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8 Ways Your Perception Of Reality Is Jaded
Photo by Lino Khim Medrina
Seeing is believing. To some extent, that is true: A person's eyes allow him to see what is around him, helping him navigate the world.
What one perceives in any given moment is not only determined by sensory input but by one's physical abilities, energy levels, feelings, social identities, and more. It is not just your eyesight that is influenced by unconscious processes. The challenge is not only the things one perceives, but the judgments and decisions one makes based on what one perceives. Things that seem authentic and universal are often just your unique world experience. This holds for the book entitled Old Men and Infidels by W. Clark Boutwell, implying what can go wrong when the young generation can conquer, and the old endures.
This is useful to know—especially now when a person is fighting a deadly pandemic and mired in political and social turmoil. If you understand what irrelevant factors manipulate what you see and think, you can perhaps find ways to conquer these influences and make better societal decisions.
Accordingly, if an individual will have a better understanding of himself and his fellow human beings, you need to appreciate the startling individuality of everyone's experience. That means having humility. Here are eight (8) of this article's many interesting take-home messages.
8 Ways Your Reality Perception Is Biased
1. Your energy and abilities impact your perspective. Several studies show that your physical body and your ability to move influence how you view your surroundings.
2. Your body awareness affects your decisions. While it is uncertain why that would be, people who are more aware of their heartbeats may be better able to calm themselves under stress and make more astounding decisions. Or it could be that successful people more attuned to their bodies interpret their perceptions more precisely, being aware of how the two (2) interact.
3. Being hungry (or not) changes your choices. A person's body's energy levels also impact decision-making. The way you think is limitlessly tied to how you physically feel. Thus, it is vital to make sure you (or others you rely on) are not too depleted when difficult decisions need to be made.
4. Easy-to-read statements seem more trustworthy. Your beliefs about the world also depend on seemingly irrelevant influences. This tendency can be undone if you point it out to people. Otherwise, these forces operate below conscious realization, and you can be duped by how easy something is to believe or retrieve in your mind. Your penchant for fluency makes you inclined to bullshit (if it feels right, it is correct), and when that vulnerability is scaled up to the level of the media, you get truthiness and fake news.
5. Your feelings affect your political views. It is probably not surprising that your emotions affect your perceptions and thoughts. Feelings like disgust, which come out of the limbic system of your brains, often below conscious awareness, guide your reactions and evaluations, making them less than impartial.
6. Feeling bad makes things seem harder. Anyone who has ever felt sad or depressed knows it is hard to face the world when you are down. But it is interesting to note that these feelings also change your sensory perceptions. That means nurturing positive emotions may help you approach complex tasks more efficiently.
7. Having other people around you makes things seem more effortless. The presence of other people affects your perception of challenging situations, too. Your social connections seem to play a role in reducing stress, which might be why being with others changes your perception of pain or difficulty, making them both easier to bear.
8. Your political beliefs affect your math skills. Another fascinating finding is how your group affiliations, like the political party you belong to, affect your perceptions. This hovers in the face of the idea that people need more information to determine the truth of a particular situation. Thinking—even doing math—is not a process happening in isolation but is instead implanted in your thoughts and group identities.
All in all, reading this article should humble you. Many forces below your conscious awareness affect your perceptions, thoughts, and decisions, and errors abound. Becoming aware of those influences could keep you from making costly misjudgments or creating unnecessary conflicts with others who see things differently. The ultimate benefit of that? Hopefully, having a little humility might help everyone to act with less hubris and be more open to other points of view.


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Our biggest challenge growing vegetables in recent years has been attempting to deter garden pests, namely a woodchuck, some rabbits and turkey vultures. It's frustrating when you work hard planting and maintaining a garden, only to have it eaten by critters, as you can see in the above photo. However, I think we've finally come up with a way to critter-proof our garden.
As I said in an earlier post, we had dinner at the home of some friends and were were quite impressed with their raised garden setup. The base was made up of two rows of cinder blocks topped off with a row of capstones. We decided to use this method for our own vegetable garden this year.
Once the materials were delivered by Home Depot, my husband assembled the cinder block base in the corner of the yard which is closer to the house than the old garden was.
He also had 4 cubic yards of 50/50 top soil delivered and added it to the raised bed.
Once the soil was in place, we covered it with weed blocking material. This will help to cut down on weeding during the season.
I was excited when I found Burpee vegetable and herb plants at our local Stop & Shop grocery store for only $1.99 a plant! We bought tomato, pepper, eggplant, cucumber, zucchini, pumpkin, and cilantro plants. We set the plants where they would be planted in the garden and cut large crosses in the weed block fabric using a utility knife where each plant was to be planted.
Once the vegetable plants were in the ground, my husband covered the weed block fabric with approximately 1-2 inches of soil.
We then made 4 hoops using 10-foot 1/2 PVC piping by bending them to shape and attached each end to a 1/2 inch PVC stake, before inserting them into the soil.
The final step was to add bird netting over the hoops. We secured the netting by inserting the edges underneath the capstones.
The nice thing about our garden setup is we can replace the netting with clear plastic sheeting and extend the gardening season. We can also plant early next spring using this method.
I can't wait to grill fresh vegetables out on the back deck!
My husband also assembled the new compost tumbler. He's flexing his muscles in the photo with good reason; it was no easy task putting it together. He is definitely my hero!
Thanks for stopping by!

domain: agronomy


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flcowgirl78 you already have one of the best pieces of exercise equipment ever invented, a nine year old boy. Instead of spending time making a large dinner, throw together a couple of sandwhiches and some fruit, then head down to the park and have a picnic. Be sure to pack a frisbee or soccer ball to get you moving.
Starting Weight - 295 - 09-Feb-11
April Fool's Goal - 180
Current Weight - 201

domain: sports


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The Centers for Disease Control (CDC) has updated its County's COVID-19 Community Level for Forsyth County to Medium.
COVID-19 Community Levels are determined by looking at hospital beds being used, hospital admissions, and the total number of new COVID-19 cases in an area. The level can be High, Medium or Low. Forsyth County has been Low since March 10.
The CDC's current recommendations for the county are:
To see the most up-to-date CDC guidance, click here.
Free at-home COVID-19 test kits are available at the Forsyth County Department of Public Health, 799 N. Highland Ave., and all county libraries.
To schedule a vaccination appointment with Forsyth Public Health, click here.

domain: medical


[Keep the mailing list CCed] Thomas Moyer <[EMAIL PROTECTED]> wrote: > Bill Moran wrote: > > >Thomas Moyer <[EMAIL PROTECTED]> wrote: > > > >>Is it possible to setup a file server with FreeBSD and use that as a > >>home partition and also share other files on a small network? > >>What kinds of utilities would I need to run? I imagine NFS for *nix > >>clients and Samba for MS clients. Also possibly share printers with > >>this computer as well. CUPS for that. > > > >Um ... yes. I assume you're just looking for verification that you're > >selecting the correct technology, and you are. > > > >>Also what kind a minimum system reccomendations does anyone have? > > > >That's impossible to even guesstimate without some idea of what kind > >of load the system is going to be under. I have a fileserver here that > >serves Windows and FreeBSD clients and it's a 200mhz with 96M of RAM. > >But I would never suggest that for a big installation. > > > At most the server will serve 4 to 5 clients at any given time. This > might increase later but for now it is limited to those few.
<uses his psychic powers to ascertain how much traffic each of those clients will generate> Seriously. This is one of the biggest misconceptions around - that I can tell you what kind of hardware to purchase based solely on how many clients you have. Without a better usage profile, I can only guess. And here's my guess: With that many clients, it's likely that your reliability requirements will be greater than your performance requirements. Meaning: you could probably get a used computer at Goodwill for $100 that would perform acceptably for that load, but do you really want your server running on used hardware? You could probably buy cheap NICs that are advertised at 100mb/sec but can only really do 70mb/sec, and you'd still think they were fast enough, but that depends on your tolerance for delay, which is a pretty difficult thing to judge until people start complaining. All said and done, you can probably buy commodity hardware at a competitive price and get something that will suit. -- Bill Moran Potential Technologies http://www.potentialtech.com _______________________________________________ [EMAIL PROTECTED] mailing list http://lists.freebsd.org/mailman/listinfo/freebsd-questions To unsubscribe, send any mail to "[EMAIL PROTECTED]"


