- Decide on the products that will be painted: maximum dimensions, the number of products per shift. The internal dimensions of the equipment must correspond to the products. A certain margin for the future is possible.
- Premise: it should contain - equipment (layout), a small paint warehouse (5 square meters), a warehouse for products preparing for painting. The supplied power to the site should be with a 20% margin in kW and other energy carriers. It is advisable to choose a heated room with good floors.
- Polymerization furnace: Tena or IR, electricity or gas? Choose electricity or gas based on availability. Gas is currently cheaper, but for how long? The cost of a gas burner furnace is 2 times more expensive than an electric one. IR heating is very specific and is used in highly specialized places. It shows itself well in drying chambers. The most common and affordable option for heating in furnaces is tena.
- Spraying chamber: cyclone or filter?
- The cyclone is good when you rarely change the color of the paint (day, week), due to the difficulties of cleaning powder paint.
- For frequent color changes it is better to order a spraying chamber on the filters and additional filters for running colors. These cameras are cheaper than cyclones.
- Atomizer: tribostatic atomizer or electrostatic unit?
- An electrostatic unit is used to paint any order quantities and paints containing metallic particles (metallic and antique).
- The tribostatic spray gun is the optimal solution for small and medium spray areas. He better paints hard to reach places and corners. It is easy to apply paint to any materials. Another plus of the tribostatic atomizer is its price, which is 10 times lower than the price of installations.
- Transport system: conveyor, overhead rail system or overhead trolley?
- The conveyor line is the most productive paint system. But it involves painting the same type of product. The color change on the lines takes several hours, and the launch of the line requires high energy costs.
- The upper rail system is an intermediate option for price and performance, between the conveyor and the hand truck. Suitable for large and small volumes of painting and heavy products.
- Hanging trolley - the basic version of the product transportation system. In it, products from the spraying chamber are manually suspended on a trolley in a baking oven. When outweighing, there is a high probability of damaging the paint layer.
- Surface preparation: hand-wiping, washing, bathing or sandblasting?
- The most common method of preparation in Ukraine is manual degreasing, due to its cheapness and simplicity.
- Sinks and bathtubs work better on clean products of the same type. Rusty metal from our metal depots, before washing, must be cleaned mechanically.
- The best option for obtaining a quality prepared product is bead-blasting or sandblasting, it removes all rust and old paint.
- Decide on the supplier: availability of technical conditions (TU) for equipment, customer reviews, own working paint sites.
- Installation, service support, warranty.
- A good manufacturer has installation, an obligatory stage in the work.
- The presence of employees who can quickly answer all questions.
- Warranty should be at least 1 year.
- Availability of training opportunities from the supplier. If he can’t teach, this may mean that there will be problems with painting.
- Experience saves customers money.
Head of Grafix
Our slogan: gray is no longer in fashion.


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Separate names with a comma.
$35-1 box/250 projectiles
$100-3 box/750 projectiles
Have a few of these for sale. 250 per pack. 750 per sleeve.
They normally go for 50-55$ at...
Has anyone reloaded the coated lead bullets? I got a bunch if 115 gr 9mm bullets imma try out and was wondering if anyone else has tried them?
Loving AZ so far but the guys I do know here do not hunt. I come from PA so this terrain is definitely new to me. I am not looking for anyone's...
This is a complete package to reload 12 Gauge shells and has everything you need to start immediately.
Complete list of items as follows.

domain: hobby


Email marketers are in ruddy good health, according to a study from the UK Direct Marketing Association (DMA), sponsored by dotmailer.
Of the companies surveyed, 86% say email is very important to them. And they’re pulling an average ROI of £32.28 per pound spent — a jump from £30.03, year-over-year from 2016 to 2017 — roughly equivalent to the email ROI per dollar in the U.S.
In addition, most are on the road to GDPR compliance.
Yet they face barriers to email success, among them:
Marketers are also daunted by the challenge of testing their emails. One in five have on competence at all in this discipline, and one in six simply do not test. This may partially explain the disconnect between brands and consumers on what to put in emails.
Consumers most desire advance notice of new products and loyalty program/rewards notices, whereas marketers cling to the idea that they want branded content.
That’s on view here, if you compare the two charts:
What consumers want in emails:
On a happier note, 72% are at least somewhat prepared for the General Data Protection Regulation (GDPR). But 43% have negative views on the rule, and 36% see it positively.
What do they use email for? The breakdown shows that they could do more work on using email for retention marketing:
Despite these findings, most UK emailers say email is best used for retention — 63% in B2B and 61% in B2C. And 54% of both sectors feel it is useful in brand promotion. Finally, 53% of the B2C respondents have high usage of email for conversion, vs. 50% on the B2B side.


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دیدگاه خود را ثبت کنیدتمایل دارید در گفتگو شرکت کنید؟

domain: geography


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CALL FOR PRICE
Schedule A Private Viewing
This 18k white gold contour wedding band features a double band design with diamonds alternating on each side. The diamonds have a total approximate weight of .19ct.
This item has been sold, however, send us a message if interested.
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domain: design


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HIV incidence and risk factors for acquisition in HIV discordant couples in Masaka Uganda an HIV vaccine preparedness study
To determine the incidence of and risk factors for HIV acquisition in a cohort of HIV-uninfected partners from HIV discordant couples in Masaka, Uganda, and to establish its suitability for HIV vaccine trials.
- PMID Author:
Ruzagira E, Wandiembe S, Abaasa A, Bwanika AN, Bahemuka U, Amornkul P, Price MA, Grosskurth H, Kamali A
- PMC Link #:

domain: medical


Fuel injector coking involves deposit formation on the external or the internal surfaces of an injector or nozzle. This deposition of carbonaceous particles can result in uneven fuel-spray characteristics or localised burning (hot spots), which may eventually lead to mechanical failure or simply have a detrimental effect on the combustion system. This study focuses on the use of numerical methods to investigate the effect of coke formation on both the atomiser internal flow passages and its spray characteristics. Three different cases are examined; one investigating the clean injector; the second investigating the effect of internal coking; and the third investigating the effect of nozzle tip coking. A pressure swirl atomiser was considered for the purpose of the study. Validation of the numerical results for the clean injector condition is carried out against published experimental data. Two arbitrary geometries of coke deposits were created. The Volume of Fluid (VOF) multiphase model has been used in conjugation with a Geometrical Reconstruction Scheme (GRS) to simulate the interface representing the two phases. Spray cone angle and the liquid film thickness for the clean injector condition predicted by numerical simulation agreed well with the experimental data. Instabilities in the air core and the spray angle were also observed because of the presence of coke layers. Fouling present on the injector tip resulted in an earlier breakup of the film which can thereby affect the flame lift-off length. These stated observations can have significant implications both on the performance as well as the life of the combustion systems, thereby establishing the relevance of this study.
- International Gas Turbine Institute
Preliminary CFD Study on the Effect of Fuel Injector Coking on Fuel Spray Characteristics
Agarwal, P, Sethi, V, Gauthier, PQ, Sun, X, & Liu, Y. "Preliminary CFD Study on the Effect of Fuel Injector Coking on Fuel Spray Characteristics." Proceedings of the ASME 2017 Gas Turbine India Conference. Volume 1: Compressors, Fans and Pumps; Turbines; Heat Transfer; Combustion, Fuels and Emissions. Bangalore, India. December 7–8, 2017. V001T04A015. ASME. https://doi.org/10.1115/GTINDIA2017-4838
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Mitochondrial disease therapy is still in its infancy. Mitochondria have been linked to human disease only since the 1960s, and much of what we know about these diseases has been discovered only in the past 20 years. Our knowledge about mitochondrial diseases is changing rapidly, as are the available tests and treatments.
In our Mitochondrial Program at Boston Children’s Hospital, we are experienced in evaluating children with mitochondrial disorders, anticipating the symptoms they will face and finding the best treatments for them. We take great care to stay ahead of the latest developments in the field and to thoughtfully consider all options in treating your child.
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You can read more about the research going on throughout the Boston Children’s Neurology department here.
You can search for other clinical studies throughout Boston Children’s here.


