new space employs multiple innovative features, such as iPads, to anticipate the needs and perspectives of patients of various generations. Care-team neighborhoods facilitate self-rooming and reduce travel distances for staff. Onstage and off-stage circulation enhance the patient experience and maximize privacy. Flexibility of the space is increased through the use of hoteling exam rooms, demountable partitions, and systems furniture. Integrated, state-of-the-art technologies support wireless staff communication as well as patient engagement.
Top: Main lobby and reception Bottom: Waiting lounge
Gundersen Lutheran, Legacy Building Type of facility: Hospital Location: La Crosse, Wis. Client: Gundersen Health System Architect/Interior design: AECOM Contractor: Kraus-Anderson Completion Date: January 2014 Total Cost: Confidential Square feet: 420,000 sq. feet of new construction; 35,000 sq. feet of renovated space To meet future facility needs, Gundersen Lutheran has adopted an aggressive, eco-friendly, sustainability plan. A major part of this plan was the development of the new Legacy Building in La Crosse. This project supported the hospital’s energy goals and addressed key needs for a more prominent campus front door, more surgical space, and additional private inpatient rooms. As part of the Legacy Building project, which physically links to the existing hospital, the overall circulation pattern was reoriented to add clarity to wayfinding throughout the facility. A new northwest entry courtyard and lobby join the addition to a central passage that crosses through the existing hospital building. The new tower houses imaging and the surgery department, which were relocated to improve their proximity to the emergency department and to the new critical care inpatient beds. In addition, the Legacy Building meets Gundersen Lutheran’s sustainable design and overall energy reduction goals, with the goal of pursuing LEED Certification. June 2014 Minnesota Physician
Honor roll 2014
Left: Main entrance Right: Coffee shop
Murray County Medical Center Type of facility: C ritical access hospital and rural health clinic Location: Slayton Client: Murray County Architect/Interior design: TSP, Inc. Contractor: Parsons Completion Date: September 2013 Total Cost: $12,632,371 Square feet: 3 2,000 sq. feet of new construction; 10,000 sq. feet of renovated space With an eye toward readying for coming health care reforms, Murray County Medical Center engaged TSP to design a medical facility that supported its mission. The county wanted to provide a comprehensive range of health services and educa-
tion, and to serve local and regional needs with superior quality and value. TSP started by updating an out-of-date master plan. Needs were identified in several primary areas: clinic, inpatient, dietary, and business services. A larger staff and an expanded surgical center required additional space. Patient rooms were overhauled to achieve patient satisfaction goals related to inpatient services. Existing semi-private patient rooms with shared bathrooms were transformed into private rooms to better serve a mixed patient population. Murray County leadership decided to consolidate previously eliminated services and relocate the kitchen and several offices back to the main campus. The original building limited departmental growth and couldn’t keep up with the changing needs of patient services. The new facility meets Murray County’s vision within the limits of the existing site to create a facility that will address the needs of the hospital and the community of Slayton for many years to come.
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Minnesota Physician June 2014
Summit Orthopedics Type of facility: Medical office building Location: Vadnais Heights Client: Summit Orthopedics Architect/Interior design: Pope Architects Contractor: RJM Construction Completion Date: February 2014 Total Cost: $8,877,316 Square feet: 66,346 Summit Orthopedics consolidated three locations— Maplewood, Maplewood Therapy, and Vadnais Heights—into a single-specialty advanced center for orthopedics in Vadnais Heights. Located on the corner of 35E and County Road E, the new location offers north metro residents the full continuum of orthopedic care and treatment.
Top: Waiting area Bottom: Patient room
The 66,346-sq.-foot build-out includes recovery areas, a surgery suite, physical therapy space, and clinic space. Pope Architects was the programmer, interior designer, and interior architect. Pope worked collaboratively with the developer, MSP Commercial, and the core and shell architect, Genesis Architects. RJM Construction completed the interiors within an expedited schedule and collaborated with the shell building contractor, Welsh Construction, to start tenant finishes early, meeting the owner’s needs. The completed medical office building features contemporary finishes, an inviting reception space, and recovery areas reminiscent of a hotel room.
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June 2014 Minnesota Physician
Honor roll 2014
Left: Waiting area Right: Reception
PrairieCare Chaska Type of facility: Outpatient clinic and partial hospital program Location: Chaska Client: PrairieCare, LLC Architect/Interior design: Pope Architects Contractor: RJ Ryan Construction Completion Date: March 2014 Total Cost: $1,100,000 Square feet: 18,000 PrairieCare Chaska provides outpatient psychiatric services to all ages. PrairieCare began discussions with Ridgeview Medical Center in early 2013 about bringing specialty psychiatric services
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Fairview Lakes Medical Center: New Orthopedic Specialty Center - Wyoming, MN > St. Croix Orthopaedics > Fairview Health System > Fairview Sports and Orthopedic Care
Mohagen Hansen Architectural Contact Mark L. Hansen, AIA, LEED AP Group 952.426.7400 | email@example.com
Minnesota Physician June 2014
to Two Twelve Medical Center. The new clinic has an art therapy room, where kids can use art to express their feelings. A state-ofthe-art patient care station allows close patient monitoring and streamlines staff communication. A break room accommodates gross motor skill activities and also acts as a cafeteria. PrairieCare incorporates multidisciplinary evidenced-based treatment including: psychiatry, psychology, psychotherapy, and complementary alternative medicine. The Partial Hospital Program (PHP) is a state-of-the-art therapeutic environment optimally conducive for psychiatric assessment and crisis stabilization. PHP is designed to assess and stabilize psychiatric crisis through intensive psychiatric intervention, therapy, and educational services. This is the fourth site within the PrairieCare psychiatric health system. It will provide intensive psychiatric care to 600 youth each year, as well as thousands more patients in the clinic.
Left: Reception Right: Waiting area
Fairview Orthopedic Sports Medicine/ St. Croix Orthopaedics Type of facility: Outpatient orthopedic specialty center Location: Wyoming Client: Partnership between Fairview Health Services and St. Croix Orthopaedics, PA Architect/Interior design: Mohagen/Hansen Architectural Group Contractor: Mortenson Construction, Inc. Completion Date: May 2013 Total Cost: $3,659,407 Square feet: 20,930 The new Fairview Orthopedic Sports Medicine/St. Croix Orthopaedics center is located on the Fairview Lakes Wyoming Hospital campus. Mohagen/Hansen Architectural Group was selected by
Fairview Health Services and Mortenson Construction to provide planning, architecture, and interior design services. Development of this new orthopedic center allows Fairview to address the continued growth of expanded outpatient services on the hospital campus. It also provides a new integrated model of care delivery that places emphasis on the consolidation and clustering of outpatient orthopedic services. The center was designed as an addition to the hospital building, and can be accessed from the hospital, or from its own entrance, which has an associated parking lot. The building was designed to include three individual orthopedic clinics. In order to achieve maximum efficiency and provide quality care within a healing environment, this new delivery of care model offers orthopedic patients a “one-stop shop.” The specialty center includes a large shared waiting area that serves as a comfortable starting point for patients who may receive one or more services that can include a visit to an orthopedic clinic, the rehabilitation gym, radiology, or the home health-care retail store.
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June 2014 Minnesota Physician
Honor roll 2014
Good Samaritan Specialty Care Center
Left: Main entrance Right: Chapel
Type of facility: Skilled care/assisted-living facility Location: Robbinsdale Client: Good Samaritan Society Architect/Interior design: Insite Architects Contractor: Benson-Orth General Contractors Completion Date: December 2013 Total Cost: $17,400,000 Square feet: 123,000 The Good Samaritan Specialty Care Center is a 96-bed, stateof-the-art facility that offers three levels of skilled nursing care,
along with a fitness center and therapy rooms. The center provides outpatient care and short-term rehabilitation, in addition to specialty care, home, and community services. This specialty care center is the latest in a series of community-benefitting projects undertaken by the Good Samaritan Society, based in Sioux Falls, SD. Insite Architects worked in close partnership with Good Samaritan and Benson-Orth to design this project. To increase energy savings, the design included a green roof and 100+ geothermal wells. Underground parking accommodates the tight footprint of the site.
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Minnesota Physician June 2014
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Mille Lacs Health System Type of facility: Rural critical access hospital Location: Onamia Client: Mille Lacs Health System
Left: Waiting area and reception Right: Children’s play area
Architect/Interior design: Leo A. Daly Contractor: Anderson Companies Completion Date: January 2013 Total Cost: $3,000,000 Square feet: 25,000 sq. feet of renovated space The Mille Lacs Health System (MLHS), originally built in 1955, underwent some renovations in 2012 and 2013. The outpatient therapy unit, and the lobby and play area for children were redone. Other renovation work included clinics, the pharmacy, the boardroom, meeting rooms, and some administrative areas. Additional phases of the project are ongoing. The lobby needed a facelift, a much-needed place for children to wait in, and a plan that made a better use of space. The children’s
area was dedicated to an MLHS physician couple’s daughter, who died of cancer. Because the girl wanted to be a large-animal vet, the design for the area was based on a barn theme. The area is filled with activities for children, keeps noise away from patients, and was a good fit for this rural facility. The renovated outpatient therapy unit, which used to be the pharmacy and boardroom, has been transformed into a space with private bays, as well as an enclosed room. Patients receive their chemo or infusion therapy in a bright, airy, warm, and secluded environment. This initiative meets the needs of patients, as well as visitors to the vacation area of Lake Mille Lacs. With a skylight, kitchenette, and chairside monitors, comfort was No. 1 in the design process.
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Honor roll 2014
Left: Operating room Right: Rehab room
Altru Specialty Center Type of facility: I-2 hospital, specializing in orthopedic surgery and inpatient rehab Location: Grand Forks, ND Client: Altru Health System
Architect/Interior design: EAPC Architects Engineers Contractor: Construction Engineers Completion Date: April 2014 Total Cost: $5,900,831 Square feet: 81,954
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Minnesota Physician June 2014
The Altru Specialty Center is a 5.9 million dollar renovation with 81,954 sq. feet of space. It contains a surgery suite with four operating rooms, 12 prep and recovery bays, and a sixbed, post-anesthesia care unit (PACU) for orthopedic surgery. The inpatient rehab unit houses 23 private patient rooms, a dining room and recreation/day space, and areas for a full complement of physical, occupational, and speech therapy. The facility is attached to the Altru Imaging Center and the Altru Professional Center, where clinical needs are served. In 2012, Altru Health Systems purchased the Doctors Hospital on the south end of Grand Forks. The facility had never been operational, but had been outfitted with medical equipment. Once Altru owned the building, EAPC Architects Engineers assisted with the review of existing conditions, which revealed that the building had many mechanical, electrical, life safety, and building code violations. EAPC designed the renovation that met the needs of the various departments involved, and corrected all of the existing code violations.
Left: X-ray room Right: Children’s play area and reception
Highland Park Clinic Type of facility: Outpatient clinic Location: St. Paul Client: HealthPartners Architect/Interior design: HGA Architects Contractor: Greiner Construction Completion Date: June 2013 Total Cost: $846,843 Square feet: 9,600 The Highland Park project renovated an existing two-story space that connects to a strip mall. The 9,600-sq.-foot renovation took three months to complete. The main floor of this high-end clinic
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houses a reception area, adult waiting room, pediatric play area with a “liquid” floor, procedure rooms, and multiple care team stations equipped with computers. The lower level of the facility houses X-ray equipment, the X-ray control room, and a blood draw area. Greiner Construction coordinated a third-party inspection to ensure that the structure could support the X-ray equipment. Also on the lower level are dressing rooms, an employee break room, multiple offices, restrooms, storage, and an area for IT, mechanical equipment, and the boiler.
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Special Focus: Medical Facility Design
Phased building projects
f you lead a rural health care facility, you need to read this. And if you have ever led or are going to lead a building project, you definitely need to read this. As health professionals know, critical access hospitals (CAH) are unique. CAH facilities are not simply smaller versions of their urban counterparts. They are unique in two fundamental ways—their economics and their culture. It’s an understanding of both economics and culture that determines the success of critical access health care building projects. This article discusses the economic and cultural realities of CAH facilities, specifically as they relate to successful building projects. The considerations of phased building projects—projects that are done in multiple stages and sometimes over multiple years—are detailed as an effective response to these realities. Finally, the article also describes some of the characteristics of the right project team that helps ensure a successful building project.
Making them work in rural hospital environments By Richard Engan and Mitra Milani Engan
Economics The economics of critical access hospitals are distinctive. Sixty percent of CAH revenue typically comes from government payers like Medicare and Medicaid, according to the American Hospital Association. Patient volume is a fraction of what it is in urban facilities. And while urban hospitals may have several hundred people on staff at any given time, a rural hospital may only have a handful of people on the clock between sunset and sunrise. In rural Minnesota, many of our 79 critical access hospitals
Olmsted Medical Center, a 160-clincian multi-specialty clinic with 10 outlying branch clinics and a 61 bed hospital, continues to experience significant growth.
Opportunities available in the following specialties:
Olmsted Medical Center provides an excellent opportunity to practice quality medicine in a family oriented atmosphere.
The Rochester community provides numerous cultural, educational, and recreational opportunities.
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Olmsted Medical Center offers a competitive salary and comprehensive benefit package.
Minnesota Physician June 2014
In these cases, a well-planned, phased building project can be an excellent approach. However, phased addition and remodel projects are significantly more complicated—both in planning and execution—than new building projects. In these cases, it’s essential that CAH leaders
Culture Just like economics, the culture of rural health care is unique. From inter-departmental relationships to decision-making dynamics, the culture of critical access health care is characterized by several key attributes. • CAH departments tend to collaborate and back each other up more intensively than in their urban counterparts. For example, when four people are on staff at midnight and a multi-vehicle car accident happens on a rural highway, all four of those people help care for accident victims, regardless of their daytime departmental assignments. • Decision-making in rural health care facilities happens differently. Consensus is built over informal table
Stevens Community Medical Center’s Starbuck Clinic is looking for a family medicine physician. Enjoy the beautiful area lakes, quiet atmosphere and all that West Central Minnesota has to offer. Starbuck Clinic is home to Staff Care’s 2013 Country Doctor of the Year. Dr. Bösl and Greg Rapp, PA provide full clinic services in the picturesque town of Starbuck, MN on Lake Minnewaska. Dr. Bösl would like to transition into retirement. If you would enjoy the serenity of a rural lake community plus the comfort of an independent practice, this is your opportunity!
For more information, contact John Rau, CEO or Dr. Robert Bösl.
102 Elton Hills Drive NW Rochester, MN 55901
email: email@example.com Phone: 507.529.6748 Fax: 507.529.6622
do not have the option to simply replace their facilities when improvements are needed. This reality has been exacerbated by the recent recession. In response, rural health care leaders often opt for large additions and remodels of existing facilities, to upgrade and expand services.
understand the characteristics of successful phasing and, even more importantly, hire a project team who does, too. It’s here that CAH culture plays a role.
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talk, just as much as in the boardroom. Where communities are small and tightly knit, effective health care leaders understand that community support is vital for hospital building projects. This support is often built through conversations in coffee shops and church fellowship halls as much as in more formal settings. • CAH leaders are held accountable to stringent financial stewardship responsibilities. Community stakeholders expect that leaders will provide for the medical needs of the community with minimal waste, bells or whistles. While people appreciate comfort, they are unlikely to support facility improvements that appear ostentatious or flashy.
Choices Because of CAH economics and culture, a phased facility improvement project can provide an excellent solution for a hospital’s
needs. At the beginning of the process, rural health care leaders are faced with initial decisions, such as choosing which professionals are needed to deliver the project required. A skilled architect will help hospital leadership hire the proper team to do the right project for a community. The right design professional will demonstrate three key skills:
cility. To help you make decisions about how to phase your project, your architect may ask these questions: • Is there a time of year when it’s easier to get by without a given service or physical environment? For example, heating or cooling needs are more flexible in Minnesota’s
A phased facility improvement project can provide an excellent solution for a hospital’s needs. spring and fall, and less flexible in the winter and summer seasons.
1. Understanding the community’s economics and culture 2. Possessing expertise and experience in phased critical access health care project management
• Based on typical hospital usage, is there a time of year more favorable for construction?
3. Having excellent communication skills
• How does the order or sequencing of spaces relate to your use of them? Can this information be used to determine the scheduling/ sequencing of construction projects?
