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MGM Home Entertainment offers a bit of nostalgia this holiday season with the MGM Decades Collection, available on DVD December 4. With a never-ending catalog of classic cinema, MGM has selected three notable films from the 1950s, 60s, 70s and 80s and packaged each disc with a collectible booklet by LIFE Magazine highlighting historical events from that particular decade along with a compact disc featuring the classic music that defined each generation.
Selections from the 1950s include the Sidney Lumet classic 12 Angry Men, the film rated by the American Film Institute (AFI) as the funniest film of all time, Some Like It Hot featuring legendary screen siren Marilyn Monroe, and the timeless musical Guys & Dolls. Films from the 1960s include Mike Nichols' Oscar winning film The Graduate, the epic family fantasy Chitty Chitty Bang Bang and Robert Wise's West Side Story, based on the hit live theater show that celebrated its 50th anniversary this year. Referred to as the "Me Decade" by best-selling author Tom Wolfe, the 1970s features MGM classics Fiddler on the Roof, Stephen King's Carrie and Mel Gibson in the apocalyptic Mad Max. Lastly, the generation that introduced the word "yuppie" into the American lexicon, the 1980s is represented by Cher's Academy Award-winning turn in Moonstruck, Rob Reiner's hilarious When Harry Met Sally... and John Cusack in The Sure Thing.
Each DVD in the MGM Decades Collection will be available for the suggested retail price of $19.98 US/$25.98 Canada. Prebook is November 7.
12 Angry Men:
Eleven jurors are convinced that the defendant is guilty of murder. The twelfth has no doubt of his innocence. How can this one man steer the others toward the same conclusion? It's a case of seemingly overwhelming evidence against a teenager accused of killing his father in "one of the best pictures ever made" (The Hollywood Reporter).
Guys & Dolls:
Hollywood legends Marlon Brando, Frank Sinatra, Jean Simmons and Vivian Blain (from the original Broadway cast) are dazzling in this Frank Loesser (How to Succeed in Business Without Really Trying) masterpiece, unleashing a "spectacular, song-and-dance show that's loaded with entertainment" (New York Journal-American). Featuring hits like "Luck Be a Lady" and "A Woman in Love," this smash film version of one of Broadway's most popular musicals is guaranteed, rip-roaring "four-starentertainment" (New York Daily News). The slickest big-time New York City gamblers, Sky Masterson (Brando) and Nathan Detroit (Sinatra), can't resist making or taking a bet on anything. So when a pretty missionary (Simmons) sets up shop in the neighborhood, Nathan stakes a grand that Sky can't seduce her. But all bets are off when Sky falls madly in love in this romantic musical spectacular that sets the Big Apple afire with excitement!
Some Like It Hot:
When Chicago musicians Joe (Tony Curtis) and Jerry (Jack Lemmon) accidentally witness a gangland shooting, they quickly board a southbound train to Florida, disguised as Josephine and Daphne, the twonewestand homeliestmembers of an all-girl jazz band. Their cover is perfect...until a lovelorn singer (Marilyn Monroe) falls for Josephine, an ancient playboy (Joe E. Brown) falls for Daphne, and a mob boss (George Raft) refuses to fall for their hoax! Nominated for 6 Academy Awards, Some Like It Hot is the quintessential madcap farce and one of the greatest of all film comedies (The Motion Picture Guide).
Chitty Chitty Bang Bang:
Ladies and gentlemen, boys and girls start your engines. You're about to take an incredible ride with one of the most wonderful family films of all time! Now celebrating its 30th anniversary, Chitty Chitty Bang Bang has never looked or sounded better. Dick Van Dyke stars as eccentric inventor Caractacus Potts, who creates an extraordinary car called Chitty Chitty Bang Bang. It not only drives but also flies and floats as it leads him, his two children and his beautiful lady friend, Truly Scrumptious (Sally Ann Howes), into a magical world of pirates, castles and endless adventure.
Nominated for seven Academy Awards and winner for Best Director, this ground breaking and "wildly hilarious" (The Boston Globe) social satire launched the career of two-time Oscar-winner Dustin Hoffman and cemented the reputation of acclaimed director Mike Nichols. Pulsating with the rebellious spirit of the '60s and a haunting score sung by Simon and Garfunkel, The Graduate is truly a "landmark film" (Leonard Maltin). Shy Benjamin Braddock (Dustin Hoffman) returns home from college with an uncertain future. Then the wife of his father's business partner, the sexy Mrs. Robinson (Anne Bancroft), seduces him, and the affair only deepens his confusion. That is, until he meets the girl of his dreams (Katharine Ross). But there's one problem: she's Mrs. Robinson's daughter!
West Side Story:
This brilliant (The New Republic) film sets the ageless story of Romeo and Juliet against a backdrop of gang warfare in 1950s New York. Directed by Robert Wise and Jerome Robbins and scripted by Ernest Lehman, the film combines Leonard Bernstein and Stephen Sondheim's unforgettable score ( Maria, America, 'somewhere, 'tonight ) with Robbins own exuberant choreography to achieve an exhilarating work of art (Saturday Review). A love affair is fated for tragedy amidst the vicious rivalry of two street gangsthe Jets and the Sharks. When Jets member Tony (Richard Beymer) falls for Maria (Natalie Wood), the sister of the Sharks leader, it's more than these two warring gangs can handle. And as mounting tensions rise, a battle to the death ensues, and innocent blood is shed in a heartbreaking finale.
Based on the best-selling Stephen King novel, Carrie "catches the mind, shakes it and refuses to let it go" (Time)! Starring Sissy Spacek and Piper Laurie (in Oscar-nominated performances), John Travolta and Amy Irving, this ultimate revenge fantasy is "absolutely spellbinding" (Roger Ebert), "outrageously witty" (Los Angeles Times) and one of the all-time great horror classics! At the center of the terror is Carrie (Spacek), a tortured high-school misfit with no confidence, no friends...and no idea about the extent of her secret powers of telekinesis. But when her psychotic mother and sadistic classmates finally go too far, the once-shy teen becomes an unrestrained, vengeance-seeking powerhouse who, with the help of her 'special gift,' causes all hell to break loose in a famed cinematic frenzy of blood, fire and brimstone!
Fiddler on the Roof:
Tevye (Topol) is a poor milkman in Czarist Russia, where he provides for five unmarried daughters and a sharp-tongued wife. Faced with mounting financial strain and growing anti-Semitism, Tevye strives -- like a fiddler on a roof -- to maintain balance despite the precarious nature of his situation. Directed by Norman Jewison (Moonstruck), conducted by John Williams and choreographed by Jerome Robbins, this "triumphant and satisfying experience" (Los Angeles Times) weaves a "tapestry of beauty and excitement" (Rex Reed)!
Setting Mel Gibson on a sure path to superstardom, this highly acclaimed "crazy collide-o-scope"(Newsweek) of highway mayhem "cinematically defined the postapocalyptic landscape" (TV Guide). Featuring eye-popping stunts that are "electrifying and very convincing" (Variety) and "an authentically nihilistic spirit" (The Village Voice), Mad Max is "pure cinematic poetry" (Time). In the ravaged near future, a savage motorcycle gang rules the road. Terrorizing innocent civilians while tearing up the streets, the ruthless gang laughs in the face ofa police force hell-bent on stopping them. But they underestimate one officer: Max Rockatansky (Gibson). And when the bikers brutalize Max's best friend and family, they send him into a mad frenzy that leaves him with only one thing left in the world to live forrevenge!
Fall under the delightful spell of Moonstruck, the mesmerizing romantic comedy from director Norman Jewison (Fiddler on the Roof) and Oscar winner John Patrick Shanley. Academy Award winners Cher, Nicolas Cage and Olympia Dukakis excel in this explosively funny tale which also features flawless performances by Danny Aiello, Vincent Gardenia and Frasier's John Mahoney. Cher is "devastatingly funny, sinuous and beautiful" (Pauline Kael) as Loretta, an unlucky in love Italian widow who finds romance through the intervention of the Manhattan moon. With her wedding to a close friend just weeks away, she meets and falls hopelessly in love with his younger brother (Cage)! Her dilemma and her equally passionate and hilariously eccentric family make for an unforgettable film you'll find "beguiling" (Time), "enchanting" (Newsweek) and "irresistible" ("Today Show").
The Sure Thing:
John Cusack (Grosse Pointe Blank), Daphne Zuniga (Spaceballs) and Nicollette Sheridan (Desperate Housewives) star in this charming tale of true love that's at once "intelligent, fun, a bit devilish [and] delightful, frisky and perceptively funny" (The Hollywood Reporter)! College freshman Walter "Gib" Gibson (Cusack) has a "sure thing" goinga date with a very hot and very sex-craved blonde (Sheridan) across the country in LA. Crossed by fateand the ride-share bulletin boardGib makes the trip with a studious and abrasive coed (Zuniga). But as they mount every obstacle from show tune-singing simpletons and bad weather to leering truck drivers and worse luck, their temperaments change and Gib realizes that the only sure thing isthat losing the real thing would be the worst thing of all!
When Harry Met Sally...:
"Brimming over with style, intelligence and flashing wit" (Rolling Stone), this "splendid and irresistible" (Los Angeles Times) film from director Rob Reiner(American President is one of the best-loved romantic comedies of all time. Featuring dazzling performances from Meg Ryan, Billy Crystal, Carrie Fisher and Bruno Kirby, exceptional music from Harry Connick Jr., and an Oscar-nominated screenplay by Nora Ephron, When Harry Met Sally is an "explosively funny" commentary on friendship, courtships - and other hardships - of the modern age (Newsweek)! Will sex ruin a perfect relationship between a man and a woman? that's what Harry (Crystal) and Sally (Ryan) debate during their travels from Chicago to New York. And eleven years and later, they're still no closer to finding the answer. Will these two best friends ever accept that they're meant for each other...or will they continue to deny the attraction that's existed since the first moment When Harry Met Sally?