La Nina on its way -drought conditions for Colorado this winter?
It could be drought conditions for Colorado this winter, as La Nina appears to be on the horizon. La Nina has been associated with drier winters in Colorado’s front range.
Scientists with NOAA’s Climate
Prediction Center, in today’s release of its monthly El
Niño/Southern Oscillation (ENSO) Diagnostic Discussion, say
that La Niña is on its way.
“While we can’t officially
call it a La Niña yet, we expect that this pattern will
continue to develop during the next three months, meeting the NOAA
definition for a La Niña event later this year,” said
Mike Halpert, acting deputy director of the Climate Prediction
Center in Camp Springs, Md.
La Niña refers to the periodic
cooling of ocean surface temperatures in the central and
east-central equatorial Pacific that occur every three to five
years. NOAA declares the onset of a La Niña event when the
three-month average sea-surface temperature departure exceeds -0.5
degrees Celsius (-0.9 degrees Fahrenheit) in the east-central
equatorial Pacific [between 5 degrees North and 5 degrees South and
170 degrees West – 120 degrees West].
NOAA animation of sea surface temperature
(SSTs) anomalies across the Eastern Pacific as depicted by NOAA’s
Polar Operational Environmental Satellite. The blue and purple
colors indicate areas of colder-than-average SSTs, indicative of a
developing La Niña. Please credit “NOAA.”The
development of La Niña conditions is supported by increasing
below-normal-sea surface temperatures across the central and
eastern equatorial Pacific and stronger-than-average easterly winds
across the west-central equatorial Pacific. “Nearly all
operational dynamical models, including the National Centers for
Environmental Prediction’s Climate Forecast System and many
of the statistical models also favor a La Niña event,”
With La Niña developing, seasonal
forecasters expect wetter-than-normal conditions in the Pacific
Northwest and drier-than-normal conditions in the already
drought-stricken southwestern U. S. this Fall.
“These conditions also reinforce
NOAA’s August forecast for an above normal Atlantic hurricane
season,” said Gerry Bell, Ph.D., NOAA’s lead seasonal
The Climate Prediction Center routinely
publishes an assessment of ENSO conditions each Monday and the next
official ENSO Diagnostic Discussion will be issued on October 11,
2007. The El Niño/Southern Oscillation Diagnostic Discussion
is a product of the Climate Prediction Center in association with
its funded institutions.
NOAA is dedicated to enhancing economic
security and national safety through the prediction and research of
weather and climate-related events and information service delivery
for transportation, and by providing environmental stewardship of
our nation’s coastal and marine resources. Through the emerging
Global Earth Observation System of Systems (GEOSS), NOAA is working
with its federal partners, more than 70 countries and the European
Commission to develop a global monitoring network that is as
integrated as the planet it observes, predicts and protects.


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After a long period of exclusivity on PlayStation platforms, Final Fantasy 7 Remake has also arrived on PC in its Intergrade version… with another exclusive agreement and not without some controversy.
Final Fantasy 7 Remake Intergrade for PC arrived on Epic Games Store on Thursday 16 December generating some controversy both for exclusivity (launch did not involve Steam), and especially for the high launch price, a cost
Players who want to add it to their Steam library can start hoping, in any case. Among the game files downloaded from Epic Games Store, more precisely in the path “Engine/Binaries/ThirdParty,” the subfolder Steamworks has been identified, which inside hides even the file “steam_ In another file, “WindowsEngine.ini,” a reference to SteamDevAppID “146240” was found, which SteamDB curators have already labeled as “Final Fantasy VII Re
Some clues that seem to outline the contours of another exclusive time only for Epic Games Store. Final Fantasy 7 Remake Intergrade could follow the process of many games that preceded it, landed on Steam after a period of exclusivity of 6-12 months. Absolute certainty, however, we will only have it with an official announcement.

domain: entertainment


Last Updated on March 28, 2024 by Tayyaba Shafqat
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By Ikechukwu Nnochiri
ABUJA— The Supreme Court, yesterday, urged President Goodluck Jonathan and the National Assembly to seek an amicable settlement of the controversy surrounding the proposed amendments to the 1999 constitution.
A seven-man panel of justices of the apex court, led by the Chief Justice of Nigeria, CJN, Justice Mahmud Mohammed, gave the two parties 24 hours to explore an out-of-court resolution of the matter.
In a short ruling, yesterday, the CJN adjourned the matter till tomorrow to entertain arguments on whether or not the apex court should vacate the order that directed the NASS to maintain status-quo on the issue.
At the resumed sitting on the matter, yesterday, Mr Bayo Ojo, SAN, who represented the Attorney General of the Federation, AGF, applied to amend the originating process to reflect President Jonathan as the plaintiff in the case.
His application was opposed by counsel to the NASS, Chief Adegboyega Awomolo, SAN, who prayed the apex court to strike out the substantive suit and allow the federal lawmakers to proceed with overriding President Jonathan’s veto against the passage of the Fourth Alteration Bill for the amendment of the 1999 Constitution .
Awomolo contended that the suit was incurably defective ab-initio, and therefore, ought to be dismissed by the apex court.
Affidavit evidence could not be amended
Meanwhile, the Supreme Court panel noted that the AGF had earlier filed an affidavit in support of the suit, stressing that affidavit evidence could not be amended as prayed.
The CJN specifically noted that the AGF failed to cite all the 36 states of the federation that participated in the constitution amendment process as relevant parties to the suit.
While refusing to vacate the status-quo order, the CJN-led panel advised the warring parties to go back and amicably reconcile their differences.
The CJN had in a ruling he delivered on May 7 ordered the lawmakers to maintain status quo till June 18, saying: “No step should be taken with regard to the subject matter of the suit by either the respondent or the plaintiff.”
Besides, the apex court directed the AGF who filed the suit on behalf of President Jonathan, to prepare to address it that day on the import of the provisions of section 232 of the 1999 constitution to the suit.
The CJN noted that going by the aforementioned section, only the President himself, and not the AGF, has the locus-standi to invoke the original jurisdiction of the apex court against the NASS.
He further observed that it was not only the NASS that was involved in the constitution amendment process, saying the 36 States of the federation, having participated in the exercise, ought to have been joined as necessary parties to the suit.
According to the CJN, section 232(1) of the constitution conferred the Supreme Court with the original jurisdiction over any dispute between the NASS and the President, not the AGF.
However, counsel to the AGF, Chief Ojo, SAN, had insisted before the court that the suit was properly instituted.
NASS prays court to dismiss originating summons
Meantime, members of the outgoing NASS are praying the apex court to discharge the interlocutory orders of injunction that restrained them from amending the constitution.
The NASS in their application, also prayed the court to dismiss the originating summons filed by the Attorney General of the Federation on April 22, on the ground that it is incompetent, fundamentally and incurably defective and thereby robs the Supreme Court of its jurisdiction.
According to them, “there is no known or reasonable cause of action disclosed in the originating summons to ground jurisdiction of the Supreme Court.
“The originating summons filed by the plaintiff is an improper and or reckless invocation of the original jurisdiction of the Supreme Court.”
Their lawyer, Awomolo, further argued that the AGF was not competent to invoke the original jurisdiction of the Supreme Court under the Supreme Court (additional jurisdiction) Act.
While urging the court to hear the application, Awomolo said that the NASS was inaugurated on June 6, 2011, for a term of four years always the lifespan due to expire on June 6, 2015.
They prayed the court to expeditiously hear and determine the matter before June 6 so as obviate the situation where the matter becomes a mere academic exercise.
“It is in the interest of justice and the good people of Nigeria that this suit be given expeditious hearing and determination”, they added.
Jonathan had through the AGF, urged the Supreme court to nullify all the proposed amendments to the 1999 constitution.
In his originating summons, he prayed the court to declare as unconstitutional, the amendments as proposed by the lawmakers.
FG urged the court to set aside sections 3, 4, 12, 14, 21, 23, 36, 39, 40, 43 and 44 of the Fourth Alteration Act, 2015, purportedly passed by the Defendant (NASS).
It contended that the said Fourth Alteration Act 2015, was not passed with the mandatory requirement of four-fifths majority of members of the Defendant (National Assembly), and the mandatory due processes provided for under the relevant sections of the extant Constitution of the Federal Republic of Nigeria, 1999, as amended.
As a follow up, President Jonathan equally wrote separate letters to the Senate President, David Mark and the Speaker of the House of Representatives, Hon. Aminu Tambuwal, asking them to halt moves by members of the National Assembly to go ahead with the constitution amendment process.
I n the letter which was served on them by the AGF, President Jonathan urged them to restrain other federal legislators from tampering with the 1999 constitution, as issues regarding its proposed amendments, are already before the Supreme Court.
More so, the AGF told the apex court that; “Hon. Samson Osagie, Minority Whip of the House of Representative, said to the whole world at a Press Conference purposely called on the issue in this suit that despite any case filed against the said Act (which actually is a Bill); the National Assembly would go ahead to pass it into law. “
The AGF contended that the balance of convenience tilts in favour of resolution of the legal grey areas concerning the proposed constitution amendment, before any further step could be taken on the Bill.
He maintained that the NASS was determined to proceed with passing the constitution by overriding the veto of same by President Jonathan, despite the fundamental nature of the issues raised against the proposed alterations to the constitution.
More so, Adoke argued that it would be in the interest of the whole Nigerian polity that the issues in the substantive suit are resolved one way or the other by the court before the National Assembly could proceed further on the proposed alterations to the constitution.
In an affidavit deposed to by one Theophilus Okwute, a lawyer in the chambers of Chief Bayo Ojo, SAN and Co , which was attached to the application, he averred before the apex court thus; “That I listened to Hon. Samson Osagie, the Minority Whip of the House of Representative on the NTA 9 O’clock News on 24/04/2015 when he said that the National Assembly would go ahead to pass the (Fourth Alteration) Act (Bill) 2015 into law despite any Court action because no order had been made against the National Assembly to restrain it from doing so.
“That by that very disposition of the said Hon. Samson Osagie who spoke to the press as a Principal Officer of the Defendant/Respondent, it is clear that the Defendant/Respondent is determined to proceed to pass the Fourth Alteration Act (sic) into Law despite the pendency of the substantive suit herein.
“That fundamental questions were raised by the Plaintiff/Applicant on the proposed alterations to the Constitution of the Federal Republic of Nigeria through the Fourth Alteration Act, 2015 which is in issue in this suit.
“That it will be in the larger interest of Nigeria that those issues be resolved before the Defendant/Respondent takes any further step in giving effect to the proposed alterations to the Constitution.
“That with the utterances of Hon. Samson Osagie at the Press Conference earlier alluded to in this affidavit, it is clear that the Defendant is determined to ignore the proceeding before this Honourable Court on the proposed alteration and proceed to give effect to the alterations to the Constitution.”
“That the Defendant/Respondent will not lose anything or suffer any prejudice if this application is granted.
“That the balance of convenience tilts in favour of granting this application. That the whole Nigerian legal system shall be put into confusion if the Defendant/Respondent proceeds to give effect to the Fourth Alteration Act (Bill) 2015 and this suit succeeds such that the Constitution remain unaltered, meaning that the Act is void and or no effect.
“That the Constitution is the basic law of Nigeria and should only be amended following due process. That it will be in the interest of justice to grant this application”, he stated.