Communication is at the heart of the architectural process, and it begins with listening. Your architect will need to learn about the departmental organization and physical systems of your fa-
A Diverse and Vital Health Service Welcome to Boynton Health Service
• Can a specified department be closed or temporarily moved? For example, off-site laboratory services may need to be used temporarily. Based on the answers generated by this analysis, important choices can be made about whether any portions of a facility can be vacated during construction. Typically, these choices are made through considering such questions as: • Which portions can be vacated for the duration of a phase of construction (typically several months)? • Which portions can be vacated on a limited basis, such as while a specialist goes on vacation? • Which portions can be vacated after hours or on weekends? • Which portions can allow limited work to be done during operation, e.g., Boynton Health Service pulling tech wire through a functioning space? Phased building projects to page 36
Boynton Health Service
Located in the heart of the Twin Cities East Bank campus, Boynton Health Service is a vital part of the University of Minnesota community, providing ambulatory care, health education, and public health services to the University for nearly 100 years. It’s our mission to create a healthy community by working with students, staff, and faculty to achieve physical, emotional, and social well-being.
Boynton Health Service has an immediate opening for a full-time physician to provide services in the Primary Care and Urgent Care Clinics. Candidates should enjoy working in a college health environment with a large and diverse population of students and staff.
Boynton’s outstanding staff of 400 includes board certified physicians, nurse practitioners, registered nurses, CMAs/LPNs, physician assistants, dentists, dental hygienists, optometrists, physical and massage therapists, registered dietitians, pharmacists, psychiatrists, psychologists, and social workers. Our multidisciplinary health service has been continuously accredited by AAAHC since 1979, and was the first college health service to have earned this distinction.
The qualified applicant must be ABMS board certified/eligible and have training and/or experience in an outpatient practice and urgent care. Knowledge of electronic health records would be beneficial. This position offers a competitive salary, CME opportunities, and a generous academic status retirement plan. Professional liability coverage is provided.
Attending to over 100,000 patient visits each year, Boynton Health Service takes pride in meeting the health care needs of U of M students, staff, and faculty with compassion and professionalism.
To learn more, please contact Hosea Ojwang, Human Resources Director, at 612-626-1184, firstname.lastname@example.org Apply online at https://employment.umn.edu and reference requisition number 191646. The University of Minnesota is an Equal Opportunity, Affirmative Action Educator and Employer.
410 Church Street SE • Minneapolis, MN 55455 • 612-625-8400 • www.bhs.umn.edu
June 2014 Minnesota Physician
Special Focus: Medical Facility Design
n 2012, the Mayo Clinic Center for Innovation (CFI), an embedded service design group within the Mayo Clinic that is focused on transforming the delivery and experience of health and health care, was asked to begin a project with the Kasson Clinic, a small family medicine satellite clinic in rural Dodge County. We would research how a clinic could be designed to keep the community healthy, rather than the typical care delivery model of providing only sick care, when needed, to patients who visit the clinic. This goal was in response not only to new reimbursement models on the horizon, but also to a request from the local population seeking more engagement in their health care, to create a healthier community.
The project began much like any other building project within a large institution—a search for a site and funding, and deciding on the project’s parameters. From the beginning, the
Beyond walls and built spaces Designing the future in partnership with the community By Allison Matthews CFI design team added another, less typical, component to the work through detailed community engagement. Before the planning process began, community meetings were held in a variety of locations, to attempt to determine what people really wanted from their clinic. Engaging community The design team knew that the community needed to be part of the design process, but initial attempts were not as fruitful as hoped. The first error was asking people outright what they wanted from a clinic. They were
asked to imagine something completely new and different, but initially all the participants could do was reflect back on their experiences with the current services provided by the clinic. The community members excelled at listing what they expected from their current clinic, what it could do better, and what it already did well, but they had a harder time imagining the clinic providing services or spaces that aren’t traditionally related to a clinic. For example, patients were able to provide valuable insights about how they would
like the waiting spaces in a new clinic to be designed, how the hours could be improved to be more convenient for their work schedules, and better ways for the clinic to interface with the local high schools, but they weren’t able to move beyond the current health care paradigm. When the designers asked about new modes of interacting with the clinic, such as via a video connection, participants had a difficult time reconciling that with their current understanding of a clinic. Changing methodology Community meetings weren’t accomplishing the level of engagement the team was seeking. So we decided to change our methodology to better leverage the capabilities of the Center for Innovation as a service design group, through new ways of approaching the design problem that allowed for a deeper understanding of the unspoken needs and desires of the community. The team began having conver-
Physician Practice Opportunities Avera Marshall Regional Medical Center is part of the Avera system of care. Avera encompasses 300 locations in 97 communities in a five-state region. The Avera brand represents system strength and local presence, compassionate care and a Christian mission, clinical excellence, technological sophistication, an array of specialty care and industry leadership. Currently we are seeking to add the following specialists:
• General Surgery
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• Internal Medicine
• Family Practice
For details on these practice opportunities go to http://www.avera.org/marshall/physicians/ For more information, contact Dave Dertien, Physician Recruiter, at 605-322-7691 • email@example.com Avera Marshall Regional • Medical Center 300 S. Bruce St. • Marshall, MN 56258
Minnesota Physician June 2014
sations with community members not about a new clinic, but about how they defined and perceived health. The conversations happened both in the clinic and all over the community. By purposely avoiding questions about solutions with patients during these sessions, and instead asking them about what they believed affected their ability to be healthy in their daily lives— and what stood in the way of achieving health—designers were provided insight and some answers that began to surprise and guide designs a bit more. It was revealed that the clinic was operating as if people only made decisions about health care at the clinic or under the clinic’s influence. The reality was that the community members defined health and health care much more holistically. People made decisions not based necessarily on the recommendations they received in the clinic, but on the information they got from other sources: the Internet, their families, their
workplaces, or their own beliefs and value systems.
For example, instead of using his A1c level as the reason for wanting to get his diabetes under control, a patient shared how important it would be for him to see his granddaughter walk down the aisle in a few months. The clinic was set up to support diabetes care using A1c as the driver. How could we design a clinic that supported the patient as he or she used clinical markers not as the drivers, but as supportive metrics?
St. Cloud/Sartell, MN We are actively recruiting exceptional full-time BE/BC Family Medicine physicians to join our primary care team at the HealthPartners Central Minnesota Clinics - Sartell. This is an outpatient clinical position. Previous electronic medical record experience is helpful, but not required. We use the Epic medical record system in all of our clinics and admitting hospitals. Our current primary care team includes family medicine, adult medicine, OB/GYN and pediatrics. Several of our specialty services are also available onsite. Our Sartell clinic is located just one hour north of the Twin Cities and offers a dynamic lifestyle in a growing community with traditional appeal.
The design team realized quickly that building a new clinic in the current model wasn’t going to get anyone what they really wanted: essentially, better engagement with patients to promote health. Instead, building a new clinic in the old model would only help continue to do what already was being done (sick care and secondary prevention) in a brighter, shinier new setting.
HealthPartners Medical Group continues to receive nationally recognized clinical performance and quality awards. We offer a competitive compensation and benefit package, paid malpractice and a commitment to providing exceptional patient-centered care. Apply online at healthpartners.com/careers or contact firstname.lastname@example.org. Call Diane at 952-883-5453; toll-free: 800-472-4695 x3. EOE
Beyond walls and built spaces to page 34
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MN Physician 4" x 5.25" 4-color
BC/BE Family Practice Physician
Immediate opening at dynamic urban clinic serving the Native American community. We are passionate about our work and about providing exceptional care. We are looking for a physician who will be a good fit for our clinic and for the community we serve. This is a full-time position (80 hours per pay period), with health and dental benefits. We are a NHSC and IHS loan repayment site.
The Minneapolis VA Health Care System is recruiting a physician for a combined Sleep Medicine (50%) and Tele-ICU position (50%) within the Section of Pulmonary, Critical Care and Sleep. Board certified in: Internal Medicine, Pulmonary, Critical Care, and Sleep Medicine. A demonstrated track record in research as evidenced by peer review publications and academic status at an Assistant Professor level or higher is required. Experience in ICU Telemedicine, in addition prior experience in directing both Intensive Care Units and Sleep Laboratories. Substantial experience in supervising trainees including fellows, residents and medical students.
Must be licensed to practice in Minnesota and have current board certification or eligibility. Clinic hours are Monday thru Friday 9am-5pm and Saturdays 10am-2pm.
No phone calls please. Submit Cover Letter and Resume to email@example.com. CLOSING DATE: Open until filled. 1213 E. Franklin Avenue, Minneapolis, MN 55404
Be a part of this dynamic and rapidly growing clinic in a great location. Must have a valid medical license anywhere in the US. VA physicians enjoy an excellent benefits package, paid malpractice insurance, and a state-of-the-art electronic medical record. Competitive salary and benefits with recruitment/relocation incentive and performance pay.
For more information: Visit www.usajobs.gov or email firstname.lastname@example.org EEO employer June 2014 Minnesota Physician
Beyond walls and built spaces from page 33
Evolving design Our conceptual designs began to evolve from health care being based in a place to being based on capitalizing on relationships within the community, creating strategic partnerships and a network that supported health. This approach moved the focus out of the built space, and instead found that the clinic was able to have influence in unexpected areas within the community. Certainly, the traditional questions of where the building was sited were addressed (Should it be close to the high school? Near the major employer?), but so were requests for new types of spaces like demonstration kitchens, community gardens, and areas for community organizations to meet. A thoughtful analysis of spaces available but not serving patient and community needs was also completed, bringing ideas about patient-facing areas looking more like the local gym
than a hospital, and questioning if there were ways that could better welcome patients than a check-in desk. Breaking the clinic’s services up into components that could be spread throughout the community— both physically and operationally—started to emerge as a potential design option. The traditional thought behind designing and building a new primary care center typically centered around factors that combine maximizing the bottom line of a fee-for-service-based environment with solutions that support increasing patient throughput, such as adding more exam room space, and adding traditionally ancillary services such as laboratory and radiology. Often a gesture is made to create attractive physical spaces, because of the misperception that patient experience can be improved by more appealing waiting rooms. Our findings demonstrated that to really improve patient experience and outcomes, primary
care clinics needed to imagine new spaces, both within and outside of the traditional clinic, reaching people where they make daily health decisions. As we move from a fee-for-service to a fee-for-value model, this will be the true measure of success. In the end, despite our diligent work with the community and the Kasson Clinic, the project was put on hold. Interestingly, this did not stop the relationship that had been developed between the clinic and the community. The responsive and caring staff at the Kasson Clinic still wanted to meet the needs of the community, even if a new clinic was not on the immediate horizon. They created a community garden in front of the facility where patients could pick healthy food, and dietitian appointments could move outside for a hands-on experience when possible. A program was developed, called Dodge Refreshed, that sought to connect daily life with healthy
living through community engagement. Once the value of this connection was recognized by clinic leadership, policy changes were instituted to allow the clinic staff to work in the community more frequently. The Mayo Clinic and the Center for Innovation learned a lot in this community engagement process. We realized that health happens everywhere, and that creating a clinic that can be accessed where patients want it, when they want it, and how they want it—whether in person or through another avenue— is what is most important to keeping a community healthy. Service design is a useful tool that complements the traditional building design process, helps challenge current built space paradigms, and allows health care to expand beyond what people usually think of as a clinical space. Allison Matthews is a design researcher at the Mayo Clinic’s Center for Innovation in Rochester.
Join the top ranked clinic in the Twin Cities A leading national consumer magazine recently recognized our clinic for providing the best care in the Twin Cities based on quality and cost. We are currently seeking new physician associates in the areas of:
BC/BE Family Medicine Physician Renville County Hospital & Clinics is looking for a BC/BE Family Medicine Physician. RCHC is 25-bed Critical Access Hospital with three clinics committed to quality, evidence-based care and exceptional patient satisfaction. Current call is 1:4.
• Family Practice
Excellent compensation. Enhanced physician benefits with PERA retirement benefit included with this position.
• Urgent Care We are independent physicianowned and operated primary clinic with three locations in the NW Minneapolis suburbs. Working here you will be part of an award winning team with partnership opportunities in just 2 years. We offer competitive salary and benefits. Please call to learn how you can contribute to our innovative new approaches to improving health care delivery.
Please contact or fax CV to:
Joel Sagedahl, M.D. 5700 Bottineau Blvd., Crystal, MN 55429
763-504-6600 Fax 763-504-6622
Minnesota Physician June 2014
Plus! We’re building a new medical center (projected completion 2015)! Contact: Lynette Bernardy 611 East Fairview Avenue, Renville, MN 56277
We’re located in a beautiful, family-oriented community just 90 miles west of Minneapolis/St. Paul. Recreational facilities include five golf courses, hunting, fishing, several relaxing lakes and Minnesota River within minutes.
email@example.com Phone: (320) 523-1261 • Toll-free: (800) 916-1836
Psychiatrist Unique Practice – Unique Psychiatrist Needed! HealthPartners Medical Group is a top Upper Midwest multispecialty group practice based in Minneapolis/St. Paul, Minnesota. We have a unique metropolitan-based outpatient position available for a talented, bilingual BC/BE psychiatrist interested in a non-conventional practice. This full-time position combines cross-cultural psychiatric medicine with community mental health. Receiving practice support from both HealthPartners Center for International Health and from the Ramsey County Mental Health Center, 0.5 FTE of the position will provide psychiatric care to an international refugee patient population utilizing an integrated holistic/ primary care model. The other 0.5 FTE of the position will work as part of a multidisciplinary team to provide care to individuals with serious mental illness, chemical health difficulties and/or co-occurring medical problems. This exciting practice is full-time, but qualified candidates interested in part-time outpatient opportunities in Cross-Cultural Psychiatric Medicine or Community Mental Health are encouraged to apply. In addition to a competitive salary and benefits package, there are opportunities for an academic faculty appointment at the University of Minnesota, teaching involvement in the Global Health Pathway (globalhealth.umn.edu) and further development of best practice programming at Ramsey County Mental Health Center. For consideration, please forward your CV and cover letter to firstname.lastname@example.org, apply online at healthpartners.com/careers, or call Lori at (800) 472-4695 x1. EOE
Opportunities for full-time and part-time staff are available in the following positions:
• Geriatrician/ Hospice/ Palliative Care • Internal Medicine/ Family Practice
• Medical DirectorExtended Care & Rehab (Geriatrics) • Psychiatrist Applicants must be BE/BC.
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Minnesota Physician 4" x 5.25" B&W
US Citizenship required or candidates must have proper authorization to work in the U.S. Physician applicants should be BE/BE. Applicant(s) selected for a position may be eligible for an award up to the maximum limitation under the provision of the Education Debt Reduction Program. Possible recruitment bonus. EEO Employer. Competitive salary and benefits with recruitment/ relocation incentive and performance pay possible.
For more information: Visit www.USAJobs.gov or contact Nola Mattson, email@example.com Human Resources 4801 Veterans Drive, St. Cloud, MN 56303
(320) 255-6301 June 2014 Minnesota Physician
volved all the key players: the hospital’s leadership team, the project design team, and the construction team. Facility staff should have been included in the communications loop, with multiple opportunities for dialogue during the project.
Phased building projects from page 31
Once a thorough facility analysis is completed, a building project’s phases and sub-phases can be defined. Written descriptions are developed for the requirements of each major- and sub-phase, including a statement of what is required for substantial completion of each part of the process. Also included is an outline of any construction activities that must extend beyond any defined phase; for example, fire alarm or electrical systems work may continue if the entire route of a system cannot be vacated during a specific project phase. The phasing plan is then illustrated in preliminary architectural drawings.
Construction Successful completion of a phased building project depends on several factors, including whether: • The phasing process was part of the discussion since the beginning of the project’s planning process. • Phasing discussions in-
• Project phasing was part of the agenda for all project review meetings. Refinements to the project schedule are often made during the construction process. These changes are sometimes driven by management needs, sometimes by design or construction team players. When all team members are involved in the planning from the beginning of the process, these changes are typically easy to accommodate.
Challenges Challenges are inherent in any building project. This is especially true during a phased construction project in a functioning critical access hospital. There’s an enormous contradiction between a health care environment and
a construction environment. It’s critical to maintain infection control and adhere to life safety codes throughout a construction project.
was able to continue without interruption and there were no staff complaints about the process.
The right architect will guide a health care facility through a phased project with honesty and frequent communication. It’s important that he or she avoids underselling the disruption that will be involved in a phased project. When hospital staff are fully engaged in a project’s planning process, they know what to expect and are typically able to be flexible as the work is completed.
Minnesota’s critical access hospitals play an essential role in caring for rural communities. Continuous maintenance and improvement of these facilities is vital. Critical access hospital leaders are better able to move forward with these improvements through phased building projects that are based on an understanding of rural Minnesotan economies and culture. Project phasing is a tool CAH leaders can use to accomplish large goals in bite-sized pieces, fulfilling their mission to provide both excellent health care and wise fiscal stewardship.
