text: I have been back from our ASB trip to Tennessee for awhile now but it seems like I was just there. I remember clearly the smell of the pine trees, the impressive waterfall sites, and the looks on everyones faces I saw after we completed a service project. I do not want to be overly cliche and talk about how this trip completely changed me as a person and how I will never be the same… but there is one thing I need to say: this trip taught me that life is what you make of it. It did not matter if we were swimming in a beautiful lake or just picking up garbage in a park, we were always having fun and enjoying life for what it’s worth. We enjoyed each other’s company and took everything in. This idea is very apparent in the Cherokee community we visited there. I am so thankful that I had the opportunity to meet the Cherokees. Everything they told me about their community was so interesting. They were so welcoming and you could tell that they really enjoyed telling people about their community. I am also so happy that I had the honor of meeting Ed and Arleen, our hosts for the week. They are such amazing people with huge hearts (who also know how to have fun!). Their program, “Once Upon a Time”, is so nicely organized and just a truly wonderful experience. They could not have been nicer and they really helped us take a lot away from our experiences. One night, we had a big reflection with all of the schools there as we made smores in their huge fire pit. Ed and Arleen guided our conversation and made us laugh with all of their funny ghost stories. It was so much fun. I am so happy and grateful I had this experience and I would recommend this trip to anyone!


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Are you on the lookout for some breathtakingly beautiful good morning images to kickstart your day? Look no further! In this article, we have curated a collection of the top 999+ stunning good morning images, all in full 4K quality. Whether you are a nature enthusiast, a fan of motivational quotes, or simply someone who appreciates the beauty of the morning sun, we have something that will surely catch your eye. Get ready to be mesmerized by these high-resolution images that are guaranteed to make your morning a little brighter.
In conclusion, the collection of top 999+ stunning good morning images in full 4K quality is a treasure trove for anyone seeking to start their day with positivity and beauty. With a wide variety of images to choose from, individuals can find the perfect picture that resonates with them and uplifts their spirits. The high-quality resolution of these images ensures that every detail is captured, enhancing the visual experience and leaving a lasting impact. Whether it be serene landscapes, adorable animals, inspiring quotes, or creative designs, this collection has something for everyone. These stunning good morning images serve as a reminder to embrace each day with enthusiasm and joy, spreading positive energy to ourselves and others. So, why not make the most of this incredible collection and brighten someone’s day by sharing a beautiful good morning image? Let these images be a constant source of inspiration, motivating us to make every morning a good one.
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domain: artistic


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VICTORIA – The RCMP is investigating possible violations of British Columbia’s Election Act related to indirect political fundraising contributions and other unspecified contraventions.
The investigation comes a month before the start of a provincial election campaign where party financing and donation rules are expected to be major issues.
Chief electoral officer Keith Archer said Friday his agency referred a review it began earlier in the week to the RCMP to “ensure that there is no perception that Elections BC’s ability to administer the (May 9) general election in a fair, neutral and impartial manner is in any way compromised.”
“The potential scope and timing of this matter make the RCMP the most appropriate agency to continue this investigation,” he said in a statement.
In announcing its review on Monday, Elections BC cited sections 186 and 190 of the act that outline restrictions on political contributions and requirements to record information about each contributor. Penalties for violating the financing provisions are a fine of not more than $10,000, imprisonment for a term of not longer than one year, or both.
The RCMP said in an email it “will take the time necessary to conduct a thorough investigation.”
Emile Scheffel, B.C. Liberal party spokesman, said in a statement the party will co-operate fully with the RCMP.
Rich Coleman, deputy premier and Liberal co-campaign chairman, said earlier this week the party is transparent with its fundraising and has done nothing wrong. He said when the party receives money it believes it comes from the person or company named on the payment.
The Liberals are expected to introduce legislation on Monday that affects party donations.
The Liberals recently reported they raised $12.4 million in donations last year. The Opposition New Democrats, who have yet to report their finances for 2016, received $3 million in political donations in 2015.
NDP Leader John Horgan said he welcomed the RCMP investigation.
“On Monday, (Premier) Christy Clark has a choice,” he said in a statement. “She can put a stop to this once and for all by getting big money out of politics or she can again choose her backroom corporate donors over British Columbians.”
The NDP has introduced six private member’s bills calling for bans on union and corporate donations to political parties, but the bills were not supported by the Liberals.
Green party Leader Andrew Weaver, who called on the RCMP earlier this week to investigate the fundraising issue, said the Greens banned accepting union and corporate donations last year.
“This investigation underscores the dire need for wholesale electoral finance reform in British Columbia,” he said in a statement.
Vicki Huntington, an Independent member of the legislature, has introduced a private member’s bill that caps annual political donations at $1,500.
The Liberals have been under fire for the past year over exclusive fundraising events where donors pay sums of up to $20,000 to attend dinners with Clark or her ministers.
In January, Clark said she would no longer accept a $50,000-a-year stipend from the Liberal party because it had become a distraction.

domain: news


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Howdy people of the north, south, east and west, and welcome to Day #7 of Month of Superhero Film Reviews 2! During this month I’ll be reviewing of some of the best, average and worst comic book adapted films. Today I’ll be talking about Mystery Men.
This is one of those films I’ve heard about through passing conversation online and have been told to watch a good few times by my uncle over the last few years, but I’ve never put time aside to see it. But much like a few previous entries in this blog series I now have a reason to watch it.
The story can be summed up as the following:
“A group of inept amateur superheroes must try to save the day when a supervillian threatens to destroy a major superhero and the city.”
The story in this film is very unconventional, it is like a typical superhero film but at the same time it really isn’t. Mystery Men tells a classic tale of superhero heroics, but in a parody-like fashion that pokes fun at superhero tropes and the standard codes and conventions. It is pretty interesting to see these strange takes on superheroes and villains when it comes to their costumes, personalities and motivations and the overall story. Since this is primarily a parody of superhero stuff, the jokes and references are very self-aware and will resonate with any comic book fans who know their superhero material. The comedy doesn’t always work but when it does hit it can be pretty funny because it is so strange and silly.
Now let’s talk about the cast. Let’s start with Ben Stiller as Mr. Furious, this guy is a little temperamental, insecure and ridiculous, but it those traits that make him fun to watch. Hank Azaria as The Blue Raja/Jeff, a superhero who throws cutlery with great accuracy. One of the standout performances comes William H. Macy as The Shoveler, this hero is so bizarre with his choice of weapon, however he acts with the most amount of logic and sensibility. Kel Mitchell is great as Invisible Boy, he is a nice, smart and innocent dude who has the ability to become if nobody is looking, which is ridiculous but it makes him really funny too. Janeane Garofalo does a really good job as The Bowler, i like her backstory and her reasoning for wanting to join the team and have revenge for what happened to her father. Wes Studi has to be my favourite as The Sphinx, this superhero has some cool powers but what may be even cooler is the fact that he constantly talks in riddles or just states sayings in a confusing manner.
Geoffrey Rush as Casanova Frankenstein is fabulous, this guys is very smart, cunning, flamboyant and is fun to watch. Eddie Izzard is just awesome as Tony P., this guy is the leader of the Disco Boys and has a lot of confidence, charisma and style. Greg Kinnear is really good as Captain Amazing/Lance Hunt, he’s this superhero who is super nice, charming and has all of those Superman/Captain America personality traits in the public eye, but behind the scenes he’s a bit of an asshole who needs a challenge and better reception from the public eye. Also Paul Reubens is good as The Spleen, Claire Forlani is lovely as Monica the waitress and Tom Waits is another strange yet entertaining person as Dr. A. Heller.
Now let’s talk about the presentation. Visually the film is pretty good, there is a nice sense of style with the costume design, art direction when it comes to Champion City and the use of colour and lighting. The CGI helps to craft the expansive city and is used well in some of the action scenes, but it does look a little dated now. As for the soundtrack, the film score by Stephen Warbeck is alright, but the music selection is much better especially when it comes to “All-Star” by Smash Mouth (love this song).
And lastly how does it compare to the comics? This is another one of those films I never knew was originally based on a comic until I looked it up, so once again I don’t know much about the source material.
So to conclude Mystery Men is a strange yet fun film, it parodies the superhero genre with some really funny, strange and interesting ideas, and it helps that the cast involved are really good as well. While it isn’t a great film, it’s still worth a watch especially if you like superhero films.
That’s 7 reviews done, only 23 more to go. So have you seen Mystery Men and if so what are your thoughts on it? Drop me a comment and let me know your thoughts yo! Come back tomorrow and I’ll have a new film review online, until then peace out!