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As part of yesterday’s spending review the 2021/22 active travel budget took a 15% hit, prompting a handful of cycling orgs to question where the Government’s priorities really lie.
Cycling UK‘s head of campaigns Duncan Dollimore reacted with disappointment, once again calling in to question the path the UK’s ‘Green Revolution’ is taking: “The Government’s ‘Gear Change’ document released in the summer set out a bold vision for cycling and walking in England, but neither that nor the promised ‘Green Revolution’ can be delivered without substantially increasing investment.
“The £257 million set aside for active travel next year is less than 1% of the £27.4 billion roads budget the Government remains stubbornly wedded to. Reducing next year’s funding by around £45 million makes the delivery of the Government’s own targets to increase levels of cycling and walking almost impossible, without the radical shift in transport spending priorities required to decarbonise transport.”
It is notable that the tone has once again changed from central Government, with Prime Minister Boris Johnson’s latest statement on cycling, delivered as part of the ten point green recovery plan, speaking of “hundreds of mils of cycle lanes”, rather than the “thousands” optimistically promised closer to the election. Likewise, Grant Shapps has pledged support for the motorist within recent communications that were designed to flag progress on cycling.
Sustrans’ CEO Xavier Brice likewise reacted with bemusement, offering: “There is a wider concerning disconnect between the Government’s aims and ambitions and the policies it is putting in place. Aspiring to achieve a truly greener future and reach net zero is not possible alongside a spending commitment to the greatest road building programme ever which will drive up demand for car use and carbon emissions – largely negating any carbon benefits from a switch to electric vehicles. Instead, more investment should be targeted at helping people make fewer journeys by car.
“Sustrans is pleased to see the new £4 billion ‘Levelling Up Fund’ but it is important that this is used to tackle the real issues of equality and equity between communities, and is invested in making vibrant highstreets and town centres, including sustainable and affordable travel options. Allowing this funding to be invested in new bypasses or road schemes will only increase car use and do little to tackle these problems.
“Fundamentally in the longer term we will need to build on the £2bn allocated to walking and cycling and ensure that changes to the planning system deliver more 20-Minute Neighbourhoods, where everyday services can be reached easily and safely in a twenty-minute return walking trip.”
Having got off to a slower start than many hoped, the Spending Review confirmed the Government’s commitment to investing £2bn in cycling and walking by 2025. Sideline schemes such as the Bike Repair Voucher scheme have stuttered on launch, with just 20% of the vouchers currently released. A freedom of information request submitted at the start of November by CI.N seeking detail on the timescale ahead for this scheme has, at the time of writing, gone unanswered. Bike retailers have voiced similar concerns about the road ahead for proposed e-Bike subsidies, though upon closer inspection it appears this scheme will not at first be for private purchases.
Cycling UK points out that the Government’s spending review reassurance means there is £1.5bn to invest in cycling and walking for the final three years of this parliament, the equivalent to £500m a year or around double the current level of investment. This year £300 million has been released, while next year the figure will be £257 million.
“The Government’s vision and stated ambition for active travel are impressive, but this spending review takes us backwards when it comes to delivery,” conclude Dollimore.

domain: politics


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Hot Flash & Men of Pause Returns to DVAC for an evening of folk and bluegrass
Hot Flash and Men of Pause returns to the DVAC theater in Hemet for another rousing performance of folk and fusion bluegrass. Join Idyllwild musicians Sandii Castleberry on guitar/vocals/harmonica, Anne Finch on bass, Barnaby Finch on keyboards and vocals, Don Reed on mandolin, guitar, and slide guitar, and down from Three Rivers, CA the star of our show, Kathleen Johnson on Autoharp and vocals. Kathleen's authentic deep rich voice is truly amazing. You'll feel you've been transported to Kentucky!

domain: entertainment


Another fact that most apartment developers have overlooked is that
studios rent quicker and turnover at the same rate or less
frequently than one and two bedroom units.
American first discovered this
while conducting an Orange County Survey of existing apartment
projects. This was again confirmed while performing a national
market survey for studios in urban amenity rich locations (see the
Market Survey Section of this Offering).
American’s concept for Young
Urban Communities is further rooted in the realization that a large
portion of this market does not want to waste time commuting from
suburban communities and wants to live in areas with concentrations
of other young adults where they could easily connect. These
concentrations occur in areas with a high number of shops,
restaurants, and entertainment opportunities, areas where these
young adults and others in their generation currently play.
Meeting the demand for young
urban professional housing in these high priced areas with a product
that meets the expectations and budgets of this group requires small
units in high density, in architecturally distinguished projects,
like the Elevé Glendale Project in Downtown Glendale.
Older, rundown, downtown areas have single room
occupancy hotels and rundown apartment projects with rents the
target market can afford. However, these projects are unattractive
to young urban professionals because of their tenant profiles, the
immediate surroundings of most of these projects, their condition,
and their general lack of ambiance. Particularly, the top 30% wage
earners in this market segment have upper middle income parents and
their expectations of ambiance, levels of finish, and location can
not be met with these under-maintained projects.


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Xavier Lecouturier, a fiery and passionate drummer, plays with his group the DXL Quartet that performs regularly in the Seattle area and is recording a record to be released in 2018. He is currently the Drummer for the Thomas Marriott Quintet which performs regularly in the Seattle Area. Xavier is also the drummer for New Orleans Based singer James Quick which he tours with internationally. He also has been teaching at middle schools in both the Bay Area and in Seattle including Jane Addams middle school and Miller Creek middle school. He also has been a visiting artist at Marin Catholic High School in California. Beyond that he is active in the Seattle music scene where he can be found playing with some of Seattle’s best players, Jay Thomas, Thomas Marriott, Dawn Clement and Mark Taylor to name a few.
Xavier found music at a young age through the guitar. His parents are both immigrants from France and Mexico and brought their music to the house in which he grew up. This had a lasting effect on his musical experience. As a young boy, he begged and begged for a guitar and lessons. Once he had a guitar he was off to the races and began his life as a musician. He went to an arts high school, Marin School of the Arts, where he really started to push forward in his craft. Now Xavier is currently in school at Cornish College of the Arts earning his BA in music performance. He has studied with drummers Ted Poor, Mark Ivester and John Bishop. Through all of his training his cultural identity has remained a strong part of his art. He uses his identity to push the boundaries of his music into new places.

domain: artistic


Understanding the Role of VR/AR in Game-Based Learning
By 2018, 2.25% of the world population – 171 million people – used virtual reality (VR) actively.
This number has grown rapidly as more businesses, more game developers, and more tech companies use the technology to create games, apps and programs that use VR and augmented reality (AR) elements. But what makes VR and AR so effective and interesting? And what are their roles in game-based learning strategies?
Outside the novelty of being new and unique technologies, people are drawn to VR and AR because they bridge the virtual world and the physical world. Rather than limiting a user to what’s on a screen in front of them or what’s in the physical space around them, VR and AR give the user access to both simultaneously and can even enhance those spaces.
The ability to work within both a physical and virtual space plays very well in game-based learning strategies, where the focus is on students and users interacting with a simulated environment where they can experiment with skills in a risk-free setting.
VR creates a virtual space that can be enacted upon by users through use of motion-sensor equipment, giving users the feeling of engaging physically with the virtual world they see. Rather than simply clicking on a choice to perform an action, a player can perform that action themselves while using VR.
AR allows a user to stay in the physical world while they interact with virtual extensions of objects. Similar to hovering over an object in a videogame with your mouse, users can use AR technology to look at physical objects and learn more about them without moving their attention from them to a textbook. By connecting virtual and physical worlds through VR and AR, it becomes much easier for users to transfer skills gained in the virtual world into real world applications.
In addition, VR and AR have been designed well for gaming purposes. When AR and VR technologies were released into the mainstream, they quickly found a home with the gaming industry, and now 6.577% of all gamers worldwide use headsets, mobile phones and other technology as a means of interacting with the world of VR and AR.
As VR technology becomes more readily available, and as phones continue to be used for both VR and AR purposes, using VR or AR in your game-based learning strategy becomes increasingly more vital in a post-COVID 19 world where social distancing is a norm and people yearn for a way to engage and learn “physically” while staying safe.
If you or your organization are interested in incorporating VR and/or AR into your game-based learning strategy but don’t know where to start, reach out for a free consultation and we can work together to find a solution that works for you.


