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During the period when we’re having to stay at home and to spend a lot of time with our own household members, we realise this can cause you extra challenges if you live with domestic abuse. There is never an excuse for domestic abuse, no matter what the circumstances. CHS will not tolerate it, and will support you, as will lots of other organisations.
If you are already affected by domestic abuse, or feel more at risk of abuse, there is help and support available to you. You can still contact helplines, online support, refuges and the police. The government’s instruction to stay at home as a result of COVID-19 does not apply if you need to leave your home to escape domestic abuse. Click here for more information on keeping safe and getting help.
If you are in danger, call 999 – and press 55 on a mobile if you are not able to talk – this will take you straight to the police who will be careful to find out safely what you need.
The abuse you go through may not be physical violence – it might be financial control, sexual abuse, emotional abuse, verbal abuse. Does your partner :
- Stop you keeping in touch with family and friends, even while you can’t visit them?
- Control your money, or not give you enough to buy essentials?
- Blame you for abuse or arguments?
- Threaten you?
- Push or shove you, or worse?
- Read your emails, texts or letters?
- Destroy things that belong to you?
There are many other signs that you may be in abusive relationship. Anyone can be subjected to domestic abuse, and should not feel afraid to report it; you are not alone, and there is help available.
While everyone is spending a lot more time at home, you may be worried about what you hear from your neighbours’ homes. If you are worried that a neighbour may be suffering domestic abuse, you may be able to help them report it to the police, or listen to them while they decide what they want to do, without pushing them if they aren’t ready yet. You can also call the national helpline (0808 2000247) for advice on how support them. If you think they are in immediate danger, call 999. Or call CHS and tell us why you are concerned, we will help.
If you are worried that you or someone you know may be an abuser, you can also seek help. Respect is an anonymous and confidential helpline (0808 8024040) for men and women who are harming their partners and families.
For more advice and to find out how to seek help, go to
National Domestic Abuse Helpline 0808 2000247
https://www.womensaid.org.uk/covid-19-coronavirus-safety-advice-for-survivors/ (with a link to Live Chat Monday to Friday 10 -12 pm)

domain: psychology


text:
Hanley Ramirez told Mark Saxon of ESPN Los Angeles last Tuesday that he was going to return from the disabled list “way sooner” than expected. And it appears he wasn’t being overly optimistic.
According to Dylan Hernandez of the Los Angeles Times, Ramirez is on track to embark on a minor league rehab assignment next week and is hoping to join the Dodgers after just three games on the farm.
Hanley was given an eight-week rehabilitation timetable when he tore a ligament in his right thumb while playing third base for the Dominican Republic in the 2013 World Baseball Classic. He had surgery on March 22 and should be ready for activation by the second week of May. That’s a pretty remarkable recovery for a guy often labeled as apathetic.
The Dodgers have been using Justin Sellers and Luis Cruz at shortstop in Hanley’s absence.
“A” switch pitcher is probably not the most accurate way to put that. It’s more like “The” switch pitcher, as Pat Venditte of the Mariners is the only one extant.
Last night the right-handed hitting Adrian Beltre had to face Venditte, who obviously chose to pitch righty to the Rangers third baseman. Before coming up to the plate, Beltre jokingly donned his helmet backwards and pretended that he’d hit left-handed:
He needn’t have bothered. Beltre doubled to left field off of Venditte, showing that at some point, platoon splits really don’t matter.
Major League Baseball and the Major League Baseball Players Association announced this morning that they are contributing $250,000 to assist victims of the devastating floods that recently hit Louisiana.
The $250,000 contribution is being divided among three charitable organizations: The American Red Cross will receive a $125,000 contribution and two charities connected to Major League Players – the Baton Rouge Area Foundation and High Socks for Hope – will each receive a $62,500 contribution.
According to the joint press release, several players with connections to the area, including Reid Brignac, Will Harris, Wade LeBlanc, Mikie Mahtook, Anthony Ranaudo and Ryan Schimpf were consulted in determining which organizations would receive funding support.
Nice move, union and league.

domain: sports


text:
‘Skins officially add Trent Williams, put Mike Williams on NFI list
The Redskins have made it official -- offensive tackle Trent Williams, the fourth overall pick in the draft, officially is a member of the team.
And a former fourth overall pick in the draft, Mike Williams, isn’t. At least for this year.
The team announced that Mike Williams has been placed on the reserve/non-football illness list. Williams, who made an impressive return to the NFL last year with the Redskins after several seasons out of football, reportedly has blood clots near his heart.
It’s unknown whether Mike Williams developed the blood clots from doing 300-yard shuttle runs.

domain: news


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Invincible Tramp: A Chinese Version of Immersive Game Experience Beyond Imagination! (Download and Install Invincible Tramp: Enjoy a Unique Vagabond Life on Your Mobile Phone!)
Invincible Tramp: A Chinese version of an immersive game experience beyond imag
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“X-GAME” created by the original team, endorsed by the “Perfect World” team developed by NetEase. “Invincible Tramp: A Chinese version beyond imagination” is a mobile game with the theme of time travel and adventure.
In this game, players will play as an abandoned little girl and spend a wonderful and long time with partners. In the game, you will play as a little boy, explore the unknown world with your companions, and uncover the dusty truth of history. The game also has a rich storyline, interesting battle modes, and rich and interesting story content, allowing you to experience various plot scenes in the game and compete with other players!
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domain: game


text:
There has been no let-up recently in global monetary policy tightening.
India raised interest rates on Wednesday. South Africa raised rates yesterday. With industrial production in the euro area rising 0.9 percent in April, the ECB is likely to raise rates next month after noting in its latest monthly bulletin that "risks to price stability over the medium term have increased further".
The Federal Reserve could hike rates too, especially after yesterday's economic data. From Bloomberg:
Retail sales in the U.S. rose twice as much as forecast in May as Americans used their tax rebates to shop at electronics and department stores, and record gasoline prices swelled service-station receipts.
Purchases climbed 1 percent, the most since November, following a 0.4 percent gain the prior month that was previously reported as a drop, the Commerce Department said in Washington. Purchases excluding gasoline increased 0.8 percent last month.
But the US economy is far from out of the woods.
Initial claims for unemployment benefits rose to 384,000 last week from 359,000 the prior week, the Labor Department also reported today.
Still, the Federal Reserve has to watch out for inflation.
A separate report today showed that prices of goods imported to the U.S. rose 2.3 percent in May from the previous month, less than economists had forecast.
Disinflation from China is no longer helping out on this front. From AFP/CNA:
China's inflation rate was 7.7 percent in May, easing from April's 8.5 percent, the government said on Thursday, as analysts cautioned that some prices had been kept artificially in check.
Food prices have eased but, at the same time, price controls meant pent-up inflation had accumulated in the world's fastest-growing major economy, according to economists...
"We all know about fuel and electricity controls, but we hear reports of firms in the food and construction industries also being told not to raise prices," said [Standard Chartered economist Stephen] Green.
"There is a lot more bottled up inflation in this economy than meets the eye."
A surge in China's money supply in May certainly does not suggest that inflation is moderating, although FDI does appear to be slowing.
Morgan Stanley economists are not convinced that there will be all that much tightening to come though. From a recent commentary by Joachim Fels and Manoj Pradhan:
Central bankers around the world continue to worry about ‘stag’, but ‘flation’ has now become their main concern. This is the loud and clear message sent by monetary policy decisions and hawkish comments over the past week or so...
Our central bank watchers around the world remain less impressed by the hawkish rhetoric than the markets. The one notable exception is in the euro area, where Elga Bartsch now expects the ECB to follow up words with action in the form of a 25bp rate hike in July and another one later this year. Yet, in the US, the UK and Japan, our central scenario remains that policy rates will be left unchanged this year... Also, we don’t expect a tightening of monetary policy in Australia and Switzerland this year, even though the risks in these countries are probably skewed towards a rise. Norway and Sweden look likely to hike, but only once, and we maintain our call for 75bp of rate cuts in New Zealand.
They conclude that inflation is likely to prove persistent in the coming years.
We looked at what would happen to the real monetary policy rate between now and end-March 2009 if central banks would in fact raise rates as implied by the money markets right now and if inflation behaved as our country economists are forecasting. Initially, the real rate would fall further into negative territory as headline inflation rises sharply in the next few months, but thereafter the real rate increases due to easing headline inflation and the rate hikes that markets expect. However, by end-March 2009, the real policy rate would only go back to zero in this simulation. In other words, monetary policy would still be expansionary at that point, unless one believes that the neutral rate of interest is zero too (we don’t). We conclude that inflation is likely to be a persistent problem in the years to come. This is not to say that inflation won’t fall after this summer. However, we are likely to see higher average inflation rates and higher peaks and troughs in the next inflation cycle(s).