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Would you like to be able to marry Russian girls? If your answer is usually yes, you’ll come to the right place. To tell the truth, Russian females are not only attractive, but in reality have a rich customs and classic values that you don’t find in other countries. The culture and traditions happen to be what generate Russian females so one of a kind and different from rest of the girls.
Lots of men want to marry an eastern european girl since their culture instills a sense of pride and family responsibility in all of them. You need to understand that whenever a man seamlessly puts together a Russian female, he’s informing her that she is owned by him, that she is his daughter or perhaps heirloom and will support her to get as long as this lady lives. In exchange, the Russian girl might protect and take care of her husband and children. This is the uncomplicated concept of Russian culture and it applies to women just as much as it does to men. This means that if you want to learn how to marry a Russian girlfriend, you should be willing to do the duty and honor precisely what is expected from you.
Probably the most common values about Russian women is they are indifferent, cold and controlling. These matters are entirely false. Most Russian women happen to be warm, friendly and wanting to please their husbands and the families. They already know they have a work to the person in their life which it requires the sacrifice of some girls to fulfill that duty. Thus when you get married to a Russian girl, don’t think of it seeing that an opportunity to possess a free rule of the house. Remember that your loved ones needs both you and that you need to offer them too.
One more belief about how precisely to get married to a Russian lady is that she’ll provide for you in a relationship just as she’d in a home. She could raise your sons or daughters if this wounderful woman has them. You’ll find that girls who marry a guy from a further culture as well raise their children for being respectful with their father’s tradition and to esteem their mother’s husband. That is certainly exactly what you should anticipate from your girlfriend.
The next thing that you ought to expect to happen is that you will share a whole lot of prevalent interests. Russian culture can be characterized by the strong beliefs in family, religion and nation. Therefore , it is expected that you will be close and fork out a lot of time along with your girl as a couple. Therefore, you’ll be able to completely appreciate everything that your girl has taken into your life.
The last self-belief about how to marry an eastern european daughter is that both of you can live your lives free of responsibilities. This is a real big advantage. You can’t feel the pressure of having to supply for your girlfriend. Therefore , you are able to go on having fun in your russian police women marital relationship without having to worry about the fabric things. Overall, these are the most typical beliefs about how to get married to a Russian woman.

domain: sociology


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This Week’s Picks! All Hail Queen Lesli, Go Home with Chita Rivera & Time Travel with Something Rotten!
Hey, you, lounging on a blanket in Central Park—you have five more months to drink wine and eat crackers outside. Besides, there’s way too much fun stuff to do on Broadway and beyond this week, including two high-profile Broadway opening nights and real-life royalty at 54 Below. Here are this week’s picks!
Survey the Stars with JRB
April 20 at ...

domain: entertainment


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According to British minister Sayeeda Warsi, Pakistan is failing to live up to one of the tenets of Islam which guarantees rights to all women, The Guardian reported on Thursday.
Warsi is a Conservative party co-chairman and minister without portfolio, who is the first Muslim to sit as a full member of the cabinet.
Lady Warsi said Pakistan is denying rights granted 1,400 years ago in the Quran.
Warsi, 40, whose father arrived in Britain from Pakistan in 1960, said in a Guardian interview that, in a "nutshell", Pakistan is not living up to the ideals of its founding father, Muhammad Ali Jinnah.
Warsi said she had also raised concerns about the treatment of minorities in Pakistan. Shahbaz Bhatti, Pakistan's only Christian minister, was shot dead in March after he called for the reform of blasphemy laws that impose the death sentence for insulting Islam.
Warsi said: "I said to them ... let me talk to you about the rights of minorities, the protection of women and the concept of meritocracy. I gave real examples of how Islam embodies all of those values, and the question I put was: my country wasn't formed in the name of Islam, but yours was; so why does my country embody the values of the faith that your country was formed on the basis of?"
Warsi said her heritage enabled her to speak out. "This was not the west arriving with an ideological perspective of women's rights about to impose them on a nation. I understand this culture, I deeply understand the faith and the culture that is part of this nation ... But what I don't see is you in many ways having the very values upon which the nation was formed, the vision of the founder of Pakistan."
Last week, a Thomson Reuters Foundation expert poll showed Pakistan as the third most dangerous country in the world for women.
According to the survey, those polled cited cultural, tribal and religious practices harmful to women, including acid attacks, child and forced marriage and punishment or retribution by stoning or other physical abuse.
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How To Build Muscle With $100 Per Month?
A few days ago, a young student (probably 18) who isn’t earning any income and works out at the same gym as me asked me, “Hey man, I can only spare $100 each month from my allowances to buy protein and supplements. What should I get?”
So this is my advice to every young chap who is a beginner and has only about S$100 (or RM250/US$80) each month to spend on building muscle. This is of course, assuming that you already have at least 3 good meals per day and this is simply an addition. Lastly, this is not OPTIMAL but if will build you the most muscle (with good training and recovery) for that amount of money.
You should spend that S$100 on…
Beef, rice and eggs!
Yup, that’s right. More food. No supplements. Why? Well, let’s make some calculations and comparisons.
At Singapore prices, S$100 can buy you say, approximately one of these:
- 10lbs (4.5kg) of mass gainer (17 500 kcal)
- 7lbs ( 3.2kg) of whey protein (12 800 kcal)
- 1.5kg (300 servings) of creatine monohydrate.
- 22lbs (10kg) of ground beef (from the wet market, not the imported beef you find in supermarkets) (21 000 kcal)
- 600 large eggs (44 700 kcal)
- 100lbs (40kg) of rice (143 200kcal)
So, in the effort to maximize calorie intake to build mass, what would you buy get the biggest bang for your buck? Rice, obviously! However, you’re not gonna build muscle on carbohydrates alone. Plus, good luck eating more than a kilo of rice a day! So, let’s say, you’ ve spent $15 per month on rice, which on average, increases your calorie intake by 700kcal per day. Great! You have all the energy to fuel you through your workouts! Now, let’s get some protein in to pack to on those muscle!
Well, since you’ve got all the carbs you need from rice for a dirt cheap $15 per month, why on earth would you need a mass gainer? (Plus, rice is so much better for you than maltodextrin. Maltodextrin spikes insulin like hell!). So, it’s between whey, creatine eggs and ground beef now. Creatine won’t do you much good if you’re not taking enough calories and protein. So, let’s scrap that. Plus, there are some naturally occuring creatine in beef.
Now, the benefit of whey which beef and eggs couldn’t provide is that it’s fast absorbing, which is perfect for post-workouts. On the other hand, beef and whole eggs are able to provide you a time-released source of protein. Plus, for beef, you get loads of other nutrients like zinc, selenium, niacin and smaller amounts of other nutrients. You’ll get plenty of riboflavin, vitamin B12 and selenium with eggs. AND lastly, any experienced bodybuilder (maybe except vegetarian bodybuilders) will tell you that beef is the ultimate muscle maker! There’s no ONE reason why beef is so, but rather a combination of all the nutrients, fats and protein which makes it the best muscle builder of all time.
So if I have to choose either having whey or beef, rice and eggs, I will actually choose the food! With that much calories, protein and other nutrients, eventually they will build me more muscle than any whey products of the same cost!
But wait. Missing a post-workout shake? Then have your meal as soon as you finish your workout. Or have a small sugary drink if the travel home takes a lil too long. The sugars will spike your insulin, which is anti-catabolic so you save your muscle from further breaking down. Either way, you will still build loads more muscle if you sacrifice your post-workout shake for lots of rice and beef for the rest of the day (of course, the best choice is if you can afford both, which is not the case here).
And yup, I know, ground beef and egg yolks has a substantial amount of fat. But dude, you’re BULKING!! You need those calories! Want something leaner? Go for chicken breast then. That’s still 2800g protein for $100. 😉
Don’t know how to cook? Well, experiment with various sauces and spices! I’ve learnt tonnes of delicious yet healthy recipes by doing that! Plus, ladies love men who are also great in the kitchen, not just in bed. 😉
So in conclusion, if your wallet is thin but you want your body to be thick, spend what you have on food! Even if you only consume half the yolks from the eggs you’ve bought, you’ll get 27 000kcal and 2900g of protein! That’s way more than what you can find in powders! You won’t regret it! Now who says you can’t bulk on a budget?
Like our page for more bodybuilding tips! 😉

domain: food


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This past Mother’s Day, one of the speakers spoke about how her children all had another mother. For example, with her first daughter, a hospital intensive care (ICU) nurse held her baby and knitted her booties to wear when the only other thing she could wear was a diaper while in the isolette.
The speaker went on to tell about her children’s other mothers. Two of her children are adopted. As such, they both have natural mothers who gave them life. One also spent time in foster care. The speaker was able to give birth after adopting, but again, her baby spent over a month in ICU with many other women who took care of her child. She spoke of all the other mothers her children have had in Primary (children’s church class), Young Women’s (teenage girl church class) and all the different influences children have in different stages of their lives. Women around us contribute to our lives, they are other mothers to us.
It was a wonderful talk for a Mother’s Day — speaking to all women. We are all mothers as we contribute to the well being of children growing up around us.
Thank you to all the women in my life. I need your love and support to be who I am, and to help my children be who they need to be. It is especially applicable this time of year as so many children, young and old, go to school and are nutured by ‘other mothers’.
Few of us will reach our potential without the nurturing of both the mother who bore us and the mothers who bear with us. -Sister Sheri Dew
For more We Believe posts, please click here.


