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11 July 2022: Clinical Research
Shoulder Injury Related to Vaccine Administration (SIRVA) in 16 Patients Following COVID-19 Vaccination Who Presented to Chiropractic, Orthopedic, and Physiotherapy Clinics in Hong Kong During 2021Eric Chun-Pu Chu1ABCDEFG*
Med Sci Monit 2022; 28:e937430
BACKGROUND: Shoulder injury related to vaccine administration (SIRVA) occurs when an intramuscular deltoid injection is administered into the shoulder joint. This observational study describes clinical features in 16 patients with SIRVA following Coronavirus 2019 (COVID-19) vaccination who presented to chiropractic, orthopedic, and physiotherapy clinics in Hong Kong between January 1, 2021, and January 1, 2022.
MATERIAL AND METHODS: Adults age ≥18 with new-onset shoulder pain and imaging-confirmed shoulder pathology were retrospectively identified from 35 clinics. Patient demographics and clinical and vaccination details were extracted from the electronic medical record. Shoulder injury was determined by correlating clinical and imaging features.
RESULTS: Of 730 patients with shoulder pain, 16 SIRVA cases (mean age, 49±10 years, 75% female) were identified; (12/16, 75%) of patients received the Pfizer-BioNTech vaccine while (4/16, 25%) received Sinovac-CoronaVac. The most common diagnosis was adhesive capsulitis (10/16, 63%), followed by bursitis (3/16, 19%) and supraspinatus tear (3/16, 19%). Mean symptom onset was 3.5±2.5 days post-vaccination, and always occurred after the 2nd or 3rd vaccination, involving reduced shoulder range of motion (ROM). Mean baseline pain was 8.1±1 (out of 10). All patients received conservative care (eg, exercise, manual therapies). At 3-month follow-up, mean pain reduced to 2.4±1.4; all patients had normal shoulder ROM.
CONCLUSIONS: In the past 2 years, millions of intramuscular COVID-19 vaccinations have been administered. It is important that clinicians are aware of SIRVA as a cause of new symptoms of shoulder injury and should ask the patient about recent vaccinations, including for COVID-19.
Keywords: COVID-19 vaccine, Injection Site Reaction, shoulder pain
Millions of doses of the Coronavirus 2019 (COVID-19) vaccine have been widely administered with efficacy in combating the COVID-19 pandemic . In Hong Kong, the location of the current study, 65% of the population had received at least 1 dose of the COVID-19 vaccine by January 1, 2022 . While local vaccine injection site reactions of pain, redness, and swelling have been well described, these symptoms are generally not serious and are self-limited . Conversely, a potentially more problematic shoulder injury related to vaccine administration (SIRVA) has seldom been described in the literature in relation to COVID-19 vaccination.
SIRVA is defined as shoulder pain and decreased range of motion after receiving a vaccine intended for intramuscular delivery in the upper arm [4,5]. This condition is becoming recognized as a potential vaccine-related adverse effect and has been most often associated with influenza vaccine administration [4,5]. One potential cause of SIRVA is accidental injection into the subdeltoid bursa, causing bursitis, tendinitis, and/or capsulitis .
According to a recent systematic review, SIRVA typically occurs in middle-aged adults (median age 51) and tends to affect females (73% of cases) . The most common diagnoses include bursitis, adhesive capsulitis, and rotator cuff tear [4,5]. SIRVA is typically treated conservatively, which leads to full recovery in 3–56% of patients . Unfortunately, there are limited data regarding the optimal treatment strategy for SIRVA and typical duration of symptoms [4,5].
However, to the best of our knowledge, only 20 cases of SIRVA after COVID-19 vaccination have been reported according to a PubMed search on April 14, 2022 using the terms “shoulder injury related to vaccine administration” and “COVID” [6–14]. Given this limited number of cases, little is known about the clinical features and risk factors for SIRVA after COVID-19 vaccination. Based on the limited data, it appears that SIRVA may occur independent of the type of COVID-19 vaccine used [6–14]. Further, among published cases, adhesive capsulitis and bursitis appear to be more common, with rotator cuff tear being uncommon [6–14].
A thorough shoulder examination is requisite for diagnosis of SIRVA, and includes inspection, palpation, and range of motion testing . Specialized provocative tests are of uncertain utility in suspected cases of SIRVA. Patients with SIRVA often have tenderness at the injection site and a global reduction in shoulder range of motion affecting all planes of motion . MRI may be useful to evaluate for soft-tissue pathology , and can demonstrate findings consistent with inflammation . In the current study, clinical diagnoses of SIRVA based on pain and limited range of motion were compared to and supported by imaging findings.
Despite an increase in overall awareness of SIRVA, few studies have evaluated SIRVA associated with COVID-19 vaccination. Therefore, this observational clinical study describes the presentation and clinical features of SIRVA in 16 patients following COVID-19 vaccination who presented to chiropractic, orthopedic, and physiotherapy clinics in Hong Kong between January 1, 2021, and January 1, 2022.
Material and Methods
The Ethics Committee of the Chiropractic Doctors Association of Hong Kong approved of this study (Causeway Bay, Hong Kong; IRB ID: CDA20221202). Written informed consent for patient information and images to be published was provided by the patient(s) or a legally authorized representative. Data for patients presenting with new shoulder pain were retrospectively collected by querying an electronic medical records system shared between 35 affiliated chiropractic, orthopedic, and physiotherapy clinics in Hong Kong. Data were extracted in March through April 2022 with a search window of January 1, 2021, to January 1, 2022.
Inclusion criteria were patients age ≥18 years with a new concern of shoulder pain, a history of COVID-19 vaccination within 1 month preceding shoulder pain onset, and shoulder pathology confirmed via imaging. Exclusion criteria were a history of influenza vaccination within 1 year of shoulder pain onset, shoulder injury within 1 year preceding shoulder pain onset, shoulder pain in the context of an inconsistent injection site (shoulder pain contralateral to injection site or in a non-shoulder region), radiological features of severe, recent, and/or pre-existing shoulder pathology or non-SIRVA injury including shoulder fracture, tumor, and severe degenerative disease. In addition, patients in which the vaccination history could not be confirmed were excluded. The study flowchart is shown in Figure 1.
Data regarding sex, age, laterality of shoulder affected, vaccine dose, duration between vaccine administration and shoulder pain onset, type of vaccine (Pfizer-BioNTech or Sinovac-CoronaVac), active shoulder range of motion, pain severity (using a visual analog scale of 0–10; 10 being most severe), and type of treatment (medication, steroid injection, manual therapy, exercise therapy, or surgery) were extracted from the electronic medical record. The primary shoulder injury diagnosis (adhesive capsulitis, subacromial-subdeltoid bursitis, or rotator cuff tear) was determined by correlating the clinical and imaging features.
Magnetic resonance imaging (MRI) and shoulder radiographs were interpreted by board-certified medical radiologists. Subacromial and subdeltoid bursitis were defined as distended fluid-filled structures between the deltoid muscle, acromion, and supraspinatus and infraspinatus tendons on MRI . Rotator cuff tears were assessed using fat-suppressed, intermediate-weighted/gradient echo sequences, in which the hyperintense signal region within the tendon frequently corresponded to fluid on T2-weighted imaging .
Diagnosis of adhesive capsulitis was based limited active and passive range of motion and supported by evidence on MRI. Signs of capsulitis on MRI included the subcoracoid triangle sign, joint capsule thickening, coracohumeral ligament thickening >4 millimeters, T2 hyperintensity of the inferior glenohumeral ligament, and soft-tissue thickening within the rotator muscles or biceps anchor .
Descriptive statistics were utilized to calculate percentages for categorical variables and standard deviations for continuous variables.
A total of 730 patients presented with shoulder pain at the 35 included clinics during the study time window, and 26 patients reported that their symptoms began within 1 month following COVID-19 vaccine administration. A total of 26 shoulder MRIs and 6 shoulder radiographic series were analyzed. Sixteen patients met the inclusion criteria while 10 were excluded (Figure 1). No patients had a history of COVID-19 infection preceding their vaccination or developed COVID-19 during the study time window. Included patients were of Asian ethnicity. Three of 16 (19%) of the patients had significant medical comorbidities, including diabetes and/or cardiovascular disease, while no patients had thyroid disease, autoimmune disease, cancer, or Parkinson’s disease.
Of the included patients, 12/16 (75%) were women and 4/16 (25%) were men. At the time of injury, the mean patient age was 49±10 years (Table 1). The mean onset of symptoms was 3.5±2.5 days after vaccination. All patients presented with reduced active shoulder range of motion (Table 2). The baseline mean shoulder pain severity was 8.1±0.8. The injection site and shoulder pain were on the left in 13/16 (81)% of patients and right in 3/16 (19)%. Regarding COVID-19 vaccine type, 12/16 (75%) of patients were administered Pfizer-BioNTech while 4/16 (25%) received Sinovac-CoronaVac.
A primary diagnosis of adhesive capsulitis was most common, occurring in 10/16 (63%) of patients (Figure 2). Subacromial-subdeltoid bursitis and rotator cuff tear (Figure 3) each occurred in 3/16 (19%) of patients. All patients with rotator cuff tear had a supraspinatus tear. No other relevant shoulder pathologies (eg, labrum tear) were identified.
Most patients (13/16, 81%) received manual therapy or exercise therapy for treatment of shoulder pain as provided by a chiropractor or physiotherapist. A minority of patients (3/16, 19%) additionally received medications to treat their shoulder pain, these being nonsteroidal anti-inflammatory drugs (NSAIDs) and muscle relaxants. All patients completed between 10 and 20 treatments over the course of 3 months, based on a typical treatment plan for shoulder disorders utilized among the affiliated clinics. No patients underwent surgery or steroid injection.
After 3 months of conservative treatment, patients were re-assessed as part of routine clinical care. The average shoulder range of motion improved on flexion (83° to 146°), abduction (80° to 131°), and 90-degree external rotation (30° to 75°), such that each patient went from an abnormal range at baseline to within the normative range (Table 2) . Mean pain severity reduced to 2.4±1.4, with 12/16 (75%) of patients attaining a mild pain severity (≤3 of 10) at 3-month follow-up.
There are several limitations to this study. First, its retrospective nature may increase the chance of bias. For example, there could be recall bias in the sense that patients’ self-report of the onset of shoulder symptoms was inaccurate. Further, cases of SIRVA after COVID-19 administration could have been missed by the medical record query if shoulder injuries were not coded or documented accurately by clinicians. Second, there was selection bias because only patients with shoulder pathology confirmed by imaging were considered; therefore, the study is not representative of a broader population with pain but no radiological findings. Third, there was diagnosis bias as patients were assessed by different clinicians and imaging was interpreted by different radiologists. Fourth, a record of the exact site of vaccine administration in terms of distance from the acromion was not available in most cases, which prevented a definitive conclusion that improper vaccine administration was causative of each case of SIRVA. Fifth, although this series revealed that the rate of SIRVA was low among patients presenting with shoulder pain after COVID-19 vaccination (16 of 730; 2%), the overall prevalence of this condition among vaccinated individuals could not be determined from the current study design. Sixth, in each case, the type of provider administering the vaccine was not clear given this relied on patients’ self-report. However, in most cases this was likely a nurse, and in some cases, this may have been a physician. In Hong Kong, pharmacists do not typically administer vaccines. Finally, because the natural history of SIRVA related to COVID-19 vaccination is not well described, it is possible patients would have recovered without treatment in a similar time frame.
In the past 2 years, millions of intramuscular COVID-19 vaccinations have been administered. It is important that clinicians are aware of SIRVA as a cause of new symptoms of shoulder injury and should ask the patient about recent vaccinations, including for COVID-19.
FiguresFigure 1. Identification of patients with shoulder pain secondary to COVID-19 vaccine administration. Abbreviations: Coronavirus disease 2019 (COVID-19); magnetic resonance imaging (MRI). Figure created by Eric CP Chu using Microsoft Word Version 2205. Figure 2. Imaging features of adhesive capsulitis. Magnetic resonance image (MRI) of the right shoulder; patient 13. On the coronal T2 fat-suppressed sequence (A) the arrow indicates thickening of the inferior joint capsule with hyperintense T2 signal. On the sagittal T2 fat-suppressed sequence (B) the arrow indicates thickening and mild hyperintense signal at the rotator interval. Figure 3. Imaging features of supraspinatus rotator cuff tear. Magnetic resonance image (MRI) of the right shoulder; patient 6. In the coronal T2 fat-suppressed image (A) the arrow points the articular side of a partial tear of the supraspinatus tendon, involving 50% of the tendon thickness. Also noted is underlying marrow edema at the greater tuberosity of the humerus. In the sagittal T2 fat-suppressed image (B), the arrow again points to the articular side of the partial thickness tear of the supraspinatus tendon, further confirming 50% of tendon thickness involvement.
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text:
Washington might have a gun control bill now were it not for President Barack Obama's overreach. The Great Divider has again lived up to the moniker by refusing to embrace a compromise position and refusing to embrace compromise in general.
After all, compromise is in the realm of governing. Obama stays in the realm of politics, the perpetual campaigner who will try to win back the U.S. House by demonizing the gun lobby and Republicans for dishonoring victims of the Newtown massacre.
The U.S. Senate's rebuff of gun legislation came on the week when Boston grieved its dead, police moved swiftly to find and arrest the marathon bombing perpetrators and Oklahoma City remembered the victims of its own massacre. These were reminders that evil and demented people are among who will kill by whatever means, be it “assault” weapons or “assault” pressure cookers.
Obama and pro-gun control Democrats had opportunities to reach a compromise, most notably in the area of background checks. Sen. Tom Coburn, R-Muskogee, suggested one such compromise. The Democrats weren't interested. Other Democrats joined Republicans in refusing to embrace the overreach, which was predicated on the belief that Newtown justified any means to an end.
Continue reading this story on the...