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Secrets: A Story of Addiction, Grief & Healing
Secrets was written in the midst of deepest grief and is a very personal account of my journey toward healing from the loss of my daughter, Sarah to opiate addiction leading to her death by overdose. Using her journals, I merged her words with mine, giving her a voice, one she no longer had.
The ripple effects of addiction and the opiate crisis is ongoing. It is my hope by sharing our family's story, other families will recognize they are not alone. They do matter. Their children matter. Everyone deserves to be loved and recognized for their potential and worth. Writing this story was not a whim. It was a need, a compulsion. It was written to spread awareness and help others face their very personal challenges connected to addiction with knowledge and insight.
Sarah's Journals Found Me.
Her words merged with mine as our stories intermingled. My silent promise to Sarah was that her voice would be heard.
When I say her journals found me, some may say the sequence of events leading up to finding them was a spiritual experience. An awakening of sorts. Although they were incredibly painful to read, they provided insight and discernment. She seemed to finally say, "It's okay now. I want you to read them. I want you to know my heart."
Testimonials From My Readers...
"What a beautiful book and so sad, but so well-written and full of wisdom. It is a gift to everyone. People who are helping people with addiction, people struggling with addiction, and people who have lost someone to addiction. It should be read by everyone."
"This book touched home for me since I recently lost my son to an accidental drug overdose. It is beautifully written and highlighted the complexity of addiction. It shows how this epidemic can impact anyone. The negative stigma needs to be removed from this disease. Thank you for this beautiful book. Hopefully, it will help start the conversations and help end this epidemic!"
"A must read! A mother's love brings an addict to life. Sarah is no longer another sad statistic. She is a loving human being caught in the throes of a terrible disease. Anyone dealing with any form of addiction should read this book. This book may help others to recognize the signs and symptoms to be aware of. It may also help others to heal and forgive themselves and others."
"After losing my son Doug to an Opiate Overdose, I found this book to be inspiring and true to the throws of addiction and the families who go through this. Sarah's Mom's gives her a voice as she becomes gone inside herself. I loved the beautiful additions of Sarah's journals and that it shows she was just a normal daughter trying to find her way. Also, being a Mom who lost her son, I realize I am never alone and our lives are forever changed. Thank you for this beautiful book of love and loss and families in turmoil. Healing comes as we forgive and learn to remember the beautiful memories we had before the disease of addiction takes over. Remembering my son in love and light!"
Purchasing Secrets will help us in the continued efforts to spread awareness as we address the stigma attached to addiction and mental illness. Thank you for your purchase!
Available in paperback and eBook through:
Amazon Kindle, Bibliotheca, Baker&Taylor, Over Drive You may purchase through my website to receive an autographed copy. Free shipping.
Into the Forest...
A Magical Adventure...
Into the Forest
Available on: Amazon Kindle, Bibliotheca, Baker&Taylor, Over Drive You may purchase through my website to receive an autographed copy.
My readers say...
It is a well-written and poignant story written in prose with eye-catching illustrations! Into the Forest is a story many children can relate to. I work with children as a conditionally licensed professional counselor and this story easily adapted to my work with children. The artistry and the prose invite the reader to join in on the adventure of walking into a magical forest excited to learn the magical things the forest offers."
"Into the Forest reignites the memories of childhood. Once Emma is over the rock wall, the magic of our childhood imaginations, and belief in magic will flood over you! In my work with children, I believe Emma's character and adventure will spark the imagination and magic of every child, as well as their sense of empowerment!"
I loved your book! I read it every night before I go to bed!" (Aaliya is 10 years old .)
Aaliya has some ideas for the next fairy book! "Emma is going through the woods again and finds a marking on a random tree, so she looks at it close and she sees a warning. It says..."At this day, you shall remember the evil fairy has arrived. She is stalking the wood for intruders. Beware, keep safe, and don't mess around." Emma gets scared, so she runs home, only to find out there is no way back home unless she fights the evil fairy! "
Into the Forest...
is about a ten-year-old girl named Emma who longs for adventure and freedom. There is a dark and mysterious forest surrounding Emma's home, but Emma has been forbidden to go into the forest alone. She decides to take things into her own hands and formulates a plan. Emma, who is bold and daring strikes out to discover what mysteries the surrounding forest holds, only to discover a magical world that was there all along. All one needs to do is believe!

domain: literature


text:
Friday last week I packed my bags and camera and along with Robyn, (my incredible Mum) we began the 10 hour drive over to Melbourne, Victoria, to spend two full days photographing 18 amazing women.
In the amazing space of Luminosity Studios in Melbourne's Box Hill, would be where we would meet 18 of the most diverse, fun, energetic, vibrant and inspiring women.
We arrived on the Friday night and after settling in to our room and chowing down on some much needed dinner, I spent the remainder of my time before bed emailing and chatting with many of the women I would be meeting the very next morning. There was much talk of nerves, excitement and conquering fears from the women and a lot of reassurance and encouragement coming from my end.
Saturday morning approached and we excitedly entered the studio. We met with our hair stylists Tyla and Alishia and our makeup artist Claire at 9am and got all setup. The women soon arrived and each entered very nervously. As we slowly introduced everyone and they all became familiar with each other we soon noticed that the studio had turned from a space of quiet nerves to a a buzzing of chatter and laughter. Something very special seems to happen when a group of women come together with the sole aim of supporting one another. Each were there to conquer her own fears and overcome individual hurdles, but with one all-encompassing goal in mind -- raising awareness around the importance of positive body image among women today.
The Sunday was much the same... We arrived at 9am, meeting our hair and makeup guru, Bernice and setting up ready to do it all again. Another amazing group of women and another beautiful day of mental transformations. The most incredible thing was watching the mental transformations take place throughout the day. The personal barriers that these women pushed through to achieve their final image is truly inspiring. Overcoming fears surrounding their perceived flaws, fears of judgement from others and the very act of viewing oneself in nothing but underwear (and being ok with what you see) were just a few things these women faced during this emotional and empowering day of women coming together to support, encourage and comfort each other.
We wrapped up Sundays shoot with a quick slide show of all the images we had shot in Melbourne and a big round of applause and a few high-fives! The ladies spent the next few hours sharing their images and experiences proudly on social media with friends and family. "life changing", "...my face still hurts from all the smiling I did..." and "What a weekend!", were just a few of the things these women were saying after the weekend. I couldn't be more proud of these ladies and am so incredibly humbled that these women all believe in this project as much as I do.
Thank you to all that came along over the weekend to face your fears and take a stand in raising awareness around body image among women. x.
Until the next shoot...
Special thanks to the following people for helping make this shoot possible.
Jason Lau Luminosity Studios
Bernice Mansfield Bernice Makeup Artist | Hair Stylist
Tyla Miller Tyla Miller Hair + Makeup Stylist
Claire Warmenhoven Calire Warmenhoven Makeup Artist
Alishia Hair By Lishh

