text:
Why do people act like Somalis aren’t liberators? Why do they choose to ignore our work in liberation and decolonizing our lands and minds? We were one of the first African Nations to not only be liberated, but to wage open War with Britain. We went to war with Italy, and Britain. And won.
We fought for our liberation, won, and turned around and fought for the liberation of other Africans.
We helped liberate Kenya, don’t act that didn’t happen without Somalis. We were one of the few nations vocal from the beginning of the liberation of South Africa, sad to know they still have their colonizers on their lands.
We fought for the liberation of Nigeria, and Algeria.
Even during the European slave trade we fought them on enslaving and shipping Africans off our port. We put our bodies and lives on the line for African liberation fronts.
We help protect our neighbors from European Colonizers.
During the Civil Rights movement and Liberation movements in American we were vocal about Black Americans Liberation. In fact we sent Somalis to America to learn and help Black Americans on their Liberation fronts. Somali Women held rallies and protest and did ground work on the campaign of freeing Angela Davis.
We also helped Liberate djibouti from France. We campaigned for them. Once they were liberated, we didn’t force them to rejoin Somalia, but let them chose their own fate for independence.
But majority of them are ethnically Somali tho…. Ayyy.
We were for heritage and culture preservations. We even Fought African Imperialists like Ethiopia. Fought for our peoples Liberation in Ogadenia. We have been vocal about the Liberation of Ogadenia and Oromiya.
We were one of the first African, and one First Nations to have Women Fighter pilots in the 70s. We had women in the military. We made equatable laws for women’s civil rights. We had equal pay for all genders. This is Somalia in the 70s, and 80s.
We fought American Imperialism in 90s while were going through a Civil War. And won. Think about that. We were fighting each other, going through a ravaging war, stopped to turn around and deal with America. Beat their ass, recorded it for the media to play around the world so these American Imperialists couldn’t pretend like it didn’t happen and went about our way without breaking a sweat. We did that it days, not weeks or months. But in days. Americans love to make us out to be savage Africans. But they were on our sovereign lands, and we had every right to treat them like an unwelcome enemy. Were we Brutal, sure. But brutality is served when brutality is received. Especially with an enemy that has no morals. They went home cry because they met a real adversary, and they weren’t gonna do us like they did to Iran, and later Iraq, Libya, Syria and Yemen.
We are ruthless with our enemies. Especially with western imperialists, and every time y'all are surprised by that.
Captain Phillips was bullshit. These so called, “Somali Pirates” fought against Imperialism, and against Capitalism. Those fisherman were fighting for their communities.
Westerns, Asian, and Arab nations were stealing from our Ocean, then dumping toxic materials into it, using our Ocean for military positions etc. All without our permission. They stole from our fishermen, and communities whose only sources of food was coming from the Somali sea. They starved those communities. Several towns Economy was tied to that Sea. When they dumped toxins and waste into our sea, our people got sick. People were being Poisoned, similar to what is STILL happening in Flint, Michigan. Many Somalis got cancer because of the toxins dumped in our sea. No one was doing anything about this.
So we took up arms against our enemies who refused our calls to cease what they were doing. They mad because we “pirated ships”, aka we took what was ours. They were making billions from our ocean, and we weren’t seeing any of that money. Of course, Western countries got mad as if we weren’t doing the same to them thieving Arabs and Asians. Like how dare we fight for ourselves.
That’s the thing about us we are willing to die for our people and lands. If we are defeated, a thousand more Somalis will take our place. We just about that life.
We’ve been saying Black Lives Matter for centuries. So y'all need to stop sleeping on Somalis, and many of y'all like to erase our blackness.
Learn the History in Africa, and the diaspora, then asks yourself this,
Where would African Liberation Movements be without Somalia in the 20s, 30s, 40s, 50s, 60s, 70s, 80s?
A lot of the movements in ending institutional racism in Europe, Canada, and Australia is done by a majority Somali community. Think on that.
However, we are also not free from anti blackness and colorism. For example the treatment and abuse Somali Bantus have endured for centuries is a cloud over Somalia’s history in fighting anti blackness.
Sadly, aside from white supremacy, a far greater supremacy affects us the most. Arab Supremacy, which is the root of modern Somalis anti blackness, and internalized racism.
Our Moto is:
We Somali first
And then Muslim

domain: sociology


text:
Saint Jean Institute: A Way to Fulfillment
Andy Taylor provides voice over for the promotional film above, emotionally profiling the legacy, guiding principles and core values of Saint Jean Institution in the north of France. The private Catholic school educates and enriches the lives of 2,300 students from kindergarten to preparatory classes.
It’s really great. Your tone of voice is exactly where we need to be. Of course, we have the production-value of the best voice over in the business, so it makes everything easier.
Arthur Bouedo. EGS France Director
Collaborative Voice Over – Working together in real time
Some working relationships just click. Furthermore, thanks to advancements in technology and the increased reliability of collaborative platforms, highly detailed projects are far more efficient. For example, take voice artist Andy Taylor’s relationship with talented content creator and EGS Director, Arthur Bouedo.
For starters, Andy is based in Boston while Arthur’s studio is in Paris. 20-years-ago, this distance created challenging work flows, making deadlines tough to meet. However today, when working in-tandem on videos like this and World Taekwondo’s extensive array of projects, the two communicate in real-time over a popular messaging app. Additionally, the voice over files are uploaded to the same app, allowing Arthur to download directly from the communication thread. As a result, despite the distance and difference in time-zones — direction, revisions and project completion come quickly. Tight deadlines and interrupted work flows are no longer challenges.
Video Narration and Commercial Voice Over for promotional campaigns
Promotional video is one of the more popular voice over categories. These videos can be television commercials or online ads. Though they are often both. They can air on video billboards in Times Square, airports, stadiums, storefronts, street corners. Or they’re YouTube embeds emailed to your inbox. Promo videos are designed to call attention and cultivate interest in events, causes, special offers or even ideas.
Ultimately, the goal behind every promotional campaign is simple: Motivate the viewer to act.
For example, with a concert spot, the purpose of the commercial is to make an artist’s fans aware of the concert date, and how to purchase tickets. To be effective however, the video has to create buzz and excitement, with polished production and narration. If done right, the video will not only motivate and inform an artists’s fan base, it will also energize additional curiosity among others unfamiliar with the performer.
Furthermore, the same can be said for videos advertising events, websites, special offers, or films promoting a brand’s charitable efforts. The video first needs to entertain in order to achieve its purpose. In other words, with engaging content, the video will pull-in the viewer to receive the important take-away information.
Promotional Videos: Captivating Narration Required
Promotional voice over varies from project to project – but in the end, the read needs to grab the viewer’s attention. Above all, producers must ensure that the voice fits the image of the event and the demographic of the promo’s target audience.
For example, if you’re promoting a Car Show in Sacramento, it’s best to use a voice that matches the age profile of your show’s attendee. If the show features classics and rat-rods, hire voice talent with a more mature sound. However if the event centers around Suzuki motorcycles and racing bikes, hire a younger-sounding talent who matches the crotch-rocket demographic.
Depending on the script, video producers have identified Andy Taylor’s voice as young-30’s to mid-50’s, with range and versatility. If you’re working on a promotional video for an upcoming event that also falls into that demographic, ask Andy for a Demo specific to your promo.
Andy Taylor: Promotional Voice Over Partners
Really happy with the results and quick turnaround…The tonality of the rest of the recital is spot on…We really appreciate your pertinence and willingness to work with us throughout this process.
Joseph Dimaio. Associate Media Production Specialist. Vectorworks Design Summit
You have left me dumbfounded. This is by far better than what I ever expected. I’m very grateful to you. Many many thanks. And when touring the States you will be on our list for sure.
Gunther Kutsch. Video Producer for Sergio Cortes

domain: artistic


text:
The actress optioned “Wild” late last year as a starring vehicle, months before the memoir was published this spring.
When Oprah Winfrey announced June 1 that Cheryl Strayed’s hiking memoir Wild: From Lost to Found on the Pacific Crest Trail was the first pick of her revived book club, among those most excited by the announcement were Reese Witherspoon and her producing partner Bruna Papandrea. The pair, who recently joined forced on their new Pacific Standard banner, had optioned the book in November, four months before its March publication date, as a starring vehicle for the actress.
“It was the first thing we picked up together,” Papandrea says of the project, which Lisa Cholodenko (The Kids Are All Right) is on board to direct. As a result of the Winfrey pick, the Knopf book has seen its Amazon sales position spike from No. 175 to No. 16.
“Wild is a magical and evocative book about losing everything – family, money, your mother, your partner – and finding your true spirit alone in the woods,” Witherspoon tells THR. “I urge everyone to go out and read this amazing story of one woman’s journey to find herself.”
Pacific Standard is the combined shingle of Witherspoon’s Type A Films —whose projects included Legally Blonde 2: Red, White and Blonde, Four Christmases and This Means War — and Papandrea’s Make Movies, which is behind the upcoming zombie feature Warm Bodies, helmed by Jonathan Levine (50/50).

domain: literature


A holy festival among Hindus and Jains, Akshaya Tritiya is an auspicious day on which people are urged to embark on new ventures and buy gold. This year however, jewelers are expecting less customers.
Come May 9th, devout Hindus and Jains will head to jewelers to buy some gold – Akshaya means “never diminishing.” According to the Chairman of the All India Gems and Jewellery Trade Federation, however, there will be a decrease in sales compared to 2015. As he told The Hindu: “On Akshaya Tritiya which falls on May 9 we are expecting marginal rise in sales compared to last year as the prices are ruling very high and due to the present dry weather conditions in the country.”
Although the volume of gold sold will probably be in the minus compared to last year, they say that the value of gold purchased will be about the same. Right now, gold costs about INR 30,050 per 10 grams on the domestic market. Last year, in February, it was INR 26,930.
But what exactly is the upcoming festival about? Hindus and Jains celebrate the birth of the Lord Parasurama during Akshaya Tritiya, a day in late April or the beginning of May. According to the Hindu faith, this is the day when the great God of Wisdom, God Ganesha started writing his famous work named “Mahabharata.” Hindus believe that when the Pandavas (five sons of Pandu, a king of the Kuru dynasty) were in exile, the Lord gave them a bowl called Akshaya Tritiya. The bowl was a magical one, since it was never empty; it produced food for the exiled sons whenever they wanted to eat.
Another popular story connected to the celebration involves the childhood friendship of Lord Krishna and Sudama. Being a poor child, Sudama was planning on borrowing some money from his friend Krishna, so he visited him, carrying the only thing he had in this life, Poha (puffed, flattened rice.) Upon arrival, Sudama felt great shame for wanting to ask for money, so instead, he gifted the Poha to Krishna and left. However, once he got home, he saw big changes: his run-down hut was converted into a beautiful, lavish family and his family all wore royal attire. It was then that Sudama realized that his good friend Krishna blessed him with all the wealth that a man could ever want.
Hindus consider this day as a very lucky one, and believe that any venture they begin on this day will prove to be highly successful and prosperous. Not surprisingly, many weddings also take place on this day, so the bride and grooms can enjoy the sheer amount of luck they will have throughout their marriage. People born on this day are also considered to be exceptionally lucky in their life.