domain: law


text:
Seed Savers Seed Savers Sweet Marjoram Seeds
Highly esteemed for a variety of seasoning needs. Similar to oregano, but noticeably sweeter. Attractive 12-24" plants with small white flowers. Perennial in zones 6-8, grown as an annual in the North.
© 2019 Honeyman Seed. All rights reserved.
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domain: agronomy


text:
Mobile apps promoting a healthy diet have proliferated, but older users, especially those with dementia, continue to be neglected.
According to the Centers for Disease Control and Prevention, 5.6 million people aged over 65 in the United States are living with Alzheimer's disease, which is the most common cause of dementia.
Amidst these troubling statistics, a group of Master of Science in Information Management students partnered with the University of Washington School of Nursing to create an app called Olitor that helps seniors eat healthier and adhere to a Mediterranean diet. The mobile app enables users to track their diet through surveys and recommends recipes.
The School of Nursing has had several Capstone teams in the past do research and work on prototypes for Olitor, but this is the only group that has advanced that research into an actual mobile app.
The Capstone team this year was tasked with designing a usable and accessible app centered around the needs of patients with dementia or those with mild cognitive impairments. The students’ intention was to help improve online health care for an underserved population.
“We hope that the application improves the quality of users' lives. A healthy diet can perform wonders, and the Mediterranean diet, in particular, has proven to slow the effects of Alzheimer's on those of advanced age,” said Nicholas Marangi, the team’s software developer.
To achieve this goal, the MSIM students initiated their Capstone project with field research to get a sense of the daily struggles and needs of the demographic the app would be designed to serve. They conducted a series of interviews and user testing via Zoom with three participants who have dementia and their care partners.
After doing so, the students set to work to incorporate the needs of users with dementia into the development of their app. Data analyst Oscar Wu, for instance, developed visualizations with bar charts so users can assess which food category they need to eat more of. User testing and developing, however, were not easy tasks.
“It’s been challenging trying to balance the needs of the users we had in mind and our core messaging,” said project manager Kimberly Lum. “We had to simplify a lot of our language and interfaces to ensure it was as accessible as possible for patients with dementia.”
Despite the challenges, the students felt prepared to take on a long-term project of this scale with help from the School of Nursing, and they said they learned a lot in the process.
“Sponsors from the School of Nursing were very encouraging and really empowered us to decide as a team where we want to take the project while also guiding us along the way and helping scope the project,” said Jayna Wang, the team’s lead UX researcher. “Working in a collaborative environment where we each have different roles was very new to me, but it helped me strengthen my communication skills.”
The students’ primary point of contact from the School of Nursing was Oleg Zaslavsky, who is an associate professor in the Biobehavioral Nursing and Health Informatics Department. Zaslavsky had equally positive things to say about his experience working with the MSIM students.
“It's been a gratifying experience in an integrated fashion for both the sponsor and the students because I feel like I learned from them as much as they could learn from me,” said Zaslavsky.
Now that the Capstone team has developed Olitor, they will hand it over to the School of Nursing, where more user and efficacy testing will take place before it is made available to the public.
Pictured at top: From left, MSIM Capstone team members Oscar Wu, Kimberly Lum, Nicholas Marangi and Jayna Wang.

