text:
Browsing articles tagged with " Mila Kunis Boyfriend"
Mila has been staying in Ashton’s 9,000 square foot mansion while her home undergoes renovations, and it seems that the couple enjoy living together so much that Mila may actually make Ashton’s home her own pretty soon.
“Ashton’s male roommate is moving out to make room for her,” a source revealed to Us Weekly, with another friend saying “they really are perfect for each other.”
The actors have been spotted looking lovey-dovey in New York, Australia, and even Iowa, where Ashton’s family lives ever since they went public with their relationship last spring.
“They were friends first, and then it switched to love,” a source gushed about why Ashton and Mila’s relationship works. “That’s a great foundation for a relationship.”
Though the couple may be perfect for each other, Ashton will need to, once and for all, finalize his divorce with Demi Moore before they can go any further than sharing the bills.
[Photo Credit: PR Photos]
TELL US- DO YOU THINK MILA AND ASHTON’S RELATIONSHIP WILL LAST AFTER THEY MOVE IN TOGETHER?
“Once a cheater, always a cheater. If I were Mila, I’d be careful,” Sara tells Star magazine regarding alleged “evidence” she came upon that proves Ashton may have already cheated on Mila.
According to Sara, a co-worker of hers showed her a text-messaged picture of Ashton wearing his pajamas- a picture taken by a female who claims to be dating the actor. “My friend’s dating Ashton — look at this picture of your boy!” the co-worker supposedly said to Sara, who clearly is telling Star all this for Mila’s sake, not for another slice of the 15-minutes of fame pie.
Sara says that at first she was wary of these claims but “apparently, the girl was at Ashton’s house in L.A., and obviously someone was with him, but he didn’t know he was in the picture. It was creepy.”
Though Sara says she doesn’t know who the girl with Ashton is, because she “didn’t really care,” enough to get a name, she wants Mila to heed her warning; “It could just be an innocent picture, but I think it’s also possible he’s not dating Mila exclusively. Not just because of that photo, but because he’s cheated before. That would definitely be a red flag for me, if I were dating someone who’d cheated on their wife. I would hate for Mila to have the same experience as Demi. I wouldn’t wish that situation on anyone,” she says.
I’d also be suspicious of people who sleep with married men or women, but I’m just throwing that one out there.
[Photo Credit: PR Photos]
TELL US- DO YOU THINK ASHTON HAS CHEATED ON MILA?
It’s now been almost a year since Demi Moore left Ashton Kutcher after she was humiliated by his many affairs with other women being made public, but for some reason she has still yet to file a divorce.
“Ashton always wanted Demi to take the lead in filing for divorce, and in her own good time,” says a source. “He didn’t press her too hard because she was going through heavy emotional distress and he didn’t want to pile it on her. But now he’s calling Demi and begging her to file, driven by Mila’s agony over being in a romance with a still-married man.”
“It stings her that he’s fallen in love with a girl much younger than she is,” adds the source. “She’s not in the mood to make things easier for him.”
Perhaps Ashton is just going to have to call up his lawyers and get this divorce ball rolling after all!
Demi Moore’s Only Pretending To Be Over Ashton Kutcher; Plus Ashton & Mila Fight Over Justin Timberlake!
Weeks after Demi Moore stepped out with her supposed new younger beau Martin Henderson, a new report is now stating it’s all a sham to get people to believe she’s over her ex Ashton Kutcher when she’s really not.
Indeed, Demi, 47, had been the subject of countless reports in recent months which all pretty much said the same thing – she is still hung up on Ashton, and is beyond heartbroken over his new relationship with Mila Kunis.
The National Enquirer is now reporting that Demi staged her new relationship with 37-year-old actor Martin, in hopes of making it appear to the world that she has moved on. In fact a source close to Demi insists the Demi and Martin are “nothing more than friends.”
“The whole thing is a setup on Demi’s part,” revealed an insider. “She’s hanging out with Martin in a desperate bid to make it seem as if she’s moved on from Ashton and got a new man for herself. But she hasn’t. They’re friends and that’s it. The fact is that Martin kid of felt sorry for Demi. If anything, he’s just trying to pick up her spirits. He’s not really interested in a relationship with her at all.” Ouch.
The source adds that Demi in fact recently “freaked out” when she heart that Ashton, 34, and Mila, 29, are living together at Ashton’s Hollywood home, and supposedly trying to have a baby — something Demi was never able to give Ashton.
And speaking of Ashton and Mila, Star magazine is reporting the couple recently had a huge blowout over Mila’s ex Justin Timberlake. If you recall, Mila, and Justin had a brief fling last year, before Justin went back to his
doormat girlfriend/now fiance Jessica Biel.
According to the mag, Ashton is very jealous of Mila’s fling with Justin, 31, and recently started obsessing over it.
“It was pretty bad,” a friend tells Star. “Ashton was acting crazy, and Mila lost her temper completely, even going as far as to threaten to break up with him.”
The good news is that the couple managed to work out their differences and are still going strong. In fact, Mila was recently spotted on the set of Ashton’s show Two and a Half Men. And yes I’m also aware the show now sucks donkey balls without Charlie Sheen!
TELL US – ARE YOUR SURPRISED DEMI IS JUST PRETENDING TO BE OVER ASHTON?
The usually very private new couple was pictured above holding hands as they prepared to board a plane to leave Bali following their latest romantic vacation.
PEOPLE reports the two took a break from Hollywood for some quality sexy time together at a five-star resort on the island’s southern peninsula. “They were smiling, really relaxed together,” an eyewitness reveals.
Meanwhile, Star magazine is also reporting that things are quickly getting serious for Ashton, 34, and Mila, 28. In fact Ashton now reportedly wants to have a baby with his new lady love.
“Ashton feels his biological clock is ticking,” an insider reveals. “He’s wanted kids for years, but he and Demi [Moore] didn’t have luck conceiving, most likely because of her age.” Demi is 49 by the way, and who knew men had biological clocks!
“Ashton has told close friends and family members that he’s madly in love and wants to marry her,” a friend dishes. “And he’s been on a campaign to get her to agree to become a mom. He’s even reminded her that he’s had plenty of father practice with Demi’s three daughters.”
So how does Mila feel about this? Well she’s apparently more concerned with the fact that Ashton has still yet to file for divorce from his ex Demi. His excuse? That he’s still worried about her mental state, even though she recently started dating New Zealand actor/model Martin Henderson, 37.
The source also adds that while Mila is “hopeful that she and Ashton will last, she’s moving cautiously.”
TELL US – DO YOU THINK ASHTON & MILA WILL LAST?
The hot new couple, who have claimed to be just friends in the past, have been photographed together numerous times in recent weeks including sharing a passionate kiss at a party last week. And The Sun is now reporting that the two are practically living together!
“They’re basically living together. Like any new couple in love, they’re pretty much joined at the hip. They’ve been sneaking around for months but there’s only so long you can keep it quiet,” reveals a source.


text:
I do so enjoy music that’s violent and punishing, and Candy’s scathing mix of industrial, metal, and hardcore is exactly that. Across 30 minutes the band demonstrate that they’re very capable in all of these arenas. Continue reading “Candy – Heaven Is Here (Review)”
Although I’d ideally love to be able to conduct hard-hitting, in-depth interviews, who has the time these days? In lieu of this, I’ve thrown together the below question template, hopefully to gather some interesting and informative results, without taking up too much of anyone’s time.
Introduce yourself – who are you and what do you do?
My name is Erhan and I play guitar in Heriot. Continue reading “Standard Interrogation Techniques: Five Questions for Heriot (Interview)”
Heriot play an interesting and diverse style of music that combines metallic sludge heaviness with hardcore fury and industrial harshness. Heriot don’t really sound like any one band, and it’s great to hear music like this that isn’t concerned with genre boundaries. Continue reading “Heriot – Profound Morality (Review)”

domain: artistic


Ethernet Direct Corporation, a professional and primary provider of Industrial Networking and communication solutions, is exhibiting in SPS/IPC/Drives 2007 Show from November 27 to 29, 2007, presenting a complete range of Industrial Ethernet products in Nuremberg Germany.
SPS/IPC/DRIVES is the exhibition for electric automation technology. It covers all components down to the system and offers herewith integrated automation solutions. During this exhibition, Ethernet Direct in Germany will introduce PcVue Solutions – suite of hardware and software for visualization, control and data management. We will showcase high reliability and superior quality Industrial Ethernet & Networking products.
Ethernet Direct is keen to present the latest and greatest solutions to let you acquire a comprehensive overview on how to best increase your company’s productivity by using our wide array of Industrial Ethernet products.
Ethernet Direct is keen to present the latest technology innovations which include:
- Complete Portfolio of Industrial Switches & Industrial Converters for mission critical applications
- New Portfolio of Industrial Managed Gigabit Switches with maximum speed & reliability
- New Slim series Industrial Ethernet Switches for space saving applications
- New Industrial Managed PoE Switch Series for hassle free power installation
- New High density Industrial 18-port Managed Gigabit Switch with SFP module with new software technology
- New Industrial Wireless LAN Outdoor Rated IP68 Solution for weatherproof environment
- New Industrial Gigabit converter with SFP module for flexibility
- New Industrial multi-port device servers for stable data transmission
In addition exhibition, there will be a live demo to show visitors the best Network Management software IntraVue, also cited the most popular industrial network troubleshooting software. You will see how our solutions can be used in Energy & Utilities Management, Intelligent Buildings, Infrastructure and Process Automation. We look forward to meeting with you. Our stand is in Hall 7A Stand 630.
More info: Ethernet Direct Global Network


text:
From Transition Zone@21:1/5 to All on Sun Jan 1 08:28:27 2023
"Abel Nuñez, executive director of the Central American Resource Center, which has provided services to the migrants, said around 10% of the migrants arriving in Washington don't have any contact in the U.S. Some of the addresses on their paperwork were
scribbled in by Border Patrol agents.
Nuñez said some of the migrants didn't want to be in Washington and his organization coordinated transportation for them back to Texas. "

domain: sociology


text:
Many of us might be guilty of shaving a few pounds off the our weight in conversation or on our driver’s license—because how much difference can five pounds make, really?
And—to an extent—it’s true. Five pounds isn’t the end of the world. But having no concept of your actual body weight is cause for some concern.
Research shows that significant portions of obese women and children underestimate their weight. It’s hard not to make it sound like a skinny-person contest—but the truth is that being overweight is dangerous to your health. It causes numerous complications such as high blood pressure and diabetes.
So, while it may seem like a hard pill to swallow, stepping on the scale and knowing the truth about your weight is for your own health—and your own good. Find out more here.