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The event is finally here and i have 6000 diamonds to try my luck but it seems like i might end up getting gusions or auroras skin. Iori yagami chou drawing.
Iori yagami 八神 庵 yagami iori is a character who made his first appearance in the king of fighters 95 he is a central recurring character and the initial enemy and eventual rival of kyo kusanagi.
Iori yagami chou drawing. Arena of valor is releasing soon in the western world and you can pre register on ios and android os right now. Jun 7 2019 deviantart is the world s largest online social community for artists and art enthusiasts allowing people to connect through the creation and sharing of art. Chou iori yagami skin.
How to draw iori yagami from the king of fighters. You can help improving it by editing. Chou iori yagami skin.
You could check out a movie trailer for the highly anticipated fresh moba above and to be able to pre register you can brain on over to the required site. Here is a list of quotes for iori yagami and orochi iori. This list is incomplete.
Share your thoughts experiences and the tales behind the art. Iori yagami card kof 2013 by heidernn on deviantart deviantart is the world s largest online social community for artists and art enthusiasts allowing people to connect through the creation and sharing of art. Posted by 3 months ago.
Does this mean i will have to spend way more diamonds to get iori yagami. More tutorials in the king of fighters. 1 the king of fighters 95 1 1 in battle 1 2 win quotes 2 the king of fighters 96 2 1 in battle 2 2 special intro 2 3 win quotes 3 the king of fighters 97 3 1 in battle 3 2 special intro 4 the king of fighters 98 4 1 in battle 4 2 special intro 4 3 win quotes 4 4 win.
Signup for free weekly drawing tutorials please enter your email address receive free weekly tutorial in your email. He is the heir to one of the three clans that sealed the legendary snake entity orochi 1 800 years ago his clan formerly known as the yasakani 八尺瓊 yasakani wields pyrokinetic.

domain: game


We are in our 5th semester of the BYU - IDAHO Supermileage Team. There are currently around 30 members working to hit our goal of a vehicle that gets over 1000 MPG and to be able to go for the first time to the Supermilage competition.
Everything we do is 100% custom work. There has never been a team such as this at BYU-I so we are having to learn and teach one another. With the diverse group that we assembled we are able to go from conception of the idea all the way to production.
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29 August 2023 | at 9:57 am
LOS ANGELES — Bronnie James, the 18-year-old son of Los Angeles Lakers famous person LeBron James, is doing smartly and attending categories because the very talked-about freshman guard suffered a cardiac arrest all over a exercise final month, the Southern California Basketball Affiliation stated. trainer Andy Enfield stated Monday.
“The nice factor is he’s doing nice and is in school now. And all of us love him,” Enfield stated. “I believe everyone seems to be hopeful that Brony can be again at the courtroom. We simply need to be affected person and transfer ahead step-by-step.
The James circle of relatives issued a commentary on Friday announcing that the possible reason for James’ cardiac arrest used to be a congenital middle defect. The commentary added that the guts defect is treatable and the circle of relatives is assured in James’ talent to make a complete restoration and go back to the courtroom within the close to long term.
James used to be hospitalized at Cedars-Sinai Scientific Middle and used to be launched 3 days after struggling on July 24.
“Our objective is to enhance Bronie any means we will academically, athletically and be affected person about how issues broaden in his go back,” Enfield stated.
James, a 6-foot-3 guard, dedicated to USC in Might and strengthened what used to be already one of the most peak recruiting categories within the nation. He’s the 6th McDonald’s All-American to sign up for this system since Enfield took over as trainer in 2013.
The Trojans had the country’s fourth-ranked recruiting elegance, together with the top-rated participant in guard Isaiah Collier.
Enfield stated the pitch for James and his circle of relatives used to be no other than for different recruits.
“He’s an implausible basketball participant and used to be enjoying really well (ahead of the cardiac arrest). “All of us assume he is a brilliant turnaround in his recreation and will assist our group win,” Enfield stated. “It used to be a bit of later within the recruiting cycle and it used to be other as a result of he comes from an excellent basketball circle of relatives. However that did not truly alternate our recruiting pitch as a result of we are very fair with other people and we confirmed them the chance we concept they may get right here at USC. His oldsters had been really nice all over all the recruitment procedure and feature been very supportive ever since.
Enfield additionally stated that he used to be happy together with his group’s expansion all over their fresh travel to Europe, the place they performed suits in Greece and Croatia.
5th-year senior guard Boogie Ellis has taken at the position of co-captain of the group, whilst Collier and ahead DJ Rodman, a graduate switch from Washington State, have joined new teammates in enjoying positions.
Enfield stated Collier is likely one of the absolute best passers he is observed popping out of highschool shortly, whilst Rodman can be a risk together with his offensive talents.
The participant who made the largest strides at the travel used to be junior guard Kobe Johnson, a co-captain who averaged 9.3 issues final season.
Enfield stated, “He’s the most productive defensive participant in our league and has advanced his assault as smartly.”
USC — which has made the final 3 NCAA tournaments — will face a difficult non-conference time table ahead of starting its ultimate marketing campaign within the Pac-12. The Trojans will play towards Kansas State on November 6 in Las Vegas and play in San Diego in a Thanksgiving week match that still contains Seton Corridor, Iowa and Oklahoma. USC additionally has a street recreation towards Auburn.