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text: Slate’s podcast series Slow Burn about Roe v. Wade won the 2022 Apple Podcasts Award. Published throughout June 2022, the four-episode season explores the events leading up to the landmark 1973 Supreme Court decision, offering listeners an in-depth perspective on this universal and timely human rights issue. The podcast series was rewarded for its outstanding quality, innovation, and impact. Host Susan Matthews will join the John Adams for a free livestream on December 15th. Click here for more info.


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Drive-through service brings convenience and customer service to auto maintenance.
OAK RIDGE, Tenn., June 8, 2023 (Newswire.com)
Stella Blue Ventures LLC, a franchisee of Take 5 Oil Change, announces the opening of its newest location of the fast-growing drive-through oil change service, at 1100 Oak Ridge Turnpike, Oak Ridge, Tennessee.
Take 5 Oil Change is a ground-breaking approach to oil changes, known for its unique drive-through system and a focus on customer service at its more than 700 locations nationwide. Stella Blue Ventures is a licensed Take 5 Oil Change franchisee in the southeastern United States, owning and operating locations in Georgia, Tennessee, North Carolina, and Kentucky.
The new Oak Ridge location is Stella Blue Ventures’ 11th location, following other recent openings in Knoxville and Maryville. “We look forward to…


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DETROIT, April 29 (Reuters) -Corp posted an increase in quarterly earnings on Tuesday as sales rose outside the slumping North American market, and the auto parts maker left its full-year earnings forecast unchanged.
, which has divested its auto interiors business to concentrate on seating and electronics, raised its full-year revenue forecast due to favorable foreign exchange rates while cutting its outlook for North American auto industry production.
Net income rose to $78.2 million, or $1.00 per share, in the first quarter, from $49.9 million, or 64 cents per share, a year earlier.
Net sales fell to $3.86 billion from $4.41 billion due to the divestiture of the interiors business and lower North American auto industry production, caused in part by a strike at& Manufacturing Holdings Inc that has affected output at Corp .
The slowing U.S. economy and rising fuel prices have pressured U.S. auto sales this year and have driven a shift toward cars and crossover utility vehicles built on car platforms and away from large SUVs and pickup trucks.
Lear said it expects production by U.S.-based automakers in North America to fall 10 percent this year. It previously forecast a 9 percent decline.
The company raised its 2008 net sales forecast to $15.5 billion from $15 billion to reflect mainly the weakness of the dollar. Lear said it still expects 2008 core operating earnings of $660 million to $700 million. (Reporting by David Bailey; Editing by Steve Orlofsky and John Wallace)


A 2017 inductee into the Internet Hall of Fame, Jaap Akkerhuis, spent time with Carnegie Mellon University’s Information Technology Center, Mt. Xinu, and Bell Laboratories before returning to the Netherlands in 1995 to join NLnet, the first Dutch Internet service provider. The research engineer has also served on ICANN’s Security and Stability Advisory Committee since its inception.
In a recent video interview, Akkerhuis acknowledged that the Internet has rapidly grown beyond its research roots to encompass decidedly more lightweight fare.
“When we started out, we were…just playing around,” he said. “We had no idea it wound end up where it is today. Today, it seems like it has become way more (of an) entertainment and media vehicle than just exchanging information about research.”


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This will be Red Star’s second solo show with the gallery. The exhibition will present three new installation drawings of horses, comprising 30 original drawings 22 x 30 inches each, sketched from historical ledger drawings and mounted on marbleized paper to form a large grid. Each wall “corral” of horses will be presented as a unit and form one work on the three back walls of the gallery. A procession of horse drawings will lead into the back of the gallery, headed by a drawing of Red Star herself and her ancestor, Green Skin, a holder of "horse getting” medicine bundle which gave him extraordinary skills to take horses from enemies. This feat, also known as “going on a raid,” required unflinching courage and a willingness to risk death, but brought honor, wealth, and greater sustainability for the Tribal Nation.
In Brings Good Horses, Red Star references the enduring importance of the horse to Plains Indian Tribal Nations since their introduction by the Spaniards in the 18th Century. Agility with horses and having a sizable herd of good horses was necessary for hunting and safeguarding the Tribe. Naturally, it became point of pride for Plains Indian warriors, who measured wealth, status and courage in the capture of horses from competing tribes. Often, hundreds of horses were taken in the dead of night, leaving their enemies bewildered at the disappearance.
The best horses were kept in the center of the camp or tied to the owner's lodge. Taking these horses was considered a rite of passage, and successful warriors were awarded lifelong “bragging rights,” leadership, and memorialized on buffalo hides. This pictorial tradition of the Plains Indian people was crucial to the “ledger drawings” which became widely known after release of drawings by imprisoned Plains Indians in Fort Marion, Florida in the 1870s. These ledger drawings continued the tradition of depicting major events in the lives of the Plains people—hunting, fighting and war.
Horses have played an important role in Red Star’s life as well: as a child she spent considerable time with a small group of horses on her family's ranch on the Crow Reservation in Montana and developed into a skilled rider and trainer, winning many awards. While researching at the Smithsonian National Museum of the American Indian, Red Star came across the legacy of her family’s involvement with horses. Her 18th century relative, Green Skin, possessed a medicine bundle specifically for "getting horses.” Her great-grandfather, Red Star, was ambushed and shot by cattle rustlers while protecting the Tribal cattle. When he recovered from his wound, he retaliated by taking the cattle rustler’s horses. This act, formerly considered fair and necessary in his father’s day, was now considered larceny and Red Star was prosecuted in county court.
This familial legacy inspired Red Star to employ her own mode of "horse getting" by sketching the horses from historical ledger drawing and requisitioning them for her own work, and perhaps freeing them from long captivity and obscurity in institutions that appropriated them in their own fashion. She was especially drawn to scenes depicting battle with Crow warriors. She notes the Tribal affiliation of each horse she took for her new herd, giving tribute to the original artist and source. In addition to denoting each horse’s Tribe, she meticulously assigned a name to each of the 100 horses from the original 1907 Crow Reservation allotment map, paying particular attention to names that have disappeared from use. In this way Red Star asserts her place of honor as a horse getter in the continuing tradition of Apsáalooke warriors and artists, connecting a vibrant tradition to an ongoing pursuit of history and identity.

domain: history


text:
We all love the music of David Bowie. But I assume most of us didn’t know that Bowie was not only a gifted musician but also a passionate reader. Bowie’s son, the director, and screenwriter Duncan Jones, has lately launched the David Bowie Book Club in honor of his father, who died two years ago.
Members of the club read a new book every month and then spend twenty or so minutes blathering about it. The book club is open to everyone and is based on Bowie’s Top 100 Must Read Books, listed in 2013, including works ranging from 1945 to 2008.
The book for January is Peter Aykroyd’s award-winning Hawksmoor. If you wish to take part in the book club, you still have until February 1 to finish the novel.
Find the complete list here.

domain: hobby


ADMISSIONS have been suspended at a Clogher care home following "substantial failings".
Health watchdog the Regulation and Quality Improvement Authority (RQIA) issued seven failure to comply notices to Valley Nursing Home in Clogher after information from a staff whistleblower.
A number of issues were identified, including the welfare of patients and infection prevention.
The home's owners said it was working to fix the problems.
One issue related to the language used by some staff, in the presence of inspectors, with a number of patients being described as "feeders" and the mealtime experience as "feeding time".
Sinn Féin MLA Colm Gildernew said there are about 80 residents at the home, receiving a range of care packages.
The RQIA issued the failure to comply notices to the home on 16th July.
During one unannounced inspection earlier in July, it was found there was "no identified person in charge of the nursing home".
Problems found at the facility also included; patient supervision was poor, inconsistent and inadequate in some parts of the home;
issues about the refurbishment of the home;
Seating at meal times;
no evidence of any formal/informal activities taking place with patients;
clinical waste not effectively managed.
Olive MacLeod, RQIA chief executive, said the home was inspected on foot of information from a staff whistle blower.
She said it was highly unusual to have to issue seven notices.
She told BBC News NI that "substantial failings in relation to patient care, the environment and the culture" of the home had been detected.
"We observed a small number, but one is too many, staff using demeaning language describing the meal times and the people who needed assistance to be fed," she said.
"That was very worrying. That would tell us that potentially there is a culture that does not respect people and their rights."
MPS Care, the facility's owners, said the home was "working closely with RQIA and local trusts to ensure any matters that need improvement are dealt with in a timely and swift manner".
"The Southern and Western Trusts are communicating on a frequent basis with the home and the provisions of care have not been compromised," a statement said.
The Southern Trust said it has recently suspended new admissions to the home.
"The Trust continues to work closely with residents, families, the management team of the Valley Nursing Home, other trusts and RQIA to address any issues that arise in line with regional policy and procedures."
Clogher Valley DUP Councillor, Frances Burton said; “It is very concerning to both Cllr Wills Robinson and myself, as Councillors for the Clogher Valley area to learn of the concerns raised.
We will be working on behalf of families who have loved ones residing at the home who are no doubt very concerned and alarmed by this recent situation.
“It is often the case where family and extended family need can be a struggle for those trying to juggle work life balance and family life and still care for elderly loved ones.
“It is also a greater financial burden to cover the cost of private care which you then expect your loved one to receive.
“Conditions and care need to be of a high standard.
“The health, well being and safety for all those in care needs to meet the highest of standards”; Cllr Burton concluded.