domain: medical


text:
Call Of Duty United Offensive Game Highly Compressed Overview
Call Of Duty United Offensive Game Highly Compressed Download For Pc,is an open-world action-adventure game developed by Gray Matter Interactive. It was released on September 14, 2004 for the PlayStation, Microsoft Windows, Xbox and all other well known operating systems.Call Of Duty United Offensive PC game Free Download new and updated version for PC Windows. It is full offline installer standalone setup of Call Of Duty United Offensive PC game for compatible version of Windows PC. Game was checked and installed manually before uploading by our staff, it is fully working version without any problems.Call Of Duty Black Ops 3 Game Highly Compressed.
The Call Of Duty United Offensive pc game is played in a third-person perspective and the world of navigation on foot or by vehicle. The open world design lets players move freely. Call of Duty United Offensive game consists of two main islands. The plot of the game based on various people and events in the real world, such as the Miami Cuban, Haitian gangs, and motorcycle, the cr@ck epidemic of 1980, the barons of Miami mobster drugs and glam metal sovereignty. The game was also influenced by movies and television, such as Scarface and Miami Vice. Much of the development project was to create the world of the game to set the time and inspiration. The development team has done research on the vast land in Miami, during the creation of the world in Call Of Duty United Offensive Pc Game.
Call Of Duty United Offensive Game Download For Pc,Sgt. James Doyle is the next playable hero in United Offensive, serving as the playable character in the British battle. Doyle is a Royal Air Force Boeing Fortress, heavy weapons specialist who’s taken down on the Netherlands on the RAF’s first sun mission using the Fortresses. The Dutch Resistance, with the assistance of Major Ingram, a S.A.S. representative, save him until He’s captured by the Germans. Doyle (currently a S.A.S. representative ) and Ingram are subsequently sent to Sicily with distinct S.A.S. brokers to thump out a couple of tremendous precipices mounted firearms, substantially the same as people from the 1961 film, The Guns of Navarone. Doyle yields in Call of Duty 3 because of the player character of those British/French regions of their crusade.
In Call Of Duty United Offensive full version for pc you will be putting in the shoes of American, British and Russian soldiers in most climactic battles of WWII. The battles in which you will be participating include The Invasion of Sicily, Battle of Kursk, and Battle of the Bulge. You need to take your troops through rain and snow by using new weapons like flamethrowers, machine guns, or artillery strikes. Call Of Duty United Offensive includes 13 new single-player missions spanning three campaigns. It also includes 11 new multiplayer maps and 3 new multiplayer modes which include Capture the Flag, Domination, and Base Assault. All in all Call Of Duty United Offensive windows 10 64 bit is a gripping action game that will test your fighting skills.
Call Of Duty United Offensive Crack Game is an action-adventure based game played from a third-person perspective. In the game, the player has control over the criminal Tommy Vercetti and the phase of the full linear mission objectives to advance the story. You can have multiple active tasks running at any given time. In some missions, the player must wait for instructions or events. Outside of missions, the player can move freely open world game and is able to cover the optional side missions. It consists of two main islands and many smaller areas, people are much larger than the area of the previous entries in the series. The islands unlocked for the player as the story progresses. You can also download Call Of Duty World At War game for PC from here.
Call Of Duty United Offensive Gameplay Screenshots
Call Of Duty United Offensive Game Highly Compressed,We are working on this game continuously to fix bugs, improve its optimization and increasing thousands of new features in it. I hope that you got the complete idea about the interior of this game from the screenshots of this installment which are given above. You cannot imagine the criteria of this game before installing this game because there is much more than its exterior look. There are the millions of followers of this game in the social media websites like facebook, twitter, Instagram etc. I have already played this game many times and never bored during playing. I hope when you play this game so enjoy it after playing and refer to your friends and relatives about this awesome game.
In this game it consistently it Self It has a number of shooters, In this game, you get excessively seriously injured and you will require your squad doctor and get fixed up and costing you progress. And also a number of various shooters most of the slug it is a single-player game includes multiple fighters with the topsy-turvy missions and community mode. Call of Duty: WWII removes the advanced system two previous Call of Duty series, which included wall running. And features of movement to the parts, it an original Gameplay style.
The standard makes a framework, it highlights Divisions. Players can pick five divisions Fundamental battle preparing. Players required to advance positions in divisions it utilizes extra advantage framework basic training. Airborne: This division makes players move quickly while staying calm. Players in this division can connect silencers to sub-automatic weapons whenever during battle which takes into account a more stealth-based ongoing interaction style.Mountain: This division centers around the long-range battle, making expert marksman rifles increasingly exact with point help and improving the point through extension by shutting out surroundings from the player’s view.
Call Of Duty United Offensive Free Download For PC is an impressive game for any Platform so the installation process is very easy, You don’t need to panic and hesitation during installation. If you feel any problem during instalment, you can ask in the comment section. There are many other ways of installation but this installation is one of the impressive and easy. This game covers all the categories which you want like, Strategy, adventures and entertainment.
Features of Call Of Duty United Offensive Game Highly Compressed:
- Interesting Action Game.
- Easy to download with a simple interface.
- All famous wrestling players are the part of Call Of Duty United Offensive game
- HD Quality graphics and 3D Audio sound system
- All stages are unlocked
- Easy to play and understand
- Many more amazing features and modes
- All types of combat are available
- Different wonderful tasks to play.
System Requirements For Call Of Duty United Offensive:
- 8X SPEED CD / DVD-ROM.
- 02 GB minimum RAM.
- Minimum 4 GB video card should be available with DirectX 9.0 compatible drivers ( “GeForce» or better) installed.
- Keyboard and mouse.
- DirectX 9.0 or later.
- Intel Celeron 800 MHz or 1,2 GHz or 1.2 GHz AMD Duron 800 MHz Intel Pentium III or AMD Athlon.
- Sound Card DirectX 9.0 compatible drivers.
- 01 GB free disk space is required as a minimum (Plus 635 MB extra space if video card does not support DirectX Texture
- Windows 98, 98 SE, ME, 2000, XP or Vista.
Recommended Requirements For Call Of Duty United Offensive:
Before you start Call Of Duty United Offensive Free Download make sure your PC meets minimum system requirements.
- Operating System: Windows Vista/7/8/8.1/10
- CPU: Intel Core i5-3550 / AMD FX 8150
- RAM: 512 MB
- Setup Size: 1 GB
- Hard Disk Space: 1 GB
How to Download Call Of Duty United Offensive Game Highly Compressed for PC & Android (APK+OBB)
In addition this is a very simple process. As always, all you need to do is to follow some simple steps. Follow the steps below to download and install Call Of Duty United Offensive Game Highly Compressed on your PC or Android with APK & OBB.
- Scroll down to find the download links. You will see red colored links and those are currently the active ones. It could be from any file-uploading service (Mega, Dropbox, Google Drive etc)
- Click on any of the active links. After that, a new page will open so you will need to click the download button again.
- Once you got the game on your device you’ll need to extract it. Therefore, extract the rar file. It will ask for password so please visit our Password page to get it. In the end, run the installer and follow further instructions to install it.
On the other side, if you want to play this compressed version on your PC (Windows) you will need to download and run emulator. Therefore, make sure to Download Call Of Duty United Offensive Game Highly Compressed. Install the emulator so you can play it from there.
That is all to say about this game. Do not forget to visit our category with more compressed games. There are a lot of games as this one.

domain: game


What is an arena strategy?
An arena strategy is a guide for the City in providing, developing and managing its ice pad inventory.
Why does the City need an arena strategy?
The City needs a road map for how best to invest public resources in order to meet the current and future needs of the community.
What will the Arena Strategy propose?
To develop the Arena Strategy, the City will study its arenas and usage, as well as at comparable municipalities and industry standards, and make recommendations that align to the Strategic Plan and the Recreation Facilities and Programming Master Plan.
How will the City involve the community in the Arena Strategy?
The City has contracted a consultant to help
develop the Arena Strategy. The consultant will use the public feedback gathered from the community survey, through consultation with user groups; and the Recreation Master Plan Committee, as representatives of the
public, will continue to be engaged as the strategy is developed. A public meeting will be scheduled this spring to present the preliminary findings and to obtain feedback from the public on the draft arena strategy before it is finalized and presented to City Council. City Council will be presented with the draft for approval and will consider and discuss the recommendations before moving ahead with the proposed options.
How will the City fund the implementation of the Arena Strategy, once developed?
Funds for arena maintenance, enhancements and developments will be identified in future capital budgets and in long range financial plans for City Council to consider. The City will also explore additional sources of funding, such as regional, provincial and federal grants and funding opportunities, as well as other types of partnerships.
How does the development of an Arena Strategy support Council’s Strategic Plan?
An Arena Strategy will support the following actions within Council’s Strategic Plan:
· 2.5, to optimize capital infrastructure, ensuring effective asset management and sustainable investment; and
· 4.1, Prioritize and implement recommendations from the Parks and Recreation Master Plan with a focus on balancing recreation services for all ages, demographics and abilities.


