Officials: Plane Had Fuel Tank Issues Before 2017 Fatal Crash In Methuen
The National Transportation Safety Board says a plane that crashed into an apartment building in Massachusetts, killing a former mayor who was operating it, had fuel tank issues months before the fatal crash.
The Eagle-Tribune reports that investigators did not say exactly what caused the February 2017 crash in Methuen.
But in a recent report said whatever did happen, happened shortly after takeoff.
Alan Lavender died when the plane crashed into the building on approach to Lawrence Municipal Airport.
The 73-year-old Lavender was a former city councilor and mayor of Newburyport. No residents were injured.
NTSB investigators say Lavender wrote in an email three days before his death that he had the plane's fuel tank fixed.
Lavender said in the email he planned to do "touch-and-goes" to ensure everything was working correctly.


text:
Tuesday, April 9, 2013
To Absent Friends: Annette Funicello
In the world of the Internet and Social Media, the 18 hours or so since the death of Annette Funicello at the age of 70 was announced can seem like a million years ago. If you are at all interested, you already know of her death, and I am breaking no news here. However, the mere fact that the news of her death was so ubiquitous (my own Facebook news feed, and I have fewer than 200 friends on FB fairly exploded with posts and comments about Annette) caught me by surprise, but after reading the obituaries, perhaps it shouldn't have.
Discovered by the Disney folks in 1955, she became the breakout star among all of the adolescent Mouseketeers. Only a single name, Annette, was needed to identify her, and in that sense, she predated people like Cher, Madonna, Prince, and Bono by decades! She went on to star in the benign Beach Party movies with Frankie Avalon in the early 1960's, and released a few record albums, but for the most part, TV commercials for Skippy peanut butter aside, she devoted most of the rest of her adult life being a wife, mother, and grandmother, and when she was dealt a bad hand and stricken with multiple sclerosis as an adult, she devoted much of her time and energy raising funds for medical research to find a cure for the disease.
It was an admirable life that ended way too soon, so no wonder this news created the stir that it did.
As it happens, I was at the car dealer this morning while my car was being inspected, and Paul Anka was on the CBS Morning Show to plug his newly released autobiography (which sounds like it will be a good read, by the way). Anka and Annette were romantically linked as teenagers back in the 1950's - Annette was the inspiration for "Puppy Love" - and he spoke very warmly of her.
Now, if you live in Pittsburgh and were regular listeners of the O'Brien and Gary morning radio show, you know that Annette's fame received a sort of "rebirth" for local listeners when that regularly played one of her recordings from many years ago. I present it here as a final tribute.
RIP Annette Funicello.

domain: news


SHEN ZHEN HORAP INDUSTRIAL CO.,LIMITED
Our Philosophy: Sincere, Speedy, Elastic, High Efficiency, Teamwork and Innovation
Our Mission: Provide perfect service system for clients from before-service to after-service. Strive to provide better service and higher quality products at the same price. Maximizing the value for our customers.
Our Vision: Achieve win-win between employees and company, between customers and company under joint efforts of everyone.
Quality is the lifeline of our company
|Place of Origin:||China|
|Certification:||CE, FCC, ROHS|
|Minimum Order Quantity:||Negotiable|
|Packaging Details:||Packed in carton firstly,and then reinforced with carton / wooden case for outer packing|
|Delivery Time:||5-15 working days after confirmed your payment|
|Payment Terms:||T/T, L/C, Western Union, Paypal|
|Supply Ability:||2000 units/ month|
|Brightness:||450 Nits||Installation:||Wall Mount|
Narrow Bezel FHD 46 inch LCD Video Wall 2x2 Big Dispaly Screen Wall Mount
Excellent ultra narrow bezel design with just 1.8 mm bezel width between screens, built-in 3D noise reduction, making the image clean and outline more vivid. Full HD display 3840x2160 display,LED backlit technology brings you perfect visual effect
and 4K input supported.
Advantages of LCD Video Wall:
Reliable quality and low maintenance: Less thermal diffusivity makes the components and parts more stable.
High Definition and clear image: High brightness and contrast make colors brilliant and bright, as well as stable and clear image.
Wide viewing angle: DID LCD panel makes the viewing angle up to 180°.
Low power consumption and low heat radiation
Long service life lowers the cost of usage and maintenance
Innovative and advanced: 42” to 60” Ultra thin bezel LCD video wall, the thinnest bezel up to 1.8mm
Ultathin and lightweighted: The ultra thin and lightweighted design makes it easy to transport and install.
Economic al and practical: High performance and high quality make it cost less.
The Features Of LCD Video Wall
|Screen size||46'' Samsung DID LCD screen / 3.5mm-5.3mm is optional|
|Visual angle (H/V)||178°|
|Input and output|
|Composite Video Input||3(3xBNC)|
|D-15 RGB Input(VGA)||1|
|Composite Video Output||2(2xBNC)|
|Split Screen||Support Picture in Picture(PIP/POP/PAP)|
|Maximum power consumption||250W|
|Standby power consumption||<=3W|
|Product dimension( W x H x D) mm||1025.65x579.84x126.73|
|Cable||Can supply different kinds of cable|
|Video Wall Controller(Built-in each screen)|
|Input||CVBS||3*BNC inputs, support PAL/NTSC all formats, 2*BNC loop outputs|
|VGA||1*D15 port, support SVGA/XGA/WXGA|
|YPbPr/YCbCr||1* YPbPr/YCbCr input, support PAL/NTSC all formats, and 720P,1080I, HDTV|
|Y/C||2*BNC inputs, support PAL/NTSC all formats|
|Output||LVDS||Support signal or double LVDS output, and WUXGA (1920*1080) display|
|Operate mode||Panel key operation(needs customization)|
|Standard RS232 port( provide free control software)|
|Infrared Remote Control Operation|
|Working temperature||0~70 °C|
|working humidity||5~95 %RH|
|AC voltage power supply||100-240V/50, 60Hz|
|power consumption||Max 300W,according to different screen models|


Showing 1 - 1 OF 1
Ansbach Army Community Service - Relocation Readiness Program
ACS Building 5817 A
Ansbach Germany 91522
Contact information for key programs and services at this installation.
A loan closet is a program that allows service members, families and loved ones to borrow durable equipment or resources especially as they are awaiting their household good. This program varies by service so check out the below information to see what is offered at this installation.
The loan closet has household items such as pots, pans, plates, cooking utensils, silverware, glasses, coffee press, irons, ironing boards, toasters.
For more information, call Army Community Service at 09-802-83-2883, DSN: 467-2883 or 467-3362.
The loan closet is located at Army Community Service in building 5817A. You can loan out these items for up to 60 days at a time. Lending closet items are available on Tuesday, Wednesday and Thursday. By calling ACS you can reserve a lending closet kit.
The ACS phone number is 09-802-83-2883 or DSN: 467-2883.
For more information, please call.


text: Glioblastoma is one of the most lethal and prevalent malignant human brain tumors, with aggressive proliferation and highly invasive properties. There is still no effective cure for patients with glioblastoma. Honokiol, derived from Magnolia officinalis, can cross the blood-brain barrier (BBB) and the blood-cerebrospinal fluid barrier (BCSFB), making it a strong candidate for an effective drug for the treatment of brain tumors, including glioblastoma. In our previous study, we demonstrated that honokiol effectively induced apoptotic cell death in glioblastoma. Metastasis poses the largest problem to cancer treatment and is the primary cause of death in cancer patients. Thus, in this study, we investigated the effect of honokiol on the cell invasion process of U87MG human glioblastoma cells through brain microvascular endothelial cells (BMECs) and its possible mechanisms. Honokiol dose-dependently inhibited TNF-α-induced VCAM-1 expression in BMECs and adhesion of U87MG to BMECs. Moreover, honokiol effectively blocked U87MG invasion through BMEC-Matrigel-coated transwell membranes. Increased phosphorylation of VE-cadherin and membrane permeability by TNF-α were suppressed by honokiol in BMECs. Furthermore, we investigated the effect of honokiol on the epithelial-mesenchymal transition (EMT) in U87MG cells. Honokiol reduced the expression levels of Snail, N-cadherin and β-catenin, which are mesenchymal markers, but increased E-cadherin, an epithelial marker. In conclusion, these results suggest that honokiol inhibits metastasis by targeting the interaction between U87MG and BMECs, regulating the adhesion of U87MG to BMECs by inhibiting VCAM-1, and regulating the invasion of U87MG through BMECs by reducing membrane permeability and EMT processes of U87MG cells.

domain: medical


text:
Franchise centers on hip-hop battles featuring rappers who wear special accessories that create illusions
The official website for the Avex and GCREST‘s hip-hop-themed multimedia project Paradox Live revealed at an event on Saturday that the project is getting a television anime adaptation that will premiere in 2023. The anime is titled Paradox Live The Animation.
The franchise takes place in the near future, where rappers wear accessories that contain a metallic substance called Phantom Metal. Through the Phantom Metal’s chemical reaction with the rappers’ own DNA, the rapper can create illusions linked to their emotions during their performance. The result is a new type of spectacular concert.
A Paradox Live event at the Club Paradox featured four hip-hop teams: BAE, The Cat’s Whiskers,
cozmez, and Akanyatsura. Their battle at the event inspired the legendary hip-hop team Buraikan, who are holding a new contest titled Phantom Live, this time featuring eight teams.
The franchise so far includes CDs, merchandise, and events.