text:
I live in a rural area, next to woods, medium sized. I occaisionally see cats around, but I'm not sure if they are ferals, or simply cats that owners let outdoors(very common in the country). However there is one cat I am certain is feral, she is a HUGE solid orange with a white tip on her tail that makes her very easy to identify. I know she is female because she has had two litters of kittens on my property, but she moves them as soon as I discover them(I always find them accidentally). I have never gotten any closer than about 50 feet to her(I named her Samantha) and the one time I got that close I was hiding waiting for her. The second she sees a human she runs into the woods, and I only see her about twice a month. I have no clue where she lives, but I would like to trap her and get her spayed, as she has had 2 litters of kittens this spring alone. What type of area should I put the trap in, so that she will be most likely to "find" it?
post #1 of 3
7/18/08 at 3:15am

domain: pet


text:
Delta State Governor, Ifeanyi Okowa, says one of his daughters has tested positive for coronavirus (COVID-19). The governor announced this on Friday via his verified Twitter handle.
He noted that in line with the procedures of the Nigeria Centre for Disease Control (NCDC), his family would go into isolation for two weeks. The Chief Press Secretary to the Governor, Mr Olisa Ifeajika, also confirmed the development in a statement on Friday.
According to him, the state government has intensified efforts at stemming the spread of COVID-19 in the state.
Ifeajika said, “It is again pertinent to stress that COVID-19 is real and citizens are advised to be disciplined and comply with the protocols of wearing face masks and maintaining physical-distancing while in public places, as well as basic hygiene of handwashing with soap in running water and use of alcohol-based sanitisers as NCDC regulation demands.”

domain: news


text:
Lucky Plant contributes towards the overall maintenance of health, regeneration and nourishment of all decorative plants. Healthy plants are more resilient and therefore less susceptible to sickness and stress. Lucky Plant is easy to use and produces convincing results. Simply add one measuring cup to your plants‘ water and rejoice at the results.
- strengthens weakened plants
- promotes the plant’s own ability to regenerate
- promotes root growth and thus the uptake of nutrients
- enhances growth
- improves flower formation and flower vitality
- 100% organic with no chemical additives
No side-effects for people, beneficial organisms or the ecosystem.
|Shipping weight:||0,14 Kg|
|Product weight:||0,13 Kg|
|technical details:||water-soluble powder|

domain: agronomy


text:
There’s snow place like Hub Box this Xmas!
When we say ‘Christmas dinner’, what springs to mind? Is it dry turkey that tastes like it’s been cooked on a low heat for roughly three months? How about soggy roasties covered in a thin layer of slimy, coagulated gravy?
If that’s what you think of, THINK AGAIN.
Here at Hub Box, we swear on our Christmas stockings to never put you through the torture of a stodgy Christmas dinner ever again. You deserve better.
Introducing the Christmas dinner to end all Christmas dinners.
The cheesy baubles of joy you never knew you needed. Deep-fried panko-breaded brie meets spiced cranberry sauce, served on a bed of peppery rocket. Un-brie-lievable.
PIGGIES IN BLANKETS
One of the few traditional Christmas dinner items that we couldn’t ban from the menu. Sausages cocooned in bacon with crispy kale and chipotle ketchup. No, you’re dribbling.
You’ll wish it could be Christmas everyday with these fiery nuggs. We’ve fried cauliflower in a Korean ssamjang paste and topped it off with crispy chilli, garlic, sesame seeds and spring onions. It’s like a hug in a nugg!
BUFFALO TURKEY STRIPS
This old bird’s had a spicy new make-over. Our buffalo buttermilk-fried turkey strips are decorated with chilli, spring onion and creamy blue cheese mayo. Twit-twoo!
Our mouth-watering beef patty joins forces with deep-fried camembert, smoked garlic mayo, cranberry sauce and crisp rocket for a truly life-changing experience. Merry Cheesemas and a happy new beer to you!
Hubba hubba, our turkey schnitzel has all of the trimmings! We’re bringing you bacon, brie, cranberry sauce, truffle mayo, rocket and stuffing. What more could you want for Christmas?
On the seventh day of Christmas, Hub Box gave me to me, a beef and a pork patty, pulled turkey, fried sprout tops, creamy blue cheese, fiery peppercorn sauce and ONION RINGS. Okay, so they aren’t the words, but this saucy number is definitely worth singing about.
Why should the meat-eaters have all the fun? Picture this – a Beyond patty, vegan bacon, pulled BBQ mushroom, vegan cheese, BBQ sauce, rocket and onion rings. It’s like Christmas come early!
TOPPED TURKEY FRIES
These cluckin’ delicious skin-on fries are layered with pulled turkey, turkey gravy and persillade. You’ll be stuffed!
What’s better than mac’n’cheese? Truffle mac’n’cheese. You can thank us later.
OYSTER MUSHROOM FRIES
Skin-on fries with pulled oyster mushrooms, smoky BBQ sauce, tangy pickled red chilli, and fresh coriander. We totally recommend this side – even if it feels like you don’t have mushroom left (sorry).
These fancy fries are fit for royalty with their terrific truffle, parmesan and chive topping. Dig in, they’re absolutely spiffing.
STICKY TOFFEE PUD
The ultimate Christmas pudding had to get a mention. Steamed to perfection with an abundance of salted caramel sauce and a large dollop of vanilla ice cream. Need we say more?
CHRISTMAS HUB TUB
If you like a Xmas pudding, you will LOVE our Hub Tub. And if not, we reckon we can change your mind… Our pud is drizzled with hot sticky butterscotch sauce and served with a dollop of rum and raisin ice cream AND brandy clotted cream.
XMAS CRACK PIE
Ooey-gooey irresistible filling meets oatmeal cookie crust and brandy Cornish clotted cream. It’s sugar, it’s spice, it’s everything nice!
SALTED CARAMEL PEANUT BROWNIE
We’ve given this classic a Hub Box twist. Go nuts for our salted caramel peanut brownie with salted caramel ice cream and a raspberry drizzle. Treat yo-elf!
And if you weren’t already convinced (seriously?!), perhaps you’ll be tempted by our festive bevvies. Choose from a zingy Chocolate Orange Espresso Martini, a fruity Gin-gle & Tonic, a short and strong Polar Punch or a heart-warming Mulled Wine.
From 29th November, step into your local Hub Box, ‘ooh’ and ‘ahh’ at the tasteful yet dazzling decs, sample some of the finest Christmas-themed food going and get merry as merry can be!
We welcome small squads, large gatherings, work-Christmas-dos and table-for-twos. We’ve got oodles of options for the vegans, veggies and gluten-free among us. Whatever your tribe, whatever your vibe, we’ve got you covered.
And if you’re not sure what to get that special someone for Christmas, look no further. Our Christmas gift vouchers are the gift that keeps on giving! You never know, they might even bring you along.
Want to join in on the festive fun? Then BOOK NOW!!
Need a gift that’s perfect for the good, the bad & the hungry? Look no further & buy our GIFT VOUCHERS!

domain: food


text:
Austin.png (400 × 300 pixels, file size: 130 KB, MIME type: image/png)
|This file is copyrighted. |
The individual who uploaded this work and first used it in an article, and subsequent persons who place it into articles, assert that this qualifies as fair use of the material under United States copyright law.
Appears on these pages
[[Category:Characters from Sinnoh ]] Austin is a character from Pokémon: DP Battle Dimension.
Wayne Grayson is a voice actor who has worked with 4Kids on a few productions. His major roles...