domain: artistic


It was obvious that Italy performed under a huge pressure as they needed a 3-0 win with a huge point difference in each set, however, Vital Heynen’s side blew the hopes of the co-hosts and grabbed the ticket for the semis.
After this result, Poland have scheduled the meeting against the USA in the semifinals, while Serbia will play against Brazil in the other semifinal pair.
World Championship, third round schedule:
Brazil – USA 3-0 (25-20, 25-18, 25-19)
Standings: Brazil 2-0, USA 1-1, Russia 0-2
Italy – Poland 3-2 (14-25, 25-21, 18-25, 25-17, 15-11)
Standings: Poland 1-1 (5-3), Serbia 1-1 (3-3), Italy 1-1 (3-5)
USA – Russia 3-0 (25-22, 25-23, 25-23)
Poland – Serbia 3-0 (28-26, 28-26, 25-22)
Day 1, Wednesday (26 September):
Brazil – Russia 3-2 (21-25, 20-25, 25-22, 25-23, 15-12)
Italy – Serbia 0-3 (15-25, 20-25, 18-25)
Check out the results and standings at the World Championship 2018 M page.
SUBSCRIBE to have full access to WoV PROFILES, STATS, and WoVVIDEO.
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Nuova Ford Focus 2021 - An actual traditional best-seller in the tiny class, the enjoyment-to-push 2021 Ford Focus may be obtained being a cheap sedan or being fully a versatile hatchback. Substantial-technician functions and fuel economy help the Focus compete with this specific Chevrolet Cruze, Toyota Corolla and also Kia Forte.
The new Ford Focus ‘is the ultimate advancement of the Focus varieties.They suggest a big amount, merely because for the survive 20 ages, the Focus has vied with Volkswagen's Golf to generally be the greatest family hatchback you are able to purchase.
2021 Ford Focus Redesign
Some say the Ford Focus will now not be replaced, but Ford desires to prove that folks are wrong by issuing the brand new 2020 Ford Focus ST concept as a 2021 model year. Coming two years from now, the performance hatchback is expected to truly save from gasoline engines 2.0 liter turbocharged capacity to a smaller 1.5-liter unit. Despite losing 500cc, rivals VW Golf GTI is likely to be more powerful than the prevailing car today.
Report from autocar, it will increase from 252 hp to about 275 hp. Along with boosting power, Ford's engineers will also make an effort to redesign the fuel economy as a top priority to meet up the tighter Real Driving Emissions (RDE) test and the standard 202 CO2 fleet averaging 95g / km arriving years.
To supply the very best of both worlds (power and efficiency), Blue Oval allegedly create a 1.5-liter unit with twin-scroll turbochargers, cylinder deactivation technology, and direct injection.
We ought to show that whilst the 1.5-liter engine within the newly introduced 197 hp Lex ST has three cylinders, that is believed to benefit the Ford Focus which will be a larger four-pot unit. This will not be considered a gasoline engine problem because the brand new Ford Focus will continue to be offered with a potent diesel.
That makes sense considering roughly half of all Ford Focus ST cars currently on the way have a 2.0-liter TDCi engine with 182 ponies with diesel fuel. Ford Focus in hatchback and wagon body styles is likely to be introduced in the spring of 2019, approximately 6 months following the unveiling of a regular model.
That means we will have a way to see Ford's fourth-generation compact model in front of the end of next year , oftentimes on the show itself as opposed to at the Frankfurt Motor Show. The luxurious Trim Vignale will live to see other generations and is anticipated to be offered from day one.
2021 Ford Focus Specs
Even though European market gets a 1-liter engine faster, the US industry is tied to an even more adult 2 liter inline. It appears that the brand new Ford Focus will remove most of the naturally aspirated motors with the help of Powertrains EcoBoost. Which means including core models in the US market will get EcoBoost.
Perhaps the next competitor is really a 1 liter 3 cylinder that offers about 140 horsepower and torque smaller than 130 lb-ft. It will more than likely swap any previous machine and should lead to a good drop between performance and gasoline intake.
In European countries, a 1.5 liter engine with anything between 150 and 200 hp must certanly be accessible. Proposed new Ford Focus alternatively that may make an effort to make use of this latest 2 liter EcoBoost to meet up the demand around 280 hp. No word for the brand new Ford Focus RS but think of a new one gained over 5 hours just after the standard Focus launch, which may only appear near 2020.
2021 Ford Focus Interior
There are no complete phrases about interior changes. However, many gossips propose evolution in existing design vocabularies which have long existed. With all the new Focus models it will at the very least be unveiled with a slightly better performance than ever before. The interior in the brand new Focus will undoubtedly eliminate the completely different dashboard prints.
Alternatively, it would appear that the newest Focus will get something closer when feeling and designing with Ford Fusion. This will lift the capacity in the cabin without putting significantly into the sum total cost of the car.
The new Ford Focus will probably be determined by the brand new chassis as well. Along side it has been created apparently from mule check. They are seen on top of this vehicle and also showcase longer wheelbase. Although it doesn't seem like that, the newest car should be considered a little bigger besides diminishing.
Bigger footprint but reduced altitude should allow extra space within the cabin alongside better cruise placement.
2021 Ford Focus Release date and Price
It is too soon to fairly share the existing release date. Even with the analysis chart seen everywhere, the production model does not exist around the final outcome cycle. What may be imagined is the truth that this car is likely to be publicly announced in late 2020 at one of several auto shows in America.
After that, the automobile is likely to be input the final creation phase, and is likely to be available to get through the initial couple weeks of 2020. The 12 month version for your Ford Focus is likely to be 2021.


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Yorkshire outfit Polo might hail from Leeds, but the band's glacial atmospherics and lush, r'n'b-tinged pop are an ethereal world away from the spit'n'sawdust DIY scene that the city's best known for.
'Polo's music sits far away from their Yorkshire based roots. I get that sounds strange, but when you consider the counties most famous exports are the Kaiser Chiefs, the Cribs, and Alt-J it's both a good thing and a welcome refreshment to see a group from that side of the country put down the bits'n'bobs of do-it-your-self-indie and strive for something more complete, more wholesome.' Vice Magazine