An example of this is illustrated by the case of a critical access hospital that needed to replace sewer pipes underneath the entire hospital because they had been eroded by acids used in the lab. The hospital needed to continue working during the project—services could not be moved off-site. All hospital staff were included in conversations about the impact of jack-hammering. Staff helped formulate a plan to schedule construction during times when disruptions would be most manageable. As a result, hospital work
Richard Engan is principal architect and founder of Engan Associates Architects and Interior Designers. Founded in 1979, Engan Associates specializes in critical access health care design. Mitra Milani Engan is the firm’s communications director.
Urgent Care We have part-time and on-call positions available at a variety of Twin Cities’ metro area HealthPartners Clinics. We are seeking BC/BE fullrange family medicine and internal medicine pediatric (Med-Peds) physicians. We offer a competitive salary and paid malpractice. For consideration, apply online at healthpartners.com/careers and follow the Search Physician Careers link to view our Urgent Care opportunities. For more information, please contact firstname.lastname@example.org or call Diane at: 952-883-5453; toll-free: 1-800-472-4695 x3. EOE
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36 Minnesota Physician MN Physician 4" x 5.25" 4-color
BC/BE Family Practice Mankato Clinic is seeking a Family Practice provider to work at Madelia Hospital & Clinic in an inpatient/ outpatient/ Emergency Department practice. Madelia Hospital is a 25-bed, acute care, Critical Access Hospital that has received the JCAHO Gold Seal of Approval. Primary health services available include medical/surgical, Level 4 Trauma, 24/7 Emergency Room, 24-hour Lab, Physical Therapy, diagnostic imaging with a 16 slice CT, digital mammography and more. Madelia Hospital & Clinic offers a sign-on bonus of $75,000 and an additional $50,000 bonus to live in the community. Mankato Clinic employment features: • Excellent first year guarantee and production bonus opportunity • Competitive Benefit Package with 401(k) and profit sharing • Shareholder opportunity in your second year • Generous CME allowance
Contact Dennis Davito for more information at (507) 389-8654 or by email at email@example.com Apply online at www.mankatoclinic.com
Fairview Health Services Opportunities to fit your life Fairview Health Services seeks physicians to improve the health of the communities we serve. We have a variety of opportunities that allow you to focus on innovative and quality care. Be part of our nationally recognized, patient‑centered, evidence‑based care team. We currently have opportunities in the following areas: • Dermatology
• Internal Medicine
• Sports Medicine
• Urgent Care
• Vascular Surgery
• Endocrinology • Family Medicine • General Surgery • Geriatric
Visit fairview.org/physicians to explore our current opportunities, then apply online, call 800‑842‑6469 or e-mail firstname.lastname@example.org
Sorry, no J1 opportunities.
fairview.org/physicians TTY 612- 672-7300 EEO/AA Employer
The perfect match of career and lifestyle. Affiliated Community Medical Centers is a physician owned multispecialty group with 11 affiliate sites located in western and southwestern Minnesota. ACMC is the perfect match for healthcare providers who are looking for an exceptional practice opportunity and a high quality of life. Current opportunities available for BE/BC physicians in the following specialties: • ENT • Family Medicine • General Surgery • Geriatrician • Outpatient Internal Medicine
• Hospitalist • Infectious Disease • Internal Medicine • OB/GYN • Oncology • Orthopedic Surgery
• Psychiatry • Pediatrics • Pulmonary/ Critical Care • Rheumatology
F o r m o r e i n F o r m aT i o n :
Kari Lenz, Physician Recruitment | email@example.com | (320) 231-6366 www.acmc.com |
Family or Internal Medicine Physician An ideal balance between your professional and personal life. Provide comprehensive care in a clinical and hospital practice. ER coverage available, but not required. GRHS is a progressive 19 bed Critical Access Hospital with two clinics. Glenwood is a family oriented community with an excellent school system. Recreational opportunities include boating, hiking, excellent fishing and hunting. We are halfway between Fargo and the Twin Cites. For more information Call Kirk Stensrud, CEO 320.634.4521 Mail CV to: Kirk Stensrud, CEO 10 Fourth Ave SE Glenwood, MN 56334 Email CV to: firstname.lastname@example.org
www.glacialridge.org June 2014 Minnesota Physician
Hormone therapy and the WHI from page 19
conflicting information out there about hormone therapy, what should I do?” Appropriate answers may be: • Use hormone therapy predominantly for symptom relief.
tional Menopause Society) evaluated changes in evidence over the past 10 years. The authors support a return to “rational use of HT initiated near the menopause,” the “classic use of HT” concept.
Ongoing disagreement persists among experts.
• Use the lowest dose and for the shortest time possible. • Understand that the risks in general are less than previously represented. • Be aware that the route and type of hormones may be important. • Have a frank conversation with your provider about risks/benefits for you, specifically. A recently published reappraisal by international experts published in Climacteric (the official journal of the Interna-
Looking back over the past decade, we have gained perspective on the issue of hormone therapy; indeed, we have almost come full circle on it. The WHI was done to assess the possible cardiovascular benefit of HT in older women. The study therefore served its purpose; the answer was a definitive “no.” Unfortunately, generalizations about the results alarmed many younger women (and their physicians)—women
Here to care At Allina Health, we’re here to care, guide, inspire and comfort the millions of patients we see each year at our 90+ clinics, 12 hospitals and through a wide variety of specialty care services throughout Minnesota and western Wisconsin. We care for our employees by providing rewarding work, flexible schedules and competitive benefits in an environment where passionate people thrive and excel.
Madalyn Dosch, Physician Recruitment Services Toll-free: 1-800-248-4921 Fax: 612-262-4163 email@example.com
allinahealth.org/careers 13273 0414 ©2014 ALLINA HEALTH SYSTEM ® A TRADEMARK OF ALLINA HEALTH SYSTEM
Minnesota Physician June 2014
from the WHI was that large population studies are valuable but grouping studies does not always work; in this case, the subanalysis studies were necessary to expose the invaluable “timing hypothesis.” So how do clinicians move forward with this information? The key is to individualize therapy. Advice for the newly menopausal patient will be different from advice for the 65-year-old woman who continues to have
symptoms after stopping HT. The symptomatic patient “sitting on the fence” with regard to treatment needs to know that in most cases, the risks may be lower than she thinks. And the 70-year-old woman who still has fairly severe hot flashes needs to know that her risks with hormone therapy may be higher than she thinks, so alternative therapies may be indicated for her. We now have enough data and expert opinion to truly give informed individualized advice. The challenge is to get all of us up to speed with these concepts. And, of course, this is not the end of the story.
Jon Nielsen, MD, practices at Oakdale Ob-Gyn, a division of Premier Ob-Gyn of Minnesota.
Sioux Falls VA Health Care System
Working with and for America’s Veterans is a privilege and we pride ourselves on the quality of care we provide. In return for your commitment to quality health care for our nation’s Veterans, the VA offers an incomparable benefits package. The VAHCS is currently recruiting for the following healthcare positions in the following location.
Sioux Falls VA HCS, SD Primary Care (Family Practice or Internal Medicine) Psychiatrist
Pulmonologist Oncologist Cardiologist (part time)
Make a difference. Join our award-winning team.
who, we now know, could have benefitted from HT with relief of hot flashes, night sweats, and vaginal atrophy symptoms, as well as reduced risk of heart disease and fractures. One of the important lessons learned
Sioux Falls VA HCS (605) 333-6852 www.siouxfalls.va.gov
Applicants can apply online at www.USAJOBS.gov
Alcohol is more harmful to an unborn baby than cocaine, marijuana or heroin. Drinking during pregnancy can cause Fetal Alcohol Spectrum Disorders (FASD) which permanently harm the way your baby learns and behaves.
- ZERO ALCOHOL FOR NINE MONTHS.
GET READY FOR
STAY ON THE ROAD TO 10 STEPS TO HELP YOU TRANSITION The ICD-10 transition will affect every part of your practice, from software upgrades, to patient registration and referrals, to clinical documentation and billing. CMS can help you prepare. Visit the CMS website at www.cms.gov/ICD10 and find out how to: •
Make a Plan—Look at the codes you use, develop a budget, and prepare your staff
Train Your Staff—Find options and resources to help your staff get ready for the transition
Update Your Processes—Review your policies, procedures, forms, and templates
Talk to Your Vendors and Payers—Talk to your software vendors, clearinghouses, and billing services
Test Your Systems and Processes—Test within your practice and with your vendors and payers
Now is the time to get ready. www.cms.gov/ICD10
Official CMS Industry Resources for the ICD-10 Transition
5/28/14 1:52 PM
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In our Group Florence Nightingale Hospitals Psychology Department, we work as a harmonious team with our psychiatrists.
Psychology is derived from the combination of the words "psyche" meaning spirit and "logic" meaning science, and can be translated into Turkish as "psychology".
Psychiatry, on the other hand, is a combination of the words "psyche" and "iatr" meaning medical treatment and means "medical treatment of the soul".
· The distinction between psychiatry and psychology is based on educational differences. Psychologists do not really do medical treatment.
· They cooperate with their clients only at the level of psychotherapy relationship.
Whereas, psychiatrists can prescribe medication or perform other medical practices because they are medical doctors. They can also do therapy.
Psychologists and psychiatrists work in harmony and support each other. The education of the psychologist and the knowledge of the literature should support the psychiatrist's medical treatment and psychotherapy practices, and the methods of the psychiatrist should facilitate the process of the psychologist.
Our specialists in our Group Florence Nightingale Hospitals Psychology Department provide personalized professional support to help people overcome the psychological problems they experience.
In addition, our hospital provides psychological services to patients and their relatives who receive service from other health departments.
We support our cancer patients with Psycho-oncology.
We can not say that cancer is just a physical illness. It is a health problem that includes mental and psycho-social components in addition to the physical structure of the individual. Cancer diagnosis creates an acute crisis in our society that causes the patient and their relatives to quickly adapt to the sad news. In order for the patient to cope with this crisis, they must be informed about all processes related to his treatment, accompanied by an expert.
In this process, a multidisciplinary treatment path is followed by combining medical support with psychological support. The individual who learns that he/she has cancer faces the loss of his/her former self, and this loss brings about some emotional changes in the individual.
What do we do in our department?
· CBT (Cognitive behavioral therapy),
· Benton face recognition test,
· Boston naming test,
· EMDR (Eye movement desensitization and reprocessing) therapy,
· Trail making test,
· Minnesota versatile personality inventory (MMPI),
· Neuropsychological tests,
· Oktem verbal memory processes test,
· Psychological tests,
How are psychological tests done?
· Standard matrix test (RSPM) of raven progressive matrices,
· Rey auditory verbal learning test,
· Semantic fluency and letter fluency test,
· Stroop test,
· Schema therapy,
· WAIS (Wechsler Adult Intelligence Scale) binary similarities subtest,
· Wechler memory test,
· Wisconsin card matching test
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This town is located in the southwest corner of the county, and received its name with regard to its geographical location and the fact that it is partly bordering on Chemung River. The surface of the town is mostly hilly upland, integrated by the deep valleys of the streams. Chemung River, which forms part of the northern boundary, is the principal stream, and is bordered by broad, fertile, alluvial flats. Seely Creek receives as its tributaries, Smith, Bird, and Mud Lick Creeks, which, with itself, finally empties into the Chemung, in the town of Ashland. Hendy Creek flows along the north border. The area of the town is 28,969 acres. The soil upon the hills is a slaty loam, and in the valleys a fine quality of gravelly loam.*
Within the present limits of the town are included parts of the Wells and Holbrook Purchase of Nov. 6, 1788; Cutting Tract, patent issued to A. Bummerfield and Joseph Edsall, Oct. 31, 1788; Seely Tract to Nathaniel Seely, Jr., James Seely, Abner Hetfield, Samuel Edsall, and Aaron Seely, 1553 acres, Nov. 3, 1788; Patent No. 113, to Abraham Miller and Lebbens Hammond (issued to James R. Smith), Oct. 27, 1788, 1000 acres; Christian Minier, Patent No. 117, Oct. 28, 1788; Watson Patent (now called Lawrence Tract), Sept. 16, 1802, 19,927 acres; and several other patents for smaller tracts, among which, issued in 1788, were No. 103 to Thomas King, issued to Abraham Hardenburg; No. 124 to Jabez and John Calver; No. 102 to John Weir; No. 105 to Daniel De Witt; No. 111 to James Garlinghouse (620 acres); No. 190 to James Dunton; No. 107 to Albert Foster; No. 119 to John Harris; and No. 120 to John Williams.
Concerning Seely Creek, Rev. Clark Brown, in a chronicle entitled " A Topographical Description of Newtown, in the State of New York," written in August, 1803, has the following; "Seely’s Creek, so called, is a much smaller stream than Newtown Creek. Its course is by the east side of the mountain already described (Mount Zoar), which lies in the west of the village (Elmira, then Newtown). It empties into the Tioga River at the south part of the town (now Ashland). It is called Seely’s Creek in consequence of a number of families by the name of Seely originally settling near it. The land east of it, on which the settlements and improvements are, is excellent."
*For alterations in the boundary of the town, etc., see "Civil Organization."
of the town was commenced by the Millers, Griswolds, and McHenrys. Judge Abraham Miller* came in from Northampton Co., Pa., in the spring of 1788. He was a man above the average pioneer in intellectual qualifications, and , recognizing this fact, Governor Clinton appointed him the first judge of old Tioga County, the commission bearing date Feb. 17, 1791. Judge Miller has served as a colonel in the Revolutionary army, and thus combined the noble virtue of patriotism to his many other excellent traits of character. John Miller, elder son of Abraham, was appointed judge of Tioga County April 3, 1807, and was, like his father, a prominent citizen. He moved to the town of Elmira, and was subsequently a member of Assembly.
From a work published by J. B. Wilkinson** in 1840 we quote the following: "Southport, which is a beautiful and extended plain on the south side of the Chemung, and the central part immediately opposite Elmira, was settled the first and second years after the settlement of the north side by Judge Caleb Baker, who still lives upon the sod that received its first cultivation from himself, John and Timothy Smith, Solomon Bovier, Lebbeus Hammond, Esq., William Jenkins, Esq. (still living), Rufus Baldwin, still farther down the river, Parson Jabez Culver, a Congregational minister, Lebbeus Tubbs, the father of Mrs. Hammond, Judge Abraham Miller, and Samuel Middaugh." The description of the town in the above is correct, but Mr. Wilkinson errs in asserting priority of settlement for Judge Baker, whose arrival was subsequent to that of Judge Miller and David Griswold nearly two years, and both Lebbeus Tubbs and Lebbeus Hammond were at least contemporary with Judge Baker.
*See also under the head of "Bench and Bar of Chemung."
**Author of the "Annals of Binghamton."
The subjoined is furnished by Mr. A. D. Griswold, a grandson of David Griswold; and while we do not dispute its authenticity, yet we are of the opinion that David stayed with his father in Chemung for about two years after the arrival of the family there in 1787. "In the spring of 1787, David Griswold, a soldier, and afterwards a pensioner, of the Revolution, a native of Connecticut, of English descent, came up the river to Southport, with his wife and daughter Mary (who afterwards married Benjamin Smith), and his sons Thomas and David, the latter an infant, born at Tioga Point, Jan. 1, 1787. His father, Elijah Griswold, with three sons and three daughters, settled at Chemung, two miles east of Wellsburg. Another brother, Elijah, came with David, and settled where his venerable son James now lives. David built a saw-mill and a grist-mill on his farm, bringing the water of Seely Creek, more than a mile, by means of a dam, on land now owned by L. B. Smith. Previous to this wheat was ground on an oak stump hollowed out for that purpose, on land now owned by G. A. Goff. His first wife, Sallie, having died, David Griswold married Mrs. Jane Stull, whose father, John Durham, kept a ferry at Elizabethtown, N.J., across which Washington was rowed. Their daughters, Nancy and Sally, were married to Abner and Richard Hetfield, respectively, and their sons, John and Jonas, own the farm."
In 1787, Timothy Smith was living on Seely’s Tract, 600 acres of which was granted to him in 1791, and he built on land now owned by Elias Snell. The barn was dated 1799, and now stands on the south side of the road.
His sons, Solomon L. Smith, Job Smith, Uriah Smith, a physician of successful practice till 1862, and Archibald and his daughters, Elizabeth Satterlee, Hannah Lowe, and Abbey Chapman, are represented now by numerous descendants in the valley. One daughter, Susan, was never married.
Timothy Smith was accompanied by four brothers, all men of tall stature,--one six feet four inches,--and their descendants made the Smiths numerous at a very early date. They came from Orange County. J. L. Smith is a son of one of the brothers,--John.