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Acute Liver Failure Workup
- Author: Gagan K Sood, MD; Chief Editor: BS Anand, MD more...
The most important step in patients with acute liver failure is to identify the cause. Prognosis in acute liver failure is dependent on etiology. Acute liver failure from certain causes demands immediate and specific treatment. It is also critical to identify those patients who will be candidates for liver transplantation.
All patients with clinical or laboratory evidence of moderate or severe acute hepatitis should have immediate measurement of prothrombin time (PT) and careful evaluation of mental status. Prolongation of the PT or alteration in mental sensorium is grounds for hospital admission.
A complete blood cell (CBC) count in patients with liver failure may reveal thrombocytopenia.
American College of Gastroenterology guidelines for drug-induced liver injury
In 2014, the American College of Gastroenterology released new guidelines for the diagnosis and management of drug-induced liver injury. Key points include the following[28, 29] :
Drug-induced liver injury is a diagnosis of exclusion; a thorough history-taking and workup should be performed to rule out other possible etiologies
Liver biopsy should be considered to help confirm the presence of drug-induced liver injury, if autoimmune hepatitis may be associated with the condition, and when immunosuppressive agents are being considered
The widely used Roussel Uclaf Causality Assessment Method scale may underestimate the risk of liver injury associated with herbal and dietary supplements
The guidelines also include an algorithm for the diagnosis of patients with suspected drug-induced liver injury and provide separate diagnostic pathways based on the type of liver damage (hepatocellular, mixed, or cholestatic) present.
The PT and/or the international normalized ratio (INR) are used to determine the presence and severity of coagulopathy. These are sensitive markers of hepatic synthetic failure and are usually abnormal in the setting of fulminant hepatic failure. Results may be worsened because of extrahepatic causes (eg, vitamin K deficiency, disseminated intravascular coagulation [DIC], consumptive coagulopathy).
The levels of the transaminases (aspartate aminotransferase [AST]/serum glutamic-oxaloacetic transaminase [SGOT], and alanine aminotransferase [ALT]/serum glutamic-pyruvic transaminase [SGPT]) are often elevated dramatically as a result of severe hepatocellular necrosis.
In instances of acetaminophen toxicity (especially alcohol-enhanced), the AST and ALT level may be well over 10,000 U/L. The alkaline phosphatase (ALP) level may be normal or elevated.
By definition, the serum bilirubin level should be elevated in fulminant hepatic failure. It climbs as hepatic dysfunction worsens. A serum bilirubin that is elevated to greater than 4 mg/dL suggests a poor prognosis in the setting of acetaminophen poisoning.
The serum ammonia level may be elevated dramatically in patients with fulminant hepatic failure. The arterial serum ammonia level is most accurate, but venous ammonia levels are generally acceptable. An elevated serum ammonia level does not exclude the possibility of another cause for mental status changes (notably, increased intracranial pressure and seizures).
Serum glucose levels may be dangerously low. This decrease results from impairments in glycogen production and gluconeogenesis.
Arterial blood lactate levels, either at 4 hours (>3.5 mmol/L) or at 12 hours (>3.0 mmol/L) are early predictors of outcome in acetaminophen-induced acute liver failure. Blood lactate levels are often elevated as a result of both impaired tissue perfusion, which increases production, and decreased clearance by the liver.
Patients with elevated lactate levels may have an associated metabolic acidosis due to an increased anion gap. Alternatively, this condition may be accompanied by a respiratory alkalosis as a result of hyperventilation.
Arterial Blood Gases
Like pulse oximetry, arterial blood gas evaluation is valuable for identifying acid-base imbalances. However, because of significant disturbances in the acid-base balance, which are usually progressive, arterial blood gas evaluation is required, rather than only monitoring pulse oximetry. Placement of an arterial line is recommended.
Additionally, arterial blood gases may reveal hypoxemia, which is a significant concern as a result of adult respiratory distress syndrome (ARDS) or other causes (eg, pneumonia).
Serum creatinine levels may be elevated, signifying the development of hepatorenal syndrome or some other cause of acute renal failure.
Most patients develop infection during or before hospitalization. Patients are at risk of catheter sepsis and complications from all other invasive procedures. Fungal infections are common, most likely as a result of decreased host resistance and antibiotic treatment.
Infection may be associated with bacteremia. Early identification and treatment of bacteremia is important because the mortality from fulminant hepatic failure increases significantly with the development of this serious complication.
Serum Free Copper
Patients with Wilson disease have low ceruloplasmin and total serum copper levels. However, ceruloplasmin acts as an acute-phase reactant as well as a copper transporter, and levels may be increased (eg, from active inflammation, pregnancy, or estrogen treatment) or depressed in a nonspecific fashion as a result of hepatic failure. Thus, determination of serum free copper (ie, non-ceruloplasmin–bound copper) is important when Wilson disease must be excluded or confirmed. Fulminant hepatic failure from Wilson disease appears to be uniformly fatal without transplantation.
The free copper level is determined by subtracting 3 times the ceruloplasmin level (mg/dL) from the total serum copper level (µg/dL). Normal free copper levels range from 1.3 to 1.9 µmol/L (8-12 µg/dl); in Wilson disease, levels exceed 3.9 µmol/L (>25 µg/dL).
Levels of serum phosphate may be low. It has been hypothesized that hypophosphatemia develops in people whose livers regenerate rapidly. Elevated phosphate levels suggest impaired regeneration.
Hepatitis A virus (HAV) immunoglobulin M (IgM), hepatitis B surface antigen (HBsAg), and hepatitis B virus (HBV) anticore IgM serologies help identify acute infection with HAV or HBV.
Hepatitis C virus (HCV) antibody test results may remain negative for several weeks or months. Repeat testing may be necessary, but acute HCV infection as a cause of fulminant hepatic failure appears to be exceedingly uncommon. If a strong index of suspicion exists, obtain hepatitis C viral load testing.
If the HBsAg assay is positive, consider testing for hepatitis D virus (HDV) IgM. This test is particularly advisable if the patient is a known intravenous (IV) drug abuser.
Other viral studies may be helpful in the posttransplantation setting or when patients are otherwise heavily immunosuppressed. Such studies include cytomegalovirus viremia and cytomegalovirus antigenemia. Also consider herpes simplex virus (HSV).
Antinuclear antibody (ANA), anti-smooth muscle antibody (ASMA), and immunoglobulin levels are important markers for the diagnosis of autoimmune hepatitis.
In patients with liver failure from acetaminophen toxicity, the acetaminophen level may have decreased by the time a patient presents with fulminant hepatic failure. Nevertheless, this assay may be helpful for documentation purposes.
Acetaminophen-protein adducts are specific biomarkers of acetaminophen-related toxicity. These can be measured in blood. Measurement of acetaminophen-protein adducts is particularly useful for diagnosis in cases lacking historical data or other clinical information. Serum acetaminophen-protein adducts decrease in parallel to aminotransferases and can be detected up to 7 days.
Consider a drug screen in a patient who is an IV drug abuser.
A Doppler scan of the liver establishes the presence of ascites and may establish the patency and flow in the hepatic veins (allowing exclusion of Budd-Chiari syndrome), hepatic artery, and the portal vein.
Liver ultrasonography may not be necessary if an obvious explanation exists for the hepatic failure. However, it may assist the clinician in excluding the presence of a hepatocellular carcinoma or intrahepatic metastases (see the image below).
Computed Tomography Scanning
CT scanning (or magnetic resonance imaging) of the abdomen may be required for further definition of hepatic anatomy and to help the clinician exclude other intra-abdominal processes, particularly if the patient has developed massive ascites, if the patient is obese, or if transplantation is being planned.
Intravenous contrast may compromise renal function. Consider performing a contrast-free study.