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If you’ve been reading this blog for a while, you might remember that I had the pleasure of living in Australia for a year and a half while earning my Masters in gastronomy. I made a few mates while living down under, and every now and then, they spoil me with bits of Australia.
Case in point: the package sent by Andrew and Mel, some of our favorite people living in Australia. Come peep my Aussie food porn and learn a bit about Australian cuisine!
The first and most important items, in my book, at least, were the packages of Tims Tams. Tim Tams are Australian cookies, either vanilla or chocolate, filled with something delicious and dipped in chocolate.
We were sent a classic, the chocolate filled with caramel, and a new flavor I have not tried yet: Cookies and cream filling. The caramel Tim tams did not live to see the end of the day, I am sad (and yet happy) to say, but I made sure to stash the Cookies n cream Tim Tams in the closet to share with my food twin Bobby in March, because I’m awesome like that.
They also sent us a few native Australian spices I ran out of around a year ago. The first was dried lemon myrtle, a leaf that smells like lemon Trix cereal and shares a similar flavor to lemongrass. I did not use this a lot while in Australia, but I am excited to experiment with it, as Andrew won the Australian leg of my annual chili cookoff with this spice.
My favorite Australian spice thus far, roasted wattleseed, which tastes similar to coffe and chocolate. I’ve cooked with it in this post, this post and this post, and eaten it in this post. Needless to say, this bitch was happy to receive this spice!
Next, we came across two bottles of Maggie Beer sauce (Maggie Beer is Australia’s Marth Stewert), one mango chili and another made of cabernet grapes, both incredibly delicious. The mango chili sauce is a play off of a popular Australian-Asian inspired condiment of sweet chili sauce, and the cabernet is hearty and deeply flavored, perfect for a nice piece of beef or lamb. And of course, a nice bag of Murray River salt flakes, which have a slight pink tone to them.
Sadly, the candy was not photographed closely because as soon as I saw they contained coconut, I pretty inhaled them on the spot. Even got a little wrapper stuck between my teeth in the process.
The only thing that was missing was a big old bottle of Ribena, black currant juice that was probably too heavy to mail. Heaps of thanks goes out to Andrew and Mel, who sent me a most kick-ass care package. I’ll let you guys know what I send to them next!

domain: food


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Maine Small Business Development Center (SBDC) provides confidential, comprehensive, no cost, business management advice, training and information services to Maine’s micro and small business community from a network of outreach offices located throughout the state. In Mid-Maine, the SBDC is located at KVCOG.
Allison Watson, Certified Business Advisor
17 Main Street
Fairfield, ME 04937
(207) 319-4316 – Allison.Watson@ceimaine.org

domain: economics


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Never say never essay. Free Essays on Justin Bieber Never Say Never through 2022-10-14
Never say never essay Rating:
The phrase "never say never" is often used to encourage people to keep an open mind and to not give up on their dreams or goals, even in the face of seemingly insurmountable obstacles. This phrase reminds us that the future is always uncertain, and that we should never close ourselves off to new possibilities or opportunities that may come our way.
One of the main reasons why it is important to never say never is because we can never truly predict what the future will bring. We may have certain expectations or plans for our lives, but unforeseen circumstances can always arise to change the course of our journey. By keeping an open mind and being willing to adapt to new situations, we can be better prepared to face the challenges that come our way and make the most of whatever opportunities come our way.
Another reason why it is important to never say never is because it helps us to stay motivated and driven. When we give up on our dreams or goals, it can be easy to lose sight of what we are working towards and to become discouraged. By refusing to give up, however, we can keep ourselves motivated and focused, even when things get tough. This can be especially important when we are pursuing something that requires a lot of time, effort, or dedication, as it can be easy to lose sight of our goals when we are facing challenges or setbacks.
Finally, never saying never can also help us to grow and learn as individuals. When we are willing to take risks and try new things, we expose ourselves to new experiences and challenges that can help us to grow and develop as people. This can be especially important as we move through different stages of life and encounter different challenges and opportunities.
In conclusion, the phrase "never say never" is a powerful reminder to keep an open mind and to never give up on our dreams or goals. By staying motivated, flexible, and willing to take risks and try new things, we can better prepare ourselves for the uncertainties of the future and make the most of whatever opportunities come our way.
164 Phrases and words You Should Never Use in an Essay—and the Powerful Alternatives you should
Albee was born in Washington D. People build their leadership qualities through life experiences. . . I like doing things in my own tempo, taking things at a slow phase. .
But, when she began driving several years ago, she discovered that even finding hand controls she could use in modifying her vehicle of choice were difficult. This is despite the case that the women have a lot of information that can assist the men solve the case. . Think back to your younger self. We'd been approached by the cc:Mail people in Mountain View to do a new journal aimed squarely at cc:Mail. Farley flies to Churchill where he is supposed to find a plane to take him to the Barren. I was never really taught how to love or to let myself be loved.
Animal lovers have raised their voices many times to defend for the rights of their loved ones. . The prose fiction version has a greater degree of emotional penetration than the drama version. . Essays that contain vague language lack substance and are typically devoid of any concrete language. We as people have taken death to the extreme by saying we can go to the extreme for deciding if a person can live or not. My sister and I are exactly one and.
All other trademarks and service marks are property of their respective owners. They said it with never. . I always felt this way, especially when it came to English. Painting, pooper scooping, petting, and playing with over fifty greyhounds all with hope and joy in their hearts that homes were waiting for them. Furthermore, even the most objective academic paper will be devoid of meaning unless your professor can read it and make sense of it.
You gotta buy this car. For a country made up of immigrates denying a group of people. In example two he starts to explain Tabula Rasa and that all ideas come from sensation and reflection. Wright would be compelled to perform such an act of violence. Ziff, as you probably know, is the largest independent publisher of computer magazines, and Cobb is their division that produces journals and newsletters. The reason why he had right and wrong choices is because he never thought about what he was going to say or do he just did it. Or move back to the suburbs? First dates can be extremely nerve racking for guys who have no idea what to say.
The latter can be quite prominent, like John Humphrys, a television broadcaster and household name in Britain, for whom texting. Strictly speaking, we weren't in the Ziff organization, since we're an independent company. Men of this time belittled their wives and these women tried to challenge that philosophy. More freedom, More wishes of your own. My tribute to him at. . And you're not writing about Kim Basinger, who pretty much remakes the character as Domino Petachi in Never Say Never Again," Bob was spouting Bond flick facts with a scary degree of finesse.
However in contrast to the others science used experimental observations and logical proofs. This woman aspired to go to. . Grammar expletives not to be confused with cuss words are used to introduce clauses and delay the subject of the sentence. If someone has never given me any indication to believe anything different, then I would have no. It speaks of how a woman bought a goose which soon becomes a swan.
Free Essays on Justin Bieber Never Say Never through
. Susan Glaspell presents Mr. It was the second book ever on Notes and was quite popular. Why Should Flabby Words be Removed from an Essay? And the more we learn, the more we grow. Whence has it all the materials of reason and knowledge? A Comparison of Mrs.

domain: literature


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Three hundred eleven lay, clergy and guests from the eight annual conferences of the Baguio Episcopal Area, Philippines Central Conference of The United Methodist Church gathered on January 2-4 for this year’s Aldersgate Mission Conference themed, “Confirmation and Membership Anchored on Discipleship and Evangelism” at Venus Parkview Hotel, Baguio City.
The three-day conference consisted mainly of discussions about the theology of grace, confirmation, and membership. Rev. Dr. Pedro M. Torio Jr., Bishop of the Baguio Episcopal Area and Rev. Dr. Homer Wesley O. Refuerzo, President of Wesley Divinity School conducted these discussions.
Bishop Torio talked about the Theology of Grace and Rev. Refuerzo focused on Confirmation.
Meanwhile, Bishop Rudy Juan of Manila Episcopal Area and Bishop Ciriaco Francisco
preached on the first and second day morning worships respectively.
Dr. Elizabeth Tapia and husband, Rev. Alan Cogswell also graced the event. They are both serving in mission at John Wesley College.
“Confirmed about Christ, confirmed by Christ,” was the central theme of Bishop Torio’s homily during the Consecration Service, summing up the whole learning experience.
This article originally appeared in the January 4, 2016 issue of the Bagiuo Episcopal Area Newsletter. For more information or to be added to the email list, please contact Mae Anne Lee Biasbas (email@example.com).