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THE SUNDAY TIMES BESTSELLER 'Impossible to read with dry eyes or an unaltered mindset' Sunday Times How should we think of death and how can we prepare for it? With the End in Mind is a book for us all: the grieving and bereaved, the ill and the healthy. By turns touching and tragic, funny and wise, it tells powerful human stories of life and death. Eric, the retired head teacher who even with Motor Neurone Disease gets things done. Sylvie, 19 and diagnosed with leukaemia, sewing a cushion for her mum to hold after she has died. Nelly and Joe, two people enduring loneliness to shield their beloveds from distress. A powerful and emotional book based on a lifetime's clinical experience, With the End in Mind offers calm, wise advice on how to face death, live fully and find a model for hope in dark times.
In Death, Dying, and Organ Transplantation: Reconstructing Medical Ethics at the End of Life, Miller and Truog challenge fundamental doctrines of established medical ethics. They argue that the routine practice of stopping life support technology in hospitals causes the death of patients and that donors of vital organs (hearts, lungs, liver, and both kidneys) are not really dead at the time that their organs are removed for life-saving transplantation. These practices are ethically legitimate but are not compatible with traditional rules of medical ethics that doctors must not intentionally cause the death of their patients and that vital organs can be obtained for transplantation only from dead donors. In this book Miller and Truog undertake an ethical examination that aims to honestly face the reality of medical practices at the end of life. They expose the misconception that stopping life support merely allows patients to die from their medical conditions, and they dispute the accuracy of determining death of hospitalized patients on the basis of a diagnosis of "brain death" prior to vital organ donation. After detailing the factual and conceptual errors surrounding current practices of determining death for the purpose of organ donation, the authors develop a novel ethical account of procuring vital organs. In the context of reasonable plans to withdraw life support, still-living patients are not harmed or wronged by organ donation prior to their death, provided that valid consent has been obtained for stopping treatment and for organ donation. Recognizing practical difficulties in facing the truth regarding organ donation, the authors also develop a pragmatic alternative account based on the concept of transparent legal fictions. In sum, Miller and Truog argue that in order to preserve the legitimacy of end-of-life practices, we need to reconstruct medical ethics.
This book focuses on the features of pelvic pain in the different cancer diseases, the pain assessment tools, as well as the pharmacological and non-pharmacological approaches. Pelvic cancer pain is a common and debilitating symptom, and pain control is a one among the main therapeutic goals throughout the duration of the disease. Because pelvic cancer pain due to primitive cancer, recurrence or metastasis is a complex clinical pathology, no single technique is often guaranteed to produce a complete pain relief. Thus, there are many treatment options, but in most cases a correct approach to pain control should be provided by a multidisciplinary team under the responsibility of a pain specialist coordinating several professionals. This book will aid several figures of practitioners, like anesthesiologists, oncologists or surgeons, in making the correct decisions in individual patients affected by cancer pain due to pelvic diseases.
The first comprehensive, clinically focused guide to help hospitalists and other hospital-based clinicians provide quality palliative care in the inpatient setting. Written for practicing clinicians by a team of experts in the field of palliative care and hospital care, Hospital-Based Palliative Medicine: A Practical, Evidence-Based Approach offers: * Comprehensive content over three domains of inpatient palliative care: symptom management, communication and decision making, and practical skills, * Detailed information on assessment and management of symptoms commonly experienced by seriously ill patients, * Advise on the use of specific communication techniques to address sensitive topics such as prognosis, goals of care, code status, advance care planning, and family meetings in a patient- and family-centered manner, * Targeted content for specific scenarios, including palliative care emergencies, care at the end of life, and an overview of post-hospital palliative care options, * Self-care strategies for resilience and clinician wellness which can be used to help maintain an empathic, engaged, workforce and high quality patient care, * A consistent chapter format with highlighted clinical pearls and pitfalls, ensuring the material is easily accessible to the busy hospitalist and associated hospital staff. This title will be of use to all hospital clinicians who care for seriously ill patients and their families. Specialist-trained palliative care clinicians will also find this title useful by outlining a framework for the delivery of palliative care by the patient s front-line hospital providers. Also available in the in the Hospital-Based Medicine: Current Concepts series: Inpatient Anticoagulation Margaret C. Fang, Editor, 2011 Hospital Images: A Clinical Atlas Paul B. Aronowitz, Editor, 2012 Becoming a Consummate Clinician: What Every Student, House Officer, and Hospital Practitioner Needs to Know Ary L. Goldberger and Zachary D. Goldberger, Editors, 2012 Perioperative Medicine: Medical Consultation and Co-Management Amir K. Jaffer and Paul J. Grant, Editors, 2012 Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine James C. Pile, Thomas E. Baudendistel, and Brian J. Harte, Editors, 2013 Inpatient Cardiovascular Medicine Brahmajee K. Nallamothu and Timir S. Baman, Editors 2013
The Oxford Handbook of Palliative Care returns for a third edition, maintaining the concise yet comprehensive format suited to the busy practitioner for quick access to key information, and fully updated to reflect changes in the palliative care landscape. Featuring an increased emphasis on non-malignant diseases such as dementia, this authoritative text combines evidence-based care with the bedside experience of experienced palliative care professionals to give the reader a complete overview of the physical, emotional, and spiritual aspects of care for the end-of-life patient. Symptom management is covered in detail, with updated formulary tables and syringe driver protocols, and a new chapter on international perspectives to broaden the reader's perception of methods for delivering end-of-life care. The third edition of the Oxford Handbook of Palliative Care is the essential companion for all of those working with adults, children, and families with palliative care needs, in both hospital and community settings. The following correction has been made online and will be included in the first reprint. Readers can get in touch with us directly using the contact details on the back of the book or at our online form via the address below with questions or comments: https://global.oup.com/academic/category/medicine-and-health Chapter 5. Page 109 The dose for Hyoscine butylbromide sc has been amended in line with NICE guidance (https://bnf.nice.org.uk/drug/hyoscine-butylbromide.html): '20-120 mg 4 hourly' has been corrected to '20-80mg 4 hourly'.
The International Handbook of Art Therapy in Palliative and Bereavement Care offers a multicultural and international perspective on how art therapy can be of help to individuals, groups, families, communities, and nations facing death and dying as well as grief and loss. Over 50 art therapists from around the world write about the transforming power of art therapy in the lives of those facing terminal illness, dementia, loss, and grief. They offer practical descriptions and techniques for working with adults and children to guide professionals, including those new to using art therapy and creative approaches in end-of-life care services. This international handbook is essential reading for arts therapists, social workers, medical personnel, faith leaders, and psychologists interested in a collaborative and accessible approach to working with patients and families affected by loss.
Mitochondria produce the chemical energy necessary for eukaryotic cell functions; hence mitochondria are an essential component of health, playing roles in both disease and aging. More than 80 human diseases and syndromes are associated with mitochondrial dysfunction; this book focuses upon diseases linked to these ubiquitous organelles. Accumulation of mitochondrial DNA damage results in mitochondrial dysfunction through two main pathways. Mutation in mitochondrial DNA causes diseases such as Kearns-Sayre syndrome and Pearson syndrome. Mutation in chromosomal DNA causes diseases such as Parkinson's disease and schizophrenia. These and many other diseases are reviewed in this book. Key Features Presents the detailed structure of mitochondria, mitochondrial function, roles of oxidants and antioxidants in mitochondrial dysfunction. Includes summary of both causes and effects of these diseases. Discusses current and potential future therapies for mitochondrial dysfunction diseases Explores a wide variety of diseases caused by dysfunctional mitochondria.
The Hospice Companion is a guide to the processes of care during the intensive, interpersonal experiences of hospice work. This resource highlights the mission and values of modern-day hospice through the individual and combined efforts of the field's most valuable asset, the hospice professional. This easy-to-navigate clinical decision support tool for caregivers of those with life-limiting illnesses allows for personal and professional growth and a deeply gratifying sense of accomplishment as you proceed in the all-important work of caring for the dying. The third edition of The Hospice Companion features a thoroughly current guide to clinical processes and symptom management, providing hospice professionals with a concise summary of changes that have influenced clinical practice over the last several years. Moreover, feedback from hospice social workers has been incorporated into the section on personal, social, and environmental processes and guidance on integrative and non-pharmacologic interventions have been added.
In the Middle East, as in other countries in the developing world, there is now a wide acceptance that palliative care is an important public health issue that should be integrated into the mainstream of cancer care as well as other life-threatening diseases. Nowadays, it is recognised as a human right issue that patients and families have the right to receive this care. The WHO defined palliative care as the active total care of the patient's body, mind and spirit; whereby health care providers need to evaluate and alleviate the patient's physical, psychological and social distress. Such care encompasses a broad, multidisciplinary approach that includes both the family and the community and is provided in a range of settings, from the hospital, to the community health centre, to home. This unique and timely book captures the progress and vision of many dedicated groups throughout the Middle East and the USA who have been working to advocate for and develop palliative care services in the region. Each of the book's chapters describes the efforts and challenges professionals have been experiencing as they address the palliative care needs of patients with life-limiting illnesses. Each country's specific chapter details the current state of palliative care services and describes the various approaches that led to the development of a range of services in hospital-based sites to community and home-based care services.
50 Studies Every Palliative Care Doctor Should Know presents key studies that have shaped the practice of palliative medicine. Selected using a rigorous methodology, the studies cover topics including: palliative care, symptom assessment and management, psychosocial aspects of care and communication, and end-of-life care. For each study, a concise summary is presented with an emphasis on the results and limitations of the study, and its implications for practice. An illustrative clinical case concludes each review, followed by brief information on other relevant studies. This book is a must-read for health care professionals and anyone who wants to learn more about the data behind clinical practice.
This book examines the central structures in medicine-medical knowledge, economics, technological innovation, and medical authority-from the perspective of an ethics of care. The author analyzes each of these structures in detail before considering the challenges they present to end of life care. The perspective of an ethics of care allows for a careful focus on how these structures affect the capacity of the health care system to provide the care patients need, on the impact they have on the relationships between patients and care-givers, and on how they affect the care-givers in terms of their own sense of identity and capacity for care. This book offers one of the first focused discussions of an ethics of care across a wide range of social issues and structures in contemporary medicine. It will be of keen interest to advanced students and scholars in bioethics and health care ethics who are interested in these important issues.
The syringe driver is a simple and cost-effective method of delivering a continuous subcutaneous infusion (CSCI). A CSCI provides a safe and effective way of drug administration and can be used to maintain symptom control in patients who are no longer able to take oral medication. There have been several developments in this field since the third edition of this highly successful book. The text in this edition has been completely revised, incorporating new treatment options and an extensive list of new compatibility data. This book serves as a valuable reference source, providing comprehensive review of syringe driver use and administration of drugs by CSCI. The first chapter provides an overview of syringe drivers and CSCIs, including a useful array of frequently asked questions. The second chapter provides information about the chemistry of drug incompatibility and degradation. The third chapter comprises revised and referenced information relating to most drugs likely to be administered by CSCI using a syringe driver. The fourth chapter discusses the control of specific symptoms that are often encountered when CSCIs are required. The fifth and final chapter contains an extensive, referenced list of compatibility and stability data relating to drug combinations administered by CSCI.
The new global cancer data suggests that the global burden has risen to 18.1 million new cases per year and 9.6 million cancer deaths per year. A number of factors appear to be driving this increase, in particular, a growing and aging global population and an increase of exposure to cancer risk factors linked to social and economic development. For rapidly-growing economies, the data suggests a shift from poverty- or infection-related cancers to those associated with lifestyles more typical in industrialized countries. There is still large geographical diversity in cancer occurrence and variations in the magnitude and profile of the disease between and within world regions. There are specific types of cancer that dominate globally: lung, female breast and colorectal cancer, and the regional variations in common cancer types signal the extent to which societal, economic and lifestyle changes interplay to deferentially impact on the profile of this most complex group of diseases. Unfortunately, despite advances in cancer care, a significant proportion of patients at home, experience sub-optimal outcomes. Barriers to successful treatment outcomes include, but are not limited to: access to oncologists in the primary health centers, non-adherence, lack of experienced oncology and palliative care nurses in the community, inadequate monitoring and the lack of training of family and pediatric physicians. Telemedicine approaches, including telephone triage/education, telemonitoring, teleconsultation and status tracking through mobile applications, have shown promise in further improving outcomes, in particular for chronic cancer patients following their hospitalization. Lessons can be learned from existing hospices in North America, the United Kingdom, Australia, Centers of Excellence in African (Uganda) and modern community services in India (Kerala). An important goal of this book is to describe and encourage professionals to develop new community programs in palliative care, which include training and empowering physicians and nurses in the community on the principles of palliative care. The Middle East Cancer Consortium (MECC) together with the American Society of Clinical Oncology (ASCO) and the American Oncology Nursing Society (ONS) have conducted multiple courses ranging from basic palliative care to more specialized training in palliative care for multiple nationalities in Europe, Asia and Africa. Our experience clearly indicates that, to promote such activities, one needs strong leadership and confirmed political will to support the endeavor. The new book will emphasize the importance of having a core of multiple stakeholders including community leaders, government, NGOs and media to be actively involved in advocating for the cause and generating public awareness. This text will provide the reader with a comprehensive understanding of the outside-of-the-hospital treatment of cancer patients by medical, paramedical and volunteer personnel. In doing so, this text will encourage the creation of new palliative care services improving upon the existing ones and stimulate further research in this field. Part 1 of the text will begin with an overview of the current state of affairs of services provided to cancer patients while being cared for by primary health centers. It will also review the current literature regarding medical and psychological-based therapy options in the community for cancer patients at different stages of their disease. Part 2 will address the unique role of the community nurse, within the framework of the multidisciplinary team treating the patient, in the attempt to provide optimal evaluation and care in very challenging situations (such as with terminal patients). Part 3 will provide insightful models of this new discipline and serve as a valuable resource for physicians, nurses, social workers and others involved in the care of cancer patients. The book will take a multidisciplinary approach, integrating clinical and environmental data for practical management to enhance the efficacy of treatment while relieving suffering. Part 4 will also discuss the application of modern technological approaches to track symptoms, quality of life, diet, mobility, duration of sleep and medication use (including pain killers) in chronic cancer patients in the community. Part 5 of the book will also be devoted to modes of developing a collaborative program between governmental and non-governmental organization sectors. This includes volunteer workers in close collaboration with medical professionals for providing emotional and spiritual support, nursing care, nutritional support and empowering family caregivers. Such a model makes palliative care in the community a "people's movement", thus transferring part of the responsibility and ownership to the community.
Looking after children with life-limiting conditions is very difficult for both parents and health care professionals. This second edition of Paediatric Palliative Medicine is full of easily-accessible, detailed information , and covers all aspects of the care of children with life-limiting illnesses. It is designed to equip clinicians with the knowledge, and its evidence base, to improve clinical care. Using the bestselling Oxford Specialist Handbook format to deliver practical and concise information, this handbook facilitates bedside delivery of effective palliative medicine to children. It includes a quick reference drug formulary and detailed information on medical conditions and symptom control. There are also specific management plans to guide professionals, whether the child is in their own home, in a hospital, or a hospice. Many children with long term conditions have symptoms which need management, and the principles of palliative care for children need to be known by all who are involved in their care. The unique significance of this handbook is its capacity to guide professionals who have not trained or had experience of caring for the dying child, as well as for students and trainees interested in paediatric palliative care. Children's palliative medicine encompasses symptom control but is not limited to it. This handbook also provides a wealth of information on the philosophy and models that support delivery of palliative medicine to children, as well as the learning and coping skills required in palliative care. Fully updated with an expanded formulary and a new chapter on the intensive care unit, this new edition continues to be the authoritative reference tool in paediatric palliative care.
Now fully revised and in its fourth edition, the Oxford Handbook of Oncology has been the essential go-to guide for students and practitioners in oncology for over a decade. The scientific basis and diagnosis of cancers is covered, as well as drugs, biomarkers, and the presentation and psychosocial aspects of oncology. Concise, practical, and comprehensive, there is no better companion for both common conditions and challenging emergencies. The field of oncology has surged forward since the last edition was published and the Oxford Handbook of Oncology has been fully revised and updated to reflect these recent advances so you can be sure that the vital information you need is in your hands. This handbook incorporates changes such as the understanding of the science of cancer, novel therapies in breast, lung, renal, and melanoma, molecular sub-classification of common solid cancers, personalized therapy approaches, new agents in hard to treat cancers, the benefits of new technologies in radiotherapy, and the emerging data on the importance of the immune response. Written by experts in the field to ensure that it is grounded in real life clinical practice, this handbook provides a concise guide to all aspects of oncology for all students, nurses, and junior faculty responsible for the care of cancer patients, while also providing further reading and highlighting areas of controversy for those who need a more detailed understanding.
Death is the destiny we all share. This will not change. But the way we die, which had been the same for many generations, has changed drastically in a relatively short time for those in developed countries with access to healthcare. For generations, if people were lucky enough to reach old age, not having died in infancy or childhood, in childbirth, in war, or by accident, they would take to bed, surrounded by loved ones who cared for them, and fade into death. Most likely, they would have seen their parents and grandparents die the same way, so this manner of dying would be familiar. It was part of the natural cycle of life. Now less than 25 per cent of Americans die at home, at much older ages than people would have dreamed of in past generations, often after surviving many illnesses and even diseases that would have been terminal for their grandparents. We are fortunate to live (and die) today, supported by myriad scientific, medical, and technological advancements. But we also face new problems as a result of the new way that we die. We cannot look forward to a peaceful waning when we know our lives will likely end in hospitals, having endured very expensive care, rather than at home with family. We have to decide what decisions we want our loved ones, or care-givers, to make when we cannot choose for ourselves. We have to think about whether in any circumstances we would seek physician-assisted death. We know we face other questions as well, but we may not even know where to start. In the face of these decisions, we can feel daunted and afraid. The best remedy is information and planning. In this book, Gregory Eastwood - a physician who has cared for dying patients, served as an ethics consultant, and taught end of life issues to medical and other health profession students - draws from his substantial experience with patients and families to provide the information that will help us think clearly about the choices and issues we will face at the end of our lives, and the end of our loved ones'. With sensitivity and profound insight, Eastwood guides us through all the important questions about death and dying in straightforward, clear language and through real-life stories. Throughout, he shows us how we can take ownership of the way we want to die, when we must die, and feel more in control as death approaches.
Effective palliative care that rests on a sound ethical foundation requires ongoing discussions about patient and family values and preferences. This is especially important when addressing care at end-of-life including artificial nutrition and hydration, withdrawal of life-sustaining therapies and palliative sedation as well as requests for assistance in hastening death. The eighth volume in the HPNA Palliative Nursing Manuals series, Legal and Ethical Aspects of Palliative Care, provides an overview of critical communication skills and formal organizational mechanisms, such as ethics committees and interdisciplinary rounds, required for decisions in ethical dilemmas which respect diversity in the views of colleagues, as well as patients. The content of the concise, clinically focused volumes in the HPNA Palliative Nursing Manuals series is one resource for nurses preparing for specialty certification exams and provides a quick-reference in daily practice.
Improved cancer treatment and survival rates have resulted in a growing number of cancer survivors who live years, and even decades, after their cancer diagnosis. Insights into what the experience of cancer survivorship looks like and how it can be navigated are much sought after by cancer survivors and their families, loved ones, and communities as they chart this unfamiliar and often lonely territory. Approximately 53% of cancer patients are diagnosed when 65 years or older, yet no attempt to explore the experience of older cancer survivors has been made. Dr. Alice. Kornblith, an esteemed social psychologist with extensive experience working with cancer patients, aims to address this need in Older Survivors of Cancer: Feeling Understood by Sharing Experiences. This thoughtful, respectful book seeks to reduce older cancer patients' and survivors' feeling of aloneness and of not being understood by sharing narratives of other older cancer survivors' experiences. Narratives were gathered specifically for this book and relate experiences across different cancer diagnostic groups, phases of cancer and gender. Throughout, the reader learns how cancer affected their lives-physically, psychologically, spiritually, and socially-during each phase of their cancer journey. Commentary by Dr. Kornblith provides context and lessons learned from the narratives.
Participatory research is a relatively new method of researching practice especially within palliative care. It differs from other methodologies in that there is an expectation of action within the research process. The values that underpin participatory research are collaboration, empowerment, and reflection. In the current climate of collaboration and working with people in healthcare, participatory research methods are gaining increasing interest when there is a desire to bring about change. Organisational change is becoming an important focus as we look at ways of not only reducing costs but at the same time improving quality of care. While palliative care puts the patient and family at the centre, Participatory Research in Palliative Care discusses a new research methodology that puts practitioners at the heart of the research process as collaborators who work together with researchers to resolve problems in practice. Divided into three sections, it provides theoretical groundings of action research, a greater focus on exemplars from studies within palliative care, and discusses prominent issues when using such a methodology. All three sections are illustrated by an action research study undertaken by the author within a palliative care setting. Participatory Research in Palliative Care is written by international, multi-disciplinary authors who explore a collaborative approach to embark on research. It will appeal to health and social care professionals, academics undertaking research within palliative care, and the management of organisations where people with end of life care needs are cared for, including long-term care homes.
The importance of spiritual well-being and the role of "meaning" in moderating depression, hopelessness and desire for death in terminally-ill cancer and AIDS patients has been well-supported by research, and has led many palliative clinicians to look beyond the role of antidepressant treatment in this population. Clinicians are focusing on the development of non-pharmacologic interventions that can address issues such as hopelessness, loss of meaning, and spiritual well-being in patients with advanced cancer at the end of life. This effort led to an exploration and analysis of the work of Viktor Frankl and his concepts of logotherapy, or meaning-based psychotherapy. While Frankl's logotherapy was not designed for the treatment of patients with life-threatening illnesses, his concepts of meaning and spirituality have inspired applications in psychotherapeutic work with advanced cancer patients, many of whom seek guidance and help in dealing with issues of sustaining meaning, hope, and understanding cancer and impending death in the context of their lives. Individual Meaning-Centered Group Psychotherapy (IMCP), an intervention developed and rigorously tested by the Department of Psychiatry & Behavioral Sciences at Memorial Sloan-Kettering Cancer Center, is a seven-week program that utilizes a mixture of didactics, discussion and experiential exercises that focus around particular themes related to meaning and advanced cancer. Patients are assigned readings and homework that are specific to each session's theme and which are utilized in each session. While the focus of each session is on issues of meaning and purpose in life in the face of advanced cancer and a limited prognosis, elements of support and expression of emotion are inevitable in the context of each group session. The structured intervention presented in this manual can be provided by a wide array of clinical disciplines, ranging from chaplains, nurses, palliative care physicians, to counselors, psychotherapists, social workers, graduate psychology students, psychologists and psychiatrists.
Rooted in everyday hospital medicine, Palliative Skills for Frontline Clinicians addresses the challenges of delivering complex care to patients living with serious illnesses. Spanning emergency medicine, internal medicine, surgery and various subspecialties, each chapter reads like a story, comparing usual care with a step-by-step palliative-based approach. This case-based book features a multidisciplinary, palliative-trained authorship, including neurologists, nephrologists, emergency physicians, surgeons, intensivists, and obstetricians. Divided into four parts, Palliative Skills for Frontline Clinicians outlines common clinical scenarios across settings and specialties to highlight unmet needs of patients with potentially terminal illnesses. Each case is broken down into the usual standard approach, and delves into detail regarding different palliative interventions that can be appropriate in those scenarios. These are meant to be practice changing; down to the actual words used to communicate with patients. In addition to the book's focus on the principles of palliative care and the "art" of treating the patient, approaches to communication with the patient's families for the best long-term outcomes are discussed. Concise and pragmatic, Palliative Skills for Frontline Clinicians is meant to be practice changing. It provides readers with both a new conceptual framework, as well as actual words to communicate with patients and medication doses for symptom management. It is an invaluable resource for non-palliative trained clinicians who wish to strengthen their palliative care skills.
'Life is a journey, and so is end of life and we can prepare for it in the same way as we would prepare for any journey, making sure that all loose ends are tied up'. Once a taboo subject, end of life is becoming a 'red-hot' topic as more people realize that the care and arrangements for their own end of life are in their own hands. In addition, new government initiatives in respect of carers and caring and of dementia care are bringing the subject to the fore. This essential guide for carers, be they professional or friends and relations, provides information across a range of concerns surrounding end of life. The book tackles this difficult subject in a practical and caring way, showing how appropriate arrangements can be made to ensure the dying person's wishes about dying and post-death (funerals or celebrations of life and mourning ceremonies) are carried out. From the practical point of view, the book covers making a Will, making an Advance Directive, donating body tissue and organs and giving directions for ones own funeral or life celebration and/or memorial service. From an emotional view point the book discusses grief including anticipatory grief, ways of coping with grief, and the importance of grieving. While invaluable for general readers facing these difficult issues, the book will be of specific interest to carers in residential/nursing homes and in hospitals together with counsellors, palliative care workers and teachers and students on courses in Health and Social Care and Nursing.
This insightful study examines the deeply personal and heart-wrenching tensions among financial considerations, emotional attachments, and moral arguments that motivate end-of-life decisions. America's health care system was built on the principle that life should be prolonged whenever possible, regardless of the costs. This commitment has often meant that patients spend their last days suffering from heroic interventions that extend their life by only weeks or months. Increasingly, this approach to end-of-life care is coming under scrutiny, from a moral as well as a financial perspective. Sociologist Roi Livne documents the rise and effectiveness of hospice and palliative care, and growing acceptance of the idea that a life consumed by suffering may not be worth living. Values at the End of Life combines an in-depth historical analysis with an extensive study conducted in three hospitals, where Livne observed terminally ill patients, their families, and caregivers negotiating treatment. Livne describes the ambivalent, conflicted moments when people articulate and act on their moral intuitions about dying. Interviews with medical staff allowed him to isolate the strategies clinicians use to help families understand their options. As Livne discovered, clinicians are advancing the idea that invasive, expensive hospital procedures often compound a patient's suffering. Affluent, educated families were more readily persuaded by this moral calculus than those of less means. Once defiant of death-or even in denial-many American families and professionals in the health care system are beginning to embrace the notion that less treatment in the end may be better treatment.
One in 70 children are admitted to paediatric intensive care (PIC) at some time during childhood. Most paediatric junior doctors will rotate through PIC, and will be involved in organising acute intensive care for critically ill children. The range of children and their illnesses going through PIC is vast, making it a hugely diverse specialty. A critically ill child will end up there regardless of their underlying disease, and as a result consultants in PIC must be true generalists and need to acquire knowledge and skills in all areas of paediatrics, as well as acquiring significant knowledge of anaesthesia and surgery. From setting up the ventilator, to managing low cardiac output, Paediatric Intensive Care gives practical and realistic advice for children's doctors and nurses in intensive care. Information is presented in easily-accessible '5 minute chunks' to enable you to quickly get the answers you need, with extensive cross-referencing ensuring that different aspects of a particular clinical problem are fully covered. With detailed answers to specific problems and expert guidance on how to manage the complex issues faced in PIC, this handbook is an indispensible guide for all those who provide care to sick children.
Monitoring the Critically Ill Patient is an invaluable, accessible guide to caring for critically ill patients on the general ward. Now fully updated and improved throughout, this well-established and handy reference guide text assumes no prior knowledge and equips students and newly-qualified staff with the clinical skills and knowledge they need to confidently monitor patients at risk, identify key priorities, and provide prompt and effective care. This new edition includes the following five new chapters: * Monitoring the critically ill child * Monitoring the critically ill pregnant patient * Monitoring the patient with infection and related systemic inflammatory response * Monitoring a patient receiving a blood transfusion * Monitoring pain
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Better Touch Better Business
Super powerful laser cutting machine, precise control, fast speed is no longer sei!
Laser cutting is to focus the laser light emitted from the laser into a high-power density laser beam through the optical path system. The laser beam irradiates the surface of the workpiece to make the workpiece reach the melting point or boiling point. At the same time, the high-pressure gas coaxial with the beam blows away the molten or vaporized metal. As the relative position of the beam and the workpiece moves, the material will eventually form a slit, so as to achieve the purpose of cutting.
Laser cutting processing is to replace the traditional mechanical knife with an invisible beam, which has the characteristics of high precision, fast cutting, not limited to cutting pattern limitation, automatic typesetting, saving materials, smooth cutting, low processing cost, etc. , Will gradually improve or replace the traditional metal cutting process equipment.
The mechanical part of the laser cutter head has no contact with the work, and will not scratch the work surface during work; the laser cutting speed is fast, the incision is smooth and flat, and generally no subsequent processing is required; The cutting heat-affected zone is small, the plate deformation is small, and the slit is narrow (0.1mm~0.3mm); the incision has no mechanical stress, no shearing burr; high processing accuracy, good repeatability, and no damage to the surface of the material; CNC programming, can be processed at will It can cut the whole board with a large size without opening the mold, which is economical and time-saving.
Laser cutting can be understood as the separation of edges. We first make the graphics into the form of vector lines in AutoCAD, and then save them in the corresponding PLT, DXF format, open the file with the laser cutting machine operating software, and set the parameters such as energy and speed according to the material we are processing before running That's it.
The laser cutting machine will automatically cut according to the flight path generated by the software after receiving instructions from the computer. For example, the existing laser cutting machine can draw a template according to the computer, and then directly input the computer to automatically cut the graphics.
Service-based companies as YINGDE VENTECH INTELLIGENT EQUIPMENT CO., LTD. are increasingly becoming more popular internationally.
Helping the needy powder coating system for sale industries with quality products had been our main goal and we have succeeded in providing simple and effective solutions which has a huge scope to be implemented in the near future. Go to Ventech Automatic Machine to know more about us.
YINGDE VENTECH INTELLIGENT EQUIPMENT CO., LTD. can assure that it is one of the best products in the market at present.