In the south part of the town, one of the most prominent of the early settlers was Philo Jones, who came from Norwalk, Conn., at the solicitation of his brother, the Rev. Simeon R. Jones, an early and noted Presbyterian clergyman, who came to Elmira as early as 1803, and was in Bradford Co., Pa., prior to that time.* Mr. Philo Jones arrived in Elmira in 1806, and removed to Southport in 1817, and settled on the place now occupied by his son, Simeon R. Jones. He held several offices of importance in the town, notably those of Supervisor in 1839-40, and Justice of the Peace in 1857. He also served two terms in the State Assembly in 1849-50. Mr. Jones was born in Norwalk, Conn., June 25, 1791, and died in Southport, Feb. 24, 1872. His children now living are Albert, a retired merchant of Elmira; Simeon R., who resides on the old homestead; Finla M., postmaster at Seely Creek; Philo, who lives in Caton, Steuben Co., N. Y.; Julia S. and Laura J., both reside near the homestead in this town.
*See under head of "Presbyterian Church" in history of Elmira.
Among others who settled in this part of the town were Archibald Marvin and Dr. A. Gates White, who came in 1802 and settled,--the former below Pine Woods, and owned the present site of the hamlet; the latter at Webb’s Mills. Archibald Marvin’s daughter, Mrs. Robert Beckwith, is still on the old homestead, and Seth Marvin, one of his sons, is a resident of the town. General Seth Marvin, father of Archibald, was with the surveyors in 1788, and purchased a large tract, where Seely Creek, Webb’s Mills and Pine City are now located,--a part of the Wells & Holbrook Patent. John Wheeler Pedrick came to Elmira about 1797, and was the first shoemaker there. He settled in Southport in 1802, and bought a lot between those of A. Marvin and Dr. A. G. White, on part of which two of his grandsons, Nathan and E. C. Pedrick, now reside, and on the other part, H. F. Wells and others occupy. John Kelley bought a tract on the State line in 1800.
Other early settlers in various parts of the town were John McHenry, who came in about 1790. His son, Abraham, was born on the farm now owned by John D. Miller, in 1797, and died on the same place in 1846. Miller, Guy P., and Julia, now the wife of Shelden Tense, of Whitehall, Washington Co., N. Y., were all born in Southport. Wm. Fitzsimmons, who was with Sullivan in his expedition of 1779, came into the town to settle about 1790. John Fitzsimmons came about one year later. Davis Fitzsimmons was born on the old homestead in 1805.
Daniel Beckwith settled on the farm now occupied by the widow and family of his son John, in 1793. Daniel Beckwith died July 30, 1844, John Beckwith, Aug. 17, 1877. Jude, Guy, and Ida are his only children. Peter Stryker, father of Abraham Stryker, came in about 1795. Valentine Strouse came with his parents and their large family of children, from Easton, Pa., in 1827. Charles Evans came in from Delaware in 1825, and settled on the farm now occupied by Solomon L. Smith. Charles Dense arrived from Orange Co., N. Y., in February, 1829. Philetus P. Rathbun came in 1831, and settled near the Corners, where he has since resided.
The first house erected within the present limits of the town was by Abraham Miller, in the spring of 1790.
The first saw-mill was built by Colonel Abraham Miller, on a branch of Seely Creek, as early as 1798.
The first grist-mill, by David Griswold, about the years 1799-1800.
The first factory was that for the manufacture of wool, erected by Silas Billings, in 1821-22, and sold to Solomon L. Smith about 1823-24.*
The first distillery was erected by Solomon L. Smith, about the year 1820. He manufactured his whisky from both rye and corn.
The first school-house was erected about the year 1800, in the Griswold neighborhood. One was erected near the present residence of Draper Nichols, in the southern part of the town, in 1806.
The first church edifice was the Presbyterian, built about the year 1820, and destroyed by fire in 1831. It stood on the river-road, on the farm now occupied by James Griswold.
The first store was kept by Samuel Gibson, at Webb’s Mills , in 1835.
The first tragedy in the town was the murder of James Kelley, by a youth of eighteen years named George Lucas, June 19, 1820. The shooting was done in a corn field, near the present site of the barns of Allen Cooper.
Southport was formed from Elmira, April 16, 1822, and a part of Ashland was taken off in April 1867. The boundaries as described in the act by which the town was erected are as follows: "All that part of Elmira lying south of a line beginning on the pre-emption line at the corner of lots Nos. 54 and 55 of the subdivision of Watrous’ large tract in said town; thence south 88 degrees east to the southeast corner of lot 95, in said subdivision; thence northerly to the southwest corner of lot 103, in said subdivision; thence north 80 degrees 30’ east to the Tioga River; thence down the same as it runs to the head of Davis Island; thence down the channel on the southerly side of said island; thence down the river to the head of Big Island; thence on a line through said island which divides the farms on the east and west sides of said island, to the lower part thereof; thence down the middle of the river to the head of Rummerfield’s Island; thence down the channel of the river on the south side of said island and Carpenter’s Island to the Chemung line." The area of the town is 28,969 acres.
The first town-meeting was held at the house of John Ware, on the 14th of May, 1822, at which the subjoined list of officers was elected, namely: Solomon L. Smith, Supervisor; William Wells, Clerk; John W. Knapp, Wm. Jenkins, and Samuel Strong, Assessors; John L. Smith, Platt Bennett, and Samuel Strong, Commissioners of Highways; William Benson, James B. Goff, and Platt Bennitt, Inspectors of Common Schools; William Jenkins, William C. Ware, and Jacob Miller, Commissioners of Common Schools; John Fitzsimmons and John L. Smith, Overseers of the Poor; Nathaniel Knapp, Collector; Aaron Brown and Nathaniel Knapp, Constables; Samuel Strong and John L. Smith, Fence Viewers; John Ware, Poundkeeper; Samuel Middaugh, John Bovier, John Fitzsimmons, John Sly, Wm. K. Knapp, Philo Jones, Thomas Comfort, and Jeremiah Coleman, Overseers of Highways.
At the first town meeting it was
"Voted to authorize the town clerk to purchase books to the amount of five dollars, for the purpose of keeping the town-records."
"Voted that all hogs weighing less than 80 pounds, that shall be found in any inclosure, that the owner of the same shall pay the occupant of said inclosure, if the fence be good and lawful, 25 cents per head."
"Voted to give 50 cents for every fox-scalp."
Annexed we give a list of the supervisors and town clerks who have served the town from 1822 to 1878, inclusive; and the justices of the peace from 1830.
Supervisors; Solomon L. Smith (5 years), William Wells, Solomon L. Smith (4 years), John L. Smith, Solomon L. Smith, Jacob Miller (2 years), Albert A. Beckwith (2 years), Philo Jones (2 years), David Howell, James Griswold, Lewis Miller, Solomon L. Smith (3 years), Treadwell O. Scudder, Solomon L. Smith, Lewis Miller, Richard Baker, John Baldwin, Jr., Richard Baker, Charles Evans (3 years), James Griswold, Jud Smith (2 years), Edmund Miller, William T. Post (2 years), Edmund Miller (3 years), H. F. Wells, Edmund Miller (8 years), William Brown, Miller McHenry (3 years), John Brown (2 years).
Town Clerks; William Wells, Henry Baldwin, John L. Smith (8 years), George Hyde, David Howell (3 years), Isaac L. Wells, David Howell (2 years), Nathan Boynton, Nathaniel Seeley (2 years), John Baldwin, Jr. (6 years), Hiram T. Smith (4 years), Miller McHenry (3 years), Charles A. Eckensberger, Miller McHenry (3 years), Charles A. Eckensberger (2 years), Harvey Smith, Charles A. Eckensberger, John Bryant, Charles A. Eckensberger, Charles W. Evans (8 years), Philetus P. Rathbun, Charles W. Evans (4 years), E. C. Pedrick.
Justices of the Peace; James Griswold, Samuel Giles, Abraham Stryker, George W. Miller (vacancy), William Lowe, James Griswold, William McClure, David Brewer, Wm. T. Knapp, Edmund Miller, William McClure, George W. Miller, H. W. Atkins, Shepard Miller, John Baldwin, Jr., George W. Miller, H. W. Atkins, Warren K. Hopkins, Festus A. Webb (vacancy), John Baldwin, Jr., Timothy T. Brown, Ezra Canfield (vacancy), Abner Wells, Hiram Roushey (vacancy), William Webb, Andrew Hancock (vacancy), Abner Wells, Thomas Maxwell, Hiram Roushey, Wright Dunham, Mark A. Burt, R. S. Perine, Philo Jones, Hiram Roushey, Andrew Middaugh (vacancy), Hiram Middaugh (long term), Thomas Maxwell (vacancy), Mark A. Burt, James Griswold, William Webb (vacancy), Charles Evans, Wm K. Shepard, George W. Roberts, Nathan Nichols, Charles Evans, David McWhorter, Mark A. Burt, Nathan B. Nichols, Cornelius B. Putman (vacancy), Charles Evans, James M. Edsall, Cornelius W. Putman, H. B. Knapp, Wm. T. Bower (vacancy), Lewis B. Smith, Isaiah V. Mapes, George W. Cooper, Charles Evans, Nathan Pedrick, Isaiah V. Mapes,--the last four present incumbents (1878).
As a sample of the patriotism that generally prevailed during the national struggle of 1861-65, we quote the following from the proceedings of a special town-meeting held at the house of Charles G. Smith, Aug. 9, 1864:
"Voted that means be raised for the payment of bounties to fill the quota of 200,000 men, under the last call of the President." On the ballots being counted they stood 98 for and 4 against.
The present town-officers, other than those included in the above lists, are Daniel Dalrymple, Aaron B. Beardsley, and Charles Antes, Assessors; Emmett Holmes, Collector; Andrew Fitzsimmons, Cornelius B. Chase, and John C. Todd, Inspectors of Election, District No. 1; D. C. Beckwith, S. M. Helms, and Allen Cooper, for District No. 2; Daniel Mack, Jacob Weyer, and Thomas Curran, Auditors.
is a post-village located on the Southport plank-road, in the southern part of the town. Its site is included in the old Webbs and Holbrook Patent. Among the early settlers there were Josiah Seely, as early as 1798; John W. Pedrick, in 1803; Dr. White, about 1805; and later, Wm Spencer Nathan, E. C. Pedrick, Festus A. and Mortimer T. Webb, I. V. Mapes and others. The place now contains one general store, of which M. T. and F. J. Cassada are the proprietors; one millinery-store, one grist-mill, and one saw-mill,* operated by John Brown, Esq., two blacksmith-shops, two wagon-shops, and one church of the Methodist Episcopal denomination, a historical sketch of which will be found under the hear of "Religious" farther on. There is a resident justice of the peace, namely, Nathan Pedrick, Esq. The population of the settlement is fairly estimated at 250.
*See under head of "Manufacturing Interests.
so called from the fact that its site was until within the memory of many yet living covered with pine timber, is located on the Tioga, Elmira and State Line Railroad. The first settler there was Charles Atkins, who was a cooper by trade, and came here in 1830. He was followed within a few months by John Egbert, who built a saw-mill. Other early settlers were the Hatches, Damon, Dorus, and Harvey. The contents of the place may be briefly summarized as follows: two general stores, one hotel, two blacksmithies, one wagon-shop, one Baptist church, and about 200 inhabitants. There is one resident justice of the peace, namely, I. V. Mapes, who is also a lecturer and literary character. The post-office was established here in 1874, and Emmett Holmes was appointed the first postmaster, and has since retained the office.
SEELY CREEK POST-OFFICE,
was named after the creek upon which it is located, and the creek, as before stated, after the Seely family, that was once numerously represented in the town. It was established in 1833, and John Brownell was the first appointed to the office; the present incumbent is Finla M. Jones, who was appointed by Abraham Lincoln in 1861. He is also the merchant of the place. It is on the Tioga and Elmira State Line Railroad, and is a distributing point for mail for points south.
is a small hamlet, the village proper of that name having been annexed to Elmira as its Fifth ward. It was here that Nathaniel Seely, the pioneer hatter, settled, and opened a small shop where he made hats for the old settlers. Those of the pioneers still living will remember him as an industrious and practical workman. Here also is the old Presbyterian church, erected in 1832 in place of the old Gehall edifice, which once stood on the river, and was destroyed by fire. The post-office here was the first in the town, having been established as early as 1827. John L. Smith was the first postmaster; the present one, Philetus P. Rathbun.
Southport Corners also contains the site of the old woolen-factory, first started here by Silas Billings, not far from 1820. In 1825, the property passed into the hands of Solomon L. Smith, with whom Charles Evans became connected in the business soon afterwards. The old mill, which was among the first of its kind established in the county, stood for more than fifty years, until on the 25th of June, 1877, it was destroyed by fire. And thus perished a venerable landmark of the industry of the old settlers.
This hamlet is so called from the peculiar architectural design of the old Captain Dalrymple Hotel, erected there at an early day. Solomon L. Smith, Esq., subsequently became proprietor of it, commencing about 1818-19. Mr. Smith came into the town from Orange Co., N. Y., in 1790. He was the first supervisor of the town, and several times subsequently held that office, in all fourteen years. His deed for his place is by Adam and Israel Seely, and bears dates in 1805 and 1806. Solomon L. Smith is the father of Jud Smith, now of Wellsburg.
The principal manufacturing establishments of this town, and among the most extensive in the county are:
The Northern Central Railway shops, which were established here in the fall of 1866, and work commenced therein during the following winter, and put into full operation in the spring of 1867, under the management of Mr. James Strode as master mechanic. The dimensions of the various shops are as follows:
Round-house, 800 feet in circumference; machine-shop, 90 by 185 feet; blacksmith-shop, 50 by 100; office and store-room, 30 by 50; engine-room, 15 by 48. These buildings are all of brick, which, with temporary wooden sheds and a large water-tank, occupy an inclosure containing 20 acres, and give employment on an average to 170 men.
James Strode, upon whom the management of this great industrial establishment devolves, was born on a farm in West Calm township, Chester Co., Pa., May 8, 1832. He received his education at the common schools of his native town. When a youth he was apprenticed to the machinist trade in the shops of the Camden and Amboy Railroad, and early evinced an aptitude and mechanical genius which have secured for him important positions, notably those of general foreman of the shops of the Pittsburgh, Fort Wayne and Chicago Railroad at Fort Wayne, the same position in the shops of the company at Alleghany, and also at Chicago, from whence he came to assume his present position in 1866, which he has since retained to the entire satisfaction of his employers.
The La France Manufacturing Company was incorporated April 12, 1873, with George M. Diven as president, and Eugene Diven as secretary and treasurer. The company was established for the purpose of manufacturing the "La France Rotary Steam Fire-engine" and the "La France Rotary Steam-pump," both of which now enjoy a reputation second to no similar commodities in the country. The La France Fire-engine is built from patents invented by Mr. T. S. La France, who now occupies the position of master mechanic of the establishment. This fire-engine is very highly indorsed by cities and corporations which have used them, and was also awarded a medal from the Centennial Commission at the National Exhibition at Philadelphia in 1876, and also one by the American Institute in 1874. The company have a capital of $100,000, and give employment to 40 hands. Their main building is of brick, 300 by 40 feet, with a wing 50 by 50; wooden building is 100 by 80, and three stories high; boiler shop is 50 by 50; Pattern and store building, 50 by 30, and two stories high. The present officers are George M. Diven, President; Hon. John T. Rathbone, Vice-President; Eugene Diven, Treasurer; H. R. Micks, Secretary; and T. S. La France, Superintendent of the Shops and Master Mechanic.
The Seely Creek Mills, located at Webb’s Mills, and for several years called after the present name of the post-office, were erected by Hezekiah Dunham about 1835. At first there were but two runs of stone, but on the property passing into the possession of Festus A. Webb it was improved and enlarged. From Festus A. Webb it was disposed of to M. T. and William Webb, and by them in 1866, to the present proprietor, John Brown, Esq. During the time the Webbs owned the property, they called it "Webb’s Mills," from which circumstance the post-office was named. Mr. Brown has greatly improved the mills, and has added a new engine and boilers. There are now four runs of stone for flour and feed, and one for buckwheat. The product for the year ending Dec. 31, 1877, was about 2000 barrels merchant, 40,000 bushels general custom, and 10,000 bushels buckwheat; average number of hands employed, 10; capacity of saw-mill adjoining, 1,000,000 feet per annum. A saw-mill was erected on the present site of that now owned and operated by Mr. John Brown, by Dr. A. G. White, about 1818.