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CATCH OF THE DAY / 2017 / HD video / 16:9 / 04’56” / loop / monitor 14 inch
In a porcelain bowl the light coming from the moon is being caught. It is the succeeding of an impossible task. Through this, something which usually is far away is getting the physicality of something near. Due to the thunderstorm, the whole picture can be seen from time to time.

domain: artistic


In my 20 years of waging California GOP campaigns, I’ve never seen turnout trends quite like those shaping up for 2014. As more surveys are conducted, it appears that California voter turnout could drop below 45%, possibly even lower than 40%.
Democrats have little interest in this election. Republicans are more motivated, but the wildcard is “no-party-preference” voter turnout, where surveys indicate a growing interest in the election.
In November, “no party preference” voters could come close to 25% of the overall turnout – at least 5 points higher than years past.
What’s that mean?
First, this group of unaffiliated voters will likely decide the close contests – including California’s State Controller race, where Republican Ashley Swearengin has put her strong independent streak on full display. Non-partisan voters gravitate to candidates who they feel validate their decision to eschew the party-line vote.
It also means that Republicans have to throw out the old formulas. One respected GOP consultant recently opined that to win, a GOP candidate needed 95% of the Republicans, 2/3rds of the Independents, and 1/3 of the Democrats. But that math fails to read the trends influencing this election.
In fact, a winning formula looks like 85% of the GOP vote, 55% of the “Decline to State” vote, and 20% of the Democratic vote. That’s the same mix that elected Governors Pete Wilson and George Deukmejian.
In the Controller’s contest, Swearengin’s case is helped by the fact that she’s gained the endorsement of every single major newspaper in the State, except for the San Francisco Chronicle.
It also helps that Swearengin brings with her a rock-solid Central Valley voter-base, a hyper-motivated part of the electorate that views the water-bond as essential to their future.
And it also helps that voters are growing leery of the risks of one-party government, in response to the ongoing parade of Legislative indictments, contracting scandals, and scathing auditor reports that extend even to the Controller’s Office itself.
Every election brings different opportunities. 2014 presents the GOP with a very strong chance at winning one or more statewide contests. And in Swearengin, the GOP presents a genuinely strong candidate with proven ability to attract the Independent and Reagan Democrat voters. Now, it’s up to GOP donors to recognize the opportunity and bring home a statewide win.
(Tim Clark is campaign manager for Ashley Swearengin. He has been a GOP campaign consultant for 20 years. He served as Campaign Manager for Steve Poizner’s Insurance Commissioner race. Poizner is the last California Republican to win a statewide down-ticket contest.)


Conservative MP Bob Blackman has said that Labour leader Jeremy Corbyn meeting EU Chief negotiator Michel Barnier does not help Britain “one iota”.
Mr Blackman, the MP for Harrow East told talkRADIO’s Julia Hartley-Brewer: “The reality is the Prime Minister is negotiating with EU leaders, Dominic Raab is our Secretary of State leading the day-to-day negotiations with Michel Barnier.
“And, all of our officials are involved in extensive talks to try and get to a point where by a deal is made.
“If you strengthen the position on the other side, to give them some comfort then that undermines the very negotiations that are going on.
“It does not help Britain’s position one iota."
‘Ambitious future partnership’
Mr Corbyn described the meeting with the EU negotiator as “useful”, but told reporters that he was not negotiating.
The Labour leader joined Shadow Brexit Secretary Keir Starmer at the meeting.
Mr Corbyn, speaking after the meeting, said: "We have set out the views of the Labour Party surrounding Brexit following the conference speeches made by Keir Starmer and myself.
"We are obviously not negotiating. We are not in government, we are the opposition.
"But he was interested to know what our views are and the six tests we have laid down by which we will hold our government in future."
Mr Barnier said on twitter: “Meeting with Jeremy Corbyn and his team today.
“Continuing to listen to all views on Brexit and to explain EU positions, which aim for the UK’s orderly withdrawal and to build an ambitious future partnership together.”
‘She enjoys the confidence of MPs’
Mr Blackman was also asked whether the Prime Minister’s days were numbered, following a series of major rejections by EU leaders.
President of the European Council, Donald Tusk said last week that Theresa May’s Chequers plan “will not work”.
Mr Blackman said: “Following the 2017 General Election, Theresa May made a point to the Conservative MPs that she knows it is a matter of building and maintaining the confidence of Conservative MPs.
“She enjoys the confidence of the overwhelming majority of Conservative MPs right now.
“And, as long as she continues to lead the party in the right way she will continue to enjoy that confidence.”


Facts About Tornadoes
Q. What is a tornado? A. A tornado is defined as a violently rotating column of air extending from a thunderstorm to the ground. The most violent tornadoes are capable of tremendous destruction with wind speeds of 250 mph or more. Damage paths can be in excess of one mile wide and 50 miles long. In an average year, 800 tornadoes are reported nationwide.
Q. How do tornadoes form? A. Before thunderstorms develop, a change in wind direction and an increase in wind speed with increasing height creates an invisible, horizontal spinning effect in the lower atmosphere. Rising air within the thunderstorm updraft tilts the rotating air from horizontal to vertical. An area of rotation, 2-6 miles wide, now extends through much of the storm. Most strong and violent tornadoes form within this area of strong rotation.
Q. Are there different kinds of tornadoes? A. Some tornadoes may form during the early stages of rapidly developing thunderstorms. This type or tornado is most common along the front range of the Rocky Mountains, the Plains, and the Western State. Tornadoes may appear nearly transparent until dust and debris are picked up. Occasionally, two or more tornadoes may occur at the same time. Waterspouts are weak tornadoes that form over warm water. Waterspouts are most common along the Gulf Coast and southeastern states. In the western United States, they occur with cold late-fall or late-winter storms, during a time when you least expect tornado development. Waterspouts occasionally move inland, becoming tornadoes causing damage and injuries.
Q. What should people look for to identify likely conditions for tornadoes? A. Dark, often greenish sky; large hail; wall cloud; a loud roar, similar to a freight train. Some tornadoes appear as a visible funnel extending only partially to the ground. Look for signs of debris below the visible funnel. Some tornadoes are clearly visible while others are obscured by rain or nearby low-hanging clouds.
Q. When are tornadoes most likely to occur? A. Tornadoes can happen any time of the year and any time of day. In the southern states, peak tornado season is from March through May. Peak times for tornadoes in the northern states are during the summer. A few southern states have a second peak time for tornado outbreaks in the fall. Tornadoes are most likely to occur between 3 p.m. and 9 p.m. Q. Who is most at risk during tornadoes? A. People in automobiles and people in mobile homes; people who may not understand a warning due to a language barrier; the elderly and very young; people with physical or mental impairments.
Q. What dangers other than tornadoes often accompany thunderstorms? A. Flash floods, lightning, damaging straight-line winds, and large hail.
Prepare: Q. I live in an area where there are a lot of tornadoes -- what can I do to be prepared ahead of time? A. The most important steps you can take to protect yourself and your family is to stay tuned to weather forecasts for the most current information, watches and warnings. Have a NOAA Weather Radio with a warning alarm tone and a battery back-up. These special radios can be set up to turn on automatically and alert you when a tornado watch or warning is issued, even when you are sleeping. Listen to radio and television for more information. You should also develop a plan for you and your family so you know where to take shelter at home, at work, at school or when outdoors.
Q. What actions should people take to protect themselves during a tornado? A. Move to a pre-designated shelter such as a basement in a home or building. If an underground shelter is not available, move to an interior room or hallway on the lowest floor and get under a sturdy piece of furniture. Stay away from windows; get out of cars -- do not try to outrace a tornado. If you're caught outside, lie flat in a nearby ditch or depression.
Myths: Q. Should I open my windows before a tornado approaches? A. It's a myth that open windows equalize pressure and minimize damage when a tornado strikes. Opening windows allows damaging winds to enter the structure. Leave the windows alone and immediately go to a safe place.
Q. Doesn’t the low pressure associated with a tornado cause buildings to explode? A. Violent winds and flying debris slam into buildings and cause most structural damage .