domain: entertainment


text:
3 Brief History First described in 1952 Introduced into clinical practice in 1960First endocardial defibrillators in 19801991 in USA 1 million people had permanent pacemakers
4 Outline Indications Basics, Pacemaker Components and Code Complications of ImplantationPacemaker MalfunctionManagementDispositionICDGuest
5 Basically:Device that provides electrical stimulation to cause cardiac contraction when intrinsic cardiac electrical activity is slow or absent
6 Pacemaker Functions Stimulate cardiac depolarization Sense intrinsic cardiac functionRespond to increased metabolic demand by providing rate responsive pacingProvide diagnostic information stored by the pacemaker
7 Indications for Pacer 30 AVB and any of: Symptomatic bradycardiaAsystole >3 sec or vent escape <40bpmPost-AVN ablationPost-op and not expected to improveNeuromuscular disease20 AVB + symptomatic bradycardiaChronic bi-/trifasicular block w/ intermittent 30 AVB or 20 AVB Type IIPost-MI and any of:Persistent 20 AVB or 30 AVBTransient 20 AVB or 30 AVB and BBBSAN dysfunction + symptomatic brady’s (e.g. SSS)Recurrent syncope due to carotid sinus stimulationClass I recommendations From Rosen
12 Lead SystemBipolarLead has both negative, (Cathode) distal and positive, (Anode) proximal electrodesSeparated by 1 cmLarger diameter: more prone to fractureCompatible with ICDUnipolarNegative (Cathode) electrode in contact with heartPositive (Anode) electrode: metal casing of pulse generatorProne to oversensingNot compatible with ICDBoth are ONE wire. Don’t confuse bipolar and unipolar leads with single chamber and dual chamber pacemakers.Unipolar prone to oversensing because Anode may pick up myopotenials from muscle or other extrinsic source
13 Difference on an ECG? Bipolar current travels only a short distance between electrodessmall pacing spike: <5mm+Anode-Cathode
14 Difference on an ECG? Unipolar current travels a longer distance between electrodeslarger pacing spike: >20mm+Anode-Cathode
15 Pacemaker Code P: Simple programmable V: Ventricle V: Ventricle ChamberPacedIISensedIIIResponseto SensingIVProgrammableFunctions/RateModulationVAntitachyFunction(s)P: SimpleprogrammableV: VentricleV: VentricleT: TriggeredP: PaceM: Multi-programmableA: AtriumA: AtriumI: InhibitedS: ShockD: Dual (A+V)D: Dual (A+V)D: Dual (T+I)C: CommunicatingD: Dual (P+S)The first letter refers to the chamber(s) being pacedThe second letter refers to the chamber(s) being sensedThe third letter refers to the pacemaker’s response to a sensed event:T = Triggered D = Dual (inhibited and triggered*)I = Inhibited O = No response*In a single chamber mode, “triggered” means that when an intrinsic event is sensed, a pace is triggered immediately thereafter. In a dual chamber mode, “triggered” means that a sensed atrial event will initiate (trigger) an A-V delay.The fourth letter denotes the pacemaker’s programmability and whether it is capable of rate response:P = Simple Programmable (rate and/or output)M = Multiprogrammable (rate, output, sensitivity, etc.)C = Communicating (pacemaker can send/receive information to/from the programmer)R = Rate ModulationO = NoneNote that this sequence is hierarchical. In other words, it is assumed that if a pacemaker has rate modulation capabilities, “R”, that it also can communicate, “C”.The fifth letter represents the pacemaker’s antitachycardia functions:P = Pace D = Dual (pace and shock available)S = Shock O = NoneYou may want to test the audience by having them describe different pacing modes. More modes and ECG strips are found in Module 2.O: NoneO: NoneO: NoneR: Rate modulatingO: NoneS: Single(A or V)S: Single(A or V)O: None
16 Common PacemakersVVIVentricular Pacing : Ventricular sensing; intrinsic QRS Inhibits pacer dischargeVVIRAs above + has biosensor to provide Rate-responsivenessDDDPaces + Senses both atrium + ventricle, intrinsic cardiac activity inhibits pacer d/c, no activity: trigger d/cDDDRAs above but adds rate responsiveness to allow for exerciseBiosensors --- most are vibrations sensors that increase HR in proportion to activity sensed, but can also have pH, venous temp, resp rate, QT interval, stroke volume, O2 sat, RA pressure sensors less commonly.Dual chamber pacing allows for atrial contribution to CO (up to 30% of CO)
17 Rate Responsive Pacing When the need for oxygenated blood increases, the pacemaker ensures that the heart rate increases to provide additional cardiac outputAdjusting Heart Rate to ActivityNormal Heart RateRate Responsive PacingFixed-Rate PacingPiezoelectric crystal that detects mechanical signals produced by movement, mechanical signals translate into electrical signals that increase rate of the pacemakerDaily Activities
18 Determining type of pacemaker Wallet card: 5 letter codeCXR: code visibleSingle lead in ventricle: VVISeparate leads DDD or DVI
19 Single Chamber VVI - lead lies in right ventricle Independent of atrial activityUse in AV conduction disease
21 Dual ChamberTypically in pts with nonfibrillating atria and intact AV conductionNative P, paced P, native QRS, paced QRSECG may be interpreted as malfunction when none is presentMay have fusion beats
22 Four “Faces” of Dual Chamber Pacing Atrial Pace, Ventricular Pace (AP/VP)AVV-AAVV-AKnowing the basic A-V and V-A intervals will help in understanding the four modes or “faces” of dual chamber pacing. In the first example, the pacemaker is pacing in both the atrium and the ventricle–most likely a patient with sinus node dysfunction and AV block.APVPRate = 60 bpm / 1000 msA-A = 1000 ms
23 Four “Faces” of Dual Chamber Pacing Atrial Pace, Ventricular Sense (AP/VS)APVSV-AAVIn this example, the atrium is being paced, but AV conduction is intact, so the ventricular output is inhibited by a sensed ventricular event.Rate = 60 ppm / 1000 msA-A = 1000 ms
24 Four “Faces” of Dual Chamber Pacing Atrial Sense, Ventricular Pace (AS/ VP)V-AAVIn this example, the atrial rate is driving the ventricular rate–also called atrial tracking. This patient has adequate sinus node function with AV block.ASASVPVPRate (sinus driven) = 70 bpm / 857 msA-A = 857 ms
25 Four “Faces” of Dual Chamber Pacing Atrial Sense, Ventricular Sense (AS/VS)V-AAVASVSIn this example, the patient has adequate sinus node function and intact AV conduction, but may experience little to no increase in sinus rate with activity and/or AV block that occurs at increased rates. At appropriate rates, it is best to try and utilize the patient’s intrinsic rhythm when possible.Rate (sinus driven) = 70 bpm / 857 msSpontaneous conduction at 150 msA-A = 857 ms
26 Pacemaker Interventions Magnet applicationNo universal function of magnetModel-specific magnet, some activate reed switch asynchronous pacing at pre-set rateInterrogation / ProgrammingModel-specific pacemaker programmer can non-invasively obtain data on function and reset parametersMagnet applicationUseful to test pacemaker function and battery life, especially if intrinsic HR > paced ratePre-set paced rate dec’s w/ dec’g battery lifeProgrammable functions include lower rate limit, upper rate limit, AV interval, energy output, refractory periods, blanking period (interval after d/c during which no signals are sensed), mode of function (e.g. A, V, or D), max atrial tracking rate (fastest atrial rate pacer will keep up with), vent pacing response, algorithm for tachycardia termination, sensing parameters
27 Magnet Applicationdemand ventricular pacer: a low pacemaker rate of 50 beats/min was programmed to preserve the patient's intrinsic sinus rhythm. Magnet application (arrows) causes fixed-rate pacing (extremely small pacing artifacts are visible in lead V3) at 100 beats/min. The rapid magnet-induced pacing rate (asterisks on the lead-V1 rhythm strip) prevents competition with the intrinsic rhythm. Note the P waves following the pacemaker-induced QRS complexes, indicating 1:1 ventricular-to-atrial conduction.
31 Infection 2% for wound and ‘pocket’ infection 1% for bacteremia with sepsisS. aureus and S. epidermidisIf bacteremic: start Vancomycin, remove system, TV pacemaker and IV abx for 4-6 weeks, new system
32 Thrombophlebitis Incidence 30-50% 1/3 have complete venous obstruction b/c of collateralization only % devp symptomsSwelling, pain, venous engorgementHeparin, lifetime warfarin
33 Pacemaker SyndromePresents w/ worsening of original Sx post-implant of single chamber pacerAV asynchrony retrograde VA conduction atrial contraction against closed MV + TV jugular venous distention + atrial dilation sx of CHF and reflex vasodepressor effectsDx of exclusionTx w/ dual chamber pacerPresent w/ presyncope, syncope, orthostatic dizziness, lightheadedness, fatigue, lethargy, CP, neck fullness, other non-specific complaintsCan get w/ dual chamber pacer if SA node rate > paced rate in pts w/ AV block
34 Figure A 12-lead ECG from a 63-year-old woman with recurrent syncope several months after implantation of a VVI pacemaker. The arrows show the retrograde P waves of 1:1 ventricular-to-atrial conduction that may be associated with a pacemaker syndrome.Pacemaker syndrome
36 4 broad categories Failure to Output Failure to Capture Inappropriate sensing: under or overInappropriate pacemaker rate
37 Failure to Outputabsence of pacemaker spikes despite indication to pacedead batteryfracture of pacemaker leaddisconnection of lead from pulse generator unitOversensingCross-talk: atrial output sensed by vent leadCross-talk = oversensing of pacemaker generated electrical activity E.g. vent lead senses atrial pacing spike misinterprets as vent contraction inhibits pacer d/c skipped beat dizziness / syncope
38 CorePace Module 4: Troubleshooting No OutputPacemaker artifacts do not appear on the ECG; rate is less than the lower rateWhen the pacemaker problem is no output, the marker channel shows pacing markers—AP or VP—although no artifact appears on the ECG.No output is defined as the failure to pace. Impulses are generated from the IPG, but is not transferred to the lead.Pacing output delivered; no evidence of pacing spike is seen
39 Failure to capture spikes not followed by a stimulus-induced complex change in endocardium: ischemia, infarction, hyperkalemia, class III antiarrhythmics (amiodarone, bertylium)
40 Failure to sense or capture in VVI Figure A 12-lead ECG with a lead-V1 rhythm strip from an 84-year-old man who returned to a pacemaker clinic with dizziness 11 years after implantation of a VVI pacemaker. Arrows show pacing artifacts continuing regularly (68/min) not sensing for the patient's intrinsic beats and not producing paced beats. The asterisks indicate the single incidence of ventricular capture by the pacemakerFailure to sense or capture in VVI
41 A: failure to capture atria in DDD Figure A 12-lead ECG with a lead-V1 rhythm strip from a 73-year-old man seen in a pacemaker clinic 6 months after implantation of a DDD pacemaker. During the pause after the VPB, minimum-rate pacing occurs (the first six arrows), but with failure of atrial capture. An asterisk and the last arrow indicate the single incidence of atrial capture by the pacemaker.A: failure to capture atria in DDD
42 Inappropriate sensing: Undersensing Pacemaker incorrectly misses an intrinsic deoplarization paces despite intrinsic activityAppearance of pacemaker spikes occurring earlier than the programmed rate: “overpacing”may or may not be followed by paced complex: depends on timing with respect to refractory periodAMI, progressive fibrosis, lead displacement, fracture, poor contact with endocardium
43 Scheduled pace delivered Intrinsic beat not sensed UndersensingPacemaker does not “see” the intrinsic beat, and therefore does not respond appropriatelyScheduled pace deliveredIntrinsic beat not sensedVVI / 60
44 CorePace Module 4: Troubleshooting UndersensingAn intrinsic depolarization that is present, yet not seen or sensed by the pacemakerP-wave not sensedAn intrinsic depolarization occurs in the atrium, but this depolarization is not sensed by the pacemaker. Therefore, the pacemaker sends an inappropriate pacing pulse to that chamber. Undersensing can be thought of as “overpacing.”In this example, an AAI pacemaker is programmed to inhibit the atrial pacing pulse when a P-wave is sensed. Because the P-wave was not sensed, the pacemaker delivered an atrial pulse. If a pacemaker is undersensing, you will not see appropriate atrial sense markers on the marker channel.Atrial Undersensing
45 Inappropriate sensing: Oversensing Detection of electrical activity not of cardiac origin inhibition of pacing activity“underpacing”pectoralis major: myopotentials oversensedElectrocauteryMRI: alters pacemaker circuitry and results in fixed-rate or asynchronous pacingCellular phone: pacemaker inhibition, asynchronous pacing
46 OversensingVVI / 60...though no activity is presentMarker channel shows intrinsic activity...An electrical signal other than the intended P or R wave is detectedOversensing will exhibit pauses in single chamber systems. In dual chamber systems, atrial oversensing may cause fast ventricular pacing without P waves preceding the paced ventricular events.
47 Inappropriate Pacemaker Rate Rare reentrant tachycardia seen w/ dual chamber pacersPremature atrial or vent contraction sensed by atrial lead triggers vent contraction retrograde VA conduction sensed by atrial lead triggers vent contraction etc etc etcTx: Magnet application: fixed rate, terminates tachyarrthymia,reprogram to decrease atrial sensing
48 Causes of Pacemaker Malfunction Circuitry or power source of pulse generatorPacemaker leadsInterface between pacing electrode and myocardiumEnvironmental factors interfering with normal function
49 Pulse Generator Loose connections Migration Twiddlers syndrome Similar to lead fractureIntermittent failure to sense or paceMigrationDissects along pectoral fascial planeFailure to paceTwiddlers syndromeManipulation lead dislodgement
52 Leads Dislodgement or fracture (anytime) Insulation breaks Incidence 2-3%Failure to sense or paceDx w/ CXR, lead impedanceInsulation breaksCurrent leaks failure to captureDx w/ measuring lead impedance (low)Fractures occur at sharp turns (pulse generator, entry into vein, in ventricle, most commonly occurring at the clavicle/first rib locationMeasure lead impedance w/ pacemaker programmerInsulation break like leaky garden hose
53 Cardiac Perforation Early or late Usually well tolerated Asymptomatic inc’d pacing threshold, hiccupsDx: P/E (hiccups, pericardial friction rub), CXR, Echo
54 Environmental Factors Interfering with Sensing MRIElectrocauteryArc weldingLithotripsyCell phonesMicrowavesMypotentials from muscle
56 Management: HistoryMost complications and malfunctions occur within first few weeks or monthspacemaker identification cardSyncope, near syncope, orthostatic dizziness, lightheaded, dyspnea, palpitationsPacemaker syndrome: diagnosis of exclusion
57 Management: Physical Exam Fever: think pacemaker infectionCannon “a” waves: AV asynchronyBibasilar crackles if CHFPericardial friction rub if perforation of RV
58 Management: adjunctsCXR: determine tip positionECG
59 CorePace Module 4: Troubleshooting Potential Problems Identifiable on an ECG Can Generally Be Assigned to Five Categories:Failure to outputFailure to captureUndersensingOversensingPseudomalfunctionThe causes of undersensing, oversensing, noncapture, lack of output, and pseudomalfunctions vary. However, each of these anomalies compromises the pacemaker’s ability to supplement intrinsic conduction.
60 Pseudomalfunction: Hysteresis CorePace Module 4: TroubleshootingPseudomalfunction: HysteresisAllows a lower rate between sensed events to occur; paced rate is higherHysteresis Rate 50 ppmLower Rate 70 ppmHysteresis provides the capability to maintain the patient’s intrinsic heart rhythm as long as possible, while providing back-up pacing if the intrinsic rhythm falls below the hysteresis rate. Because hysteresis exhibits longer intervals between sensed events, it may be perceived as oversensing.
61 Management: ACLS Drug and Defibrillate as per ACLS guidelines However keep paddles >10cm from pulse generatorMay transcutaneously paceTransvenous pacing may be inhibited by venous thrombosis: may need flouroscopic guidanceMay defibrillate in AP direction
62 AMI + PacersDifficult Dx; most sensitive indicator is ST-T wave changes on serial ECGIf clinical presentation strongly suggestive then should treat as AMICoarse VF may inhibit pacer (oversensing)Successful resuscitation may lead to failure to capture (catecholamines, ischemia)
67 Internal Cardiac Defibrillators Device to treat tachydysrhythmiasIf ICD senses a vent rate > programmed cut-off rate of the ICD device performs cardioversion/defibrillationAll ICDs are also vent pacemakersRequired shock is approximately <15 JoulesSimilar problems with implantation as pacemakers
68 Indications for ICDCardiac arrest from VF or VT not due to reversible etiologySpontaneous sustained VTSyncope NYD + inducible symptomatic VF or VT in setting of poor drug tolerance or efficacyNon-sustained VF or VT + CAD, prior MI, LV dysfunction and inducible VF or VT not responding to Class I antiarrhythmic Tx
70 Inappropriate Cardioversion Most frequently associated problemSensing malfunction: SVT sensed as VTShocks for nonsustained VTT waves detected as QRS complex and interpreted as HRh/r Could be incidence of VT, VF (hypoK, hypoMg, ischemia +/- infarction)
71 Ineffective Cardioversion Inadequate energy outputRise in defibrillation threshold antiarrhythmicsMI at lead siteLead fractureDislodgement of leads
72 Failure to Deliver Cardioversion Failure to senseLead fractureElectromagnetic interferenceInadvertent deactivation
73 ACLS Interventions ICD may not prevent sudden cardiac death Same approach as with pacemakersPerson performing CPR may feel a mild shock if ICD discharges during compressionsCan deactivate device with magnet during resuscitation efforts
74 Disposition“in almost all instances, admission to a monitored setting with extended telemetric observation will be necessary”Rosen’s
75 Thanks to:Calgary Health Region Pacemaker nursesKaren and Sandra
76 References Brady et al. 1998. EM Clinics NA. 16(2): 361-388 Xie et al Em Clinics NA. 16(2):Shah et al EM Clinics NA. 16(2):Harrigan and Brady EMR 21(19):RosenAmerican College of Cardiology ECG of the Month Feb 2001:Pacemaker and Automatic Internal Cardiac Defibrillator, Weinberger et. alCorePace presentation by Medtronic Inc available from Pacmaker Nurses at Foothills Hospital,
77 Pacemaker and Defibrillator Clinics -Open Mon.-Fri hrs.-Electrophysiology for ICD’s 41248-Pacemaker Clinic 41188-On call pager #0569
78 ECG analysis Building on routine ECG interpretation skills Low RatePacemakers not programmed below 50 BPMICD’s often low rate of 40 BPM
79 Assess atrial rhythm P waves and rate Atrial sensing Any atrial pacing Atrial capture
80 Assess Ventricular Rhythm QRS rate and morphologyRelation to atrial rhythmVentricular pacingVentricular capture
81 Upper RatePacemakers do not prevent intrinsic heart rate from going too fastPacing therapy and Drug therapy is required to suppress rapid rhythms like atrial fibrillationMode switching devices recognize fast atrial rhythms and automatically switch to a non-tracking modeSome pacemakers Medtronic AT501 have anti-tachycardia therapies to treat Atrial Flutter but they cannot terminate atrial fibrillation
82 Defibrillators Most often ICD patient are not paced VT/VF detection and treatment with pacing or shock is their primary purposeEvent memory to analyze rhythm detected and treated.
83 -Direction of Medical Director is that Cardiology should be consulted. PM and ICD Pts in ER-Direction of Medical Director is that Cardiology should be consulted.-Cardiologist to initiate calling in On-Call Pacemaker Clinic nurse to assess device function and diagnostics.
84 Complete assessment in ER Assess symptomsECG Look for Pacing and sensing, Atrial/VentricularObtain patients device info from card or old chart if possibleMedications and compliance
85 Surgical Complications Incision issues: Infected pacemaker site presents risk for endocarditisNeeds to be brought to Pacemaker or ICD clinic attention
86 Cardiac perforation/Tamponade Early Post implantNew or unusual symptoms of sharp, stabbing chest pain.Worse with deep breathUsual cause is atrial perforation or tearPACE, Vol. 25, No.5 Post Pacemaker Implant Pericarditis: Incidence and Outcomes with Active Fixation Leads. Soori Kivakumaran, M. E. Irwin, S. S. Gulamhusein
87 Echocardiogram Look for blood in pericardium CV surgery consult Management in EREchocardiogramLook for blood in pericardiumCV surgery consultDon’t anticoagulate
88 Less than appropriate reasons we are called.. Don’t need to bother CardiologistWill call Cardiology after device assessedPt in ER with angina, not appropriate to assess device at that timeWe do follow patients with devices on a routine basis so they don’t need to be checked just because they have a device.
89 Magnets and devicesNo universal response to magnet application with cardiac devices.
Your consent to our cookies if you continue to use this website.