text:
Desert Rose Brazilian Briefs in Rose Gold
Desert Rose is a collection of understated opulence and the Embroidered Tulle Briefs is no exception. Couture embroidery in a subtle, yet utterly sensual, Rose Gold forms the patterns of shells and Baroque details. Pair with one of collections bras and exude...
View Full Details

domain: design


Rudder play in the Santana 22 is a common thing. Depending on the
severity of the play, it shouldn't affect performance. If it's bad,
then it'll only get worse over time as the brass and/or bronze
bearings you may have found in your later-model tuna will become more
oval. Earlier models had no bearings but just the rudder tube. I have
some play in mine as well (#561), but I have not taken the tiller head
apart yet to determine if there are bearings in there.
I have not seen the bearings you're indicating, but if there are two
(top and bottom of rudder tube), and they are not epoxied in
(important!), the top should be able to be removed with an automotive
gear puller, one that has a threaded center piece that you can fit a
washer and nut onto the end. Make your own washer out of a steel plate
about 1" wide (no wider than the rudder post) and long enough to span
the rudder tube inside dimension, and a slot or hole in the center
wide enough to accept the width of the puller shaft. Then, thread the
nut onto the end. Use blocks stacked on the cockpit floor for the legs
of the puller to push against.
Once the top bearing is out, you should be able to pound the lower
bearing out from the top using a mallet and a length of wood (such as
a closet hanger pole or broomstick end).
Various methods exist on how to remedy the situation. Replacing
bearings is a different story. You may want to contact Schock and see
if there are replacements (I didn't see any in their parts catalog,
but a phone call might prove more valuable).
The method I think might work well is replacing your bearings with an
epoxy bearing version that you create yourself by adding graphite
powder to your epoxy mix. On the Santana 22 fleet website, under the
"Articles" section, there is a link named "Maintenance Tip: Rudder
"Play"" in which Mark Lowry discusses how to do this procedure. It's
actually easier than it seems. I employed this method on another boat
(not a Santana 22) and had results very similar to those that Mark
discusses in his entry to that article. You can find more info on this
type of thing by getting one of the West System Epoxy "how-to" books
from Gougeon Brothers. They are usually about $10 at Svendsen's or
West Marine. They are really good about education. Here are some how-
to guides: http://www.westsystem.com/ss/use-guides/. You're also bound
to find info on how to do this at the Gougeon Brothers' Epoxyworks
magazine, which is devoted to working with epoxy. Sniff around the
online version here: http://www.epoxyworks.com/.
Finally, you may want to talk to Steve at Seal's Spar and Rigging.
He's got loads of experience with these boats. Contact page is here: http://www.sealsspars.com/contact.html
I hope the info helps.
#561, "Star Kissed"
On Feb 10, 2010, at 4:00 PM, Erik Hauge wrote:
I have a question to the fleet regarding rudder bearings. I recently
dropped the rudder out on my S22 #454, as there is a large amount of
play in the rudder. I was under the impression that Santana 22’s did
not have any rudder bearings (other than a fiberglass tube). I found
that my boat has bronze rudder bearings and they are quite worn. I
have two questions:
1. Does anyone have any experience or good ideas on removing these
2. Are replacement bearings available anywhere?
Thanks in advance for your help.
Tuna mailing list
Tuna at myfleet.orghttp://myfleet.org/mailman/listinfo/tuna
-------------- next part --------------
An HTML attachment was scrubbed...


text:
This Babes Fringe T-Shirt by Tiny Turnip is a must-have for young Miami Marlins fans. Its unique design makes it a cute and fun addition to their growing collection. Complete with printed Miami Marlins graphics, they will be repping their favorite team in style when they sport this tee.
- Short sleeve
- Screen print graphics
- Material: 60% Cotton/40% Polyester
- Brand: Tiny Turnip
- Made in the USA
- Fringe detail at bottom hem
- Machine wash, tumble dry low
We have a huge variety of Miami Marlins products for men, women, and kids. Shop our affordable Miami Marlins Tiny Turnip Girls Toddler Babes Fringe T-Shirt - White today!
If you're looking for an authentic, Miami Marlins Tiny Turnip Infant Hot Bats Raglan 3/4 Sleeve T-Shirt - White/Black
, this would be a perfect buy. It's made of 100% cotton and will let you flaunt your team's pride.


text:
You want to be able to make some money online but don’t know how.This is something that many people are thinking because they don’t bother to learn. You have done more than that by searching for this article. Read the following advice for some ideas about making money on the Internet.
Be careful about online income scams. While you’ll find a lot of opportunities out there for making money online, some opportunities aren’t that great. Do some research online to see what others have to say about any company or website that you are interested in working for.
Figure out a niche before making money online. Are you good writer?Market your talents as a content provider.Are you a good graphic design? You can get hired to work on the designs of others. Introspection will help you.
To make money online, you must first determine which niche you can fit into. Do you like to write? Become a content writer. Are you good at graphic design? A lot of folks might hire you for website or document projects. If you want to succeed, know thyself.
Writers can write for sites such as InfoBarrel and Squidoo which offer revenue sharing. You can write about things that interest you and share their ad revenue. They also allow you to link with Amazon’s affiliate marketing program for even greater earning potential.
Schedule time each day for working online. Online income is something that you will need to do consistently. There are no legitimate get-rich-quick opportunities. You will need to attack it each and every day. Choose specific times to work on it every day. You’ll be surprised at how even an hour daily can make a serious difference.
There are lots of online survey sites to choose from. You can earn a decent money just filling out surveys online. Depending on the site, they may not pay much.However, you can easily do these things when you have some down time, and the money will add up.
Use your spare moments wisely. There are many things for you to do to make money that are very easy. Sites like Mechanical Turk offer many simple small tasks. You can even perform these tasks while cooking dinner or watching television. While you probably won’t be an overnight millionaire, you’ll certainly be a more productive worker.
You have to give information which will verify your identity prior to making cash online. You will have to provide valid identification in some places. Get a copy of your ID to make everything go smoothly.
Give domain name flipping a try. In fact, it could be quite lucrative. However, you do have to put up a bit of money in the beginning. Use certain sites such as Google Adsense to research keywords that are currently trending. Buy domains that are acronyms. Predicting popular domain names of the future can be quite profitable. Give it a try!
Search Google to learn about how to make money online. This will give you a lengthy list of possibilities. Once you have found a good looking opportunity, be sure to do a thorough search about reviews about that company.
Learning how to make cash online could take a long time. The easiest way to learn the ropes is to mingle with others who have common interests in the industry. Find a guru you can get advice from, and only look to reputable sites for information. As long as you are receptive to the idea of earning money online, you are likely to succeed.
Think about the worth of your time should be valued prior to beginning work. What is the minimum you require per hour you’re willing to take for any given job? People will think that you are not worth a lot of money and will pay you accordingly.
Do not pay money when you are just starting up. You do not want a business that takes money from you. These types of companies are simply scams. Don’t use these companies.
Don’t ever pay for any online work opportunities. A legit company won’t charge you anything to work for it. They will most likely going to just take your cash and leave you with nothing.Stay far away from such companies.
Scammers abound online. For this reason, you must scrutinize any company you are considering doing business with. You can research an online company using the Better Business Bureau website.
Try to keep your income diverse. Earning a living online can be challenging on the Internet.What you’re doing today may not work tomorrow. The best thing that you can do would be to have a few different income streams. This helps to keep income coming in one source dries up.
Advertise for other people. Your website is a great venue for this. If you have a blog that is popular, there are advertisers that will want you to put their ad on your site. The ad re-directs the readers to another site where they can shop.
This is a fantastic way to tell everyone that you know things about something and make money. Recipes are a great place for you could start with your E-book.
Writing an eBook about your area of expertise is a great idea for making extra money. E-books have become popular. You can make a little or a lot of money if you’re an author that can come up with something people will want to read. You’ll find many self-publishing houses online, some with commissions up to 70% of the sale price.
Putting advertisements on your website is a great way to make money.If you have a blog that’s already popular, you can probably entice businesses to advertise on it. The ad drives readers to another site where they can shop.
Believe it or not, you make some money online while you sleep. If you have a passive income, you don’t have to put any effort into it. For instance, you might establish a popular forum that only requires an hour of daily moderation while you collect ad revenue around the clock.
You can literally make some money while you sleep. Passive income is money that you earn with a minimal effort is needed for monetary gain. You can moderate a forum and placing advertising banners on it to earn money.
You can make money online doing what you do in the real world. For example, do you enjoy reading books? You can write a blog reviewing the books your group reads. Add some affiliate links to Amazon.com so that people can buy those books. Do you like to crochet? Make booties for babies and sell online!
Publish a book to make money.If you are a writer, you can easily put your eBooks up on Amazon. A lot of people sell their work this way and they generate income.
Selling items on the Internet is a great way to make some extra cash. Many places like CafePress let you set up a personal store for selling T-shirts. You’ll make custom shirts for buyers. You can advertise by putting fliers up around the neighborhood or by using Craigslist.
Create a niche blog that targets a great theme. Use social media to help drive traffic to your site. You will be able to get advertisers once it is popular. When visitors go away from your blog and as they go to the page that they own, you get a small percentage of the sales.
Selling photos online is a good revenue generator for many. There are many reasons people buy photos online, including needs for creative pieces, presentations, websites and a whole lot more. Just make sure your images don’t have copyrighted art, trademark brands or identifiable faces of people. Websites such as Dreamstime, ShutterStock and Fotolia are great places to start.
Making money on the Internet can happen in a lot of different ways. Do you have solid phone personality? Look into using VOIP to provide customer service opportunities or virtual assistant that you could do through VOIP. Do you have a knack for all things fiction-related? Try selling your short stories via Amazon. Are you good at stain remover? Write how-to guides and supply them to DigitalOcean.
Begin by launching a catchy blog. Regularly post. Use social media websites in order to get visitors to come to your page. Then once you’ve got a good amount of visits, you can work with advertisers to make an income. When people click over to the advertiser’s site, you’ll get a commission.
You can make money by making online videos if you possess the proper equipment and tools. You can then post your videos on YouTube. If they are interesting, folks will begin watching them often. You can then add these advertisements to your page. These could bring in some money.
Expert advice is key to your online success. For this reason, if you want to make money online, this is a good way to accomplish that. When you do this, you will have a competitive edge.
While it is okay to make mistakes, doing something illegal or that’s not going to fit in with your morals can be tough on you later.
Keep your integrity high. Remember that your reputation will be permanently available online. If you do anything illegal, it will bite you in the end.
Make money doing the things you already do anyway. There are places where you can get points for searching the web and buying things you were going to buy anyways. You can then use your points into gift cards or even cash cards. Mypoints.com and Swagbucks.com are a couple of websites that offer these opportunities.
Become a freelance contractor. Is a keyboard something you know how to use well? Take a look at oDesk. It is okay if you are not an awesome writer, you can still transcribe or be a copy editor. It may seem a bit boring, but it is a good way to earn money online.
There is a lot of people wanting to buy handmade things right now, thanks in part to the Hipster trend.If you can craft items, put them to good use!You can put them on auction sites like eBay or Etsy.
You can earn a lot of money by making handmade crafts. If you’ve got any craft skills, put them to good use! You could list it on Etsy and on eBay.
You can earn quite a ton online if you are a good writer. It’s important for both freelancing or passive income. If you are a slow or disorganized writer, you’ll find making money online to be a tough road to follow.
Using AdSense is a great way to make money through Google. They pay you for hosting their ads and having your readers click them. This allows others to market to their target niche while providing you with needed cash.
Think about starting a business of your own. Although an online business may take time in developing a solid number of customers, online businesses can make you a lot of money to help out if you’re unemployed. There are many things you can do online, content writing, graphic design and even sell your handmade crafts.
Set goals. Treat your online work as you would any other work. You should have a plan with goals. This allows you to continue plugging on, even when opportunities are less abundant. Write down your plan and your goals. Putting them on paper helps make them seem more real.
If you work hard at it, you too can join the ranks of the successful online moneymakers. You just have to be determined and do your research. You are now ready to convert your personal skills into making revenue from the Internet.
Don’t limit yourself to simple blog posts to earn income online. Try creating videos for YouTube or podcasts. You can earn money working with multimedia. Multimedia content has global popularity, which only heightens the income potential.

