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Control angiography for perioperative myocardial Ischemia after coronary surgery: meta-analysis
Journal of Cardiothoracic Surgery volume 13, Article number: 24 (2018)
Perioperative myocardial ischemia (PMI) in patients undergoing coronary artery bypass grafting (CABG) is associated with poor outcome. The aim of this study was to pool the available data on the outcome after control angiography and repeat revascularization in patients with perioperative myocardial ischemia (PMI) after coronary artery bypass grafting (CABG).
A literature review was performed through PubMed, Scopus, ScienceDirect and Google Scholar to identify studies published since 1990 evaluating the outcome of PMI after CABG.
Nine studies included 1104 patients with PMI after CABG and 1056 of them underwent control angiography early after CABG. Pooled early mortality after reoperation for PMI without control angiography was 43.6% (95%CI 29.7-57.6%) and 79.8% of them (95%CI 64.4-95.2%) had an acute graft failure detected at reoperation. Among patients who underwent control angiography for PMI, 31.7% had a negative finding at angiography (95%CI 25.6-37.8%) and 62.1% had an acute graft failure (95%CI 56.6-67.6%). Repeat revascularization was performed after early control angiography in 46.3% of patients (95%CI 39.9-52.6%; 54.2% underwent repeat surgical revascularization; 45.8% underwent percutaneous coronary intervention). Pooled early mortality after control angiography with or without repeat revascularization was 8.9% (95%CI 6.7-11.1%). Three studies reported on early mortality rates which did not differ between repeat surgical revascularization and PCI (11.7% vs. 9.2%, respectively; risk ratio 1.45, 95%CI 0.67-3.11). In these three series, early mortality after conservative treatment was 5.9% (95%CI 3.6-8.2%).
Control angiography seems to be a valid life-saving strategy to guide repeat revascularization in hemodynamically stable patients suffering PMI after CABG.
Perioperative myocardial ischemia (PMI) in patients undergoing coronary artery bypass grafting (CABG) is associated with poor outcome [1,2,3]. Still, a reliable and clinically useful definition of this condition remains elusive and with it also the optimal treatment of patients suffering PMI . Recently, the European Society of Cardiology endorsed a document suggesting new cutoff values for cardiac troponin levels for the diagnosis of PMI after CABG and proposed a treatment strategy for its treatment . This document recognized the clinical importance of PMI in these patients, however it unclear whether postoperative control angiography and, when needed, prompt repeat revascularization is beneficial in these patients. We sought to investigate this issues by pooling the available data from the literature on the outcome of patients with PMI after CABG.
The present systematic review and meta-analysis is registered in the International prospective register of systematic reviews PROSPERO with the reference code CRD (ID=CRD42017076614).
The guidelines for Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) were applied . A literature review was performed through PubMed, Scopus, ScienceDirect and Google Scholar on September 2017, to identify any study being published since 1990 evaluating the outcome of patients who underwent angiography and any treatment for PMI immediately after CABG. The retrieval terms were “perioperative myocardial ischemia”, “perioperative myocardial infarction”, “angiography” combined with “cardiac surgery” or “coronary artery bypass”. The abstracts of retrieved studies were scrutinized and each study was independently evaluated by two investigators (D.B, F.B.) for inclusion or exclusion from this analysis. Reference lists of retrieved articles were examined as well to identify any article of fulfilling the pre-specified inclusion criteria.
Treatment Definition and Inclusion/Exclusion Criteria
Studies eligible for the present studies were those reporting on perioperative myocardial ischemia after CABG. Studies that met the Population, Interventions, Comparison and Outcomes (PICO) criteria (Tab. 1) were included in the present meta-analysis.
To enter this analysis, studies had to fulfil all these inclusion criteria: (1) provide data on patients who suffered PMI immediately after CABG according to the investigators’ definition criteria; (2) include patients undergoing CABG as isolated procedure or associated with any other major cardiac procedure; (3) include patients aged 18 years or older; (4) be a prospective or retrospective observational study; (5) be published in English language as a full article; (6) include at least 10 patients with postoperative PMI; and (7) be published since 1990.
Articles were not eligible for study inclusion in case of (1) angiography and/or repeat revascularization performed after discharge from the hospital associated with the index procedure; (2) ambiguous or inaccurate data; (3) lack on information on in-hospital/30-day mortality; (4) data reported only in abstracts; (5) article published in non-English language.
Data was independently collected by two investigators (D.B, F.B.) and any disagreement on retrieved data was settled by consensus between these investigators. Specific or missing data were not asked to the authors of the original studies. The following data was collected in to a dedicated datasheet: first author, year of publication, study period, overall number of CABG procedures performed during the study period, type of primary procedure, number of patients with PMI, number of patients who underwent immediate control angiography, findings at angiography, type of repeat revascularization and in-hospital/30-day mortality. The quality of the included studies was assessed by two investigators (F.B., D.B.) using the National Heart, Lung, and Blood Institute (NHLBI) criteria for study quality assessment of case series (https://www.nhlbi.nih.gov/health-pro/guidelines/in-develop/cardiovascular-risk-reduction/tools/case_series; accessed on September 17, 2017).
The primary outcome of this study was in-hospital/30-day postoperative mortality. Acute graft failure (defined as stenotic or occluded grafts, or faulty site of anastomosis), incomplete revascularization and new lesions of the native coronary arteries were the secondary end-points of this analysis.
Statistical analysis was performed using the Open Meta-Analyst software (Brown University, Providence, RI, USA; http://www.cebm.brown.edu/openmeta/ ). Means and absolute values were pooled using random effects models because of anticipated heterogeneity of the retrieved studies. The results are expressed as untransformed proportions and means with their 95% confidence intervals (CI). Heterogeneity across studies was evaluated using the I2 test. I2 <40% was considered as acceptable heterogeneity. Leave-one-out sensitivity analysis was performed to confirm consistency of the overall analysis. The impact of risk factors on in-hospital/30-day mortality was evaluated by meta-regression analysis. A p < 0.05 was considered statistically significant.
Nine studies including 39 266 patients who underwent CABG (98.2% underwent isolated procedure) fulfilled the pre-specified selection criteria and were included in this analysis (Fig. 1). [2, 3, 5,6,7,8,9,10,11] Among these patients, a diagnosis of PMI was made in 1104 patients and 1056 underwent control angiography early after CABG. Angiography was performed within the same hospital stay in seven studies, within 48 hours from surgery in one study and within 24 hours from surgery in another study (Tab. 2). Definition criteria for PMI used in these studies are summarized in Table 3. All these studies reported on in-hospital or 30-day mortality after angiography followed or not by repeat revascularization. Three studies [7, 9, 11] reported on 48 patients who underwent repeat CABG without early angiography because of unstable hemodynamic conditions. Characteristics and main data of these studies are summarized in Table 1. All studies were considered of fair quality according to the NHBLI criteria.
The pooled incidence of PMI requiring angiography or immediate reintervention without control angiography was 3.5% (95%CI 0.2-6.8%, I2 91%, 3 studies, 9306 patients) and the related pooled in-hospital/30-day mortality of these patients was 12.6% (95%CI 8.8-16.4%, 3 studies, 286 patients).
Outcome of reoperation for PMI without control angiography
Pooled in-hospital/30-day mortality in patients who suffered perioperative myocardial ischemia and underwent reoperation without control angiography was 43.6% (95%CI 29.7-57.6%, I2 81%, three studies, 48 patients). Among patients who underwent reoperation without control angiography, acute graft failure was detected in 79.8% of cases (95%CI 64.4-95.2%, I2 49%, three studies, 48 patients).
Outcome of PMI with control angiography
Among patients who underwent control angiography for PMI after CABG, 31.7% of them had negative finding at angiography (95%CI 25.6-37.8%, I2 75%, 9 studies, 1056 patients), 62.1% of patients had an acute graft failure (95%CI 56.6-67.6%, I2 66%, 9 studies, 1056 patients), 6.1% had incomplete revascularization (95%CI 0.4-12.5%, I2 91%, 5 studies, 624 patients) and 3.5% has a new lesion of the native coronary arteries (95%CI 1.4-5.7%, I2 91%, 9 studies, 1056 patients).
Repeat revascularization was performed after control angiography in 46.3% of patients (95%CI 39.9-52.6%, I2 74%, 9 studies, 1056 patients). Among these patients, 54.2% underwent repeat surgical revascularization (95%CI 33.7-74.8%, I2 97%, 9 studies, 470 patients) and 45.8% underwent any percutaneous coronary intervention (PCI) (95%CI 25.2-66.3%, I2 97%, 9 studies, 470 patients). Three studies (2,3,5) reported on the graft/native artery of repeat revacularization in 294 patients, which was on the left anterior descending artery territory in 56.0% of cases (95%CI 43.2-68.8%, I2 78%), on the circumflex artery territory in 21.3% of cases (95%CI 9.3-33.3%, I2 84), on the right coronary artery territory in 23.3% of cases (95%CI 16.6-30.0%, I2 40%) and on the diagonal arteries territory in 4.8% of cases (95%CI 0.9-8.8%, I2 58%).
Pooled in-hospital/30-day mortality in patients who underwent control angiography was 8.9% (95%CI 6.7-11.1%, I2 28%, 9 studies, 1056 patients) (Fig. 2). Three studies reported on specific early mortality after repeat surgical revascularization and PCI after control angiography without any difference between the treatment methods (CABG 11.7% vs. PCI 9.2%; risk ratio 1.45, 95%CI 0.67-3.11, I2 0%, 3 studies, 175 CABG patients vs. 119 PCI patients, respectively). These three series reported on early mortality after conservative treatment as well which was 5.9% (95%CI 3.6-8.2%, I2 0%, 3 studies, 391 patients), without reporting separate rates of early mortality in patients with graft failure and in those with negative angiographic findings.
The present pooled results suggest that severe PMI is rather uncommon, but its incidence may significantly vary between series (3.5%, 95%CI 0.2-6.8%). This estimate is also biased by the fact that most of series did not report on emergency reoperation performed without control angiography. Furthermore, the definition criteria of PMI as well as the policy of performing control angiography might vary between these series. Control angiography revealed problems of the graft or native vessels in two third of patients and it was valuable to guide a repeat revascularization in half of patients with PMI. This strategy of control angiography and, when indicated, repeat revascularization contributed to an early mortality rate of 8.9%. The lack of a control cohort with similar graft/native vessels problems treated conservatively prevents any estimation of the real benefits and possible harms of an active revascularization policy in patients with on-going ischemia after CABG. The paucity of data on angiographic findings and on the outcome of patients treated conservatively because of negative angiographic findings or lack of suitable target vessels/grafts for repeat revascularization render the interpretation of these pooled results even more difficult. However, Karhunen et al.  showed that a policy of control angiography in PMI patients was associated with a dramatic decrease of postoperative mortality when compared with an historical control group who did not undergo any control angiography for PMI (22.2% vs. 46.1%, p=0.015). Therefore, we may assume that in most of cases on-going severe myocardial ischemia secondary to any graft or new native vessels problem cannot be relieved by a conservative approach  and is associated with poor early and mid-term outcome.
The present findings indicate that control angiography may enable optimization of a reintervention strategy by identification of acute graft failure and/or new native vessels stenosis/occlusion amenable to surgical or catheter-based revascularization. Control angiography may identify also non-structural defects such as graft spam which are relievable by systemic or local administration of nitrates (9). Furthermore, angiographic findings may indicate PCI in conditions not amenable with repeat surgical revascularization. Finally, control angiography may guide toward prompt optimization of inotropic and mechanical circulatory support in patients with normal angiographic findings or poor run-off contraindicating any repeat revascularization.
This study showed that a valid and easy-to-use definition of type V myocardial infarction is needed for a prompt identification and treatment of patients with severe PMI. The present results showed that one third of patients do not have structural defects of the grafts or new stenosis/occlusions of native vessels at angiography. These patients most likely suffered of PMI because of suboptimal myocardial protection, distal coronary embolization, or subclinical myocardial injury secondary to intraoperative manipulation of the heart. The angiographic evaluation of the patients represents a unique opportunity for a practical definition of type V myocardial infarction because it may identify clinical, biochemical, electrocardiographic and echocardiographic parameters underlying PMI secondary to structural defects of the grafts and native vessels.
Control angiography for PMI has some drawbacks, which may induce clinicians to avoid prompt invasive imaging of the coronary arteries and grafts. Although coronary angiography in a patient with recent CABG may not be technically difficult, moving a patients in hemodynamically unstable conditions from the intensive care unit to the catheterization angiography laboratory can be difficult and requires major efforts from personnel. Furthermore, the use of contrast agent during control angiography may expose the patents to a significant risk of severe acute kidney injury. These important drawbacks should be weighed against the possible benefits of prompt treatment of ongoing PMI.
This meta-analysis has a number of limitations. First, the included studies are of fair quality, but do not provide all details on the characteristics and outcome of patients with PMI with negative angiographic findings and of those with graft or native vessels problems who did not undergo any repeat revascularization. Second, only three studies reported on the outcome of patients who underwent straightly a reoperation, whilst this information was not provide in the other studies. Third, we may expect that prompt recognition and treatment of PMI has a prognostic impact on the outcome of these patients, but only two study assessed the timing of angiography in this setting [2, 3]. Fourth, the included studies failed to report data on any method employed to verify intraoperatively the patency of vascular grafts  and whether these findings might correlate with the development of PMI. Finally, there is paucity of data comparing the impact of PCI and surgical revascularization in patients with PMI after CABG.
In conclusion, control angiography seems to be a valid life-saving strategy to guide repeat revascularization in hemodynamically stable patients suffering PMI after CABG. However, a throughout assessment of the harms and benefits associated with this strategy is prevented by the lack of any possible control cohort. Further studies are needed to assess the prognostic impact of the timing of control angiography and repeat revascularization as well as to identify clinical, biochemical, electrocardiographic and echocardiographic parameters associated with PMI secondary to acute graft failure or new native vessels lesions after CABG.
perioperative myocardial infarction
coronary artery bypass grafting
Preferred Reporting Items for Systematic reviews and Meta-Analyses
Population, Interventions, Comparison and Outcomes
National Heart, Lung, and Blood Institute
percutaneous coronary intervention
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Biancari, F., Anttila, V., Dell’Aquila, A.M. et al. Control angiography for perioperative myocardial Ischemia after coronary surgery: meta-analysis. J Cardiothorac Surg 13, 24 (2018). https://doi.org/10.1186/s13019-018-0710-0
- Coronary artery bypass
- Perioperative myocardial infarction
- Percutaneous coronary intervention