The Southport Mills, erected by Jacob Weyer, in September, 1876, operated by him until June 21, 1877, when destroyed by fire, rebuilt the latter year. Has three runs of stone, manufactures 2000 barrels of merchant and 25,000 bushels of custom per annum. A mill was built about 1820, by John H. Knapp, and used by him as a grist-mill. In 1862, Jacob Weyer purchased the property, and converted it into a saw and plaster mill. In 1876, he removed the machinery to his new mill at Bulk Head, where it was when the mill burned.
Seely Creek Saw-Mill was erected by Philo Jones in 1841, and by him sold to his son, Simeon R. Jones, the present proprietor, in 1843. He converted it into a steam mill in 1867, as at present. Its annual capacity is 500,000 feet.
On the same site Philo Jones erected a woolen-mill in 1829, and commenced operations in 1830, which he continued until 1843, when he disposed of the property to Simeon R., who conducted the business until 1848, when he sold the machinery to William Benedict, who removed the same to Wysox, Bradford Co., Pa., where it is still in use.
The Southport Tannery was erected by H. F. Wells and R. Hammond in 1852. The former has retained an interest in the concern until the present time. The firm is now Wells, Burt & Co. The annual product is 40,000 hides per annum, in the tanning of which 4000 cords of bark are used, and 25 men employed.
The Woolen-Factory erected by Solomon L. Smith about 1823, and operated by him and Charles Evans for several years, is mentioned in the history of Southport Corners Post-Office. It was the oldest manufacturing establishment in the town at the time of its destruction by fire in 1877.
There are other manufacturing interests in the town, although the above is a capital showing in this connection; but of their history we have received no data from which to prepare the customary notices.
The religious interests of the town received the attention of the pioneers at an early day. While we find no actual records of the existence of a regular organization prior to 1819, yet, from various authentic sources, we gather the fact that missionaries of the Presbyterian faith and the Methodist itinerancy were in the town probably twenty years earlier than the date above given. Records exist of a Baptist society at Wellsburg in 1789; and doubtless many of the old settlers of Southport of that faith attended worship there.
THE FIRST PRESBYTERIAN CHURCH OF SOUTHPORT.*
The fording of the Chemung River being a formidable barrier to church-goers of Southport, a church was built on the river-road on land donated by Elijah Griswold, now occupied as a cemetery. The building was erected in 1819, and was held by a variety of sects, whose dissensions culminated in the destruction of the building by fire in 1832, and immediately the Presbyterian society built the house now standing on the plank-road, on land of heirs of John L. Smith.
The church was organized Oct. 31, 1821, and John Fitzsimmons, David Griswold and Jane his wife, Milly Smith, Sarah Baker, and Philo Jones were from the First Church in Elmira; Partial Mapes, Bethiah Kinner, Amy Holmes, Betsey Brown, Phitty Wing, and Hannah Comfort were from other churches. William Wells, Richard Comfort, and Sabia Jones made profession of their faith, and Rev. Henry Ford preached to this newly-constituted church, followed in June, 1822, by Rev. Simeon R. Jones for two years or more.
In April 1826, Rev. Richard Williams began preaching, followed in 1828 by Rev. David Harrower, for two years, these last two only preaching half the time.
As early as June, 1831, Rev. B. Foster Pratt began preaching, and during the year was installed as the first pastor; and during his three years’ ministrations "the church was blessed by renewed visitations of the Holy Spirit, and its numbers were largely increased."
Rev. John Gray succeeded till 1836, followed by Rev. George Spalding till September, 1842, when B. M. Goldsmith, a licentiate, followed, who was ordained and installed February, 1845, and continued till October, 1849.
Rev. F. S. Howe has been preaching since May, 1871, and the elders are Jonas Griswold, H. R. Osborne, Jesse Leverick, and A. D. Griswold. Water Dense, Emory S. Smith, and Irving Hopkins are the deacons; and Thomas Hopkins, Clayton Griswold, L. B. Smith, Walter Dense, H. R. Osborne, and A. D. Griswold are the trustees.
Irving Hopkins superintends the Sunday-school of 75 scholars, assisted by seven teachers. The church property is worth two thousand dollars.
*Contributed by A. D. Griswold
THE METHODIST EPISCOPAL CHURCH OF SOUTHPORT
is located at Pine City, and was organized in May, 1855, by Elder T. S. Sheardown, who was installed the first pastor of the church. He was followed in the pastorate by Elder T. S. Mitchell, and he by the present incumbent, Elder D. R. Ford, who has been with the church nearly fourteen years. The church edifice was erected prior to the regular organization of the society, having been built in 1853, and dedicated in February, 1854, the Rev. T. S. Sheardown conducting the dedicatory exercises. It originally cost $2200, but is at present valued, with furniture, organ, and lot, at $5000, and the society has $2000 at interest, and is free of debt. The present trustees are John Brown, John A. Roy, Albert Seely, Nathaniel Ellison, William H. Gosper, and Ransom Tanner; Deacons, John Brown and Nathaniel Ellison; Clerk, E. O. Haven. The present membership of the church is 115; number of teachers and scholars in the Sabbath-school, 100; Superintendent, Dix Smith; number of volumes in library, 300.
THE SECOND METHODIST EPISCOPAL CHURCH OF SOUTHPORT
Is located at Webb’s Mills, and was formed in 1855, though a class had existed for at least a quarter of a century before. The lot upon which the church building stands was purchased by the trustees of the church of the Josiah S. Pedrick estate, the deed bearing date Feb. 8, 1855. The house of worship was erected during the summer of the same year, and dedicated the following fall. The first pastor was Rev. D. Leisenring; the present incumbent, Rev. J. Jolley. The present value of church property is $4000. Trustees, T. J. Bradbury, William Brown, Lyman Miller, Nathan Pedrick, William Sherman, Henry B. Knapp, and W. W. Goodwin. Membership, 55; number of teachers and scholars in the Sunday-school, 40; Superintendent, Homer C. Wade.
EDUCATIONAL AND GENERAL
Contemporary with the preparations for the accessory comforts of shelter and security, the pioneers began to consider the necessity of furnishing educational advantages for their children; and hence we find at an early period in the history of the town, here and there, a humble log house, in which the primitive pedagogue was employed to impart to the youth at least the rudiments of learning. Invariably was this interest evinced by the early settlers, who themselves principally without extensive knowledge, yet possessing that common sense without which the most elaborate education is of little worth, felt the importance of practical scholastic attainments. Therefore, as early as the year 1800, we hear of a school having been taught, and of others within a lustrum from that year. The progress in educational matters has been equally rapid with that of the material development of the town. From the last annual report of Robert P. Bush, Esq., County Superintendent of Schools, we glean the subjoined statistics, which afford a good showing for the time as regards its schools: There are 16 districts, and as many school-houses, the value of which, with sites, is $12,965; 1277 children of school age, of whom 961 attend school; 535 weeks were taught by 11 male and 20 female teachers, whose compensation for the year was $5386; there are 288 volumes in the library, which are valued at $150. The town received for educational purposes—from the State, $2383; from taxation, $4191; from all other sources, $73; the payments (besides that for teachers’ wages) were, for school-houses, building, and repairing, $2008; all other expenditures, $839.
The subjoined shows the population of the town for the lustrums from 1845 to 1875, inclusive: In 1845, 2539; in 1850, 3184; in 1855, 4479; in 1860, 4733; in 1865, 3412; in 1870, 2727; in 1875, 3285.
The information from which the above history of the town of Southport is prepared was kindly furnished by the following persons and authorities, to whom and which we hereby acknowledge out indebtedness:
Charles Evans, Finla M. Jones, Abraham Stryker, Charles Dense, Jonas and ____Griswold, the McHenrys, the Fitzsimmons, Philetus P. Rathbun, Seth Cooley, the Millers, Nathan Pedrick, Esq., John Brown, Esq. (supervisor), E. C. Pedrick (Town Clerk), James Strode (in manufacturing interests), Hon. Thomas Maxwelles, and J. B. Wilkingson’s historical sketches, and the various State Gazetteers from 1813 to 1872.
The family from which Mr. Dalrymple is descended was of English origin. His paternal grandfather resided near Bennington, Bt., at which place Ephraim, the father of our subject, was born, June 26, 1792. Ephraim married Abigail Bridgman, a native of Afton, Chenango Co., N. Y. She was born March 10, 1793; the daughter of Reuben and Abigail (Town) Bridgman, whose parents emigrated to Chenango County from Vermont, about the year 1790. His father having died when he was about twelve years old, Ephraim came to Chenango County in 1804, and lived with an older brother. He served in the war of 1812. He followed the trade of a carpenter and millwright, and in later years engaged in farming. In 1831 he moved to Jackson, Tioga Co., Pa., where he resided until 1841, when he purchased the farm now occupied by his son Daniel in Southport. He subsequently left the farm to the charge of his son, and engaged for several years in the lumber business in Potter Co., Pa., where he died April 22, 1856. He was twice married; first to Abigail Bridgman, as above stated, by whom he had seven children, viz.: Mary Ann, Daniel, Adna, Delia Ann, William, Abigail, and Lydia Sophia; all living except the first named. His second wife was Sarah Bovier, widow of Noah Bovier, and by this marriage were born to them Mary Ann, Sophronia Maria, Hannah, and Ephraim, all living and residing in Southport. William and Sophia are living in Potter Co., Pa., while Adna, Delia A., and Abigail reside in Illinois.
Daniel Dalrymple, the eldest son of Ephraim, was born in the town of Afton, N. Y., June 11, 1819. With his father he moved to Jackson, Pa., in 1831, and with him, ten years later, came to Southport, which has since been his residence. Besides the 100 acres of the homestead farm (given him by his father for his years of service), he owns 600 acres of farming lands in Wells, Pa., stocked with seventy-five cows. Some years since he sold his mill interests in Potter County to his brothers and sisters residing there. He is no politician, but has been a life-long Democrat, as was his father before him; has held the office of assessor, but much prefers to leave official cares and duties to others, and to follow agricultural pursuits and enjoy the quiet life of a farmer. With no educational advantages, in early life he was self-reliant, industrious, and trustworthy. From the age of fourteen years he had the entire charge of his father’s farm, in addition to which for years he kept the books and settled the accounts of the lumber business, which, at one time, embraced eleven different saw-mills. He thus developed into a practical business man,--a successful manager. He married, first, Sophronia M. Morrell, Jan. 12, 1813, who died Feb. 27, 1843. His present wife, Emily Edsall, was born in Columbia, Bradford Co., Pa., Feb. 18, 1830. Her father, Jesse, son of Samuel Edsall, was born in Southport, in 1790; her mother, Clarissa, daughter of Thomas Wright and Sarah Owens, was born in 1801. Her grandmother, Sarah Seely, was a native of Orange Co., N. Y. Jesse Edsall drove the first stage between Elmira and Binghamton, in 1802. In 1803 he settled in Columbia, Pa., where he died Oct. 2, 1861. He and his wife were both members of the Baptist Church. He was a man of much social influence, possessed of a strong intellect, vigorous constitution, and a clear judgment. His wife died Aug. 31, 1976, and was buried by his side in the town of Columbia. Of their children, Hiram, Jonas, Hila, Charles, and Harriet are deceased; Emily, Austin, and Jesse reside in Southport; Sara, in Columbia; and Amanda, in Elmira.
Mr. Dalrymple has three children: Clara, born Sept. 1, 1852; Charles
E., born Feb. 5, 1854; and Cora, born April 30, 1865. Clara married
Wisner J. Roy, resides in Wells, Pa., and has two children; Charles married
Emma Metzger, has one child, and lives on his father’s farm. Daniel
Dalrymple has the reputation of being one of the most thorough, persevering,
and industrious farmers in the town, and the competence he now enjoys was
only attained by years of toil and economy.
was born in the town of Truxton, Cortland Co., N. Y., April 7, 1824. His father, William Brown, was a native of Massachusetts, and after residing in Rhode Island, Norwich, Chenango County, and Cortland County, finally settled in the town of Caton, Steuben Co., in October, 1826, and was one of the pioneer settlers of that town.
He married Lurana Simmons, of Connecticut birth, about the year 1808, by whom he had eleven children, five sons and six daughters,--Mrs. E. A. Miller (deceased), William A., Mrs. Abigail J. Rowley, Charles (deceased), Mrs. Mary Helmer, Mrs. Clarissa Higman (deceased), Mrs. Lurana Bovier, John, Anthony, Mrs. Achsah Clough, Comfort S. (deceased).
The father died at Port Deposit, in Maryland, about the year 1833. The mother died two years afterwards.
John was two years of age when his father came to Steuben County, spent hi minority at home until he was twelve years of age, and upon the death of his mother resided with his brother-in-law, E. A. Miller, until he was seventeen, when he bought the balance of his time until he would reach his majority, and went out to work on a farm. At the age of twenty he began to work in saw-mills more or less.
At the age of twenty-two he married Martha C. Waier, of Southport, daughter of William C. and Mary (Jones) Waier.
After farming for three years, from 1848, Mr. Brown removed to Wells, Bradford Co., Pa., where he engaged in the manufacture of lumber, buying some fifteen hundred acres of timber land, from which he took the logs, and for twelve years manufactured some one million feet of lumber each year. In 1865 he settled on his farm located at Pine City, in the town of Southport, a view of which may be seen in another part of this work.
Since this time he has engaged in farming, lumbering, and the manufacture of flour,--the two latter at Webb’s Mills.
Mr. Brown has spent an active business life, and in all his dealings and business transactions has preserved that integrity of purpose characteristic of the family.
Mr. Brown has never been an active politician, but preferred the quiet of business to the emolument of office and the strife of a political life. He has generally been identified with the Republican party, and has held important offices in the gift of the people in Wells, Pa., and also in Southport, and is now holding his second term as Supervisor of the town of Southport.
His children are William D., Louisa C., Mrs. Frank J. Cassada, John H., and Mattie L.
HON. EDMUND MILLER
Edmund Miller was born Nov. 1, 1808, in the house in which he died,--the old family residence on the Wellsburg road. His home was a short distance below Governor Robinson’s mansion, about two miles from Elmira.
His ancestors were among the very earliest pioneers of the valley. His grandfather, Abram, settled here prior to1790, coming from Northampton Co., Pa.* His Father, Jacob Miller, was a farmer, and Edmund, in due time, took up the same pursuit; he soon became one of the most successful and prosperous farmers of this section. He remained on the old home farm, enlarging its territory and applying himself earnestly to its cultivation. With his industry was allied a keen, sagacious, business discrimination, and he became known as one of the wealthiest farmers of the county.
For years Mr. Miller was the leading, most influential citizen of the town of Southport; and year after year he ably and satisfactorily represented his town in the Board of Supervisors, many time serving as chairman. In politics he was ever a staunch Democrat, and the part frequently honored him. Three times he was sent to the State Legislature,--once in 1868, next in 1874, and again in 1876, after one of the most exciting canvasses ever made in the county. Despite factions opposition in his own party, he was crowned with a majority of over 800, so great was the confidence of the people, and so deeply impressed were they of his capacity and honesty. The public career of “Honest” Edmund Miller was in the highest degree creditable. At Albany he was noted as an industrious, upright, and useful member; and his entire legislative course was satisfactory to his constituents, without regard to party. He was instrumental of much legislation of practical and lasting benefit.
Mr. Miller was noted for the heartiness with which he enjoyed life. His home was ever the center of a generous hospitality to a large circle of friends and relations. He was a farmer of the old time, one of the lords of the soil, whose means permitted the exercise of those hospitalities. The happiness of his domestic life was enhanced by children grown to the estate of manhood and womanhood, six of whom, with the partner of his life, survive him. They are John D., residing near Southport Corners; Edmund, living at home; Mrs. S. W. Forman, whose home is at the homestead above the house of her father; Mrs. Jesse Leverich, living near Wellsburg; Mrs. T. S. Flood, of Elmira; and Amelia, at home. The widow was a Miss Dubois, of Tioga Centre.
For a year prior to his decease, Mr. Miller had been in failing health, and for months suffered severely from rheumatism, later aggravated by dropsical symptoms, from which relief was impossible. He died, as if going to sleep, March 28, 1878.
He was eminently a useful life. He served his day and generation faithfully, honorably, well; and there is left to relatives the tender remembrances of family affection and devotion, and to the world at large the example of a life whose bright success illustrates the value of industry and honesty.**
*Abram Miller was the first judge of the old county of Tioga after its
erection in 1791. He served with distinction as a captain in the
Revolution. He also erected, on a branch of Seely Creek, the first
saw-mill in the town of Southport.