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The shots are taken by Crossover’s productivity tool, WorkSmart, and join with screenshots of their workstations along with additional data including app use and keystrokes to grow up with a “focus score” and an “intensity score” that can be practiced to assess the rate of freelancers.
Today’s workplace monitoring software is a digital panopticon that started with email and phone monitoring but now adds keeping track of web-browsing patterns, text notes, screenshots, keystrokes, social media posts, private messaging apps like WhatsApp and even face-to-face communications with co-workers.
“If you are a mother and you have an adolescent son or daughter coming home late and not doing their study you might wonder what they are doing. It’s the equivalent of employees,” said Brad Miller, CEO of Awareness Technologies, which sells a combination of employee monitoring tools under the brand Interguard.
Crossover’s Sanjeev Patni contends that workers get over the initial self-knowledge after a few days and accept the need for such monitoring as people do CCTV in shopping malls.
“The answer is ‘OK, I’m being watched, but if the company is paying for my time how does it mean if it’s recording what I’m doing? It’s only for my progress,’” he said.
Such “betterment” obviously isn’t necessary for managers: they can pick and decide when to turn their cameras on.
The majority of monitoring tech providers focus their offerings on the financial sector, where businesses are legally required to track staff contacts to prevent insider trading. But they are increasingly marketing their tech to a broader range of companies to control staff productivity, data leaks, and Human Resources violations, like sexual harassment and improper behavior.
Wiretap practices in monitoring workplace chat forums such as Facebook Workplace, Slack, and Yammer to identify, amongst other issues, “intentional and accidental harassment, threats, intimidation”.
Last year an assistant at an IT services company sent a private chat message to a buddy at work worried that he had just given his sexual identity with his supervisor in a meeting and fearing he’d face career revenge. Wiretap detected the employee’s solicitude and alerted a senior company exec who was then capable to intervene, talk to the supervisor and defuse the situation.
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Ödemiş Mayor A.Mahmut Badem, TCDD İzmir 3. He visited Regional Director Selim Koçbay in his office.
Ödemiş Mayor A.Mahmut Badem made meetings in İzmir Regional Directorates about the projects to be implemented in the district.
For the development of Ödemiş, Mayor Mahmut Badem held meetings in İzmir Regional Directorates regarding the projects implemented in the district or to be implemented.
İzmir Provincial Health Director Expert Bediha Salnur, Regional Director of Highways Abdulkadir Uraloglu and TCDD Izmir Regional Director Selim Kocbay, who visited his office, President Mahmut Badem, received information about the work.
Ödemiş Mayor Mahmut Badem; An We have always been a follower of the projects implemented in our district. We are always in touch with our Regional Managers or Provincial Managers. Bayındır- Ödemiş-Kiraz split road works are continuing rapidly. We talked with our Regional Manager Abdülkadir Uraloğlu about the divided road works and Mendegume- Aydın road project. The railway line with the Ödemiş railway will soon become electric and signalized. We interviewed with TCDD Regional Manager Selim Koçbay on the subject of the tender stage. We maintain our contacts in order to ensure that every project that will ensure the welfare of our people is realized as soon as possible Halk.