text:
In order to have a growing and sustainable cooperative business ecology you need at least two things: first, you need a continuous stream of newly founded worker-owned firms entering the ecology, either through conversions or as startups; and second, you need a growing cooperatively-owned financial sector in the ecology, to help these worker-owned firms manage their capital. The Kibbutz experience in Israel has shown that, given the chance, capitalist banks will use their financial leverage to force cooperative businesses to adopt capitalist structures over time; in other words, for purely ideological reasons, capitalist banks have been shown to use restrictive loan terms to progressively force cooperatives to convert back into capitalist businesses. (Simons and Ingram 1997) Capitalist banks don’t trust cooperatives, they don’t like to work with them, and when they do, they often insist that cooperatives restructure themselves to operate more like capitalist businesses as a precondition for loaning cooperatives money. A healthy cooperative economy requires a financial sector that shares its cooperative structure and philosophy so that worker-owned firms have access to investment capital from banks that understand what cooperatives are about and on terms that fit the worker-owned business model. That’s why it is so discouraging to see that the number of credit unions in the United States continues to drastically decline:
Source: The Credit Union National Association via the Internet Archive Blog.
This data was compiled by the folks at the Internet Archive. In 2011, one of the founders of the archive, Brewster Kahle, launched a new credit union, the Internet Archive Federal Credit Union, explicitly to offer low-income members affordable financial services. Sadly, after a frustrating five years, Kahle and his partners have recently decided to close the project, and they blame the regulatory body, The National Credit Union Administration, for putting so much needless regulatory bureaucracy in their way that the credit union never managed to get off its feet. By the Archive’s estimates, 200-300 credit unions are forced to close each year in the US and only a tiny handful are allowed to start. Whatever the problem, from the evidence above it is clear that something is very wrong.
Someday, if we ever achieve a sustainable global cooperative economy, much of the change required will be ideological, but much will also be structural. Among the structural changes, it is clear that the laws that govern credit unions need to be re-written, at least in the US and undoubtedly elsewhere, so that they encourage rather than discourage the foundation of cooperative financial institutions. As Kahle points out in his blog post, the technical tools required to start a cooperative bank have never been easier to use. There is really no technical reason that the curve above should be going down. Indeed, by all rights, given internet-based technical advances in providing financial services, it should be going up, and after the catastrophe of the last global recession — caused in large part by the capitalist financial sector — there is even more reason to see that the cooperative financial sector starts growing again.
Kahle, Brewster (2015) “Difficult Times at our Credit Union.” Internet Archive Blogs, blog.archive.org, 24-11-2015.
Popper, Nathaniel (2015) “Dream of New Kind of Credit Union Is Extinguished by Bureaucracy.” New York Times, 24-11-2015.
Simons, Tal and Ingram, Paul (1997) “Organization and Ideology: Kibbutzim and Hired Labor, 1951–1965.” Administrative Science Quarterly 42, 784–813.

domain: economics


text:
Challenging Coaching - 3 hours
Managers and leaders have long recognized the value of coaching as a tool to promote development and foster engagement. John Blakey and Ian Day co-authors of Challenging Coaching a provocative book that suggests that for too long coaching approaches have shied away from adopting a more challenging stance - a stance that can provoke greater performance and unlock deeper potential in business leaders and their teams. In this workshop leaders are introduced to a new approach to coaching that can help them adopt this more challenging stance when coaching their direct reports. While utilizing accepted coaching models this approach also draws on the FACTS model that emphasizes feedback, accountability, courageous goals, tension and system thinking within the coaching relationship.
Raising the bar on coaching: Challenge is required to raise performance

domain: literature


text:
A Narrative Review
Medicina. May 27, 2021; Vol. 57; No. 6; pp. 536
Heidi Haavik, Imran Khan Niazi, Nitika Kumari, Imran Amjad, Jenna Duehr, Kelly Holt: This study cites 301 references. HVLA = High-Velocity Low Amplitude
In the midst of the ongoing COVID-19 pandemic, the quest for healthcare solutions that bolster the immune system has gained paramount importance. A recent review delves into the intriguing realm of high-velocity, low-amplitude (HVLA) controlled vertebral thrusts and their potential role in modulating the intricate dance between the nervous and immune systems. The implications of this link for clinical practice and the pressing need for future research take center stage in this exploration.
- The Immune Imperative in the COVID-19 Era
- The urgency to fortify immunity has never been more critical than in the current global health crisis. Amid the challenges posed by the COVID-19 pandemic, finding effective healthcare solutions that support and enhance the immune system has become a priority.
- HVLA Thrusts and Immune Mediators: Unraveling the Connection
- The review uncovers a compelling body of evidence suggesting that HVLA controlled vertebral thrusts possess the potential to influence immune mediators. Out of 21 published papers exploring this connection, a significant effect was observed in 86% of cases. This influence extends to various immune mediators, including neuropeptides, inflammatory markers, and endocrine markers.
- The key mechanisms underlying this impact are rooted in changes in proprioceptive processing within the central nervous system (CNS), particularly the prefrontal cortex. As a hub for regulating the autonomic nervous system, the hypothalamic–pituitary–adrenal axis, and the immune system, the prefrontal cortex emerges as a crucial player in the interplay between HVLA manipulation and immune modulation.
- Biologically Plausible Mechanisms: Bridging the Gap
- The review highlights biologically plausible direct and indirect mechanisms linking HVLA controlled vertebral thrusts to the immune system. Stress-induced alterations in neuro-immune interactions, coupled with the impact on proprioceptive processing, form the foundation for understanding how chiropractic adjustments may influence immune function.
- HVLA Thrusts and Immune Mediators: A Multifaceted Impact
- The manual or mechanically assisted application of HVLA controlled vertebral thrusts, commonly known as chiropractic adjustments or spinal manipulation, emerges as a multifaceted influencer of neuroimmune chemical concentrations. These adjustments have been shown to impact interleukins, key cytokines in immune function, by decreasing pro-inflammatory cytokines and increasing anti-inflammatory cytokines.
- The CNS-Immune Axis: Unveiling the Intricacies
- The interconnected relationship between the central nervous system (CNS) and the immune system takes center stage. Chiropractic HVLA controlled vertebral thrusts, by affecting the CNS, particularly the prefrontal cortex, establish a plausible biological mechanism for impacting immunity.
- Chronic Stress, Immunity, and Vertebral Subluxations
- Stress, a major factor in immune suppression, is proposed as a potential cause of vertebral subluxations. The review draws attention to the cascading effects of chronic stress on immune response, highlighting its role in various physical and mental health conditions.
- Bridging Basic Science and Clinical Relevance
- While basic science evidence suggests the modulatory effects of HVLA controlled vertebral thrusts on immune mediators, the review underscores the need for cautious optimism. It emphasizes the necessity for larger, high-quality studies to ascertain the clinical impact of these thrusts on immune function, especially in immunologically mediated conditions.
- The Road Ahead: Urgent Calls for Further Research
- As we tread this fascinating intersection of chiropractic care, neuroimmune dynamics, and immune function, the call for further research resonates. Larger studies, particularly those exploring the link between HVLA controlled vertebral thrusts and the immune response in various conditions, are essential to validate and understand the clinical implications of this intricate connection.
In conclusion, this review not only sheds light on the potential of HVLA controlled vertebral thrusts to modulate immune function but also underscores the imperative for continued research in this promising field. As we stand at the crossroads of chiropractic care and immune health, the quest for knowledge remains integral to shaping the future of holistic healthcare practices.