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Assessing Spatiotemporal Relationships Between Wildfire and Mountain Pine Beetle Disturbances Across Multiple Time Lags
Native bark beetles and wildfire are among the most prominent natural disturbances in the conifer forests of western North America. Using multiple approaches and scales, researchers have sought to understand how each disturbance may, or may not, influence the subsequent likelihood or severity of the other disturbance. Our objectives were to complement existing research on the linkage of mountain pine beetle and wildfire disturbances by combining large‐scale spatial data at variable temporal resolutions to characterize the discrepancy between observed and expected overlap areas of fire and beetle disturbances. Multiple time lags, differing by 1‐yr intervals, spanning the 30‐yr period 1984–2014 in the U.S. states of Washington and Oregon were examined for wildfire following bark beetle epidemics and for beetle epidemics following wildfire. We used existing spatial data sets of wildfires and insect pest disturbances to perform overlay analyses to characterize the two relationships. We also compared years of peak vs. non‐peak fires, as well as the influence of several individual, large disturbances. We found a clear association of increased bark beetle epidemic shortly after wildfire. The evidence of an association between increased fire extent and severity following bark beetle epidemics was less straightforward, although it suggested that the nature of the observed patterns varied with fire severity. In some cases, individual disturbance seasons or events were highly influential on the overall trends. Variability in the results highlights the challenges of quantifying landscape‐level relationships among disturbance types and supports the existing calls for further analyses with additional ecological variables.
Nelson, Michael F.; Ciochina, Mark; Bone, Christopher. 2016. Assessing Spatiotemporal Relationships Between Wildfire and Mountain Pine Beetle Disturbances Across Multiple Time Lags. Ecosphere 7(10).

domain: geography


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'SNL' vet Will Ferrell, who was a cast member from 1995-2002, will return to Studio 8H as a four-time host. His latest comedy, 'Daddy's Home 2,' was released in November.
Chris Stapleton will join Ferrell as musical guest for the second time. His most recent album, 'From A Room: Volume 2,' was released on Dec. 1. It follows 'From A Room: Volume 1,' which won the 2017 CMA for Album of the Year and is nominated for Best Country Album at the 60th Annual Grammy Awards.

domain: celebrity


text:
Online dating is mostly a method that enables individuals to find and prove to practical romantic relationships over here on the internet, generally while using the aim of growing more romantic, romantic, or simply sexual connections. For this reason, online dating can be known as daters’ Heaven, as it provides those who find love and relationships the chance to meet prospective partners through the Internet. Internet dating can be defined as a method to find potential partners by help of the net. It is also referred to as Internet dating.
If you are seeking romantic human relationships and you are trying to meet prospective partners, the net is certainly a priceless instrument for your search. There are many rewards that accompany internet dating. Some of the best internet dating facts range from the fact that it truly is one of the best ways to locate a partner. You could have the ability to check out profiles of other daters and try to decipher what makes these people successful in their relationships. Some dating service sites offer totally free matchmaking providers and it is easy to sign up for these sites with a trial offer membership.
Another of the internet dating facts is that it provides you with a chance to become more self-employed. This is especially important when you are single and seek somebody who will say yes to spend time with both you and share responsibilities. Many those that use the dating service eventually have it one step further and enter into a long term relationship with a particular online affaiblir. These romances are often called “dating relationships” or “lasting relationships. inch
The fact the reason is easy to find others with prevalent interests and hobbies will make it a great location to meet one people. A lot of online dating services allow lonely hearts to make a profile which will contains a description of their passions, including films, food, video games, and catalogs, and then search other lonely women based on these types of interests. Being able to be honest with regards to your likes and dislikes can help singles to discover one another better. This is not exactly like a site that caters to people seeking a sexual marriage.
One of the crucial online dating pieces of information is that you can build a good personal profile when you use a proven dating internet site. A good profile will help you stand out from various other members. This is due to those who help to make good user profiles tend to obtain more announcements and calls than those just who make awful personal background. In addition , a fantastic profile increases your probabilities of meeting an individual online. A lot of the top internet dating sites allow singles to publish personal profiles and then search other you based on the preferences.
There are various interesting details of online teenage dating sites. One of the important is that teens who consistent teen dating sites have larger grades in school and are less likely to get involved in having sex before marital relationship. Teenagers also tend to be more faith based and are very likely to set up spiritual meetings using their parents prior to they time. Single older persons who have taken naps consuming the morning had been found for being more mature and responsible than seniors diagnosed with not considered naps in the am.
One of the most essential online dating specifics is that most online daters do not program their earliest date or event. Most on-line daters apply online dating companies and then delicately approach their particular intended partner for a primary date. They just do not use online dating sites services to locate a mate or maybe to ask a suitable mate out for a first time frame. In fact , many online daters are sole by choice. Most on the web daters simply apply online dating services to keep themselves entertained or socialize. They don’t intend to at any time get married.
Online dating services is becoming popular and increasing its consumer basic by the day. Many singles daily use online dating services to interact and ultimately meet new people. Online dating sites has presented singles with several interesting facts. They have enabled new people to come across thousands of prospective mates. On the web daters are likewise provided with the chance to learn more about the personality of another specific by communicating through web based.