**Elmira Gazette, March 29, 1878.
The grandfather of the subject of this notice, John McHenry, was a native
of Orange Co., N. Y., and moved to Elmira in 1792. He married Anna
Miller in 1793. Of his family of thirteen children Abram (father
of our subject, the third son, was born on the place not occupied by John
D. Miller, in Southport, Feb. 11, 1796. Abram’s wife, Ruth H. Brewster,
was born in Orange Co., N. Y., Oct. 16, 1799, but removed to Southport
in the year 1818. They were married May 1, 1818, and raised a family
of six children, of whom three survive, viz:
Catharine, born Aug. 12, 1819; died Feb. 2, 1871.
Lyman, born Nov. 14, 1821; died April 8, 1867.
Miller, born Dec. 11, 1823.
Eliza, born July 23, 1826; died March 7, 1863.
Guy, born July 27, 1830.
Julia, born June 18, 1832.
The latter married Selden Tense, in March, 1855, and is now residing in Whitehall, N. Y.
Miller McHenry married (Oct. 12, 1847) Angeline Seely, a native of Lawrenceville, Pa., removing thence to Southport when very young. Her father, Nathaniel Seely, Jr., was one of the early residents of Southport, and to her grandfather, also named Nathaniel (senior), is accorded the honor of having erected the first frame dwelling in the valley on the south side of the Chemung River, in 1792. Her father was born Feb. 15, 1795; her mother, Henrietta Holdridge, was born Jan. 28, 1802. They were married April 22, 1819, and had three children,--Angeline, Morris, and John Arnot; of whom only Morris survives. Nathaniel Seely, Jr., and his wife died May 14, 1868 and June 10, 1876, respectively.
The family of Mr. McHenry are Abram, born July 4, 1848; Sarah Frances, born Aug. 9, 1850; Nattie, born July 21, 1852, and died Dec. 21, 1858. His son Abram married (Feb. 28, 1872) Sarah Ward, and have three children, viz., Nattie, born Dec. 11, 1872; Laura, born May 2, 1874; and Bertie, born Sept. 4, 1876,-- all living.
All his life Mr. McHenry has followed the avocation of his father,--that of farmer,--and now in the prime of life is enjoying the result of his years of labor, but greatly missing the faithful companion of those years of toil, whose loss he has so recently been called to mourn. She departed this life March 23, 1978, aged fifty-eight years.
Mr. McHenry has held the offices of town clerk, assessor, and supervisor,
each for a term of years, having been favored by his townsmen in this regard
almost continuously since 1844. He was also for many years a director
in the old Elmira and Southport Bridge Company, and has always taken a
lively interest in the affairs of his town.
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During odor sensing the activity of principal neurons of the mammalian olfactory bulb, the mitral and tufted cells (MTCs), occurs in repetitive bursts that are synchronized to respiration, reminiscent of hippocampal theta-gamma coupling. Axonless granule cells (GCs) mediate self- and lateral inhibitory interactions between the excitatory MTCs via reciprocal dendrodendritic synapses. We have explored long-term plasticity at this synapse by using a theta burst stimulation (TBS) protocol and variations thereof. GCs were excited via glomerular stimulation in acute brain slices. We find that TBS induces exclusively long-term depression in the majority of experiments, whereas single bursts ("single-sniff paradigm") can elicit both long-term potentiation and depression. Statistical analysis predicts that the mechanism underlying this bidirectional plasticity involves the proportional addition or removal of presynaptic release sites. Gamma stimulation with the same number of APs as in TBS was less efficient in inducing plasticity. Both TBS- and "single-sniff paradigm"-induced plasticity depend on NMDA receptor activation. Since the onset of plasticity is very rapid and requires little extra activity, we propose that these forms of plasticity might play a role already during an ongoing search for odor sources. Our results imply that components of both short-term and long-term olfactory memory may be encoded at this synapse.
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In this course, students will study a variety of attacks on computer software and hardware. These attacks are caused by the vulnerabilities in the design and implementation of computer systems. The course emphasizes "learning by doing", and requires students to conduct a series of lab exercises. Through these labs, students can enhance their understanding of the principles, and be able to apply those principles to solve real problems.
Time: Fri, Dec 13, 3:00pm -- 5:00pm
Location: Lyman 132
See SU's official schedule.
Professor: Kevin Du
Office: CST 4-285
Office hours: 2:00 - 3:00 (Tuesday) or appointment.
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More than 9,300 people have been arrested in United States protests since the May 25 killing of George Floyd, an unarmed Black man, according to an Associated Press news agency tally published on Wednesday.
According to the tally, Los Angeles has recorded 2,700 arrests since the protests, followed by New York City with some 1,500 arrests. Police in Dallas and Houston, Texas, and Philadelphia, Pennsylvania, have also arrested several hundred people. The toll is likely much higher.
The arrests come amid a crackdown on protests against the killing of Floyd and broader acts of police brutality.
Many have been arrested for curfew violations, which major cities have imposed to quell demonstrations that have at times turned violent, with looting, vandalism and fires.
Some police departments in major cities, such as Houston, say while hundreds have been arrested, “this is an extremely low number … considering the thousands of people in our community demonstrated peacefully”.
The tally comes as protests continue to erupt nationwide over the killing of Floyd, who died after a white officer knelt on the 46-year-old’s neck for nearly nine minutes. Video of the incident shows Floyd repeatedly pleading with the officer, saying: “I can’t breathe.” Floyd eventually appears motionless, with the officer’s knee still on his neck.
That officer – Derek Chauvin – has been charged with second-degree murder and manslaughter. The other three officers involved have been charged with aiding and abetting a second-degree murder and manslaughter.
The protests over police violence have at times been met with just that – more police violence, rights groups say.
According to videos, witness accounts, and reports, police have used tear gas, rubber-coated bullets, flashbangs, batons and other tactics against protesters. Police say they are responding to protesters who are violent, pointing to the looting, vandalism and fires that have taken place.
In Atlanta, Georgia, six officers were charged after police pulled two people from their car, threw them to the ground and shot them stun guns, according to authorities.
Police have also targeted journalists with arrests, intimidation and violence, according to rights groups.
The American Civil Liberties Union (ACLU) in Minnesota on Tuesday filed a lawsuit against the state of Minnesota’s state and local law enforcement officials, “to ensure that police officers who target journalists are held fully accountable for their unlawful actions”.
The Committee to Protect Journalism has received reports of at least 125 press freedom violations from journalists covering the protests, including reports of a number of arrests.
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To be able to discover the very best digital advertising and marketing company, first, we have to perceive “what’s digital advertising and marketing”, “will digital advertising and marketing profit what you are promoting” and reply the query “how do I get extra leads for my enterprise?” – which needs to be the aim of any advertising and marketing.
What’s a Digital Advertising and marketing Company?
The dictionary definition of Digital advertising and marketing is the advertising and marketing of services or products utilizing digital applied sciences, primarily on the web, but in addition together with cell phones, show promoting, and some other digital medium. So easy to summarise in a single sentence, but it may be an advanced course of to get proper and to make sure that all your digital advertising and marketing is working collectively, not as silo actions. That is the place the experience and expertise of the very best digital advertising and marketing companies may be vastly helpful.
Conventional promoting, newspapers and paper directories, similar to Yellow Pages, are more and more much less efficient for companies. While a number of years in the past folks would go to a pc to seek for a services or products, these days persons are related to the web all day, day-after-day and “stay on-line”. On the lookout for data, a services or products is as fast and easy as looking out on a laptop computer or laptop at work or selecting up their cell phone or pill. Digital advertising and marketing focuses on getting your data, services and products in entrance of individuals when they’re wanting on-line. The very best digital companies perceive the shopping for technique of your services and products and make sure that your data is outstanding to the potential buyer on the acceptable time. Within the digital advertising and marketing world, the assorted phases of the shopping for course of i.e. analysis, consideration and buy are known as “micro-moments” and the perfect digital advertising and marketing company will current the related data, service or product on the focused time within the shopping for course of.
While some digital advertising and marketing companies may even create and handle conventional promoting or enterprise advertising and marketing, similar to newspaper promoting, specialist digital advertising and marketing companies will consider on-line advertising and marketing versus “advertising and marketing firms” who generally consider TV, radio and print advertising and marketing.
Regardless if what you are promoting is business-to-business (B2B) or business-to-consumer (B2C), digital advertising and marketing could be a quick, usually instantaneous, and dependable method of getting leads into what you are promoting and driving up income. The easiest digital advertising and marketing companies will handle all the digital promoting primarily based on return on funding (ROI) making certain the leads generated are at a price that makes enterprise sense and will increase revenue ranges. Digital advertising and marketing will profit what you are promoting and solutions the query “how do I get extra leads for my enterprise”?
Agência Marketing Digital SP, generally known as web site advertising and marketing, may be damaged down into quite a few essential options and providers:
search engine marketing Providers
Search engine optimisation, mostly abbreviated to “search engine marketing”, is the method of getting your web site discovered on serps like Google when folks make a search related to what you are promoting, providers or merchandise.
Regardless in case your web site is e-Commerce or promoting providers it should drive leads and gross sales into what you are promoting whether it is discovered for the search phrases folks use (sometimes called “key phrases”) to search for them in Google.
search engine marketing requires expertise and understanding of how Google reads your web site. What messages and data you need Google to learn for a webpage or web site and understanding the place to put that data so serps can discover it. A superb search engine marketing firm can have a confirmed observe document of rating web sites excessive within the search outcomes.
search engine marketing works greatest when the confirmed strategies of acquiring rankings are utilized along with newest traits which are driving site visitors. An instance of that is the “close to me” phenomenon, which has seen a 150% development within the final 12 months, the place cell phone customers are including “close to me” to their search question i.e. “search engine marketing Firm close to me”. These clients want to purchase and purchase from an area service or product provider.
Though search engine marketing could be a stand-alone service, it’s simplest when mixed with PPC, social media and popularity advertising and marketing. search engine marketing can also be the cornerstone of efficient PPC, social media and popularity administration campaigns.
Pay Per Click on
Pay Per Click on (PPC) sometimes called “Google Promoting” or “internet marketing” is the place you place adverts on the prime of the search outcomes for particular search phrases. These search phrases may be the phrases folks use when within the “analysis” part of constructing a purchase order or focused on the “shopping for key phrases” when potential clients want to purchase.
Though your advert, relying in your funds, may be proven each time a search is made, you solely pay when an web person clicks in your advert and is taken to your web site or calls you direct from the search outcomes web page that means you solely pay once you get a click on from a possible buyer therefore the title for this type of advertising and marketing of Pay Per Click on (usually abbreviated to PPC).
How a lot you pay for every click on is decided by a number of components. The “price per click on” (abbreviated to CPC) is decided by the standard and relevancy of the advert to the search time period getting used and the relevancy of the web page in your web site that the potential buyer land on. These components contribute to your total “high quality rating”. The upper your high quality rating, the much less you ppc and fewer you pay per lead into what you are promoting.
Within the UK, Google has the overwhelming majority of search site visitors and most of your funds needs to be positioned their, nevertheless, you’ll not need to miss the smaller, but nonetheless appreciable potential for purchasers from serps like Microsoft’s Bing platform, and a small a part of the funds needs to be allotted to different serps. Additionally, the perfect PPC administration firms may even talk about spreading your PPC funds over quite a few campaigns aimed toward completely different components of the shopper journey. A small a part of the funds needs to be allotted to the analysis stage of the shopping for course of when persons are utilizing broad search phrases to search out data, a small a part of the funds when persons are trying to find yours, your opponents or market leaders firm title. The vast majority of the funds when potential clients are utilizing search phrases immediately associated to creating a purchase order and lastly, a small a part of the funds to re-market (present your promoting to individuals who have proven an curiosity in your providers or merchandise by visiting your web site) to seize and drive up conversions from the shoppers beforehand marketed too.
The very best PPC Company will probably be a Google Premier Associate. A Google Premier Associate standing signifies that the corporate has a confirmed observe document in delivering high-quality campaigns, which generate good aggressive/low CPC’s and ship excessive and optimistic ROI’s. The easiest PPC company can have a sturdy PPC administration course of in place to rapidly react and capitalise on adjustments within the PPC campaigns of your opponents.
In contrast to search engine marketing, that may take a while to be absolutely efficient, Pay Per Click on is instantaneous in the truth that as quickly as your campaigns are stay they are often producing leads for what you are promoting.
PPC is very efficient when carried out in unison with search engine marketing. A well-optimised web site will enhance the standard rating of your Google promoting campaigns leading to a diminished “price per click on” that means you get extra leads in your funds.
Social Media Advertising and marketing
Social Media platforms similar to Fb and Twitter at the moment are authentic locations for a enterprise to draw leads. Fb has over 38 MILLION lively and common customers within the UK and the quantity is anticipated to rise to over 42 MILLION by 2020. Regardless if what you are promoting sells to customers or different companies, your potential clients are on Fb and utilizing it usually.
Fb is superb at elevating consciousness through the clients “analysis” stage, reminding them of your providers or merchandise through the “consideration” stage and placing your particular merchandise in entrance of potential clients on the “shopping for” stage. With such a big viewers and the flexibleness to focus on clients all through the shopping for course of, Fb could be a good avenue to generate leads and gross sales and to ship a fantastic return on funding.
A superb digital advertising and marketing company can have a confirmed observe document in delivering extremely efficient Fb promoting campaigns. The easiest digital advertising and marketing companies will have the ability to show the conversion charge and value per lead of your social media advertising and marketing.
Once more, social media advertising and marketing and particularly Fb advertising and marketing may be carried out as a stand-alone exercise nevertheless it really works so a lot better when mixed with search engine marketing and/or PPC. When a possible buyer visits your web site their laptop is marked as having visited. This then permits you to goal the person of that laptop, who has proven an curiosity in your services or products.
When contemplating making a purchase order, a possible buyer will scour the web to search out suggestions and opinions from earlier clients. Your on-line advertising and marketing and gross sales can stay or die by the opinions for what you are promoting, providers or merchandise. Guaranteeing that optimistic opinions are simple to search out and that any unfavourable suggestions is managed effectively, could be a enormous profit to your conversion charge.
Digital advertising and marketing firms name this “popularity administration” or “on-line popularity administration” nevertheless, in actuality, it’s creating methods to generate buyer opinions and buyer suggestions ensuing optimistic buyer satisfaction is captured and simple to search out for potential clients.
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“I love thee to the depth and breadth and height my soul can reach.” Elizabeth Barrett Browning
“Cosmic Word of The Day”: Wedding
Definition: 1) the act or ceremony of marrying; marriage; nuptials 2) the act or an instance of blending or joining, esp. opposite or contrasting elements
Origin: bef. 900; ME; OE weddung
It’s finally the grand day of Chelsea Clinton’s “storybook wedding!” A widely heralded event that has much of the collective fixated. And, most assuredly, the proudest moment in both Bill and Hillary’s lives.
Chelsea Clinton, the sweet little Pisces girl that America and the rest of the world has lovingly watched grow up into adulthood, has now become an educated, sophisticated, and beautiful young woman, poised to unite forever with the man of her dreams, Marc Mezvinsky, a Sagittarian investment banker on Wall Street, who owns an apartment on Fifth Avenue and who also hails from political bloodlines. The two have known each other since childhood, which makes today’s occasion even more sentimental and romantic, in my opinion.
Exclusively for this celebrated gathering, Lord of Karma Saturn, which is exalted, and at its finest in matrimonial Libra, becomes a dramatic focal point in the glorious heavens with an exact, energizing conjunction from impassioned Mars, something that hasn’t happened since 1982, when Chelsea was only two years old, and well before the beaming “Father of the Bride,” Bill Clinton, became the 42nd U.S. President.
Wherever Mars travels by zodiacal sign, he accentuates the affairs ruled by that sign, and now, newly-arrived in the marriage sign of Libra, and conjoined with Wise Old Father Time Saturn, Mars has all of our eyes riveted on Chelsea’s pending union.
Also for this singular occasion, Jupiter, the planet of abundance, is in trailblazing Aries, and in exact square to Power Mogul Pluto, stationed in the prestigious, achievement-oriented sign of Capricorn the Goat, an influence that has no doubt played a central role, along with Protocol King Saturn, in social Libra, to fashion a much-ballyhooed guest list for this event that includes some of the most powerful and potent “movers and shakers” on the planet, all converging at the same point, at the same moment in time, in Rhinebeck, New York.
This influential Jupiter-Pluto aspect is also getting “A-guest-list support” today from the Exciting Aries Moon, which is tossing a harmonious trine to the very Glamorous and Regal Leo Sun, which is further helping to reportedly reign in a bevy of Hollywood stars and celebrities for the wedding, including Steven Spielberg, Barbara Walters, and Oprah. Also, the glitzy congregation is said to include the incomparable Queen of Song, my gal, Barbra Streisand.