text:
Former School Instructor Tried for Suing Former Dictator for Torture, Imprisonment and Financial Difficulty
(Minghui.org) Another Falun Gong practitioner was recently tried for suing the former Chinese communist regime dictator Jiang Zemin for ordering the violent persecution of Falun Gong in 1999.
Mr. Jiang Junfeng, 51, was made to stand trial on April 27, 2016 by the Weidong District Court in Pingdingshan City, Henan Province. No verdict has been issued at the time of writing, and Mr. Jiang remains in custody at the Jiaxian County Detention Center.
Arrested for Filing Criminal Complaint against Jiang Zemin
Mr. Jiang was arrested in November 2015, with 19 other Falun Gong practitioners who also filed criminal complaints against Jiang for torture, imprisonment, and financial deprivation caused by the persecution.
With rising legal activism by local Falun Gong practitioners against Jiang, the 610 Office in Pingdingshan after July 9, 2015 began to block more practitioners from mailing their complaints.
Many practitioners who had filed the complaints previously were harassed and pressured by the 610 Office to drop their complaints. Some of their family members were also harassed.
On August 24, without a search warrant, officers from the Domestic Security Division and 610 Office raided Mr. Jiang's shop. They searched everywhere for his criminal complaint against Jiang and when they found it, took pictures of it.
Mr. Jiang was arrested three months later on November 25 at his shop and taken to the Pingdingshan Detention Center on that day. After 15 days of administrative detention, he was transferred to the Jiaxian County Detention Center and placed under criminal detention for five months before he was tried.
After Mr. Jiang was arrested, his 80-year-old father couldn't take care of the shop and had to liquidate their merchandise, which only worsened his family's financial situation.
Began Practicing to Improve Health, Persecuted for Speaking Out
While detailing the numerous detentions and years of torture at the forced labor camp in his criminal complaint, Mr. Jiang also recalled how practicing Falun Gong brought huge changes to his life.
He said he began to practice Falun Gong in 1996 at the age of 33, when he was diagnosed with a blood vessel tumor.
“Feeling frustrated and confused about my future, Falun Gong gave me hope to start a new life. My body underwent dramatic changes. The tumors disappeared. I became more energetic, which also helped me be more productive with my work,” he recounted.
“When the persecution suddenly started in July 1999, it was so overwhelming that I felt the whole world was collapsing.”
In order to speak out for Falun Gong, Mr. Jiang went to Beijing to appeal, but was arrested and detained for 15 days under the false charge of “disrupting social order.”
After he was taken back home, Mr. Jiang was forced by the local police and his workplace to confess to wrongdoing on TV for “challenging the Party” and declare that he would “stand with the Party in the future.”
Feeling uncomfortable about the coerced “confession,” Mr. Jiang went back to Beijing in October 1999 to appeal for Falun Gong again. He was arrested again and detained for three and a half months before he was sentenced to three years of forced labor for “disrupting social order.”
On the Verge of Death after Hard Labor and Torture
“At Bolou Forced Labor Camp, the guards used intensive labor and mental pressure to enslave us, not only to turn us into free labor, but also as a way to force us to give up our faith,” Mr. Jiang said in his complaint.
“Sometimes we were forced to stand in the river for half a day in the freezing cold winter to clean up silt, wearing only shorts. Sometimes we were forced to remove 100-lb. sandbags from the river, dig foundations for factory construction, or unload 120,000 pounds of cargo from trains. No matter how much work we did, the labor camp never paid us anything. If we slowed down even a little, the guards threatened to torture us.”
Many practitioners, including Mr. Jiang, started a hunger strike to protest the persecution. The guards attempted to force-feed Mr. Jiang, which caused severe bleeding in his nose. He was then released on medical parole.
However, three months later, as soon as he recovered, the guards seized Mr. Jiang and threw him back in the labor camp, where he continued to be subjected to hard labor. His health failed rapidly, and he was in an emaciated state when he was diagnosed with tuberculosis in April 2002.
Mr. Jiang was already in critical condition when he was sent to the hospital. “Even the doctor said it was a miracle that I woke up after being in a coma for three days,” Mr. Jiang recalled.
After staying in the hospital for three months, he finally went back home. His family had to borrow money to pay for the thousands of yuan in medical expenses.
Deprived of Job
Mr. Jiang went back to his workplace in September 2002 and demanded to resume working there. But as a result of his not renouncing his faith, the school didn't allow him to work, and only agreed to give him 150 yuan (about 25 USD) each month to cover his living expenses.
Mr. Jiang was forced to leave home and find a new job to make a living. During the Beijing Olympics in 2008, the police from Pingdingshan threatened his employer with a company shutdown to pressure them to fire him.
After losing his job again, Mr. Jiang opened a small candy shop in 2010.
He asked to resume his teaching position in 2012, but the school president ignored his request. Mr. Jiang took it to court and filed a complaint against the school president.
Pressured by the school and 610 Office, the court rejected his complaint. When he appealed, the higher courts also turned him away.
In 1999, Jiang Zemin, as head of the Chinese Communist Party, overrode other Politburo standing committee members and launched the violent suppression of Falun Gong.
The persecution has led to the deaths of many Falun Gong practitioners over the past 16 years. More have been tortured for their belief and even killed for their organs. Jiang Zemin is directly responsible for the inception and continuation of the brutal persecution.
Under his personal direction, the Chinese Communist Party established an extralegal security organ, the “610 Office,” on June 10, 1999. The organization overrides police forces and the judicial system in carrying out Jiang's directive regarding Falun Gong: to ruin their reputations, cut off their financial resources, and destroy them physically.
Chinese law now allows for citizens to be plaintiffs in criminal cases, and many practitioners are exercising that right to file criminal complaints against the former dictator.

domain: law


text:
MINNEAPOLIS, June 30, 2014 /PRNewswire/ -- The Freedom to Breathe coalition, a group of Minnesota's leading health organizations, responded to new restrictions on e-cigarettes that were passed during the 2014 Legislative Session and will be enacted tomorrow.
"Minnesota is leading the nation in taking steps to regulate e-cigarettes, which have the potential to addict youth to nicotine," said coalition co-chair Molly Moilanen, Director of Public Affairs at ClearWay Minnesota(SM). "These reasonable restrictions will help to protect kids from the tobacco industry, which has a history of targeting youth."
The three largest tobacco companies – Philip Morris, R.J. Reynolds and Lorillard – offer their own e-cigarette lines, but they are not subject to the same advertising and marketing restrictions as conventional cigarettes. A recent study showed a more than 250 percent increase in youth exposure to e-cigarette marketing between 2011 and 2013. An overwhelming amount of that advertising – 80 percent – was from blu eCigs, owned by Lorillard.
E-cigarettes also are not subject to flavoring restrictions like conventional cigarettes and are sold in kid-friendly flavors like gummy bear and cotton candy. Research shows that flavored tobacco products appeal to children and teens, and a Centers for Disease Control and Prevention (CDC) study recently showed an increase in the number of kids using these products.
Effective tomorrow, the new law prohibits e-cigarette use in schools, requires them to be kept behind the counter in retail stores and ensures penalties for those who sell to minors. Other provisions in the bill, banning sales of the products from mall kiosks and requiring child-resistant packaging on e-cigarette liquids, will be enacted later this year and early in 2015.
Additional provisions that take effect tomorrow will protect Minnesota's clean indoor air by prohibiting e-cigarette use in many public places, including:
- Hospitals, health care clinics and doctor's offices;
- Most government-operated buildings (including correctional facilities);
- Any facility owned by the University of Minnesota or Minnesota State Colleges and Universities (including dorm rooms); and
- Licensed daycare facilities, including home daycares during hours of operation.
"The new restrictions are a step in the right direction," said Moilanen. "We applaud the many communities across the state that have gone further by prohibiting e-cigarette use in all indoor public places, including bars and restaurants. They are a model for others and we hope the state will follow their example next session."
The Freedom to Breathe coalition is a group of Minnesota's leading health and nonprofit organizations who share a goal of maintaining the strong standard of clean air made possible by the Freedom to Breathe Act. Freedom to Breathe partners include: Allina Health, American Cancer Society Cancer Action Network, American Heart Association, American Lung Association in Minnesota, Association for Nonsmokers-Minnesota, Blue Cross and Blue Shield of Minnesota, Centra Care Health System, Children's Hospitals and Clinics of Minnesota, ClearWay Minnesota, Four Corners Partnership, HealthPartners, LAAMPP Institute, Local Public Health Association of Minnesota, Metro-MN Chapter of the Oncology Nursing Society, Minnesota Chapter of the American College of Physicians, Minnesota Medical Association, PartnerSHIP 4 Health, Southwest Community Health Improvement Program (C.H.I.P.) and Twin Cities Medical Society.
SOURCE Freedom to Breathe Coalition