domain: finance


How to use an oscilloscope to debug RS 485 networks (oscilloscope screenshots)
An oscilloscope is an excellent tool for debugging RS 485 networks, as common errors like missing terminations, crossed lines, missing shield/ground connections can be detected. The attached Powerpoint document contains oscilloscope screenshots of the mentioned wiring problems, so you know what to look for.
Last update: 23.05.2015 00:09
First release: 10.01.2005 14:26


text:
Kolkata: Meira Kumar might contest Rajya Sabha seat from West Bengal. The election for six MP seats will be held on August 8, as the tenure of the present MPs will end on August 18.
Acording to TOI report the present MPs whose tenure comes to an end are Derek O’Brien, Dola Sen, Sukhendu Sekhar Roy, Debabrata Bandopadhyay of Trinamool and Sitaram Yechury of CPM along with Pradip Bhattacharya of Congress.
Meira Kumar recently lost the Presidential poll to Ram Nath Kovind. Trinamool has already named five candidates. They filed their nominations on Wednesday. The five Trinamool candidates are Dola Sen, Derek O’Brien, Sukhendu Sekhar Roy, Santa Chettri and Manas Bhuniya.
Congress is planning to nominate Meira Kumar and Trinamool Congress is willing to support her. CPM is not renominating Yechury, and therefore Meira Kumar can sail throughly smoothly. However, if Meira Kumar is not nominated then Pradip Bhattacharya can be renominated for RS, Congress sources said.
Meanwhile, Trinamool chief Mamata Banerjee held a meeting with Sonia Gandhi during her week’s trip to Delhi and Kumar’s nomination is said to have been discussed.
Trinamool has dropped Debobrata Bandopadhyay and has inducted Manas Bhuniya. He was a Congress MLA. While Santa Chettri, a former GNLF MLA who has joined Trinamool was nominated in the Rajya Sabha. Trinamool with its strength in the Bengal assembly is expected to get all the five seats and the excess votes it can gift it to Congress, as Trinamool and Congress are coming closer. Thus Meira Kumar can have a smooth sail.

domain: politics


text:
RELATIVES of football fans who died after the Hillsborough disaster will find out next week what previously unseen files exist and what they contain.
Findings of an independent panel set up to examine the documents will be disclosed on Wednesday to relatives of the 96 men, women and children who died after the crush at Hillsborough Football Stadium in April 1989.
Families will be addressed during a briefing at the Anglican Cathedral in Liverpool at 8am before the panel’s report is made public and arrangements are made for the disclosure of the documents for public scrutiny.
Files from around 80 different organisations have been examined by the panel since it was set up in January 2012.
Its brief was to oversee the ‘full public disclosure’ of documentation relating to the disaster. Documents held by South Yorkshrie Police and the Government are among those victims’ families are most eager to see, in the hope that they will provide answers and help them establish exactly what happened and why.
A total of 96 fans died after they were crushed on the terraces at the Leppings Lane end of Hillsborough in an FA Cup semi final between Liverpool and Nottingham Forest.
Police ordered gates to be opened at the stadium to prevent crushing outside when fans arrived late for the kick-off – but it led to overcrowding inside and horrific scenes in which there was a huge surge fans were surged and fans ended up trapped against the fencing used in the pens.
Relatives still grieving for their loss claim previous probes into the disaster, including an official inquiry and inquest, left questions unanswered.

domain: history


text:
Norwich TerrierPublished: Last updated: by Kyle J. Larson
Average size and lifespan
Lifespan: 10 - 14 Years
- Barking Amount
- Grooming Difficulty
- Shedding Amount
- Easy to Train
- Can Be Alone
- Exercise Need
- Cold Tolerance
- Heat Tolerance
Norwich Terrier Information
Talk about an adorable dog! This little pup features tiny pointy ears, a fox-like face, expressive eyes, a stocky build and a wiry coat that can be red, wheaten, grizzle or black and tan.
A big dog in a small package, the Norwich Terrier has a larger than life personality. He is gregarious, affectionate and loyal with a keen alertness and curious demeanor. A busy breed, the Norwich needs regular mental and physical exercise so make sure you fit this in.
All dogs have their own personality and unique training, causing them to differ slightly from these breed stats. However, please let us know if we made an error in the stats, we appreciate your help!
Can Norwich Terriers be apartment dogs?
The Norwich Terriers does fine in apartments. They don't need lots of spaces so they should adapt well to apartment-living.
Can Norwich Terriers be left alone?
While Norwich Terriers prefer to be around their owners, they can do fairly well when left alone if necessary.
Are Norwich Terriers good with kids?
Norwich Terriers do well with kids. As with any dog they should be monitored closely, they're unlikely to become aggressive.
Are Norwich Terriers friendly with strangers?
Typically, Norwich Terriers are friendly with strangers. They tend to be open and willing to trust those they don't know.
Do Norwich Terriers get along with other dogs?
Although Norwich Terriers will mostly get along with other dogs, they may have some issues. They can typically be dealt with by socializing them with other dogs.
Do Norwich Terriers bark a lot?
As far as dogs go, Norwich Terriers bark an average amount. You can expect them to bark to alert you, get your attention, or when there are strangers or other dogs.
Do Norwich Terriers shed a lot?
Norwich Terriers shed a medium amount. They will have seasonal shedding, but aren't terrible to clean up after.
Do Norwich Terriers need a lot of grooming?
Norwich Terriers don't require very much effort for grooming. You'll just need to provide typical maintenance and baths.
Do Norwich Terriers need a lot of exercise?
The Norwich Terrier has a good amount of energy and will need to be exercised with some walks and play to keep them happy.
Are Norwich Terriers easy to train?
Although Norwich Terriers can be a challenge to train, they can be taught with some dedicated work or by hiring some training help.
Can Norwich Terriers handle cold weather?
Norwich Terriers do well in cold weather. You may need to protect their paws, but they'll do well in colder climates.
Can Norwich Terriers handle hot weather?
Norwich Terriers do well in hot climates and can stay out longer without overheating.

domain: pet


text:
Re:Verse reading–Romans 1:18-32 (day five)
Last summer I traveled to Alaska with our Chapel Singers. One of the highlights was a trip to Denali National Park. Our travel literally took us around what is now called Denali (formerly Mt. McKinley). There were several places to stop and see this magnificent landmark. Each one provided a different, yet amazing view of this mountain. The different vantage points when combined, gave me a better understanding and appreciation of the vastness and beauty of whole mountain. If I had only seen one side or perspective, it would have been spectacular, yet I would have missed seeing and experiencing SO much more.
In Romans chapter 1, Paul shares glimpses or snapshots of God’s character and nature. (Same Holy and Loving God- different vantage points) God’s Power (v. 16), God’s Righteousness (v. 17), God’s Wrath (v. 18), God’s Glory (v. 20).
If we don’t continue to observe and be in awe of the many facets of God’s Nature and Character, we will miss seeing and experiencing SO much more of Him.

domain: geography


text:
Death by 'ice': fatal methamphetamine intoxication of a body packer case detected by postmortem computed tomography (PMCT) and validated by autopsy.
Summary of "Death by 'ice': fatal methamphetamine intoxication of a body packer case detected by postmortem computed tomography (PMCT) and validated by autopsy."
Fatal acute methamphetamine (MA) poisoning in cases of internal drug trafficking is rarely described in the literature. This case study reports an MA 'body packer' who died from fatal methamphetamine intoxication due to leaking drug packages in the alimentary tract. The deceased was examined by postmortem computed tomography (PMCT), and the results were correlated to subsequent autopsy and toxicological findings. The deceased was arrested by the police when he was found disoriented in the city of Kuala Lumpur. He was transferred to the emergency department on suspicion of drug abuse. The initial drug screening was reactive for amphetamines. Shortly after admission to the hospital, he died despite rigorous resuscitation attempts. The postmortem plain chest and abdominal radiographs revealed multiple suspicious opacities in the gastrointestinal tract attributable to body packages. An unenhanced whole body PMCT revealed twenty-five drug packages, twenty-four in the stomach and one in the transverse colon. At least two were disintegrating, and therefore leaking. The autopsy findings were consistent with the PMCT results. Toxicology confirmed the diagnosis of fatal methamphetamine intoxication.
Department of Radiology, Faculty of Medicine & Health Sciences, University Putra Malaysia, 43400, Serdang, Selangor Darul Ehsan, Malaysia, firstname.lastname@example.org.
This article was published in the following journal.
Name: Forensic science, medicine, and pathology
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/23404531
- DOI: http://dx.doi.org/10.1007/s12024-012-9395-1
A man in his twenties was diagnosed with schizophrenia in his late teens. The night before his death, his family reported he drank a large amount of water, vomited, collapsed, and snored loudly while ...
Designer drugs appear to be increasing in popularity because of the ease of obtaining these constituents, the lack of ability to identify the substance(s) in routine drug screening, the appeal of the ...
Drug intoxication in children and adolescents is not uncommon in Korea. But the tendency of intoxication is changing with some factors, such as national surveillance system, Naderism and increasing co...
Taxine alkaloids cause fatal poisoning, in particular due to the compound's toxic effect on the cardiovascular apparatus.
Sudden unexpected death in epilepsy (SUDEP) is the most common cause of death in patients with chronic refractory epilepsy. Case studies suggest that the cause of SUDEP may be respiratory depression i...
The intent of this study is to see if the rate that the body breaks down l-methamphetamine (l-MA) could be used as an accurate estimate for the rate that the body breaks down d-methampheta...
The purpose of this study is to find out if GVG can reduce drug use and determine safety and effects of GVG when used together with methamphetamine. This study involves staying in the hosp...
The purpose of the study is to determine if cytidine 5'diphosphocholine (CDP-choline, a naturally occurring chemical in your body) has efficacy in reducing the methamphetamine craving of t...
Methamphetamine use has escalated in recent years. Methamphetamine use has also spread throughout the country. Although much information has been gathered on the treatment of cocaine abuse...
This study is to assess the efficacy of bupropion in reducing methamphetamine use in subjects with methamphetamine dependence who report using methamphetamine 18 or less days during the 30...
Medical and Biotech [MESH] Definitions
Death resulting from the presence of a disease in an individual, as shown by a single case report or a limited number of patients. This should be differentiated from DEATH, the physiological cessation of life and from MORTALITY, an epidemiological or statistical concept.
The abrupt and unexplained death of an apparently healthy infant under one year of age, remaining unexplained after a thorough case investigation, including performance of a complete autopsy, examination of the death scene, and review of the clinical history. (Pediatr Pathol 1991 Sep-Oct;11(5):677-84)
Artificial substitutes for body parts, and materials inserted into tissue for functional, cosmetic, or therapeutic purposes. Prostheses can be functional, as in the case of artificial arms and legs, or cosmetic, as in the case of an artificial eye. Implants, all surgically inserted or grafted into the body, tend to be used therapeutically. IMPLANTS, EXPERIMENTAL is available for those used experimentally.
Histiocytic, inflammatory response to a foreign body. It consists of modified macrophages with multinucleated giant cells, in this case foreign-body giant cells (GIANT CELLS, FOREIGN-BODY), usually surrounded by lymphocytes.
The exclusive right, granted by law for a certain number of years, to make and dispose of copies of a literary, musical or artistic work. In the United States the copyright is granted for the life of the author plus 50 years. In the case of a joint work, it is for the life of the last joint author to die, plus 50 years. In either case the copyright runs until the end of the calendar year 50 years after the author's death. (Random House College Dictionary, rev ed; Strong, W.S.: The Copyright Book: a Practical Guide, 1981)