domain: sociology


- Which AMD Ryzen is best?
- Is AMD worse than Intel?
- Why is Ryzen bad?
- How do I choose a Ryzen processor?
- Which is better AMD Ryzen or Intel?
- Is AMD Ryzen better than i5?
- Should I buy AMD or Intel laptop?
- Why is AMD bad?
- Is AMD as reliable as Intel?
- Whats faster AMD or Intel?
- How did AMD beat Intel?
- What is the fastest AMD processor?
- Are AMD laptops any good?
- What AMD processor is equal to Intel i5?
- Is Ryzen 7 the same as i7?
- Should I buy Ryzen laptop?
- Is Intel or AMD better?
- Should I buy Ryzen or Intel laptop?
- Is Ryzen 5 good processor?
- Is Ryzen or Intel better for gaming?
- Why are AMD processors so cheap?
- Do AMD processors last long?
- What is the fastest processor in the world?
- What CPU should I buy for 2020?
Which AMD Ryzen is best?
Best CPU: AMD Ryzen 9 5900X.
Best high-end CPU: AMD Ryzen 9 3950X.
Best mid-range CPU: AMD Ryzen 5 3600X.
Best entry-level CPU: AMD Ryzen 3 3100.
Best gaming CPU: AMD Ryzen 7 5800X.
Best VR CPU: Intel Core i5-10600K.
Best performance processor: AMD Ryzen Threadripper 3960X.
Best budget CPU: AMD Athlon 300GE.More items…•.
Is AMD worse than Intel?
I found out that AMD actually has better performance-to-price than Intel, at least for the low,mid-range build I am interested in. … AMD has typically had a better price-to-performance ratio, it’s just gotten a lot better since Ryzen. For typical consumer PCs, AMD is certainly more than enough.
Why is Ryzen bad?
The problem is that PC games generally can’t take full advantage of eight cores. Performance doesn’t scale nearly as well with the core count compared to other types of applications, and that leaves Ryzen at a disadvantage. This varies game to game, and some games do a better job than others.
How do I choose a Ryzen processor?
Within each bracket, the processors are named by model number — the higher the model number, the more powerful the CPU. For example, a Ryzen 3 1200 is less powerful than a Ryzen 3 1300X and a Ryzen 5 5600X. An X suffix simply means it’s a slightly faster version of that model from the factory.
Which is better AMD Ryzen or Intel?
Answer: AMD Ryzen and the Intel Core processors offer similar performance with the former being better at multi-tasking while the latter are faster when it comes to single-core tasks. However, Ryzen CPUs tend to offer better value for your money.
Is AMD Ryzen better than i5?
The cheaper Ryzen 5 2600X is by far and away the best option and in some tests even massively overclocking the Core i5-9600K failed to better the AMD CPU with the latter even matching the Core i7-8700K in Cinebench – a CPU which has the same number of cores and threads and costs even more than the Core i5-9600K.
Should I buy AMD or Intel laptop?
Intel’s options are becoming more affordable to make them more competitive, which might make them worth it, but for raw power, AMD holds the lead. If you’re buying a laptop, things are a little different. Intel’s Tiger Lake offers the best onboard graphics, and its Comet Lake CPUs are exceedingly capable.
Why is AMD bad?
The Processors Are Power-Hungry However, at load, the processor uses about 65 watts more than an Intel Core i7-2600K, which is over 40% more. Because of this, AMD processor-based systems actually lose much of their value equation over time, as they cost slightly more to run.
Is AMD as reliable as Intel?
AMD has had a massively successful past few years with their Ryzen and Threadripper lines of CPUs. With twice the number of cores and threads as their counterparts, they’ve given Intel something to worry about and proven their worth as a reliable choice for PC components.
Whats faster AMD or Intel?
These processors consume more power in comparison to Intel processors. AMD also runs hotter while using. If you want a good performance and good compatibility, then AMD processor is not preferable….Difference between Intel and AMD :IntelAMDFaster than AMD.Not very fast compared to Intel.It’s clock speed in 2.93 GHz.It’s clock speed is 2 GHz.5 more rows•Jul 30, 2020
How did AMD beat Intel?
AMD’s stumbles and Intel’s long-term thinking Intel continued to put pressure on AMD by moving to a 45nm process, allowing for lower power consumption and higher clock speeds. This move was part of Intel’s “Tick-Tock” production model. Every change in microarchitecture was seen as a “tick.
What is the fastest AMD processor?
The most powerful CPU: Ryzen 9 3950X The 3950X offers the highest-rated boost clock of any Ryzen CPU at up to 4.7GHz. There’s nothing outside of AMD’s Threadripper 3000 CPUs (each of which cost upwards of $1,000) that can match it in productivity tasks. It even beats most of Intel’s top HEDT chips — all for just $738.
Are AMD laptops any good?
Yes, AMD Laptops are very good especially with the release of the Ryzen 4000 mobile processors. AMD Laptops containing Ryzen 4000 processors have much higher core/thread count allowing for fantastic performance in computationally demanding tasks such as content creation, gaming, and much more.
What AMD processor is equal to Intel i5?
AMD equivalent to a Intel Core i5? Ryzen 5 1600/1600X/2600/2600X are closest competition but I’ve also seen some nice deals on the 1700 which is a great chip… overclocks easy, comes with a nice heatsink, and hard to argue with 8 real cores when streaming.
Is Ryzen 7 the same as i7?
In a matchup between the Core i7-9700K and the Ryzen 7 2700X, we have to give AMD the slight edge because both platforms offer dynamic core clock adjustments, but Ryzen features eight cores and 16 threads, whereas Intel’s i7 doesn’t offer thread doubling like AMD.
Should I buy Ryzen laptop?
Best answer: Yes. In many cases buying a laptop with Ryzen will cost less while still delivering high performance for everyday tasks and more demanding workloads such as video editing or gaming..
Is Intel or AMD better?
Intel CPUs are typically the favorite choice for performance and overclocking enthusiasts. … Intel’s top CPUs cost more than their AMD counterparts, especially once you add in a decent cooler, but they’re often a bit faster in games. AMD meanwhile is able to trounce Intel when it comes to multithreaded applications.
Should I buy Ryzen or Intel laptop?
Buying a AMD Ryzen laptop is a better choice than ever now. They offer more bang for your buck than those overpriced Intel laptops. They provide you with better cooling and energy management and the Ryzen U processors of 3 and 5 series outperforms their Intel counterparts in Single and Multi threaded tasks.
Is Ryzen 5 good processor?
The best gaming CPU is the AMD Ryzen 5 3600. The AMD Ryzen 5 3600 isn’t just a great gaming CPU with serious multi-threading chops, it’s also incredibly good value.
Is Ryzen or Intel better for gaming?
While Intel CPUs range from 4 to 18 cores, AMD now features up to 32! … AMD takes the lead on the mid-range CPU bracket too, with the Ryzen 7 3700X smashing the Core i7-9700K in general. The Intel Core i7-9700K is by no means a slouch, and it is regarded as one of the best for gaming.
Why are AMD processors so cheap?
AMD is able to offer lower prices by thinking that even though the margins are lower, the amount of CPUs sold should make up for the difference – at least somewhat. … AMD is cheaper because of brand name (recognition) in the CPU department, and cheaper in the GPU department because of a worse product.
Do AMD processors last long?
They can last for at least 10 years provided they are sufficiently cooled and not running over their maximum voltages. The transistors themselves will eventually degrade but this process takes several decades.
What is the fastest processor in the world?
What’s New: Intel introduced today the 10th Gen Intel® Core™ S-series desktop processors, including Intel’s flagship Core i9-10900K processor, the world’s fastest gaming processor1.
What CPU should I buy for 2020?
If you’re primarily interested in high-end gaming performance, you should opt for a mid-range Intel Core i5 or AMD Ryzen 5 CPU. Considering that the graphics card is more important for gaming than the processor, you can save money by not getting a more powerful Core i7 or Ryzen 7 chip.


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It feels like I have been making this dish all the time. It’s something I can make without even thinking and love it every time. Yes, it’s really the simplest dish you can think of. Just steamed tofu and mushrooms in a donabe steamer, Mushi Nabe. At the same time, this dish really showcases how a simple ingredients can taste so good when cooked in Mushi Nabe and makes me re-appreciate the beauty of minimalism.
I like to serve it with my Black Sesame Sauce, but they can obviously go well with many other types of sauce/ condiments, including ponzu, sea salt & sesame oil, etc.