text:
Lack of a Tricuspid Regurgitation Doppler Signal and Pulmonary Hypertension by Invasive Measurement
Background Transthoracic echocardiography (TTE) is used to estimate pulmonary artery systolic pressure, but an adequate tricuspid regurgitation velocity (TRV) needed to calculate pulmonary artery systolic pressure is not always present. It is unknown whether the absence of a measurable TRV signifies normal pulmonary artery pressure.
Methods and Results We extracted hemodynamic, TTE, and clinical data from Vanderbilt's deidentified electronic medical record in all patients referred for right heart catheterization between 1998 and 2014. Pulmonary hypertension (PH) was defined as mean pulmonary artery pressure ≥25 mm Hg. We examined the prevalence and clinical correlates of PH in patients without a reported TRV. We identified 1262 patients with a TTE within 2 days of right heart catheterization. In total, 803/1262 (64%) had a reported TRV, whereas 459 (36%) had no reported TRV. Invasively confirmed PH was present in 47% of patients without a reported TRV versus 68% in those with a reported TRV (P<0.001). Absence of a TRV yielded a negative predictive value for excluding PH of 53%. Right ventricular dysfunction, left atrial dimension, elevated body mass index, higher brain natriuretic peptide, diabetes mellitus, and heart failure were independently associated with PH among patients without a reported TRV.
Conclusions PH is present in almost half of patients without a measurable TRV who are referred for both TTE and right heart catheterization. Clinical and echocardiographic features of left heart disease are associated with invasively confirmed PH in subjects without a reported TRV. Clinicians should use caution when making assumptions about PH status in the absence of a measurable TRV on TTE.
What Is New?
Pulmonary hypertension is a common problem with a high mortality.
It is not known if an absence of measurable tricuspid regurgitation velocity confers an absence of pulmonary hypertension.
In a population of patients referred for right heart catheterization, pulmonary hypertension was present in nearly half (47%) of all patients with an absence of a measurable tricuspid regurgitation velocity.
What Are the Clinical Implications?
Clinicians should use caution in patients at risk for pulmonary hypertension with no measurable tricuspid regurgitation velocity by echocardiography.
Right heart catheterization should be pursued when there is clinical concern for pulmonary hypertension.
Pulmonary hypertension (PH) is defined as a mean pulmonary artery pressure (mPAP) ≥25 mm Hg and is associated with increased morbidity and mortality in a variety of chronic diseases.1, 2 According to current guidelines and consensus statements, the recommended initial noninvasive method to screen for PH is transthoracic echocardiography (TTE).1, 3 Pulmonary pressure is estimated on TTE by interrogation of the tricuspid regurgitation velocity (TRV) using continuous‐wave Doppler.4, 5 By use of this method, an estimated pulmonary artery systolic pressure of >40 mm Hg5 or a TRV of >2.8 m/s1 in the absence of an obvious cause of PH should prompt further evaluation with invasive right heart catheterization (RHC).
Despite decades of echocardiographic and hemodynamic correlation studies in individuals with suspected PH, it is unknown if the absence of a measurable TRV on TTE is associated with the absence of PH by invasive measurement. The prevalence of PH in patients without a measurable TR jet on TTE is also unknown in part because such patients are excluded from correlation studies.6 The absence of a TRV on echocardiography has been equated with an absence of significant PH, and previous studies have suggested that elevated TRV on TTE was sufficient to detect the majority of PH.7, 8, 9 Clinicians would benefit from better information regarding the risk of PH when the screening TTE cannot provide an estimate of pulmonary pressures. In the recent European Society of Cardiology/European Respiratory Society Guidelines, Galie et al suggest evaluating other echocardiographic features if TRV is absent or less than 2.8 m/s if clinical suspicion remains strong, a recommendation made on the basis of expert opinion.1 No prospective or observational data exist to identify which echocardiographic and clinical features are predictive of PH in the absence of a measurable TRV.
We used contemporaneous data from a single large tertiary care center to examine the prevalence, predictive value, and clinical correlates of an absent TRV and invasively confirmed pulmonary pressure in patients referred for both echocardiography and RHC. We hypothesized that the absence of a measurable TRV would be insensitive to exclude PH on catheterization. Although this study may not be generalizable to a community population, addressing this question is highly relevant to symptomatic patients seeking clinical care and to their physicians.
This study was approved by the Vanderbilt University Institutional Review Board. Informed consent was waived by the review board. We identified cases within the Vanderbilt Synthetic Derivative, a deidentified mirror image of Vanderbilt's electronic medical record with data on ≈2.5 million patients. The design, implementation, and content of the Synthetic Derivative have been described previously.7, 8 We extracted clinical and hemodynamic data from all adult patients undergoing RHC at Vanderbilt between 1998 and 2014. The method of data extraction has been described in detail elsewhere.9, 10, 11 We included only subjects who underwent a TTE within 2 calendar days before or after RHC. If a subject had multiple RHCs, we only included data from the first procedure in this analysis. Right ventricular (RV) size and systolic function on TTE were graded in a semiquantitative manner (ie, normal, mild, moderate, severe), as previously reported.9 These data were generated from the clinical TTE reports and thus reflect the expert opinion of the interpreting echocardiographer. Quantitative data on RV function (eg, tricuspid annular plane systolic excursion) were not available in our cohort. Right atrial pressures were estimated according to guideline statements.5 At our institution, TRV is routinely measured, and all measurements obtained by a technician or reader are transmitted to the echocardiogram report; therefore, absence of a reported TRV is consistent with an unmeasurable signal. Ejection fraction was measured using the biplane Simpson method, and left atrial size was measured as the anterior‐posterior dimension in the parasternal long‐axis view. Images were not reviewed by a core laboratory. Comorbidities were defined by a combination of International Classification of Diseases, Ninth Revision (ICD‐9) codes and laboratory data in the medical record before RHC or as defined by previously validated algorithms.10 Body mass index was extracted from TTE reports. Patients with inadequate RHC data (defined by the absence of right ventricular and pulmonary arterial pressures) (n=150), acute myocardial infarction (n=264), complex congenital heart disease (n=151), chronic pulmonary embolism (n=18), previous cardiac or lung transplantation (n=362), or profound hemodynamic instability (n=217) were excluded, as previously described.10
The primary outcome was the prevalence of PH on RHC (defined as mPAP ≥25 mm Hg) in subjects without a reported TRV on TTE. We also examined the association between echocardiographic variables and clinical characteristics with prevalent PH.
Data are reported as mean±standard deviation or frequency (percentage), as appropriate. Clinical characteristics were compared between the TRV and no‐TRV groups using the Wilcoxon rank sum test for continuous variables and the chi‐squared test for categorical variables. Multivariable logistic regression models were created to examine the clinical and echocardiographic factors associated with the presence of PH by RHC. Variables were selected a priori based on clinical relevance. This analysis was restricted to those with no reported TRV and no or trace TR. Effect sizes for continuous variables in all models are reported as the difference from the 25th percentile to the 75th percentile of our sample, which may provide more clinical insight than differences by standard deviation or single units.
Of 4635 patients referred for RHC, we identified 1262 (27%) who had a TTE within 2 days of RHC who comprised our study sample. In total, 803/1262 (64%) had a reported TRV, whereas 459 (36%) had no reported TRV (Figure 1). Pulmonary hypertension was the indication for RHC in 12% and 4% of the TRV and no‐TRV groups, respectively. Demographic, clinical, hemodynamic, and echocardiographic characteristics of the TRV versus no‐TRV groups are presented in Table. Male sex and higher body mass index were associated with an absent TRV. The prevalence of RV dilation (32% versus 15%) and RV dysfunction (34% versus 17%) was higher in subjects with a reported TRV compared with absent TRV (P<0.001 for both).
Invasively confirmed PH was present in 47% (214/459) of patients without a reported TRV versus 68% (543/803) of patients with a reported TRV (Figure 1; P<0.001). This finding did not change with shorter intervals between TTE and RHC. PH was present in 46% (178/389) of subjects with no TRV who underwent RHC within 1 calendar day of the TTE and in 47% (64/136) of subjects when TTE and RHC occurred on the same day. Absence of a TRV yielded a negative predictive value for excluding PH of only 53%, a positive predictive value of 68%, sensitivity of 72%, and specificity of 49%. The mPAP in patients with and without a reported TRV was 33±14 mm Hg and 26±11 mm Hg, respectively (P<0.001). The mPAP was >35 mm Hg in 20% of individuals with no measurable TRV (Figure 2). In total, 74% of subjects with PH and no TRV had a pulmonary artery wedge pressure >15 mm Hg. Among the 40 patients with at least mild RV dysfunction or dilation and no TRV, 30 (75%) had PH, yielding a positive predictive value of 75%, a negative predictive value of 50%, a sensitivity of 38%, and a specificity of 84%.
We constructed multivariate models to determine variables associated with PH among subjects with no reported TRV. In a model including echocardiographic variables, left atrial diameter (odds ratio [OR] 2.02; confidence interval [CI] 1.26‐3.23) and RV dysfunction (OR 3.05; CI 1.11‐8.36) were independently associated with PH in the absence of a reported TRV (Figure 3A). In a model including clinical variables (Figure 3B), invasively confirmed PH was associated with higher body mass index (OR 1.88; CI 1.44‐2.46), higher brain natriuretic peptide (OR 1.32; CI 1.03‐1.71), prevalent diabetes mellitus (OR 1.88; CI 1.04‐3.39), and prevalent heart failure (OR 2.00; CI 1.27‐3.13).
The objective of this study was to determine whether the absence of a measurable TRV on TTE signified absence of PH in a RHC referral population. We found that invasively confirmed PH is present in nearly half of patients without a reported TRV on TTE who are also referred for RHC. The most common cause of PH in those with no reported TRV in our study was left heart disease (World Health Organization Group II PH). RV dysfunction and increased left atrial size were independently associated with PH in the absence of a TRV, as were established clinical risk factors for PH.
These findings are important to patients and their physicians because they confirm that the lack of a measurable TRV does not signify normal pulmonary pressure. Prior reports have applied this assumption to case‐control studies using PH as an outcome in subjects who did not undergo RHC, which introduces the potential for misclassification.12, 13 Although we cannot know how prevalent this assumption is among clinicians, our study fills a knowledge gap in the literature and provides guidance for which patients require extra caution when an absent TRV is interpreted. Our study also highlights the limitations of estimating pulmonary pressures noninvasively. It is likely that TRV could not be measured in many studies because of poor image quality. This may be partly explained by individuals with a larger chest wall diameter, such as males and obese individuals, who were more likely to have no reported TRV in our cohort.
Patients with no TRV in our study had lower mPAP than those with TRV (26±11 mm Hg versus 33±14 mm Hg). This observation supports the notion that most patients with significant PH will have a measurable TRV. However, 20% of subjects without a TRV had a mPAP >35 mm Hg, which would have remained undetected had they not also been referred for RHC. Moreover, detecting even mild elevations in pulmonary pressure is important based on recent reports showing that “borderline” values of mean pulmonary pressure are reproducibly associated with increased adjusted mortality.14, 15 Additionally, the no‐TRV group may be earlier in the disease process relative to the TRV group and may in fact develop more readily measurable TRV Doppler signals over time.
We identified echocardiographic and clinical features that serve as circumstantial evidence to raise or lower suspicion for prevalent PH. Our data indicate that left atrial remodeling and RV dysfunction are strongly associated with PH and should raise suspicion for this diagnosis in the absence of a TRV. Additional studies are needed with more detailed echocardiographic data to examine whether more sensitive measures of RV function or other evidence of PH (eg, flattening) add specificity for a diagnosis of PH in the absence of a measurable TRV. Our logistic regression analysis confirmed that clinical features previously associated with PH such as obesity and diabetes mellitus are associated with PH in the absence of a reported TRV. Our data also confirm previous findings that prevalent HF or elevation of a biochemical marker of HF severity (eg, brain natriuretic peptide) was associated with increased pulmonary pressure. This is a known association, and thus, in this population, the clinician must be cautious when interpreting TTE results with an absent TRV.
Our study has several limitations. The data presented were obtained from a single center, although our cohort is sex balanced and 15% of subjects are black. This analysis was performed on a population of patients who were referred for an RHC and are thus more likely to have a higher prevalence of PH compared with the general population. A summary of RHC indications by group is provided in Table S1. Although referral bias is unavoidable in electronic health record cohorts, the “real world” data we present are used to make management decisions every day. We are unable to comment on whether the presence or absence of a TRV influenced the decision to refer a patient for RHC. However, we also included subjects who underwent echocardiography within 2 days after RHC, which somewhat mitigates indication bias. We are unable to manually review the RHC tracings for the accuracy of the computer‐generated pressure values, although we have previously reported that this difference is likely to be small in our population.10 A small minority of TTE studies performed at our institution are “limited” studies in which a full interrogation of the TRV may not have been attempted. Given the small number of these studies, it is unlikely they would have influenced our study's conclusions. The TTE data were obtained within 2 days (before or after) of the RHC and not concurrently. It is possible that inherent lability and/or interventions occurring between studies (eg, diuresis) could have influenced our findings; however, our observations held true at shorter intervals (within 1 day and same‐day measurement), and any intervention would be likely to lower pulmonary pressure, which would reduce the number of subjects with PH. Finally, a 2‐day interval is shorter than previously reported intervals between TTE and RHC in which pulmonary pressure measurements achieved a high degree of correlation.6
The absence of a TRV on TTE does not reliably exclude PH in patients referred for RHC. In patients with suspected PH, invasive assessment should be considered in patients without a reported TRV in the presence of RV dysfunction.
Sources of Funding
This work was supported by NIH #1 U01 HL125212‐01 to Dr Hemnes, American Heart Association Fellow to Faculty Grant #13FTF16070002, Pulmonary Hypertension Association Proof‐of‐Concept Award, Actelion Entelligence Young Investigator Award, and Gilead PAH Scholars Award Program to Dr Brittain, NIH # 5T32HL087738‐08 to Dr Assad. The data set used in the analyses described was obtained from Vanderbilt University Medical Centers BioVU, which is supported by institutional funding and by the Vanderbilt CTSA grant UL1 TR000445 from NCATS/NIH.
Table S1. Indications for Right Heart Catheterization by Group
- ↵The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS) , Galiè N, Humbert M, Vachiery J‐L, Gibbs S, Lang I, Torbicki A, Simonneau G, Peacock A, Vonk Noordegraaf A, Beghetti M, Ghofrani A, Gomez Sanchez MA, Hansmann G, Klepetko W, Lancellotti P, Matucci M, McDonagh T, Pierard LA, Trindade PT, Zompatori M, Hoeper M. 2015 ESC/ERS Guidelines for the Diagnosis and Treatment of Pulmonary Hypertension. Eur Heart J. 2016; 37:67–119.
- ↵Simonneau G, Galiè N, Rubin LJ, Langleben D, Seeger W, Domenighetti G, Gibbs S, Lebrec D, Speich R, Beghetti M, Rich S, Fishman A. Clinical classification of pulmonary hypertension. J Am Coll Cardiol. 2004;43:5S–12S.
- ↵McLaughlin VV, Archer SL, Badesch DB, Barst RJ, Farber HW, Lindner JR, Mathier MA, McGoon MD, Park MH, Rosenson RS, Rubin LJ, Tapson VF, Varga J. ACCF/AHA 2009 expert consensus document on pulmonary hypertension a report of the American College of Cardiology Foundation Task Force on Expert Consensus Documents and the American Heart Association developed in collaboration with the American College of Chest Physicians; American Thoracic Society, Inc; and the Pulmonary Hypertension Association. Circulation. 2009;119:2250–2294.
- ↵Zoghbi WA, Enriquez‐Sarano M, Foster E, Grayburn PA, Kraft CD, Levine RA, Nihoyannopoulos P, Otto CM, Quinones MA, Rakowski H, Stewart WJ, Waggoner A, Weissman NJ. Recommendations for evaluation of the severity of native valvular regurgitation with two‐dimensional and Doppler echocardiography. J Am Soc Echocardiogr. 2003;16:777–802.
- ↵Rudski LG, Lai WW, Afilalo J, Hua L, Handschumacher MD, Chandrasekaran K, Solomon SD, Louie EK, Schiller NB. Guidelines for the echocardiographic assessment of the right heart in adults: a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography, a registered branch of the European Society of Cardiology, and the Canadian Society of Echocardiography. J Am Soc Echocardiogr. 2010;23:685–713; quiz 786–788.
- ↵Greiner S, Jud A, Aurich M, Hess A, Hilbel T, Hardt S, Katus HA, Mereles D. Reliability of noninvasive assessment of systolic pulmonary artery pressure by Doppler echocardiography compared to right heart catheterization: analysis in a large patient population. J Am Heart Assoc. 2014;3:e001103. DOI: 10.1161/jaha.114.001103.
- ↵Bowton E, Field JR, Wang S, Schildcrout JS, Van Driest SL, Delaney JT, Cowan J, Weeke P, Mosley JD, Wells QS, Karnes JH, Shaffer C, Peterson JF, Denny JC, Roden DM, Pulley JM. Biobanks and electronic medical records: enabling cost‐effective research. Sci Transl Med. 2014;6:234 cm3.
- ↵Wells QS, Farber‐Eger E, Crawford DC. Extraction of echocardiographic data from the electronic medical record is a rapid and efficient method for study of cardiac structure and function. J Clin Bioinforma. 2014;4:12.
- ↵Assad TR, Hemnes AR, Larkin EK, Glazer AM, Xu M, Wells QS, Farber‐Eger EH, Sheng Q, Shyr Y, Harrell FE, Newman JH, Brittain EL. Clinical and biological insights into combined post‐ and pre‐capillary pulmonary hypertension. J Am Coll Cardiol. 2016;68:2525–2536.
- ↵Assad TR, Brittain EL, Wells QS, Farber‐Eger EH, Halliday SJ, Doss LN, Xu M, Wang L, Harrell FE, Yu C, Robbins IM, Newman JH, Hemnes AR. Hemodynamic evidence of vascular remodeling in combined post‐ and precapillary pulmonary hypertension. Pulm Circ. 2016;6:313–321.
- ↵Brittain EL, Chan SY. Integration of complex data sources to provide biologic insight into pulmonary vascular disease (2015 Grover Conference Series). Pulm Circ. 2016;6:251–260.
- ↵Gladwin MT, Sachdev V, Jison ML, Shizukuda Y, Plehn JF, Minter K, Brown B, Coles WA, Nichols JS, Ernst I, Hunter LA, Blackwelder WC, Schechter AN, Rodgers GP, Castro O, Ognibene FP. Pulmonary hypertension as a risk factor for death in patients with sickle cell disease. N Engl J Med. 2004;350:886–895.
- ↵Machado RF, Barst RJ, Yovetich NA, Hassell KL, Kato GJ, Gordeuk VR, Gibbs JSR, Little JA, Schraufnagel DE, Krishnamurti L, Girgis RE, Morris CR, Rosenzweig EB, Badesch DB, Lanzkron S, Onyekwere O, Castro OL, Sachdev V, Waclawiw MA, Woolson R, Goldsmith JC, Gladwin MT; walk‐PHaSST Investigators and Patients . Hospitalization for pain in patients with sickle cell disease treated with sildenafil for elevated TRV and low exercise capacity. Blood. 2011;118:855–864.
- ↵Assad TR, Maron BA, Robbins IM, Xu M, Huang S, Harrell FE Jr., Farber‐Eger EH, Wells QS, Choudhary G, Hemnes AR, Brittain EL. Prognostic effect and longitudinal hemodynamic assessment of borderline pulmonary hypertension. JAMA Cardiol. 2017;2:1361–1368.
- ↵Maron BA, Hess E, Maddox TM, Opotowsky AR, Tedford RJ, Lahm T, Joynt KE, Kass DJ, Stephens T, Stanislawski MA, Swenson ER, Goldstein RH, Leopold JA, Zamanian RT, Elwing JM, Plomondon ME, Grunwald GK, Barón AE, Rumsfeld J, Choudhary G. Association of borderline pulmonary hypertension with mortality and hospitalization in a large patient cohort: insights from the VA‐CART program. Circulation. 2016;133:1240–1248.