text:
Prosecutors have dropped the case against Brooklyn fashion photographer Andre Perry, who on November 17 was arrested for wearing what police thought were brass knuckles. The ring was a gold 2-finger Dallas & Dynasty ring that Perry says he bought at a flea market.
DNAinfo reports that Perry, 32, “was charged with two counts of criminal possession of a weapon and had to spend a night in jail,” at the time of the arrest, despite having told officers that the item was jewelry. He says that he has worn the ring through airport security and around the city without incident.
The Manhattan District Attorney’s office seems to agree that the ring is just a ring:
“After an investigation which included inspecting the knuckles that the [defendant] was wearing at the time of the arrest, speaking with the [arresting officer], interviewing the defendant, reviewing case law and based on the fact that the [defendant] has no criminal record in the State of New York, the People move to dismiss the case in the interest of justice,” an assistant district attorney said during Perry’s Jan. 13 hearing.
(Photo: Dallas & Dynasty)

domain: news


text:
The Return Of Wolverine is meant to be finishing in January, but will probably slip into February. Everyone presumed it will continue with a new Wolverine ongoing series, probably written by Charles Soule, unless he chooses that moment to quit the character.
But at New York Comic Con there was quite the discussion of continuing with a new themed mini-series. So we had The Hunt For Wolverine and The Return of Wolverine.
I know a Dark Knight who used those titles for two of his books.
Could we have Wolverine Triumphant and Wolverine Falls to complete the set? And why run a new ongoing series when Wolverine seems to do better in mini-form and gets a new #1 bump every few months?
Either way, I am also told not to expect Charles Soule to be writing Wolverine going forward… he is indeed choosing that moment to step off writing the character.
We ran a whole bunch of comic book gossip that spun out of New York Comic Con regarding DC Comics last week. Well, it seems that the Marvel scuttlebutt took a little longer to make it back across the pond, probably going surface mail I suppose. Anyway, it has been filtered out with big nets and we should be able to run some of it over the day. Catch up with more of the Marvel post-NYCC rumourmongering using this tab…

domain: literature


A major customer in the heating technology sector contacted us, explaining that it was in great need of a tailored copper-pipe solution to improve the efficiency of its production. Our designers sketched a suggestion for copper pipes that were bent in curves and soldered together in a special way.
Companies that manufacture entire products for heating, for example heat pumps and boilers, have to further enhance their products continuously in order to stay ahead. Customised products are Impel’s speciality. We give our customers exactly the special product they require, and sometimes more.
Kitchens & Bathrooms
This customer group consists of companies that offer products in public environments, kitchens and bathrooms. This primarily means products for tap-water systems for kitchen taps and showers/baths. It also involves machines for coffee breaks at work that make coffee or cold drinking water. In addition, we have several customers in bathrooms for the home environment and in public environments.
Clean water is something that many people in Sweden take for granted. But few people know that a great deal of work is required in water treatment before the water reaches the tap. In this area too, we provide just what is wanted with our broad product range.
In the automotive industry there is a need to make use of hydraulics, where high pressures are required. Our range of pressure meters and related products means that our customers are able to perform both digital and analogue measurements of pressure and temperature. We also help motorhome and caravan manufacturers to automate water and wastewater.
The customer group of heating distributors has products that distribute heating in various types of properties. These may be district heating plants, shunt groups, floor-heating systems, etc. Many things need to match up and be checked before the heating can be distributed correctly in the building.


text:
About Garcinia Cambogia
With so many people using Garcinia Cambogia for weight loss there are hundreds of testimonials that you could read to learn more about how this supplement works. Several case studies have also been performed to help prove that all of the hype about this supplement in the media can really stand up to scrutiny when comparing real life results to those in the advertisements.
Before you start taking Garcinia Cambogia it is important to understand that this is not a miracle cure-all.
You will start to see results very quickly, but you will not achieve all of the weight loss goals you’ve set for yourself, in just a few days. There are long-term benefits to using this supplement, but ultimately you will need to improve your diet and exercise habits if you want to maximize your weight loss as well.
Research on Garcinia Cambogia
An 8 week study performed on 60 people was used to set a benchmark for the effectiveness of Garcinia Cambogia supplements.
- The group of 60 was divided in two with half the group following a placebo diet and supplement routine and the other half eating a 1200 calorie diet supplemented with 1320mg of Garcinia Cambogia.
- The group using the real supplements was found to lose twice as much weight as those who were simply following the restricted diet. They found that the group using Garcinia Cambogia naturally had less of an appetite which made it easy to stick to the healthy diet. It also made their weight loss more effective.
To make sure you get solid garcinia cambogia results, it is recommended that you take a dose that is consistent with the size of your body. Those that are obese can take as much as 3000mg of the supplement per day, but most can take 1000-1500mg per day for significant weight loss results.
When will I Start to See the Garcinia Cambogia Results?
Those taking part in the weight loss study saw results right away, so you will start losing at least a few pounds as soon as your diet begins.
- You will start to shed weight in the first 1-2 days of taking Garcinia Cambogia. During the study, most lost at least 3 pounds within the first week. Results do vary by person, so you could see a less amount of weight loss in the first 2 weeks, but following this period you will start to lose weight very quickly.
- If you decide to try to follow a healthier diet or get more exercise you will likely lose weight more quickly as well. People who combine the use of Garcinia Cambogia with other healthy food habits lost weight twice as quickly as those using the supplement alone.
On top of helping the body shed weight, Garcinia Cambogia helps you get more energy so you feel like staying active. It also curbs your appetite so you don’t feel like eating huge portions like you might have in the past. This will make it easy to naturally follow a healthier diet without making you feel like you are deprived.


I’ve got BuddyBlog installed on top of BuddyPress, and have ‘Show single posts on user profile?’ set to No.
If a user posts and publishes a blog article, it doesn’t get a slug set for it – in the back end of WordPress, the slug value is empty.
As a result, the post’s single page is inaccessible. On the blog archive page, the URL for the permalink is that of its date archive (i.e. https://[SITE-URL]/blogs/2019/03/01/ ) so there is no way to access the individual post itself.
I presume the post is meant to have a slug generated when the user submits it, and that this isn’t intended behaviour?
The website is currently still in development, so I don’t want to publish the URL here as it looks like it goes into a publicly accessible forum. Is there a way to send the website URL and some BuddyPress login details to your support team in private?
2. Are you using Multisite? Is it subdomain install? Is domain mapping enabled?
3. Are you using BuddyPress?
4. Is there anything specific about your BuddyPress Installation( Is the multi network or multiblog mode enabled?)
5. Which version of WordPress/BuddyPress are you using?
WordPress 5.1, BuddyPress 4.2.0, BuddyBlog 1.3.4
6. Which theme you are using? which version?
Custom theme, based on Sage 8
7. Is it a fresh install or did you do an upgrade?
8. When the problem started? did it happen after installing/upgrading plugin, theme or WordPress?
After installing BuddyBlog
Welcome to BuddyDev.
I am sorry for the inconvenience. The slug should be generated automatically.
There was a change related to slug generation in WordPress 5.1, It might be the reason.
Please allow me to check it and get back to you in 30 minutes.
I just tested it. It is working for me on WordPress 5.1/BuddyPress 4.2/BuddyBlog 1.3.4 and BP Simple Front end post 1.3.6
Are you allowing users to publish post(posts status set to publish or is it set to draft?). Also, can you please visit settings->permalink and make sure it is setup(I am assuming it is).
Thanks for getting back to me. We’ve got ‘Default post status’ set to Draft.
I’ve just checked and it works fine if I set this to ‘Published’. However, if ‘Default post status’ is set to ‘Draft’, no permalink gets set.
If the user then goes on to publish their post via the ‘Post Actions’ toolbar, the permalink remains empty. Presumably it should be getting set when they click the Publish button, but this isn’t happening.
I’ve just tried this on a completely clean setup, with BuddyPress 4.2.0, BuddyBlog 1.3.4 and BP Simple Front end post 1.3.6 being the only plugins installed, and the same thing happens.
You must be logged in to reply to this topic.