domain: food


Latest Neurology News
WEDNESDAY, Nov. 29, 2017 (HealthDay News) -- Despite recent claims from actor Chuck Norris that a dye commonly used during MRI scans seriously sickened his wife, a new study finds no evidence to support such a link.
The substance in question is gadolinium. It's a metal found in contrast agents that are injected into the body during an MRI scan, to enhance the quality of the images.
Earlier this month, Norris filed a lawsuit alleging that his wife fell ill after being exposed to gadolinium during MRI scans.
The suit says that Gena Norris was left weak, tired and suffering bouts of pain and burning sensations.
Doctors have been using gadolinium-based agents for 30 years -- totaling more than 300 million doses, said Dr. Vikas Gulani, an associate professor of radiology at Case Western Reserve University in Cleveland.
But, Gulani explained, researchers have only recently discovered that trace amounts of the metal can be left behind in the brain.
In September, a U.S. Food and Drug Administration panel called for a warning to be added to the agents' labels. The warning specifies that trace amounts of gadolinium may be retained in various organs, including the skin, bone and brain.
The big question remains, though: What, if any, are the harms?
The new findings, from a study of nearly 4,300 older adults, offer some reassurance. Researchers found no evidence that gadolinium exposure was related to faster mental decline over several years.
"The key issue is, if (this) substance deposits in trace amounts in the brain, are there any harms?" said Gulani, who was not involved in the new study.
He said this study is one of the first to address that question in a "meaningful way."
"This gives us a critical piece of information," Gulani said.
The report was based on 4,261 older adults who were part of a study looking at the natural course of "cognitive impairment" -- milder problems with memory and thinking skills -- and full-blown dementia.
At the outset, the participants had an average age of 72 and had no signs of impairment. About one-quarter had ever received a gadolinium-based agent during an MRI -- typically within the past two to nine years.
Overall, there was no clear link between gadolinium exposure and older adults' risk of cognitive decline over the next few years.
Nor was there any evidence that gadolinium exposure sped up people's progression from milder impairment to dementia.
Dr. Robert McDonald, of the Mayo Clinic, in Rochester, Minn., led the study. He was scheduled to present the findings Wednesday at the annual meeting of the Radiological Society of North America, in Chicago. Research presented at meetings should be considered preliminary until published in a peer-reviewed journal.
"This study provides useful data that at the reasonable doses 95 percent of the population is likely to receive in their lifetime, there is no evidence at this point that gadolinium retention in the brain is associated with adverse clinical outcomes," McDonald said in a news release from the meeting.
For now, the FDA says that gadolinium agents have only one known health risk: A "small subgroup" of kidney failure patients has developed a rare skin condition that causes a painful thickening of the skin.
"At this point," Gulani said, "we are not aware of any harms from these agents being retained in the brain."
Still, he added, the latest study does not rule out that possibility. There are still open questions -- including whether gadolinium exposure could be related to other neurological issues, like movement problems.
So, Gulani said, any theoretical risks from the agents have to be balanced against their proven benefits.
Still, there are cases where an MRI can be done without a contrast agent, Gulani noted. "It's reasonable for patients to ask their doctor whether it's needed or not," he said.
Gulani helped craft the latest recommendations from the International Society of Magnetic Resonance in Medicine on using MRI contrast agents. They say that if a gadolinium-based agent is not necessary, it should be skipped.
"It's just like with any other medication," Gulani said. "If you don't need it, don't use it."
Copyright © 2017 HealthDay. All rights reserved.
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The best reviewed Men’s Vitamins of 2018
Due to men having generally larger body frames in accordance with their height and structure, the nutritional requirement automatically follows that Men’s vitamins have increased levels of vitamin A, vitamin C, and Folate. Getting enough nutritional support with complete formulas through these vitamins, can have the result of men living the healthy life they want. Talk to your doctor to see if you need any nutritional deficiencies first, but here is a list of overall Men’s vitamins that are useful in getting enough essential nutrients and vitamins to support good health.
With a solid Men’s vitamin you can become more effective in any of your daily activities, from the gym to the office and everywhere in between. Improve your vitality and endurance, protect your prostate, cleanse your body of toxins, and improve mental clarity and focus. Here is our list of the 5 best Men’s vitamins out there today, and the final verdict for your best option at the end.
1.) Vimerson Health Men’s Daily Multivitamin Supplement – Amazon’s Choice
This advanced multivitamin complex is ideal for men who want that extra boost of energy and strength for their active lifestyles. The ingredients in this formula may help men address their unique needs, such as prostate and urinary health, increased sex drive, and balanced testosterone levels, but also boost their overall health. This multivitamin will bring amazing benefits to men’s cardiovascular, brain, digestive and immune health. Product includes:
- Folic Acid
- Natural Herbs
2.) Nuvertex Men’s Daily Multivitamin Supplement
Men’s Multivitamin Advanced Formula by Nuvertex Health: Efficient answer to the challenges of men’s health:
Nuvertex Men’s Multivitamin is a nutritional supplement intended for active and on-the-go men who want to enrich their lifestyle, but also take control of both their appearance and health.
The multivitamin complex consists of Zinc, Selenium, and Vitamins A, C, D, and E, plus B1, B2, B3, B5, B6, B12, as well as Spirulina, Calcium, Lutein and Magnesium. Each Capsule ->
- boosts your energy
- supports cardiovascular, nervous, digestive, immune system
- improves your focus
- helps joint pain relief
- promotes prostate health.
3.) Vitafusion Mens Gummy Vitamins
There are no two ways about it, VitaGummies have saved many Men from not consuming their daily dose of vitamins. I personally have a problem with stopping at just the recommended dose and gorge on several of these in one sitting. Fortunately, the excess vitamins and minerals are just expelled naturally without any lasting damage. Vitafusion Men’s complete multivitamin is specially formulated to address the health needs of men. These delicious gummies power cellular energy while providing immune and muscle support.* Plus, they contain 5 high-potency B vitamins and are an excellent source of antioxidant vitamins C & E.
4.) Douglas Laboratories – Mens’ Comprehensive Multivitamin – Perfect 5 star rating.
Douglas Laboratories researches, develops and manufactures the right suite of rigorously designed, science-based, healthy aging supplements. With a 60-year heritage of innovating and designing nutritional products, they constantly push the potential of active individuals to continually perform at their personal best, today and into the future.
Douglas Laboratories is both GMP and NSF International registered, and is approved to produce NSF Certified for Sport products.
Douglas Laboratories believes healthy aging is much more than living a long life. It’s about unlocking the potential of living healthier longer.
RESEARCH AND INNOVATION
Research is a top priority for Douglas Laboratories and is a cornerstone of new product innovation. Their award-winning, collaborative research program featuring polyphenols, vitamin D, systemic enzymes and fish oil was recently recognized by the Nutrition Business Journal for Achievement in Science and Innovation.
5.) NATURELO Whole Food Multivitamin for Men – Best Vegan Multi for Men
- Vitamin A – From 100% natural beta-carotene, never any cheaper synthetics.
- Vitamin C – Extracted from real, delicious Acerola Cherries – NOT the synthetic ascorbic acid you find in all other multivitamin brands.
- Vitamin D – Plant-based vitamin D3 from Lichen, not the animal-sourced Lanolin.
- Vitamin E – Extracted from Organic Rice Bran, one of the richest natural sources of this vitamin
- Vitamin K – Naturally-sourced vitamin K2 MK-7, not the less effective vitamin K1.
- Folate0 – Quatrefolic – the active form of Folate, which can be absorbed by your body without conversion, unlike Folic Acid which cannot be absorbed by people with the MHTFR gene mutation.
- Vitamin B12 – Only naturally-sourced, active Methylcobalamin, never the less effective Cyanocobalamin.
- Calcium – Their plant-based Calcium is derived from Algae. Most calcium supplements use cheap Calcium Carbonate derived from crushed rocks, which can lead to the formation of plaque in your arteries and increase your risk of heart disease.
- Iodine – Their Iodine is extracted from real Organic Kelp. We never use chemically-synthesized alternatives such as potassium iodide or sodium iodide.
5 star perfect ratings are hard to come by, especially when it comes to Men’s vitamins. Essentially, there are no low reviews on Amazon for this category, anything under 4 stars, usually get sent home packing. So we factor in price, reviews, ingredients, and how happy people are with their purchases. The Douglas Laboratories multivitamin has scientific backing and only the best ingredients. They offer a Multivitamin Advanced Formula which increases your overall health completely naturally. Manufactured with natural ingredients, it doesn’t force your body, but gradually increases its potentials. The price is worth paying in this case as they ISO certified and ISO accredited for in-house laboratories, approved to produce certified organic products, and NSF Certified for Sport.

domain: medical


78 million thousaand
See the Related Link.There are far too many sites to list here.
there are 12 different land fill in n.c
The United Kingdom has four regions. England, Scotland, Wales and Northern Ireland.
England is a country with many diverse land formations. There are lakes, beaches, hills, and mountains in England.
they didn't have correct land for many crops and needed more food.
2 - New England and Rhode Island
The problem with using non renewable resources is that they build up and up in land fill sites taking up room. Many non renewable waste has killed animals as the get tanglend in the watse or eat it
Some words that en with land are island and highland. There are also many proper nouns that end in land, such as England and Ireland.
The colony of Maryland was founded on that land in America.


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this file type before downloading and/or purchasing.
This PowerPoint guides teachers and students through the reading, review of, and reflection on the most vital themes and concepts of To Kill a Mockingbird, as part of the To Kill a Mockingbird unit.
Teachers Pay Teachers is an online marketplace where teachers buy and sell original educational materials.
Are you getting the free resources, updates, and special offers we send out every week in our teacher newsletter?