Even though it makes no difference to most City of Ate readers, Dunkin' Donuts coffee is the official coffee of the Dallas Cowboys and the new stadium.
To promote the partnership, participating DFW locations of the doughnut chain are offering 25-cent medium-size hot coffees to all customers until noon every Monday, beginning today, through the NFL season. Also, customers can redeem Cowboys game ticket stubs for a free medium coffee on weekdays after home games. Sounds like a great idea: after shelling out a couple hundred bucks for tickets and parking, most fans could probably use the freebie.
Of course, all this is a moot point to those who prefer a California cabernet with the glazed goodies.
Also going on this week...
Bolsa will throw a wine dinner to pair Graham Dodds' creations with Coquerel Family Wine Estates vinos tonight. Owners Clay and Brenda Cockerell will be the hosts. (No, that's not a spelling mistake--the couple uses the archaic French spelling of the family surname.) Cocktail reception is at 6:30 p.m., followed by dinner at 7 p.m.
The Grape's monthly wine dinner will feature Wines From Deutschland, with German rieslings, pinot noirs and eiswein's to complement the German-inspired three-course meal. Republic Beeverage expert Steve Mansir will serve as host at the dinner Wednesday, which diners can enjoy at their own pace throughout the dinner hours for $45 apiece. Reservations are recommended at 214-828-1981.
The Celebrity Chef Tour benefitting the James Beard Foundation comes to Dallas 7 p.m. Thursday. Top Chef winner Hosea Rosenberg will work together with III Forks chef Chris Vogeli on a meal featuring wild game and seafood. Tickets ($175 each) are at the Celebrity Chef Tour web site or 720-201-1853.
Keep the Dallas Observer Free... Since we started the Dallas Observer, it has been defined as the free, independent voice of Dallas, and we would like to keep it that way. Offering our readers free access to incisive coverage of local news, food and culture. Producing stories on everything from political scandals to the hottest new bands, with gutsy reporting, stylish writing, and staffers who've won everything from the Society of Professional Journalists' Sigma Delta Chi feature-writing award to the Casey Medal for Meritorious Journalism. But with local journalism's existence under siege and advertising revenue setbacks having a larger impact, it is important now more than ever for us to rally support behind funding our local journalism. You can help by participating in our "I Support" membership program, allowing us to keep covering Dallas with no paywalls.


Adorable Girl Can't Resist Dancing to 'Despacito' — Giving Brother Perfect Way to Tease Her!
Niana Guerrero is addicted to Luis Fonsi and Daddy Yankee's hit song, "Despacito," and her brother has found the perfect way to tease her
It doesn’t matter when or where, if young Niana Guerrero hears Luis Fonsi and Daddy Yankee’s hit song, “Despacito” featuring Justin Bieber, she’s compelled to dance. But it’s too bad her brother has caught on because he’s taken full advantage of his sister’s weakness—and it’s resulted in some hilariously adorable moments.
In a viral YouTube video, Guerrero is seen dancing everywhere her brother plays the song, even if she only has a few seconds to prepare once the beat comes on and he announces, “Hit that ‘Despacito’ Niana!”
Whether it’s on the street, in supermarkets, or in elevators, Guerrero busts out moves with such confidence that any So, You Think You Can Dance? contestant would be envious.
Guerrero isn’t the only person to become victim to the song’s infectious beat. “Despacito” is so popular across the globe that it has a good chance of dethroning Wiz Khalifa’s “See You Again” as the top YouTube video of all time. The Fate of the Furious song just claimed the title this month after ending the five-year reign of Psy’s “Gangnam Style.”
It seems a safe bet that most of “Despacito’s” views may come from Guerrero. And yet, maybe her own video may become one of YouTube’s most-viewed one day—in just two weeks, Guerrero’s video has amassed almost 11 million views.


While people around the world are becoming more angry, stressed and worried, New Zealanders are faring well emotionally.
The annual Gallup Global Emotions Report interviewed about 150,000 people in more than 140 countries about their positive and negative experiences.
New Zealand came in sixth equal for enjoyment, with 86 percent saying they had experienced enjoyment the previous day. The top score for enjoyment went to Paraguay with 91 percent, and the bottom to Sierra Leone, with just 41 percent.
While 82 percent of Kiwis reported smiling or laughing, 91 percent did in the top scoring Nigeria. Those in Afghanistan were least likely to have smiled, with just 36 percent reporting smiles or laughter.
Respect was experienced all day by 92 percent of New Zealanders. People in Ecuador felt most widely respected, with 97 percent feeling plenty of respect. Afghanistan fared worst, with just 48 percent feeling respected.
New Zealanders had the fourth lowest score for anger, with only 9 percent reporting anger the previous day. Estonia had the lowest rate at 6 percent, while Armenians experienced the highest rate of anger at 45 percent.
Only 16 percent of New Zealanders reported feeling sad, compared to 54 percent in Chad, which had the highest sadness score. Taiwan did best in the sadness stakes, with only 5 percent feeling sad.
Stress and worry was reported by 31 percent of New Zealanders. Turkmenistan had the most relaxed population, with only 10 percent reporting stress, while Greeks scored worst, with 59 percent feeling stressed. A massive 63 percent in Mozambique reported being worried, while only 12 percent of Taiwanese said they were worrying.
While 31 percent of New Zealanders said they experienced physical pain the previous day, the rate was low compared with the 66 percent of people in pain in Chad. Vietnamese were the least likely to report pain, with only 14 percent suffering.
About 70 percent of Kiwis were well-rested, compared with 86 percent in highest scoring Mongolia and 28 percent in the lowest scoring Kuwait.
While 66 percent of New Zealanders reported learning something new or interesting, 75 percent did in El Salvador and just 22 percent in Bangladesh.
Globally, a third of people said they suffered stress, while at least one in five experienced sadness or anger.
The most negative country was Chad, followed by Niger. The most positive country was Paraguay, the report said.
The United States was the 39th most positive country, the United Kingdom was 46th and India ranked 93rd.
About 71 percent of people said they experienced a considerable amount of enjoyment the day before the survey.
The poll found that levels of stress were at a new high, while levels of worry and sadness also increased. About 39 percent of those polled said they had been worried the day before the survey, and 35 percent were stressed.
Top 5 countries with highest positive experiences
- El Salvador
Top 5 countries with highest negative experiences
- Sierra Leone
Latin American countries including Paraguay, Panama and Guatemala topped the list of positive experiences, where people reported "feeling a lot of positive emotions each day."
The poll claims it is reflective of the cultural tendency in Latin America to "focus on life's positives".
Chad had the highest score for negative experiences. More than seven in 10 Chadians said they had struggled to afford food at some point in the past year. As many as 61 percent of people in the country said they had experienced physical pain.
The country suffers from inadequate infrastructure and internal conflict, while health and social conditions compare unfavourably with those elsewhere in the region.
Despite Chad's high score for negative experiences, people in the US and Greece were more stressed than Chadians.
Greece had the most stressed population in the world with 59 percent saying they experienced stress on the day before the poll. Around 55 percent of US adults said they were stressed.
- RNZ/ BBC


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Are there social gradients in the occurrence of lung cancer and in the survival of lung cancer patients? Findings from an observational study using German claims data of Lower Saxony.
OBJECTIVES:Only a few studies on health inequalities in terms of lung cancer are available. We examined whether social inequalities are present for the occurrence of lung cancer. Confining the analyses to patients, it was also examined whether survival over the observation period and over a standardised period of 18 months differed by occupational position and income. METHODS:Our findings are based on claims data from a German statutory health insurance covering 2005-2016. The database comprised N=3 163 211 women (50.7%) and men (49.3%) aged 18 years and older. Diagnoses (International Statistical Classification of Diseases and Related Health Problems 10th Revision: C34.0 to C34.9) were hospital-based, and income and occupational position were used as indicators of socioeconomic position. Analyses on social gradients were performed for employed and retired insured, but only for employed insured information on occupation and on income were available, for retired women and men only income was available. Analyses were performed by means of proportional hazard regression. RESULTS:In employed women, social gradients for the occurrence emerged for occupational position, but not for income. In men, social differences were found for both indicators. For retired insured, income gradients were found in men. Looking at overall survival, neither in women nor in men social gradients emerged. CONCLUSIONS:The reported social inequalities in the occurrence of lung cancer are pointing towards social differences in smoking behaviour, exposition to hazardous occupation-related substances and differences in preventive strategies. The absence of social inequalities in survival after lung cancer suggests equality in medical treatment of the disease.