domain: medical


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Chargrilled Lemon Pepper Chicken
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Adrian Apodaca, the self-described white supremacist accused of traveling from Broward County to Georgia to kill a drug dealer who had outstanding debts, was convicted Tuesday of multiple charges related to the murder plot.
Jurors took three hours to reach their decision, siding with prosecutors who said Apodaca was enthusiastic about killing for a group of South Florida white nationalists, and rejecting the defense argument that he was the victim of an elaborate entrapment scheme.
Apodaca, 45, faces a maximum term of life in prison when he is sentenced Dec. 8.
Prosecutor Lawrence LaVecchio outlined the case against Apodaca for the jury Tuesday morning, reminding them of evidence they heard during four days of testimony.
An FBI informant who admits being a white nationalist and racist said he met Apodaca in the fall of 2015, when Apodaca was allowed to live in a trailer behind the clubhouse of the Dirty White Boys motorcycle club in Davie. The informant, Steven Watt, was a member of the club, and since 2009 he was a paid informant, alerting the FBI whenever he became aware of illegal activities.
Watt said he felt unprovoked violence undermines the cause of white supremacy. Soon after they met, Apodaca told Watt he had committed a series of murders in New Mexico and Arizona, Watt said. That admission led the FBI to open an investigation to determine whether Apodaca was telling the truth and whether he would be a risk for future violent acts.
A team of undercover agents posed as a new group of white supremacists, and a supervisor posed as an Atlanta drug dealer who drove to South Florida in a gleaming red Corvette to tell the dealers he didn’t have the money to pay them for supplying him with cocaine.
According to recordings played at trial, Apodaca offered to travel to Georgia to kill the dealer in exchange for $5,000 and a false identity that he needed to hide out from investigators who were questioning him in at least one murder — the 2015 crossbow shooting death of Robert “Machete Bob” McGuire in New Mexico.
According to Watt. Apodaca knew how “Machete Bob” was killed and how his body was hidden — in a shallow grave in the New Mexico desert — three to four months before the body was discovered. Apodaca has not been charged in that murder but remains a leading suspect, according to the case’s lead detective, who testified Monday.
Apodaca was arrested and charged in the murder-for-hire plot in Oct. 2016, after he crossed the Florida-Georgia state line to kill the drug dealer, prosecutors said.
When Apodaca took the stand Monday, he told jurors that he was a serial fabricator, not a multiple murderer. He said his stories to the informant and the undercover agents were “tall tales and legends” designed to impress them, and that he was looking for a way to back out of killing the drug dealer when he was arrested.
He blamed the agents for dangling a fake money-making opportunity in front of him. And Apodaca told the jurors he has rejected racism and white nationalism, unlike the informant who still embraces white separatism.
Defense lawyer Neison Marks leaned heavily on the entrapment defense in his closing argument, telling the jury that his client would not have committed a crime if the informant and the agents had just left him alone.
“The reality is that he went crime free for years until ‘Skinner’ [the informant] and the agents went to work on him,” said Marks. “They gave him a gun and a box of bullets. They gave him a silencer and cocaine. They crossed him over a state line. And that goes way beyond providing him with an opportunity to commit a crime. And that is entrapment.”
Prosecutor Paul Schwartz finished closing arguments by citing hours of recorded conversations between Apodaca and the undercover agents, during which the defendant was repeatedly told he could back out at any time.
He never did.
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domain: sociology


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It is with great joy that we welcome Corporal Kevin Holtry back to Boise. For the last two months, Corporal Holtry has been receiving treatment and rehabilitation at Craig Hospital in Colorado. Holtry has made great progress and is now ready to continue his recovery back home in Idaho.
On November 11, 2016 Corporal Holtry was shot multiple times while searching for a wanted suspect in Boise. Holtry received life-saving treatment at Saint Alphonsus before going to Craig Hospital which specializes in spinal cord injuries. Welcome home brother! We are happy to have you back. For credit or removal contact us on our facebook […]