domain: library


text:
Naantali Music Festival in June 2020 is cancelled
Due to coronavirus pandemic Naantali Music Festival 2020 is cancelled and postponed to next summer 2021. The program will remain almost the same.
Naantali Music Festival will be held from 8 to 19 June 2021.
The tickets are available now in Lippupiste!
Naantali Music Festival will delight its audiences with a varied programme between 2 and 13 June 2020. An exceptional number of singers, impressive orchestral visits and new concert venues will feature in the festival this year, as we mark the Beethoven and Sallinen anniversaries with a wide selection of music by both composers and another world premiere.
Artistic Director Arto Noras has once again compiled a splendidly versatile festival programme, opening on an opus 41 theme on Tuesday 2 June with a concert of opus 41 works by Boccherini, Sibelius, Mendelssohn and Saint-Saëns. This concert will feature the Key Ensemble chamber choir and violinist Petteri Iivonen, who was appointed concertmaster of the Paris Opera in autumn 2019. Festival artists will include a comprehensive array of leading international musicians, with début appearances by pianist Itamar Golan and cellist Claudio Bohórquez. Other notable performers will include flautist Patrick Gallois, cellist Frans Helmerson, violinists Elina Vähälä and Mihaela Martin, and Radovan Vlatković, who is widely regarded as the world’s finest horn virtuoso.
Naantali Music Festival will once again welcome the Lahti Symphony Orchestra and the Tallinn Chamber Orchestra. Conducted by Okko Kamu, the Lahti Symphony Orchestra will perform with leading soloists Barry Douglas (piano) and acclaimed baritone Waltteri Torikka, who will make his Naantali début. The concert programme will also feature works by Beethoven and Sallinen to mark the anniversaries of these composers. The soloists appearing with the Tallinn Chamber Orchestra will be soprano Johanna Rusanen-Kartano, cellist Arto Noras, and an international wind quintet in the second concert. These concerts will feature music by Sallinen, Tchaikovsky, Dvořák and Kuusisto. Both concerts of the Tallinn Chamber Orchestra will be conducted by Jaakko Kuusisto.
World-famous mezzo-soprano Anne Sofie von Otter will visit Naantali for the second time. This Grammy Award-winning opera singer and veteran of numerous major roles will perform a diverse programme of songs by Mahler, Strauss, Bach, Poulenc and Bernstein.
Naantali Music Festival will collaborate closely with the Turku Book Fair this year. A Behold the Northern Sky concert will see legendary actors Seela Sella and Esko Salminen interpreting Finnish poetry from the anthology by this name compiled by Book Fair Programme Director Jenni Haukio with Nordic music by Sibelius, Grieg and Nielsen. Performing artists will include violinists Elina Vähälä and Jaakko Kuusisto, cellists Claudio Bohórquez and Samuli Peltonen, and pianists Barry Douglas and Juhani Lagerspetz. Partnership activities will also continue in various ways at the Turku Book Fair in early October.
One new venue in 2020 will be the Sibelius Museum in Turku, where Naantali Music Festival will arrange a Sibelius concert on 8 June. Together with the popular Casa Haartman concerts, this event will further strengthen co-operation with the Åbo Akademi Foundation. The offshore archipelago at Naantali provides many other unique concert venues, with the Dikseli Heritage Centre at Röölä in Rymättylä and Merimasku Farmer Hall hosting festival events for the first time in 2020.
Familiar from previous appearances at the Naantali Winter Concerts, the Meta4 string quartet will now perform at our summer festival for the first time with three concerts, including a special Beethoven concert of its own. A top quartet in the rising generation, Seele will début at Naantali in 2020 with a programme including music by Schubert and Mozart. We shall also hear the Fourtune cello quartet, and the Turbo Ensemble on genuine baroque period instruments at Raisio Church. The lighter festival programme will include a dinner concert at the Kaivohuone restaurant featuring Rajaton star Aili Ikonen performing a programme ranging from jazz to popular music with her own ensemble. Appearing for the first time in the Turku Region, the New Skipper Quartet will entertain an audience at the Naantali Spa Ballroom on 5 June. The members of this line-up are familiar figures from the Finnish National Opera, and from the Fabulous Bäckström Brothers and Club for Five. Jazz/classical pianist and composer Iiro Rantala’s My Finnish Calendar concert will also feature in the festival programme, providing a whole year musical weather report on the Finnish climate.
A novel feature of our 2020 programme will be the narrated concert Riding with a colleague, hosted in person by the concert programme compiler, composer Olli Kortekangas with a narration that delves into both the music and the life story of Beethoven. An In honorem Maris concert has already featured in our regular festival programme for a decade, and will be organised this year in association with the Unique Archipelago Sea project to follow its Archipelago Sea Seminar. The programme will include music by Saariaho, Mozart and Schubert. Our festival will conclude on 13 June with the closing For Whom the Cellos Play concert, featuring soprano Soile Isokoski with the Total Cello Ensemble and Leonardo Chiodo, together with a broad array of cellists in various ensembles. The concert programme will include the world première of Sallinen’s Sonata for Four Cellos.
The fifteenth season of Naantali Winter Concerts will be organised in partnership with Naantali Cultural Services on 29 February and 7 March. The first Winter Concert will celebrate the milestone years of Beethoven and Sallinen, and the second will be dedicated to the music of Mozart.
The Vallis Gratiae Academy will again attract gifted young string musicians to its training and master classes under the guidance of festival artists, and we shall have an opportunity to hear these rising stars in Naantali at a Young Masters concert in Kristoffer Hall on 12 June. The popular Naantali Children’s Music Festival will also be arranged again for the seventh time between 5 and 7 June in association with Save the Children Finland. The full programme for this event will be announced at the beginning of April.
Naantali Music Festival will arrange a concert tour to the Arvo Pärt Centre in Estonia at the end of September in partnership with the Matkapojat travel organisation.
Ticket sales for all concerts will begin at the lippu.fi ticket outlet on Tuesday 4 February.
Additional programme information is available on our website at www.naantalinmusiikkijuhlat.fi
For further details please contact:
Tiina Tunturi, Executive Director
firstname.lastname@example.org, tel. +358 44 516 1718

domain: artistic


JCSD to increase pay for district coaches and band directors
VANCLEAVE, Miss. (WLOX) - On Thursday evening, the Jackson County Board of Education approved a pay increase for coaches and band directors within the school district.
After bus drivers, custodians, maintenance staff, mechanics, bus aides and child nutrition staff saw their pay increased to the coast median, district coaches and band members are next in line, as the board of education has approved to increase the salaries of those who work under such titles. The board has done so in an effort to prioritize equity in pay among all employee groups.
“Every employee in our district is vital to our school operation whether they drive a bus, mow the lawn, work in finance, lead a building, or teach in a classroom. Last evening, the board approved pay increases for our coaches and band directors to that of the coast median,” said Superintendent, Dr. John Strycker. Strycker went on to say that telling employees they are important is one thing, but following up with actions is another in regards to the salary review initiative.
Budget changes to compliment the salary raises will most likely be next on the board’s agenda, as the district’s year-end fund balance is estimated to stand at 11.5%, whereas the district’s goal is to stay around 12%.
“No question, budget adjustments will need to be made in the future to continue to meet our fund balance goal of 12%. However, this does not negate the fact that our employees need to understand that they are equally important to our school district by our actions,” said Strycker.
Board President Keith Lee added, “Taking care of our employees supports the primary focus of our district, which is taking care of our students and providing them the opportunity to obtain the necessary skills to achieve their goals. Despite the challenges we’ve endured these past few years, our students continue to excel in the classroom and on the field. We credit the dedication and focus of all our employees through these difficult circumstances in helping our students realize their full potential.”
At the meeting, the board also recognized the JCTC students, a gymnastic athlete at Vancleave Upper Elementary, music programs at East Central, the Vancleave wrestling team and a St. Martin High School student attending the Air Force Academy. Achievement awards were given to district principals. Other academic awards were presented to students as well.
“It was amazing to see such a large turnout of students, parents, teachers, school leaders, and coaches being recognized after a very challenging week with the losses experienced at East Central,” said Strycker.
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MANILA: The Philippines repeated its call for China to stop its "provocative actions", warning that its continued attempts to block Manila's resupply missions to a disputed atoll in the South China Sea could have "disastrous results". Jonathan Malaya, spokesperson at the National Security Council, said in a press conference on Monday that China's move to interfere with a resupply mission on Sunday resulted in damage to one of Manila's boats but no one was harmed. In the incident early on Sunday, China's coastguard said there had been a "slight collision" between one of its ships and the Philippine boat while the coastguard was "lawfully" blocking the boat from transporting "illegal construction materials" to the warship. Manila responded by condemning "in the strongest degree" the "dangerous blocking manoeuvres" of the Chinese vessel.
Jonathan Malaya latest news
SEN. Ana Theresia «Risa» Hontiveros wants the Senate to probe the reported «gentleman's agreement» between former president Rodrigo Duterte and Chinese President Xi Jinping that stopped the repair of the grounded BRP Sierra Madre in Ayungin (Second Thomas) Shoal.
Senator Risa Hontiveros has filed a resolution seeking an investigation into the claim of a "gentleman's agreement" involving the administration of former President Rodrigo Duterte and the Chinese government, which restricted the repair and rehabilitation of the BRP Sierra Madre on Ayungin Shoal.
MANILA, Philippines — China is “in for a rude surprise” if it thinks it can intimidate Filipinos with its increasingly aggressive behavior in Philippine waters, National Security Council (NSC) assistant director general Jonathan Malaya said yesterday.
MANILA, Philippines — The Commission on Elections is preparing to defend its servers from attempts to hack it in the 2025 midterm polls, its chairperson announced on Wednesday.
MANILA, Philippines — There may be foreign interference in next year’s midterm elections and the Department of Information and Communications Technology (DICT) should prepare to counter cyberattacks, the National Security Council (NSC) warned yesterday.