domain: literature


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Borders Books has declared Chapter 11 bankruptcy. It is closing about a third of its stores in an attempt to right itself, and a lot of people are viewing it as an end of an era, where the big box stores have been sunk by the rising power of online stores like Amazon, and the digital future chorused by kindles, ibooks, and nooks. And not a few give an ironic look at how these large chains sounded the deathknells for small indy bookstores, which apparently rampaged across the landscape like so many buffalo.
I don't quite remember it that way. I grew up in a bedroom suburb of Pittsburgh, and didn't have access to much in the way of a "real" independent bookstore. I had the spinner rack at the drugstores, the book department at Kaufmann's (yeah, once upon a time, department stores had book departments), and the local and school libraries. That was my ground level. Book stores were elsewhere - in the city, in other neighborhoods, and near universities.
(And as an aside, those looking for the secrets of the creation of D&D could get a leg up by knowing what volumes were available in the Lake Geneva Public Library back in the seventies - the situation there was similar to the Mt. Lebanon of my boyhood, but I digress).
Anyway, large enclosed malls showed up in our neck of the wood (nearby Upper St. Clair/Bethel Park) in the midsixties, and with the the chain bookstore. Waldenbooks first, then B. Dalton's. These became the vector for books as I got older and more mobile.They didn't drive any local stores out - we didn't have a lot of indies to take away in the first place. Later these were in turn superseded by Borders, which was the anchor store of the nearby Norman Centre II, at the top of the next hill over, practically on Mt. Lebanon's borders.
That first Borders was an amazing bookstore for its time. Two levels (!) with huge sections, wide selection, deep chairs, a fireplace, an elevator. Yeah, it sounds like standard equipment nowadays, but for the age it was pretty amazing. A magazine section that you would normally have to be in downtown Pittsburgh to see. As an author, I did readings there, and it was a regular stop in later years for taking my nieces for birthday books.
Of course, such infrequent visits were not enough to keep it going. The store at the top of the hill is on the list of stores that are going to close. When I was last there, it was like visiting an old friend wasting away from a debilitating disease. The shelves were moved further apart. The selection was diminished. A lot of volumes, previous set on groaning shelves, were now face-out to take up more apparent space. And the SF/Fantasy section was no longer a haven of new volumes, but rather overwhelmed with omnibus editions (like collections that hold my Warcraft and Starcraft books) for mass sales.
Later I would find the Barnes & Nobles in other cities, as well as other Borders - huge big boxes that made themselves destinations as opposed to someplace to visit when you were at Sears and Woolworth's. And these big boxes took their own toll on the Waldens and Daltons, though they were part of the same families as their gigantic cousins. So yeah, the chains got to places that indies would miss.
The chains also had an effect on gaming. TSR fought hard through the years to get a piece of the bookstore trade, aided by strong efforts by the merchandising division of Random House, which was seeking to expand out the presence of more than just books in the bookstores. One the reasons TSR did more hardbacks as the years went by as opposed to shrinkwrapped boxes was input from the bookstores - the problem was shrinkage, which translated into people breaking to boxes and looting the dice. Hardbacks showed less wear and tear, so they were the way to go. With the success of paperback gaming-world fiction like Dragonlance and the Forgotten Realms series, we had carved out a chunk of the store as our domain. You go into a big box and it has a gaming ghetto on the shelves with WotC, Pathfinder, and other hardbacks, you're seeing the results of those early efforts.
The big chains did a job, carrying games into a new world. It was not always the smoothest or most impressive presentation (hence the gaming ghetto title), but it created a stable platform of sales over the years (good for the companies) and created a literate gaming-savvy repeat business (good for the stores).
And now Borders is no more. Whatever survives in its place will be charming and archaic, like those old live theaters that have been retrofitted for movies, the balcony sealed off and the mighty Wurlitzer silent. Independents will survive, even thrive in the post-asteroid landscape now that one of the big saurian families have been knocked back. Indeed, those survivors who understand books may re-establish themselves in the very same ecological niches. Maybe even in the empty space at Norman Centre II.
I know that some are quick to dump the moist earth on Borders' coffin and inter it, and its list of faults and flaws are many. But I also know the effect that these big chains had both on the development of my own reading habits and the growth of gaming, should not be forgotten.
[Update: Scarlettina provides a mothership of links. Scrivener's Error does a great summary, notes some stuff I had forgotten (Borders was part of K-Mart for a while), but gets wrong that it would be a while before the closing stores would be announced.]
Six Books - Here's a question about staying power. WATERSHIP DOWN has been out nearly fifty years now. THE LORD OF THE RINGS is more popular than ever after more th...
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Laser Scanning Microscopy and its Biomedical ApplicationsView this Special Issue
Application of CT Scan in Diagnosis of Iliac-Femoral Vein Thrombosis after Hip Replacement
Based on the knowledge of the previous film, the CT scan was used to diagnose the disease of women and men after the diagnosis of atherosclerosis by scanning the CT microscope. This article first examines the existing medical procedures in China, highlighting the advantages and disadvantages of various systems in terms of usability and user experience. Combined with the actual needs of hospitals, this paper developed a set of preoperative intelligent measurement system (MIPS) based on pattern recognition for total skeletal joint replacement. It is beneficial for doctors to better observe the lesions of patients before surgery and carry out necessary operations in the PATIENT DR film. In the process, the model is used to identify the patient, and the patient is given a fake score based on the characteristics of the DR film. In nonsymptomatic patients, 13.5% had muscle , 2.0% had muscle contraction 70%, and the mean pelvic area was 23.48%. The left ventricular muscle has a 45.0% contraction rate, the left ventricle has a 70% contraction, and the median contraction rate is 47.58%. The right muscle, which is inserted between the right artery and the inner lymphatic artery, is the most common type of compression of the right muscle, accounting for 59.26%. In terms of the mean muscle contraction rate on the right side, patients with DVT with right muscles were higher than patients with DVT with left ventricles (48.54% to 22.29%, ). The mean incidence of left ventricular DVT patients was higher than that of right ventricular DVT patients (71.88% versus 45.83% ).
At present, China has a certain theoretical basis for the study of deep vein thrombosis after bone joint replacement and some prevention systems, but most of them are clinical experience, and there is a lack of clinical application standards based on evidence-based theory for the prevention of deep vein thrombosis. Nursing managers and clinical nursing workers in China are focusing on the appropriate prevention measures and effects of DVT, but the viewpoints are outdated and the content is relatively limited. More importantly, current studies lack evidence-based prevention strategies and cluster interventions for DVT, as well as simple, scientific, and effective guiding prevention measures and standardized standards in clinical work, which are not conducive to nursing quality management and process monitoring. In 2008, the American College of Chest Physicians (ACCP) has developed the 8th edition of its clinical practice guidelines for antithrombotic therapy and thrombotic prophylaxis and issued the 9th edition in 2012. Evidence-based nursing (EBN) is a nursing concept, which is influenced by evidence-based medicine (EBM), also known as evidence-based nursing. The core idea of evidence-based nursing is to use the most reliable scientific evidence to achieve the best nursing effect, which contains three elements: first, use the most appropriate nursing research evidence; second, the clinical experience and personal skills of the nursing staff; and third, the patient’s actual situation, values, and subjective will. Combine these three elements together to guide practical work. The implementation of nursing for patients should be patient-centered and should also be combined with the personal experience and rich clinical skills of nursing staff.
Gitelzon et al. said that in recent years, with the rapid development of expressways and railways, cars and electric vehicles have increased dramatically, and people’s lifestyles have changed. These factors lead to an increase in the incidence of car accidents, joint injury and joint disease, and the deterioration of patients’ joint function, leading to the reduction of patients’ quality of life . Is et al. said a study shows that joint replacement is on the rise, increasing by 11 percent a year in Europe and the United States and in China, too . Ming et al. said that the patient’s damaged limb joints cannot be repaired and replaced with prosthetic limbs, which are usually made of artificial materials to replace the damaged joints, so as to restore and improve the structure and function of the affected joints . At present, total skeletal joint replacement is effective and widely used. Lm et al. said that artificial joint replacement has the advantages of relieving pain, maintaining joint stability, improving joint movement, and preventing shortened and deformed limbs . But artificial joint replacement is not perfect. Dozie et al. said that in addition to the limitation of the stability of the joint itself, venous thromboembolism (VTE) and potentially more harmful secondary pulmonary embolism (PTE) have been widely concerned with the widespread development of such surgeries . One study showed that in patients undergoing joint replacement surgery without effective anticoagulant therapy, many patients developed thrombosis after surgery, and the incidence of deep vein thrombosis reached 88,070. Even with effective interventions, the incidence is high, with approximately 2% to 5% of patients presenting with symptoms of VTE. In the United States, approximately 300,000 people die from DVT each year. Deep vein thrombosis kills about 300,000 people a year in the United States. Zhang et al. said that DVT can cause swelling, pain, and even necrosis of the affected limb, requiring amputation in severe cases, significantly reducing the ability to work and quality of life. More importantly, thromboembolism can be secondary to pulmonary embolism, which can even lead to death due to the urgency and severity of the disease . Therefore, in the diagnosis, treatment and nursing work of joint replacement, prevention, and effective intervention should be strengthened. The patient underwent bone joint replacement surgery and developed deep vein thrombosis after surgery, mainly due to the slow blood flow of the three elements of thrombosis (identified by Virchow in 1856): the main causes of slow blood flow are the weakening of local venous return power caused by the lack of muscle pump in the affected limbs and the weakening of systemic venous return power caused by systemic cardiac function. Popivanov et al. said that due to the need to use anesthesia and sedative muscle relaxation drugs during the operation of the patient, at the same time, the postoperative limb needs a longer time to brake, which better provide local stability for fracture healing, resulting in temporary partial or complete loss of muscle pump function, and local venous return power weakened and slowed down . When the patient’s systemic blood flow slowed down and local affected limb blood flow slowed down, local tissues appeared metabolic waste retention, different degrees of tissue hypoxia, and some cell metabolism abnormalities. This can not only lead to decreased fibrinolytic activity and local thrombin aggregation but also lead to varying degrees of vascular endothelial damage, thereby promoting local venous thrombosis. Damage to the blood vessel wall: the normal lining of blood vessels is a barrier to platelet aggregation. Endothelial cells produce prostaglandins, a hormone that dilates blood vessels. In the process of artificial bone arthroplasty, although the adjacent blood vessels are rarely directly damaged, they can still be indirectly damaged. The main possibilities are as follows: indirect injury of bone cement during surgery, thermal injury, infection, and chemical injury. Gitelzon et al. said that the thermal effect of cement can cause blood vessel damage and exogenous clotting when it is filled with cement . In addition, the above mentioned local tissue metabolic waste retention of different degrees of hypoxia and abnormal cell metabolism caused by local and systemic slow blood flow of the affected limb can also lead to intima vein injury. Hypercoagulable state: increased clotting factors can increase blood viscosity. For patients undergoing artificial bone arthroplasty, stimulating cytokines released by local injury and systemic stress response can lead to increased clotting factors, inactivation of fibrinolytic system, and thrombosis. In the process of coagulation fibrinolysis and thrombosis, D dimer changes and can reflect fibrinolysis activity, so DD can be used as a test indicator for diagnosis and monitoring of thrombosis. Yadavalli et al. said that there are many factors that can affect the formation of blood clots during bone arthroplasty . These factors include reduced preoperative activity, immobilization, prolonged postoperative bed rest, and the administration of a tourniquet, which may slow venous return. Stress response surgical trauma, thermal injury of local tissue caused by bone cement, and mannitol used to relieve postoperative soft tissue swelling can cause intima injury. At last, perioperative blood loss, fasting, and abstaining from drinking may result in blood concentration and hypercoagulability due to volume factors. Therefore, skeletal joint replacement is a high-risk disease for DVT. Salahuddin and Armstrong said that risk factors for DVT include advanced age, bed rest after trauma, anesthesia, foreign body implantation, and a history of blood clots . In patients with deep vein thrombosis, there are many clinical symptoms. For example, lower limbs can appear pain swelling, skin pigmentation, skin sclerosis, venous ulcer, and so on. Patients even lose the labor force, increasing the pain and economic burden of patients. Therefore, the focus of DVT treatment is prevention. We should do a good job in the assessment of high-risk factors and actively take scientific and reasonable treatment and nursing methods for effective preventive intervention. See Figure 1.
The UI is also known as the user interface, which is between the system and the user, which knows the internal information and allows people to take the form of the user interface and interact between the user and the device. The related software designed for mutual interaction and communication enables users to operate the hardware conveniently and effectively to achieve two-way interaction and complete the desired work. This will make it easier for users to complete the hardware and successfully complete the interface and on-demand tasks. The user interface is broadly defined, including human-computer interaction and graphical user interface. The user interface exists in the field of human and mechanical information exchange . In the long history of interface design and software development, he has been called an artist who does not pay attention to the work of interface design and insults people. In fact, the design of the software interface is similar to the standard design of commercial products, which is the key to purchasing. Interface design is not an easy artwork, it needs to locate the use of the user environment and design for the end user. Therefore, the design of the interface should be combined with user research, which is the process of creating a visual experience for end users . Critically speaking, the interface can be divided into two levels: cognitive (visual, visual, and auditory) and cognitive. The user interface design is an important part of the test equipment [12, 13]. Interface design is a complex task that involves many disciplines such as thinking, reasoning, and speaking, in which everyone plays an important role. The three principles of user interface design are as follows: put the interface under the control of the user; reduce the memory burden of users; keep the interface consistent. Image translation is one of the simplest geometric transformations. Image translation means that all points in the image are blown horizontally and vertically according to the specified translation amount. Let be a point on the original image, the horizontal translation of the image is , and the vertical translation is ; then, the coordinates of the point after the translation will become . Obviously, the relationship between and is shown in
The matrix representation is shown in
The inverse of the matrix can be obtained as shown in
It is shown in
In this way, every point on the translated image can be found in the original image. For example, for the pixel (0, 0) in the new graph, substitute into the above equations, and the corresponding pixel in the original graph can be obtained. If or is greater than 0, then is not in the original image. For points that are not in the original image, you can simply set the pixel value to 0 or 255 (black or white for grayscale images). Similarly, if something is not in the original image, it means that something in the original image has been removed from the display area. If you do not want to lose part of the removed image, you can enlarge the width by and height of the newly generated image by . Changing the image mirror is divided into two types: one is horizontal glass and the other is vertical glass. The operation of the horizontal mirror of the image is to replace the left and right half of the image with the vertical line of the image. Vertical mirror work is the shape of the upper half and half of the image, with the horizontal axis of the image being the center of the mirror. Set the height of the image as height and width as width. After horizontal mirroring, the coordinates of in the original image will change to , and the matrix expression is shown in