text:
There are a few different types of Yorkshire Terriers (such as Teacup, Biewer, and Parti Yorkies), but only one breed of Yorkshire Terrier is recognized by the. Super Cute Teacup Yorkie Puppies For Sale - US$ Houston, TX . Affectionate teacup yorkies for adoption Tea Cup Yorkie Puppies For Free. Buy and Sell Dogs and Puppies, post local free classifieds in Houston. Find puppies Posted By: victivassua -> Dogs & Puppies: Houston, Texas, United States.
I will not Two Maltese Puppies Two Maltese puppies for any loving home. They are 12 weeks and 5 days old today.
They are well trained, vet checked and had their shots. These puppies are ready to move to a new Very outgoing with a good bite, good topline, and a pleasing personality.
We do offer shipping Pampered and spoiled everyday with lots of love and interaction with family and other pets. Raised in our home and very socialized. Love to Beautiful Yorkie puppies These beautiful puppies come from a half Shih Tzu and free teacup yorkies houston tx Yorkie mom that weights 7lbs.
Registered Yorkie dad. There are 3 males to choose.
The pups will mature Pay for a quality now or get a cheap backyard bred puppy and suffer heartbreak and vet bills in the tens Public Service Announcement: Please note that we have no shelter where our rescues can be viewed.
All of our dogs are in individual homes being fostered until they find free teacup yorkies houston tx forever home. The first step in the adoption process is to fill out an application.
Super Cute Teacup Yorkie Puppies For Sale - US$ Houston, TX . Affectionate teacup yorkies for adoption Tea Cup Yorkie Puppies For Free. There are a few different types of Yorkshire Terriers (such as Teacup, Biewer, and Parti Yorkies), but only one breed of Yorkshire Terrier is recognized by the. teacup dogs for free in texas | category dogs puppies yorkshire terrier yorkie location houston texas.
Yorkie Rescue Houston has no paid staff. We are all volunteers.
We also have families, jobs and lives outside of rescue. These are home raised Lovely and good with kids and other house hold pet.
They are Vet checked and akc registered and will be coming along with all health They are lovely and good with kids teeacup other pets. Charming Yorkie puppies - They are ready to go out to a good and caring home.Isle Of Benbecula Lady Free Sex
Both of these babies are top shelf yorkies they dont get much better than these AKC Great conformation and health. Adorable havanese puppies.
Charming Boston Terriers Puppies. Two Golden retriever Puppies. Doberman pincher Puppies.
Blue French bulldog Puppies.


text:
HOW TO MAKE CHICKEN BROTH IN THE INSTANT POT
Make chicken bone broth at home in a few hours with this Instant Pot recipe!
– 1 chicken carcass/chicken bones
– cold water
– 1 large onion
– 2 carrots
– 2 cloves garlic
skin still on
– a splash of vinegar or lemon juice
or anything acidic, optional
– salt and pepper
Place your chicken bones in the bowl of the Instant Pot, add some veggies (I like onion, garlic, carrots, and celery), and a bit of salt and pepper (don’t go overboard!).
Add enough water to cover the chicken bones, but don’t fill past the “Max” line on the Instant Pot.
Put the lid on the Instant Pot to the closed position, turn the valve to “sealing”, and place on the “Soup” setting for 120 minutes. Once done cooking, allow to vent naturally.
Remove lid and allow the broth to cool until warm. Strain into storage containers. Refrigerate for up to a week or freeze.
Adapted from Mommypotamus
HOW TO MAKE CHICKEN BROTH IN THE INSTANT POT https://www.butteredsideupblog.com/how-to-make-chicken-bone-broth-and-where-to-buy-it/

domain: food


text:
Assisted Living Facilities in Halifax County, North Carolina
We've located the best assisted living communities in Halifax County, North Carolina. All of the assisted living facilities and homes in this list provide daily living assistance to elderly senior citizens. This list of facilities includes various care levels, including senior living and assisted living communities in Halifax County, NC area.
While looking for assisted living in Enfield, North Carolina, you may find Woodhaven Rest Home #2, situated at 311 East Bryant Street in the 27823 zip code area in Halifax County. Woodhaven Rest Home #2 assists retirees living in Enfield who need help with taking a bath or shower, dressing, getting in and out of bed, self-feeding, personal hygiene and using the toilet. Woodhaven Rest Home #2 includes services such as: a library area, staff awake 24/7 and individual service assessment.
Carolina Rest Home is an affordable assisted senior living facility situated at Roanoke Rapids, North Carolina. It has a total of 40 assisted living apartments. Carolina Rest Home can be found at 1361 Carolina Rest Home Road, in the 27870 zip code area. It assists senior citizens living in Halifax County with ADLs that include taking a bath and help with incontinence issues. A few of the amenities you can find at Carolina Rest Home include daily fitness activities, medication assistance and transportation service.
Assisted Living Facilities near Halifax County, North Carolina
Talk to an assisted living advisor. 100% free, no obligation information.(888) 923-6007