Jun 23 2016
According to Lainey Gossip, Paramount and Sony are developing competing biopics of Agatha Christie. Sony is going the traditional biopic route, while Paramount is focusing on the mystery behind Christie's 11-day disappearance in 1926. Emma Stone and Alicia Vikander are apparently the studios' top picks to play Christie, despite being a solid decade too young to play the writer at the time of her disappearance.
Posted by: Julianka


text:
Behavioral and Public Health Perspectives on Viole…
Behavioral and Public Health Perspectives on Violence Prevention: A Survey of Illinois Practitioners
Published: July, 2019
Violence is one of the top three leading causes of death for individuals between the ages of 15 and 34 in the United States, and the American Public Health Association and Centers for Disease Control have designated violence a public health crisis. Important to combating this crisis are behavioral and public health professionals and practitioners who directly work to prevent violence. The present study sought to understand behavioral and public health providers’ competencies, capacities, comfort, confidence, and preparedness in violence prevention. Results from a survey of 152 respondents indicated there are areas for improving the education and training around violence prevention, as well as legal and ethical liabilities among practitioners. Further, few practitioners reported receiving client referrals from law enforcement agencies.


text:
Archive for 'Polaroid of the Week'
Posted on 05. Dec, 2013 by Dany.
This week’s Polaroid features one of the most memorable sunrises we have experienced on our travels so far: the sunrise over the magnificent Salt Flats in Bolivia.
Posted on 28. Nov, 2013 by Jess.
We finally ticked a huge item off our travel wishlist – the Uyuni Salt Flats in Bolivia. The best surprise was that the 3-day jeep tour through the Altiplano was about way more natural beauty and adventure than we had expected.
Posted on 21. Nov, 2013 by Dany.
We are back in San Pedro de Atacama, and still love the otherworldly desert scenery around here as much as during our first visit in April. Read on to find out what’s next for us!
Posted on 14. Nov, 2013 by Dany.
After our six-month break, we finally returned to South America last week. Santiago was a quick stop before shooting up to the northern beaches to enjoy sun, sand and spring weather here in Chile.
Posted on 07. Nov, 2013 by Dany.
We spent our last few days in the U.S. in New York City last weekend and had a blast hanging out with friends, taking a food tour, eating pizza and spotting this amazing sunset!
Posted on 17. Oct, 2013 by Dany.
Our road trip through New Mexico came to an end last week and the stunning rock formations in the northern part of the state where another highlight of this beautiful state!
Posted on 03. Oct, 2013 by Dany.
We love the adobe houses around New Mexico, and the beautiful style is such a symbol of the Southwest.


Designed by a proven leader in studio reference monitors, Eris E3.5 BT speakers deliver studio-quality sound with the convenience of Bluetooth wireless technology. In addition to Bluetooth wireless connectivity, YOU get the flexibility of rear-panel, ¼-inch TRS and RCA inputs; a front-panel 1/8-inch stereo Line input for use with mobile audio devices; A handy front-panel volume control; and an integrated headphone amplifier. Experience loud, clear audio thanks to 50W of Onboard class AB power. Want more bass? Adjust the speakers’ response to taste with low- and high-frequency tuning controls. The Eris E3.5 BT speakers’ elegantly compact form is well-suited for any home environment, yet they’re compact enough to fit almost anywhere. Making them a great choice for music lovers, content creators, and gamers.
The only true studio monitor for multimedia, gaming, watching movies, or producing your next hit.
Now comes included with Studio One Prime and Studio Magic plug-in suite, over $1000 USD worth of music production software.
3.5-inch woven composite drivers produce a more powerful bass response with a more accurate overall sound.
Bluetooth 5.0 wireless stereo connectivity lets you play audio from smart devices or go cord-free.
1-inch (25 mm) ultra-low-mass, silk-dome, high-frequency transducer provides a wide sweet spot.
High- and low-frequency controls let you fine-tune the speaker’s response to the space you’re in.
Benefits of quality speakers
With quality speakers, you can expect a much better listening experience. One of the main advantages is that they provide clearer and more accurate sound, allowing you to hear all the details in your favorite music or movies. This is because these speakers are designed to reproduce a wider and more accurate frequency range, which means you can hear the lowest and highest sounds more clearly.
In addition, quality speakers typically have a more powerful and immersive sound, allowing you to fully immerse yourself in the listening experience. This is especially useful when watching movies, as it allows you to feel as if you are in the scene itself.
Another advantage of quality speakers is their durable and sturdy construction. Quality speakers are made from high-quality materials and are designed to withstand prolonged use. This means that you can enjoy high-quality sound for many years without having to worry about the need to replace them.
In short, quality speakers offer a much better listening experience, with clearer, more accurate and powerful sound, better bass and treble reproduction, and a durable, rugged construction for long-lasting use.
There are several types of speakers, including:
1.-Box speakers: these are the most common speakers and are used in a variety of applications, from home sound systems to professional sound equipment.
2.-Column speakers: they are similar to box speakers, but have a taller and more streamlined design.
3.-Satellite speakers: are small speakers that are used in conjunction with a subwoofer to provide surround sound.
4.-Tweeter and midrange speakers: these are specialized speakers used to reproduce high and mid-frequency sounds.
5.-Bass speakers: these are specialized speakers used to reproduce low frequency sounds, such as bass.
6.-Wireless speakers: speakers that connect to a device via a wireless connection, such as Bluetooth or Wi-Fi.
7.-Home theater speakers: these are specialized speakers used in home theater systems to provide high-quality, immersive sound.
8.-Monitor speakers: these are specialized speakers used in recording and production studios to provide accurate and detailed sound.
9.-Bookshelf speakers: are medium-sized speakers that are placed on a shelf or furniture, ideal for small environments and to complement a home sound system.


text: Do you struggle with trying to determine the future, so you can make all the right choices? I do too. I know what it’s like to want to know the outcome before the beginning. I imagine some of you feel stuck when you can’t tell what’s right ahead. God calls us to trust Him more than trust our own instinct. There’s a reason Jesus calls disciples to follow him. He knows where he’s going, and better yet, he knows where to lead us where we are going. You’re going to want to listen to this one twice. Sometimes we need to heed God’s wisdom in the direction of our life, rather than make all of our own decisions.

domain: psychology


text:
FLAT RATE SHIPPING + FREE SHIPPING ON ORDERS OVER $100! CURBSIDE PICK-UP 10am-4pm Weekdays, 11am-5pm Saturdays
The Stapler has solid plastic construction and sports a unique angular design. The stapler is small in size, making it easy to carry around.
Uses No. 10-1M staples. Refills available here.
Klizia 97 Stapler: Yellow
Klizia 97 Stapler: Mint
Klizia 97 Stapler: Blue
Craft Design Technology Staple Refill
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domain: design


text:
I'm not really into Givenchy's bag before, what I really know about Givenchy's bag is the signature Nightingale bag. However, I spotted a beautiful sophisticated Givenchy Antigona Duffle bag at Barneys today, which was so appealing to me. Since I've been obsessed with satchel bags (PS1 bag and cambridge satchel bag) and Celine bags all the time, I've been used to checking what's new in Barneys. And today when we were about to leave, the Givenchy's bag just caught our eyes, Tim and I were attracted to Givenchy Antigona Duffle bag. Designed based on the classic Nightingale bag but looks more structured and modern. I really adore the triangle design detail with small Givenchy letters on the top, simply fascinating. The Antigona is now available at Barneys, you can check more pictures of them. Compared with the nightingale bag, Antigona looks more unisex, I love the plain all-black one so much. Which one is your fave?
What I spotted at Barneys!! The triangle detail I love so much.


text:
looking to roast some potatoes and vegetables whats the best way too? & what vegetables should I use?
I like to toss the veg with a bit of tomato paste. Itt it adds a bit of sweetness. Cut your veg unsized that will cook evenly .
I roast vegetables all the time. I salt pepper maybe a little cayenne then coat with olive oil. Roast at 425 for about 30 min for potato and carrots. Softer vegs like asparagus or squash shorter although squash will take a lot of time. Green beans not so much. Green beans look terrible but taste very sweet. I have a book called Roasting by Barbara Kafka that I use as a guide for things I am not familiar with.
Roasted vegetables are my favorite. I particularly like a combination of parsnips, carrots and turnips (cut in 1 to 1-1/2-inch pieces) tossed in olive oil and sprinkled with sea salt and freshly ground pepper; roast at 425 for 25 to 35 minutes.
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