The expression of inverse operation matrix is shown in
It is shown in
Similarly, the coordinate of will change to after vertical mirror image, and its matrix expression is shown in
The expression of inverse operation matrix is shown in
It is shown in
According to the above transformation formula, image horizontal and vertical mirror operation can be very simple. The following is the procedure flow chart of mirror operation, as shown in Figure 2:
The requirements of medical image processing system are analyzed, and the software development tools and development environment are introduced. Then, the whole frame of image processing is designed according to the functional requirements, and the function of each module in the frame is simply introduced. Then, according to the framework structure, the design of software is carried out. First, the user interface is designed according to the system framework. Then, according to the functions involved in the interface, the basic functional principles and program design ideas are described . It focuses on the application and realization of image segmentation and pattern recognition in this software, which can be used as an auxiliary tool for doctor diagnosis.
4. Experiments and Analysis
Among the 90 patients under investigation, all of them completed the treatment without quitting during the course of treatment (the hospital stay of patients undergoing bone joint replacement is generally about 2 weeks, which is short and patients have good compliance) [15, 16]. There were 27 males and 63 females, with an average age of 20-883 years, with an average age of . There are 32 patients with fractures in the neck, 51 patients with gynecological necrosis and osteoarthritis, and 7 patients with osteoarthritis of the bones and spine. There was no significant difference in the sex, age, and disease history of the patients (), as shown in Table 1:
At the end of the experiment, the number of patients with deep atherosclerosis in both groups was low. Diagnosis of atherosclerosis was confirmed by color Doppler ultrasound and was the rate of venous thrombosis in both groups. The control group had 6 patients, the incidence was 13.33070, and the intervention group had 0 patients, with a difference between the two groups (). The probability of intervention in the signature group (+) was 28.89%, and the difference was significant compared to the control group (, ). The Neuhof mark (+) incidence in the intervention group was 22.220%, and the statistical difference was significant compared to the control group (, ). The incidence of both the human mark (+) and the Neuhof mark (+) in the affected group was lower than that in the control group, with a significant difference () as shown in Table 2.
The body surface temperature of 5 cm above the ankle of the two groups was measured and compared. It was found that there was no difference in the body surface temperature of the two groups before surgery, and the body surface temperature showed an upward trend after surgery and generally decreased gradually on the 7th day after surgery [17, 18]. On days 2, 3, 4, and 7 after surgery, the feet in the affected group had a body height of more than 5 cm lower than that of the body temperature control group (). On day 1, one day after surgery, 5 days after surgery, on day 6, day 8, and one day after surgery, the body temperature was 5 cm higher than the ankles of both groups (), as shown in Table 3.
The temperature changes of the two groups of patients were depicted by drawing, and it was intuitively found that the temperature of 5 cm above the ankle in both groups increased after surgery. The peak value was reached on the fourth day and then decreased, and the decline rate was consistent from the eighth day. The changes of body temperature at 5 cm above the ankle in the two groups showed that in the early postoperative period, the body temperature at 5 cm above the ankle in the intervention group was lower than that in the control group (), as shown in Figure 3.
The peak velocity and average velocity of femoral vein were detected before surgery and the 1st and 7th day after surgery for statistical analysis. The results showed that there was no significant change between the two groups before surgery, and there was no statistical difference (). One day after the first surgery, the control group was lower than the surgery, the response group was higher than the surgery, and the highest of the two groups was significantly higher (). But no difference was found in mean speed () . On the 7th day after the surgery, the peak and moderate flow rates of the two groups were higher than before the surgery, and the increase was more pronounced in the affected group. The differences between the two groups were significant (), as shown in Table 4.
Virchow proposed that the conditions of venous thrombosis need three factors: slow blood flow, damage to the vascular wall, and high blood coagulation state. Venous thrombosis requires a combination of at least two factors, neither of which alone can lead to thrombosis, and either of which can lead to thrombosis, especially slow blood flow and hypercoagulability. Virchow’s theory has been clinically verified for more than half a century and tested by a variety of advanced technologies . Many factors can lead to venous thrombosis after trauma, including pathogenic genes, hypercoagulability, cytokine interactions in inflammatory response, and immobilization . At present, the research on the causes of venous thrombosis after trauma is not perfect, and active postoperative prevention is not given, and the problem of venous thrombosis after joint replacement is not sufficiently understood. Major orthopedic surgery, femoral shaft fracture, femoral neck fracture, and other operations, especially bone joint replacement, are prone to thrombosis in lower limb veins due to the long operation time and complicated operation process. During surgery, the body tissue and blood vessels are pulled for a long time, causing tissue damage and then activating the endogenous and exogenous coagulation system [22, 23]. After the coagulation system is started, the coagulation factors in the blood increase, while the operation causes damage to the intima of the blood vessel wall. Platelets attach to the damaged blood vessel wall, release bioactive substances, and promote the formation of thrombosis. During surgery, blood loss can lead to blood concentration, further exacerbating hypercoagulability. Elderly patients often combine with a variety of diseases, such as hyperlipidemia and hypertension. These illnesses can make the body enter the state of hypercoagulability. After surgery, the patient was weak and needed to stay in bed for a long time to slow down the venous return of the lower limbs. Therefore, more attention should be paid to the prevention of DVT in the elderly who undergo bone marrow transplantation. Once the DVT is established, the blood vessels can lead to loss of function, which not only reduces the quality of life of the patient but also worsens the patient, so prevention of DVT should be mentioned. Caring for patients with evidence of drug abuse refers to the process of planning the work of nursing staff in a nursing home, carefully considering and combining research findings with clinical and patient needs according to their needs. Perform the procedures. Evidence-based nursing practice has become a global consensus in nursing, and any professional decision in practice should be based on scientific evidence, not simply on experience. Bundles of care refer to a collection of therapeutic and nursing interventions that are based on evidence. It is aimed at the impact of many factors, difficult to solve the nursing problem. This nursing intervention is supported by evidence-based theory and was first proposed by the Institute for Healthcare Improvement (IHI). Its purpose is to help medical staff to provide better service, as far as possible to provide patients with more perfect and optimized medical and nursing services. This approach significantly reduces the incidence of DVT by combining evidence-based and effective measures for preventing DVT and maximizing the impact of these measures. Cluster nursing requires nursing staff to constantly sum up experience and lessons and grasp evidence-based evidence when implementing intervention measures. According to the original nursing evidence, give the best nursing plan, and in the nursing process, constantly improve the nursing basis and nursing plan. For patients with deep vein thrombosis, the main local symptoms are limb pain, heavy feeling of limbs, limb swelling, and tenderness (+). Sometimes, it can be accompanied by systemic symptoms, such as increased body temperature and accelerated heart rate; common signs are lower limb edema, skin pigmentation, ulcer, and other signs in severe cases. The larger and the lower limb thrombus, the more blocked blood flow, the slower the reflux, and the larger the swelling range. The faster the clot forms, the more pain the patient feels . Distal venous thrombosis is slow, insidious, and usually undetected, with only mild pain in some patients. Or only the knee below the slight swelling of the limb, the disease further development, can appear Homan sign and Neuhof sign positive. Proximal venous thrombosis is rapid, the onset of acute, can quickly appear lower limb pain, accompanied by high fever and other systemic symptoms, and due to blood reflux disorder, can lead to obvious swelling of the lower limb, the affected side of the skin, subcutaneous weakness and subcutaneous venous expansion. Some blood vessels in the process of thrombosis, because thrombosis stimulates the blood vessel wall, can cause vascular spasm, aggravating the obstruction of blood return of patients with limb ischemia, severe pain, pale limbs, and other symptoms . In clinical work, we found that most patients with venous thrombosis did not have typical symptoms, and the more common symptoms were limb swelling, increased skin temperature, and lower limb pain. Therefore, it is necessary to strengthen the comparison of lower limb swelling degree, temperature, and skin color to improve the early diagnosis rate. In this study, there were 6 cases of thrombosis in the red control group and no cases of thrombosis in the intervention group, and the difference between the two groups was statistically significant. Evidence-based cluster nursing intervention can effectively reduce lower extremity deep vein thrombosis after bone joint replacement. The main symptoms of venous thrombosis are local and systemic reactions. Iliac vein, femoral vein, and popliteal vein thrombosis often caused varying degrees of pain, swelling, and heaviness in the affected limbs. Sometimes, it can be accompanied by systemic symptoms, such as increased body temperature and accelerated heart rate; common signs are lower limb edema, skin pigmentation ulcer, and other signs in severe cases. Clinical common thrombosis is mostly a small range of thrombosis, thrombosis of small venous plexus generally has a small embolization range, the systemic reaction is relatively mild, generally only showing mild pain, and mild swelling of the side of the limb skin temperature slightly increased. This study showed that the postoperative surface temperature of the affected limbs showed an upward trend and generally decreased gradually on the 7th day after surgery. The body surface temperature of 5 cm limb above the ankle in the intervention group was significantly lower than that in the control group on the 2nd, 3rd, 4th, and 7th day after surgery (). The body temperature is 0 cm below the skeleton and 15 cm above the skeleton and is lower than that of the control group on the 1st, 2nd, 3rd, and 4th day after surgery. In this study, it was confirmed that evidence-based cluster nursing intervention could reduce the skin temperature of 5 cm above the ankle, 10 cm below the skeleton, and 15 cm above the skeleton of the affected limb 1–4 days after surgery. After surgery, due to postoperative bed rest, slow venous reflux, and other factors, mild swelling around the incision after surgery can be caused, which is mostly normal. If the patient develops edema of the limb and progresses from the distal to the proximal end of the limb, it is usually caused by venous stasis. When a thrombus forms in the venous tube, blood return is slowed and the distal venous return is blocked, causing the distal venous pressure to rise. Capillary filter pressure increased, coupled with anoxia and capillary permeability, and increased limb swelling. In venous thrombosis, the arteries spasm and lymphatic return is blocked, causing swelling of the limb in the affected area. Femoral vein thrombosis, resulting in blocked blood flow in the lower limb, blocked capillary flow, and tissue fluid cannot smoothly enter the vein, resulting in swelling of the knee or lower thigh limb. The results of this study showed that cluster nursing intervention could significantly reduce the limb circumference of 15 cm on the affected side of the body bones on the 3rd, 4th, and 5th day after surgery, but there was no significant difference in the limb circumference of 5 cm on the ankle [26, 27]. Evidence-based cluster nursing interventions can reduce limb swelling. After thrombosis of the muscle vein of the calf, certain physical stimulation can cause pain, especially in dorsiflexion of the ankle joint, the pain is more obvious, and this phenomenon is called Homan sign (+). If the patient has pain when pressing on the fat intestinal muscle, this is called Neuhof sign (+). The main mechanism is that the soleus muscle and fat intestine muscle are passively elongated at the dorsiflexion position of the ankle joint, which stimulates the diseased veins and causes limb pain. When distal deep vein thrombosis occurs in lower limbs, Homan sign and Neuhof sign can show positive signs, so Homan sign and Neuhof sign can be used as the examination to judge whether there is distal vein thrombosis. The results of this study show that compared to the control group, the positive characteristics of Homan and Neuhof in the group were slightly affected, with significant differences between the two groups. Evidence has shown that DVT can reduce the risk of a combination of surveillance services.
Iliac vein compression syndrome (IVCS) is also known as May-Thurner syndrome or Cockett syndrome. It refers to long-term compression of the right iliac artery in the anterior left iliac vein (LIV) of the lumbar spine with symptoms of deep iliac vein thrombosis (DVT) or venous hypertension such as swollen varicose veins in the left leg. It is associated with symptoms of atherosclerosis, such as deep atherosclerosis (DVT) or atherosclerosis in the left leg. Because of this relationship, many people have varying degrees of muscle contraction on the left side of the CT, but there are no signs of deep atherosclerosis or high blood pressure on the left side. Left lean muscle compression during CT scan is not the same as general lean muscle compression disease. Diagnosing the syndrome of atherosclerosis requires three components. First, the left ventricle is compressed by the right artery. Second, the angiography of the arteries shows that the air sac is thin and narrow and that a large artery can be seen in the abdominal cavity. Third, there is clinical evidence of deep atherosclerosis or intravenous hypertension, such as atherosclerosis or lower limb inflammation. Fourth, treatment occurs at the lower extremities of the arteries, such as at the lower extremities or at the lower extremities, or at the lower right atrium. Complications of pulmonary embolism are very rare. Foreign data has now been reported in right-hand muscle contractions. Fretz reported abnormal contractions of the right muscle due to a split in the pancreas, resulting in a narrowing of the inferior vena cava through most of the pelvic floor muscles and the right artery. Abboud and Burkespierre reported narrowing of the right artery from the right artery due to differences in the veins on the left. All of the above 3 conditions for right-hand muscle contraction have vascular changes. Molloy reports data on right-sided muscle contraction syndrome, in which the right muscle is compressed by the right internal artery, but the lower extremity and CT images are missing. The study reported that right-sided vascular compression syndrome was reported without modifying the blood vessels and that the patient’s treatment of low blood pressure (e.g., lower limb arteries) was suggested. Lower venous arteries indicate severe pain in the arteries and many arteries in the abdomen. CT scan shows that the right atrium is constricted by the right artery. Some studies have shown that compression of the coronary artery disease and deep vein congestion of the lower left leg are more common in women. Malignant neoplasms are more common in men. This is because in the development of lumbar spine in women, the lumbar spine rises forward, increasing the risk of muscle spasms on the left side. This is because in the development of lumbar spine in women, the lumbar spine rises forward, increasing the risk of muscle spasms on the left side. During the three months, lumbar spine disease also increases, so the contraction of the left intestinal muscle becomes more pronounced in the third trimester and after childbirth, which increases the risk of DUT in the lower left. In this study, men had more muscle contraction on the right side than women, and women had more muscle contraction on the left than men. The number of female patients with left ventricular compression is >50% higher than in men. These are anatomical features that describe the different sexes in the DUT that occur on the right and left.
The data used to support the findings of this study are available from the corresponding author upon request.
Conflicts of Interest
The authors declared that there is no conflict of interest.
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domain: medical