text:
The mind’s scalpel in surgical education: a randomised controlled trial of mental imagery
R Geoffrion, St Paul’s Hospital, 1190, Hornby Street 4th floor, Vancouver, BC V6Z 2K5, Canada. Email firstname.lastname@example.org
Please cite this paper as: Geoffrion R, Gebhart J, Dooley Y, Bent A, Dandolu V, Meeks R, Baker K, Tang S, Ross S, Robert M. The mind’s scalpel in surgical education: a randomised controlled trial of mental imagery. BJOG 2012;119:1040–1048.
Objective To evaluate the role of mental imagery (MI) in resident training for a complex surgical procedure.
Design Randomised controlled trial.
Setting Eight centres across Canada and the USA.
Population Junior gynaecology residents who had performed fewer than five vaginal hysterectomies (VH).
Methods After performing a pretest VH, junior gynaecology residents were randomised to standard MI versus textbook reading (No MI) and then performed a test VH. Surgeons blinded to group evaluated resident performance on the pretest and test VH via global rating scales (GRS), procedure-specific scales and intraoperative parameters. Residents evaluated their own performance.
Main outcome measure Change in surgeon GRS score from pretest to test VH. The study was powered to detect a 20% difference in score change.
Results Fifty residents completed the trial (24 MI, 26 No MI). There was no difference in GRS score change via blinded assessment from pretest to test evaluation between groups (mean change 13% [SD 17] versus 7% [SD 14], P = 0.192). There was no difference in procedure-specific score change. There was a significant difference in self-scored GRS score change between groups (mean change 19% [SD 12] versus 9% [SD 11], P = 0.005). Residents also felt more confident performing a VH (mean change 19% [SD 16] MI versus 11% [SD 10] No MI, P = 0.033).
Conclusions No difference was observed in the surgical performance of residents after MI. Improved resident self-confidence may be attributable to MI or the effect of unblinding on trial participants.
Mental imagery (MI) is the ‘cognitive rehearsal of a task in the absence of overt physical movement’.1 When applied to learning of a motor task, it activates synaptic connections in the motor frontal cortex that are normally activated by actual physical practice.2 Neuroplasticity has been shown in other traditionally unimodal cortical areas such as the auditory and visual cortices.3,4 Kosslyn et al.4 demonstrated that the primary visual cortex of blindfolded participants was activated during mental visualisation, similar to actual visualisation. Mental imagery has proven applications in high-performance athletic training and post-stroke rehabilitation programmes.5–8 It has been shown to improve perceptual learning on visual tasks such as spatial discrimination and contrast detection.9 In surgery, MI as a technique of motor learning and practice has the theoretical advantages of being safe and inexpensive when compared with traditional learning in the operating theatre or in a simulation environment.1 In addition, it has been shown to improve nontechnical aspects of surgical performance such as stress10 and confidence.1 Mental imagery is usually performed one on one with the learner and according to a script that contains visual, cognitive and kinaesthetic cues.1 Repetitive individual MI rehearsal can then be undertaken.11 More than a simple enumeration of procedural steps, imagery of one or more surgical tasks encourages the learner to imagine the actual movements involved in the execution of each step.1,12
Our multicentre randomised controlled trial tested the hypothesis that MI enhances the surgical skill of novice surgeons for the performance of a vaginal hysterectomy (VH) in the operating theatre when compared with a control group of novice surgeons reading about a VH in a standard gynaecological textbook.
The use of MI for learning VH was investigated in a multicentre randomised controlled trial with a parallel design and an allocation ratio of 1:1. Learners were randomly allocated to training via standard MI (MI group) or reading a surgical gynaecology textbook (No MI). The main outcome was change in surgical performance from pretest VH to test evaluation after intervention (MI or standard textbook). Data were collected between 2008 and 2011. Local research ethics board approval was obtained from each participating centre.
Eight academic centres in Canada and the USA participated. Surgical training differs between the two countries in that Canadian gynaecology residencies are 5 years in duration, whereas US programmes are 4 years. In Canada, vaginal surgical skill acquisition usually starts towards the end of the second and the beginning of the third year of residency, and often extends to the fourth and fifth years. This can vary from programme to programme depending on available surgical volume. In the USA, on the other hand, vaginal surgery skill acquisition is typically complete by the third year.
Recruitment and eligibility
Residents were recruited, by principal investigators at each centre, at the start of their learning curve for VH. For MI to work as a teaching intervention, experts recommend some prior knowledge of the procedure to be learned.13 We recruited residents who had observed at least one but performed fewer than five VH on their own because the learning curve for laparoscopic-assisted vaginal hysterectomy is five to 30 such procedures.14,15 To avoid possible resident coercion, the residency programme director was not eligible to participate as an evaluator of resident surgical performance.
Residents were allocated to one of two groups via a computer-generated list of random numbers, stratified by centre. Five sequentially numbered sealed opaque envelopes were initially distributed to centres. As the envelopes were used for new recruits, they were replaced by mail with further sequentially numbered envelopes.
All residents underwent the usual surgical training, with the addition of the trial intervention as allocated by randomisation.
The MI teaching intervention was standardised via an MI script developed by the principal investigator (RG). The standard MI script enumerated the procedure steps based on a reference surgical gynaecology textbook,16 with the addition of visual, cognitive and kinaesthetic performance details. An example of a visual detail is: ‘Identify the orientation of the uterosacral ligaments in three dimensions, 45 degrees downward and lateral from the posterior cervicovaginal junction.’ An example of a cognitive detail is: ‘Local anaesthetic infiltration facilitates dissection in the proper plane and acts as an internal tourniquet.’ An example of a kinaesthetic detail is: ‘Use your scalpel perpendicular to the tissues and with brief strokes.’ A DVD of an MI session was recorded at the coordinating site and mailed to each participating site to standardise the intervention and train a dedicated MI educator at each site. Following the pretest VH, each resident randomised to the MI arm performed the MI sessions one on one with the designated MI educator at each site. The MI residents then continued individual performance of MI for VH until they felt comfortable with the procedure ‘in their mind’s eye’ and before the test VH. The day before the test VH, residents met with the dedicated MI educator for another standard MI session.
Control group (No MI)
After performing an initial pretest VH, residents in the control group were encouraged to read the textbook chapter describing VH,16 but were given no additional training for the study. They then performed a test VH.
In both groups, demographic data such as age, gender, resident level, number of VH observed and number of VH performed were recorded.
Evaluation of surgical skills and confidence
Evaluation of surgical skills was carried out by the gynaecological surgeons supervising the residents in the performance of VH in the operating theatre. Evaluators did not participate as MI educators, and were blinded to the resident’s allocated group.
All performance evaluations were administered with each VH, that is an evaluation during the VH at baseline (pretest), and again during the test VH after the intervention. Outcomes were calculated as a change in scores from performance on the pretest baseline VH to performance on the test VH.
The primary outcome was the change in validated global rating scale score (GRS) of surgical skill.17,18 The GRS scored seven components of surgical performance using five-point Likert scales. Maximum attainable score was 35. Evaluators also recorded resident pretest and test performances on a rating scale of procedure-specific steps.19 This scale was developed by expert consensus specifically for VH. It served to evaluate knowledge of and adherence to ten necessary steps of the procedure. For each step, the possible answers (‘No’, ‘Prompted’ and ‘Yes’) were equivalent to 0, 1 and 2 points, respectively. Maximum score attainable was 20.
Residents in each group also scored their own performance using the GRS on pretest and test VH. In addition, residents used a self-confidence scale to rate their level of confidence with pretest and test VH.20 This scale was partially validated in a randomised controlled trial of MI in medical students learning basic surgical skills.20 Seven Likert-scale-type questions were used with a maximum attainable score of 35.
In addition to the attending surgeon evaluations and the resident self-evaluations, intraoperative parameters of time in operating theatre, blood loss and complications were recorded for pretest and test VH.
A priori sample size calculation showed that 50 learners would be required to find a 20% improvement in GRS from pretest to test VH, with 25% standard deviation (to account for the variation in surgical skill of residents), 80% power and a significance level of 0.05. Using the GRS, Goff et al.18 established significant differences in scores between gynaecology residents of different levels performing complex pelvic operations on live pig models, and so demonstrated the construct validity of the scale. Based on these studies and on expert opinion, we determined that an improvement in score of 20% on the GRS would warrant acceptance of MI for resident teaching.
Per protocol analysis included only those residents who obtained both the pretest and test VH performance assessments and received the allocated intervention (standard MI or No MI). Baseline characteristics were summarised using descriptive statistics.
Results from the GRS and the self-confidence rating scale were converted to percentage scores out of 35, and procedure-specific rating scale results were converted to percentage scores out of 20. Pretest to test VH change scores for the primary and secondary outcomes were compared between the MI and No MI groups using the Student's t test. Change score differences between groups, along with their 95% confidence intervals, were reported. The Satterthwaite approximation for P-values and 95% confidence intervals (95% CI) were reported if the folded F-test indicated unequal variances.
Additional analyses were undertaken to examine the change in raw scores on individual questions on the GRS by attending physicians, along with total scores for manual dexterity measures (questions 1, 2 and 3 on the scale) and cognitive measures (questions 4, 5, 6 and 7). These were compared between groups using the t-test. Two-way analysis of variance on change scores for the GRS, procedure-specific rating scale and self-confidence rating scale was used to examine the effects of MI after controlling for resident level. Results from the type III sum of squares were reported. Data were analysed using SAS version 9.2 (SAS Institute Inc., Cary, NC, USA). Missing values were excluded from statistical tests.
Between April 2008 and March 2011, 82 residents were recruited from the eight academic centres and assessed for eligibility. The CONSORT21 flow diagram of participant recruitment and follow up is shown in Figure 1. Of the 79 eligible residents who consented to join the study, 39 were randomised to the MI intervention group (MI), and 40 to the control group (No MI). Fifteen in the MI group and 14 in the No MI group were lost to follow up or did not follow through to obtain the assessments or intervention (Figure 1). Results from a total of 24 in the MI group and 26 in the No MI group were analysed.
Baseline characteristics of residents in the MI group and the No MI group are presented in Table 1. Median age of residents was 28 years for both groups, with 13 (54%) in the MI group and 16 (62%) in the No MI group in their first or second years of residency. Most residents had observed or assisted in fewer than ten vaginal hysterectomies: 15 (63%) in the MI group and 14 (54%) in the No MI group. One half of the residents had not previously performed any vaginal hysterectomies: 13 (54%) in the MI group and 12 (46%) in the No MI group.
Table 1. Baseline characteristics of residents
|Age (years); median (IQR)||28 (3)||28 (2)|
|Gender; n (%)|
|Male||6 (25)||7 (27)|
|Female||18 (75)||19 (73)|
|Resident level; n (%)|
|1||5 (21)||6 (23)|
|2||8 (33)||10 (38)|
|3||10 (42)||9 (35)|
|4||1 (4)||1 (4)|
|No. of VH observed/assisted; n (%)|
|Fewer than 10||15 (63)||14 (54)|
|10–49||9 (38)||11 (42)|
|50–100||0 (0)||1 (4)|
|No. of VH performed; n (%)|
|0||13 (54)||12 (46)|
|1||2 (8)||6 (23)|
|2||3 (13)||2 (8)|
|3||2 (8)||4 (15)|
|4||4 (17)||2 (8)|
|Days between pretest and test VH; n (%)|
|0–14||10 (42)||17 (65)|
|15–30||6 (25)||4 (15)|
|31–90||4 (17)||2 (8)|
|91 or more||4 (17)||3 (12)|
Table 2 shows the results of the pretest and test VH assessments, along with the change in scores. This small trial showed only a small and statistically insignificant improvement in objective surgical performance of novice gynaecological surgeons after MI: the mean improvement in primary outcome (change in GRS score recorded by attending physician), was 13% (SD 17) in the MI group versus 7% (SD 14) in the No MI group (mean difference of 6% (95% CI −3% to 15%), P = 0.192). Table 3 also shows no difference in change on individual items of the GRS between groups. There was no statistically significant difference between groups for the secondary outcome of change in procedure-specific scale score as assessed by the attending physician (mean 14% improvement for the MI group compared with 10% for the No MI group, P = 0.320).
Table 2. Vaginal hysterectomy assessments
|GRS by attending physician***|
|Pretest||19.8 (6.0)||56 (17)||21.7 (6.1)||62 (17)|| || ||0.192|
|Test||23.9 (6.0)||68 (17)||23.8 (5.6)||68 (16)|| || |
|Test–Pretest change||4.4 (5.8)||13 (17)||2.4 (4.8)||7 (14)||2.0 (−1.1 to 5.1)||6 (−3 to 15)|
|Procedure-specific score by attending physician****|
|Pretest||15.7 (3.2)||79 (16)||16.9 (3.4)||84 (17)|| || ||0.320|
|Test||18.4 (1.9)||92 (10)||18.8 (1.5)||94 (10)|| || |
|Test–Pretest change||2.7 (2.7)||14 (13)||1.9 (2.8)||10 (14)||0.8 (−0.8 to 2.4)||4 (−4 to 12)|
|Global rating score by resident|
|Pretest||17.9 (4.4)||51 (13)||18.8 (5.6)||54 (16)|| ||1||0.005|
|Test||24.5 (4.3)||70 (12)||22.0 (4.9)||63 (14)|| || |
|Test–Pretest change||6.6 (4.3)||19 (12)||3.2 (3.7)||9 (11)||3.4 (1.1 to 5.6)||0 (3 to 16)|
|Self-confidence rating score by resident*****|
|Pretest||18.5 (4.3)||53 (12)||19.6 (4.2)||56 (12)|| || ||0.033|
|Test||25.2 (4.0)||72 (11)||23.2 (4.2)||66 (12)|| || |
|Test–Pretest change||6.7 (5.6)||19 (16)||3.7 (3.6)||11 (10)||3.0 (0.3 to 5.7)||9 (1 to 16)|
|Time in operating theatre (minutes)******|
|Pretest||82 (80)||74 (45)|| || ||0.202|
|Test||67 (30)||79 (53)|| || |
|Test–Pretest change||−18 (66)||3 (36)||−21 (−54 to 12)|
|Blood loss (ml)|
|Pretest||219 (167)||208 (133)|| || ||0.633|
|Test||228 (165)||188 (134)|| || |
|Test–Pretest change||9 (235)||−19 (185)||29 (−91 to 148)|
Table 3. Change in GRS scores by attending physician