domain: library


text:
As per our current Database, Gina McKee is still alive (as per Wikipedia, Last update: May 10, 2020).
Currently, Gina McKee is 56 years, 9 months and 12 days old. Gina McKee will celebrate 57rd birthday on a Wednesday 14th of April 2021. Below we countdown to Gina McKee upcoming birthday.
|Popular As||Gina McKee|
|Age||56 years old|
|Born||April 14, 1964 (England)|
Gina McKee’s zodiac sign is Aries. According to astrologers, the presence of Aries always marks the beginning of something energetic and turbulent. They are continuously looking for dynamic, speed and competition, always being the first in everything - from work to social gatherings. Thanks to its ruling planet Mars and the fact it belongs to the element of Fire (just like Leo and Sagittarius), Aries is one of the most active zodiac signs. It is in their nature to take action, sometimes before they think about it well.
Gina McKee was born in the Year of the Dragon. A powerful sign, those born under the Chinese Zodiac sign of the Dragon are energetic and warm-hearted, charismatic, lucky at love and egotistic. They’re natural born leaders, good at giving orders and doing what’s necessary to remain on top. Compatible with Monkey and Rat.
English Actress who became known for her numerous television and film roles including the television drama The Lost Prince and the film Notting Hill.
She joined a youth drama group in her hometown after seeing an ad for it in a shoeshop window and she has acted ever since.
She was rejected from LAMDA, Bristol, and Central schools but continued to act without formal training.
She married Kez Cary in 1989.
She starred in the film Notting Hill with Julia Roberts in 1999.

domain: celebrity


text:
US 10 Year Yield Declines to 3.481%
US 2-Year Yield Hits High of 4.2%Rebound was over 30 bp today
Turmoil in the bank industry and renewed concerns of economic headwinds are driving expectations that Federal Reserve's interest-rate hiking is at or near an end. In turn, the...
The concept of diversification has long been hailed as the holy grail of investing. The idea is that spreading investments across different asset classes may reduce risk and create...
This week will be full of economic data, but the big data will come on March 1 and 3, when the ISM manufacturing and services indexes are released respectively. The ISM...
|Moving Averages||Strong Sell||Strong Sell||Sell||Neutral||Sell|
|Technical Indicators||Strong Sell||Strong Sell||Strong Sell||Buy||Strong Sell|
|Summary||Strong Sell||Strong Sell||Strong Sell||Neutral||Strong Sell|
|Belt Hold Bullish||30||Current|
|Belt Hold Bullish||15||Current|
|Abandoned Baby Bullish||1D||3||Mar 22, 2023|
|Three Inside Up||1H||3||Mar 24, 2023 17:00|
|Engulfing Bullish||1D||3||Mar 22, 2023|

domain: news


text:
Macys.com adds a curated assortment of new brands, merchandise categories and product selection from third-party merchants and brand partners. (Graphic: Business Wire).
A new major player is competing in the third-party online marketplace.
Department store retailer Macy’s Inc. is officially launching a new digital marketplace on its e-commerce site. Initially announced in November 2021, the marketplace provides customers with a curated assortment of 400 new brands and products in 20 merchandise categories from third-party merchants and brand partners. Marketplace items will be seamlessly integrated into the product assortment of the e-commerce site during fall 2022.
The marketplace runs on a Mirakl enterprise marketplace technology platform that has been customized by Macy’s digital, merchant and technology teams. The platform enables third-party sellers to integrate their products into Macy’s e-commerce architecture, with seller tools that help them monitor and attempt to drive, and grow their businesses with Macy’s.
Marketplace is designed to offer customers a cohesive and integrated Macy’s digital experience. Customers shopping online and through Macy’s mobile app should feel minimal differences in their overall experience beyond a badge that denotes that the product will be shipped by a third-party seller. Customers will also be able to purchase marketplace products while having full access to their Star Rewards loyalty benefits, in addition to standard Macy’s returns.
As the platform is scaled, Macy’s will continue to collaborate with a select, curated group of sellers and brands. According to Macy’s, sellers and brands will be chosen to ensure alignment with business needs and Macy’s product and fulfillment standards. Macy’s says that this fall, 20% percent of marketplace sellers and brands will be from underrepresented enterprises as part of its “Mission Every One” social purpose platform.
“Our marketplace complements our existing omnichannel strategy and is another platform we will use to find the most efficient distribution strategy for our partners. Not only will we continue to maximize brands and existing assortments, but we will use the marketplace to test and customize our assortments based on customer demand,” said Josh Janos, Macy’s Inc. VP of marketplace.
“After a year of intense work creating an exceptional experience for customers and sellers, we are thrilled to launch a curated marketplace on macys.com, expanding our digital assortment to new categories, brands and products that our customers will love,” said Matt Baer, chief digital and customer officer at Macy’s Inc. “Seamlessly integrated into Macy’s digital shopping experience, marketplace gives our customers access to an array of expertly curated products — from apparel and beauty to home improvement, toys, pet products and more.”
New York-based Macy’s, the largest retail brand of Macy’s Inc. operates Macy’s stores, as well as the Macy’s Backstage off-price format and Market by Macy’s small store format.