A digressing footnote here: Barbra’s horoscope and my own natal horoscope are very similar. Both of us are Taurus Suns, with Leo Moons conjunct lone wolf Pluto, and both of us have fiery, adventurous Aries risings. Her rising is 8 Aries, while mine is 2 Aries. I believe our personalities and senses of humor are also very similar from what I have publicly seen of her over the years in the media. I also totally approve of her taste in men: James Brolin! If only I could be so lucky, romantically, and had just a mere fraction of her material wealth, I know I’d be one happy camper.
Back to the wedding. Adding even more to the fanfare today, Inspirational Jupiter, which also rules religion and philosophy, is additionally conjoined now with Futuristic, Diversity Agent Uranus, deposited in Pioneering Aries. While this memorable wedding ceremony is taking place between Chelsea, who is Methodist, and Marc, who is Jewish, there will simultaneously, no doubt, continue to be a goodly number of bloggers, and others weighing in, on the matter of interfaith marriages, an issue that Mars and Saturn in Libra, is also helping once again to resurrect now, with their activating opposition to both Jupiter and Uranus. It has not been revealed whether Chelsea will follow her husband’s conservative Jewish faith.
In some ways, pitting the old, customary, Saturnian traditions against the rapidly changing, new, Uranian order of things. Even the wedding menu is largely vegetarian, and the wedding cake, reportedly gluten-free. Although, there will still be the meticulously orchestrated, majestic pageantry of the wedding itself, so dutifully safeguarded by Protocol-Minded Saturn in partnership Libra. Chelsea Clinton will most likely, too, surely look stunning in her $25,000 Vera Wang bridal gown.
“I think with our problems with hopelessness and cynicism that (the solution) ultimately has to come from the young people themselves. We’ve got to realize we are the future and we make of our future what we make of it, and ultimately we have to do it for ourselves.” Chelsea Clinton
“Many are the stars I see, but in my eye no star like thee.” English saying
Famous July 31st Leo Birthdays: J.K. Rowling (45), Wesley Snipes (48)
Enjoy your Saturday!
Congratulations, Chelsea and Marc! Best Wishes and Much Love. Also, truly happy for Bill and Hillary.
I’ll be back by here again soon. My schedule is hectic, but leave a light on. For both me and George Clooney, of course. Miracles do occur. The main thing is that we continue to fervently believe in their possibility with every fiber of our being.
Chelsea Clinton quote: http://thinkexist.com/quotes/chelsea_clinton/
wedding definition: http://dictionary.reference.com/browse/wedding
wedding photo: http://www.sxc.hu/photo/1294618
Elizabeth Barrett Browning quote: http://www.quotegarden.com/weddings.html
famous birthdays: http://www.famousbirthdays.com/jul.html
birthday cake photo: http://www.sxc.hu/photo/1093391
Butterfly picture: http://www.weforanimals.com/wallpapers/butterflies/page-1/butterflies-1.htm
For entertainment purposes only. The information and data contained on and through this site is to be treated purely for your entertainment purposes only. Any prediction or other message that you receive is not a substitute for advice, programs, or treatment that you would normally receive from a licensed professional such as a doctor, lawyer, mental health professional, or financial advisor. Cosmic Life Coach Astrology Blog and Patricia Thompson provides no guarantees, implied warranties, or assurances of any kind, and will not be responsible for any interpretation made or use by the recipient of the information and data mentioned above
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Richard Delgado is an American legal scholar who teaches at the University of Alabama School of Law. He is another one of the more famous proponents of Critical Race Theory.
Mr. Delgado was born and raised in the United States. His father was from Mexico and emigrated to the U.S. when he was 15. Richard grew up in a family of migrant workers, and he attended public schools. Even though he grew up financially poor, he was able to attend the University of Washington, earn a bachelor’s in mathematics and philosophy, and eventually earn his J.D. at the University of California-Berkeley School of Law! He went on to teach at the UCLA Law School for eight years, and the University of Colorado for fourteen years.
He is a prolific writer of books and articles in journals–all expounding his critical race theory that America is a fundamentally flawed nation exclusively because white people oppress everyone who isn’t white. Educational, economic, and social equality and prosperity in America is denied to people of color so long as we as a nation continue to excuse “white privilege “.
Here are a few of his quotes:
“Our system of race is like a two-headed Hydra. One Hydra consists of outright racism–the oppression of some people on grounds of who they are. The other consists of white privilege–a system by which whites help and buoy each other up. If one loos off a single head, say, outright racism, but leaves the other intact, our system of white over black/brown will remain virtually unchanged. The predicament of social reform, as one writer pointed out, is that ‘everything must change at once.’ Otherwise, change is swallowed up by the remaining elements, so that we remain roughly as we were before.” (Critical Race Theory: An Introduction)
In a criticism of American jurisprudence Delgado writes: “Nine of my professors talked about race or ethnicity; it was apparently irrelevant to the law. None of my professors in the first year talked about feminism or the concerns of women, either. These concerns were also, apparently, irrelevant. Nowhere, in fact, did the cases and materials we read address concerns of group inequality, sexual difference, or cultural identity. There was only one Law, a law that in it’s universal majesty applied to everyone without regard to race, color, gender, or creed.”
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“I’m not good enough, I’m not smart enough, and doggone it, I am a fidiot.”
Senator Al Franken told Jake Tapper on Sunday, that “Pocahontas,” President Trump’s nickname for Senator Elizabeth Warren is racist.
Tapper: Let me show you what President Trump said about her this week he was meeting privately with ten senators at the White House and he told the Democrats in the room “Pocahontas is now the face of your party,” that’s an obvious reference to the controversy over with Elizabeth Warren’s claim of a Native American heritages. What’s your response you see that Pocahontas is now the face of your party
Franken: I heard this from a couple of my colleagues who were there, and I–I would have said something.
Tapper: What would have you said?
Franken: Mr president with all due respect that’s racist don’t– please stop doing that. I’m on Indian Affairs this is completely unacceptable you really should stop doing this it doesn’t serve anybody. something like that
Trump’s Pocahontas nickname is not a slight against Pocahontas or Native Americans, it’s an attack on Elizabeth Warren for lying about her background.
According to The Boston Globe, back in 1984, Warren and members her family contributed recipes to a Native American cookbook, where she signed her name Elizabeth Warren, Cherokee. Then in 1986, Warren listed herself as a “minority” in the American Association of Law Schools’ directory of faculty, which is commonly used by recruiters. In the early 1990s, she was hired by Harvard as a law professor, and the university actually touted Warren’s phony ancestry. By 1995, once she had achieved tenure, Warren stopped listing herself as a minority.
Of course after being exposed, Warren claimed that she didn’t know Harvard had used her unconfirmed heritage to appear more diverse. Warren also denied that she ever used her unproven lineage to gain a professional advantage. Instead of coming clean in 2012 during the height of the controversy, Warren continued to spin her Indian fairy tale.
I still have a picture on my mantel at home, and it’s a picture my mother had before that, a picture of my grandfather. And my Aunt Bea has walked by that picture at least 1,000 times, remarked that he … had high cheekbones like all of the Indians do, because that’s how she saw it. And she said, ‘And your mother got those same great cheekbones, and I didn’t.’
Here’s the bottom line. President Trump’s nickname of Pocahontas for Elizabeth Warren is not even close to being racist, it has nothing to do with Native Americans, it’s all about pointing out that Elizabeth Warren, who as been spending the latest session of the Senate slandering the President’s cabinet picks, is a liar.
Anyone who labels Pocahontas as racist is either a political hack, idiot, or Al Franken, but then I repeat myself.
One more thing: While some may suggest that Tapper served up Franken to blast Trump, it was a legitimate question to Franken who some say is trying to become the “face” of the party about his potential competition. Franken never did answer Tapper’s question, instead turned it into a Trump slam. When one thinks about it, Al Franken must be a racist. After all if there is one thing we learned from the Democrats during the Obama administration, is any criticism of the President is racist.
Below is a video of the Franken comment.
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This is an analysis of the poem El Consejo Maternal that begins with:
Ven para acá, me dijo dulcemente
mi madre cierto día;...
Elements of the verse: questions and answers
The information we provided is prepared by means of a special computer program. Use the criteria sheet to understand greatest poems or improve your poetry analysis essay.
- Rhyme scheme: XXXX XXXX XXXX XXXX XXXX XXXX XaXX aaXa
- Stanza lengths (in strings): 4,4,4,4,4,4,4,4,
- Closest metre: trochaic pentameter
- Сlosest rhyme: no rhyme
- Сlosest stanza type: tercets
- Guessed form: unknown form
- Metre: 11011110100 111101 11011001110 0111101100 111110110 11001010101 110011010 1010100010 1101010111100 11011111100 1111100110 10111100 10111001110 11011100 1111010111 100111100110 1100101001 1100110100 100111011110 110110 1010111000 11111100 11000110111 1101100 10101111010 1110110 10111100100110 11101001100 11101101110 1011000110110 100110111100 110010111100110
- Amount of stanzas: 8
- Average number of symbols per stanza: 133
- Average number of words per stanza: 27
- Amount of lines: 32
- Average number of symbols per line: 33 (medium-length strings)
- Average number of words per line: 7
Mood of the speaker:
The punctuation marks are various. Neither mark predominates.
The author used lexical repetitions to emphasize a significant image; la, que are repeated.
The poet used anaphora at the beginnings of some neighboring lines. The same word y is repeated.
The author used the same word ven at the beginnings of some neighboring stanzas. The figure of speech is a kind of anaphora.
The literary device anadiplosis is detected in two or more neighboring lines. The word/phrase a connects the lines.
If you write a school or university poetry essay, you should Include in your explanation of the poem:
- summary of El Consejo Maternal;
- central theme;
- idea of the verse;
- history of its creation;
- critical appreciation.
Good luck in your poetry interpretation practice!
Pay attention: the program cannot take into account all the numerous nuances of poetic technique while analyzing. We make no warranties of any kind, express or implied, about the completeness, accuracy, reliability and suitability with respect to the information.
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Reproduction Islands off Attica Aegina Stater
Obverse: A-I to left and right of land tortoise with segmented shell.
Reverse: Incuse square divided by skew-pattern into five compartments. In the upper two, the inscription Α-ΙΓΙ abbreviation for "AEGINA" ("ΑΙΓINA"). In the lower left, dolphin swimming upwards.
History: The island of Aegina was the first state in Ancient Greece to mint coins, beginning in c.550 BC. Silver coins were struck at the mint and these coins became locally known as the Aeginetic drachm (stater). The coins from Aegina were uniform of type and were not just a local currency, but circulated widely as trade coins throughout Ancient Greece.
The early Aeginetic coins depicted a sea turtle with a plain shell, on the obverse. The reverse of these early coins showed an incuse square divided into hollowed-out triangles. Around 404 BC the sea turtle was replaced by a land tortoise, sometimes accompanied with an "A" to the left and "I" to the right on the larger denominations. The reverse of these new coins featured a square divided into four parts, with one, being divided into two triangles. Across the top two squares, it would read "ΑΙΓΙ", an abbreviation for "AEGINA" ("ΑΙΓINA"), while one of the bottom squares depicted a dolphin.
This coin dates from c.350-338 BC and is one of the later coins depicting the land tortoise on the obverse and the revised reverse with inscription and dolphin.
Minted: Aegina mint, circa 350-338 BC.
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This ubiquitous and cosmopolitan lawn and garden weed is also one of the most ancient remedies in the herbalist's repertoire, as the species name suggests. The common name, dandelion, stems from the French "dent de lion" or lion's tooth.
Its sunny yellow flowers that turn into white balls of airborne seeds are familiar to everyone I have encountered, although not everyone has dug the plant up to observe the vertical taproot furnished with numerous short, thickened rootlets. The leaves all attach at one point, the place where the stem and the taproot meet at the surface of the soil; they form a circle or basal rosette. Leaves are variously lobed and toothed and may be less than 2 inches to almost 2 feet (5 to 50 cm.) long, depending on habitat.
Method of Collection:
Early June is the best time to harvest dandelion greens. I dig the whole plant from the garden with a shovel; it is easiest if the soil is soft from recent rain. Knocking the extra dirt from the roots, or picking away clods of dirt with fingers is easy enough, but if you want to use the greens and edible buds they are rather difficult to clean. Try to be careful not to get dirt on them. A strategy I discovered to minimize the spreading of dirt onto greens and buds was to collect small quantities at one time, process them, and then go back to dig for more. In a huge pile of uncleaned plants the dirt would inevitably be shaken from the roots onto the leaves.
The final cleaning of the roots works best with a dry brush, about 9 inches long, with big bristles. You do not want to use water, because wetting the roots would slow down the drying. Hitting the root with the tips of the stiff bristles is a good way to get it just as clean, and also removes the slender rootlets that protrude from the taproot. Slice the roots into 1/2-inch (1 centimeter) pieces. I have found it much easier to dry the dandelion roots if they are chopped; if I do not chop them into chunks when they are fresh it is almost impossible to do it later when they are hard and dry. The chopped roots dry in three days if they are spread out on a net, screen or drying rack.
Sun-drying does not damage roots as much as it damages leaves or stems. A warm, dark, well-ventilated place in a house or shed is all right. The warming oven of a woodstove is not too hot; in fact, slight roasting improves the sweet taste of dandelion roots. Some herb collectors are now using microwave ovens to dry their harvest.
The number of species is large, with many groups that are only recognized by specialists, but the one called Taraxacum officinale is the most widespread. Originally from Europe, it was introduced into South Africa, South America, North Zealand, Australia, India, and all of North America except the tundra barrens, although another species grows in the high Arctic tundra. Like most introduced weeds it is common in waste places, roadsides, and gardens.
Dandelion has been considered a mild detergent, aperient, and diuretic.
The Latin name, officinale, indicates that dandelion was the official remedy for a number of ailments. It was an ingredient in many of the patent remedies of the snake-oil peddler days. To quote Millspaugh, "Taraxacum has been used in medicine from ancient times; it is one of those drugs, overrated, derogated, extirpated, and reinstated time and again by writers upon pharmacology, from Theophrastus to the present day."
Dandelion has been recommended in hepatic obstruction, and as a general liver and kidney stimulant. Since liver and kidney disorders manifest themselves in numerous ways, the dandelion root juice and extracts have been popular as a general tonic over the entire world. The plant's slightly bitter taste seems medicinal to many people.
Back to index
Copyright © 1987 by Eleanor G. Viereck
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Part 104: An Armistice for Ten YearsChapter 24 - An Armistice for Ten Years - 1923 to 1936
In the waning days of the summer of 1923, six years of unrelenting warfare finally came to an end, with the victorious powers of France, Russia and Morocco declaring the immediate cessation of hostilities in the neutral city of Prague. There would be no negotiations or discussions regarding the terms of peace, however. This was a hard-won victory, and the defeated nations would have no voice in the treaty.
Amongst the many clauses and provisions nestled into the Peace of Prague was the economic capitulation and disarmament of all the defeated nations Germany, Celtica, Ibriz, Benin, Armenia, Arabia and Iberia. After all the devastation wrought by the Great War, the victors were determined to permanently cripple their longtime enemies.
From the very beginning, however, the Iberians began flouting the terms forced upon them. Supreme Leader Maz Mazin knew that the government in Paris would be itching for another war before long, one that would finally settle the rivalry between France and Iberia, especially now that fascists had seized power.
So under the pretext of quashing the ongoing rebellions and riots, Maz Mazin retained the services of some 50,000 veteran soldiers, the well-trained and highly-experienced core of the Red Army.
This defiance was tolerated for the time being, but the same couldnt be said elsewhere in Europe, even amongst the victorious powers.
Both Morocco and Russia were tackling nationwide riots and demonstrations, but it was the Republic of Provence who suffered the most. Despite being on the winning side of the war, Provence left to fracture and disintegrate after five years of foreign occupation, with Occitan patriots seizing independence in the west and Italian separatists rising up in the east.
And that wouldnt be the end of their troubles, because a string of uprisings and revolutions would rock the country over the next few years, mimicking the wave of socialist and liberal discontent that swept across the width of the world in the mid-1920s, especially amongst the defeated and humiliated nations of the Great War, left seething after the harsh terms of Prague.
These newly-revolutionary states were looking towards the two communist behemoths of the continent the Iberia Union and the Balkan Federation for support and leadership. Iberia had gained prestige and standing on the world stage after their hard-fought stalemate in the Great War, but the Balkan Federation boasted a much larger and more modern military, one that was even beginning to worry their Russian neighbours to the north.