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Back to School blog hop
Welcome to the Back to School Blog Hop!
Schools back baby!, well it is in the USA anyway. Here is Australia we are about to have a term break of 2 weeks. It’s interesting how the school year differs in all the different countries, but in preparation for some school time or holiday sewing, let’s get into the Back to School Blog Hop starting on the 16th September 2022.
With school returning in various countries, I’m joining with a fantastic group of creatives and we are sharing a bunch of great tips and hints for you to learn and grow your sewing and quilting skills.
In the coming couple of weeks there are some fabulous bits of information coming your way. I’m going to list the clever people below and then you can see when to come back here for my bit of wisdom, and no surprise, it’s quilting related!
See you later this month,
In the meantime, have fun and keep learning.
Blog Hop Crafters
- Sept 15 – Geeky Bobbin – Press for Success!
- Sept 16 – Katie Mae Quilts – Storage Solutions From The School Supplies Section
- Sept 17 – Quilting Jetgirl – Make A Design Wall You Can Use Your Hera Marker Against
- Sept 18 – Karen Bolan – How to Get Perfect Tension
- Sept 19 – Devoted Quilter – How To Trim HSTs Without A Specialty Ruler
- Sept 20 – Sarah Ruiz – Calculating Quilt Backing and Binding Fabric Requirements
- Sept 21 – Andy Knowlton – How To Sew Quilt Blocks With Partial Seams
- Sept 22 – Lisa Ruble – Curved Piecing Doesn’t Have To Be Scary (Or Perfect!)
- Sept 23 – Sarah Goer Quilts – Tips for Piecing Precise Points
- Sept 24 – Faith and Fabric – Spinning Intersections On Four Patch Blocks – The Easy Way!
- Sept 25 – Judit Hajdu – Draw String Bag – For Lunch Or Gym
- Sept 26 – Sugar Sand Quilt Co. – The Care And Feeding Of The Wild Longarm Quilter
- Sept 27 – Hilary Jordan – Quick & Easy Pattern Matching Technique for Quilt Backings
- Sept 28 – True Blue Quilts – Sketch Then Stitch…Better FMQ Through Doodling
- Sept 29 – Sunflower Quilting – A Quilting Tip
- Sept 30 – Slightly Biased Quilts – Perfect Hand Binding Tips
I can’t wait to read some of these and I hope you have a great time visiting the blogs and checking our some new creative friends.