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EN 10084 Grade 16MnCr5 European standard covers Plain carbon case hardening steel for parts with a required core tensile strength of 600 800 N mm_ and good wearing resistance as piston bolts, camshafts, levers and other vehicle and mechanical engineering components. Suitable for MECHANICAL PROPERTIES OF MATERIALSthe materials response to unidirectional stress to provide an overview of mechanical properties without addressing the complexities of multidirectional stress states. Most of the chapter will restrictitselftosmall-strainbehavior,althoughthelastsectiononstress-straincurveswillpreview materialresponsetononlinear,yieldandfracturebehavioraswell.Online Materials Information Resource - MatWebMaterial property database with data sheets of thermoplastic and thermoset polymers such as nylon, polycarbonate, polyethylene; metal alloys, aluminum, steel, titanium, nickel, cobalt, and zinc alloys; ceramics, lubricants. Free search tools include mechanical property searches. Comparison and exports to Finite Element Analysis FEA software SolidWorks, ANSYS, ALGOR, and more.
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domain: chemistry


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Green Dog Walkers scheme to celebrate 1st birthday at Blyth
05 Jul 2018 ARCHIVED (over 3 months old) - view latest news
Northumberland County Council’s Green Dog Walkers scheme will be celebrating its first birthday this Saturday at a special event in Blyth.
The council is holding events at locations across the county this summer - helping to spread the word about the benefits of being a Green Dog Walker and providing information, advice and support to dog owners.
Green Dog Walkers is a scheme which encourages responsible dog ownership. It is a community-led programme aimed at reducing dog fouling and promoting responsible dog ownership across Northumberland.
The Blyth event will be centred around Blyth promenade, outside The Dave Stephens Centre at Links Road, where there will be free microchipping, a check a chip stand where you can make sure that your dog’s microchip still works, free dog poo bags and an opportunity to sign up to the scheme.
In honour of its first anniversary, and gaining well over 1,000 members, there will also be party bags for dogs, a name the dog competition, advice from a local animal welfare officer and a brilliant opportunity to socialise your dog.
Each event features a group dog walk and on Saturday this will start from the Dave Stephen’s Centre at 12.30pm.
Dog owners are encouraged to join the Green Dog Walkers scheme by signing a pledge. Those signing the pledge agree to always clean up after their dog and put the bag in a bin and to use a friendly approach to encourage other dog walkers to do the same.
Those who sign up are sent a green dog walkers armband to wear when walking their dog to help draw attention to the scheme as well as green doggy bags and pledge leaflets.
The council also provides a Green Dog Walkers support kit to local community groups and individuals who want to get involved.
Councillor, Glen Sanderson, cabinet member for the environment and local services at Northumberland County Council said: “Dog fouling is one of our top environmental priorities and one of the issues most commonly raised with us by residents.
“Green Dog Walkers is intended to be a friendly and non-confrontational approach to changing attitudes to the problem of dog fouling.
“It complements other council approaches across the county including issuing fines when irresponsible dog owners are caught allowing their dogs to foul without picking up after them and educational initiatives promoting responsible dog ownership.
"We are extremely grateful to all of our Green Dog Walkers for their commitment.”
Dates and times for future events are:
Saturday July 28 -
Prudhoe riverside - 11am-3pm, Dog Walk at 12pm.
Saturday August 11 - Cambois beach shelter - 11am-3pm, Dog Walk at 12pm.
Saturday August 18 - Berwick - Spittal promenade - 11am-2pm, Dog Walk at 12pm.
Saturday September 1 - Hexham Bandstand - 11am-3pm, Dog Walk at 12pm.
If you are interested in becoming a Green Dog Walker, please email email@example.com, or visit www.northumberland.gov.uk/greendogwalkers

domain: pet


NA-F2000: Road Atlanta round three race notes
BYSTROM CONVERTS POLE INTO F2000 CHAMPIONSHIP SERIES WIN AT ROAD ATLANTA Noah Bystrom converted his first series pole position into an inaugural F2000 Championship Series win on Friday, scoring the victory in Round Three at Road Atlanta. Joining ...
BYSTROM CONVERTS POLE INTO F2000 CHAMPIONSHIP SERIES WIN AT ROAD ATLANTA
Noah Bystrom converted his first series pole position into an inaugural F2000 Championship Series win on Friday, scoring the victory in Round Three at Road Atlanta. Joining the Andersen Racing race winner on the podium in Georgia were championship leader Matt McDonough and rookie Terrick Mansur.
Getting the green flag in ideal sunny conditions, the 32-car F2000 Championship Series field fanned out heading into turn one. Greatly entertaining the fans on hand, the leaders went through the opening turn side-by-side. Van Sicklen, getting a superb start in his VS Racing car, passed the polesiter Bystrom going up the hill into turns two and three. Sticking right on the Round Two race winner's rear tail, Bystrom regained the lead entering the chicane on the opening lap. While the start of lap two witnessed the entire top-five tightly bunched together, by the completion of the lap, Bystrom and Van Sicklen had established a small gap on the intense fight for the final podium position.
Running in close formation, Mansur, McDonough, Ricardo Vassmer (Andersen Racing), Juliana Gonzalez (Andersen Racing) and Phil Lombardi (PMC Racing) repeatedly went two and three wide around the course while battling for third place. As the battled ragged for position, a change at the front occurred, when Van Sicklen took over the top spot for a second time. Lap after lap, Bystrom looked for a way past into the lead, while third through sixth place repeatedly shuffled. Just prior to halfway point of the 18-lap race, the order at the front changed, when within two laps Bystrom passed for the lead and Mansur in his Andersen Racing car caught and passed Van Sicklen. This pass for the lead would prove the turning point for Bystrom, as once out front he turned some very quick laps, establishing a sizeable lead on second place, which now featured Mansur, McDonough, Van Sicklen and Gonzalez doing battle. This battle for position further grew by a car, when Cole Morgan in his St. Clair Motorsports entry, having charged all the way from the rear of the field, made his presence felt. Dicing for position through every corner, the order among the top-five changed one final time, when McDonough passed Mansur just prior to Morgan and Van Sicklen having contact, resulting in the race winner ending his race in a gravel trap. When the checkered flag finally waved, Bystrom, having led the entire second half of the race, scored his first series win by 1.673s over McDonough. Completing the top-five were Morgan, who captured the Hard Charger award, and Gonzalez.
Round Four of the 12-race season will take place Sunday, May 12, at Road Atlanta, following qualifying earlier in the day. Entering the final race of the doubleheader, McDonough leads the championship standings by 16 points over Bystrom, who in turn is six points ahead of Mansur.
-credit: f2000 championship series
FPAUDI: Snetterton: Friday test day notes
FPAUDI: Snetterton: Round seven qualifying notes


As small as the threat may be, Mac users can no longer claim immunity from attack by malicious software online. Many Mac users are starting to recognize this new reality and now Apple does, too. As noted in a recent PC World article, Apple has quietly removed the claim "It doesn't get PC viruses" from its OS X website and replaced it with the phrase "It's built to be safe." Also changed is the paragraph header "Safeguard your data. By Doing Nothing," which now says "Safety. Built right in."
It's a subtle difference, but it's enough to show that Apple recognizes the importance of Mac security. Mac OS X is growing as a desktop platform and increasingly will be the target of malicious attacks. Recently, the Flashback botnet infected over 670,000 computers worldwide, most of which were running Mac OS X. This botnet exploited a hole in Java that was patched by Apple in a subsequent update to OS X.


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Wanderlust 108 Brooklyn Event Recap
I had the pleasure of attending Wanderlust 108 Brooklyn in early September after winning a raffle ticket at a fitness event with Alli Forsythe and Cassandra Bianco in Industry City. The whole “I never win anything” has become a thing of the past!Wanderlust 108 is what they, aka marketers, call…
Guggenheim Giacometti Exhibition Recap
With the Giacometti exhibition coming to a close at the Guggenheim Museum, I’d like to share my favorite pieces that inspired me the most.A preeminent artist of the 20th century, Alberto Giacometti (1901–1966) investigated the human figure for more than 40 years. This comprehensive exhibition, a collaboration with the Fondation…
Clean + Dirty Drinking with Gaby Mlynarczyk at Williams Sonoma Columbus Circle
With book launches happening frequently around New York, you’d be hard pressed to find something you don’t like. Earlier this week, Gaby Mlynarczyk, bartender and blogger based in Santa Monica, California, hosted a mixology class at Williams Sonoma Columbus Circle. Let’s be honest, the only times when you hear the words…
The Wild Trees with Claudia and Monica
Photographing Claudia and Monica was my highlight of the day. Friends since childhood, there’s this amazing energy and love, not to mention silliness, when they’re together. It makes bringing a camera with me everywhere I go worthwhile.
#girlboss Clau chilling in the park. I used a 25mm wide angle lens…
Outfit of the Day with Ariel Nichole
I had the pleasure of photographing Ariel Nichole, a fashion and lifestyle blogger from New Jersey, in New York City last weekend. Using natural light, we experimented with different poses and expressions to evoke a light and airy vibe. Combining the look with nude makeup, the results turned out fantastic.