By Euro Weekly News Media • 27 January 2012 • 9:09
BRITAIN cannot deport ‘Hate preacher’ Abu Qatada, ruled the European Court of Human Rights, because it is possible that trial evidence eventually used against him in Jordan will have been obtained through torture.
This might sound risible but British fury should be aimed at Jordanian torturers, not Strasbourg judges. Besides, the Abu Qatada verdict arrived at the same time as confirmation that a British life sentence really can mean life.
This is something to celebrate – and silence the string-them-up-and-bring-back-the-birch squad.
SURVIVAL is always dicey although the developed world’s inhabitants have never been healthier or longer-lived. But never have they been so afraid or downbeat about health, with experts detecting and predicting still more dangers.
Unsurprisingly, Lancet foresees that the London Olympics will be “a health minefield” and a focus for unusual diseases and warns that heatstroke could prove another hazard.
Heatstroke? In London? In the summer?
Setting a good example
FOOTAGE has emerged of US soldiers apparently urinating on dead Afghans, further evidence of America’s detachment from the populations with whom they have enforced but uneasy contact.
Warfare unarguably brings out the worst in some people, but it is a 21st century tragedy that the people who take it upon themselves to maintain world order do not conform to the standards they set for others.
Share this story
Subscribe to our Euro Weekly News alerts to get the latest stories into your inbox!
By signing up, you will create a Euro Weekly News account if you don't already have one. Review our
Share your story with us by emailing email@example.com, by calling +34 951 38 61 61 or by messaging our Facebook page www.facebook.com/EuroWeeklyNews
Download our media pack in either English or Spanish.


The MKM Root RT-GCT Titanium Natural Canvas Micarta is a modern slipjoint. Designed by Jens Anso. One of the most famous knife designers today. Characterizing for his designs are the organic shapes and sleek lines. Combined this results into a tasteful and stylish design. The MKM Root is no exception.
The blade is enhanced with three cut-outs that offer you enough traction to make sure you easily open the knife with two hands. The blade is made from Böhler M390 steel. This is a type of steel that retains its sharpness well and is incredibly wear-resistant. It is also very stainless. One of the most popular choices at the moment. When opened a slipjoint will neatly keep it open. And yet you can still easily close it: it merely offers resistance, it doesn't lock the blade. As such you can legally carry it with you almost anywhere. The sheepsfoot-style blade is thin and razor-sharp. This type of shape is mostly suited for daily tasks such as opening boxes and envelopes.
This version of the root is enhanced with a sleek titanium handle with a natural canvas micarta inlay. Tough, milled lines and a stunning, blue anodized ring around the pivot complement the handle. Like many gentleman's knives the Root is not enhanced with a pocket clip. Because of a couple ingenious details you won't miss it. At the end of the handle, milled in the backspacer, you will find a lanyard hole. You use this hole to attach a lanyard. With it you can easily pull it from your pocket. And it adds a little flair! Or you use the leather sheath with belt loop. This belt loop has a magnetic closure. Would you rather not carry it on your belt? You can also carry the sheath as a 'slip sheath' in your pocket. Because of the supple leather this is very comfortable.
Where does MKM Knives come from?
MKM is a cooperation between Viper, LionSteel, Fox and Mercury. Four masters working in the Italian knife industry. It is no coincidence that they all come from the city: Maniago, northern Italy. The knife capital of the south of Europe. MKM stands for Maniago Knife Makers.


text:
1st post here.
Any help much appreciated! XD
1. I have 76 gems, should I buy a bronze crate, save for a bunch of them, buy silver or gold crates, buy boosts (I don't play turf), buy gem only cars or anything else?
2. I have seen a lot of tutorials on YouTube about people campaign farming and pinking over the cars and betting over the money to their main account, before I get involved in this, is it legal/will I get banned?
Thanks for the help!
You sure? Thanks a lot! (Just don't wanna get banned).
| BUMP it up!