domain: medical


text:
WASHINGTON, D.C., Sept. 27, 2017 — American Heart Association President John J. Warner, M.D., issued the following comments today on the Senate’s unanimous passage of the CHRONIC Care Act. The bill included the “Furthering Access to Stroke Telemedicine (FAST) Act:”
“The association is elated that this bipartisan healthcare bill has made its way through the Senate with unanimous support. We commend and congratulate the sponsors of the bill, which will go far in improving the lives of Medicare beneficiaries struggling with cardiovascular disease (CVD).
Included in this successful Senate legislation was the “Furthering Access to Stroke Telemedicine,” or the FAST Act, which will provide timely, high quality stroke care to more Americans through an expansion of Medicare’s telemedicine reimbursement. As more Baby Boomers age into Medicare, they will continue to wrestle with the overwhelming burden of heart disease and stroke. Legislation like the FAST Act will help us fight back against this trend by improving care management and reducing Medicare costs.
We urge the House to join the Senate in swiftly passing the FAST Act so that more Americans who are struck by a stroke can get immediate treatment through telestroke and recover without the struggle of disability.”
About the American Heart Association
The American Heart Association is devoted to saving people from heart disease and stroke – the two leading causes of death in the world. We team with millions of volunteers to fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to prevent and treat these diseases. The Dallas-based association is the nation’s oldest and largest voluntary organization dedicated to fighting heart disease and stroke. To learn more or to get involved, call 1-800-AHA-USA1, visit heart.org or call any of our offices around the country. Follow us on Facebook and Twitter.
About the American Stroke Association
The American Stroke Association is devoted to saving people from stroke — the No. 2 cause of death in the world and a leading cause of serious disability. We team with millions of volunteers to fund innovative research, fight for stronger public health policies and provide lifesaving tools and information to prevent and treat stroke. The Dallas-based association officially launched in 1998 as a division of the American Heart Association. To learn more or to get involved, call 1-888-4STROKE or visit StrokeAssociation.org. Follow us on Facebook and Twitter.
The American Heart Association/American Stroke Association receives funding mostly from individuals. Foundations and corporations donate as well, and fund specific programs and events. Strict policies are enforced to prevent these relationships from influencing the Association's science content. Financial information for the American Heart Association, including a list of contributions from pharmaceutical companies and device manufacturers, is available at http://www.heart.org/corporatefunding.
For Media Inquiries:
Retha Sherrod: email@example.com, 202-785-7929
For Public Inquiries: (800) AHA-USA1 (242-8721)