domain: artistic


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HOPS is an online management and compliance system designed for heritage railways, museums and centres.
The system is continuously under development by heritage and professional railway operators.
Virtually all aspects of railway data processing and recording and ancilliary administration relevant to the heritage sector are within the
ultimate scope of this system.
HOPS was started in 2009 and administers 26421
registered users at 117 heritage centres and museums
Read more about HOPS...

domain: history


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I love my sleep and the more hours of sleep I can get, the happier I get! So, naturally I wondered if sleep requirement changes as we age and I got on to the internet to begin my research on how much sleep do we really need as we get older. Here’s a result of my findings… do tell me if any of these are true in your case?
The good news is seniors don’t need as much sleep as younger people do. However, they tend to be more sleep deprived due to various reasons. Apparently insomnia is more common for seniors, either due to health issues, sleep disturbances, anxiety and concerns of aging, or due to medication. Sleep typically comes in breaks through the day rather than a long stretch at night so you might not feel well rested.
So, I set out to look at how we can work towards getting the right amount of sleep and good rest as we age. Before I get to that, let me list the most common symptoms of sleep disorders in seniors.
The foremost is if you find yourself having trouble falling asleep;
Another sign of a sleep disorder is when you realize that you wake up very early in the morning;
If you are unable to tell night from day, that is another telltale sign of sleep disorder;
And finally, if you notice yourself waking up frequently at night, you might be suffering from a sleep disorder.
Since medication is one of the common reasons for sleep disorders, I think it best to list those out and rule them out first. Health issues that prevent seniors from getting that much required undisturbed sleep at night include side effects of prescription medications; chronic pain, often from health conditions like arthritis; depression; consumption of alcohol; sedentary lifestyle where there’s not enough exercise; snoring or sleep apnea; Alzheimer’s disease or a neurological problem; increased caffeine intake; and decreased bladder control resulting in frequent urination at night.
Apparently it is also possible that biological changes in seniors can contribute to sleep disorders… And the theory on that is the hormone melatonin that usually helps people sleep is produced and released less by seniors. Insomnia in seniors is also often linked to either medical or psychological problems. It is important to stay aware of the body and mind as we age in order to first rule out these conditions for sleep disorders.
Here are some suggestions I found that could help battle sleep disorders and get that well deserved full night’s rest!
Like always, I would like to end this article by welcoming you to share your thoughts and experience in ensuring you always get a good night’s rest. Please share your thoughts as well as experience on this as a comment here or reach out to us over Whatsapp or email at +919900050893 & email@example.com. You can also join our exclusive members only community for seniors here to start a conversation on this – www.facebook.com/groups/SamsaraLivingCommunity

domain: psychology


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Bioethics Forum Essay
Borderline Disorder: Medical Personnel and Law Enforcement
Some recent news raises serious concerns about the relationship between medical professionals and law enforcement. Not being investigative journalists, we cannot speak to the accuracy of media reports or documents submitted to the court. However, if the truth even roughly resembles the claims, the situation is extremely troubling.
The American Civil Liberties Union recently filed a federal lawsuit on behalf of a 54-year old New Mexico resident, “Jane Doe.” The defendants are the board of managers of El Paso County Hospital District, the University Medical Center of El Paso, two physicians, and agents of the U.S. Customs and Border Protection (CBP). The lawsuit alleges that on December 8, 2012 Ms. Doe was returning from a visit in Mexico when an agent of CBP informed her that she had been chosen for increased inspection and secondary screening.
After frisking failed to produce any contraband, agents sent her back in line to finish customs procedures. According to the complaint, a drug-sniffing dog, possibly prompted by a CBP agent, lurched at Ms. Doe. Agents then led her to a private room where she was subjected to further searches, including visual examination of her anus and vagina with a flashlight and the insertion of an agent’s finger into her vagina. Throughout the search, Ms. Doe never expressed consent, nor did the agents present a warrant.
Ms. Doe was then transported to University Medical Center of El Paso. There, she was handcuffed to an examination table, and instructed to ingest a laxative. The resulting bowel movement was observed by CBP agents and two physicians. When no contraband was found, the doctors ordered an x-ray. The results showed no evidence of drugs.
With the examination room’s door open to the view of nurses and passersby, one of the doctors “barked an order that Ms. Doe spread her legs.” The doctor inserted a speculum into Ms. Doe’s vagina and examined her interior cavity. A subsequent bimanual cavity search revealed no evidence of drug smuggling. The doctor proceeded to perform a rectal examination, probing Ms. Doe’s rectum with his finger. Again, CBP and the doctors found no evidence of drugs hidden in Ms. Doe’s body. Finally, the doctors ordered a CT scan of Ms. Doe’s abdomen and pelvis. The results showed no evidence that Ms. Doe had ingested any drugs.
Throughout her traumatizing experience, Ms. Doe presented no medical symptoms indicating need for examination or treatment. Neither was any medical reason given for the examinations. She consented to none of the procedures. There was no search warrant. After the negative results of her CT scan, CBP agents offered Ms. Doe a choice: sign the consent form or be billed for the medical procedures. Ms. Doe refused, and she received a bill from the University Medical Center of El Paso for more than $5,000. According to the complaint, Ms. Doe continues to experience symptoms consistent with those of sexual assault victims.
Lest we think Ms. Doe’s experience was an isolated incident, her complaint alleges that invasive searches done with the cooperation of medical staff at the University Medical Center of El Paso on behalf of CBP have occurred frequently. Moreover, a 2013 lawsuit filed by David Eckert of Lordsburg, N.M. alleged that law enforcement officers with the assistance of medical staff at Gila Medical Center (150 miles from El Paso) performed forced cavity searches on him. Like Ms. Doe, Mr. Eckert exhibited no symptoms suggesting a need for medical intervention, and he was subjected to invasive physical examinations (sedation and a colonoscopy), observed bowl movement (induced by three enemas), and two x-rays, all without consent. No contraband was found inside Mr. Eckert and he, too, was presented with a bill from the hospital for services rendered. In Mr. Eckert’s case, a physician at one medical center had refused to cooperate on ethical grounds. The CBP simply brought him to a different facility.
Cooperation between health care providers and law enforcement agents is not new. Many jurisdictions mandate health care providers to report gunshot wounds, injuries consistent with abuse, and evidence of child abuse. Nonetheless, the two cases above require hospital staff to cross an entirely new threshold. Invasive procedures ofnotherapeutic or diagnostic benefit to the individuals were forced on them in the name of public safety.
In Ms. Doe’s case, waiting to obtain a warrant would not have jeopardized her well-being or the case against her. Her stool could have been collected without involvement of medical personnel. Even so, ethically, with respect to the actions of medical personnel, a warrant does not override refusal of medical procedures when the individual is a competent adult who poses no threat to herself and who can be kept from posing any hypothetical threat to others without medical intervention. (The blogger at PHIprivacy.net argues similarly, but seems to allow that suspects in custody fall under the category of patients, which we hold was not the case in these instances.) Medicine’s status as a self-regulating profession gives physicians a way of objecting: what the CBP requested is not allowed by the profession. It was rape.
To be fair, health care providers are often unaware of their legal obligations with respect to assisting law enforcement agents. Asymmetric power dynamics create a relationship that discourages refusals to cooperate, whistle-blowing, and the safeguarding of the suspects’ well-being. Uncertainty about the rights and duties of health care providers in the face of orders from law enforcement risks undermining the trust we have in health care providers. That the power imbalance between law enforcement and medical professionals mirrors that between medical professionals and patients is all the more reason for health care providers to safeguard their professional autonomy in the face of state demands.
When medicine deviates from its goal of furthering patients’ health care interests (as in some experiments on human subjects), it runs the risk of undermining patient trust. Only through rigorous and public adherence to professional standards of ethics can health care providers engender the atmosphere of trust indispensable to both professional autonomy and proper patient care.
Ms. Doe’s and Mr. Eckert’s lawsuits show the desperate need for professional organizations to outline legal and moral boundaries between law enforcement and medicine. Physicians as a group have successfully refused the requests of the criminal justice system in the past by not participating in state-sanctioned executions. We believe this establishes a salutary precedent that ought to be extended to invasive medical searches against a patient’s will.
Dien Ho, PhD, is an associate professor of philosophy and health care ethics; Kenneth A. Richman, PhD, is a professor of philosophy and health care ethics; and Mark Bigney, MA, is a faculty associate at MCPHS University, Boston.
Posted by Susan Gilbert at 04/03/2014 10:52:55 AM |

domain: law


The Special Cabinet meeting will discuss at length on the situation arising out of spread of Coronavirus.
Hyderabad: A Special State Cabinet meeting will be held here on Saturday at Pragathi Bhavan at 3 PM under the chairmanship of Chief Minister K Chandrashekhar Rao.
The Special Cabinet meeting will discuss at length on the situation arising out of spread of Corona virus. The Cabinet may also discuss about the need to extend the lockdown implemented to curtail the spread of the virus.
Other issues that will be taken up for discussion are State’s economic situation, future course of action, assistance given to the poor in the state and others who have migrated into the state, procurement of the agriculture produce, loss due to the hail storm.