domain: hobby


text:
After learning that the Queen of Soul, Aretha Franklin, passed away at 76 years old in her Detroit home on Thursday due to battle with pancreatic cancer, Miranda Lambert wanted to convey her love for the late legend through a tribute performance. Lambert halted her set on the Bandwagon Tour in Buffalo, N.Y. to sing a pop country version of "Do Right Woman, Do Right Man."
Picking this song out of Franklin's endless catalog of incredible music like "Think" and "(You Make Me Feel Like) A Natural Woman" allowed Lambert to embody part of what Franklin brought to the stage with the track with soaring vocals and careful time taken to emote each note. The song feels like an emotional conversation with the audience about the power of respect and staying true to one's partner.
"They say that it's a man's world/But you can't prove that by me/And as long as we're together baby/Show some respect for me," Franklin sings on the track which landed on the B-side of I Never Loved a Man the Way I Love You, her 11th studio album. It pairs well with the first track on the A-side, where the iconic "Respect" made its debut.
Later in the week, after Lambert sang the song in New York, Chris Stapleton also chose to sing the blues with "Do Right Woman, Do Right Man" as his Aretha Franklin tribute. But neither of these live renditions marks the first time country singers have taken on the tune. In 1971, Brenda Lee covered the classic on her album Memphis Portrait, and in 1982, Willie Nelson recorded the track for Always On My Mind.
Country music maven Miranda Lambert will keep the American lego of the Bandwagon Tour moving alongside Little Big Town through the end of September with a couple of exciting stops in Nashville.

domain: artistic


News briefs: UN's Guterres on coal
Plus, EPA rolls back rules on toxic waste from coal plants, and escalating 'water wars'
“There is simply no rational case for coal power in any investment plan,” says Antonio Guterres, secretary-general of the United Nations.
EPA relaxes rules limiting toxic waste from coal plants
The Trump administration on Monday relaxed strict Obama-era standards for how coal-fired power plants dispose of wastewater laced with dangerous pollutants like lead, selenium and arsenic, a move environmental groups said would leave rivers and streams vulnerable to toxic contamination, The New York Times reports. According to the story, the EPA regulation scaled back the types of wastewater treatment technologies that utilities must install to protect rivers and other waterways. It also pushed back compliance dates and exempted some power plants from taking any action at all.
EU sets up raw materials alliance
The European Union last week agreed to a new plan to secure access to rare earth minerals and to reduce reliance on suppliers like Chile, China and South Africa, according to a report from the Associated Press. The EU will set up a European Raw Materials Alliance with industry, investors, the European Investment Bank, EU member countries and others to help secure raw mineral supply chains. The EU is predicted to need around 60 times more lithium and 15 times more cobalt for electric vehicle batteries and energy storage by 2050, according to the AP. The goal is to map the possible supply of critical raw materials in EU stocks and waste, as well as to identify projects to help recover them, by 2022.
Conflicts over water resources seen escalating
About a quarter of the world’s people face extreme water shortages that are fueling conflict, social unrest and migration, water experts said on Wednesday in a special report from the World Economic Forum in collaboration with the Thomson Reuters Foundation. With population increases and climate change, competition for scarcer water is growing, they said, with serious consequences. “If there is no water, people will start to move. If there is no water, politicians are going to try and get their hands on it and they might start to fight over it,” said Kitty van der Heijden, head of international cooperation at the Netherlands' foreign ministry. According to the World Resources Institute (WRI), a U.S.-based research group, 17 countries face “extremely high” levels of water stress, while more than two billion people live in countries experiencing “high” water stress.
Better food systems can help slash greenhouse gas emissions
Policymakers can improve the chances of achieving climate goals and limiting global warming by making more specific commitments to transforming national food systems. So says a new report titled, Enhancing Nationally Determined Contributions (NDCs) for Food Systems, published today by WWF, the UN Environment Programme (UNEP), EAT and Climate Focus. The report finds countries are missing significant opportunities to reduce greenhouse gas emissions and identifies 16 ways policymakers could take more action. Doing so could deliver 20% of the targeted global emissions reductions needed by 2050. According to the report, food systems — which gather all the elements and activities that relate to the production, processing, distribution, preparation and consumption of food — account for up to 37% of all greenhouse gas emissions; continuing on a business-as-usual trajectory will single-handedly exhaust the 1.5 °C.-compatible emissions budgets for all sectors.
Popular retirement spots at risk of climate change
Warm, beachy spots on the Atlantic, Pacific and Gulf Coasts have been retirement magnets for decades. But, as Hurricane Laura just underscored, they’re also squarely in the crosshairs of the changing climate, effects of which are already evident in many of the nation’s most popular retirement destinations, writes Craig Miller for Next Avenue. Some popular lists of top retirement spots include environmental factors such as air quality, but it’s rare to see any consideration given to present and future impacts from climate change. Read more to find out which locales seem less risky.


Donald Tusk did not hold back about Angela Merkel's migrant policy
As the remaining 27 European Union leaders attempted to put on a show of unity at a summit in Bratislava, Slovakia, Donald Tusk, president of the European Council hit out at the German Chancellor.
He said she created chaos in the region by welcoming 1.1million Syrian migrants last year.
Mr Tusk blamed “political correctness” for delays in closing Europe’s borders in 2015 which allowed more than a million into the continent unchecked, including ISIS jihadis who attacked Paris and Brussels killing 130 and 32 people respectively.
Mrs Merkel was forced to listen to EU leaders ripped into her - destroying the unity leaders of the EU are attempting to portray as they meet to talk about the future of Europe after Britain voted in June to leave the bloc.
A note to diplomats before the summit from Mr Tusk urged the EU “never to allow return to chaos of last year”.
All 27 remaining leaders of the EU are at the summit to discuss Brexit
In the invite, he referenced “last year’s chaos on our borders” in reference to the crisis made worse by Mrs Merkel’s decision to open up Germany’s doors to Syrian refugees.
He wrote: “New images every day of hundreds of thousands of people moving across our continent without any control, created a feeling of threat among many Europeans.
“They had to wait too long for action to bring the situation under control.
“Instead, all too often they heard politically correct statements that Europe cannot become a fortress, that it must remain open.”
- Support fearless journalism
- Read The Daily Express online, advert free
- Get super-fast page loading
Countries across the union have deeply differing views about how to deal with the migrant crisis, with the issue of border control top of the agenda in Bratislava.
The German Chancellor fought back against criticism of her refugee policy from several leaders during a two-hour working lunch on the Danube aboard German pleasure boat, MS Regina Danubia and four and a half hours of meetings in Bratislava’s medieval castle.
Leaders attend 'informal lunch' to discuss post-Brexit EU
Migrants have set up camps all over Europe
She is set for another difficult day tomorrow as Germans go to the polls for state elections in Berlin, with her ruling Christian Democrat (CDU) coalition being forced to contend with a rise in votes for anti-migrant parties.
Diplomats said concern over the elections has led Mrs Merkel to stay away from any criticism over Europe to prevent a planned EU declaration being used against her.
One EU diplomat, said: “The word ‘chaos’ was in the text that was presented to national delegations.
“Germany had sensitivities about the word which was replaced by the term ‘uncontrolled flows’.”
Following yesterday’s summit, leaders agreed to create an EU border and coastguard patrol by next month, with 200 extra border guards and 50 extra vehicles to be deployed on the under-pressure Bulgarian border at the exterior of the EU.


text:
One of the most important things crypto investors do when doing their research is paying close attention to the project’s tokenomics. It could be detrimental to the value of the token in the future.
When we first launched BMAX, many of you wondered what is there to come for Bitrue’s original platform token, BTR. The biggest concern was that the introduction of BMAX will take utility away from BTR, driving it to decrease in value over time.
Fear not, the team at Bitrue has had everything carefully planned out for both of our tokens. BTR will remain the governance token of our platform, of which BTR holders can participate in our “BTR Vote” programs, and events in the future will still have BTR as reward tokens. Aside from solely being a governance token, BTR is also the base currency for many trading pairs on our exchange.
As for BMAX, the newly introduced token will function as a rewards token for yield farms at Bitrue, replacing BTR. With BMAX being used as rewards token, there will be less BTR in circulation, this in turn will make BTR much more deflationary than it is right now. Contrary to what most people thought at first glance, BMAX’s presence actually enhances BTR’s tokenomics rather than stripping it away.
To sustain BMAX’s value, BMAX is presented with a fixed amount of 5 million tokens, with regular buybacks to keep supply in circulation at minimum, making BMAX also deflationary in nature. To add to this, BMAX tokens will be available to trade for other tokens on the platform.
With the ever-expanding Bitrue community, we aim to continuously improve, adding more trading pairs and features to our platform. The introduction of a dual platform token mechanism is a rather new concept not often used by other exchanges. We believe that this is the best method to create a sustainable economic environment for both BTR and BMAX, which will be the core of our Bitrue community.
Having set up a strong foundation in our ecosystem, as more people will begin to acknowledge our expertise and dedication in building a solid cryptocurrency exchange, we are certain that the value of both BTR and BMAX will skyrocket.
We wish you all the best.