domain: news


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Objectives To systematically review existing literature on hospital-based quality improvement studies in sub-Saharan Africa that aim to improve surgical and anaesthesia care, capturing clinical, process and implementation outcomes in order to evaluate the impact of the intervention and implementation learning.
Design We conducted a systematic literature review and narrative synthesis.
Setting Literature on hospital-based quality improvement studies in sub-Saharan Africa reviewed until 31 December 2021.
Participants MEDLINE, EMBASE, Global Health, CINAHL, Web of Science databases and grey literature were searched.
Intervention We extracted data on intervention characteristics and how the intervention was delivered and evaluated.
Primary and secondary outcome measures Importantly, we assessed whether clinical, process and implementation outcomes were collected and separately categorised the outcomes under the Institute of Medicine quality domains. Risk of bias was not assessed.
Results Of 1573 articles identified, 49 were included from 17/48 sub-Saharan African countries, 16 of which were low-income or lower middle-income countries. Almost two-thirds of the studies took place in East Africa (31/49, 63.2%). The most common intervention focus was reduction of surgical site infection (12/49, 24.5%) and use of a surgical safety checklist (14/49, 28.6%). Use of implementation and quality improvement science methods were rare. Over half the studies measured clinical outcomes (29/49, 59.2%), with the most commonly reported ones being perioperative mortality (13/29, 44.8%) and surgical site infection rate (14/29, 48.3%). Process and implementation outcomes were reported in over two thirds of the studies (34/49, 69.4% and 35, 71.4%, respectively). The most studied quality domain was safety (44/49, 89.8%), with efficiency (4/49, 8.2%) and equitability (2/49, 4.1%) the least studied domains.
Conclusions There are few hospital-based studies that focus on improving the quality of surgical and anaesthesia care in sub-Saharan Africa. Use of implementation and quality improvement methodologies remain low, and some quality domains are neglected.
PROSPERO registration number CRD42019125570
- Organisational development
- Quality in health care
Data availability statement
No addtional data avaialble.
This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
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STRENGTHS AND LIMITATIONS OF THIS STUDY
Our review includes hospital-based quality improvement interventional studies for anaesthesia and all surgical specialities in sub-Saharan Africa.
Clinical, process and implementation outcomes are captured.
An assessment of quality domains was undertaken.
Our search was restricted to English-language articles only and it is possible that our findings have missed studies published from Francophone, Portuguese or German-speaking countries.
It is possible that some studies were missed due to the diversity of the terms used in the literature.
The ‘Lancet Global Health Commission on High Quality Health Systems in the Sustainable Development Goals Era’ report has highlighted that it will not be possible to reduce excess mortality and disability without addressing poor quality of healthcare in low-income and middle-income countries (LMICs).1 In these settings, more than 5 million excess deaths per year are attributed to poor-quality care, leading to estimated economic welfare losses of $6 trillion.2 In addition, two-thirds of the estimated 23 million disability-adjusted life-years lost each year due to in-hospital adverse events, reflective of poor quality, occur in LMICs, despite lower utilisation of healthcare facilities.3
In sub-Saharan Africa (SSA), an estimated 93% of the population do not have access to safe, affordable and timely surgical and anaesthesia care, when needed.4 Current evidence suggests that mortality in surgical patients in Africa is two times higher than the global average, despite patients being younger, having a lower-risk profile and developing fewer complications.5 Morbidity in surgical patients is also higher and the risk of surgical site infections (SSIs), the most common type of healthcare-associated infection in African surgical patients, is much higher than that reported in USA and Europe.5 6
To achieve reduction in mortality and morbidity from surgical diseases, consistent delivery of high-quality evidenced-based surgical care is required.1 4 7 8 This need can be partly addressed through evidence-based hospital-level quality improvement (QI) interventions.8 However, health systems are complex and adaptive and can respond in predictable and unpredictable ways to interventions,8 9 and thus translating and implementing evidenced-based QI interventions into routine clinical practice within a particular context, in dynamic and diverging ‘real-world’ conditions that are influenced by human relationships and behaviours, remains challenging worldwide10 11 and is particularly challenging in the SSA context.10 12
To support the implementation and sustainable integration of evidence-based QI interventions in novel settings within complex surgical care environments, the use of QI methods13–16 and implementation science methods17 18 needs to be expanded. Improvement science is the scientific approach to achieving better patient experience and outcomes through changing provider behaviour and organisation, using systematic change methods and strategies. Implementation science is the scientific study of methods to promote the uptake of research findings into routine healthcare—practice or policy. Studying QI implementation will allow researchers to distinguish between failure occurring because the intervention was ineffective (intervention failure), from failure occurring because the implementation was ineffective (implementation failure). It will also ensure quality and rigour of the evaluation of implementation process.17 However, improvement and implementation science methods are rarely employed in LMIC settings, and other investigators have noted that QI methods should be used more widely.12 In addition, implementation science frameworks18 should be applied, implementation strategies used19 and implementation outcomes measured20 to assess the effectiveness of the implementation of any intervention.
Quality is a complex construct and challenging to define. The Institute of Medicine (IOM) defines quality of care as ‘the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge’.21 In 2001, the IOM, defined the desirable characteristics of high-quality healthcare systems, through six domains of safe, timely, effective, efficient, equitable and patient centred care,22 expanding the Donabedian model that described quality of care across three domains—structures, processes and outcomes of care.23 Evaluating the IOM quality domains can improve the evaluation of QI interventions, beyond that of clinical effectiveness.1 22
To support the current research agenda for improving quality of surgical care in LMICs, we conducted a systematic review on hospital-based QI interventions in SSA, published from 2008 to 2021. The objectives of this review were to describe the state of QI research and programmatic initiatives in surgical and anaesthesia care, to understand the areas of intervention focus and the use of QI or implementation methodologies, to capture the outcomes studied and to identify the IOM quality domains that were addressed in the studies.
This systematic review was conducted and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.24 The study was registered with PROSPERO (CRD42019125570) and the protocol was published.25
The following databases were searched from 1 January 2008 to 31 December 202126: MEDLINE (Ovid), EMBASE (Ovid), Global Health (Ovid), CINAHL and Web of Science (Clarivate Analytics). The search strings for this review were as follows: (1) surgical and anaesthesia care, (2) QI hospital-based interventions and (3) SSA countries.25 Our search was limited to studies published in English. The articles identified through all sources as described above, were collated and deduplicated in EndNote 20.27
To identify grey literature QI interventions, the following sources were searched: (1) the Scopus (Elsevier’s) citation database, (2) first 50 hits from Google search, (3) documentation and reports of relevant national and international health organisations.25 28 In addition, a reference list of all included articles was handsearched and all relevant literature was included.
To identify articles that specifically addressed the quality of surgical and anaesthesia care at the hospital level, we excluded articles that were primarily related to improving access to surgical care, rather than the quality of surgical care. For example, studies on increasing surgical volume or referral processes from community and primary care to secondary and tertiary care were excluded as they focus on improving access to care as opposed to quality of care provided. In addition, we excluded studies with a primary focus on delivery of educational/training programmes (basic surgical/anaesthesia skills, essential emergency care training) that were not part of a hospital-based QI intervention, and studies that did not explicitly relate to surgical patients.
All articles were initially screened by a team of three reviewers (IOM-B, HS and VC) by title and abstract using Rayyan open web-based software.29 All reviewers were trained by the first author (NB) on how to apply eligibility criteria and were asked to screen 30 articles using these criteria. These articles were reviewed by NB before the team (all three reviewers and NB) met to discuss and resolve any discrepancies identified. This process was repeated by reviewing a further set of 30 articles, until agreement over 85% was reached for all reviewers. All articles were then put back into the main pool and equally divided between reviewers who screened the articles by title and abstract independently. To maintain a high level of consistency, NB double screened at least 30% of all articles that were allocated to each reviewer throughout this screening stage. Articles proceeded to full-text screening if there was uncertainty between the reviewers about their inclusion based on title and abstract review. All articles selected for full text screening were reviewed in duplicate by NB and IOM-B. If there was disagreement between the two reviewers, the two senior coauthors (AJML and JD) were asked to discuss and reach consensus on inclusion or exclusion.
All information was extracted into a predeveloped data collection form, that was piloted and revised before entering the data.25
Data extracted were:
Basic characteristics—information on first author, the country or countries where studies took place, year of publication, information on study methodology, study design, sample size.
Study methods were initially categorised as qualitative, quantitative or mixed methodology, and further as a randomised design (eg, randomised controlled trial (RCT)) or non-randomised design (quasi-experimental with time series design, quasi-experimental with control group before and after or quasi-experimental uncontrolled before–after study). The latter order represents the hierarchy of methodological strength.30
Intervention characteristics were as follows: study summary, intervention focus, intervention description, number of hospitals included in the study and hospital level (tertiary or district), whether QI or implementation science methods were used, IOM quality domains that the intervention intended to improve and defined as:
Safe: Care in healthcare facility should be safe as care in your home.
Timely: No waits or delays during care delivery.
Effective: Care should be science based and evidence based.
Efficient: Care that delivered and services provided should be cost-effective.
Equitable: There should be no disparities in care for different type of population (patient and staff).
Patient centred: Healthcare system should revolve around patients.
Outcomes were captured as clinical, process, implementation and others. Clinical outcomes were in-hospital perioperative mortality within 30 days and morbidity (SSI, other infections); any additional clinical outcomes that did not fit in one of those categories were listed as ‘other’. Process outcomes were variables related to the delivery of care (eg, waiting times, length of hospital stay and blood availability). Implementation outcomes were the implementation outcomes described by Proctor et al20 that determine the success of an implementation effort by assessment of several subjective and objective criteria including the following:
Acceptability: perception among stakeholders that the new intervention is agreeable.
Adoption: intention to apply new intervention.
Appropriateness: perceived relevance of the intervention for the setting and problem.
Feasibility: extent to which an intervention can be applied.
Fidelity: the proportion of management protocol components completed as intended.
Penetration: the proportion of eligible patients who actually receive the intervention.
Cost: costs of the intervention, including the delivery strategy.
Sustainability: extent to which a new intervention becomes routinely available/is maintained post introduction.
For the studies that defined mortality as the primary outcome, the assessment of the quality of evidence using GRADE criteria was planned (see the protocol for full details).25
The quality of study conduct, trustworthiness of findings and the risk of bias assessment was not our primary aim.
Data synthesis and analysis
A descriptive and narrative synthesis of the data was undertaken.31 Meta-analysis was not possible, due to high heterogenicity of the data reported in the included studies. All data are reported as categorical variables, apart from brief description of the intervention that was given as a narrative summary. The number of studies reported over time was presented graphically. The results are described as the number of studies that were categorised under outcomes as described above.
Patient and public involvement
Patients or the public were not involved in the design, conduct, reporting or dissemination of our research.
After duplicate removal, we screened 1573 articles (figure 1). We included 49 articles in the final analysis. The 49 articles represent 39 studies as 4 studies32–39 had 2 articles published and 2 studies40–45 had 3 articles published. These articles reported different aspects or outcomes of the studies, therefore, were included as separate articles.
The studies were conducted in 17 out of 48 countries in sSA. All but one (16/17, 93.3%) were low-income-level or lower-middle-income-level countries (figure 2). Almost two-thirds of the studies were conducted in East Africa (31/49, 63.2%), mostly (24/31, 77.4%) in Ethiopia, Kenya, Tanzania and Uganda. A quarter of eligible articles were from West Africa (12/49, 24.5%) with 5/12 (41.7%) from Nigeria and 4/12 (33.3%) from Benin. The four articles in the Southern Africa region (4/49, 8.2%) were all conducted in South Africa. Only two studies were from the Central Africa region (2/49, 4.1%). There was a multicountry study which was conducted in four countries involving Kenya, Uganda, Zambia and Zimbabwe.46
Over time there was an increase in the number of published studies on QI. (figure 3)
The majority of studies used quantitative methods (34/49, 69.4%) while over a quarter (15/49 30.6%) used a mixed-method analysis. Six out of 49 (12.2%) studies were RCTs and 43 (87.8%) studies used quasi-experimental designs.30 Three out of 43 studies with quasi-experimental designs used time series quasi-experimental design (3/43, 7.0%). The majority of studies (40/43, 93.0%) used either uncontrolled or controlled before-and-after quasi-experimental design. Only 11 studies defined a sample size using statistical sample size calculation (11/49, 22.5%), the remaining (38/49, 77.6%) used a convenience sampling technique, with wide variability of sample sizes ranging from 31 to over 3000 patients. Eleven out of 49 studies (22.5 %) did not perform any formal statistical tests with many studies reporting descriptive findings as percentages only.