text: A four-year standout jumper on the Grand Canyon University track and field team, Paxton Henry saved his best work for the WAC Championships his senior year, recording his personal best leaps in the triple jump (15.17 meters) and high jump (1.91 meters). He’ll be putting all that athleticism and his experience as a top area basketball player at Prescott (Ariz.) H.S. to work after a run with the ABA’s Scottsdale Titans last winter got him back in the hoops habit. Henry was recommended to SlamBall by the Slashers’ Tony Crosby II, his former GCU track teammate. Henry earned an engineering degree from GCU.

domain: sports


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Female breasts are a symbol of womanhood, fertility and motherhood. The shape of a woman’s breasts goes hand in hand with her feeling of self-esteem. Breast size and shape are determined by a number of factors including pregnancy, life circumstances and the aging process. Thanks to various procedures, it is possible to enhance the physical appearance of breasts, helping women regain their confidence and zest for life. We only use top quality implants from leading international manufacturers.
Male breast prominence can also be an issue. This can, for example, be caused by true gynaecomastia (caused by excessive growth of breast tissue) or pseudo-gynaecomastia (caused by fat deposits).
After an initial in-depth consultation with Dr. Larcher, all treatment options and operation techniques will be fully discussed and a holistic concept will be developed to suit your personal needs.


Delegations from 20 countries will gather to discuss security measures in the 54th edition of the Conference of Leaders of the Air Forces of America (CONJEFAMER) in Colombia’s second largest city, Medellin, international media reported on Tuesday.
The conference will focus on topics such as the use of airspace resources for defense and national security, according to Bogota’s Caracol Radio.
In particular, the System of Cooperation of the Air Forces of America (SICOFAA) will be evaluated. Conversations will be held surrounding the integration of air force technology and manpower among the various nations in order to collectively combat any transnational threat towards the region, which constitutes a top priority for the conference, reported Cuba’s Prensa Latina newspaper.
The meeting will include representatives from the Air Force of Colombia (FAC), among other notable nations such as Argentina, Canada, Brazil, Bolivia, Chile, Jamaica, and Uruguay. Despite territorial tensions between Colombia and Nicaragua’s national security forces, Nicaragua will also be in attendance.
Colombia will serve as the conference headquarters for the first time since 1991, according to Prensa Latina.
The conference will last five days, where the performance of the combination of the air force organizations will be analyzed according to different situations and operations, which will be held in restricted areas.
“Throughout this meeting we’ll look to unite and generate bonds of brotherhood between the air forces of the continent, as well as bring about synergy,” said General Guillermo Leon Leon, commander of the FAC as quoted in Caracol.
Leon added that he hoped to establish important agreements regarding the regional fight against drug and weapons trafficking, as well as disaster plans “between the nations in case one of our beautiful countries in Latin America is affected by a natural disaster.”


Significance of Bottleneck Analysis in Microservices
Bottleneck analysis has become a significant part of microservices development for many reasons. Such as:
1. Identify and Isolate Performance Issues
Conducting a bottleneck analysis allows the developer to pinpoint specific areas where the application is experiencing performance issues. This process involves identifying the application’s slow-performing components and evaluating its reasons. Metrics such as response time, error rate, and throughput can be used to identify and isolate the bottlenecks to improve the application’s overall performance.


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Singer Lily Allen, has told how she loves Beyoncé so much she would become a lesbian for the star. Lily, 29, who has two children with husband Sam Cooper, joked: “I’d turn for Beyoncé.”
Ahead of her US tour which begins in September in Miami, she told The Sun “I think our kids would look really good together”.
The Hard Out Here solo artist name checks Beyoncé in the title track of her new album Sheezus, and even performed a version of Drunk in Love at the G-A-Y club in April.
Lily was speaking at the premiere of Game of Thrones where she supported her brother Alfie, who stars as Theon Greyjoy in the hit HBO show. She scorned criticism about leaving her daughters at home to go to the Game of Thrones premiere, teasing: “How dare you? You’d never be like ‘Chris Martin is on tour, abandoning his children”
It remains to be seen whether the show would be too violent for her children Ethel, 2, and Marnie, 1.Reuse content

domain: celebrity


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Job title: CB APAC & FRM Business Manager
Department: DB Centre - Corporate Bank - Corporate Bank Central
Deutsche Banks Corporate Bank (CB) a market leader in,, and . Focusing on the treasurers and finance departments o
Posted: a month ago
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domain: finance


Bronx River offers 23 miles for boating, fishing and bird watching
As New York City cautiously reopens, there are some fun outdoor activities that are close to home.
The Bronx River, which runs 23 winding miles, is a great place for a summer adventure.
"For far too long we have heard people say, ‘I never knew there was a river in the Bronx,’” says Michelle Luebke, of the Bronx River Alliance.
The Bronx River runs from southern Westchester, curving through the middle of the Bronx until it empties into the East River near Hunts Point.
"It's the only freshwater river in New York City, and we think that that's pretty fantastic,” says Luebke.
She says it's great for a mental release and escape.
On the water, residents can go fishing, boating if they have their own kayak or canoe, bird watching and more.
"We get Egrets and we get Heron and we get ospreys and all sorts of really cool fish eating birds,” says Luebke.
On land, a greenway runs nearly the entire length of the river.
Starlight Park, like many others, has spectacular views of nature and areas to exercise.
"You can walk, you can bike, you can run and you can hike all along the Bronx River,” saysLuebke.
A can't miss spot is just north of the Bronx Zoo and the New York Botanical Garden where the Bronx River Forest hides.
"It's such a magical place...closer to what the Bronx River watershed would've look like prior to colonization,” says Luebke.
Those who plan on going to parks or out on the river are encouraged to wear a mask.


Ashly Audio, a division of Exertis | JAM, specializes in designing and manufacturing high-quality signal processing equipment and power amplification for commercial and professional audio markets.
Ashly Audio has released 3rd-party support files for its FX Series Networked Amplifiers, which have been widely used in various control systems and speakers installations.
Ashly Audio has released 3rd-party support files for its FX Series Networked Amplifiers, offering easy integration with popular systems, optimized speaker management, increased usability and value, and a customer-centric focus, ensuring the amplifiers’ potential is maximized across various audio installations.
About one year ago, Ashly Audio introduced the FX Series Networked Amplifiers to resounding approval. The great success of the FX Series has led many of our customers to use them in installations involving a range of control systems and speakers by several manufacturers. In response, Ashly Audio is excited to announce its release of 3rd-party support files for the FX Series.
By design, two of the strongest features of the FX series are its access to control via Ethernet, and its powerful DSP tools, specifically those related to speaker management. In order to take full advantage of these features and to further support our customer’s projects, we have released a library of control drivers, enabling the FX Series amplifiers to easily integrate with products from Control4, Crestron, STI and others.
In addition, we are also making available a library of speaker preset files for a range of speaker manufacturers. This includes models by JBL, Community, MSE, Bose and many more. These files may be loaded into the FX’s internal Speaker Library and assigned to any output. The user may select one or more depending on the type of speakers used.
All files are downloadable for free at www.ashly.com/FX
Now, in addition to the Ashly General Control API and Speaker files introduced for Ashly speaker models, we have now made a broader range of options available to our customers, increasing FX amplifier’s usability and value and making it the smart choice for all their project needs.


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- Exchanges: Massachusetts will run a state-based exchange.
- Medicaid Expansion: Massachusetts supports Medicaid expansion and will be moving forward with it at this time.
- Medicare Advantage Enrollment: Massachusetts currently has 209,257 seniors and people with disabilities enrolled in Medicare Advantage, or about 18% of all Medicare beneficiaries.
NEWS OF NOTE
» Associated Press – Patrick signs health care cost containment bill
» 06.28.12 Remarks on the Affordable Care Act Decision
» Boston Business Journal – The Best Primary Care in Mass, and the Worst: Consumer Reports Weighs In
» Modern Healthcare – Mass. Senate Passes Healthcare Payment Reform
» WSJ – Same State, New Stab at Health Care
» Washington Post – Massachusetts Payment-Reform Bill Would Overhaul How Health-Care Providers are Paid

domain: news


R.Madhavan’s son wins Bronze for India in swimming . R Madhavan’s 12-year-old son Vedaant has made India and his parents, R Madhavan and Sarita proud. He won a bronze medal for India in the 1500 meter freestyle category at the Thailand Swimming Championship 2018.
Proud father R Madhavan announced this news along with a photograph of his son on Twitter. Madhavan’s son is seen holding his medal and certificate in the picture. Madhavan captioned the image by saying that, “Proud moment for Sarita and I as Vedaant wins his first medal for India in an international swim meet in Thailand today. Thank you for all your blessings.”
For more news updates Follow and Like us on Facebook


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Originally founded in 2003 by Phi Mu and Sigma Alpha Epsilon, Dance Marathon is a philanthropic event in support of Riley Hospital for Children.
On Nov. 20, 1964, 25 architects petitioned the Indiana State Legislative Advisory Commission to consider establishing a state-supported School of Architecture.
On Wednesday, attorneys from the Alliance Defending Freedom, ADF, filed a federal lawsuit against Ball State University officials on behalf of Students for Life.
As the only Ball State sports program to reach 1,000 wins while holding a winning percentage above .700, the men’s volleyball team has been a model of consistency throughout its 55-year history.
Sunday marked the beginning of preliminary competition to see who will gain the title of Miss Indiana 2018 and some of Ball State’s own will be going for the crown.
From bagpipes to being damned to Hell, marching bands and brass horns, Ball State University's Scramble Light has become much more than a place for thousands to safely walk across campus.
When people think of Ball State, there are few icons that come to mind: Charlie Cardinal, Beneficence and of course, Ball jars.
This week, Steam announced that it no longer plans on moderating any content put on it’s store, barring things that are “illegal” or “trolling.” What this means is obviously open to interpretation, ...