text:
This is the song used when facing the source of all conflict in FFV: Exdeath. A tense melody is carried by drums that sound like the pounding of the earth.
Description for "The Decisive Battle" in Theatrhythm Final Fantasy.
It begins with a theme similar to the one from the famous murder scene of Alfred Hitchcock's Psycho and contains beats from "Battle 2", the main boss theme. Throughout the theme, measures can be heard from "Ring of Bomb" from Final Fantasy IV compounded by dramatic strings that culminates the suspense.
Game appearances[edit | edit source]
"The Evil Lord Exdeath" is played during cutscenes where Exdeath makes a presence.
It has several arrangements and variations in other tracks, such as "Exdeath's Castle" (played in Castle Exdeath, the Barrier Tower and the Fork Tower), "The Decisive Battle" (played during any battle against Exdeath and the bosses in the Sealed Temple), and "The Final Battle".
An arrangement of "The Decisive Battle" is serves as the battle theme of Deltascape V4.0 where Exdeath is fought as a boss.
"The Decisive Battle" can be purchased from the PP Catalog for 500 PP after the player completed Shade Impulse Chapter 4.
"The Evil Lord Exdeath" is included in the Final Fantasy V downloadable content pack.
"The Decisive Battle" appears as a downloadable content.
"The Decisive Battle" appears as a Battle Music Sequence.
|Abilities - Allusions - CollectaCards - Downloadable content - Enemies - Items - Quotes - Translations - Wallpapers|
|Theatrhythm Final Fantasy - Theatrhythm Final Fantasy Curtain Call|
Game specific themes

domain: game


MANILA – Vice President Jejomar “Jojo” asserted that he was not involved in the case challenging the citizenship and residency of Senator Grace Poe. He did, however, admit that he does support its filing.
The disqualification case was filed by Ang Kapatiran (The Brotherhood) party member Rizalito David before the Senate Electoral Tribunal (SET) on Thursday. Poe, for her part, reiterated that she was a Filipino by birth, abode and choice.
Rumored to be behind it, Binay claimed that he had clean conscience regarding the petition.
“Malinis ang konsensya ko… Nalaman ko nga lang kagabi (I have clean conscience… I only heard about it last night),” he said.
“Lagi tayong nagtatawanan eh ‘di lahat ng mga gagawin ko pagbibintangan ka? Wala namang logic yata ‘yun… Sa deretsahang usapan, wala akong kinalaman,” he added.
(We always joke around so everything I’ll do will be questioned? I don’t think there’s logic behind it… In direct response, I have nothing to do with it.)
It can be noted, however, that David was the former chief of staff of former senator Kit Tatad, who was one of Binay’s allies.


text:
This is my cat, Sadie, hanging out next to my desk. When I'm working on the computer or painting at my table, she often sits nearby. Other times, she gets in my way by walking over the keyboard, blocking the computer screen, or whacking me in the face with her fluffy tail.
Below is a pen and ink with watercolor that I did a few years ago. She has very irregular markings which I find make her challenging to draw.
Recently I completed a reduction block print of a cat named Billy, who lives in the UK with his owner, Jane and her husband. I couldn't resist making a print from a photo that Jane had posted on her blog, Jane's Journal
I'm currently working on the jigsaw flower print that I posted recently, but I'm sure another cat print won't be far behind.


text:
Get the vote in for Daniel Kebede for NEU General Secretary
This is another really important week for the future of the union and our movement. As we build on last week’s magnificent strike for the regional strikes in a few weeks’ time, ballot papers for the election of a new General Secretary of the NEU will arrive by post at members’ homes this week.
The election matters, a lot. It is about what kind of union we need and want as we move forward in our battle with the government and for the future of education.
Daniel has won the backing of over a 100 NEU districts, a record number, for a simple reason. He stands for the organising, campaigning, fighting union we have seen so powerfully on display in the last few weeks.
He played a crucial role as a national officer in pushing for the strike ballot on pay to be held in the first place- when others did not believe we should hold the ballot or thought we could not beat the thresholds and win.
He has also long championed a battle for a different vision of education, one centred in children and learning and the liberatory potential of education, not the miserable exam factory Ofsted policed dogma we face today.
And he has always stood up on wider social justice issues- from child poverty and challenging racism to raising vital international issues too.
Daniel is now back in the classroom and like thousands of other reps and activists he organised to ensure picket lines took place and there were massive turn outs for last weeks’ strike.
If we want a union that sees the kind of organising in schools that delivered last week’s action- we need Daniel to win. If we want a union that stands up to any government that does not pay educators properly or fund education as it needs- we need Daniel to win. If we want a union where it is members, reps and activists that discuss, shape and decide what our union does – we need Daniel to win.
Current joint general secretary Kevin Courtney has rightly called for strike committees to be launched in every district to make sure it is grassroots members who are driving forward our battle against this government, and those strike committees can also transform our union for the better by ensuring more young teachers, more women, more black and more LGBT+ educators, and more classroom teachers are at the democratic heart of our union.
The alternative is a union that favours cosy chats with politicians over fighting, that sees decisions taken by national officials and officers over the heads of reps and activists.
The NEU Left urges all of its supporters to fight hard to build the vote for Daniel to win as our new general secretary. That means this week:
- The election is a POSTAL BALLOT- so if you’re in a school work with the rep, get the list of all members. Start with those who were on the picket line or demos last week, but push beyond that to speak to everyone and check them off once they’ve voted. Keep checking in with them until every vote is counted and in the post.
- If you can, call a school meeting to persuade members why the election matters and why they should vote for Daniel.
- If you’re a rep, do the same . Chase every vote. Count every one in. Check off until all done.
Also – liaise with other reps in your area to make sure they’re doing the same.
- If you have a District/Branch role. Make sure every rep is doing this. Get membership lists sent to all reps. Make sure they are doing this.
- Let’s organise to win this election and give our union the leadership it needs.


text:
WAITING for cod - Winds which are forecast could bring more cod inshore.
Anglers have waited for rougher seas to bring the species within range of shore rods, and they could get their wish in the next few days.
Some big fish have turned up at Scarborough, raising hopes that they could show further north.
Fish of 12lb 12oz and 11lb have been reported from Marine Drive at the Yorkshire resort.
CLOSER to home, the Jack Frost Trophy is up for grabs tomorrow as the Saltburn club starts its 2012 match calendar.
The rover, between the South Gare and Whitby, is fished from 4-8pm, with high water at 7.28.
Whiting might be plentiful, with the chance of an occasional codling.
Membership is now due. Adult subs are £10, OAP £2 and juniors are free. Membership forms are available at Keith Sports, Saltburn.
Poor sea conditions have kept some anglers away, and only six fished the Redcar N and G heaviest fish event.
However those who fished were rewarded with some nice sized whiting, four anglers weighing in.
Denis Hall came out on top with a whiting of 1lb 3.4oz caught from the South Gare.
Richard Warburton was runner up with a whiting weighing 1lb 2.4oz, also from the Gare. Steve McLoughlin fished the same area and finished third with a whiting of 14.8oz.
HARTLEPOOL has been the whiting hotspot as the latest St Mary’s rover showed.
Well over 100 whiting were caught, with the winners opting for Hartlepool in a match fished by 19 anglers with 15 weighing in.
Terry Dalton showed that dad had the edge over lad, beating his son Darren in a family tussle.
Terry caught 37 whiting and a dab for 33lb 14oz, while Darren caught more fish - 38 whiting, a codling an a dab - but they totalled a little less at 32lb 2oz.
Phil Smith came third with 12 whiting for 9lb 4oz.
Mark Smith caught the biggest fish of the match. He headed for Boulby and caught a codling of 2lb 8oz.
Tomorrow’s match is a mini-rover fished from Saltburn to Skinningrove from 5-9pm. Meet at Saltburn car park from 4-4.15.
MIKE Ayton caught a Ray’s Bream at Kettleness, the first of the species to show this winnter. They sometimes appear in big numbers off the North east coast.

domain: hobby


53 of 89
Eddie Montgomery, left, and Troy Gentry of Montgomery Gentry are see on stage at the 46th Annual Academy of Country Music Awards in Las Vegas on Sunday, April 3, 2011. (AP Photo/Julie Jacobson)
©2014 KTVK, Sander Holdings Company. All Rights Reserved.
Powered by Broadcast Interactive Media.


EDMONTON – New Brunswick Premier David Alward has told Alberta’s legislature the proposed Energy East pipeline to his province is not just about resources, it’s also about creating thousands of jobs across Canada.
Alward urged premiers to work as one and push forward on the pipeline, which he once again compared to the national railway as a country-building project.
Both Alward and Alberta Premier Alison Redford are backing TransCanada’s $12-billion pipeline as critical to boosting the national economy and reducing Alberta’s backlog of crude.
The 4,500-kilometre line from Alberta to the deepwater port at Saint John would give Canada access to non-U.S. customers and reduce Eastern Canada’s heavy reliance on higher-priced foreign oil.
The proposal is in its preliminary stages and both Ontario and Quebec say they want more information on the impacts on their economies and on the environment.
A report prepared for TransCanada estimates the line would create 10,000 jobs during construction and 1,000 permanent jobs to go with billions of dollars in tax revenues for the six provinces involved.