The most common intervention foci were use of a surgical safety checklist (14/49, 28.6%) and reduction of SSI (12/49, 24.5%). Other intervention foci identified included: behaviour change, clinical decision making, some condition-specific areas, enhanced recovery after surgery, infection prevention control (IPC), quality of life (QoL) and pain management. More details and summary description of these interventions is presented in table 2. Most studies were conducted in a single hospital site (27/49, 55.1%) in a variety of tertiary (23/27, 85.2%) and district (4/27, 14.8%) hospital settings. Studies done in multiple hospitals (22/49, 44.9%) were conducted in tertiary (8/22, 36.4%), mixed (11/22, 50.0%) or not specified (3/22, 13.6%) hospital settings. Studies across multiple sites were conducted in 2–36 hospital sites, half (11/22) of which were performed in 10 or fewer hospitals and 5/22 (22.7%) were conducted in between 10 and 20 hospitals (>10 to ≤20) hospitals and the remaining 6/22 (27.3%) in over 20 hospitals (full distribution is presented in online supplemental appendix 1). Only eight articles mentioned the use of QI methods. Five of these studies used Plan–Do–Study–Act cycles,37 38 43 44 47 one used QI collaboratives,48 and two used audit and feedback as the QI method.49 50 Use of implementation science frameworks was rare with only two studies using frameworks to support intervention implementation and the evaluation of implementation.51 52
When assessing what IOM quality domains were intended to be improved by the QI interventions, 44/49 (89.8%) of studies focused on the safety quality domain. Effectiveness was the second most common quality domain (24/49, 49.0%), followed by studies on patient-centredness (9/49, 18.4%) and timeliness (6/49, 12.2%). Efficiency (4/49, 8.2%) and equitability (2/49, 4.1%) were the least studied domains. Most studies assessed two domains (median 2, IQR (1–2), min-max (1–4)). Table 2 presents the detailed description of implementation characteristics.
Of the WHO Health System blocks, all articles presented at least three of the five Health System building blocks of interest-Governance and Leadership, Human Resources and Service Delivery. Health information and Finance were the least commonly addressed building blocks (15/49, 30.6% and 3/49, 6.1%, respectively).
All articles reported more than one category of outcomes. Clinical outcomes were reported in 29/49 (59.2%) studies. Perioperative mortality was reported in 13 out of 29 studies and only one study defined it as a primary outcome. Surgical complications were reported in 14/27 (51.6%) as SSI and in 17/29 (34.7%) as other complications. Seventeen studies reported other clinical outcomes (listed in table 3). All studies that reported on clinical outcomes reported more than one clinical outcome (table 3).
The process outcomes were reported in 34/49 (69.4%) studies. Most of those reporting process outcomes (29/34, 85.3%) reported multiple process outcomes, one collecting over a thousand variables to form a composite outcome measure.34 We defined subcategories of process outcomes based on the themes that were identified from the extracted outcomes. All other outcomes were classified within the broad group due to the heterogeneity of the measures used in studies (see details in table 3).
Implementation outcomes were reported in 35/49 (71.4%) studies. The number of implementation outcomes reported per study varied from 0 to 6 (median 2). Adoption (20/35, 57.1%) and penetration (18/35, 51.4%) were reported most often, followed by acceptability (13/36, 26.5%), feasibility (10/35, 20.4%), fidelity (9/35, 18.4%), sustainability (9/35, 18.4%) and appropriateness (8/35, 16.3%). Cost of implementation was the least reported (2/35, 5.7%).
All outcomes that did not fit into clinical, process or implementation categories were coded as ‘others’ (29/49, 52.2%) and individual categories were made where possible. Although at the screening stage we excluded studies that aimed to only improve service structure, we found that many studies assessed structural outcomes as part of the baseline quality assessment of the surgical care services. Structural outcomes (eg, infrastructure, availability of equipment and resources, supply of medicines, materials, number of staff) formed one of the biggest categories in ‘other’ (24/49, 49.0%), this was followed by cost of treatment, staff/patient satisfaction, QoL, behaviour related and training evaluation. Use of evaluation frameworks was rare (7/49, 14.3%) (table 3).
As only one study defined mortality as the primary outcome,53 the assessment of the quality of evidence using Grading of Recommendations Assessment, Development, and Evaluation (GRADE) criteria was not undertaken as planned in the protocol.
We found fewer than 50 studies that focused on improving the quality of surgical and/or anaesthesia care in hospitals in SSA. The majority of these studies focused on the quality domains of safety and effectiveness of care, with little focus on efficiency, equitability, timeliness and patient-centredness. In addition, fewer than 10 studies used recognised QI or implementation science methods to support intervention implementation. However, a large proportion of studies used at least one implementation science method during assessment of findings. Studies were concentrated in a limited number of countries within SSA, despite the known challenges of poorer surgical outcomes across the continent compared with high-income settings.
The paucity of QI studies that we found aligns with the wider global health systems literature reporting that access to healthcare has been prioritised over the quality of healthcare delivery.1 However, surgical and anaesthesia teams across the continent are, on a daily basis, striving to improve the quality of care within their own hospital environments outside the context of organised QI programmes or research studies. The ASOS 2 study is one of the best examples of QI research.54 However, the enhanced postoperative surveillance for high-risk surgical patients in ASOS 2 failed to produce improved outcomes in this study. This may well have been due to local context—specifically the degree of buy-in from local teams.55 We think that we need more QI studies and we need studies to embrace implementation science methods to maximise chance of improved surgical and anaesthesia outcomes.
Despite previous work suggesting that 5 billion people lack access to safe, effective and timely surgical care if required,4 recent modelling has suggested that poor quality care is now a bigger barrier to reducing mortality than insufficient access, including for surgical care.1 2 Indeed, a large epidemiological study of surgical patients in hospitals across SSA has shown perioperative mortality rates that are two times higher than the global average, despite patients being younger, having a lower-risk profile and developing fewer complications.5 Similar findings of worse outcomes after surgery in SSA have been seen in other studies of general or disease-specific surgery.5 6 56–58 Although the worse outcomes seen in these studies have a range of determinants including late presentation, the quality of care is a common theme which unites them.
Quality is a multidimensional concept and difficult to define. Donabedian was the first to address the issue of quality in healthcare. Later, at the turn of the century, the IOM report ‘To Err is Human’ highlighted the scale and impact of errors in healthcare, with a focus on safety in healthcare. Various institutions have produced quality frameworks with many embracing the domains of effective, efficient, timely, equitable, safe and patient-centred care. Quality, alongside access and financial risk protection are key aspects of universal health coverage as stated in SDG3.8. More recently, a quality health system framework from a Lancet Global Health Commission, included processes of care, health system foundations and quality impacts. We chose to analyse quality using the IOM domains which have a more clinical QI focus rather than a broader health system perspective on quality healthcare. Nevertheless, we acknowledge that in categorising quality, the interactions between individual categories are lost. Providing an analysis of the trade-offs and reinforcements between categories of the IoM framework is beyond the scope of our review.
We found that almost all the studies focused on either safety32–35 40–42 44–46 48 51–53 59–81 and/or effectiveness of care, with a lack of focus on other domains of quality. The prioritisation on safety was not surprising given the well-recognised magnitude of the patient safety problem21 and the resultant global movement to improve patient safety. The WHO is a global leader in establishing safety norms and standards and supporting country efforts in developing patient safety policies and practices. Two global patient safety reports relate specifically to safety in surgical care; one on the role of the surgical safety checklist,82 and the other on actions to reduce healthcare associated infections, paying particular attention to SSIs.57 83 It is clear that these WHO priorities are influencing the focus of hospital-based QI efforts; 14 of the studies which we found focused on the surgical safety checklist,40–42 49 51 52 75–81 12 studies on SSI32 33 43–46 69–74 and 3 studies on Infection prevention and control (IPC)—2 on sterilisation63 64 and 1 on IPC policies.65 However, despite the number of studies focussing on safety, the number of safety issues addressed were few. For instance, we found that none of the studies were based on postoperative ward based care, which is another safety quality issue that has recently been recognised as a problem.5
We also found that clinical effectiveness outcomes were not regularly assessed. We acknowledge that clinical outcomes are often complex to define and capture and can occur after discharge when patients in resource limited settings are often lost to follow-up. Process measures are easier to collect which may be why we found that these outcomes were more often collected than clinical outcomes, despite sometimes tenuous links between process and clinical outcomes.84 85
Promoting safety and effectiveness are undoubtedly key factors for providing high-quality surgical care. However, improvements in the other IoM domains are needed to ensure the optimal use of resources in constrained settings and the delivery of services that are responsive to patient’s needs, which will help to engender trust in those services.22
We found few studies using QI methods,86–88 and few studies used implementation science methods10 12 17 89 which is of concern, as benefits of using these methods to support the delivery of evidence-based QI practices into routine healthcare, have been clearly demonstrated as critical to close the implementation gap. Indeed, there is wide acceptance that there is an implementation gap10 90 in scale up of evidenced based interventions into routine care in LMICs in general, and in surgical and anaesthesia care in particular.10 17 89 90 Over the last two decades there have been seminal publications on implementation science including the Consolidated Framework for Implementation Research, which was originally published in 2009,91 Proctor’s Implementation Outcomes in 201120 and the Expert Recommendations of Implementing Change in 2015.19 The Medical Research Council (MRC) guidance on process evaluation was also published in 2015.92 Finally, the Context and Implementation of Complex Interventions framework was published in 2017.93 Our review covered publications from 2008 to the end of 2021 (figure 3) and only found two articles that mentioned any of the above methods.
Although there was no formal mention of formal implementation science frameworks in the majority of studies, we found that over two-thirds of studies reported at least one implementation outcome as defined by Proctor et al.20 The most common reported implementation outcomes were adoption and penetration, with other outcomes being rarely reported, despite their well-recognised utility for assessing the likelihood that the intervention can be sustained, rolled out at scale or rolled out elsewhere.94 The least assessed implementation outcome was implementation cost, whereas in any health system, and especially resource-constrained settings, costs of the intervention itself and cost of implementation of the intervention, are essential to inform uptake of interventions.95
To address the implementation gap of successfully implementing and scaling up evidence-based interventions in ‘real-world’ conditions,90 high-quality implementation research needs to remain high on the global health research agenda.12 Implementation outcomes are of particular interest as they provide details on how and why the intervention implementation may need to change.
We also found that the quality of reporting of studies, in general, was not optimal. Many studies had issues of transparency and accurate reporting of basic parameters such as the follow-up period, type of population, study setting, study design, year when the study took place, length of follow-up and the names of statistical tests used. Several reporting guidelines exist that have been shown to be effective in improving reporting of research, limiting possibilities for information omission and helping the reader to understand and be able to replicate the study. We found that the use of recommended reporting guidelines were rarely reported in the papers.96
This study has several limitations. Our search terms restricted the search to interventional studies related to surgical and anaesthesia care QI and we included many synonyms related to dimensions of quality. It is possible that we missed some studies that did not specifically mention quality or one of the synonyms we used. However, by choosing search terms related to ‘surg’, ‘quality’ and ‘hospital’, we believe all articles that framed their research as related to quality of surgical and anaesthesia care have been captured. Our search was restricted to English-language articles only and it is possible that our findings are regionally biased towards SSA Anglophone countries.
Despite these limitations, this review is the first to include hospital-based QI interventions for all fields of surgery (excluding trauma, as we have recently assessed this in a separate review) in SSA.97 This is also the first systematic literature review to synthesise the information on surgical and anaesthesia quality of care using clinical, process and implementation outcomes that have been measured and assessed as part of QI interventions.
This systematic review has shown a paucity of QI studies on surgical and anaesthesia care, with the majority addressing the safety and effectiveness quality domains. In research settings, implementation and improvement methods are not adequately employed to address the current implementation gap for introduction of evidence-based interventions to improve the quality of surgical and anaesthesia care. To address the implementation gap of successfully implementing and scaling up evidence-based interventions in ‘real-world’ conditions,90 high-quality implementation research needs to remain high on the global health research agenda.12 Implementation outcomes are of particular interest as they provide details on what, how and why the intervention implementation may need to change.
Data availability statement
No addtional data avaialble.
Patient consent for publication
The authors thank Hosni Khairy Salem (HS) who contributed to this work by reviewing articles by abstract and providing his expertise in the field during article review process.
Contributors NB, JD and AJML conceived of the project and developed the study design. NB conducted the database search. NB, IOM-B, HS and VC conducted screening and data extraction. NB conducted the analysis and synthesis and wrote the first draft. All authors contributed to manuscript revisions and approved the final version. JD and AJML are the guarantors of this project.
Funding This systematic review is supported by the NIHR Global Health Research Unit on Health Systems Strengthening in Sub-Saharan Africa, King’s College London (GHRU 16/136/54).
Disclaimer The funding body had no input into the study design.
Map disclaimer The depiction of boundaries on this map does not imply the expression of any opinion whatsoever on the part of BMJ (or any member of its group) concerning the legal status of any country, territory, jurisdiction or area or of its authorities. This map is provided without any warranty of any kind, either express or implied.
Competing interests None declared.
Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.
Provenance and peer review Not commissioned; externally peer reviewed.
Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.