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A person who plays a cello is called a cellist.
What cello song was played at the royal wedding?
Sheku and his sister Isata performed Fauré’s Après un Rêve. And this was one of the pieces that Sheku played during the signing of the register at the marriage of the Duke and Duchess of Sussex last weekend.
Who played The cello at The royal wedding?
Sheku Kanneh-Mason After winning BBC Young Musician of the Year in 2016, Sheku became a household name two years later when an audience of two billion fell in love with his cello-playing at the wedding of Prince Harry and Meghan Markle.
What did the cellist played at the royal wedding?
Kanneh-Mason was handpicked by Meghan Markle to perform at her 2018 wedding to Prince Harry. His renditions of Sicilienne by Maria Von Paradis, Apres un Reve by Faure and Ave Maria by Schubert at Windsor Castle’s St George’s Chapel were seen by a global audience of 1.9 billion people.
What music was played at Harry and Meghan’s wedding?
The cellist was 19 years old at the time, and he played to 600 guests at Prince Harry and Meghan’s wedding. Sheku told BBC Newsbeat the whole day was “just really amazing”. He played three pieces at the wedding: Paradis’ ‘Sicilienne’, Faure’s ‘Apres un reve’, and Schubert’s ‘Ave Maria’.
What is the most beautiful cello song?
- Bach – Cello Suite No. 1, Prelude.
- Saint-Saëns – Le Cygne.
- Dvořák – Cello Concerto Op. 104.
- Brahms – Double Concerto.
- Elgar – Cello Concerto Op.
- Bruch – Kol Nidrei.
- Haydn – Cello Concerto in C major.
- Brahms – Symphony No. 3 (3rd movement)
What is a famous piece of music played on the cello?
‘The Swan’ from Saint-Saëns’ Carnival of the Animals is one of the best known works for cello. The lyrical opening notes glide us into a sublime melody that’s accompanied by gently swirling quavers in the accompanying parts – just like a beautiful swan gliding over water.
Who played the cello at William and Kate’s wedding?
Kanneh-Mason’s performance of three pieces of music at the royal wedding, including his tear-jerking rendition of Ave Maria, is believed to have been watched by an estimated two billion people across the world.
Who played cello at Meghan’s wedding?
He was the first Black musician to win the competition since its launch in 1978. He played at the wedding of Prince Harry to Meghan Markle on 19 May 2018 under the direction of Christopher Warren-Green. As of 2021, Kanneh-Mason plays a Matteo Goffriller cello which was made in 1700.
What music was played at Prince William’s wedding?
The Wedding of Prince William and Kate Middleton (2011): Ubi Caritas (Paul Mealor) Paul Mealor came to the world’s attention in 2011, when his Ubi Caritas was performed at Westminster Abbey.
Who is the best cellist alive today?
Yo-Yo Ma Yo-Yo Ma is considered to be the most outstanding living cellist today. He was a child prodigy raised in New York City and performed before live audiences since age five.
Did Prince play the cello?
The Prince of Wales confessed that he used to play the cello “rather badly” in his childhood and youth.
Does Prince Charles play the cello?
Prince Charles practices his cello playing in his rooms at Trinity College Cambridge, whilst an undergraduate there.
What music did Meghan walked down the aisle to?
The Duke and Duchess of Sussex, who are celebrating their fourth wedding anniversary on Thursday, opened up about their wedding music for a special exhibition at Windsor Castle in the fall of 2018, including George Frideric Handel’s “Eternal Source of Light Divine,” which was performed by Welsh soprano Elin Manahan …
What music did Diana walk down the aisle to?
‘Rhosymedre’ – Vaughan Williams.
What song did Queen Elizabeth walk down the aisle to?
This was the processional chosen by Queen Elizabeth for her own wedding in 1947. It is a regal melody, often associated with the grand hymn “Praise My Soul, the King of Heaven.”
How expensive is A decent cello?
How much does a cello cost? Some basic price frameworks would be from $300 to $2,500 for beginner cellos. A mid-level cello would range from $2,500 to $10,000, and anything over $10,000 falls into the category of high-quality, professional instruments.
What is the hardest song to play on cello?
The hardest fast cello piece, according to many professional cellists I have asked, is Prokofiev’s Sinfonia Concertante, Op. 125, and in particular the second movement for its technical demands, and the endurance needed. There are virtually no resting points, so from start to finish this concerto is exhausting.
What is the most beautiful piece of music ever written?
- Puccini – O mio babbino caro.
- Rachmaninov – Piano Concerto No.
- Elgar – Salut d’amour.
- Puccini – O soave fanciulla, from La bohème.
- Rota – Love Theme, from Romeo and Juliet.
- Mascagni – Intermezzo, from Cavalleria Rusticana.
What modern songs have the cello?
Songs include: Another Brick in the Wall • Billie Jean • Dust in the Wind • Easy • Free Bird • Girls Just Want to Have Fun • Hey Jude • I’m a Believer • Jessie’s Girl • Lean on Me • The Lion Sleeps Tonight • Livin’ on a Prayer • My Girl • Piano Man • Pour Some Sugar on Me • Reeling in the Years • Stand by Me • Sweet …
Why does the cello make me cry?
The cello can “sound sad” because of its low voice (pitch range). This allows composers to feature this stellar instrument in “sad songs, which tend toward lower pitch registers. It can just as easily be a strong component in “happy” works at the composer’s discretion.
What was Kate and William’s wedding song?
The newlyweds exited the church to Crown Imperial by William Walton. The royal couple enlisted Ellie Goulding to sing at their wedding reception, performing a rendition of Elton John’s Your Song for their first dance.
WHO lifted Kate’s Middleton’s veil at the wedding?
Michael Middleton lifts Catherine’s bridal veil at the altar of Westminster Abbey, 29 April 2011.
Was Kate actually playing the piano?
The Duchess of Cambridge is a former pianist with a solid grade 5 music theory. A look at Kate Middleton’s musical history as a young pianist, chapel singer, school flautist and – eventually – orchestral conductor.
Did Idris Elba DJ at the royal wedding?
British actor Idris Elba is a man of many talents. At the May 2018 wedding of Prince Harry and Meghan Markle, he even guest DJ’d a set for the royal couple’s private reception, and he recently revealed a bit more about that experience.