text:
Just remember to keep an eye out for free squeakers that your canine could swallow. Stuff two of your canine’s favourite bones in this toy and watch her go to town.
This is a plush, Frisbee-like ring that comes in different sizes and colours, with some heavy-duty stitching around the edge and a quantity of squeakers inside. My canine Audrey was fascinated with this toy from the second it was unwrapped. It’s slightly too massive for her, which makes for some goofy poses and comedic struggles, but she still proudly brings it from room to room to show it off.
The inside Dura-Tuff lining is reinforced with double stitching, which makes it the last word problem for an influence chewer to successfully pierce by way of and try and destroy. There’s no stuffing, so you won’t have to fret about finding scraps of cotton scattered across your carpet. Instead, they come with multiple squeakers that fulfill your dog’s crunching needs and optimize enjoyable – solely on the sake of your eardrums. The squeakers keep https://smartdogstuff.com/indestructible-dog-toys/squeaky/ the toy’s softness, so your canine won’t have to sacrifice cuddliness for durability. The toy is available in three completely different sizes, so you’ll find a way to select the best one based mostly on the size of your pup (and/or the scale your pup thinks they are), and is available in a number of enjoyable animal designs. It’s perfect for tugging, tossing, or just plain chewing.
Any dog may chew excessively for quite a lot of causes. Some widespread causes that canines chew embrace boredom, as an anxiousness outlet, for relaxation/recreation, or out of habit.
Pet firms despatched packing containers of samples for testing. Some had been sturdy canine squeaky toys canvas canine toys made of fireplace hydrant material. Brody is extra persistent than a tiger with his squeaky toys. Just about each dog loves a great bone, but not each proprietor loves the mess or the smell. They’ll additionally assist keep enamel clean and canine’s breath fresh , whereas this explicit model has a beefy bison flavour . With small and large variations to cowl different breeds, this is one massively satisfying chew toy.
What is Really Happening With Squeaky Dog Toys For Aggressive Chewers
Your pup could have a blast weaving through six poles, hopping through the high bounce, and bounding via the tunnel — all for treats, after all. A pup who likes to take away all of the insides after which eat it? Give your doggie the pleasure of a delicate toy without the fear of heading to the hospital. Just as a outcome of it’s raining exterior doesn’t mean you want to cancel fetch. Indoor ball is light-weight, durable, and ideal for any indoor play.
The traditional design makes for some pretty cute moments, too. It comes in a few flavors, however of the 2 we’ve bought, the original taste is the one in heavy rotation. She is an actual canine individual, she was introduced to her first puppy at the age of three and since then she would rescue every pooch she met.
Each toy’s a number of squeakers will keep squeaking even if the soft a half of the toy is punctured. While some Labs develop out of their must chew, others stay harmful chewers into maturity. Many house owners attempt to handle this by offering their pup with baskets of canine toys, half of that are destroyed by the end of 1 play session. These canine rope toys are made using natural leather-based, wool felt coverings, and heavy-duty stitching in numerous sizes and adorable shapes.
For a safer chew toy choice, experts instructed toys created from a tough, durable rubber, as an alternative. Like most good squeaky dog toys for aggressive chewers, this Nerf is made from high-quality rubber that’s BPA-free and FDA-approved. The brilliant colours of the toy won’t let you lose it even in the busiest location, and the light-weight design of the ball makes it tremendous straightforward to carry round. The Outward Hound Fire Biterz toys are created from actual fireplace hose materials – sure, you learn that right! These plush toys are produced from tightly-woven rubber fibers of fireplace hose materials and a K9 Tuff guard lining for longer durations of play. This toy is built for play rather than for chewing, but should final your pup longer than the typical plush toy.
Interactive play is very important for your canine because they need energetic “people time,” which boosts the bond between you and your pet. Try balls, flying disks and other toys that assist foster the bond between individual and pet. “Busy-box” or “feeder” toys are giant rubber shapes that can be full of treats. By moving the cube round with their nose, mouth and paws, your canine can get to the goodies.
Tender and cuddly on the surface nevertheless durable and powerful, the KONG Wild Knots Bears are beloved by canines. The interior knotted rope satisfies a canine’s natural instincts, and the strengthened plush physique provides further sturdiness. Squeaky toys beneath most circumstances are finest for interactive play between you and your canine or single play underneath your supervision. Dogs should be monitored very intently when having fun with with other canids. Giant canines shouldn’t be allowed squeaky toys around small breeds, cats, or younger children. Pets with aggressive and possessive tendencies should most likely not be uncovered to squeaky toys.
These toys are available three sizes and can be found in ten adorable shapes. Dogs love to play with anything they will get their arms on — rope toys, tennis balls, stuffed animals, and random shiny objects. However, in case you have a chew-happy pup, you probably can hardly get toys out of the package deal earlier than they’re decimated.
Before You are Too Late obtain the Scoop on Dog Squeaky Toy
This toy includes three squeaky squirrels and an opulent tree trunk. You canplay hide-and-seek along with your dog, and the 2 of you’ll have a blast. The toy comes in various sizes so you’ll be able to select the most effective measurement for your dog’s breed. Make positive you analysis every attainable approach to see if your canine likes the sound.
While the Jive Zogoflex was sturdy sufficient for most canine, it isn’t excellent. A few owners additionally mentioned that it was a bit heavy, especially for small dogs. This toy is great for tugging back and forth with your four-footer, and it additionally works great for fetch-style games . Additionally, several homeowners reported that – with proper use — their Tuffy Ultimate Ring has lasted for a very long time. Unlike most different dog toys listed right here, this one is made in Mexico, not the USA. Not solely is it tough as nails, it’s also nice for enjoying fetch along with your strong-jawed pooch.


Cartes USA Inc. began its operations on January 1, 2020, in collaboration with a new partner company, Diversified Graphic Machinery.
“By affiliating with Diversified Graphic Machinery, Cartes USA is able to hit the ground running in North America by providing service, spare parts and technical support to our existing and future North American customers," says Mario Lodi, chairman of Cartes.
Cartes has been designing, engineering and manufacturing label machinery for the past 50 years, offering a wide range of modular label machines. Various configurations include hot foil stamping, flat bed silk-screen printing, UV flexo printing and varnishing, cold foil, UV cast and cure, flat-bed diecutting and embossing units. Plus, Cartes' patented semi-rotary diecutting and Laser Technology units for diecutting and label converting are also available.
"Along with DGM, Cartes USA will be able to deliver on promises that are fundamental to our goal of being a credible and reliable partner for your business," adds Lodi.
“Cartes recognizes the importance of the North American label manufacturing market," explains Virgilio Micale, sales director of Cartes USA. "I look forward to meeting with companies all across America to understand their individual product requirements. I want to work together with customers to study their projects and offer new cost savings solutions that utilize our technology. We introduced our laser diecutting technology to the market over 21 years ago, and we have installed over 300 machines in 45 different countries around the world. We have pioneered laser technology for diecutting of self-adhesive labels, and we are very proud to be the innovators of this technology."
In detailing the partnership, Michael DeBard, president of Diversified Graphic Machinery, says, “It’s wonderful to partner with a company like Cartes because they are committed to continually investing the required resources to advance the technology for embellished labels to the next level. We look forward to working together with Cartes USA, as together we can bring our clients the most innovative, cost-effective label machinery solutions that are backed by a company that is willing and capable to stand behind it."


Announced back in January, Sony has now officially launched Xperia Tablet Z in India at hefty price of Rs. 46,990 INR. That’s 47k rupees for android tablet! This is the launch price from Sony, but the market price is about Rs.2000 lower i.e. at Rs.44,990 (45k rupees). This tablet is currently available from popular online retailers like, Flipkart, Infibeam, Saholic, Snapdeal, etc at Rs.44,990.
Talking about its specifications, Sony Xperia Tablet Z is similar to its smartphone brother Xperia Z. Most of the specs are the same , except that the tablet has 8mp rear camera, 10.1-inches display, 1920*1200 pixels resolution. This is powered by quad-core Snapdragon S4 Pro processor clocked at 1.5GHz and 2GB of RAM. At front, it sports 2.2 megapixel camera as well. It has 3G, WiFi, Bluetooth, NFC connectivity as well. You can connect it to HDTV via MFL as well. The amazing aspect of this tablet is that it is one of the thinnest and lightest 10-inch tablet available. It weighs just about 495g and is just 6.9mm thick. Of course, this tablet is one of the best android tablet available in terms of specifications, but still, we think that this tab is overpriced. For a tablet with just 16GB of internal storage, the pricing seems ridiculous.
We don’t exactly understand why Sony Xperia Tablet Z is ridiculously high priced!
Is it because of its waterproof capabilities? If yes, who wants a tablet that is waterproof? I mean waterproof capabilities in phones are good, but it’s not that necessary in 10-inch tablet. Is it because of its physical dimension and weight? I know that this tablet is really very thin and it weighs less as well, but if I’ve to pay such high price for such dimensional advantages, I’d rather choose a tablet that is reasonably priced, overlooking these features. I was excited that Sony has finally entered android market with really good products, which are prospective and competitive in terms of specifications, but the pricing is highly not-competitive. At such price, this tablet doesn’t seem to be a good sell. And therefore, we highly suspect that the price will go down soon. So, if you can hold your patience, it’d be rewarding as you might get it cheaper later. Feel free to share your views in comments!


text:
Cars are responsible for approaching a fifth of Europe’s carbon dioxide (CO2) emissions. The amount of CO2 produced is directly related to the amount of fuel the vehicle consumes – lower carbon vehicles are therefore more fuel efficient and cheaper to run. Lower fuel costs for drivers boost consumer spending in other areas creating jobs.
In 2009, the EU set legally-binding targets for new cars to emit 130 grams of CO2 per kilometer (g/km) by 2015 and 95g/km in 2020. In July, the Commission announced the outcome of its review of the modalities (ways) of achieving the 2020 target. Its proposal confirms the 95g/km target but outlines a series of unnecessary flexibilities that weaken the target leading to less efficient vehicles being sold. The benefits from the regulation would have been even greater had the Commission shown more ambition; this paper outlines how and the benefits that would result.
T&E Member RAC (Réseau Action Climat) also published a position paper in French on this topic. See here.

domain: politics


text:
Tang-e Kureh-ye Sofla
|Tang-e Kureh-ye Sofla
تنگ كوره سفلي
|Rural District||Zalaqi-ye Sharqi|
|Time zone||IRST (UTC+3:30)|
|• Summer (DST)||IRDT (UTC+4:30)|
Tang-e Kureh-ye Sofla (Persian: تنگ كوره سفلي, also Romanized as Tang-e Kūreh-ye Sofla) is a village in Zalaqi-ye Sharqi Rural District, Besharat District, Aligudarz County, Lorestan Province, Iran. At the 2006 census, its population was 35, in 8 families.
- Iranian National Committee for Standardization of Geographical Names website (Persian)
- "Census of the Islamic Republic of Iran, 1385 (2006)". Islamic Republic of Iran. Archived from the original (Excel) on 2011-11-11.
|This Aligudarz County location article is a stub. You can help Wikipedia by expanding it.|

domain: geography


text:
Animals, Agriculture & Food
Chitin Oligomers For Use In Promoting Non-Leguminous Plant Growth And Development
Inventors: Jean-Michel Ané, Audrey Kalil, Junko Maeda
Methods for stimulating the growth of non-leguminous plants are disclosed. In the methods, a non-leguminous plant, a part thereof, or a seedling or seed thereof is contacted with a composition comprising a chitooligosaccharide (CO). The method can be used to stimulate production and yield in a cereal grain crop plant, such as rice, wheat or corn (maize).
Stage of Development
The development of this technology was supported by WARF Accelerator. WARF Accelerator selects WARF's most commercially promising technologies and provides expert assistance and funding to enable achievement of commercially significant milestones. WARF believes that these technologies are especially attractive opportunities for licensing.