text:
Couple patterns I think would be fun. I’m terrible at drawing but someone has to be able to figure it out. Food patterns, sport logos, maybe some holiday themed ones like a shamrock for st paddy’s day. I love the mosaic patterns. Keep they coming. Just throwing some ideas out there.
I was sad to see the bumblebee was not a choice in the app when mine arrived.
Otherwise love it so far!
It’ll be added soon
I also would like to see what all the “buzz” is about!
Yeah, I want to add these today. We make a lot of the patterns in house, but some of them are made by other artists. The bee and some of our other favorites are made by a really talented artist who goes by leuerkenn. She gave permission for us to add hers to the library which I’ll try to do today.
Can’t wait. Will the app have an update or will they just appear??
They’ll just appear in the track list. Running a bit behind today but hopefully tomorrow.
I saw the gallery of Leuerken Monos really talented I can’t wait to indulge myself in making new drawings and projects.
Where are the new patterns?? My son is waiting keeps asking me if I have anything new
They’re coming soon! Hopefully by early next week. We have them ready, but we’re working on some improvements to download speeds, because the new patterns are quite large. Have you gotten through the entire library already?!
Sounds great. I’ve done most of them. Many I repeat especially the mosaic spiral patterns. Some come out better than others. A few when they end the ball resets to the middle I remember the heart one doing that last week. Looking forward seeing the library just keep growing.
I really hope someone more talented than I am does some Harry Potter house designs

domain: artistic


text:
The Summer term is always a smaller event but often produces an excellent musical outcome and this year was no exception. At the suggestion of a choir member, we learned and performed The Revenge, a setting of a Tennyson poem by the Irish composer Charles Villiers Stanford. The work tells the story of a naval engagement in the late Elizabethan period between a Spanish squadron and a single English ship captained by Sir Richard Grenville. The forty singers who participated thoroughly enjoyed the work. Our concert was augmented by Stanford’s well-known part-song The Blue Bird and by solos from current and ex-UCS students of songs from Stanford’s Songs of the Sea. The concert held in the Music Lecture Theatre was attended by nearly 70 people who also enjoyed the choir’s traditional end of year Summer Party afterwards.
Simon reported back as follows:
l thought the concert went extremely well, it was as good an event as any of our summer concerts, jolly good fun repertoire for a bright summer evening, delivered with conviction. It was definitely an evening of wine, people and song, as it was followed by our fabulous annual outdoors party, overflowing with bonhomie – a chance to chat to all and learn what wonderful cooks you are also. Musically, it was really important that we had had such a good rehearsal on Wednesday, confident that we could sing it through, so that we could do lots of detailed work during the Saturday afternoon rehearsal: diction, articulation and dynamics particularly. This enabled us to bring out the considerable drama in the piece, which was clearly appreciated by the sizeable audience. We remain indebted to Tim Ward, UCS’s fabulous singing teacher, who prepared, or had taught, all of the young soloists, who were all current or former pupils of the school. It was great that they stayed for the party. I think it is also important for our community that two of our wonderful soloists have extremely strong family connections with the choir.