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Writers of textbooks in the age of Internet-based information face a greater challenge because of the ease with which researchers or even practitioners can access new and emerging medical information, oftentimes from their own desktops. But textbooks serve a wider purpose beyond the presentation of information. They lend legitimacy to an area of inquiry as it metamorphoses into a discipline. A textbook is thus at once symbol of a discipline and repository of new information digested by its experts. The publication of Comprehensive Textbook of Psychiatry by Cohen and Gorman denotes the coming of age of AIDS psychiatry as a discipline. The textbook traces the long development of current knowledge of AIDS and the twists and turns the pursuit of this knowledge took within societal institutions and policy-making bodies. Viewed from this perspective, the book is a bildungsroman of the AIDS era in the biopsychosocial mode.
Trinidad AC. Comprehensive Textbook of AIDS Psychiatry. JAMA. 2008;300(5):586–587. doi:10.1001/jama.300.5.586
Coronavirus Resource Center
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domain: library


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They make countless professions each day, liquidating settings before the market bell rings, wishing to make make money from short-term price activities. Day investors look for to capitalize on little price motions in extremely liquid stocks or other safeties like forex or futures. It’s a game of secs and minutes, not days and weeks, and because of this, calls for a completely various strategy than typical investing. There’s another thing left for you to finish your education and learning about day trading.
What Do Open And Shut Placements Mean In Forex Trading?
It’s a fast-paced, high-energy kind of trading that requires a keen eye for detail, a strong understanding of the market, and a durable technique. In this post, we’re going to discover a few of the best day trading methods available. From technological signs to types of trading techniques, we’ll cover the ins and outs of day trading and offer you the devices you require to do well.
Safeguarding funding requires not taking unneeded dangers and doing whatever you can to protect your trading company. Day investors, both institutional and individual, play a crucial role in the industry by keeping the marketplaces effective and fluid. With adequate experience, skill-building, and constant efficiency analysis, you might have the ability to boost your chances of trading profitably. Basic analysis is much better suited for long-term investing, as it concentrates on valuation.
Despite exactly how audio your strategy is or how much you’ve exercised, unexpected swings in the marketplace can create you to shed big quantities of cash. Because of that, when you’re simply starting out, it can be useful to think of day trading a little bit like gaming. Your broker facilitates your trades, and in exchange charges you a commission or charge on your professions.
Better Yet, Discover Winning Opportunities On Autopilot With Our Stock Screeners!
So once you have your trading strategy all set, locate the persistence to adhere to your policies. Persistence is not concerning doing nothing; it has to do with doing the appropriate thing at the correct time. Good fortunes really shouldn’t be a problem, as long as we do not get lugged away in the minute. We need to keep in mind that occasional losses are unpreventable for all investors– the key is to restrict the dimension of those losses with careful risk management while increasing successful trades. It’s alluring to think about raising profession sizes and there is nothing wrong with that said.
This device helps you assess the market’s general direction and strength, offering a clear and precise picture of present problems. Also, be sure to review this article on the very best day trading platforms. When you search for a day trading pattern only seek clean and easy cost action. They might also make trades as small as $10 and after that if they do that 100 times that would certainly be $1,000 a day. forex robot if you know what I mean, this kind of scalping (trading) can also be called high-frequency trading.
As an options trader, you can be either a purchaser or seller of the contracts. Investing methods holding a possession for anywhere in between a year and a life time. Below, you’re seeking the property to climb in price, in addition to potential returns. A position trader can hold supplies longer– anywhere from weeks to two years approximately. A swing investor can hold placements anywhere from a day to a couple of weeks. Day trading concepts consist of yearning solid stocks, shorting weak ones, and trading news stimulants.
Investors can utilize cost action ideas, use pattern evaluation, seek chart patterns and particular indication signals, speak with fundamental information, and much more. Being proficient at taking losses indicates not obtaining emotional and remaining goal. Wait on the following setup prior to attempting to restore your loss. Do not enhance your risk on the following profession to (potentially) make back your loss faster. Do not move your stop loss additionally away to postpone loss-taking.
Maintain your strategy always up to date and close your professions at your discretion. Horizontal areas are created in zones “3” and “4”– the trade can be closed in any one of them. Alternatively, you can shut 50% of the trade in zone “3” and guarantee the remaining 50% with a tracking stop.
It can be easy to discard your cash right into the market and assume you’re done. But those that develop real wealth do so in time, by adding money to their financial investments. That implies having a solid conserving technique– holding back some of your income– so that you can place it to operate in the securities market. You’ll be able to place even more money to function and grow your wealth even quicker.


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TEMA (tē'ma, Heb. têmā’)
One of the twelve sons of Ishmael and progenitor of a tribe (
TEMAH (tē'ma, Heb. temah). The children of Temah were temple servants (kjv Nethinim) who returned from exile with Zerubbabel (
TEMA te’ mə (תֵּימָ֔א, south country). The name of one of the twelve sons of Ishmael (
The place is the same as the modern Teima in N Arabia, a large oasis about halfway between Damascus and Mecca, and between Babylonia and Egypt. It is on the ancient caravan road connecting the Persian Gulf with the Gulf of Aqaba. It is one of the most attractive oases in Arabia and is still one of the most important trade centers in the land.
Two references in the Bible tell of the metropolitan position of Tema in the transdesert trade:
An Akkad. inscr., which was published under the title, “A Persian Verse Account of Nabonidus,” relates that Nabonidus, the last king of the Neo-Babylonian, or Chaldean, empire (556-539 b.c.), divided his power with his eldest son Belshazzar and entrusted the kingship to him. He did this that he might proceed with an army against Tema. He conquered the city, slaughtered its inhabitants, rebuilt it so that it recalled the glory of Babylon, and made it the capital of the western part of his empire. Another inscr., the Nabonidus Chronicle, gives an annual diary of the reign of Nabonidus for seventeen years, and records that for years he lived at Tema and therefore did not attend the New Year festival in Babylonia. An inscribed early Aram. monument, the Teima Stele, possibly dated in the 6th cent. b.c., records the grant of specified palm lands and perpetual right in the priesthood of the local god, Salm, to a certain priest Salm-shezeb. All surviving monuments and inscrs. of Tema show that for some years it enjoyed the rank of ancient Petra and Palmyra.
About 540 b.c., Cyrus, king of Persia, conquered all that region of Arabia, and Babylon itself fell a year later. Nabonidus was kindly treated by Cyrus, who gave him Carmania (in S Persia) to rule, or more prob. as a place of abode in a new land (Jos. Apion I. 20); and there he died.
R. P. Doughtery, Nabonidus and Belshazzar (1919), 105-124; S. Smith, Babylonian Historical Texts (1924), 98-123; C. M. Doughty, Arabia Deserta, I (1925) 285-300; J. A. Montgomery, Arabia and the Bible (1934), 58-68; J. Finegan, Light from the Ancient Past (1959), 227, 228.
TEMAH te’ mə (תָּֽמַח). Founder of a family of Temple servants who returned from the Captivity with Zerubbabel (
International Standard Bible Encyclopedia (1915)
The name of a son of Ishmael (
The family name of a company of Nethinim (


Water underfloor heating systems are ideal for heating your floors efficiently and cheaply. Because they heat your floors using your air source heat pump or boiler, they don't require as much electricity as an electric system, helping you to save money on bills. Plumbworld offer wet underfloor heating panels for floating screeded floors and low floors. Controls and accessories are also available to complete your underfloor heating setup. Shop our full collection below.