domain: finance


Question about HP iPAQ hw6510 Smartphone
Hi. We have HP iPAQ PDA that wasn't charge for 10 days. After 10th day, we place the ac adaptor/charger back to the phone. It doesn't seem to charge anymore. Don't know if the internal battery or external battery is the problem. It only displays HP iPAQ on blue screen when the AC adapter/charger is attached. Red light appears on the 1st light near the power button. What could be wrong? Please help. Thank you.
or many other more expensive things
this thing has 0$ street value, im sure most will note like
$100 repair bill on 0$ device,
why not buy a used smart phone and end this...
Posted on Jul 12, 2017
Failed battery pack most likely.
Posted on Jul 11, 2017
SOURCE: iPAQ Not Charging from AC Outlet
If you are not using the original chargers it could be the type of charging cable. Not all cables that fit will charge the device correctly.
Posted on Aug 12, 2007
I had some similar experiences with these ipaq's when I was working in a specialised service center. I'll try to give some help or tips through the internet, altrough if i could have seen or diagnosticate these pda's myself it would have been more easier. First of all these problems have 2 main causes. Most of the pda's comply with one of them, it is very rare that a pda will develop this problem by having both causes.
The first cause is the hardware one. A component called the main voltage convertor is broken. It's a small chip that uses the voltage given by the main battery to convert it's value to various tensions required by some of the components on the pda's main board. If some sub-parts of this chip fails to work, the result will appear as the problem you face, In this case there isn't much to do. Most service centers will replace the whole mainboard because that particular chip is very hard to find as a replacement and difficult to desolder from the board.
The second cause could be a major firmware / ROM memory corruption. These things can happen out from nowhere. In my time working for service centers I've tried to isolate a pattern for this problem but without much succes. However it seems that most of these problem tend to appear durring charging cicles due to power spikes or drops on the main AC voltage supplied to the charger. This is only a supposition, I'm not sure yet on this cause. What to do here? Well this problems are fixable but first of all you must be sure that this is a software problem, not a hardware one. So let's diagnosticate some things.
Try to charge the pda. Ignore any lights or beeps or whatever your pda is showing on the screen. As long as the charger is connected the charging process is based on the most primary charging circuits on the pda's motherboard. If the pda is not charging or cannot hold any charge (when you unplug it the screen fades away or it simply doesn't do anything else) maybe that circuit is broken (this is a a sign of serious hardware problems ) or maybe the battery is to old/weak. Batteries don't die out of nowhere, if you remember your pda to work and have some 2-3 hours of standby time it's imposible that now, suddently the battery has drained out so much that even if charged it can't hold out at least 30 min.
So we will assume that you charged the pda for at least 2-3 hours and you see some sign that the battery is working. The next step is crucial. TRY TO PUT THE PDA IN BOOTLOADER MODE. You will achieve this by pressing (and keep them pressed!) the following buttons : power, the far left and right buttons near the control pad (joystick or whatever some people call it) and reset button. You may need another person to help you press these buttons. the order should be the following (first power, then the 2 keys, then reset button for as long as it takes to enter bootloader mode). YOU SHOULD SEE A WHITE SCREEN WITH THE HP LOGO.
If your pda fails to do that, there is nothing more you can do to restore it in a DIY fashion. Probably the bootloader is corrupted or you have a hardware fault. Only a specialised HP service center can help you now. In most cases this will end up with a motherboard replacement.
If your pda does that, then there is a chance to fix it. We will need to probe the bootloader for direct data acces. This is needed for having the ROM memory (and operating system) rewritten. A small program called Mtty will be required to access the bootloader via an usb link.
Please make this tests first and then reply with your results. If anyone of you is in situation #2 there may be a chance.
Posted on Feb 10, 2008
The charger might be bad. Or then the pdas connector is bad, or the motherboard is damaged.
to find out is your charger working you could use a tester to test it or another pda.
If you could get some power into the pda you could use the bootloader to test the device. Its been years since I had my 3850.
Il have to find instructions on how to get to the bootloader but test the other things first.
Drop a comment.
Posted on Mar 12, 2008
SOURCE: HP-iPaq 2215 battery replacement
When you take the battery out of an IPAQ you're performing a hard reset. I've got 4 different IPAQs and it does the same thing on all of them.
My solution was to back the IPAQ up using the internal backup program (back up to IPAQ storage) and then replace the battery, then restore the last backup.
Saved me a heck of a lot of time. It's been hard to remember to back up everytime I add a program or change data majorly, but it's probably the best thing to do.
Posted on Jan 27, 2009
Tips for a great answer:
Usually answered in minutes!


This project, which is funded by the Swiss Agency for Development and Cooperation (SDC), with total amount of 120’000 JOD representing 88% of the total budget, aims to assess the impact of the landfills on the groundwater and map the vulnerability of aquifers to contamination at several landfill sites. The mapping will help support decision-makers responsible for the solid waste management in the country to make better decisions in the field of underground water management.
Given the vital role played by the Ministry of Municipal Affairs in solid waste management, this Ministry will be a key partner in this project which is also expected to positively impact the performance and effectiveness of all concerned municipalities.
The RSS is the largest applied research institution, consultancy and technical support service provider in Jordan and is a regional leader in the fields of science & technology.
Among its priority fields of action in Jordan, SDC focuses on the water sector where it aims to link sustainable water resource management with equitable access to water and sanitation services. SDC is also supporting Jordan to deal with the impacts of the Syrian crisis with an overall contribution of 20 million JOD in 2016.
For more information:
Mrs. Rahel Pema
Deputy Regional Head of Cooperation
Embassy of Switzerland
Hashemite Kingdom of Jordan
Phone: +962 6 585 60 20


Cermate is a professional hardware manufacturer specializing in the production of Human Machine Interface (HMI) hardware. We produce HMI, Win CE System Touch Panel (WinCE Panel PC), touch monitors and USB adapters.
Westech Industrial Ltd is a leading supplier of instrumentation and process control equipment to Canadian industries and abroad. Since our inception in 1966, we have developed a reputation as a source for quality solutions.
Azbil N. A. supplies process automation professionals with an array of flow and pressure transmitters. For discrete manufacturing and material handling we provide photoelectric and laser position sensors along with a large selection of limit switches.


Aircom A3 Wireless Earpieces for Mobile Phones
New! This AIRCOM A3 headset with micro earphone reduces to 99% the conduction of low and high frequencies in the wire of the hands-free kit of your mobile phone. It is delivered with a 3.5 mm jack plug for iphone and other recent brands (Samsung, LG, Blackberry...).
2 colors : pink and yellow
Aircom A3 stereo headset - active
The A3 headset is designed for the active user.
Proper fit and ear sealing is essential to maintain optimal sound quality with earplugs in sizes S, M or L. The A3 headset fits users who dance, play sports such as running or work out in the gym such as body building. It sits snugly in the ear and offers true "live" sound so you'll feel your music more.
The A3 headset features the "click-it" system with magnetic tips that pull together and can be worn around the neck so you'll be ready for whatever comes next.
- Microphone on the wire with on/off switch
- Plugs in sizes S, M, L adapted to your ears
- 3 different colours: white - yellow - pink
- Gold-plated 3.5mm/4P jack
A patented sound technology that uses a sound-conducting tube to increase the space in which air circulates and the sound develops, ensuring a better live listening experience in your body.
Semi-gloss triple coat finish in white, yellow or pink
Among the sportiest available on the market that use air tube technology which actually places the speakers in a special acoustic chamber and not in the earpieces.
isolation plugs for size S/M/L earpieces.
This headset only conducts sound through an air tube so you can hear the music perfectly as you would at a live concert. Sound transmission through an air tube is more natural and balanced, bringing out the true quality of your music.
But beyond the excellent sound it provides, Aircom's technology not only produces good acoustics but also eliminates high-frequency electromagnetic waves. Laboratory tests of the headsets show near-zero SAR levels, so you can talk on your mobile phone freely, without being exposed to intense high-frequency radiation*.
Based on the lowest SAR level tested and a measured value of 1/100th or 0.01 W/kg.
- Complete length of the hands-free kit wire: 135 cm
- Length of the air tube (each): 16 cm
- Kit colour: black and brown, white, yellow or pink tube
- Two times three soundproofing plugs: sizes S,M,L
- A microphone built into the on/off switch
- Two stereo headphones with built-in speaker - size: 8mm - neodynium magnet
- Impedance: 16 Ohms
- Input sensitivity: 97 dB at 1 KHz
- Frequency response: 20 Hz to 20 KHz (20-20KHz input voltage 126 mV)
- Plug: 3.5mm/4-pin gold-plated stereo jack
- Sound amplifier conforming to AIRCOM technology
- A packaging box with instructions in English and French


Columbia Sportswear New Columbia Dotswarm Full-Zip Jacket -
The Columbia Dotswarm Full-Zip Jacket keeps outdoorsmen warm with Omni-Heat thermal reflective lining. Omni-Heat thermal reflective technology helps regulate your temperature by reflecting and retaining the warmth your body generates, while dissipating moisture and excess heat to keep you comfortable. Made from warm 100% polyester MTR fleece, this full-zip jacket is soft yet rugged and comes equipped with a zip-closed security pocket and a stand-up collar. Machine wash. Imported.
Manufacturer style #: WM6890.


text:
Sightseeing Varadero: Roma House
Roma House (Casa Del Ron) – one of the most visited museums in Varadero, and the reasons for this are quite understandable. It combines store, tasting hall and museum exposition.
The Roma House was opened at the end of 2001 and immediately loved tourists so much that its sales from the first year had reached the country’s unprecedented for the country. In 2008, he was somewhat reproduced and expanded. At the entrance to the house-museum there is a small exposition. There is an old casstee of the XVIII century and a collection of materials that illustrate the history of the appearance of sugar cane in Cuba, the emergence of the first factory for the production of sugar and Roma, as well as the Archeval family, founded the very first factory in Cardenas. It was in this factory in 1878 the first batch of the famous today for the whole world was released "Havana Club".
However, first of all, the Roma house is the store, and not the museum. In this incredibly popular city of the shop, you can purchase a wide variety of Roma varieties, as well as other strong alcoholic beverages, cigarettes and sloant. The assortment of a part of the Roma is superior to a standard choice in urban stores, the price level is ordinary, as elsewhere in the city.
On the other side of the street opposite Roma House there is a good store of Cuban cigars.
Rum and Cigars – Main Cuban Brands
Ticket price: Free entrance. How to get there: on the South Highway (Autopista Sur) by car. Address: Avenida Primera, Varadero.

domain: history


text:
What does a "bird beak appearance" on barium swallow indicate?
What is the drawback to magnetic resonance cholangiopancreatography "MRCP?"
While it is less invasive than endoscopic retrograde cholangiopancreatography, it does not have the potential for therapeutic benefit – e.g. biopsy, stents, injection of dye, etc.
How might we diagnose pancreatitis from a lab?
Lipase and amylase levels in the blood.
What is emphysematous cholecystitis?
An infection of the gallbladder wall by gas forming organisms.
What are the four signs given for gastrointestinal bleeding?
"Coffee grounds" emesis, hematemesis, melena, or hematochezia.
What should we be thinking of diagnostically if we see free air on a plain film x-ray?
A perforated hollow organ pushing air into the space.
NSAID use is a risk factor for what common disease discussed in this lecture?
What do most people consider the liver function tests?
Alkaline phosphatase (ALP)
Esophagogastroduodenoscopy is contraindicated in patients with what upper G.I. symptoms?
Halitosis, difficulty swallowing, or (uncommonly) a palpable mass in the upper esophagus.
These are symptoms of Zenker diverticulum, which can result in a perforation if an esophagogastroduodenoscopy is performed.
What are the two best, first-line tests for Helicobacter pylori?
What do you need to make sure that your patient does before you do these tests?
Urea breath test, fecal antigen test.
Patients must stop all proton pump inhibitor use for two weeks before either test is performed.
What causes primary achalasia?
Loss of nitric oxide inhibitory neurons in the myenteric plexus of the lower esophageal sphincter, causing it to be unable to relax.
Which takes longer to develop symptoms, gastric ulcer or duodenal ulcer?
Duodenal ulcers take 3 to 5 hours after eating to develop pain.
In contrast, gastric ulcers only take 30 minutes to 90 minutes.
What does HIDA (hydroxy iminodiacetic acid scan) test for?
Gallbladder obstruction. It is a nuclear study using hydroxy iminodiacetic acid, and if the gallbladder is obstructed the gallbladder will not be visible due to an inability of the contrast to enter the gallbladder.
What is the gold standard test for achalasia?
What is Romaña's sign and what does it indicate?
Romaña's sign is unilateral orbital edema, caused by Chagas Disease (Trypanosoma cruzi infection.)
What is a common complication of endoscopic retrograde cholangiopancreatography ""ERCP"?
Pancreatitis – due to the fact that a wire is being passed through the sphincter of Oddi into the pancreatic duct.
What special test is often performed for suspected Zollinger-Ellison syndrome?
Secretin stimulation test.
Secretin should inhibit gastrin production, however in Zollinger-Ellison syndrome secretin paradoxically stimulates gastrin production.
Is primary achalasia sudden or progressive?
Progressive and gradual.
What are Cushing ulcers and Curling ulcers?
Cushing ulcers are secondary to an intracranial lesion or injury.
Curling ulcers are secondary to severe burns.
What are the types of pain associated with a gastric ulcer vs. a duodenal ulcer?
Gastric ulcers are described as sharp and burning.
Duodenal ulcers are described as gnawing.
Smoking tobacco and drinking alcohol are synergistic risk factors for what G.I. related cancer?
Squamous cell carcinoma of the esophagus.
What disease might you expect if you have a serum gastrin level of greater than 1000 ng/L?
What two cancers are associated with Helicobacter pylori infection?
Gastric mucosa associated lymphoid tissue (MALT) lymphoma.
What strain of Helicobacter pylori significantly increases risk of ulcer?
Cag-A toxin positive Helicobacter pylori.