CT scanning of the head may help identify cerebral edema, although CT scans do not reliably demonstrate evidence of edema, especially at early stages. Head imaging with CT scanning is also used to exclude other causes of decline in mental status, such as intracranial mass lesions (especially hematomas) that may mimic edema from fulminant hepatic failure. It can also exclude subdural hematomas (see the image below).
Consider electroencephalography in the evaluation of a patient with encephalopathy if seizures must be excluded.
A percutaneous liver biopsy is contraindicated in the setting of coagulopathy. However, a transjugular biopsy is helpful for diagnosis if autoimmune hepatitis, metastatic liver disease, lymphoma, or herpes simplex hepatitis is suspected. Liver biopsy findings may be nonspecific, but in general, the findings depend on the underlying etiology of the acute liver failure.
Intracranial Pressure Monitoring
When establishing a diagnosis of intracranial hypertension or cerebral edema, intracranial pressure monitoring is frequently necessary. Monitoring also has value in guiding management.
Typically, extradural catheters are safer than intradural catheters. On the other hand, intradural catheters are somewhat more accurate and, in the hands of a neurosurgeon experienced with their use, may be equally safe.
Liver biopsy in patients with idiosyncratic medication-induced hepatitis leading to fulminant hepatic failure generally shows panlobular necrosis. In patients with acetaminophen-induced fulminant hepatic failure, centrilobular necrosis is typical but panlobular injury may also be observed.
Viral hepatitis typically produces a panlobular injury and may be difficult to distinguish from medication-induced hepatitis. The presence of microvesicular steatosis suggests certain medications (eg, valproic acid, salicylates in Reye syndrome) as a cause for fulminant hepatic failure, but this finding is also observed in acute fatty liver of pregnancy.
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Demetriou AA, Brown RS Jr, Busuttil RW, Fair J, McGuire BM, Rosenthal P, et al. Prospective, randomized, multicenter, controlled trial of a bioartificial liver in treating acute liver failure. Ann Surg. 2004 May. 239(5):660-7; discussion 667-70. [Medline]. [Full Text].
Jalan R, Olde Damink SW, Deutz NE, Hayes PC, Lee A. Moderate hypothermia in patients with acute liver failure and uncontrolled intracranial hypertension. Gastroenterology. 2004 Nov. 127(5):1338-46. [Medline].
Jiang W, Desjardins P, Butterworth RF. Hypothermia attenuates oxidative/nitrosative stress, encephalopathy and brain edema in acute (ischemic) liver failure. Neurochem Int. 2009 Jul-Aug. 55(1-3):124-8. [Medline].
Hoofnagle JH, Carithers RL Jr, Shapiro C, Ascher N. Fulminant hepatic failure: summary of a workshop. Hepatology. 1995 Jan. 21(1):240-52. [Medline].
Lee WM, Schiodt FV. Fulminant hepatic failure. In: Schiff ER, Sorrell, MF, Maddrey WC, eds. Schiff's Diseases of the Liver. 8th ed. Baltimore: Md: Lippincott Williams & Wilkins; 1999.
Lidofsky SD, Bass NM, Prager MC, Washington DE, Read AE, Wright TL, et al. Intracranial pressure monitoring and liver transplantation for fulminant hepatic failure. Hepatology. 1992 Jul. 16(1):1-7. [Medline].
Detry O, Arkadopoulos N, Ting P, Kahaku E, Margulies J, Arnaout W, et al. Intracranial pressure during liver transplantation for fulminant hepatic failure. Transplantation. 1999 Mar 15. 67(5):767-70. [Medline].
Schiødt FV, Rochling FA, Casey DL, Lee WM. Acetaminophen toxicity in an urban county hospital. N Engl J Med. 1997 Oct 16. 337(16):1112-7. [Medline].
Larson AM, Polson J, Fontana RJ, Davern TJ, Lalani E, Hynan LS, et al. Acetaminophen-induced acute liver failure: results of a United States multicenter, prospective study. Hepatology. 2005 Dec. 42(6):1364-72. [Medline].
Davern TJ 2nd, James LP, Hinson JA, Polson J, Larson AM, Fontana RJ, et al. Measurement of serum acetaminophen-protein adducts in patients with acute liver failure. Gastroenterology. 2006 Mar. 130(3):687-94. [Medline].
Khandelwal N, James LP, Sanders C, Larson AM, Lee WM. Unrecognized acetaminophen toxicity as a cause of indeterminate acute liver failure. Hepatology. 2011 Feb. 53(2):567-76. [Medline].
Paterson JM, Mamdani MM, Manno M, Juurlink DN. Fluoroquinolone therapy and idiosyncratic acute liver injury: a population-based study. CMAJ. 2012 Aug 13. [Medline].
Notes from the field: acute hepatitis and liver failure following the use of a dietary supplement intended for weight loss or muscle building - may-october 2013. MMWR Morb Mortal Wkly Rep. 2013 Oct 11. 62(40):817-9. [Medline]. [Full Text].
Hand L. CDC: supplement linked to hepatitis, liver failure. Medscape Medical News. October 15, 2013. Available at http://www.medscape.com/viewarticle/812581. Accessed: October 22, 2013.
Lo Re V 3rd, Haynes K, Forde KA, et al. Risk of acute liver failure in patients with drug-induced liver injury: evaluation of Hy's law and a new prognostic model. Clin Gastroenterol Hepatol. 2015 Dec. 13 (13):2360-8. [Medline].
Klein AS, Hart J, Brems JJ, Goldstein L, Lewin K, Busuttil RW. Amanita poisoning: treatment and the role of liver transplantation. Am J Med. 1989 Feb. 86(2):187-93. [Medline].
Hoyer DP, Munteanu M, Canbay A, et al. Liver transplantation for acute liver failure: are there thresholds not to be crossed?. Transpl Int. 2014 Jun. 27 (6):625-33. [Medline].
O'Grady JG, Alexander GJ, Hayllar KM, Williams R. Early indicators of prognosis in fulminant hepatic failure. Gastroenterology. 1989 Aug. 97(2):439-45. [Medline].
Lee WM, Galbraith RM, Watt GH, Hughes RD, McIntire DD, Hoffman BJ, et al. Predicting survival in fulminant hepatic failure using serum Gc protein concentrations. Hepatology. 1995 Jan. 21(1):101-5. [Medline].
Schiødt FV, Rossaro L, Stravitz RT, Shakil AO, Chung RT, Lee WM. Gc-globulin and prognosis in acute liver failure. Liver Transpl. 2005 Oct. 11(10):1223-7. [Medline].
[Guideline] Kelly JC. Drug-Induced Liver Injury Guidelines Released by ACG. Medscape Medical News. Jun 18 2014. [Full Text].
[Guideline] Chalasani NP, Hayashi PH, Bonkovsky HL, et al. ACG clinical guideline: the diagnosis and management of idiosyncratic drug-induced liver injury. Am J Gastroenterol. 2014 Jun 17. [Medline].
Rolando N, Harvey F, Brahm J, Philpott-Howard J, Alexander G, Casewell M, et al. Fungal infection: a common, unrecognised complication of acute liver failure. J Hepatol. 1991 Jan. 12(1):1-9. [Medline].
Murphy N, Auzinger G, Bernel W, Wendon J. The effect of hypertonic sodium chloride on intracranial pressure in patients with acute liver failure. Hepatology. 2004 Feb. 39(2):464-70. [Medline].
Pereira SP, Langley PG, Williams R. The management of abnormalities of hemostasis in acute liver failure. Semin Liver Dis. 1996 Nov. 16(4):403-14. [Medline].
Stine JG, Lewis JH. Current and future directions in the treatment and prevention of drug-induced liver injury: a systematic review. Expert Rev Gastroenterol Hepatol. 2015 Dec 25. 1-20. [Medline].
[Guideline] Murray KF, Carithers RL Jr. AASLD practice guidelines: Evaluation of the patient for liver transplantation. Hepatology. 2005 Jun. 41(6):1407-32. [Medline].
AASLD position paper: the management of acute liver failure. Private Nonprofit Research Organization. American Association for the Study of Liver Diseases - Private Nonprofit Research Organization. 2005 May. 36(1):19 pages.
ClinicalTrials.gov. The Effect of Prometheus (R) Liver Support Dialysis on Cerebral Metabolism in Acute Liver Failure. Available at http://clinicaltrials.gov/ct2/show/NCT00655304.
Fontana RJ, Ellerbe C, Durkalski VE, et al; for the US Acute Liver Failure Study Group. Two-year outcomes in initial survivors with acute liver failure: results from a prospective, multicentre study. Liver Int. 2015 Feb. 35 (2):370-80. [Medline].
Fairfield C, Penninga L, Powell J, Harrison EM, Wigmore SJ. Glucocorticosteroid-free versus glucocorticosteroid-containing immunosuppression for liver transplanted patients. Cochrane Database Syst Rev. 2015 Dec 15. 12:CD007606. [Medline].
|Grade||Level of Consciousness||Personality and Intellect||Neurologic Signs||Electroencephalogram (EEG) Abnormalities|
|Subclinical||Normal||Normal||Abnormalities only on psychometric testing||None|
|1||Day/night sleep reversal, restlessness||Forgetfulness, mild confusion, agitation, irritability||Tremor, apraxia, incoordination, impaired handwriting||Triphasic waves (5 Hz)|
|2||Lethargy, slowed responses||Disorientation to time, loss of inhibition, inappropriate behavior||Asterixis, dysarthria, ataxia, hypoactive reflexes||Triphasic waves (5 Hz)|
|3||Somnolence, confusion||Disorientation to place, aggressive behavior||Asterixis, muscular rigidity, Babinski signs, hyperactive reflexes||Triphasic waves (5 Hz)|
|4||Coma||None||Decerebration||Delta/slow wave activity|