text:
The 'good oil' on the works of Australians at war can be found in this collection.
Wars have been highly significant in the development of Australian English, generating new words and meanings, and also facilitating the borrowing of words from other Englishes. They have also provided the opportunity for the ordinary voices of Australians to be heard - through diaries, troop publications, letters and newspapers.
Rather than present a collection of military slang or jargon, this dictionary draws together the diverse words produced and used by ordinary Australians at war, with evidence of contemporary usage. The meaning and origins of each word are examined, and detailed quotations from contemporary sources are provided.
The language of Australians at war reveals a great deal about their experiences and understandings of war, and is also an insight into Australian culture and values.

domain: library


In this video you can learn how to build a Windows Embedded Compact 7 (WEC7). I partially followed the tutorial here: http://embedded101.com/Embedded101Artic. Install Windows Embedded Compact 7 RDP RemoteFX Update (same DVD as step 2) 4. Install Windows Embedded Compact 7 Update 3 from another DVD. Go to 'Program And Feature' and find Windows Embedded Silverlight Tools and update it to version 7 (I think, you don't have any choice between versions anyway). Part 1: Windows Embedded Compact Migration and End-of-Life Windows Embedded Compact 6.0 has been available since 2006 and Windows Embedded Compact 7.0 dates back to 2011. For device manufacturers and software developers, there are several important dates in the platforms’ product lifecycles, especially when ‘mainstream’ and ‘extended.
Microsoft releases Windows Embedded Compact 7 for trial usage and users can download it from Microsoft official website.Previously Windows Embedded Compact was Windows CE and Its version 6 was stable as Windows CE 6. Windows Embedded Compact 7 is developed by Microsoft for minimalistic computers and embedded systems.
Jul 28, 2020 Windows Embedded Compact 2013 Monthly Update (June 2020) is now available from Microsoft. To download this Windows Embedded Compact 2013 monthly update, go to the Device Partner Center (DPC). To use this feature, you must also have IoT Core Services and a platform that supports Windows 10 IoT Core. Restart requirement. Nov 03, 2014 Embedded Compact 7.NET 3.5 it tells me that a lot of the API calls the example uses in wlanapi.dll is Not Supported. I assume these API calls in wlanapi.dll would work under Compact 2013, but I need to use the old Compact 7.
According to Microsoft,
Windows Embedded Compact 7 uses the familiar tools OEMs already know to help create the next generation of devices with attractive, intuitive user experiences. Compact continues the history of embedded innovation started with the first release of CE, providing new technology to OEMs for building devices that stand apart from the competition.
Windows Embedded Compact 2013
Windows Embedded Compact 7 Overview
- Small FootPrint: minimum 500KB, 700 Components
- ARM Processor
- Real-time OS: SMP 32-bit native unified kernel real-time Operating System New symmetrical multiprocessing support
- Evaluation: 6 Month fully functional 180 Days
The new version of Windows CE is faster and improved and according to Microsoft you will get the high performance and reliable service of OEMs (original equipment manufacturers) with Windows Embedded Compact 7.
The Windows Embedded Compact 7 gives you full access to beta version of a full featured embedded OS and you can use it consistently for 180 days. You need to get an evaluation license key to avail 6 month trial of this release.
More from my site
|A version of the Windows CE operating system|
A concept UI used to display the graphical capabilities of Windows Embedded Compact 7
|Released to |
|March 1, 2011; 9 years ago|
|Kernel type||Hybrid kernel|
|Preceded by||Windows Embedded CE 6.0|
|Succeeded by||Windows Embedded Compact 2013|
|Mainstream||Ended on April 12, 2016|
|Extended||Ends on April 13, 2021|
Windows Embedded Compact 7 (formerly known as Windows Embedded CE 7.0) is the seventh major release of the Windows Embedded CEoperating system, released on March 1, 2011. Windows Embedded Compact 7 is a real-time OS, separate from the Windows NT line, and is designed to target enterprise specific tools such as industrial controllers and consumer electronics devices such as digital cameras, GPS systems and also automotive infotainment systems. Windows Embedded Compact is designed to run on multiple CPU architectures and supports x86, SH (automotive only) and ARM.
During development, a Microsoft employee working in this division claimed that Microsoft was working hard on this release and that it shares the underlying kernel with Windows Phone. Microsoft officially confirmed this and said that Windows Phone 7 is based on Windows Embedded CE 6.0 R3 with some features borrowed from Windows Embedded Compact 7, thus making it a hybrid solution.Adobe flash professional cs6 serial number 2018.
Windows Embedded Compact 2013 Download
Windows Embedded Compact 7 contains these features:
- Silverlight for Windows Embedded: Allows developers to develop application and user interfaces in Silverlight using Microsoft Expression Blend
- Internet Explorer for Windows Embedded: A web browser similar to that of Windows Phone 7 with integrated Adobe Flash v10.1 support
- Touch support: Windows Embedded Compact 7 recognizes touch and gesture input types
- CPU support: Works on dual core CPUs in symmetric multiprocessing mode
- Platform support: Runs on x86, SH4 (automotive only)MIPS and ARMv7 platforms
- Media playback: Supports Digital Living Network Alliance (DLNA) and Media Transfer Protocol (MTP)
- Networking: Now includes NDIS 6.1 and supports Bluetooth 2.1 EDR
Windows Embedded Compact 2013 Update
- ^ ab'Microsoft Support Lifecycle'. Microsoft Support. Microsoft. Retrieved February 6, 2015.
- ^'Microsoft Windows Embedded Compact 7 to hit the market'. Tuggd.com. TUGGD Media. 2011-03-03. Retrieved 2012-07-24.
- ^ ab'Windows Embedded CE'. Microsoft. Microsoft. Retrieved February 6, 2015.
- ^ ab'Windows Embedded Automotive 7 Datasheet'(PDF). Microsoft. Microsoft. Retrieved February 6, 2015.
- ^'Windows CE is NOT dead!'. Olivier's Blog. Microsoft. 2010-05-03. Retrieved 2012-07-24.
- ^'Windows Phone 7 based on a hybrid Windows CE 6 / Compact 7 kernel?'. Engadget. AOL. 2010-05-04. Retrieved 2012-07-24.
- ^Surur (2011-03-01). 'Windows Embedded Compact 7 now released'. WMPoweruser. Retrieved 2012-07-24.