domain: biology


Offline execution - The test execution batch file
From a TestArchitect client session, you can generate a batch file that invokes the command line tool to perform your tests.
In Windows, the generated batch file to execute a test only single controller has this form:
:TAExecute0 @echo off title TestArchitect - Command Line Tool ta execute [TACommandLine.jar command line1] exit
The Windows batch commands and keywords in the file are as follows:
The colon (:) designates a batch file label which, in this case, is TAExecute0. Labels serve as reference points in a batch file for other lines in the file, usually as
go topoints. For a single-controller batch file, the label does not have any practical use. It does come into play for multiple-controller batch files, however, as will be discussed later.
Instructs the batch file interpreter not to display any future commands to the screen.
title TestArchitect - Command Line Tool
The command line window’s title is assigned the name TestArchitect - Command Line Tool.
Exit and close the command line/terminal.
The Execute Test dialog box affords you the option to direct your test to be executed on more than a single controller concurrently. When you generate a batch file for multiple controllers, TestArchitect loads it with separate TACommandLine lines which are identical except for the -c ( Machine name or IP address, and port number of the TestArchitect controller that is to run the test) argument.
As an example, the Windows batch file for a three-controller test run might take the following form:
if not "%1" == "" goto :%1 start "TAExecute0" cmd /k "%~dpfx0" TAExecute0 start "TAExecute1" cmd /k "%~dpfx0" TAExecute1 exit :TAExecute0 @echo off title TestArchitect - Command Line Tool ta execute [TACommandLine.jar command line1] exit :TAExecute1 @echo off title TestArchitect - Command Line Tool ta execute [TACommandLine.jar command line1] exit
Some of the lines not seen earlier include:
if not “%1” == "" goto :%1
This allows for an optional parameter (represented by
%1) to be passed to the batch file to allow it to execute on one and only one of the controllers specified within it. For example, were the above batch file to be named Calculation.bat, the command
Calculation.bat TAExecute2would cause the test to run only on the controller specified in the last block of the batch file.
start “TAExecute<Number>” cmd /k “%~dpfx0” TAExecute<Number>
Without delving into details, each start command launches a separate instance of Windows' cmd shell, which then launches the batch code for the TACommandLine execution for one of the specified controllers. By using start to launch each controller-specific test, you ensure that the three tests run asynchronously. (Without start, each test would not begin until the one before it completed.)
As with multiple controllers, you can elect from the Execute Test dialog box to execute a test on multiple devices. The generated batch file looks similar to that of one of the above two cases (depending upon whether one or multiple controllers are involved). For each TACommandLine, an additional argument, -d, is applied, to specify one or more devices attached to the respective controller.
- /d “<Device Name 1>;<Device Name 2>"
When you specify a serial test run, a separate TACommandLine line is generated for each test module. (One exception, discussed below, is when you specify a test suite and accept the default of running all test module sections and test cases.) In the event that you are also specifying multiple hardware targets (controllers or devices), the number of command lines is multiplied accordingly. For example, we can expand on the above example of executing on three controllers by also specifying two test modules, tm01 and tm02:
1 For full details of the TACommandLine structure and its arguments, see Command options.
:TAExecute0 @echo off title TestArchitect - Command Line Tool ta execute [TACommandLine.jar command line for tm011] ta execute [TACommandLine.jar command line for tm021] exit :TAExecute1 @echo off title TestArchitect - Command Line Tool ta execute [TACommandLine.jar command line for tm011] ta execute [TACommandLine.jar command line for tm021] exit :TAExecute2 @echo off title TestArchitect - Command Line Tool ta execute [TACommandLine.jar command line for tm011] ta execute [TACommandLine.jar command line for tm021] exit


text:
Chemotherapy and radiotherapy aren’t the only way to kill cancer cells. Essential oils appear to be able to do this, at least under laboratory conditions and in certain concentrations. This leads one to hope that in future patients will be able to use them in treatment instead of having to suffer from the well-known side effects of current treatments.
A study by researchers from China and Germany (Zu Y, Yu H, Liang L, Fu Y, Efferth T, Liu X and Wu N, 20101) on the antibacterial effects of ten essential oils on in vitro toxicology against three human cancer cells was published in the Molecules Journal. It demonstrated that cinnamon, thyme, and rose essential oils had the best antibacterial effect.
So which essential oils will help you fight cancer?
Oils from citrus fruits
One of these plant compounds extracted from tangerine peel can kill certain human cancer cells, research shows. A team from Leicester School of Pharmacy in Great Britain found Salvestrol Q40 was turned into a compound toxic to cancer cells, destroying them. The researchers suggest the modern trend to throw away the peel may have contributed to a rise in some cancers!! Lead researcher Dr. Hoon Tan said his work was still at an early stage, but together with his colleagues he is further investigating the potential todevelop natural anti-cancer therapies. He said: “It is very exciting to find a compound in food that can target cancers specifically.” Salvestrol 40 is a chemical produced by the plants immune system to repel attackers, such as insects or fungi. It is converted into a toxic compound by an enzyme, found in much higher levels in cancer cells. In other words, cancer cells use the Salvestrol to create their own killer compound! As a result, the researchers found, it proved to be 20 times more toxic to cancer cells than to healthy cells.
It exhibits numerous properties which makes it anti-cancerous because of it even in the present day it is the most preferred remedy during cancer. Frankincense oil and cancer have a close link associated with it can be dated back to the pre historian days also as it has the unique property to curb infections, inflammation and improve the immune system. In many cases individuals are still unaware about its cancer fighting potential. With the help of rigorous scientific research it has been confirmed by the University of Leicester in the UK about the added anti-cancerous properties associated with it. Otherwise known as boswellia, frankincense guarantees high nutrient value as it has a special component known as acetyl-11-keto-beta-boswellic acid or AKBA. Frankincense oil is considered as the most effective remedy of ovarian cancer. Indeed even the patients who are detected with ovarian cancer in the latter stages are prescribed AKBA found in frankincense oil.
Lavender is excellent for its ability to calm the nervous system and ease stress and anxiety. It also helps improve the quality and depth of sleep.
Lavender has long been used for pain relief, and in recent years has been studied extensively for its inhibitory effects on cancer tumor growth. Other uses for lavender essential oil include its ability to heals burn and skin irritations, relieve allergy symptoms, and as an anti-bacterial, antiseptic, and antifungal.

domain: chemistry


text:
Introduction to the Brain
Our brain is at the heart of all our being. Everything we perceive, think about and the way we act is controlled by the brain. As the Noble Prize-winning neuroscientist, Eric Kandel declared ‘if it’s not the brain then what is it’? It is through the brain we interpret the world and our self within that world.
Simplistically, we have a body that needs to survive in the environment in which it resides. Another way of understanding what the brain Is all about is articulated in Richard Dawkin’s thesis ‘The Selfish Gene’. That we exist to sustain a genetic code and our bodies only exist to support that gene. When our bodies cease to function, the genes have expected us to reproduce to provide another host. The conclusion is we exist to live and reproduce. During these Newsletters I will not place much emphasis on our need to reproduce but those who have dealt with adolescents understand this is a complex area for teens to navigate!
So, if the purpose of our existence is to survive and reproduce why is the understanding of behaviour so difficult? It is the complexity, both of the individual and their brain, the environment in which they developed and the conditions they face in their contemporary world which creates this complexity.
In our known universe, there is nothing more complicated than the brain. This small organ contains 86 billion neurons which have the potential to create 500 trillion connections which can process 70,000 thoughts each day. It weighs about 1,200 grams, about 2% of the body weight. It generates 23 watts of power, enough to power a light bulb and makes up a quarter of our total energy budget. I hope that when you think about why your students act the way they do you consider the complexity that drives their behaviour! However, much is known about how the brain operates and this will help you understand, in broad terms why kids choose to act the way they do.
Each brain evolves throughout the life of each individual. Human brains follow an inherited genetic scaffold for the first 38 weeks of gestation prior to birth. Although during this time the environment within the womb can effect the development of the brain the main focus of this period is on developing those reflexive behaviours that maintain our physical wellbeing. Things like breathing, heart-beat, blood clotting, all these physical adjustments we make every moment of every day. At the time of birth another process dominates the developmental journey. This is when we start to ‘learn’ how to behave to survive in an increasingly more complex manner.
Because the process of why we behave the way we do is circular, how to best describe it is awkward. I’ll start with the principle of homeostasis.
In all biology, being in homeostasis is being in a steady state of physical existence. For humans it is when our body is in its ideal condition. Things like blood pressure, oxygen supply, body temperature in fact every organ in out body is sustained in an optimal condition; it is in homeostatic equilibrium.
To maintain this ‘equilibrium’ requires us to interact with the external environment. For example, if we are exhausting our oxygen supply we fall into a state of homeostatic disequilibrium. This creates a drive to rectify this deficiency by accessing the supply of oxygen from the environment; we breathe and return to equilibrium. This drive is manifested as stress which will be a subject we will examine in detail at a later date it is important to understand that homeostasis in not limited to our physical world exclusively.
Our access to the external world to gain what we require very often requires we interact with others which generates a social equilibrium or we have to think about a solution which involves an intellectual search! These three parts of our existence, our body, the need to interact with others to get our needs met and the access to memories to either recall previously successful behaviours or to contemplate novel solutions to problems are catered for in the three levels of our brain!
Our brain, a cross section of which is shown below is often referred to as being tri-part or triune with the three levels being both evolutionary for our species and for each individual. As a species humans reached the top of the evolutionary tree by exploiting the benefits of living in social groups and using our cognitive ability to make tools to enhance our efficiency on meeting our needs.
The three areas are described below at a very simplistic level:
- The brain stem and mid brain which generally controls the behaviours that allow us to maintain of physical presence in the world. Things like breathing, blood flow, balance, motor skills are maintained in response to deficits or threats.
- Limbic System, this section of the brain which sits above the mid brain controls our social interactions. It facilitates memories of previous experiences which can be retrieved when needed as well as controls our emotional response to the situations in which we find ourselves. Two major components are the amygdala, which controls our responses particularly when under threat and the hippocampus which facilitates the storage of our memories.
- Cerebral Cortex, this is the last part of the brain to mature in our species and in each individual. The cerebral cortex resides above the brain and not only stores our memories it also facilitates our decision making. It consists of four lobes:
- Frontal which controls consciousness, communication, memory, attention and is referred to as the executive of the brain.
- Parietal which processes sensory information it receives for our receptors, things like touch, taste, and temperature.
- Temporal which is associated with processing our auditory information.
- Occipital which as the name suggests is involved in the visual processing of our world.
This essay may not be relative to improving our classroom management but understanding how the student’s behaviour is driven will help you understand why they act the way they do. In the next Newsletter we will discuss how the evolution of an individual’s brain is influenced by the environment in which it exists.