text:
Celebrities can be people you admire, if you look at their hard work and the resulting financial worth they can boast. Below are seven examples of admirable musicians and acting professionals on any top celebrity net worth list.
Zakk Wylde: As a songwriter and musician, Wylde is well-known. He is also known for his talent in playing numerous instruments. His worth is surprisingly low at only $16 million, but his focus has been more on the music and less on putting himself out there for the cash.
Jason Lee: An actor, film and television producer and well-known comedian, Jason Lee went from his birth in California in 1970 to a recognized role in My Name is Earl and a net worth today of $18 million. His work has been recognized and admired for its entertaining comedy and its variety, since Lee has also been in Mallrats and Dogma and has voiced Video Games like Disney Infinity and Tony Hawk Project 8.
Eva Longoria: As a model and an actress known for her Desperate Housewives role, Longoria is admirable because she started out working at Wendy’s and ended up worth $35 million and a household name. She also has been recognized as one of the hottest female stars and as one of the sexiest women alive. Those are pretty impressive marks for her celebrity history, considering her start like the rest of us with fast food experience.
Madonna: Madonna is worth $800 million. Her music is known to multiple generations and her work is admired by countless people the world over. Her notable look and signature style is something that has yet to be matched or outdone by anyone else in the industry.
Celine Dion: Celine is worth $730 million. Her work as a singer has reached many people in a way that others cannot describe but feel very strongly about. Her song My Heart Will Go On grabbed attention during the movie Titanic, which was a very popular money making film. She also is known for Falling Into You, an album that garnered Grammy Awards and sold more than 32 million copies.
Brad Pitt: Born in Oklahoma, Pitt has long been recognized as one of the sexiest and most versatile actors in the business. His work in Mr. and Mrs. Smith, Seven, The Curious Case of Benjamin Button and Legends of the Fall has made it more than logical that his worth is currently at an impressive $250 million. What makes it even more interesting is that Pitt has a history of work in the fast food industry like the majority of the US, with his first job being at El Pollo Loco.
Drew Barrymore: Actress Drew Barrymore is worth $125 million, which is no surprise considering the many roles she has played, including her start with E.T., her role in Charlie’s Angels and her work in Never Been Kissed. Barrymore has also been a popular host of the long-running variety show Saturday Night Live.
When it comes to celebrity net worth, you may or may not be surprised to hear some of these results. However, keep in mind that most of these people are still very much in the public eye and still earning money, so their worth can continue to grow.


text:
An art deco hotel design offers a fresh and creative approach to hospitality. Located on the Balearic island, the Paradiso Ibiza Art Hotel embraces this aesthetic alongside other alternative accommodation programs.
The establishment boasts art and creativity in the heart of the "party island." Its art deco hotel design is communicated through the strategic use of color, materials and geometric arrangements that have a welcoming and inspirational ambiance for travelers. The interior, which strongly references the architecture along Miami Beach, is the work of Spanish studio Ilmiodesign.
Paradiso is not only design-forward in appearance, however. The hospitality destination also hosts "a comprehensive arts programme for guests and other tourists to enjoy during their stay." From candy-colored rooms to in-house installations, the Paradiso Ibiza Art Hotel is a dynamic hybrid that fuses creativity with travel.
Art Deco Hotel Designs
More Stats +/-
Historic Mediterranean Hotels
Eco-Friendly Private Island Resorts
Luxe Bank Building Hotels
Royal Boutique Hotels
Raw Wood Countryside Hotels
Free 2019 Report & eBook
Get the top 100 trends happening right NOW -- plus a FREE copy of our award-winning book.
Our Research Methodology
This article is one of 350,000 experiments. We use crowd filtering, big data and AI to identify insights.


text:
by Neil H. Buchanan
[Update: I have edited the fourth-to-last paragraph below to reflect that the Lewinsky scandal grew out of the Republicans' breathless pursuit of the Paula Jones case, not -- as I originally wrote here and in the linked March 2015 post -- out of the Whitewater investigation.]
FBI director James Comey announced today that the Bureau would not recommend that charges be brought against Hillary Clinton for using a private email server during her years as Secretary of State.
Although Comey's statement included what a New York Times reporter described as "an extraordinary public tongue-lashing," that tongue-lashing was actually rather mild: "'There is evidence to support a conclusion,' [Comey] said, that Mrs. Clinton 'should have known that an unclassified system was no place for that
That is hardly the stuff of political bumper stickers. It is annoying to the Clinton campaign, no doubt, but in the larger sense they are probably better off with a "mixed" report from the FBI rather than a full exoneration.
In any case, the new round of conspiracy theories has surely already begun. I have not yet forced myself to read any of the right-wing responses to Comey's announcement, but this is all painfully predictable. The fix was in, right-wingers will say, with the Clintons and the Obama White House making sure that the FBI did their bidding.
But what about the kerfuffle over the brief meeting between Bill Clinton and Attorney General Loretta Lynch last week, and Lynch's subsequent agreement not to overrule the FBI? Well, any conspiracy theorist can tell you that the whole thing was a set-up, with Bill Clinton planning to make a "mistake" in public and then apologize for it, and Lynch playing her part in the drama to make it look like the political appointee had not influenced the result.
Which means, of course, that it is possible to claim that Comey himself was in on the conspiracy. As I noted above, his mixed exoneration of Clinton is in some ways good for her, because now it does not look like the FBI was completely siding with her. But for those who are so inclined, that merely means that the mild rebuke was part of the whole plan, so that Comey would not look like the patsy that he surely must be.
And all of this then allows Clinton-supporting bloggers like me to play our part in the grand scheme, by going meta on the whole thing with posts like this one. Thinking through the possible sub-conspiracies within the bigger conspiracy would be fun if it were not so dreary.
Leaving aside the conspiracy nuts, however, there are a few interesting aspects of this story that merit some additional comment.
It is notable that the Democrats' response to the Bill Clinton-Loretta Lynch meeting was to quickly say, "Nothing happened, but we can understand why this looks bad, so we'll bend over backward to make it clear that we are not improperly influencing the investigation, by forsaking the Attorney General's standard role in making the final decision in cases like this." That is really the best that they could do under the circumstances, once Bill Clinton made that stupid decision to talk to Lynch. (Again, this will not satisfy the conspiracy theorists, but nothing will satisfy them.)
The more interesting question is how the Republicans would handle this kind of thing if the roles were reversed. But there is no reason to wonder, because we already know what they would do. In fact, there are plenty of instances where the Republicans have had to deal with negative facts and arguments regarding things that they say and do, and they always dig in their heels and refuse to admit that they are wrong.
Take the Benghazi investigation (from which the email server issue emerged). Inquiry after inquiry failed to show wrongdoing by Hillary Clinton, and no evidence emerged to back up the accusations about her alleged mishandling of the attack. Yet the Republicans insisted on one last gasp, creating the "special" Benghazi committee to waste yet more time and millions of public dollars going over the same ground. When it was all over, committee chair Trey Gowdy gave the worst performance of playing dumb that I have ever seen.
Even so, Republicans (and not just the conspiracy theorist right, assuming that the two groups are still distinguishable) are not letting this go. One Republican on the committee, even as the report was being issued, referred to Hillary Clinton as "morally reprehensible." Big surprise.
But this is now standard operating procedure for Republicans. Three years ago, they claimed that the IRS had been directed by the Obama White House to target right-wing groups, and now -- with, again, multiple inquiries failing to turn up any evidence to support the Republicans' irresponsible charges -- they are still using congressional resources to try to prove their point.
A minor variation on this pattern showed up after the Supreme Court decided against the state of Texas in its recent abortion case. There, the Court's majority noted that the two special medical requirements that Texas imposed on abortion clinics were medically unnecessary, and it also noted that such requirements were not imposed on doctors and facilities that engaged in much more medically risky procedures.
The evidence for that conclusion was incontrovertible, but it never mattered to Republicans. They insisted throughout the case that it was all about protecting women, and even after they lost the case, they were still repeating that same discredited talking point. I understand sticking with a script, but this is ridiculous.
More to the point, this is one of the many areas in which the claim, "It's just politics, and both sides do it," is simply wrong. Consider Hillary Clinton's response to the email issue. As I noted in a Dorf on Law post when the case first broke in March 2015, the immediate reaction by Clinton and her backers really was nothing short of embarrassing, with the same kind of transparently non-responsive claims that we so often see from Republicans.
Over time, however, Clinton grudgingly owned up to the facts in a way that Republicans seem incapable of doing. To be clear, I am not at all congratulating Clinton or her advisors on the way they handled the email story. Their statements and actions seemed secretive and obstructionist, and given that they eventually had to change their story, they unnecessarily fed into the trope that Clinton is "dodgy."
But it is much better to deal with people who can eventually be dragged to where they ought to be, even if it takes some time. The Republicans can certainly claim that they have been consistent, but they have been consistently wrong, and even worse, they simply make the same discredited statements over and over again. (See also, "The people must be able to decide who the next Supreme Court justice will be." Who cares what the Constitution says?)
And as I noted in my March 2015 post about the email server, why would the Republicans want to change their ways? Being obsessed with Benghazi gave them the gift of the email server issue, in exactly the way that their pursuit of the Paula Jones case in the 1990's eventually gave them the gift of the Lewinsky scandal. Republicans have learned that all you have to do is refuse to admit that your position is wrong, and the press will treat it as a matter of mere partisan disagreement.
This really is, therefore, the end of serious discussion about the Clinton email story. But the non-serious discussion, as active as it has been for the past sixteen months, has barely begun. Republicans will surely include both the email server and Benghazi on the list of things that make Clinton supposedly untrustworthy, and they will simply ignore the fact that both of those proto-scandals (along with all of the others) have gone nowhere.
At some point, in the very near future, even many liberals will surely say things like, "I don't know, but there's something about the Clintons that makes me uncomfortable. Whitewater, the email thing, some other stuff that I can't remember, Benghazi, and what was the final word on that Vince Foster murder, anyway?"
We are now seeing, therefore, how the "throw enough feces against the wall and some of it will stick" strategy actually works. It is not necessary for any of it to stick in the sense that at least one of the accusations has merit. At any given time, people just see a lot of sh*t sliding down a wall, and they think that some of it must be sticking. And this is the core political strategy of one of our two major political parties.


text:
BlueNalu says it “cracked the code” to profitability in cell-cultured seafood production
San Diego, California, U.S.A.-based BlueNalu is planning to build a large-scale facility to scale up its cell-cultured seafood production
The company has “cracked the code to significant profitability” and that the new facility will be critical to its projection of 75 percent gross margins once it is completed and online. That estimate is based on the company’s premium product and market focus and new technologies it has developed that reduce operating and capital costs ...
Image courtesy of BlueNalu