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We’ll enjoy village life in a “Pueblo Mágico” and learn to cook the local Tepozteco cuisine with La Villa Bonita Executive Chef, Alexandra Quiroz, othwerwise know as “Chef Ale.” Chef Ale will teach you how to prepare an entire traditional Tepozteco meal in an incredible scenic open-air kitchen at La Villa Bonita. You’ll get a hands-on cooking experience and learn how to prepare a variety traditional dishes with local ingredients. Guests will make tortillas from ancient corn varieties grown locally and learn about the history of Tepozteco dishes. The cooking class will take 1.5 hours and once the dishes are prepared we’ll have lunch and enjoy a 360-degree view of the Tepozteco Mountains. The class and lunch will take place from 11:00 am until 1:00 pm.
I have taught the joys of Mexican cuisine for almost 20 years to foodies and professionals from around the world at my award-winning La Villa Bonita Culinary Vacation resort where your class will take place. Chef Alejandra Quiroz will teach class. She is my Executive Chef at La Villa Bonita and incredibly accomplished. Chef Ale has worked alongside some of the most famous Mexican chefs such as Juanxo Sanchez at El Madrigal and Pablo Salas of Amaranto, one of the 50 best in Latin America. Chef Ale is from Tepoztlan where her family enjoys a long history using local ingredients like flor de tzomplantle, ancient criollo corn and beans, as well as wild mushrooms havested in the mountains. Her family has orchards with avocados, plumbs, guava, and limes. Chef Ale is passionate about teaching the use traditional techniques in daily life.
Cooking class and lunch Let me know if you have any dietary restrictions. We can accommodate vegans, vegetarians, and gluten…
Non-alcoholic drinks Wine, beer, and cocktails are available for an additional fee.
Cooking equipment I’ll provide all cooking equipment and materials to cook during the class.
We will be on the grounds of La Villa Bonita Culinary Vacation and cooking in our specially-designed kitchen with scenic views of the ex-convent and magestic surrounding Tepozteco mountains.
You will need to arrive at La Villa Bonita in Tepoztlán, which is located 45 minutes south of Mexico City. We are visible in Waze and Google Maps. This is not a stuffy class. We have fun, so bring a big smile and sense of humor.
Make Tepozteco dishes with a local chef


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InMomentum is a minimalistic sci-fi platform racing game that challenges the players to think in both horizontal and vertical perspectives while racing against each other or against the clock in a puzzle-like environment. InMomentum gives the players the possibility to explore a visually unique world by having minimized object detail and a special focus on visual stimulation by the use of colors and shapes. The game’s style forges a strong bond between the visuals and the player, thus provides a very unique experience.Go to: http://store.steampowered.com/ and download STEAM client
Click “Install Steam” (from the upper right corner)
Install and start application, login with your Account name and Password (create one if you don’t have).
Please follow these instructions to activate a new retail purchase on Steam:
Launch Steam and log into your Steam account.
Click the Games Menu.
Choose Activate a Product on Steam…
Follow the onscreen instructions to complete the process.
After successful code verification go to the “MY GAMES” tab and start downloading.

domain: game


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A 5m high sculpture in front of Doncaster’s Keepmoat Stadium. I drove past and spotted a car boot sale outside the stadium, so went to see what was on offer. I found one stall selling magazines and was attracted to the cover of one with two free cover mount CDs. The cover had an Opeth taster, and a guy who looked Goth like. His head covered the name of the magazine so you could just see “Ter” and “er” I bought it for £1…I’m now the owner of a death metal mag with two cds of pure hell!
But back to the reason for today’s blog…the sculpture, by Andy Scott was catching the light well, so I used the iphone with Hipstamatic to record the view. Please with how it’s recorded the background clouds.

domain: hobby


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Can You Freeze Yogurt Before It Expires?
Yes, you can freeze yogurt before it expires.
It is best to store opened yogurt in an airtight container, labeled with the date of freeze or expiration.
Before freezing fruit-flavored yogurt, stir it well to ensure even distribution.
You can also freeze pre-portioned amounts of yogurt in ice cube trays and then transfer them to a plastic zip-top bag or airtight container.
Frozen yogurt can be stored in the freezer for up to two months.
To thaw, defrost slowly in the refrigerator for at least 24 hours.
Keep in mind that thawed yogurt may have a slightly liquid or grainy consistency, but it can still be used in baking or smoothies.
Quick Tips and Facts:
1. Contrary to popular belief, freezing yogurt before it expires can actually save it from spoiling. The long shelf life of frozen yogurt can help extend its expiry date by several weeks, keeping it safe to consume for a longer period of time.
2. Freezing yogurt alters its texture, making it icier and less creamy. However, this makes it a versatile ingredient for making frozen treats like yogurt popsicles or frozen yogurt bowls, as the texture change can enhance the overall experience.
3. When freezing yogurt, it is important to transfer it to an airtight container or freezer-safe bag, removing any excess air to avoid freezer burn. Proper packaging not only helps maintain the yogurt’s taste but also prevents ice crystals from forming, ensuring a smoother texture when thawed.
4. Freezing yogurt can be a great way to reduce food waste. If you notice that your yogurt is nearing its expiry date and you won’t be able to consume it in time, simply pop it in the freezer to use for future recipes or smoothies.
5. While freezing yogurt can help extend its shelf life, it’s worth noting that the taste and quality may slightly deteriorate over time due to the change in texture. Therefore, it’s recommended to consume frozen yogurt within three to four months for the best taste.
Freezing Opened Yogurt
When it comes to yogurt, many people are unsure whether it can be frozen, especially if it has already been opened. The good news is that you can indeed freeze yogurt even if it has been opened.
To freeze opened yogurt, it is important to transfer it to an airtight container. This will help to prevent freezer burn and keep the yogurt fresh. Make sure the container is clean and dry before transferring the yogurt. It is also recommended to portion out the yogurt into smaller containers to make it easier to manage when thawing.
- Yogurt can be frozen even if it has been opened.
- Transfer it to an airtight container to prevent freezer burn and keep it fresh.
- Portion out the yogurt into smaller containers for easier thawing.
Proper Storage For Opened Yogurt
Proper storage for opened yogurt is crucial to maintain its quality and prevent contamination. As mentioned before, using an airtight container is essential to prevent freezer burn and maintain the yogurt’s flavor. It is also important to store the yogurt at the back of the freezer, as it experiences less temperature fluctuations compared to the front.
Additionally, it is recommended to keep opened yogurt away from strong-smelling foods in the freezer to avoid any flavor transfer. This will help to keep the yogurt tasting fresh and delicious when it is eventually consumed.
- Use an airtight container to prevent freezer burn and maintain flavor.
- Store yogurt at the back of the freezer to minimize temperature fluctuations.
- Keep opened yogurt away from strong-smelling foods to avoid flavor transfer.
Labeling And Dating Frozen Yogurt
Labeling and dating frozen yogurt is a crucial step to ensure its freshness and prevent any potential spoilage. It is important to clearly label the container with either the date of freeze or the expiration date of the yogurt. This allows you to keep track of how long the yogurt has been stored in the freezer and prioritize consumption before it spoils.
In addition, labeling and dating can help avoid confusion and prevent accidental consumption of yogurt that has been stored for too long. Consider using a marker to clearly indicate the freezing or expiration date on the container.
Tips For Freezing Fruit-Flavored Yogurt
If you enjoy fruit-flavored yogurt with flavors at the bottom, there is a simple trick you should know before freezing. Before transferring the yogurt to an airtight container, make sure to stir it well. This will help to evenly distribute the fruit flavors throughout the yogurt and prevent any clumps from forming.
By properly stirring the fruit-flavored yogurt before freezing, you can ensure that each serving has a delicious burst of flavor when it is eventually thawed and consumed.
- Stir the yogurt well before freezing to distribute fruit flavors evenly
- Prevent clumps from forming in frozen yogurt
- Enjoy a delicious burst of flavor in each serving when thawed and consumed.
“Before transferring the yogurt to an airtight container, make sure to stir it well.”
Freezing Pre-Portioned Yogurt
To make thawing easier, consider freezing pre-portioned amounts of yogurt. This can be done using ice cube trays, which allow you to freeze yogurt in small individual portions. Once frozen, transfer the yogurt cubes to a plastic zip-top bag or an airtight container for storage.
Freezing pre-portioned yogurt offers convenience and helps reduce waste. You can easily take out the desired amount of frozen yogurt cubes without having to thaw the entire container.
- Freezing pre-portioned yogurt in ice cube trays
- Transferring frozen yogurt cubes to a plastic zip-top bag or airtight container
Freezing pre-portioned yogurt not only streamlines thawing, but it also minimizes waste.
Thawing And Restoring Frozen Yogurt
When it comes to thawing frozen yogurt, it is important to do so slowly to preserve its texture and quality. The best method is to defrost the yogurt in the refrigerator for at least 24 hours before consumption. This gradual thawing process helps to maintain the smoothness of the yogurt.
Once the yogurt has thawed, you may notice that it has a slightly liquid or grainy consistency. To restore its smooth texture, give it a good stir. Vigorously stirring the thawed yogurt will help to break up any ice crystals and return it to its original creamy state.
- It’s worth noting that any inconsistencies in the texture of the thawed yogurt can still be used for baking or in smoothies where the slight differences won’t be noticeable.
In conclusion, freezing yogurt before it expires is a great way to prevent waste and extend its shelf life. Remember to store opened yogurt in airtight containers, label and date the frozen yogurt, and stir fruit-flavored yogurt before freezing.
- Pre-portioning and slowly defrosting the yogurt will help to maintain its quality.
So go ahead and freeze that yogurt with confidence!
Frequently Asked Questions
Does freezing yogurt extend the expiration date?
Freezing yogurt can indeed prolong its shelf life, allowing you to enjoy it for a longer period. The frozen yogurt also serves as a refreshing summer delight when consumed in its frozen state. However, caution should be exercised when thawing frozen yogurt, as the process may not yield the desired results. For optimal usage, it is ideal to use thawed yogurt for cooking purposes instead.
What happens if I freeze yogurt?
Freezing yogurt can be a viable option for preserving its freshness for a considerable period of up to two months. However, it is important to note that upon thawing, the texture of the yogurt may undergo slight changes, appearing slightly more liquid or grainy than before. To restore its original texture, simply stir the yogurt vigorously for around 30 seconds before consuming it. This will help to evenly distribute the texture and ensure a smooth and creamy yogurt experience.
How do you store yogurt for a long time?
To extend the shelf life of yogurt beyond its usual duration, proper storage is key. After opening, transfer leftover yogurt into an airtight container to reduce exposure to air and maintain its freshness. It is advisable to freeze yogurt in small portions, using ice cube trays or freezer-safe containers, to conveniently thaw only the amount needed. By following these practices and consistently storing yogurt in the refrigerator, its longevity can be significantly increased, ensuring it remains safe and enjoyable for a longer period.
How long does yogurt last after freezing?
When it comes to yogurt, freezing can extend its shelf life significantly. After being frozen, yogurt can typically be stored for one to two months. This is longer than its refrigerated lifespan, which ranges from one to two weeks. However, it’s important to note that other soft cheeses like cottage cheese, ricotta, or Brie do not fare as well when frozen and are best consumed within one week when refrigerated.