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Apply for Acima in Rollingwood and Lease-to-Own a New TV Today
Do you want your living room to feel more courtside than cozy? Enjoy better movie nights with the kids? Replace a broken TV? You can get a cutting-edge television from a well-known brand with Acima. We work with electronics stores across Texas and offer TVs for rent in Rollingwood so you can easily take home the products you need. All without credit.* But why not purchase a television outright? Because brand new TVs aren't cheap. They can end up costing hundreds if not thousands of dollars depending on the size and features! When you lease a television in Rollingwood though, you get to make flexible lease renewal payments, that line up with your pay schedule. Start watching your favorite shows again! Get a new TV from brands like Vizio, LG, Samsung and more when you rent with Acima!
Level Up When You Lease-to-Own a Video Game System in Rollingwood, TX
When you're equipped with the best gaming technology, you can play harder, longer and better. New video game technology is smooth, fast, and fun. But it can come with a big price tag. With help from Acima, you don't have to worry about the price. We make it possible to rent-to-own video game consoles in Rollingwood from game companies like Microsoft, PlayStation and Nintendo. All without paying a lot of money up-front or incurring debt. Simply apply for Acima online or at your nearest participating retailer in Rollingwood. Once your application is approved, you can pick one of our flexible payment options, get the video game system you want, and take your gaming to the next level! Get a system that packs a powerful punch!
Shop Home Theater and Audio Systems for Lease in Rollingwood, TX
A classic film, or even your go-to video game, is better with superb audio quality. Enhance your entertainment setup with more than a flatscreen television. Lease-to-own Bluetooth® speakers, soundbars, subwoofers, home audio and more in Rollingwood when you shop with Acima on your side. Ask for Acima while visiting your Rollingwood electronics shop or apply online. We'll help you rent-to-own home audio equipment that transports you with room-shaking melodies, immersive surround sound and soul-blooming bass. Your music and movies will sound better than ever! Shop now, pay later — all without credit* — when you lease-to-own amplifiers, speakers, receivers and other audio equipment for your entire home.