domain: medical


Jumper Strawberry Herringbone Upholstery Fabric coral pink upholstery fabric with a herringbone design. Jumper Strawberry is a high quality woven fabric with texture and a slight stripe effect. It would be durable for anywhere in your home and suitable for most upholstery needs you have. Jumper could be used as an interesting solid to coordinate with other patterns you have and best of all it’s Made in the USA.
Shop all Made in the USA quality upholstery fabrics. Go to our Choosing The Best Upholstery Fabric page for more information on finding the right furniture fabric for your home.
Vendor: USA Manufacturer
Contents: 83% Rayon 15% Polyester 2% Nylon
Durability: 45,000 Double Rubs
Cleaning Code: (S) Dry Clean Only
Since we are located in NC where Valdese Weavers Mill is we receive shipments each week mill direct on the factory truck. Depending on stock we have and timing of order it could take 4-5 days processing time to ship.


text:
No matter where they live or work, health professionals, researchers, and the public can access information from the National Library of Medicine thanks to its National Network of Libraries of Medicine, consisting of more than 6,000 libraries coordinated by the NLM and supported by eight Regional Medical Libraries (RMLs). NLM in Focus is showcasing RMLs for 2011-2016. In this article we introduce you to the people and projects of the Southeastern/Atlantic Region (SE/A).
Stretching from the nation’s capital and adjacent Maryland and Virginia before dropping down along the Gulf Coast and into the deep south, and reaching over to the US Virgin Islands and Puerto Rico, the Southeastern/Atlantic (SE/A) Region is a rich mosaic of urban, rural and remote areas.
Headquartered in Baltimore at the University of Maryland Health Sciences and Human Services Library, the SE/A Region supports collaboration among 34 resource libraries and more than 1,000 network members, including hospital libraries and community-based organizations, located across Alabama, the District of Columbia, Florida, Georgia, Maryland, Mississippi, North Carolina, Puerto Rico, South Carolina, Tennessee, Virginia, the Virgin Islands, and West Virginia. The region includes three of the 10 wealthiest states or federal districts (DC, Maryland, and Virginia), as well as four of the poorest (Alabama, Mississippi, South Carolina, and West Virginia).
NLM in Focus spoke recently with SE/A Director M.J. Tooey and Executive Director J. Dale Prince.
NLM in Focus: What makes your region unique and interesting?
We serve a huge geographic area with a fourth of the country’s people and some of its busiest, most populous cities, as well as remote rural areas, particularly in Appalachia and West Virginia. Our region contains important information and research centers, including the Library of Congress, the Centers for Disease Control and Prevention (CDC), and the NLM.
Ours is a real mix, from federal agencies and world-class medical centers like the NIH to many special and underserved populations. Our region includes a large black population and is home to 72 percent of the Historically Black Colleges and Universities. The Asian and Hispanic populations are growing, along with Cuban Americans and Haitians in Florida, Puerto Ricans, and residents of the U.S. Virgin Islands. Each group has its own customs, culture, and sometimes language that we need to accommodate and understand. The region is full of contrasts.
NLM in Focus: Are there challenges specific to your region? If so, how have you overcome them?
We rely on a decentralized approach for delivering programs. The region is simply too large to approach our mission any other way. Most staff work out of our Baltimore headquarters, but we rely on our network members in each state to take the initiative and do the bulk of the outreach. They propose and monitor programs and stay connected. We assign a coordinator to each state or region to oversee projects and programs.
Our coordinators travel extensively to meet with people in their states or regions. We know them and understand their needs. Personal connections are so important for maintaining a robust health information outreach effort such as ours.
NLM in Focus: What are your proudest accomplishments?
Helping underserved military families. In recent years, we funded the Military Partners and Family Coalition (MPFC), an organization supporting lesbian, gay, bisexual, transgender and similarly identified (LGBT) military families.
We got involved when we realized that many military families are “hidden” and consequently underserved. We worked to obtain MPFC and NN/LM funding, and then reached out to those families, gathered baseline data on their physical and mental health needs and whether they were being met, and produced the MPFC Community Health Care Study Report 2011-2012.
That in turn led us to a partnership with the National Association of Social Workers (NASW), which helped ensure the report’s use by social workers serving the military and veterans community. The MPFC results are now part of a larger, on-going military-wide study started in 2014 by the Naval Center for Combat & Operational Stress Control and researchers from Palo Alto University. The study will assess sexual minority stress and changes in perceived stigma in the wake of “Don’t Ask, Don’t Tell.”
We are also extremely proud to have helped support Marilyn Lance-Robb, founder/owner of MaFlo’s Health & Awareness Team/MaFlo’s Beauty Salon, and her work in Georgetown, SC. She is using computers with Wi-Fi internet access at MaFlo’s as part of an innovative program to bring health information to her customers.
In Parrottsville, TN, we support Karin Hoffman, the Director of the Migrant Health Program for Rural Medical Services, Inc. (RMS), which operates several primary care clinics in the state. Three of the RMS clinics have bilingual staff capable of serving Spanish speakers, and they provide outreach to the Hispanic population with home visits, emergency follow-up, outreach clinics at farm worker labor camps and housing areas, and health education.
We’re pleased with our program that pays the processing fees of many MLA Consumer Health Information Specializations and Disaster Information Specializations. We now are piloting a project in Maryland and West Virginia to provide free registration to any public librarian who wishes to acquire either or both of these specializations.
Our most important accomplishment, and one at which we are constantly working, is maintaining our quality standing in the eyes of our network members. Based upon Mid-Contract Review surveys of our network base and discussions with representative groups of members who dealt with us recently, either through funding or classes, we have maintained those important relationships. Although the new contract format was challenging to work with given our outreach needs, our members remain appreciative.
NLM in Focus: How has technology impacted your work?
Technology is always a challenge because there is always something new. We stay alert and scramble to keep up. For outreach though, we wouldn’t be where we are without technology. We use Adobe Connect for daily, weekly, and monthly meetings. Technology allows us to connect and serve our populations almost instantly. Members of the RML staff are accessible all of the time via Skype, text messages, and email. We use Facebook, Twitter, and our own blogs to spread the word or update our remote sites. Our SEA Currents newsletter blog is very popular.
We Skype a lot for remote, face-to-face meetings and we still fax occasionally. Accessibility is a serious issue, not just in remote regions but in cities, too. Some users can’t or won’t use technology; some still don’t have access to the Internet or mobile devices.
NLM in Focus: Tell us about your recent community outreach projects.
What we do best is “build capacity.” That is, through our network, our educational outreach, and our funding, we enable network members to perform more and better outreach. We are proud of the way our network members are able to take our offerings and do wonderful things with them.
Our goal is to develop partnerships within the region. And when you speak of partnerships, we have a great variety. We already mentioned Marilyn Lance-Robb and Karin Hoffman, but we also support people like Rick Wallace, who received the 2013 Michael E. DeBakey Library Services Outreach Award from the Friends of the National Library of Medicine. He has devoted his life to serving rural and underserved populations. Rick’s project, “A Simple Plan,” provided instruction for public librarians across the 500-mile width of Tennessee. His team traveled thousands of miles over a 6-year period, performing outreach to roughly 1,000 people and helped 250 receive the MLA Consumer Health Information Specialization. He also works with 20 rural hospitals, 20 rural clinics, and many public health departments to provide remote library access. Additionally he’s gone on to target specific consumer health populations. He says that none of this would be possible without NN/LM.
We provide training and professional development opportunities to those who directly provide health information to the public, including network and other librarians, health professionals (including public health professionals), educators, health advocates, and those working with various community-based organizations. Part of that effort involves helping people understand the Affordable Care Act, its benefits, and how to apply and obtain primary care and preventive services.
NLM in Focus: Any further thoughts about your region and the work you do?
It is always about the people, always about making it easier for people to access quality health information. People in the region know our staff. We are not some distant entity. We try to connect, to understand their needs and ask them, “How can we help?” There always is a need for good programs and health information, and that’s what drives us.
We meet new people and hear new ideas. We forge relationships and, together, we make a difference.
By Thomas Conuel, NLM in Focus writer

domain: geography


text:
All you need is your SouthPoint Member Number and the Loan Number. Here is an example
Member Number 123456 Loan Number 52
In the LoanPay Xpress system, it will read that as 12345652
Your Loan Number is located on your monthly statement or on the original loan paperwork you were issued at the time you opened your SouthPoint loan. On your Statement/eStatement, the Loan Number is listed as a two digit number. You can also retrieve it from SouthPoint’s Online and Mobile Banking sites.
Using SouthPoint’s LoanPay Xpress you can pay auto loans, boat/recreational loans, personal loans, and Home Equity Line of Credits.
You can use any non-SouthPoint debit or credit card, with VISA(VISA Debit Cards Only), MasterCard and Discover logos. SouthPoint’s LoanPay Xpress does not accept American Express payments. You can also do a Direct Debit (ACH) from another financial institution’s savings or checking account.
You can use SouthPoint’s LoanPay Xpress to make payments on all your loans. After you create a unique User ID and password, then you can register all your SouthPoint loans using the different Loan Numbers.
If you want to make payments using funds in your SouthPoint savings or checking account, you can use SouthPoint’s Internet Banking system to make a FREE payment.
No. In a given month you are able to pay more toward your SouthPoint loan, however, the LoanPay Xpress system will not advance the due date of your next payment. Any extra funds that are paid in a given month will be put toward the principal, but members will still need to make their required payment the following month.
All payments made before 6:00 p.m. on business days will be credited to your account on the next business day. All payments made after 6:00 p.m. will be credited to your account in 2-3 business days. Payments made on Saturday and Sunday will post to your loan within 2-3 business days. Federal holidays will post the payment the 2-3 business days.
If you have any questions about SouthPoint’s LoanPay Xpress or encounter difficulties logging in, please contact a SouthPoint representative at 877-794-6712.
The first time you log in, please use your Member Number instead of Username and the last 4 digits of your social security number.
You have requested an external link.
By clicking this link, you are leaving SouthPoint’s website and entering a website hosted by another party. We do not operate this site, nor are we responsible for its content. Please review the privacy and security policies of the site you are entering, as they may differ from those practiced by the credit union.