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Mrs. Yetunde Arobieke, Lagos State Commissioner for Local Government and Community Affairs, has called on Oshodi Local Government to pay more attention to its immediate environment with a view to keeping it clean.
The commissioner made the call in a statement signed by Mr Babajide Razaq, his Chief Press Secretary and made available to News Agency of Nigeria (NAN) in Lagos on Tuesday.
Razaq reports that the commissioner made the call when he inspected facilities at the council, to raise awareness on the need for environmental cleanliness and proffer “radical solution“ to blocked drainage.
She, however, lauded the Chairman of the council, Mr Baloji Ariyoh, for creating environment that enabled members of the staff to improve their productivity.
“This environment is conducive and I believe this is one good step toward ensuring that there is delivery of good governance at Oshodi.
“I am not surprised with the state-of-art facilities seen in Oshodi, with credence to the vision and passion of council chairman in changing the face of governance at the grassroots,’’ she said.
The commissioner urged residents of the area to clear blocked drains in order to ensure free flow of water and avoid flood.
Receiving the commissioner, Ariyoh, commended her effort in ensuring that matters affecting the grassroots were adequately taken care, a development he noted was expected of a responsible government.
“We will continue to ensure that we maintain clean environment for residents and traders of Oshodi, because that is what governance is all about. But at the same time, we need to constantly educate ourselves on the dangers of throwing dirt into the drains,’’ he said. (NAN)