text:
Professor Steer, BJOG editor in chief recommends …”doctors and midwives monitor how much water women drink during labor.” (Drinking Water During Labor Carries Risk)
Either the author of the above article or Professor Steer overlooked a couple of important nuances from Dr Vibeke Moen at the Sweden’s Karolinska Institute where the study he references was conducted. He states hyponatraemia, an imbalance of electrolytes, is not uncommon following labor. Not during labor, following labor. That means something occurred during labor whose resultant effects are found in the immediate postpartum.
Let’s not allow the medical folks to obfuscate the hydration in labor issue. Some real scenarios involving extreme labor:
“Scientific studies have looked at the best ways or most appropriate ways of replenishing the body with fluids under the extreme of conditions of heat and dehydration (Castellani et al, 1997, Marish et al, 2001, Kenefick et al, 2000). Castellani et al (1997) investigated athletes who were not acclimatised to temperatures of above 35oC, and submitted them to 2 bouts of exercise, which would be similar to that of a footballer in the midfield. In between they were rehydrated only once with either IV, oral ingestion or no fluid replacement after being dehydrated by 4% of body weight. It was found that there was no difference in performance between those that were rehydrated orally or by IV. They also found that oral and IV were equally effective as rehydration treatments. There was no difference between the treatments in regards to the way in which the bodies handled body temperature and fluid losses.
Marish et al (2001) found that oral hydration rather than IV rehydration resulted in athletes reporting less thirsty, feeling cooler and not as physically tired. Kenefick et al (2000), also found no added benefit of rehydrating the body using IV as opposed to oral hydration in mildly dehydrated individuals (persons had lost 4.5% of body weight as fluid loss) prior to competition. This group investigated the ability of the body to maintain body temperature and handle fluid losses. Casa et al (2000) found similar results to Castellani et al (1997), however also showed that the body and skin temperature was lower in those that orally rehydrated themselves as opposed to the use of IV.
In summary, all the studies reviewed showed no added benefit of using IV rehydration methods, as opposed to oral hydration in mildly dehydrated individuals before and during a match. There was no benefit in regards to sporting performance, body temperature and fluid control. In fact the benefits of oral hydration included persons feeling not as thirst [sic] and more comfortable in regards to feeling less exercise and heat stress (feeling tired and hot). Oral hydration if consumed in the required amounts is adequate to meet the needs of all footballers. IV rehydration should only be used under medical supervision and advice at times of severe dehydration, heat and exercise stress.” ~ Jeanette Fiedling, BSc, MHN; Oral vs. Intravenous (IV) Hydration
We admit a labor cannot be determined from the onset that it is going to last a specific amount of time, have a specific intensity, etc. is unlike a football match (American or otherwise) having set periods and a clock that winds down (or up). Well, scratch that last comparison on the clock. Another nuance here, dehydration is caused when the rate of fluid loss is greater than its intake of fluid. Too much fluid intake can also cause the same symptoms of dehydration because either situation causes an imbalance of electrolytes, minerals as well as causing a change in body temperature.
As medical practitioners it is vital that they be well trained to know the clinical definition of dehydration. As someone licensed to enact medical procedures upon our bodies it is vital to the consumer that the practitioner be attentive and act only when necessary. It is very easy to alleviate mild dehydration, drink water. Obstetricians are making a really huge leap here equating dehydration with hyponatraemia and it’s no surprise that they are doing so.
“One problem would seem to be that some clinicians experience difficulties in investigating the causes of hyponatraemia. It is here where the clinical biochemistry laboratory and chemical pathologist can play an important role in facilitating optimal patient care. Interestingly, Saeed and colleagues showed that rarely did patients with severe hyponatraemia have their urine osmolality or sodium checked.1 In such cases, it is difficult to see how the cause of the hyponatraemia could be clearly established. This of course is of fundamental importance, because the management of hyponatraemia should differ according to its aetiology.2–4 ” ~ The Investigation and Management of Hyponatraemia; Journal of Clinical Pathology
Here’s another nuance from the study Professor Steer:
”Women should not be encouraged to drink excessively during labour. Oral fluids, when permitted, should be recorded, and intravenous administration of hypotonic fluids should be avoided. When abundant drinking is unrecognised or intravenous fluid administration liberal, life-threatening hyponatraemia may develop. The possibility that hyponatraemia may influence uterine contractility merits further investigation.” (emphasis by Independent Childbirth)
Why the brouhaha over IVs in labor, really, docs? Is it really that critical to you to win the argument over whether or not a woman consents to an IV? Serious psychological turf issues here. Think about it, what are the two first protocols a woman will need to make a decision about when arriving at the hospital in labor? The vaginal exam and the IV.
Consenting to both, declining both or consenting to one and not the other, each scenario is the beginning of a scoreboard. If she is allowed to ‘get her way’ from the start, all the other items an individual practitioner will decide are important may face a “no” from mom, too. The latex gloves are off.
“At one time, a myth became prevalent that drinking lots of water each day was a healthy habit.” ~ Professor Philip Steer
I had no idea that the belief in drinking lots of water each day is healthy is actually a myth. How much is “lots?” There are ounces, liters, but lots? Okay, but when you have an IV in place Professor Steer, how can you tell if you really are thirsty? You go on to cloud the issue for your colleagues,
“However, recent research shows clearly that in general, one can trust one’s natural body messages, and that we only need to drink more when we feel thirsty.”
According to you, are we laboring women capable of taking care of ourselves by laboring naturally and spontaneously so as to recognize thirst all by ourselves or aren’t we?
A word of wisdom for birth practitioners, the same one for mothers: don’t say no to everything. Say no only when you mean no. That way when it’s really important the “no” will truly stand for something and capture our attention.


text:
New Life 1051 – Inner Consciousness, Part 2
Dr. Michael Laitman in conversation with Oren Levi and Nitzah Mazoz
The expansion of human consciousness happens through desire, a deficiency or hunger for an awareness of the entire reality. We become more conscious when we ask existential questions like, “Why am I alive?” and engage with a Kabbalistic group in order to discover the answers together. To the degree that I connect to others with attitudes of love and bestowal, I acquire the higher power that is between us. Development of consciousness means attaining a connection with the upper force; I recognize and activate it and this is how I advance and discover the truth. The higher power is bestowal and love and it is what manages our lives. To develop consciousness, we need to create a connection with this higher power.
From KabTV’s “New Life 1051 – Inner Consciousness, Part 2,” 8/21/18
| Video: Play Now | Download
||Audio: Play Now | Download|

domain: psychology


text:
Gabrielle Union is revealing her amazing body once again during her trip to Ibiza, this time in a nude bikini. Daily Mail reports that the Being Mary Jane actress was snapped spending some time with her basketball player husband and a group of friends while on a luxury yacht while sailing around the Spanish island this week.
The site published a number of candid paparazzi snaps showing Gabrielle proudly flaunting all her hard work at the gym in her latest bikini on June 27 as she put her body on display a nude two-piece with ruched bottoms.
Union revealed her toned middle in the vacation snaps, wearing gold earrings to accessorize the look.
The star also shared some sweet photos of herself rocking her bikini on her Instagram account.
In one photo taken as night fell in Ibiza, Gabrielle threw her cover-up up in the air behind her as she stood overlooking the ocean alongside the caption, “Angel Wings Carry Me” as she revealed her toned middle.
She then shared another sweet photo from her European vacation on Instagram, a sweet snap showing her cuddling up to her husband of four years as she sat on his lap and wrapped her arm around him.
Still sporting her bikini top with see-through black pants and sandals, Union captioned the upload she shared with fans on June 27, “Omaha x Chicago = [love].” Gabrielle is originally from Omaha and Dwyane was born in Chicago.
“Love Ibiza Nights #WadeWorldTour2018,” she then added in the caption of the photo, which showed the husband and wife team both sporting matching backward caps, though hers was white and Wade’s was black.
Dwyane could also be seen making the pretty unique fashion choice of wearing bright purple socks with white slides.
The latest bikini photos of the star – whose acting credits also include Friends and Think Like A Man – come shortly after she was snapped by paparazzi sporting a light green bikini on the beach in Ibiza on June 26.
As Inquisitr reported this week, Union revealed her incredible body once again during the beach trip with her man, even sharing pictures on Instagram showing her wading into the ocean while two luxury yachts could be seen in the background.
She revealed in the caption of the bikini photos that heading to the beach is “How I De-Stress.”
Union’s amazing bikini body comes as a result of a lot of hard work and dedication from the actress. Gabrielle told Women’s Health last year that she works out because she has a history of high blood pressure, high cholesterol, and diabetes in her family, which is why she’s so determined to stay healthy.
“I want to be a vital and energetic part of my family for a long time, not to be big mama in a rocking chair in the TV room, or huffing and puffing just going up stairs,” she explained of her fitness routine. “I work out not because I get off on it, but because I want to live!”
Gabrielle also revealed in the interview that she’s a big fan of Pilates and is most proud of her toned arms.

domain: entertainment