text:
Hypercalcemia occurs when the quantity of solution ionized (maybe not total) calcium supplements expands. it could be projected using the complete solution calcium and you may albumin density. A difference of 1 g/dl out-of albumin in both guidelines commonly dictate serum ionized calcium by 0.8–step 1.0 milligrams/dl in identical guidance. Which quote isn’t necessarily real and also in certain situations, instance paric bloodstream disorders, hyperphosphatemia, while the exposure off acid-ft problems, measuring solution ionzed calcium are more helpful.
Logical symptoms of hypercalcemia
The severity of symptoms caused by hypercalcemia is dependent upon new magnitude of hypercalcemia in addition to rates out-of rise in gel calcium supplements. Intestinal symptoms may be the most commonly known, along with nausea, nausea, irregularity, and abdominal pain. Patients may also whine off issue focusing, tiredness, listlessness, and you can muscle tissue exhaustion. Hypercalcemia can lead to a good nephrogenic diabetic issues insipidus having resulting polyuria you to definitely worsens the new hypercalcemia due to regularity depletion. Cardio effects become hypertension and reducing of one’s QT interval towards the new electrocardiogram. Although cardiac arrhythmias try unusual, they are more likely with digitalis poisoning. Significantly, hypercalcemia, especially in the backdrop away from volume destruction may cause serious renal incapacity.
Differential Medical diagnosis off Hypercalcemia
The preferred factors that cause hypercalcemia are malignancy and you can hyperparathyroidism. For the majority education, both of these diagnoses account for more than 80% from circumstances cuatro , 39 . The rest grounds are offered for the Number 1 and some discussed in more detail less than.
In recent times most cancers keeps exceeded no. 1 hyperparathyroidism as the most popular factor in hypercalemia. Their exposure in cancer clients confers a terrible medical diagnosis. According to the version of cancer malignancy, hypercalcemia might result from just one) lead invasion from limbs on account of metastatic condition (Regional Osteolytic Hypercalcemia; LOH), 2) because of the creation of releasing things one trigger osteoclastic resorption of bones or step three) increased production of calcitriol hence makes gastrointestinal assimilation away from calcium. LOH occurs most commonly with cancer of the breast and you can numerous myeloma for the which cyst tissue within the bone matory cytokines along known just like the osteoclast activating activities leading to internet limbs resorption and you can hypercalcemia 20 . Humoral hypercalemia regarding cancer malignancy is caused by secretion out of parathyroid hormone associated peptide (PTHrP) of the malignant cyst structure. PTHrP carries similarity to help you PTH just regarding initial 8 amino acid sequence, however, its binding towards PTH receptor is essentially the same resulting in improved bone return and you may hypercalcemia. Specific assays are available to separate distributing quantities of PTHrP regarding PTH. Individuals lymphoid cancers, most notably Hodgkin’s lymphoma, have been shown to synthesize large volumes of calitriol and therefore serves directly on this new intestinal tracts and kidneys to boost calcium supplements assimilation and you will reabsorption causing hypercalcemia.
The newest chance away from hyperparathyroidism possess refuted in the last three decades, however it is still the next popular reason behind hypercalcemia. Regarding the most of circumstances, it is due to a benign adenoma of just one parathyroid gland one autonomously secretes PTH, otherwise priilial Eugene escort sites otherwise handed down since the some the constellation regarding several hormonal neoplasia (MEN). The newest elevation when you look at the PTH contributes to increased intestinal reabsorption away from calcium by the revitalizing the creation of calcitriol, enhanced osteoclastic limbs resorption, and you will enhanced renal tubular reabsorption out-of calcium. Towards the elevation for the solution calcium supplements thin number of c blocked calcium supplements, this new kidney might not be in a position to reabsorb all calcium causing hypercalcuria and nephrolithiasis.
Second hyperparathyroidism comes from diffuse hyperplasia of parathyroid glands in the reaction to lingering stimuli particularly hypocalcemia otherwise hyperphosphatemia. Additional hyperparathyroidism can also end in hypercalcemia whenever big due to increased bone resorption. not, really patients which have CKD levels step 3–5 (projected GFR fifteen ml/min) is actually hypocalcemic as a result of the lower levels off calcitriol. Tertiary hyperparathyroidism is actually a term accustomed explain hyperplastic glands you to definitely be adenomatous, which unresponsive, through the years. It’s usually noticed in CKD once many years of secondary hyperparathyroidism thirty-two . With a kidney transplant, the fresh PTH has been produced ultimately causing hypercalcemia 33 .


text:
By Karl Quinn
Obi-Wan Kenobi ★★★½
Over the first two episodes of Obi-Wan Kenobi, which dropped on Disney+ last Friday, all the strengths and weaknesses of the ever-expanding Star Wars universe – which has shifted its focus from big screen to small since the disappointing performance of the spin-off movie Solo in 2018 and the mixed reception to The Rise of Skywalker in 2019 – are on display.
The immaculate (if derivative) world-building, the fusion of medieval chivalry and futuristic sci-fi, the cherry-picking of the western and the samurai genres all make this, the third live-action streaming series (after The Mandalorian and The Book of Boba Fett) eminently watchable.
But the reliance on well-worn tropes, both from within its own canon and from the greater realm of mythology and religion beyond, make it feel predictable and occasionally a little tired.
And as ever in this universe, thin characters, an over-reliance on fan service, and the fetishising of cuteness, ugliness and Otherness are a bit of a bore.
The new six-part series is set 10 years after the events of Revenge of the Sith, the final film in the much-maligned prequel trilogy, which ended with the burnt-to-a-crisp Anakin Skywalker being salvaged from the lava and retrofitted with gleaming chrome, glossy black trimmings and a dashboard sound system to become Darth Vader, the evilest Chevrolet in the universe.
But when we first meet Obi-Wan Kenobi (Ewan McGregor) here, he doesn’t even know Anakin has survived. The Force should surely have alerted him to the growing strength of the Dark Lord, but Obi-Wan – now going by the name Ben (as he did when we first met him in 1977) and working as some kind of sushi chef, carving huge chunks of flesh from a giant sand shark in the desert – has dropped out to such a degree that tuning in isn’t an option. It’s a glitch in the logic of the series’ conception of the Force, but we’ll let it slide.
This Obi-Wan is like Christ in the wilderness, hiding his superpowers under a bushel even as Satan – here dressed as Imperial Inquisitors, bent on hunting and destroying the last remnants of the Jedi – tries to lure him out. He has renounced his powers because exercising them has brought nothing but trouble.
His sole self-appointed duty is keeping a watchful eye over Luke Skywalker, who is 10 years old and living with his uncle Owen (Joel Edgerton) and aunt Beru (Bonnie Piesse) is the desert. But when he hears Luke’s twin sister Leia (Vivien Lyra Blair), who is living as an adopted princess on the distant planet Alderaan, has been kidnapped he is reluctantly dragged into action.
The first episode, set entirely on Tatooine, feels overly familiar, not just from the original film but because it’s the realm of The Book of Boba Fett too. It’s a rich world, for sure, and taps into the notion of the desert as the birthplace of so many of humanity’s great religions, but the recent screen majesty of Dune has reminded us just how indebted to Frank Herbert George Lucas was.
With its shift to the techno-punk realm of Daiyu, the second episode at least looks different, even if it too is indebted, this time to the pseudo-Asian tech-noir stylings of Blade Runner.
A woefully inept chase scene in episode one, in which the pint-sized Leia outruns and outwits a team of intergalactic toughs (led by Flea of the Red Hot Chili Peppers), is simply embarrassing, and points to the dangers of working with children and Muppets ... and ageing rock stars.
George Lucas was, famously, inspired by Saturday-morning serials, made for the cinema but screened before the main attraction. In a sense, the Star Wars series now being churned out in industrial quantities for Disney’s streaming service are the apotheosis of that vision: they are cinema quality, but with the same penchant for pulpish plots and telegraphed cliffhangers.
Pacing is a real issue. If Obi-Wan Kenobi were a movie, 60 per cent of it would have ended up on the cutting-room floor, and only half of that carnage would be lamented. That often translates to a lack of urgency on screen: watch the way Ben ambles around the freight terminal as the homicidal Third Sister (Moses Ingram) closes in on him and Leia, and you’d swear he thought she was after nothing more than a cosy chat and a cup of tea.
The trailer for the next spin-off series, Andor, was released a few days ago. Set five years before the events of the terrific Rogue One movie (2016), it focuses on Cassian Andor (Diego Luna), a member of the Rebel Alliance. It looks to be a story about the resistance rather than the Force, of an oppressed people attempting to rise up against totalitarianism. And it looks great.
The Force has its fans, unquestionably. But for anyone who feels the finest moments of Star Wars have come when it has been at its most grounded, it is Andor rather than Obi-Wan Kenobi that offers new hope there may be life in this saga yet.
Obi-Wan Kenobi is on Disney+. Episode three drops Wednesday.
Find out the next TV, streaming series and movies to add to your must-sees. Get The Watchlist delivered every Thursday.


Advanced production scheduling
PRODUCTION SCHEDULINGProduction scheduling even in a medium-sized enterprise can prove to be a challenge. Willingess to meet customer expectations often collides with availability of production resources. Inevitable natural defects and problems with the implementation of tasks in complex production systems is additional problem. Mastering the issue of creating and dynamically updating schedules is practically not possible without the use of a special IT tool, cooperating on the one hand with systems processing customer orders and on the other - with real-time delivery systems.
WHAT DO WE EXPECT FROM AN ADVANCED SCHEDULING SOFTWARE:
- Adaptation to various types and sizes of production systems;
- Possibility of scheduling and re-scheduling as well as optimization of production plans “forward” and “backward”;
- Managing and determining the consequences of schedule changes;
- Early detection and active avoidance of bottlenecks and material shortages;
- Fast sharing with other systems: schedules, resource required specifications, and time dependency compliance
- Tracking the completion of schedules in real-time, including material consumption, system events and their impact on the integrity of the schedule
ROB-EX SCHEDULER – ADVANCED SCHEDULING TOOL WHICH PROVIDES
- Automatic import of production orders and bill of materials (BOM) from ERP systems;
- Determining order completion time based on the actual available resources, efficiency and performance of the production system;
- Instant what-if analyzes based on various scenarios in real-time;
- Optimizing and balancing the production plan with available production resources;
- Convenient and intuitive scheduling in a graphic environment;
- Providing up-to-date data on: production execution , WIP, performance indicators, production shortages, etc., and automatic updates in the ERP system;
- After integration with the MES system – tracing the production genealogy: process trees, reports for withdrawn products, process change management, etc.
- Presentation of reports in the selected format and searching for the sources of problems with the use of advanced analytical tools.
The efficient implementation of advanced scheduling tasks in the Scheduler system is possible thanks to the integration with other GE applications, which constitute a complex, complementary ecosystem that allows achieving operational excellence.
MORE ABOUT ROB-EX SCHEDULER >>


In East L.A., activist Vanessa “Coyolxauhqui” García had a sad and broke down crying at a community meeting right before the end of the year. Garcia was distraught at the gap between her aspirations and the sad state of the world.
In the San Fernando Valley, adult video editor Roberto Mendoza faced an uncertain future after being fired for browsing Internet spreadsheets at work.
And in New Jersey, a bottle of Jean Naté was regifted to its original gifter 19 years after its purchase at Rexall.
In the final year of the Mayan Apocalypse, the Year of the Chancla, these stories broke the ñews on POCHO:
Can you donate $5 or $10 so we can make more ñews y satire?
- Local Latina activist tearfully faces reality: ‘I can’t save the world’
- Last known bottle of Jean Naté is returned to original gifter
- Porn video editor fired for browsing spreadsheets at work
- Meet my elementary school hero: ‘Facundo the Great’ (video)
- Say goodbye to 2012, ‘The Year of the Chancla’ in Mayan Calendar
- Happy New Year from Your National Rifle Association (toon)