domain: economics


text:
Chances are, you know Vancouver - even if you’ve never been there. Dubbed "Hollywood North," Vancouver has been a primary film location for nearly a century and is, currently, the third-largest film production town in North America after LA and NYC.
Romance, intrigue, and spectacular scenery: it’s a seductive combination - and particularly when you’re traveling on VIA Rail Canada’s flagship, the Canadian. From Vancouver to Toronto is one of the world’s most legendary long-haul journeys.
Same-sex couples who marry in one of the nation’s more forward-thinking states might consider a honeymoon in Vegas, one of the world’s premier luxury destinations with a surfeit of celebrity chefs and more than 45 destination spas.
One of the biggest weekends of the year deserves a great kick-off party; Melt was that and way more! Peter Napoli knows a thing or two about making a crowd of hot, sweaty, hunky guys dance non-stop...this time literally under the sun!
Pines Party, the all-night fund raising party on the beach in Fire Island Pines, had never seen so many friends of Dorothy!! The Emerald City theme inspired everything from tin men to gay tornados and everything in between. DJ Pagano spun the tunes

domain: travel


One of the most common features present in every application we use nowadays is the ability to search content within the app. Be it any entertainment platform or an e-commerce website, search plays a crucial role in providing users with their requested content quickly and accurately.
While implementing a search is easy, fine-tuning it to improve user experience and performance is difficult.
That's why we built moonlight, a GraphQL-based search engine tool powered by Stepzen that helps you personalize searches for each user, without the need to write a single line of code. All you need to do is select your data source, configure the data fields (or columns) and assign weightage to the fields which by which you want to rank the results.
How we built it
Moonlight can be configured with your existing database which can be PostgreSQL, MongoDB, MySQL, or even Microfost Excel or Google sheets. We are working to get more data sources in the mix!
- We used Nextjs and Context (for managing global state) on client side to make a single page application with a good UI.
- We used Stepzen to get GraphQL endpoint from the Rest API Endpoint after the final processing, which would be then used to query the db provided.
Challenges we ran into
This was the first time we worked with Elasticsearch. Getting it running inside a Docker container and building all the data pipelines for different sources of data was a challenge
Accomplishments that we're proud of
- We could come up with a sass tool in such a short period of time ,that would automate the process of inserting data from provided database and then parsing and redefining schema as per user input.
- The database is queried by GraphQL where the request and response types are defined and we are happy that we could achieve that successfully with the help of Stepzen.
What we learned
- We learned how to decouple request using celery to put heavy computational task in task queue.
- We learned how to work with stepzen, got to learn how to automate the process using shell script.
What's next for Moonlight
- We think that this product is much needed for market and it can help companies do quite better.


Jackie Chan’s “Police Story 2013” is on its way to theaters in China this December. Judging from the latest poster for the flick, it looks as though the action star is taking the series in a darker direction.
The “Police Story” movie, while enjoyable, are definitely not to be taken seriously. However, director Sheng Ding seems to be moving away from the goofier adventures for the next installment of the long-running franchise. Depending on what you want from Jackie Chan, this is either a good or a bad thing.
I didn’t care much for Chan’s 2009 thriller “Shinjuku Incident” or his 2012 actioner “Chinese Zodiac,” albeit for different reasons. Here’s hoping “Police Story 2013” finds a balance between dark drama and intense action. I’d love to see a well-balanced Jackie Chan movie right about now. Scratch that — I need it.
“Police Story 2013” stars Jackie Chan, Liu Ye, and “Special ID” actress Tian Jing. Moviegoers in China can check out the flick when it arrives in theaters on December 24. Peep the latest poster below.
Via : Twitch


text:
From babyhood, my daughter Lulu has steadfastly obeyed the apostle Paul's command, "Do not let the sun go down while you are still angry" (Ephesians 4:26). She must have learned the passage in one of her first Sunday school classes. Somehow, the command's urgency gripped her baby brain with the fear that whoever had angered her—usually me—might die in the night and she'd be left knowing that her last feelings had been angry and the last words reverberating between us into eternity were hurtful or mean.
Consequently, to this day, whenever we have a conflict, Lulu shows up at my side shortly before bedtime with the demand that I apologize so she can sleep.
"You have to say you're sorry," she rages, her 14-year-old face stony and closed, her body as taut and resistant as an angry toddler's.
The conflict is rarely my fault. Lulu has a formidable temper and often, it seems to me, invents offenses. Sometimes I have no idea what's upset her. Other times, it's some minor misunderstanding, infected by adolescent crankiness and swollen out of proportion into yet another felony on my bad parenting record.
Over the years, though, I've come to understand Lulu's demand that I say I'm sorry as her particular brand of apology. A mediocre one, admittedly—although not as bad as some, and certainly not as bad as none at all. She does yield enough to come find me. Or, if not—if she's so mad she stews in her room until my tentative knock on her door—I still know she values my love enough to desire reconciliation. She awaits it and can't sleep without it. This desire amounts to a species of repentance, I remind myself, and everything in me longs to forgive.
Nevertheless I struggle, sometimes, to eke out the demanded apology. To own fault for something I'm certain I didn't do. To claim responsibility for a slight I never intended. To get inside Lulu's hurt or impatience or expectations deeply enough to glimpse myself from her perspective and see my error. To recognize my own impatience or self-centeredness or stress usually lurking beneath the perceived offense. To confess it.
I always manage, though. I search my soul and offer her the best apology I can muster. "I should have known … " I tell her. "I didn't mean to …. I'm sorry. I'll never do it again." More bad parenting, I know. Insufficiently authoritative and just. Certainly far too accommodating to a fuming, wrong-headed teenager hungry for power. But I, too, want to sleep.
So, in the interest of sleep or love—or perhaps even in pursuit of that greater Force who promises both—I forgive Lulu's absurd demand and offer the words she wants. "I shouldn't have. I failed you. I'm sorry." I consider these words, wrung from my righteous heart, a small contribution to our relationship. And, invariably, in the moment of giving them voice, I find myself genuinely, miraculously repentant—and better equipped to love and understand her. Our mutual apologies heal more than just the conflict in question.
Since becoming a Christian a dozen years ago, I've heard many sermons promoting forgiveness, but never one promoting apology. I've always wondered why not. The two topics are certainly related. A good apology—one involving the offender's deep introspection and admission of guilt—frequently has the amazing power to activate forgiveness. And true forgiveness, not merely the forgiver's relinquishment of resentment but the genuine reconciliation of both parties, usually hinges upon an apology. Without it, reconciliation often isn't an option.
Unlike forgiving—especially the extreme mandate that believers go God himself one better and forgive even in the absence of repentance—apologizing is necessarily a two-way enterprise. An apology can't occur without both offender and forgiver present. The worst apologies—such as counter-accusations in disguise or apologies canceled by disclaimers like, "I'm sorry, but … "—still bring the conflicting parties together with the shared goal of reconciliation. Even if I refuse to apologize when Lulu comes to me, she and I are nevertheless in one place, facing each other, openly acknowledging our conflict and our shared desire for release from it. Before words emerge from our mouths, we've both already invested something in reconciliation: Lulu, the coming, and I, the acknowledging. And we both stand to win if the apology succeeds.
Bad apologies, however, come much more readily than good ones. It's easy to say I didn't mean it or that Lulu misunderstood me. Or to simply claim it didn't happen the way she says it did. Such conditional apologies merely slow the forgiving, though, and delay the potential reconciliation. Delay sleep.
Unless I consciously set out to do so—as I've learned to do in my conflicts with Lulu—I almost never manage a guilt admission unsullied by excuses or rationalizations. If I'm at odds with my husband or a coworker or a friend, I struggle to look past my own understanding of the conflict and see myself from the other's side. And even when I scrutinize my actions, I often overlook the most obvious artifacts of my amazing power to hurt and upset others. The acidic tone half-buried in pretended humor. The subliminal meanness. The myriad species of hate generated by my arrogance.
Lulu must also learn how to apologize—to substitute I-statements for the easier you-statements, and consider my perspective as well as her own. And someday I'll teach her. For now, though, I simply model my best apology, which occasionally elicits a tiny apology in return, along with the soothing balm of mutual forgiveness.
And for all Lulu's faults—for all mine—I take comfort that Lulu still hugs me goodnight at bedtime and that her last words to me, should I have the good fortune to die in my sleep, will have been "I love you."
Copyright © 2010 by the author or Christianity Today/Kyria.com.
Click here for reprint information.