|(1) Respect for tissue||0.4 (0.8)||0.0 (0.9)||0.3 (−0.2 to 0.8)||0.180|
|(2) Time and motion||0.6 (0.8)||0.4 (0.9)||0.2 (−0.3 to 0.7)||0.343|
|(3) Instrument handling||0.6 (1.0)||0.2 (0.8)||0.4 (−0.1 to 0.9)||0.135|
|(4) Knowledge of instrument||0.6 (1.1)||0.5 (1.1)||0.2 (−0.5 to 0.8)||0.670|
|(5) Use of assistants||0.7 (1.0)||0.4 (0.9)||0.3 (−0.3 to 0.8)||0.312|
|(6) Flow of operation||0.6 (1.4)||0.4 (0.9)||0.2 (−0.4 to 0.9)||0.502|
|(7) Knowledge of specific procedure||1.2 (1.3)||0.5 (1.3)||0.6 (−0.1 to 1.4)||0.100|
|Manual dexterity measures (1) + (2) + (3)||1.6 (2.2)||0.6 (2.2)||1.0 (−0.3 to 2.2)||0.125|
|Cognitive measures (4) + (5) + (6) + (7)||2.8 (3.9)||1.7 (3.1)||1.1 (−1.0 to 3.1)||0.302|
Resident self-assessments for change in GRS score and self-confidence rating scale score were both significantly higher for the MI group than the No MI group. The GRS score increased by a mean of 19% (SD 12) for the MI group compared with 9% (SD 11) for the No MI group (P = 0.005), and the self-confidence rating scale score improved by a mean of 19% (SD 12) for the MI group and 11% (SD 10) for the No MI group (P = 0.033). There were no differences between groups for time in the operating theatre, blood loss or intraoperative complications.
Two-way analysis of variance was used to show that there were no differences in change scores of the assessments after controlling for resident level (levels 1 and 2 junior versus levels 3 and 4 senior). The results for improvement of self-rated GRS score and self-confidence rating scale score did not change after controlling for resident level (F1,46 = 8.93, P = 0.005; and F1,45 = 6.31, P = 0.016 for change in GRS and self-confidence scale scores, respectively). Resident level only had an effect on the procedure-specific scale score by attending physician, where junior residents improved by a mean of 17% (SD 13) compared with 4% (SD 10) by more senior residents (F1,44 = 13.67, P = 0.001). There were no significant interactions between resident level and any of the scale scores.
Discussion and Conclusion
Our randomised controlled trial of MI versus usual teaching techniques for novice surgeons learning to perform a VH was the first to evaluate this teaching technique in complex gynaecological surgery. Our study did not demonstrate a significant improvement in surgical skills as rated via a validated scale. Residents in both groups had similar but nonsignificant improvement from the pretest to the test VH performed. On the other hand, resident self-assessment of surgical skill demonstrated a significant improvement in the MI group, along with increased self-confidence.
This trial was designed to provide the best available level of evidence and, as such, has notable strengths. Our findings are likely to be generalisable because we involved participation of eight centres across Canada and the USA. Most residents allocated to a group completed the study and their baseline demographics were similar. An extensively validated assessment tool with good inter-rater reliability was used in the evaluation of the primary outcome. The attending surgeons evaluating the residents were blinded to group allocation, so limiting bias in performance rating. The MI instruction was performed according to a standard script and we tried to minimise the variability in the instruction at different centres by providing a DVD to train the instructors.
This trial also has limitations. During planning of this trial, the sample size calculation was challenging, as previous studies using GRS did not estimate what change in score would represent clinically relevant learning for surgical trainees. Our sample size was therefore based on the change scores observed in previous studies.17–19 In our study, residents in the control group had similar improvement to the MI group residents. Actual practice on one VH in the operating theatre, with usual intraoperative teaching and supervision, may be as valuable as the performance of MI and may have accounted for the noted improvement in the control group performance. Despite efforts at standardisation, MI instructors at different centres may have provided heterogeneous training. The assessors were blinded to group and residents were instructed to not discuss the group allocation and the intervention, yet residents may have given clues to their assigned group and may have influenced their assessment. In addition, MI may be a type of preparation automatically performed by all, even by the residents without standard MI instruction in the control group. These control residents may have been performing MI unknowingly while reading the assigned textbook chapter on VH. We instructed the MI residents to perform MI on their own until they felt comfortable with the procedure because we did not know how many MI sessions are needed to improve performance. For some residents, the individual (unsupervised) MI sessions may not have been sufficient or adequately performed to improve surgical skill. We recognise that our resident groups were heterogeneous, with different levels of residents taking part in the trial. On the other hand, residents in our trial were at similar points on the VH learning curve. It is impossible to account for all individual variations in baseline technical skills. We also did not want to compromise the generalisability of results by excluding certain residencies where VH is taught earlier or later than average. Our randomised trial design ensured that residents from various levels were equally represented between the two groups.
In a randomised controlled trial by Komesu et al.,22 junior residents improved in the performance of a cystoscopy after MI when compared with a control group. Scores were 15.9% higher than controls (P = 0.03). Cystoscopy is a simpler operation, with significantly fewer steps than a VH, requiring less manual dexterity and cognitive involvement over a shorter time. It may be that MI is beneficial for improvement in skill on simpler procedures. After performance of one cystoscopy by both groups, the advantage of the MI did not persist for the performance of a second cystoscopy. It was felt that the actual execution of the cystoscopy contributed to surgical learning more than the MI session. This finding was consistent with our own trial findings of no improvement on the second performed procedure despite MI.
Another randomised controlled trial of novice surgeons performing basic laparoscopic training for cholecystectomy on a simulator did not show any advantage of MI as assessed via global rating scale.12 Their trial design was similar to ours, with testing before and after the intervention and learning of a complex surgical procedure. A procedure-specific checklist score did improve with the performance of MI over no instruction, suggesting that MI may benefit the more cognitive aspects of surgical performance (knowing the steps of the operation).12 Our trial did not show any improvement in the procedure rating scale scores. This may be because all our participants had access to the rating scales used in the study and may have read or rehearsed the required operative steps on their own before performing the VH.
Although the scores from assessment tools were ordinal in nature, we chose to report and analyse the data as though they were continuous scores, in keeping with other studies using similar scales.18,20 As a sensitivity analysis, we repeated the analyses comparing the change scores between groups using the Wilcoxon rank sum test, and the conclusions did not change.
There was clear improvement in assessment of the residents’ own performance and self-confidence after MI. The MI may be a tool to reduce learners’ stress and surgical performance anxiety. On the other hand, residents in the MI group were aware of the intervention and knew they would probably perform better. The significant improvement in their self-assessed performance may therefore be just an effect of unblinding. This finding is also in keeping with previous research suggesting that physician self-assessment can be discrepant with assessment by other observers and that physicians of lesser skill have the worst accuracy of self-assessment.23 Inducing an expectation of positive performance in cognitively complex tasks in undergraduate students produced overconfidence but did not increase effort or attention to strategy.24 On the other hand, one is unlikely to take action if one doubts one’s own capabilities.25 Mental practice is an effective stress management tool for novice surgeons.10 Whether this translates into significant learning benefits long-term remains to be further investigated. As for the role of MI in the enhancement of surgical skill, perhaps the surgical task needs to be broken down into individual simpler steps, such as the loading of a needle on a driver. Each step can then be rehearsed repetitively via MI and further research can determine how simple the step needs to be and how many times it needs to be rehearsed before an improvement can be demonstrated.
In conclusion, this small trial did not show an improvement in objective surgical performance of novice gynaecological surgeons after MI. The improvements in self-assessment of surgical skills and confidence suggest that MI may have an impact that could translate later into improved surgical performance. In its current form, MI cannot be recommended as a teaching tool for VH despite being an easily implementable strategy. Surgical educators may consider using mental imagery to improve learners’ self-confidence while performing complex surgical procedures. With modification and further evaluation, MI could yet prove to be a useful addition to the surgical teaching armamentarium.
Disclosure of interests
RG, VD, RM, KB, ST, SR and MR have no conflicts of interest. JG is a consultant for Ethicon, Coloplast, CP Medical and Boston Scientific and researcher with American Medical Systems Inc.; YD has links with Pfizer Speaker Bureau and the US Armed Forces; and AB is praeceptor and proctor for Bard Canada Inc. and Ethicon.
Contribution to authorship
RG, SR and MR designed this trial and secured funding for its conduct, they also prepared and revised the final manuscript for publication. ST provided invaluable assistance with statistical concepts, data analysis and drafting of the Methods and Results sections. JG, YD, AB, VD, RM and KB contributed to the design of the trial by reviewing assessment tools, training to become educators in mental imagery and reviewing the final manuscript for publication. All authors accept responsibility for this version of the manuscript.
Details of ethics approval
This trial received ethics approval from the main site in Calgary as well as from the other Ethics Boards at the participating institutions. The Calgary Research Ethics Board approval number was 21464 and approval date was 3 April 2008.
An American Urogynecologic Society (AUGS) seed grant of $5,000 was awarded in 2007.
Commentary on ‘The mind’s scalpel in surgical education: a randomised controlled trial of mental imagery’
In the UK and other countries, changes in the working hours of doctors in postgraduate training and increasing use of less invasive treatment modalities has reduced the surgical experience available during training in gynaecology. An educational technique that could improve surgical competence at minimal cost would be welcome. In this paper the authors used a randomised controlled trial to investigate the role of mental imagery to improve competence at vaginal hysterectomy. The use of randomised controlled trials in evaluating educational interventions is relatively recent. Five years ago Cook et al. (Med Educ 2007;41:737–45) evaluated the quality of reporting of a selection of experimental studies in the medical education literature and noted that overall the quality was poor. Only 18 of the 105 studies they analysed reported randomisation and less than half of the studies mentioned ethical committee approval or participant consent. Although simulation training is widely promoted to improve team working in obstetric emergencies, Merien et al. (Obstet Gynecol 2010;1115:1021–31) were only able to identify eight studies, of which four were randomised controlled trials. There has been greater use of this methodology in assessing virtual reality training in laparoscopic surgery with Gurusamy et al. (Cochrane Database Syst Rev 2009) identifying 23 trials with 612 participants, but only three trials had a low risk of bias.
The use of an appropriate outcome measure is challenging. The authors have used a well-validated score to assess the performance of trainees before and after the intervention. Clinical outcome measures such as complication rates are more important, but impossible to use in studies evaluating supervised operators because of the likely intervention of the supervisor. As it took 3 years for eight centres to recruit and follow up 50 residents, a larger sample size would not be feasible. Although residents were instructed not to discuss their group allocation, it is possible that over the course of the study period residents heard from each other the technique of mental imaging. A way of reducing this risk and reducing the risk of introducing bias into the assessment would have been with the use of cluster randomisation. However, this would require the recruitment of a greater number of centres to achieve a reasonable power and may have created more problems with the heterogeneity of instruction of mental imaging.
Ethical considerations are as important in educational interventions as in clinical studies. The authors of this paper obtained ethical committee approval from all the recruiting centres and obtained consent from the residents for participation. It was important that the authors ensured that the residents felt no coercion to be in the study by not allowing the Training Programme Directors to recruit; despite this, only three of 82 residents declined consent, which minimised the risk of volunteer bias. By contrast, Callahan et al. (Med Educ 2007;41:746–53) had 25% of residents decline permission to be involved in an educational research project and found a significant difference between the characteristics of volunteers and nonvolunteers.
Disclosure of interest
I have no conflict of interest to declare.
STC Chair NE Thames, Queen’s Hospital, Romford, UK


It is a single-lane highway bridge, operated without traffic lights. It consists of two metal lattice girders at the edges of the deck, each with two planes of lattice web. The bottom chord of each truss, and any crossbeams, are encased within a concrete deck slab.
The superstructure is supported from a series of cross-braced metal trestle piers. These have inclined legs on the upstream side to protect them against impact from river-borne debris.
The metalwork is riveted, which dates the original bridge construction to 1960 or so at the very latest, and probably much earlier. A bridge of broadly similar construction at Heatherslaw Mill in Northumberland dates to the 1870s.
Update 4th September 2014:
The comments to this post offer further information on this bridge, and see also pages 206 and 207 of http://www.drakkar.co.uk/ch13.


text: Yi Miao Shih was a resident member of Textiles Hub London in 2015. She uses embroidery as a form of social illustration with narratives that describe political, cultural and historical moments in British culture. Her repeating motif is the rabbit which acts as a compelling characterization that enables free expression of complex themes. Of Taiwanese heritage, her work explores the language of expressive, cross-cultural narratives in textiles. Following a masters degree in Illustration at the Royal College of Art, she specializes in fine art textiles and went on to be selected by Grayson Perry for the Royal Academy Summer Show in 2019.