Thus, determined to become the leading beacon of socialism, Supreme Leader Maz Mazin secretly ordered a military buildup in the dying days of the 1920s, with production focused on the design and manufacture of armour and airplanes.
In addition to that, the Supreme Leader began planning for the rearmament and expansion of the Red Navy, which had suffered a string of devastating losses during the war. There would be some investment into battleships, but the high command would prioritise the rapid construction of commerce raiders and submarines in years to come another covert violation of the Peace of Prague.
Of course, there was another reason for this ambitious rearmament of the military the persistent threat that lingered to the north, France. Even before the ink had dried on the peace treaties, some 80,000 Frenchmen were stationed on the border along the Pyrenees, to ensure that they remained demilitarised and vulnerable.
And with their rival to the south neutralised for the moment, the French could turn their attentions further afield, towards greater ambitions
The fascists were led by one Jacques Vernier, a commander in the French Army who was radicalised during the bitter fighting, quickly rose through the ranks of the fascist party, spearheaded their seizure of power, cracked down on civil liberties, executed political enemies, and ultimately declared himself the dictator of the new regime he was l'Commandant, and his word became law.
And on new years day of 1930, almost seven years after marching on Paris, Jacques Vernier made a momentous announcement, with the dictator formally declaring the revival of the Frankish Realm thus severing any remaining ties to the monarchy of France, and harking back to the days when the Franks had reigned supreme over all Europe.
This was a promise to the French people and a challenge to everyone else, so it isnt surprising that this declaration was met with immediate uproar from many neighbouring countries, but the outpouring of furore only spurred Vernier into further action, with the dictator delivering a series of speeches in which he vowed to support the advance of the fascist movement at any cost.
And this Pact of Paris would become the foundation of his foreign policy, with a series of coups and takeovers erupting across the continent over the next few years.
Inevitably, however, it wasnt much longer before the French or Franks, as they insisted on being called were butting heads with the other Great Powers.
The Almoravid Sultanate of Morocco had emerged as a victor of the Great War, but paralleling their pyrrhic victory in the Tirruni Wars a century earlier, it had come at the cost of bankruptcy, widespread devastation and rising populism. Nonetheless, Sultan Ajjedig was forced to confront the upstart Franks when they began meddling in Arabia, precipitating a diplomatic crisis between the two allies.
The fascists of Francia, however, were only too willing to sever their relations with Morocco an empire that was firmly on the decline.
With the Franks refusing to even meet with Moroccan diplomats, tensions began escalating and bubbling into angry outbursts, seething retorts and vengeful promises. As a war scare swept across Europe and North Africa, Sultan Ajjedig declared his intention to counter the radical movement by any means possible, stabilising failing monarchies and restoring toppled dynasties to their thrones this was the League of Monarchies.
As far as the other Great Powers were concerned, however, this league was simply a futile attempt to stay relevant on the world stage. And with the victors and defeated nations still recovering from the Great War, Moroccos initiative was met with little enthusiasm, for the moment at least.
In the new world, on the other hand, New England was enjoying a golden age of economic prosperity and cultural advancements, one of the few nations to prosper after their victory in the Great War. And with Moroccos prestige and military prowess on the decline, the Richmond parliament began eyeing their possessions in the Caribbean, eventually declaring war on their former allies.
And they wouldnt be fighting alone, with the Berber Union finally ending their century-long policy of isolation and dispatching a fleet of battleships to secure the waters of the Caribbean, allying with New England in return for territorial promises.
Suddenly faced with the overbearing might of the Gharbian powerhouses, the Almoravid Sultan turned to the only ally left to him Russia.
Emperor Alexandrovich immediately refused his call to arms, however. The Russians were determined to oppose the advance of Fascist Francia in Europe, and had no interest in being dragged into a globe-spanning conflict over Moroccos scattered colonies.
Back in Iberia, meanwhile, the years that followed the Peace of Prague finally allowed the communists to secure their revolution, with Maz Mazin gradually rooting out and crushing the last of the liberal, monarchist and fascist resistance to his rule.
And with that, he could begin implementing the policies hed been forced to put off for so long, starting with state-sanctioned atheism and educational overhauls, and quickly progressing from there to social reforms, centralised economic planning and the pursuit of autarky.
With the crises of the past two decades finally coming to an end, however, revolutionary leaders and politicians began criticising Mazins autocratic rule, calling for the realisation of socialist ideals through workers councils and democratic elections.
The Supreme Leader refused to surrender his hard-won powers, but he did grant the Communist Faction now formally styled as the Socialist Shura of the Union greater powers, charging the executive committee with the drafting of laws and policy, with the caveat that they had to be ultimately ratified by him.
The Shura immediately began the implementation of their first ten-year plan, a nationwide drive to revive the industries and infrastructure of Iberia, largely left devastated by the Civil War and Great War that had been raging across the peninsula since the 1910s.
At the same time, the Shura began a series of long-promised social reforms, investing heavily into education reform and healthcare packages in particular, quickly followed by the establishment of minimum wage and limits on daily workhours. Maz Mazin immediately shot down any attempts at political reform, of course, with the Supreme Leader gradually cementing his ironclad hold on power.
On the world stage, meanwhile, international sports tournaments and athletics competitions were becoming another theatre in the ideological wars raging between monarchism and liberalism, communism and fascism.
Eager to promote the illusion of internal unity and ideological superiority, Maz Mazin approved the entry of the Iberian Union into the 8th Olympic Games and 1924 World Cup, staged in Paris and Medina al-Gharb respectively.
And the olympic team dispatched to Paris performed admirably, bringing back the third-highest haul in gold medals after Francia and Berber Union, only for the football team to suffer a series of miserable losses at the world cup.
With their impressive performance in the Olympics still fresh, the Iberian bid to host the 10th Olympic Games stormed to victory, with the capital of Qadis chosen as the host city.
These were all mere distractions, however, whilst Maz Mazin directed his undivided attentions and resources to his rapidly-growing military. By the dying days of 1934, the Red Army had rapidly expanded to number almost 150,000 standing soldiers, with a strong core of armour and air support, whilst the Red Navy was transformed into an armada of commerce raiders and submarines, reinforced by a few battleships and ironclads.
Impressive, for just ten years, and the rearmament policy wouldnt be slowing down anytime soon.
This ambitious build-up couldnt be concealed forever, however, and Iberian rearmament quickly became an open secret amongst the Great Powers. Jacques Vernier didnt make any public statements, but he did order the deployment of an additional 130,000 troops to the border, sparking another war scare in the streets of the capital and assemblies of the Shura.
Across the Atlantic, meanwhile, the war in the Caribbean was quickly coming to an end. The fleets of New England and Berber Union had decisively crushed the Almoravid Navy in the early months of the war, allowing the allied nations to occupy New France and Taghzir within the year.
And just like that, after less than a year of fighting, Almoravid Morocco was forced to sue for peace. The triumvirate of viziers ruling the Berber Union were keen to prolong the war, but the prime minister of New England immediately agreed to a separate peace with Morocco, demanding the cessation of Taghzir as a puppet republic to Richmond.
This backhanded diplomacy and blatant powergrab enraged the politicians and public alike in the Berber Union, but they werent willing to continue the struggle against Morocco alone, forcing them to ratify the peace treaty and end the war with nothing.
Needless to say, formal relations between Berber Union and New England were immediately severed, but Richmond had already shifted their attentions elsewhere towards the west, where an Islamic revolution had overthrown their puppet government in North Ibriz, quickly followed by a communist coup détat in South Ibriz, with both governments adopting a hostile stance against one another and New England.
War was on the horizon in Gharbia, it would seem, and the same could be said for the other defeated powers of the Great War. Across the width of the world, a military dictatorship was established in Armenia whilst fascists seized power in Arabia, with both focusing their hatred and ambitions on the neighbouring Vali Emirate.
And between the two ends of the earth, the last of the vanquished nations of the Great War had not exactly enjoyed an era of peace and tranquility in the decade that followed the Peace of Prague. In fact, Germany had become a ravaged wasteland of general strikes, popular uprisings, military rebellions, radical revolutions and political coups.
This was a decade-long game of musical chairs, one that saw power seized by fascists, wrenched by republicans, snatched by socialists and plucked by reactionaries. By the first mornings of 1936, it had become clear that this turmoil and unrest could only be decided through violence. It would be mere months before Germany erupted into a three-way civil war, a desperate struggle for power between liberals, communists and fascists.
And the rest of the Great Powers wouldnt sit idly by, not when the fate of the world was on the line.
The Peace of Prague was never meant to end hostilities, and it would prove to be little more than a respite for the warring empires, a lull in the devastating hostilities, a brief interlude in the Great War. It was an armistice for ten years, and soon enough, the world would be engulfed by war once more.
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Millions miss a meal or two each day.
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Exodus 35:1-35 - Exodus 40:1-38.
The remainder of the narrative sets forth in terms almost identical with the directions already given, the manner in which the Divine injunctions were obeyed. The people, purified in heart by danger, chastisement and shame, brought much more than was required. A quarter of a million would poorly represent the value of the shrine in which, at the last, Moses and Aaron approached their God, while the cloud covered the tent and the glory filled the tabernacle, and Moses failed to overcome his awe and enter.
Thenceforth the cloud was the guide of their halting and their march. Many a time they grieved their God in the wilderness, yet the cloud was on the tabernacle by day, and there was fire therein by night, throughout all their journeyings.
That cloud is seen no longer; but One has said, "Lo, I am with you all the days." If the presence is less material, it is because we ought to be more spiritual.
* * * * *
Looking back upon the story, we can discern more clearly what was asserted when we began--the forming and training of a nation.
They are called from shameful servitude by the devotion of a patriot and a hero, who has learned in failure and exile the difference between self-confidence and faith. The new name of God, and His remembrance of their fathers, inspire them at the same time with awe and hope and nationality. They see the hollowness of earthly force, and of superstitious worships, in the abasement and ruin of Egypt. They are taught by the Paschal sacrifice to confess that the Divine favour is a gift and not a right, that their lives also are justly forfeited. The overthrow of Pharaoh’s army and the passage of the Sea brings them into a new and utterly strange life, in an atmosphere and amid scenes well calculated to expand and deepen their emotions, to develop their sense of freedom and self-respect, and yet to oblige them to depend wholly on their God. Privation at Marah chastens them. The attack of Amalek introduces them to war, and forbids their dependence to sink into abject softness. The awful scene of Horeb burns and brands his littleness into man. The covenant shows them that, however little in themselves, they may enter into communion with the Eternal. It also crushes out what is selfish and individualising, by making them feel the superiority of what they all share over anything that is peculiar to one of them. The Decalogue reveals a holiness at once simple and profound, and forms a type of character such as will make any nation great. The sacrificial system tells them at once of the pardon and the heinousness of sin. Religion is both exalted above the world and infused into it, so that all is consecrated. The priesthood and the shrine tell them of sin and pardon, exclusion and hope; but that hope is a common heritage, which none may appropriate without his brother.
The especial sanctity of a sacred calling is balanced by an immediate assertion of the sacredness of toil, and the Divine Spirit is recognised even in the gift of handicraft.
A tragic and shameful failure teaches them, more painfully than any symbolic system of curtains and secret chambers, how little fitted they are for the immediate intercourse of heaven. And yet the ever-present cloud, and the shrine in the heart of their encampment, assure them that God is with them of a truth.
These files are public domain.
Text Courtesy of BibleSupport.com. Used by Permission.
Nicoll, William R. "Commentary on Exodus 38". "The Expositor's Bible Commentary". https://studylight.org/
the Week of Proper 14 / Ordinary 19
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MANILA, Philippines – A Filipino-American lawyer who graduated from Yale Law School and Harvard College is shortlisted to become the US solicitor general under President-elect Donald Trump, according to US media reports.
George Conway is the husband of Kelly Conway, who was earlier appointed as Trump senior adviser.
“Conway, who is of Filipino descent, would be the first Asian-American solicitor general,” according to CNN.
“The solicitor general is the Justice Department’s third-highest ranking official and argues cases on the federal government’s behalf at the US Supreme Court,” CNN said.
A CNN source said Conway has been interviewed by Trump’s attorney general-designate Alabama Sen. Jeff Sessions and is inclined to accept the position if Trump decides to appoint him.
He will also need Senate approval.
The former editor of Yale Law Journal has high-profile clients and has argued before the US Supreme Court.
Bloomberg News said Conway played a role during the impeachment of former President Bill Clinton, the husband of Trump’s opponent Hillary Clinton.
“George Conway wrote a Supreme Court brief in the case involving Paula Jones’s sexual harassment suit against Clinton. That opened the path to Clinton’s impeachment on charges of perjury and obstruction of justice. He was acquitted by the Senate,” according to the report.
Conway argued before the US Supreme Court in the 2010 case Morrison v National Australia Bank, according to CNN.
He also won a defamation lawsuit filed by the National Football League and Philip Morris against media giant ABC News, the reports added. – Rappler.com
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Prof Andrew Hopper
Fellow, Official Fellow
Professor of Social and Local History
Department for Continuing Education
DPhil, MA, BA (York)
Andrew Hopper is Professor of Social and Local History in the Department for Continuing Education, and is a specialist on early modern England. He graduated at the University of York in 1993, before returning to complete a MA and doctoral thesis on the mobilisation of support for parliament in Yorkshire during the civil war. He has since taught History at the Universities of East Anglia, Birmingham, and most recently as Director of the Centre for English Local history at the University of Leicester. He now teaches on the Foundation Certificate in history, the Postgraduate Certificate in History and the Masters of Studies in History at Rewley House. He is especially keen to hear from potential doctoral students seeking to work on early modern British history.
He is the author of many books and articles on seventeenth-century England and the civil wars. He is best known for his two monographs ‘Black Tom’: Sir Thomas Fairfax and the English Revolution (Manchester University Press, 2007), and Turncoats and Renegadoes: Changing Sides during the English Civil Wars (Oxford University Press, 2012). He is keen to work with museums and schools on public engagement projects and was guest curator at the National Civil War Centre for their Battle-Scarred and World Turned Upside Down exhibitions.
He is currently Principal Investigator of the AHRC-funded project ‘Conflict, Welfare and Memory during and after the English Civil Wars’ at www.civilwarpetitions.ac.uk
This project examines how maimed soldiers and war widows of the civil wars claimed military pensions across England and Wales between 1642 and 1718. Research from this project is building towards his third monograph, under contract with Oxford University Press, as Widowhood and Bereavement during the English Civil Wars.
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IVI will be holding a certification test on March 12. Based on the Corona disaster, the test will be held in online exam format. Graduates who wish to take the test must meet the prescribed eligibility requirements, so please contact IVI Secretariat for details.
What is Meister of Manufacturing Information Technology (MMIT)?
– Human resources who can play a central role in the process of implementing a bottom-up kaizen-style system development based on manufacturing sites as the starting point, and implementing it step by step in their companies.
– Human resources who can enhance competitiveness of companies through manufacturing that maximizes the use of digital technology and data for production systems that are constantly evolving in co-existence with humans and machines.
– Human resources who can embody open and closed strategies to connect with production systems in other companies and regions in a borderless manufacturing business environment.
– Human resources who can see the flow of work as a flow of value, and who can design a new system for value creation made possible by replacing part of it with data using the IoT.
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Students have reportedly “flourished” after four alpacas were introduced to a school in Penarth, Wales.
The herd of four Peruvian alpacas join Dexter the dog and several chickens kept at Headlands School, which aims to provide a boost to students’ mental health.
A student at the independent school, Casey Jones, said the animals had a “calming effect” on the students.
“They are lovely and interesting animals that seem to have a calming effect on other students too,” the 15-year-old said.
“This part of school is really good for me… the atmosphere here is great and working with the animals has also helped me a lot.”
With the ongoing Covid-19 pandemic still affecting the students, teachers at the school hope the animals will provide a boost to their wellbeing.
“We are redeveloping a huge area of our outdoor space for the alpacas and hens, and have a group of students working with us on the project that have really flourished,” David Gillingham, a teacher overseeing the care of the alpacas, said.
“Their mental health has definitely improved, they love the animals and some are keen to work as landscape gardeners when they leave school.”
Headlands School, with students from seven to 19 years old, is designed for those who have difficulty learning as a result of early trauma, complex emotional and social issues, Autism Spectrum conditions, and Asperger’s Syndrome.
“There is a lot of research stating the positive mental health benefits of pets and interaction with animals,” Maxine Cahill, vice principal for care at the school, said.
“The students here love Dexter, our companion dog, and they have responded so well to the alpacas too.
“The chickens and the chicks they’ve produced have also gone down a storm, and provide something for the students to care for, nurture and enjoy during a very stressful time in their young lives.”
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