text:
Background: The aim of the study was to assess whether the number of sputum samples for screening of tuberculosis suspects could be minimized. Materials and Methods: It was a hospital-based cross-sectional study conducted from December 2006 to May 2008. Chest symptomatic 2810 patients were screened for tuberculosis (TB) by subjecting them to sputum microscopy using 2 sputum samples as well as 3 samples following standard procedure for sputum collection, staining, and AFB identification. Results: First sputum smear alone could detect 91.8% cases while first 2 samples together could detect 96% cases. Maximum no. of cases were diagnosed by only 2 specimen sputum smears, and added diagnostic value of third specimen was small i.e., 4%. Conclusions: Hence, 2 sputum samples as diagnostic criteria for screening of TB suspects is one way of improving the efficient use of scarce resources.
Keywords: Cough symptomatic, cough, morning specimen, OPD patients, screening of tuberculosis, spot specimen, sputum samples, tuberculosis
|How to cite this article:
Hamid S, Hussain SA, Imtiyaz A. Screening tuberculosis suspects: How many sputum specimens are adequate?. Ann Trop Med Public Health 2012;5:317-20
|How to cite this URL:
Hamid S, Hussain SA, Imtiyaz A. Screening tuberculosis suspects: How many sputum specimens are adequate?. Ann Trop Med Public Health [serial online] 2012 [cited 2020 Nov 24];5:317-20. Available from: https://www.atmph.org/text.asp?2012/5/4/317/102035
The purpose of case detection in tuberculosis control is to identify and treat the source of infection, i.e. sputum smear-positive cases, in order to reduce the prevalence and spread of infection. The main strategy recommended for case detection in developing countries, where 95% of tuberculosis cases occur, is sputum smear microscopy among out-patients with prolonged cough who voluntarily attend health facilities. ,,
Most standard laboratory tests  and guide lines , for mycobacteriology laboratories recommend that at least 3 sputum specimens, preferably collected on successive days, be submitted to the laboratory for AFB smear and culture for patients suspected to have tuberculosis. Unfortunately, there has been a paucity of published data analyzing the validity of this recommendation.
Recently, the number of sputum specimens suggested has become a matter of debate to assess the benefit and to reduce hospital expenses in the diagnosis of pulmonary tuberculosis (Nelson et al, 1998, Finch and Beaty, 1997, Cascina et al, 2000, craft et al 2000, Harvell et al 2000).  Studies have shown that examination of 2 consecutive specimens (on spot and overnight sputum) is sufficient to detect a large number of infectious cases in the community.  Hence, in this study, an attempt has been made to see the yield of screening TB suspects using 2 sputum samples versus 3 samples.
The objectives of the study were:
- To find out how many sputum samples are adequate for diagnosis of tuberculosis
- To find the best possible combination of sputum smears for diagnosis of tuberculosis.
|Materials and Methods|
The present study was carried out in district tuberculosis center Srinagar and was a hospital-based cross-sectional study. The study was conducted for a period of one and half year starting from December 2006. The approach that was used to identify acid-fast bacilli in the sputum samples of the chest symptomatic patients in hospital was Ziehl Nielson direct staining method. During the study, sputum samples of all the chest symptomatic patients (2810) were collected and sent for ZN staining and sputum microscopy. Patients on treatment attending the hospital for follow-up were excluded. The sputum specimen was collected on spot from each symptomatic patient. The patient was then instructed to return on the following day for the examination of an overnight sputum specimen and to provide a second spot specimen. The smears were then processed and read by trained laboratory technicians. The sputum sample results, thus obtained, were collected and evaluated to see which cough symptomatic came positive by first 2 smears, which by first and third or by second and third or by all the 3 sputum smears. The statistical significance analysis was performed using chi-square test. Two-tailed P-value ≤ 0.05 were considered significant.
The total number of new adult patients who attended the OPD during the study period were 70000, and the total suspects subjected to sputum microscopy were 2810, which accounted for 4% of the total OPD attendees [Table 1].
|Table 1: General description
Click here to view
Among 2810 cough symptomatic, 367 were sputum positive, giving the sputum positivity rate as 13.1%. Among the 367 sputum smear-positive cases, all the 3 sputum smears were positive in 86.6% (318) cases [Table 2]. Only and any 2 sputum-positive were seen in total in 13.4% (49) cases, whereas first 2 smears were positive in 1.4% (5) cases. First and third smear only positive were in 3.8% (14) cases.
|Table 2: Pattern of sputum smear positivity with duration of cough
Click here to view
Second and third smears positive only in total was seen in 8.2% (30) cases. Overall, 2 smears-positive in total was seen in 13.1 cases. Also, first smear alone positive was seen in total in 91.8% cases. Second smear alone was positive in overall 96.2% cases. Third smear only positive was seen in total in 98.6% cases. Findings were statistically significant. From all cough symptomatic, taking first sample alone, case yield is 91.8%, seconds smear takes the yield to 96.2%, showing a percentage increase as 4.4% [Table 3].
|Table 3: Overall incremental increase in number of sputum +ve cases using different combinations of sputum +ve samples in all cough symptomatic
Click here to view
Taking 2 samples together and using different combinations, the highest incremental increase is seen with first and third sample (6.8%).
By adding third sample to first and second, incremental increase in case yield is 3.8%.
Prompt and accurate diagnoses together with effective treatment are the essential elements of TB care and control. Because of its low complexity and low cost, sputum smear microscopy is well suited to resource-poor settings fortunately; in high burden settings, the finding of AFB by microscopy in sputum smears is highly specific. ,, Poor sensitivity, however, remains the problem. Also, there is a debate about how many sputum samples taken are adequate to get good yield. Consequently, the optimization of smear microscopy techniques and the development of new diagnostic tools are both areas of active investigation. ,
2 Sputum versus 3 sputum samples
Our study shows that maximum number i.e. 96% of cases are diagnosed by only 2 sputum smears with the 3rd smear adding only a small number of cases i.e., only 4 percent of cases are further diagnosed. Several other studies have shown that added diagnostic value of third specimen is small.
Thus, under routine conditions, 2 sputum smears can be recommended in place of 3 smears for screening chest symptomatic. Mase et al,  in a systematic review of studies that quantified the diagnostic yield of each of the 3 sputum specimens, noticed that reducing the sputum smear samples from 3 to 2 could benefit TB control program and potentially increase case-detection in resource-poor settings for several reasons like decreasing the burden and improving quality of service, reduction in the number of smears requiring rechecking in external quality assessment schemes, time saving, and reduction in costs.
Diagnostic incremental yield
The present study showed that 1 st sputum smear sample alone could detect overall 91.8% cases, which is consistent with the studies by Cascina et al, and Mathew et al,  It was further observed that First two sputum smears: Could detect on an average 96% cases. Similar results were found in a study by Wu et al, Addition of 3 rd sputum smear sample to first 2 smear samples increased the diagnostic yield by only 3.8% in our study. Wu et al, showed increase in diagnostic yield of 3.2% by adding 3 rd smear to first 2, and Yilmaz et al, observed the additional diagnostic yield by 3 rd smear to be 4.2%.
Thus, it is evident that not much added advantage in the case yield is obtained while adding 3 rd sputum sample, and the difference in the percentage increase of 3 rd sample in chest symptomatic of varying cough duration was almost similar. Hence, we also conclude that 2 sputum specimens can be safely recommended for confirmation of AFB positivity from chest symptomatic.
Comparison of different combinations of two smears: (I st spot and morning, I st and 2 nd spot, morning and 2 nd spot).
Gopi et al, observed that examination of 2 specimens- first spot and early morning spots [2 visits] or early morning and 2 nd spot specimens [single visit] yield the highest number of cases.  However, in our study, we found the highest incremental increase by using 2 spots together, while as with the other 2 combinations (I st spot and morning, morning and 2 nd spot), the incremental increase was less. The remarkably high diagnostic value of the 2 spot smears combination is surprising. The addition of morning specimen to either first spot or 2 nd spot gives surprisingly low incremental yield. The scenario many reflect poor instructions for specimens collected at home or very good instructions for the 2 spot specimens and might be also due to improved cough technique by the time of the 3 rd specimen. Thus, our findings although corroborate with a recent systematic review, which suggested that reducing the recommended number of specimens from 3 to 2 could also potentially increase case detection by improving the quality of examination of first and 2 nd specimens.  However, on basis of our findings, we suggest use of 2 spot specimens rather than I and II but needs further investigations.
The present study has shown that just 2 sputum samples are adequate enough to result in a comparable overall yield as is seen while using 3 sputum samples for screening in a cough symptomatic. This can be one way of improving efficient use of scarce resources i.e., by reducing the number of sputum examinations ordered per patient. Surprisingly, our study showed that using of 2 spot specimens can yield better than any other possible permutation of samples used that needs further evaluation.
|1.||Baily GV, Savic D, Gothi GD. Potential yield of pulmonary Tuberculosis cases by direct microscopy of sputum in a district of South India. Bull Word Health Organ 1967;37:875-92.|
|2.||Banerji D, Anderson S. A sociological study of awareness of symptoms among persons with pulmonary Tuberculosis. Bull World Health Organ 1970;51:403-11.|
|3.||Larbaoui D, Chaulet P, Grosser K, Awbderahim K, Aits-Nesbah H.: The efficacy of methods of diagnosing Pulmonary Tuberculosis: an investigation in a chest clinic in Algiers. Tubercle 1970;51:403-11.|
|4.||Nolte FS, and Metchock. Mycobacteria. In: Baron M, Pfaller, Tenover, Yolken, editors. Manual of clinical microbiology. 6 th ed. Washington D.C.: American Society for Microbiology; 1995. p. 400-37.|
|5.||Kent PT, Kubica 1985, Public Health Mycobacteriology: A guide for the level III laboratory, U.S. Department of Health and Human Services. Atlanta, Ga: Centre for Disease Control; 1985.|
|6.||Shinnicks TM, Good RC. Diagnostic Mycobacteriology; Laboratory practices. Clins Infect Dis 1995;21:291-9.|
|7.||Schifman RB, Valenstein. Q-Probe 94-05, Laboratory Diagnosis of Tuberculosis: Data Analysis and Critique. Northfield 3 rd : College of American Pathologists; 1995.|
|8.||Kisa O, Albay A. Orhan Balan Leven Doganci; The value of submitting multiple sputum specimens for accurate diagnosis of Pulmonary Tuberculosis. J Microbiol 2003;40:301-4.|
|9.||WHO. Wkly Epi Rec 1981;56:393-400.|
|10.||Perkins MD. New Diagnostic Tools for Tuberculosis. Int J tuberc Lung Dis 2000;4:S182-8.|
|11.||Angeby KA, Hoffner SE, Diwan VK. Should the bleach microscopy method be recommended for improved case detection of tuberculosis? Literature review and key person analysis. Int J Tuberc lung Dis 2004;8:806-15.|
|12.||World Health Organisation. Tomans tuberculosis; case detection, treatment And monitoring -questions and answers. 2 nd ed. Geneva, Switzerland: WHO; 2004.|
|13.||Pai M, Kalantri SP, Dheda K. New tools and emerging technologies for the diagnosis of tuberculosis; Part I. Latent tuberculosis. Expert Rev Mol Diagn 2006;6:413-22.|
|14.||Pai M, Kalantri SP, Dheda K. New tools and emerging technologies for the diagnosis of tuberculosis; Part I. Active tuberculosis and drug resistance. Expert Rev Mol Diagn 2006;6:423-32.|
|15.||Mase S, Ramsay A, Ng N. Yield of serial sputum specimen examinations in the diagnosis of pulmonary tuberculosis; a systematic review. Int J Tuberc Lung Dis 2007;11:485s-95.|
|16.||Cascina A, Fietta A, Casali L. Is a large number of sputum specimens necessary for the bacteriological diagnosis of Tuberculosis? J Clin Microbiol 2000;38s:466.|
|17.||Mathew P, Kuo YH, Vazirani B, Eng RH, Weinstein MP. Are three sputum Acid-fast Bacillus smears necessary for Discontinuing Tuberculosis isolation? J Clin Microbiol 2002;40:3482-4.|
|18.||Wu ZL, Wang AQ. Diagnostic yield of repeated smear microscopy examinations among patients suspected of Pulm. Tuberculosis in Shandong Province of China. Int J tuberc Lung Dis 2000;4:1086-7.|
|19.||Yilmaz A, Bayram Selvi U, Damadoðlu E, Güngör S, Partal M, Akkaya E, et al . Diagnostic value of repeated sputum examinations in pulmonary tuberculosis. How many sputum specimens are adequate. Tuber Toraks 2008;56:158-62.|
|20.||Gopi PG, Ssubramani R, Selvakumar N. l: Smear Examination of two specimens for diagnosis of Pulmonary Tuberculosis in Tiruvallur Distst, South India. Int J Tuberc Lung Dis 2004;8:824-8.|
Source of Support: None, Conflict of Interest: None
[Table 1], [Table 2], [Table 3]