domain: news


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The upcoming Mahindra XUV500 has been teased by chief of design, Pratap Bose and the silhouette seems to suggest a C-Segment SUV rivalling the Grand Vitara and Creta. This new XUV500 could very well be unveiled at the upcoming Delhi Auto Expo and launch is likely to happen within the first half of 2023. In fact, some sources believe that the Auto Expo 2023 might see the launch in itself but we’re not that far away from it so we’ll wait it out.
Coming over to the expectations with this new SUV, features like a sunroof, new Mahindra tech with AdrenoX OS, large touchscreens and a very similar interior and exterior to the XUVV700 are all highly likely. You can expect it to look like a smaller and more stylish version of the XUV700 as it is going to be competing with the upcoming Creta which is also expected to be unveiled at the Auto Expo. Mahindra might try to go the way that Tata and Hyundai have i.e. what Harrier and Creta are to the Safari and Alcazar respectively, the XUV500 will act to the XUV700.
Safety and performance is also something we can expect from the recent Mahindra vehicles which have all been excellent in both these segments. The XUV500 could come with a renewed 1.5L diesel powertrain currently seen in the XUV300 so as to make it compliant with the Phase-II norms of BS6. A 161HP turbo petrol engine could also power this new XUV500 but most importantly, this could very well be offered in an EV variant as well or if not launched, an EV variant of this XUV500 is likely to be showcased at the Auto Expo. For more, stay tuned!


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The verdict, which was delivered nearly a year after Wyatt was found guilty of these offenses, represents the ultimate comedown for a once-prominent TV personality who rubbed shoulders with celebrities such as rock star Ted Nugent and even a former president of the United States, George W. Bush.
Here's the Discovery Channel description of American Guns for the launch of the show's second season, from our previous coverage:
The Wyatts are your typical suburban family who just happened to own one of the premiere firearms facilities in the world. Rich Wyatt and his wife Renee own Gunsmoke, located outside Denver, Colorado, where they buy, sell and trade guns — from hand cannons to hunting rifles. And if you don't see what you want, they'll build one for you — from nothing more than a block of metal. Gunsmoke has the largest and most experienced group of gunsmiths in the state. When the Wyatts aren't building or selling guns, they're shooting them. No gun leaves their shop without being test fired by the family first.report published in December 2012, American Guns' Facebook page was clobbered in the immediate aftermath of the massacre at Sandy Hook Elementary in Newtown, Connecticut.
"I know you all have to make money but would Discovery Channel PLEASE consider ceasing to broadcast the show in the U.K.? Sadly your program makes buying/owning guns seem fun, glamorous, even normal," wrote one person. Another tweeted, "Dear Discovery Channel: it's not appropriate showing the program American Guns now!" A third person weighed in similarly: "With Discovery shows like 'Sons of Guns', 'American Guns', 'Ted Nugent's Gun Country' etc it's not surprising how guns r seen as acceptable."
Shortly thereafter, the Fox News piece goes on, Discovery announced that the show had been canceled and would not return for a third season — this despite a 50 percent ratings increase from season one's debut to the second-season launch and a statement from Renee Wyatt that a season three would definitely happen.
The downward spiral continued on February 27, 2013, when a thief or thieves broke into Gunsmoke Guns through a hole in the roof, spiriting away twelve handguns and three rifles. And the following week, the shop was briefly closed after IRS agents arrived, armed with a search warrant.
The section of the affidavit devoted to evidence stated that in or around June 2010, an agent with the Bureau of Alcohol, Tobacco, Firearms and Explosives was given information suggesting that Wyatt "unlawfully possessed six...fully automatic weapons" in violation of U.S. law. This allegation caused agents to look more closely into the shop's records, figuratively transforming those weapons into smoking guns.
Shortly thereafter, agents discovered that while the Wyatts had long been thought to own Gunsmoke, a certain Victor Rodriguez was actually the man whose name was on the paperwork, though Wyatt told investigators he "did not have a hand in day-to-day operations." Rodriguez later revealed that he'd purchased Gunsmoke from Wyatt in 2005 after Wyatt "went through a serious divorce." At the time, Rodriguez said the business wasn't profitable, but once it returned to the black, he'd agreed to sell it back to Wyatt.
Nonetheless, Wyatt's signature was on sales-tax returns for Gunsmoke for most months between January 2008 and October 2011, but not on individual tax returns from the years 2008, 2009 and 2010 — because he didn't submit any. He did file a 2011 form listing a loss from Gunsmoke of more than $98,000 and presenting no other sources of income, despite the fact that the Discovery show was on the air at that time. The affidavit added that "neither Gunsmoke Inc. nor Gunsmoke Guns Inc. has ever filed Federal Income tax returns."
That's not all. The affidavit, which is 35 pages long, listed plenty about a lavish lifestyle and fancy cars that didn't jibe with the comparatively tiny amounts of moolah the Wyatts reported to the IRS.
Despite this information, Gunsmoke remained in operation. But on March 31, 2015, IRS agents, accompanied by colleagues from the Bureau of Alcohol, Tobacco and Firearms, raided the shop again.
Shortly thereafter, the Wheat Ridge Police Department announced that Wyatt had been named on an arrest warrant for theft from an at-risk adult.
According to the WRPD, the victim in the case "had consigned a rare and antique gun collection with Wyatt in 2013," after which "repeated efforts by the victim at recovering several of the weapons had failed." However, a department release continued, "several of the stolen guns" were recovered by ATF agents during the most recent raid, described as having been prompted by "an unrelated, ongoing federal investigation."
Wyatt turned himself in to the cops in Wheat Ridge on April 10, 2015, but the federal investigation continued — and in February 2016, it finally came to fruition, with a grand jury passing down indictments.
How? "Wyatt directed Gunsmoke employees to enter firearm sales in Gunsmoke’s computer point-of-sale software system as 'miscellaneous' sales rather than firearm sales," prosecutors stated, adding, "After receiving payment for any firearms, Gunsmoke employees directed the customers to another firearm store which had a valid federal firearms license, where the customer filled out the background check paperwork and the customers took possession of the firearm(s) they had purchased at Gunsmoke."
Then there were the tax matters. The U.S. Attorney's Office held that "Wyatt failed to pay personal income tax in years 2009, when he made approximately $290,000, in 2010 when he made approximately $123,000, and in 2012, when he made approximately $689,000. Further, in 2010, 2011, and 2012, Wyatt failed to pay corporate taxes. In 2012, Wyatt willfully filed a tax return he knew to be false, stating that he lost money, when in fact he made at least $184,000 that he failed to disclose. The defendant also faces an asset forfeiture count, including but not limited to the forfeiture of firearms and ammunition involved in the commission of the alleged crimes."
Approximately a year later, Wyatt was placed on trial before U.S. District Court Marcia Krieger — but the case against him didn't turn out to be a slam dunk. The proceedings lasted six days, with the jury deliberating for five more before delivering a mixed verdict. Wyatt was found guilty of two conspiracy beefs and eight tax charges, with jurors unable to agree on three other tax counts.
The total number of firearms involved in Wyatt's various offenses: 490.
In a statement about the sentencing, U.S. Attorney Bob Troyer said, "A man has to make a choice, and Wyatt chose wrong. Unless your ambition is to serve a long sentence in the Federal Bureau of Prisons, selling guns illegally and cheating on your taxes are going to be bad choices."
Added Steve Osborne, the IRS criminal investigation special agent in charge of the Denver field office: "Even television reality stars are not exempt from the reality of our nation’s tax laws." In his view, the sentencing "is a reminder that there are detrimental consequences for this type of criminal behavior."
Click to read the Gunsmoke Guns search warrant affidavit.