Monday will be cloudy, but the overcast skies should clear up by nighttime.
- The Independent
The president has been fixated on rally turnout since his first campaign
- Associated Press
Two Florida men, including a self-described organizer for the Proud Boys, a far-right extremist group, were arrested Wednesday for taking part in the siege of the U.S. Capitol earlier this month, authorities said. Joseph Biggs, 37, was arrested in central Florida and faces charges of obstructing an official proceeding before Congress, entering a restricted on the groups of the U.S. Capitol and disorderly conduct. According to an arrest affidavit, Biggs was part of a crowd on Jan. 6 that overwhelmed Capitol Police officers who were manning a metal barrier on the steps of the Capitol.
- LA Times
- The Week
President Trump's last big batch of pardons will get most of the attention, but he also issued an executive order in his last few hours in office that seeks to free all current and former hires from the ethics agreements they signed to work in his administration. Trump revoked his January 2017 "Ethics Commitments by Executive Branch Appointees" order, the White House announced early Wednesday, so "employees and former employees subject to the commitments in Executive Order 13770 will not be subject to those commitments after noon January 20, 2021."Those commitments included not lobbying the federal agencies they served under for five years after leaving government. The executive order, Yashar Ali notes, was the backbone of Trump's "drain the swamp" pledge.> Forget about draining the swamp...President Trump just filled it up.> > He has revoked his own executive order (13770) which had the following provisions (among others). > > The drain the swamp stuff was all smoke and mirrors anyway but here's Trump walking back his own EO... pic.twitter.com/ZvuW0CwszQ> > — Yashar Ali (@yashar) January 20, 2021President-elect Joe Biden takes office at noon on Wednesday, and presumably he could just issue a new executive order reversing Trump's.Norm Eisen, "ethics czar" to former President Barack Obama, said in a Politico column Tuesday that Obama's clear ethics rules led to "arguably the most scandal-free presidency in memory," but "Trump greatly watered down the standards with scandalous results" and "Biden has done the opposite, restoring the Obama rules and expanding them."Biden's planned executive order, Eisen wrote, "restores the fundamentals of the Obama plan, closing loopholes Trump opened—but going further, including new crackdowns on special interest influence. If implemented rigorously (always a big if) Biden's plan promises to go further to 'drain the swamp' than either of his predecessors."More stories from theweek.com A lone man knelt at Beau Biden's grave as President Biden gave his inauguration speech Bernie Sanders steals the inauguration with his grumpy chic outfit Cheap, 'generic' drug reduces COVID-19 death risk by 75 percent, trials suggest
President-elect Joe Biden is expected to sign 15 executive actions upon taking office Wednesday, immediately reversing key Trump administration policies. Why it matters: The 15 actions — aimed at issues like climate change and immigration — mark more drastic immediate steps compared with the two day-one actions from Biden's four predecessors combined, according to incoming White House press secretary Jen Psaki.Get smarter, faster with the news CEOs, entrepreneurs and top politicians read. Sign up for Axios Newsletters here.What they're saying: The actions are the first of many, Psaki said in a news release, as Biden works "to address the four crises that he's laid out" — COVID-19, the economic crisis, racial injustice and climate change. * "In the coming days and weeks we will be announcing additional executive actions that confront these challenges and deliver on the President-elect's promises to the American people," Psaki said, "including revoking the ban on military service by transgender Americans, and reversing the Mexico City policy." Highlights * Moving to rejoin Paris Climate Agreement * Asking the Department of Education to extend student loan relief * An executive order to rescind Keystone XL pipeline permit * Rejoining the World Health Organization * Asking the CDC to "immediately" extend eviction restrictions * Reversing Trump's travel ban on several Muslim-majority countries * Temporarily halting oil and gas leasing in Arctic National Wildlife Refuge * An initiative on advancing racial equity in federal policymakingGo deeper: See the full listSupport safe, smart, sane journalism. Sign up for Axios Newsletters here.
- Associated Press
- CBS News
- The Telegraph
- The Week
- Yahoo News Video
President Joe Biden issued a warning Wednesday to his appointees that a hostile workplace will not be allowed in his administration.
Tam Dinh Pham of the Houston police department was part of the deadly mob that stormed the U.S. Capitol on Jan. 6. A veteran Houston police officer is in trouble after attending the U.S. Capitol riots in Washington, D.C., then lying about it. Officer Tam Dinh Pham joined the deadly mob that stormed the U.S. Capitol on Jan. 6.
- The Independent
Incoming president has long been a gun control advocate, but doesn’t plan on taking back anyone’s guns
- The Telegraph
China on Wednesday announced it would sanction more than two dozen US citizens, including Mike Pompeo, the former Secretary of State, in response to "grave interference” over Taiwan. Among the 28 named were Mr Pompeo, as well as John Bolton, Donald Trump’s former National Security Advisor; Peter Navarro, former Director of Trade; and Steve Bannon, former White House chief strategist. Mr Pompeo, in one of his final acts in his White House role, on Monday held a conference with the president of Taiwan, the self-ruling island claimed by Beijing as its own. He also jettisoned longstanding guidelines limiting exchanges with Taiwanese officials. China’s foreign ministry said in a statement that "crazy actions that have gravely interfered in China's internal affairs." "These individuals and their immediate family members are prohibited from entering the mainland of China, Hong Kong and Macau. They and companies and institutions associated with them are also restricted from doing business with China," it added. Relations between the US and China, the world’s two biggest economies, have plunged to their lowest level in decades, with disagreements on issues including Taiwan, Hong Kong, human rights, the coronavirus pandemic, the South China Sea, trade and espionage. Beijing has said that Taiwan is the most important and sensitive issue in its relationship with Washington, and has previously announced sanctions on US companies selling weapons to Taiwan, though it has not been clear how, or if, they were enforced. China last year unveiled sanctions on 11 US citizens, including lawmakers from Mr Trump’s Republican Party, in response to Washington’s sanctions on Hong Kong and Chinese officials accused of curtailing political freedom in the former British colony. A day earlier Mr Pompeo had also accused Beijing of genocide. He said Trump’s administration determined China has committed “genocide and crimes against humanity” in its repression of Uighur Muslims in the far western region of Xinjiang, becoming the first country to publicly make the accusation. The decision will set newly sworn in president Joe Biden on an awkward footing with China and may force the issues to the front of his China agenda.
- The Week
Melania Trump was reportedly "emotionally checked out" long before boarding Air Force One to leave D.C. on Wednesday, going as far as to outsource writing her "thank you" notes to the White House residence staff, The New York Times and CNN report.Traditionally, the first family of the United States will write short cards to their household staff, thanking them for taking care of them over the past four to eight years. The cards tend to be intimate and "much of the correspondence includes personal anecdotes and the letters become 'cherished keepsakes' for the residence staff," such as the butlers, cooks, and housekeepers, who do not tend to turn-over between administrations, CNN writes.Melania Trump, however, reportedly did not personally write the cards for the approximately 80 staff members charged with caring for her, her husband, and her teenage son, Barron, while they lived in the White House. Instead, she is said to have instructed a "lower-level East Wing staffer" to write the type-written notes "in her voice," and then signed her name."I think she was a reluctant first lady and she did it for her husband," society publicist R. Couri Hay, who knows Trump from New York, told The New York Times. He added that after she departs Washington, "I think that you will find that she will be even less visible, and less available."More stories from theweek.com Bernie Sanders steals the inauguration with his grumpy chic outfit Avril Haines confirmed as director of national intelligence Cheap, 'generic' drug reduces COVID-19 death risk by 75 percent, trials suggest
German Chancellor Angela Merkel warned that Germany may need to consider border crossing curbs if other European countries do not act to halt the spread of the coronavirus, particularly its new, more transmissible variants. Her comments came after she and leaders of Germany's 16 states agreed to extend for another two weeks a lockdown for most shops and schools until Feb. 14. Germany shares borders with nine countries, and there are growing concerns about infection rates in some of them, including Czech Republic, where commuter traffic is heavy.
- Miami Herald
Newly surfaced Facebook messages from 2018 show U.S. Rep. Marjorie Taylor Greene agreeing with comments spreading the conspiracy that the Parkland school shooting where 17 students and faculty members at Marjory Stoneman Douglas High were killed was a “false flag planned shooting.”
- Architectural Digest
- The Independent
Two controversial figures forced to stand down as federal government set for reboot
- The Week
Liberal Fox News contributor Richard Fowler choked up during an appearance on the network as he marveled at the numerous glass ceilings broken by Vice President Kamala Harris on Wednesday."One part [of the inauguration] that caused me to get real emotional was, we've been a country for 243 years, and in all those 243 years, we have had women citizens but we have never had a woman hold national office," Fowler said, his voice breaking as he went on. "So to see Kamala Harris put her hand on the Bible today -- also being her and I are of Jamaican descent, and I just think about my grandmother and my mom and so many other women who saw this, and so many young girls who can finally believe that they can be president, too, because of what we did as a country back in November."> Fox News contributor Richard Fowler gets emotional when talking about Kamala Harris being the first woman VP, and how it makes him think about his grandmother and mom, who like Harris are of Jamaican descent pic.twitter.com/Wdlo8Ca3uh> > -- Aaron Rupar (@atrupar) January 20, 2021Fowler was not the only contributor on Fox News on Wednesday to be audibly moved by the significance of Harris' oath. Political analyst Juan Williams also emotionally explained, "It's visceral, and I'll tell you why. I have granddaughters, I'm the son of a Black mother -- you think about American history, you think about the status of Black women in this country for most of our history. And the idea that a Black woman would assume such power in this moment as a national leader -- truly inspiring." > Fox News' Juan Williams gets choked up talking about Kamala Harris:> > "You think about the status of Black women in this country for most of our history. And the idea that a Black woman would assume such power in this moment as a national leader, truly inspiring." pic.twitter.com/K13K0Q1vVX> > -- Parker Molloy (@ParkerMolloy) January 20, 2021More stories from theweek.com Bernie Sanders steals the inauguration with his grumpy chic outfit Avril Haines confirmed as director of national intelligence Cheap, 'generic' drug reduces COVID-19 death risk by 75 percent, trials suggest