domain: entertainment


Myself, I quite like using the picture method. Nice, personal photo fills the screen & doing the Log-in/'Password' motions is quicker than typing in my P/W.
Drew MS Partner / MS Beta Tester / Pres. Computer Issues Pres. Computer Issues www.drewsci.com
Tuesday, May 22, 2012 5:38 AM
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Sheezus is pure pop. It’s fair to say that Lily Allen has completely abandoned the ska/reggae influence that made her hits “Smile” and “LDN” so addicting and unique. She hasn’t totally left behind her smartass, sassy persona, but much of it has been shelved for a sound that’s banal and imitative.
I really wanted to like this album. I’ve always been a fan of Lily Allen, who creates songs that seem overwhelmingly relevant to normal people, exposing lingering feelings of resentment that only she would deign to shout out. The video for “Smile” is the easiest and best post-breakup go-to; on angry days I set the song “Fuck You” on repeat. Allen is genuinely clever, sassy and funny. Her raging tongue is tempered by her witty and intelligent nature. She’s honest about how she got into the industry, never denying her father’s influence in getting her a record deal. She’s a truly likeable person.
Sheezus has a few perks here and there. “Hard Out There” is honest and feminist, with perfect lyrics that show off Allen’s fearlessness. She vies for attention with subject matters that most artists only hint at, taking a feminist stance that will surely garner her favor with the ladies. Because she’s right: “It’s hard out here for a bitch.” The track drips with a lovely sarcasm, with lines like, “You should probably fix your face or you’ll end up on your own.” The music is electropop at its most conventional, but the lyrics make it loveable and humorous.
The name of the album is a mockingly clever response to Kanye West’s egotistical album name Yeezus. At the very least, you have to admire Allen for her balls. The song “Sheezus” is a stab at the world of pop culture. The first verse sees her “getting back into the ring” after her musical hiatus, having to compete with pop sensations like Lorde, Katy Perry and Lady Gaga. The rest of the song completes her thoughts on the whole experience of being reintegrated into the modern mainstream schematic. It’s enjoyable.
Some of the lyrics are genuine and sassy, like those of the above-stated songs, but overall there’s an evident desire to sound like every other young pop star out there. It’s gross. “Our Time” isn’t unlike Miley Cyrus’s “We Can’t Stop” in applauding the world of young drunk people who just “want to dance the night away.” It’s becoming annoyingly cliché. “Close Your Eyes” is an excuse to awkwardly imitate Beyoncé and Jay Z’s love affair. “As Long As I Got You” would be better off on the soundtrack of a Disney Channel musical. At least half of the tracks on the album are unoriginal and awkwardly uncharacteristic of Allen, who is charmingly prone to flicking people off and cussing in every other song.
Although Sheezus doesn’t closely compare to Allen’s previous repertoire, songs like “URL Badman” and “Silver Spoon” reveal the sass and lyrical prowess of an artist. She may just need some time to get her inner-bitch going, post-hiatus.
2.5 out of 5 stars


PARIS (Reuters) - Julian Alaphilippe surrendered the yellow jersey in the penultimate competitive stage and Thibaut Pinot was left sobbing at roadside as he abandoned in the Alps, yet this French duo restored the pride of a cycling nation and revived hopes of a long-awaited home-grown winner of the Tour de France.
World number one Alaphilippe claimed the overall lead with a long-planned attack in Epernay and wore yellow for 14 days until he cracked in the Col de l'Iseran and dropped from the podium places on the eve of the parade to the Champs Elysees.
But the musketeer-faced Alaphilippe brought fresh panache to a race which had for years been monopolised by Team Sky -- now still thriving as Team Ineos -- and with his cavalier approach won the hearts of millions of fans on the road and TV viewers.
"He is the biggest change to the Tour, he's created a ripple effect," conceded Team Ineos manager Dave Brailsford, who celebrated his seventh title in eight editions when Colombian Egan Bernal crossed the Paris finish line in yellow.
"Because of him, we were forced to react to the situation minute by minute."
French riders had long been seen as "a laughing stock" in the peloton, according to Groupama-FDJ sports director Philippe Mauduit, who has worked in foreign teams with the likes of Alberto Contador and Vincenzo Nibali.
"I remember the times where our two team cars were behind the 'gruppetto' (a pack of dropped riders) and I was wondering whether we would make it within the time cut," said the Groupama-FDJ manager Marc Madiot, who started the team in 1997.
For long, his best result was taking Sandy Casar to 10th overall in Paris in 2009, just as the sport implemented the biological passport to fight against doping after the EPO and Lance Armstrong eras.
Since then, Groupama-FDJ have grown alongside their leader Pinot, winner of his first Tour stage in 2012 as the youngest rider in the race.
Third overall in 2014, Pinot surged into real contention this year with a dual attack with Alaphilippe in St Etienne, and then writing off time lost in the crosswinds with two awe-inspiring performances in the Pyrenees.
He won atop the iconic Col du Tourmalet and was the strongest the next day at Prat d'Albis, distancing Bernal on both occasions.
Pinot was ahead of the Colombian when he started Thursday's stage to Valloire, but he was already injured. The next day, he climbed into his team car with hands over his face to hide his tears.
Speaking to Madiot as French TV filmed a documentary, Pinot, sitting on his bed bare-chested, said: "What did I do to deserve that? It's finished, I quit."
On Saturday, he told French TV just before the start of the 20th stage: "It will take time (to recover from the disappointment). They're going for the stage and I'm going home. It's tough."
Pinot, who has stage wins in all three grand tours, promised he would be back to fight for the 2020 title.
A fierce racer, described by Cyrille Guimard, the former boss of Bernard Hinault -- the last Frenchman to win the Tour in 1995 -- as a "tiger on a bike", the 29-year-old must now break the jinx that has seen him abandon the Tour four times in seven editions.
Should he fail, Alaphilippe, 27, demonstrated he could be transformed into a grand tour rider. Yet he would probably have to change teams, with his Deceuninck-Quick Step outfit having more of a focus on one-day classics.
Brailsford, who's guided four Tour champions -- Bradley Wiggins, Chris Froome, Geraint Thomas and Bernal -- has an eye on the prodigy and has long said he would love to win the Tour with a French rider.
Team Ineos have the budget to afford the most exciting rider in this year's Tour, but Alaphilippe still has two years on his contract after extending last month.
(Reporting by Julien Pretot; Editing by Ian Chadband)
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