domain: literature


text:
North Kitsap School District is in what state?
North Kitsap High School is located in Silverdale, Washington.
South Kitsap High School is the largest in the state.
Kitsap is a county located in the US State of Washington. It was named after the chief kitsap of the Suquamish tribe.
This practice can vary from state to state and even from school district to school district.
Isis District State High School was created in 1961.
Sandgate District State High School was created in 1959.
Noosa District State High School was created in 1963.
The motto of Sandgate District State High School is 'Industria Floremus'.
Depends on the school district, state or region. Check with your local school district.
There is only one school district in Texas, the Texas Unified School District; it serves the entire state.
It depends on the school district, my school district still has it, but only because it will be completely funded by parents, and not by the state.
That depends on what sort of district you mean: Congressional district, state legislative district, school district, etc.
This depends on the specific state and the school district, as to determine how they pay their staff. Each one could be different from district to district.
The motto of Isis District State High School is 'Know Thyself'.
The motto of State College Area School District is 'We are the future!'.
The motto of Noosa District State High School is 'Excellence Through Diversity'.
The North Dakota Department of Public Instruction has an online list of all the school districts which includes the name of each superintendent. You will have to access each school district individually. See Related Links.
Depends on the district, credentials held, years in the district, degrees, and state
Mackay North State High School was created in 1964.
North Rockhampton State High School was created in 1956.
Depends on the district and it can vary from state to state.
This lacks sense. Grade 6 is not primary school, at least not in North America. Also, it is unclear what you want. Do you want links to modules? Which country? State? District?
Depends on what state you live in and what school district.
There is no set area or state in the United States that requires community service in order to graduate from high school. This requirement will vary from state to state, and district to district.
The motto of North Rockhampton State High School is 'Fidem Praestare Memento'.
Did the US District Court for the District of North Dakota ever rule on the constitutionality of North Dakota's ban on same-sex marriage?
As of May 2014, the United State district court for the district of North Dakota has not ruled on the constitutionality of North Dakota's ban on same-sex marriage. There are active cases ongoing in the courts.
The oldest school in the state of new jersey is Rutgers Preparatory School in somerset, NJ. They are the most competitive school in the state of New Jersey.
Liberty High School is located in the state of Pennsylvania in the town of Bethlehem. Liberty High School is a public high school within the Bethlehem School District.
What is a union free school district? A union-free school district is a school district in which the school employees (teachers, teachers aides, clerical employees, support staff etc.) are not represented by a labor union. This means that the wages, hours of work, and conditions of employment, including academic freedom (or the lack of it) are at the sole discretion of the employer and can be changed by the School District Administration as it deems… Read More
There are 18 school districts in Nevada District Name--------------------City----------County Name Carson City School District - Carson City - Carson City Churchill County School District - Fallon - Churchill Clark County School District - Las Vegas - Clark Douglas County School District - Minden - Douglas Elko County School District - Elko - Elko Esmeralda County School District - Goldfield - Esmeralda Eureka County School District - Eureka - Eureka Humboldt County School District - Winnemucca… Read More
Does the state or local school district have ultimate legal control over the use of public school property?
The state has legal control over the use of public school property.
There were no school closings in Northwest Washington state on 5 March 2013.
There are no educational requirements unless it is a school function. Otherwise, it varies by school,state,or district.
You must fill out the state required notification of enrollment form for a charter or cyber school that is certified and recognized by your district and state.
Does the state or local school district have ultimate legal control over the dispostion and use of public school property?
That depends entirely on how the property came into being. Generally speaking the local school district (normally) owns the property and decides what to do with it; unless of course this property was bought, leased, or financed through the state which would mean the state owns at least some interest in the property and maybe able to overrule the school district in some cases.
The United States District Court for the District of Nebraska is the Federal district court whose jurisdiction is the state of Nebraska. Court offices are in Omaha, Lincoln, and North Platte.
If you want to go to a specific public school but it is not in the district where you live what can you do to go to that school?
Schools of Choice, or out of district attendance rules are different for every state. Generally speaking though, you will need to be released from the district where you live and receive permission from the district you want to attend to register there.
It depends upon the state and school district they work in. Other variables include level of education and years working in the district. Nothing.
Twin Falls Middle School is one of three middle school serving the Snoqualmie Valley School District located in Washington State. Twin Falls Middle School address is: 46910 Southeast Middle Fork Road, North Bend, WA - (425) 831-4150
No. There is no federal school system. Public school teachers are employees of the state or county, city, township, or school district.
the people that make school polices are the school boards or the school district of the state they make sure kids learn and stay safe.
Usually 9th but it depends on the state/district/country.
woodbridge school district
the state government
Just apply to your local school district. There are no specific requirements state-wide. Each district is different.
North America does not have a capital but the capital of the United States is located in Washington, D.C. (District of Columbia).
Reidsville High School In Reidsville North Carolina


There is insufficient functional habitat to maintain and increase current caribou distribution and population growth rates within the Athabasca Landscape area. Boreal caribou will not persist for more than two to four decades without immediate and aggressive management intervention. The Athabasca Landscape Team undertook two analyses from which it developed the management options presented in this report. The first was a rating of the relative risk to caribou persistence within each planning area and range based on a series of eight risk criteria. The second analysis conducted for each planning area or range by the Athabasca Landscape Team involved simulation modeling using ALCES®.


After winning FDA approval for exclusive rights to sell Makena, a drug that prevents preterm labor, reported Associated Press, KV Pharmaceutical raised the price from $10 to 20 per injection to $1,500. About 130,000 women a year are estimated to benefit from the drug but many state Medicaid programs are unable to afford the higher price.
In a decision that could help public health researchers and activists gain access to corporate information, the Supreme Court on Tuesday ruled unanimously that corporations have no personal privacy rights for purposes of the Freedom of Information Act. The decision overturned a United States Court of Appeals that had ruled for the company, saying that “corporations, like human beings, face public embarrassment, harassment and stigma”.
The Institute for Agriculture and Trade Policy has released a new report analyzing how US trade policy can better respond to global climate and food crises and documenting the role of agribusiness in setting trade policies that benefit their bottom lines rather than global well-being.