Biden Ignores Reporter Asking if He Will Visit Highland Park Following Deadly Fourth of July Mass Shooting (VIDEO)
Joe Biden on Tuesday awarded the Medal of Honor to four soldiers who fought in the Vietnam War.
Biden awarded Edward N. Kaneshiro, Dwight W. Birdwell, Dennis M. Fujii and John J. Duffy in a ceremony in the East Room of the White House.
John Duffy was awarded for his gallantry and intrepidity above and beyond the call of duty while serving in Vietnam (photo courtesy of photojournalist Al Drago):
President Joe Biden awards the Medal of Honor to John Duffy during a ceremony in the East Room of the White House on Tuesday.
— Al Drago (@Al_Drago) July 5, 2022
Joe and Jill Biden departed the East Room after the award ceremony.
Jill Biden shook hands with attendees as Dementia Joe looked on.
Joe Biden shuffled out of the room (notice his gait) and ignored a reporter asking if he will visit Highland Park after 22-year-old Bobby Crimo shot 30 people, 6 fatally, at a Fourth of July parade on Monday.
“Mr. President, do you plan to go to Highland Park, sir? Are you and the First Lady planning to visit Chicago?” a reporter asked Biden as he shuffled away.
Go to Source
Author: Cristina Laila


text:
The evangelist is shown sitting while writing his gospel. The first letters are visible: “The beginning (of the Gospel of Jesus Christ, Son of God…)”.
In the background a lion: the symbol of the evangelist.
Mark was a Jew who converted to Christianity. Born Levite John Mark, he was the son of Mary, in whose house the early Christians held their meetings (Acts 12:12). His name Markus reveals his Hellenistic descent. According to tradition, he was converted to Christianity under the influence of Peter and from then on acted as his interpreter, since Peter had hardly any knowledge of the Greek language. He is considered the patron saint of Venice and the island of Reichenau; the builders, masons, glaziers, glass painters, lantern makers, basket makers, mat makers, notaries and scribes; against storms, lightning, hail, scabies, torments and impenitent or sudden death; for good weather and good harvest.
Beautiful gold painting (assist) on the robe. A carved gilded mount.

domain: history


text:
↓ To return to my shop, click here↓
Hello and welcome to my shop! My name is Zhenya, and most things listed here are made by me, although occasionally I have some items by my teen daughter, so I guess this makes it a family shop.
Me, I love snippets! Small pieces of fabric, yarn, ribbon, stray beads and sequins, a little bit of everything, a jumble of colors and textures.... It's a wonderful feeling when something beautiful and useful is born from this colorful chaos.
I make my own patterns. Sometimes I use no pattern at all, but a free-hand improvisation on a theme. This means that most things I make are one of a kind, and some take many hours...
- Born on September 4
- Joined June 14, 2008

domain: design


Easy to use, programmable ITO 751 ultrasound offers a large 7-inch TFT color touch screen, selectable coupling sensitivity and a low BNR of 2.4 to 3.A lower BNR means more uniform beams and a safer, more effective therapy. It displays probe contact status on both the probe and main unit. Simply choose and area to treat on the diagram of the human body. The therapy parameters are set automatically, based on our extensive therapy data.
- A striking piano black finish
- Large 7-inch TFT color touch screen
- Ease of use
- Selectable coupling sensitivity
- Low BNR
- Displays probe contact status on both the probe and main unit
- A choice of two melodies to signal end of therapy
- Combo therapy: possible linked with the ES-320 or the ES-521 electrotherapy unit
1cm soundhead only included.
|BNR||2.4 to 3|
|Frequency||1 & 3 MHz|
|Maximum Output||2 W/cm continuous,
|Output Modes||CW 100%, pulsed 5%,
10%, 20%, 30%, 40%, 50%
|Timer||1 - 30 min|


text:
Please let me know where you go
when the gray skies fill with rain?
Drops begin to fall and puddles form
in a jagged reflection of the storm,
you seem to disappear in a sun’s wink,
swirling into a vanish of cloudy sink.
Where do you run off to and hide,
I would say to myself in a sullen sigh?
As rain collects upon dripping clothes
to form rivers in the valleys of my toes,
you must have better things to do
than stop the struggles I’m going through.
Give me a sign of how I am supposed to feel
As you leave me whirling on a bruised heel.
Because it’s too late and the damage is done,
with no one to help me, nowhere to run.
Covered in this rain, I stand here alone
to reclaim the pieces of a weary throne.
But then look at how wrong perceptions can be
as life comes full circle and turns a new leaf.
Whenever I think that you left without a trace
you appear to me, as the smile upon my face.
Inspiring me as hope, filling my heart’s cup,
expanding me as courage, so I am able to rise up.
You turn my view around so I am able to see
a miracles first breath, in a place you never left.
So often I look outside myself for a helping hand
yet here is where you exist so I may understand,
that in my darkest times, even as you seem to hide
it only makes me stronger, to find you deep inside.
~ jeffrey vionito
Picture by: http://favim.com/image/936986/


Video footage and photographs showed the intern grazing Acosta's arm in trying to pry the microphone away, and briefly making contact with the hand holding the microphone.
Later she tweeted a 15-second video of the exchange, including close-up replays, in which the sound appears to have been silenced.
The White House Correspondents' Association is denouncing the decision to bar Acosta, calling it unacceptable and disproportionate to the purported offence.
"We will not tolerate the inappropriate behaviour clearly documented in this video", Sanders said, posting a video of the CNN reporter allegedly placing his hand on a young woman.
"We have been working at the White House for five years covering two administrations", Acosta said to the officer, as he voluntarily gave up his hard pass.
On Twitter, Acosta responded to Sanders' statement with a simple declaration, tweeting: "This is a lie".
Wednesday's event, which began with the president framing Tuesday's election results as a victory for himself and the Republican party, was Trump's first planned, open-ended press conference at the White House since February 2017, and only the second since he took office.
"This president's ongoing attacks on the press have gone too far".
Exit Polls Show Trump A Major Factor In 2018 Midterm Election Voting
Trump, whose approval ratings are mired in the low 40s, has vowed to his supporters at every rally they will "win, win, win". The second time was following 9/11 in 2002, when Republicans gained eight House and two Senate seats under President Bush.
Justice Ginsburg hospitalized after fracturing ribs in fall
Ginsburg told CNN in July that she thought she had " at least five more years " left before she retired from the Supreme Court. But Ginsburg, the court's oldest sitting justice, has consistently been adamant that she has had no intentions of retiring.
Thugs of Hindostan fails to beat Baahubali
Khudabaksh (Amitabh Bachchan) is like a commander who uses some wily tactics to fool the Britishers and loot a ship for his fight. Directed by Vijay Krishna Acharya, the movie was expected to become one of the biggest blockbusters ever before its release.
They began sparring Wednesday after Acosta asked Trump about the caravan of migrants heading from Latin America to the southern United States border.
During the exchange, the staff member is seen approaching Acosta before attempting to take the microphone off him.
Looking back at Acosta, who again rose up in his own defense, Trump added: "When you report fake news, which CNN does a lot, you are the enemy of the people".
"CNN should be ashamed of themselves, having you work for them", he said. The way you treat Sarah Huckabee is disgusting, and the way you treat other people are frightful. You're a very rude person.
"Secret Service just informed me I can not enter the grounds for my 8 pm hit", Acosta tweeted Wednesday evening.
Mashable has reached out to the White House for comment on the allegations surrounding the video Sanders shared. It is also completely disrespectful to the reporter's colleagues not to allow them an opportunity to ask a question", she said on "Trish Regan Primetime. "You are a rude, awful person".
At that point, a White House intern tried to physically take the microphone from Acosta, who wrestled them for it. 'Excuse me ma'am, ' he said to her.
He said that until the revocation, Sessions' departure was likely to be the topic of Acosta's and others' reporting this evening.
"They are not only risky, they are disturbingly un-American", CNN said. You and I disagree on this, ' Trump said.
Sanders said Trump has given the press more access than any President in history. "You run CNN", Trump fired back.


text:
Across the nation, farmer’s markets are making a come back as more and more people focus on locally grown, healthy, whole and raw foods. Trendy or not, that’s a good thing. Farmer’s markets promote local economic health and are more sustainable than big, corporate markets. Sustainability begins with locally grown and prepared food, as well as other goods.
Read the rest of this page »


|Swift and Styles hold hands while leaving
A source told The Sun newspaper: "It was brilliant. There was a huge cheer when they got up."
Following the performance, Harry wrote on Twitter: "Last night was the best thing I have ever done.
"We're on an Island over the Stream... (sic)"
Taylor, 22, and Ed Sheeran, 21, then joined Harry and his fellow One Direction bandmates - Niall Horan, Zayn Malik, Louis Tomlinson and Liam Payne - to sing Backstreet Boys' 1998 hit 'I Want It That Way', and the flame-haired singer teamed up with the 'Little Things' hitmakers for Vanilla Ice's 'Ice Ice Baby'.
Harry and Taylor - who went for a romantic stroll around New York's Central Park prior to the gig - also performed Sir Elton John and Kiki Dee's classic hit 'Don't Go Breaking My Heart' before heading back to their hotel in the early hours.
One partygoer told the Daily Mirror newspaper: "It was the perfect song for a new couple - they were both giggling as they sang it to one another.
"It was very fun and very relaxed. Everybody was in really high spirits. You could tell they are very comfortable in each other's company.
"They were still smiling when they disappeared back to her hotel hand-in-hand in the early hours of the morning."
Zayn Malik was accompanied at the gig by his girlfriend, Little Mix singer Perrie Edwards, and her brother Jonnie also teamed up with One Direction - whose rider featured a host of calorific treats including Snickers, KitKats and cupcakes - to sing at the afterparty.