William Hill has named EA’s Star Wars Battlefront as the second most likely to contender to claim the title of UK Christmas No.1.
It has chosen to slash the odds on the game due to the expected impact of Star Wars: The Force Awakens, which is released worldwide next week. The company is currently offering odds of 6/5 on that film becoming the highest grossing movie of all time, surpassing Avatar’s $2.76b worldwide total.
All of which means Star Wars Battlefront is now at 5/2 behind only Call of Duty: Black Ops III at 7/4 as the top running for the festive chart crown.
Third favourite is FIFA 16 at 7/2, which is the current UK No.1.
Other odds include Fallout 4 (4/1), Assassin’s Creed Syndicate (16/1), Guitar Hero Live (20/1), Metal Gear Solid V (33/1), Destiny (40/1), Grand Theft Auto V (50/1), PES 2016 (50/1) and The Uncharted Collection (50/1).
Star Wars Battlefront has surged up the betting from an original 7/1 and as the hype surrounding the movie increases,” William Hill spokesman Joe Crilly said. We think demand for the game will do so and it could easily be the number one game this Christmas.”


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Rust is infecting your food , and it can even be dangerous to eat if you’re not careful. It’s pretty unavoidable when you use a grill, especially one that sits outdoors where weather can affect it quickly. But if you’re proactive about cleaning your grill regularly and storing it in a place that can keep humidity and precipitation away, you should be able to manage rust quite well.
The important question is: How bad is the rust? The good news is that it’s unlikely to cause any harm unless you consume large amounts of it. Ingesting iron oxide in small amounts is generally considered safe, and if you do it regularly, your body can process the amount of iron you ingest.
Is it OK to grill on rusted grates?
However, if the rust is severe and it’s flaking off into your food, you need to take extra care when you cook on the grates. This is because the flakes of rust contain iron, and you don’t want to eat any of those. In addition, if you’re particularly sensitive to certain chemicals (like salt), it might be best to avoid consuming foods cooked on the grates altogether.
To get your grates back into working condition, you can try soaking them in a mixture of vinegar and salt. The salt increases the acidity of the vinegar, making it more effective at dissolving rust. You can also try a similar method with lemon juice or powdered detergent, but these might not work as well as the salt and vinegar solution.

domain: health


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1. Beggar's Mantle Muesli
Muesli doesn't come much more luxurious than this one from Fife-based bakers, Your Piece Baking. It's jammed with juicy fruit and all the oats used come from farms close to the bakery.
2. Alara Date with Cocoa Organic Muesli
Vegan food is tasteless, right? Wrong - this cocoa and fruit muesli from Alara, which is packed with antioxidant-rich dates and has no added salt or sugar, is full of flavour.
3. Lizi's Granola
Lizi's jumbo oat, coconut and pecan granola won a gold star at the Great Taste Awards. And a single bowlful accounts for nearly a quarter of your recommended daily intake of vitamin E, zinc and selenium
4. Sharpham Park Honey Puffs
Start the day the healthy way with these spelt puffs from Sharpham Park, which are low GI and high in both iron and riboflavin. A great alternative to traditional wheat-based cereals.
5. Food Doctor Papaya Passion Muesli
Wholesome is the best word to describe this mixture of rolled oats, rye flakes and dried fruit. Add low-fat yoghurt and fresh fruit for an early-morning feast.
6. Optivita Berry Oat Crisp
If you have high cholesterol, you will want to take a look at this Heart-UK-approved cereal which is chock-a-block with oatbran, which helps keep artery-clogging cholesterol at bay.
7. Gorilla Munch
This cereal is easy on the conscience and the digestion - because, as well as being gluten-free, one per cent of the price goes to wildlife charities around the world.
8. Biona Wild Berry Crisp Granola
It's all about the crunch with Biona's chunky-cluster granola, roasted to perfection, covered in honey and then mixed with what seems like a field's worth of freeze-dried strawberries.
9. Jordans Super Nutty Granola
When they say super nutty, they really mean it - this granola is brimming with hazelnuts, almonds and brazils. Be warned though, all those nuts make it quite fatty, so it's best kept as a weekend treat.
10. Infinity Foods Cranberry and Pecan Muesli
It might not have the jazziest packaging in the world, but this Great-Taste-Award-winner wins hands down in the deliciousness stakes, with its mixture of smooth dried fruit and crunchy pecan nuts.
Go against the grain... and go with the granola. Here’s our pick of the best bags of early morning boost
>>Click the image on the right to launch the gallery


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Yum! Brands announced yesterday the launch of its annual World Hunger Relief effort featuring multi-Grammy Award winner and international superstar Christina Aguilera in a new public service announcement (PSA).
According to the United Nations World Food Programme (WFP), there are 795 million people around the world who suffer from chronic hunger. Yum! Brands’ World Hunger Relief effort is the world’s largest private sector hunger relief initiative spanning more than 125 countries, over 41,000 KFC, Pizza Hut and Taco Bell restaurants and 1.5 million associates. The initiative began in 2007 in an effort to raise awareness, volunteerism and funds for the WFP and other hunger relief agencies.
The new PSA includes footage from Aguilera’s recent WFP humanitarian trip to Ecuador where she witnessed the effects of hunger first hand and helped beneficiaries of WFP’s nutrition programs. Aguilera met with local refugee families and served food to hungry children who often times receive just one meal a day through WFP’s school feeding program. The PSA will air online later this fall.
In addition to the new PSA, Aguilera raises awareness for the global hunger issue through World Hunger Relief posters at KFC, Pizza Hut and Taco Bell restaurants, plus online efforts including the campaign’s website, HungertoHope.com. She has served as a volunteer spokesperson for World Hunger Relief since 2009 where her participation has helped raise millions for WFP and other hunger relief agencies. She also serves as an “Ambassador Against Hunger” for WFP where she has traveled on several relief trips with them.
“I’ve visited WFP relief sites in Ecuador, Rwanda, Haiti, and Guatemala and they are life changing experiences,” said Aguilera. “While I’ve witnessed tremendous need, I’ve also seen the joy from mothers and their children as they’re served a meal through WFP. My goal with Yum! Brands World Hunger Relief is to inspire as many people as possible to donate to the cause and become part of the solution. Just $1 will provide a school meal for four children in developing countries.”
“We’re on a mission to Feed the World by making a difference in global hunger,” said Greg Creed, Chief Executive Officer, Yum! Brands. “We’re thankful to WFP for their life-saving efforts in developing countries and to Christina Aguilera for using her voice to raise awareness about this critical issue. I’m also proud of the hard work and passion of our associates and franchisees around the globe who raise funds, food donations and volunteer in their local communities for hunger relief.”
“We are grateful for Yum! Brands’ partnership and the enthusiasm they share with millions of their customers who join our movement every year to end global hunger,” said Ertharin Cousin, Executive Director of WFP. “With their support, WFP is able to continue providing life-changing food assistance to those in need and make progress toward the global goal of zero hunger by 2030.”
Since 2007, Yum! Brands’ World Hunger Relief effort has raised more than $600 million for WFP and other hunger relief organizations and provided 2.4 billion nutritious meals for those in need. Every U.S. dollar raised goes directly toward WFP’s operations to fight hunger worldwide, mostly to disaster relief and school meals programs. Just one U.S. dollar provides meals to four hungry children at school. Consumers can visit HungertoHope.com, donate in KFC, Pizza Hut and Taco Bell restaurants worldwide or text “WHR” to 90999 in the U.S. to make a donation.
Yum! also addresses hunger in the U.S. through its Harvest program. Since 1992, the Company’s brands have contributed more than 176 million pounds of food to over 3,000 nonprofit organizations for those at risk of hunger in the U.S. Since its launch over two decades ago, Yum! Harvest has become the largest prepared-food donation program in the world. The Company continues to expand the program globally.