Building a business case for hyper-converged infrastructure
Hyperconverged Infrastructure: A Definitive Guide
Certainly, hyperconverged infrastructure (HCI) is getting incredible momentum and adoption in the enterprise information center. In a recent study by the ISG (Information Provider Group), in 2020, the HCI market was around $7 billion. The expected earnings will grow substantially by 2025 to over $28 billion. HCI provides lots of advantages over the standard and traditional facilities deployments.
The standard building blocks of information center infrastructure are compute, storage, and networking. Generally, these have been treated as separate systems. To put it simply, Hyperconverged Infrastructure Software Reviews 2022 you might have a conventional server connected to a storage variety and Https://Grupblog.Com/Forum/Profile/Lincolnsheil619/ have numerous servers in a cluster gotten in touch with a separate network switch. Hyperconverged infrastructure (HCI) takes these core structure blocks of server platforms and combines them where nodes have the compute, storage, and network within the exact same physical unit that can be managed as a single swimming pool of resources.
Unified management The solution can be handled as a single entity instead of the various parts comprising calculate, storage, and networking, Policy-based automation helps to get rid of silos and the requirement for manual procedures There are many advantages brought about my executing hyperconverged infrastructure (HCI) in the business information center, edge, ROBO, and other locations.
These consist of: Versatility There are numerous utilize cases that fit HCI solutions throughout the board. HCI can serve various types of workloads equally well with the benefits currently covered. This flexibility makes it specifically appealing considering that it can please the requirements of organizations for various requirements. Performance and Effectiveness Since HCI services keep the data, applications, network, and other resources close together, in-the-box so to speak, applications can take advantage of high network and data rates that are possible within the HCI option.
Hyperconverged Infrastructure (HCI): Which solution is best?
This fact can limit the productivity of the solution, impacting business-critical work and productivity of end-users. Scalability Hyperconverged facilities (HCI) options offer a fantastic method to scale the infrastructure. Most vendors today are using preconfigured HCI nodes, making it much easier than ever to scale out an option. Numerous of the vendor-offered HCI services are preconfigured, removing long upkeep durations to integrate a brand-new host, storage, or networking in the solution.
With the granular nature of having the ability to scale out and in HCI solutions, it assists to lower the likelihood of overprovisioning solutions just to represent the unknown capability needed for Hyperconvergence for Service Providers and MSPs future growth. Rather, just adding an additional node can take care of the option moving on in the future.
Robust and easy management HCI options make management extremely easy and uncomplicated. The majority of HCI services use central management from a single user interface, which removes the need to log into several interfaces and perform configuration from each one separately, like they are a standalone service. When solutions are hard to handle, it affects the bottom line financial investment on the service, taking precious time and administrative effort.
With vendor-offered services that are prebuilt, preconfigured, and thoroughly checked, failures are exceptionally unusual and some vendors even guarantee 5 nines of accessibility. The mix of features, management abilities, and vendor-offered warranties make the option incredibly appealing. Expense decrease With the hypervisor incorporated into the HCI service, it makes the efficiency very effective.
Why Hyper-Converged Infrastructure Makes Sense For VDI
With HCI it might represent a more substantial financial investment in capital investment, it recoups the initial financial investment in terms of operational cost savings, and conserves overprovisioning. Hyperconverged facilities patterns in 2022 around picking how to pick, size, and attempt HCI options consist of the following: Services are thinking about cluster size as an essential factor when buying an HCI appliance.
Wisely selecting alternatives based upon the cluster size is a key consideration in 2022 and beyond. The support provided with the HCI service is a crucial trend in thinking about the HCI option to utilize. This can differ based on software-only or software application and hardware options. Some services use 24/7/365 assistance and others do not.
There are a variety of storage services, including traditional spinning disk drives only (HDDs), all-flash storage (SSDs), and then hybrid storage that includes both HDDs and SSDs. All-flash storage is ending up being far more attractive now as there can be little if any rate premium between HDDs and SSDs. The performance distinction can be remarkable between HDDs and SSDs.
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Hyper-converged infrastructure vs NAS and SAN shared storage
Including nodes with certain hypervisors need adding extra licenses. This is a consideration that requires to be made with HCI depending on the hypervisor selected to run workloads. When sizing nodes and clusters, it can figure out the choices made when selecting in between sizing options. With HCI solutions, does the solution have an easy way to run containers? A lot of certainly containers will be needed in the organization eventually.
Top 10 Hyperconverged Infrastructure (HCI) Solutions
This requires having the ability to run containers. Does the hypervisor and paired HCI option permit easily spinning up containers in the environment? the present hyperconverged facilities trends in 2022 definitely consist of containerization efforts. If there is a need to trial out the option, is one readily available? Present patterns include the ability to run Proof of Concept (Po, C) environments to proof out the option and guarantee it fits the needs of the company.
It provides a cost-effective solution that offers applications a highly readily available environment in addition to a high fault tolerance rate and constant uptime of the appliance. It supplies a high fault tolerance rate and constant uptime of the appliance due to the multi-redundant hyperconverged architecture. It is based on an HCA solution that contains business functions and https://waifutcgs.Com/community/profile/kristopherhoang/ services along with lots of options for business environents looking for the right balance of price, Dnfmaps.com features and efficiency.
The Star, Wind HCA home appliance supplies an exceptionally high-performance all-flash solution that comes as a completely preconfigured turnkey hyperconverged option. It is one of the only HCI options on the market that can operate in a genuinely high availability setup with only 2 nodes. With this option, you can have 1 node and 1 disk failure and still preserve uptime of your work.
Star, Hyper-converged infrastructure vs NAS and SAN shared storage Wind HCA appliance architecture with VMware v, Sphere Take a look at my other recent Star, Wind HCI short articles below: Hyperconverged infrastructure offers all of the basic building blocks of calculate, storage, and networking in a single plan. HCI is likewise a software-based approach as it is developed to work with a hypervisor option that can bring the hardware service together seamlessly.
Five Requirements for Hyper-Converged Infrastructure Software
Hyperconverged infrastructure provides lots of advantages in regards to scalability, performance, supportability, and management over traditional non-hyperconverged facilities. Assembled facilities brings together the hardware elements for compute and storage together, whereas HCI is also a software-based approach in unison with the hardware. The Star, Wind HCA device is a turnkey, prebuilt solution that enables companies get up and running rapidly with their hypervisor of option, whether this is Hyper-V or VMware.
All-flash solutions supply the finest performance for really demanding workloads, including VDI options. There are numerous hyperconverged facilities patterns in 2022 and beyond that help to show where the market is leaning. HCI is definitely here to stay and companies are showing by their hardware refresh cycles that HCI is where they are searching for their future datacenter revitalizes.


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Among my many projects that are happily occupying my time is my work on several book projects. One of them is An Illustrated Dictionary for the Modern Trombone, Euphonium, and Tuba Player, to be published by Rowman & Littlefield. This is a very interesting project for me: to come up with about 600 terms (instruments, instrument parts, accessories, composers, companies, players, etc.) that low brass players might want to know more about. It is a dictionary, not an encyclopedia, so my entries are necessarily brief, but an extensive bibliography will help readers know where to go to get more information.
The book will be illustrated by my friend, Lennie Peterson, a trombonist and artist living in Boston but who works around the world. Many readers of The Last Trombone already know Lennie even if they don’t know him: I’d venture to say that any readers who are trombone players have seen Lennie’s most famous cartoon from the many years when his syndicated daily cartoon, “The Big Picture,” was part of newspapers around the country.
But Lennie is also a superb fine artist, and his illustrations for my new book will add measurably to help readers understand my words even better.
Over the last few days, I’ve been researching an entry for my book, about the piece, Tubby the Tuba. Many readers probably know about this charming work for orchestra, narrator, and tuba. But it wasn’t until I actually sat down to research it that I found some very interesting things that I’d like to share with readers.
Tubby the Tuba was written by George Kleinsinger (music) and Paul Tripp (story). Tubist Herbert Jenkel asked Kleinsinger to write him a concerto for tuba and Tubby was the result. Kleinsinger and Tripp began their collaboration for Tubby in 1941 but World War II interrupted their work. They finally finished it in 1945 and it was premiered the following year in a concert by the American Youth Orchestra conducted by Dean Dixon with tubist Herbert Wekselblatt (who went on to be tubist with the Metropolitan Opera Orchestra for many years). The first performance of Tubby by a professional orchestra was given by the Philadelphia Orchestra conducted by Alexander Hilsberg. The concert, on October 19, 1946, was part of the Worcester (Massachusetts) Festival and featured the orchestra’s tubist, Philip A. Donatelli, as soloist. Tubby the Tuba became the first major piece for tuba solo with orchestra, predating Ralph Vaughan Williams’ Tuba Concerto by 10 years.
Tubby was first recorded in 1945 (The recording, on Cosmo Records, was released in December of that year) with Herbert Jenkel, tuba. This recording, with an orchestra conducted by Leo Barzin and Victor Jory narrating, may be heard HERE. Unfortunately, Jenkel was not credited on the album.
Tubby was then recorded in 1946 by Victor Young and his Concert Orchestra; Danny Kaye was the narrator with an uncredited tuba soloist. That recording may be heard HERE.
That same year, 1946, Tubby the Tuba made it to the big screen, as an animated short. It’s a charming film which received an Oscar nomination for best animated short. The film, a stop-action creation of George Pal and released as one of his Puppetoons productions, is absolutely delightful; unfortunately the tuba soloist is uncredited. If you cannot view the video embedded in this article, you can view it on YouTube by clicking HERE.
In 1963, Disney released another recording of Tubby the Tuba, with Annette Funicello (she of Mickey Mouse Musketeer fame) narrating with, yet again, an uncredited tuba soloist. That recording may be heard HERE.
Tubby the Tuba found its way to the big screen again in 1975 (not 1977, as the video below indicates), as a full length motion picture starring Dick van Dyke as the voice of Tubby. It was a commercial failure; turning a ten minute piece into a one hour, twenty minute film simply resulted in a bloated production that lost a lot of its original charm. Here is the familiar refrain: the tuba soloist is uncredited. If you cannot view the video embedded in this article, you may view it on YouTube by clicking HERE.
But of all of the versions of Tubby the Tuba, my favorite dates from 1971. Julia Child recorded the piece with the Boston Pops Orchestra conducted by Arthur Fiedler. Not only was this performance issued on LP, but it was recorded live for television broadcast on the PBS show, “Evening at Pops.” The tuba soloist was my Boston Symphony tuba colleague, Chester Schmitz (Chester played in the Boston Symphony from 1966-2001; we sat next to each other from 1985-2001). I have sung Chester’s praises many times before but I never tire of singing them again: he was, to my mind, the finest player of ANY wind instrument that I have ever heard. Chester had a remarkably natural ease to his playing, and his performance of Tubby, recorded in his fifth year with the Boston Symphony Orchestra is absolutely superb. His playing, combined with Julia Child’s wit, make this a performance for the ages. If you cannot view the video embedded in this article, you can see it on YouTube by clicking HERE. Enjoy!
For more information about Tubby the Tuba, read Cary O’Dell’s fine essay that was created for the Library of Congress when Tubby the Tuba was added to the National Registry in 2006. Tubby the Tuba: a delightful, unpretentious little piece with a very big history.

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