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When To Call A Car Accident Attorney In Florida
When Should I Call a Car Accident Attorney in Florida?
If you are involved in a car accident, you may feel as though you can handle the insurance company on your own. After all, they are willing to offer you a settlement for your injuries, so why would you need a car accident lawyer? In actuality, there are many reasons as to why you should call an auto accident attorney following a car accident. The article, I Was In a Car Accident – Do I Need a Lawyer, addresses this topic in depth.
Insurance companies do not want to have to pay you a high settlement for your injuries. They are in the business of making money and they have their bottom line to consider. The insurance adjusters are trained to look for ways to cut your settlement. They are given a settlement range to work with and they will start at the lower end of that range when making you an offer. If you are not sure the true value of your accident case, you may be accepting a settlement that is not equivalent to your injuries. It is easy to calculate the damages to your vehicle, but it is much more difficult to put a dollar figure on your injuries from the car accident. For example, you may not know how long your pain will last and what type of treatment you will need in the future.
A car accident attorney can step in on your behalf and negotiate with the insurance company. An experienced lawyer will be able to determine how much your case is worth and will work hard to make sure you are fully compensated and not taken advantage of by the insurance company. If necessary, an auto accident lawyer will file a lawsuit in court to help you recover damages for your injuries, such as pain and suffering, lost wages, medical expenses, mental distress and so on. The amount of money you will receive from a car accident settlement is usually higher when you work with an attorney.

domain: law


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raw meat balls
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domain: food


MTC introduces data protection technology
By Business Reporter
WITH the need to constantly strengthen consumer data protection and curbing identity theft, Namibia’s premier digital enabler, MTC, has introduced the use of biometrics and artificial intelligence, powered by the use of biometric authentication and cyber security systems, through MTC Verifi, to continue providing a watertight consumer data protection system.
Shedding light on the matter, MTC Chief Commercial Officer, Melvin Angula, explained that “since business transactions are becoming increasingly more digital, and making customers more susceptible to identity theft and other fraudulent activities, we have decided to leverage the technology that will use advance security features such as biometrics and artificial intelligence, to continue protecting our customers’ data, hence the launch of MTC Verifi, which is a digital Know Your Customer (KYC) service solution.”
For full story read this week’s edition


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Make-up artist Amanda Grossman talks GLAMOUR.com through Emma Watson's The Perks Of Being A Wallflower London premiere beauty look. To achieve the look yourself - which Amanda created using Lancome products - read on, below!
Base: To achieve Emma's flawless complexion Amanda used Lancome Hydra Zen Tinted Moisturiser in shade 01 & Lancome Teint Miracle Concealer pen in shade 01.
Eyes: For delicately-lined eyes, Amanda used Lancome Liner Plume (liquid liner). Talking us through the technique, Amanda applied "a very thin line above the eye finishing with a small tick", and then Lancome Le Crayon Kohl Waterproof in Black smudged under the lower lash line, eventually disappearing into the inner corner.
Amanda then used Lancome Doll Eyes mascara in black ("lashings of it on lashes and lower lashes!") before using the Lancome Ombre Hypnôse eyeshadow in Pépite Douche no.I102 & Lancome Ombre Hypnôse eyeshadow in Erika F no.I20. Explaining how she used the shadows, Amanda revealed: "I worked these shimmery gold and brown shades into the socket line, just to give a shading effect, not all over the lid."
Face: Lancome Blush Subtil in Rose Sable no.02. Amanda says: "This shades gave a natural glow above cheek bone and slight shading under the cheekbone."
Lips: Lancome L'Absolu Mat Cashmere in Shade 300 (limited edition for AW12). Amanda explained that she plumped for this limited edition shade because it was "a berry coloured lip stain with minimal gloss on top."
Nails: And finally, Lancome Le Vernis in Rouge Reglisse 473N for Emma's nails. lancome.co.uk


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Norma McCorvey was famous as the plaintiff in Roe v. Wade, the case that led the Supreme Court of the United States of America to rule abortion a constitutional right. In later life, McCorvey became an anti-abortion campaigner. Shortly before her death, she admitted it was a paid performance: "It was all an act. I did it well too. I am a good actress."
When Norma McCorvey, the anonymous plaintiff in the landmark Roe vs. Wade case, came out against abortion in 1995, it stunned the world and represented a huge symbolic victory for abortion opponents: "Jane Roe" had gone to the other side. For the remainder of her life, McCorvey worked to overturn the law that bore her name.
But it was all a lie, McCorvey says in a documentary filmed in the months before her death in 2017, claiming she only did it because she was paid by antiabortion groups including Operation Rescue.
"Pro-life" was never an honest political stance, but the coronavirus pandemic has blasted away whatever remains of it as a position or ethic. This doesn't mean the anti-abortion movement will wither, or that the right to an abortion will prevail. On the contrary, it just means that the rhetoric will blister and peel to reveal raw misogyny, bigotry and religious fundamentalism. The best you'll get from them is a more honest picture of how precarious your life is in their world.


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This summer, I had the honor of traveling all over the Mid-south meeting some incredible young men and women and even sang a few songs 😉 Before I begin sharing some stories and favorite memories, I want to sincerely thank UCA for allowing me to be a part of this summer’s cheer camps. In high … Continue reading Summer Tour Wrap Up – 2017
On the radio and available everywhere online, “The Way You Loved Me” by McKenna Bray is out now! Download it now.
Hitting the ground running, McKenna Bray is off on tour this summer while releasing her debut single, “The Way I Loved You.” Be sure you keep up with the tour on McKenna’s Instagram and Facebook pages throughout the rest of the summer. Tour Announcement: S U M M E R T O U R So … Continue reading McKenna Bray Debut Single and Summer Tour
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