text:
- Poster presentation
Colistin monotherapy versus combination of colistin with a β-lactam or rifampicin for the treatment of serious infections in the ICU due to multidrug-resistant Gram-negative bacteria
Critical Care volume 10, Article number: P102 (2006)
The resistance of Gram-negative strains in the ICU is a growing problem. Recent studies suggest in-vitro synergy of colistin with β-lactams and colistin with rifampicin against these strains. However, there is controversy on the efficacy of the drug provided either as monotherapy or in combination with these drugs in critically ill patients.
To determine the clinical and microbiological efficacy of intravenouscolistin as monotherapy or in combination with β-lactams or rifampicin.
Sixteen patients admitted to a medical ICU between March 2005 and December 2005 who grew multiple-resistant strains of Pseudomonas aeruginosa (three patients), Acinetobacter baumanii (eight patients), Klebsiella pneumoniae (one patient) or mixed organisms (four patients) were included in the study. Fourteen patients had ventilator-associated pneumonia, one abdominal sepsis and one catheter-related sepsis. These patients were allocated to treatment: with colistin monotherapy in a dose of 3 million units three times daily adjusted for creatinine clearance (group 1: six patients), with colistin in the same dose and β-lactams (group 2: eight patients), and with the combination of rifampicin (600 mg/day) with colistin (group 3: two patients). Follow-up cultures and clinical evaluation were performed 5 days after the initiation of treatment. Clinical success was defined as a lessening of the signs and symptoms of infection, while microbiologic success was defined as eradication of the pathogen in follow-up qualitive cultures or as a 2-log decrease in bacterial load in quantitive cultures (BAL). The outcome of patients (discharged from the ITU or died) was also determined.
In group 1, three patients (50%) showed clinical improvement and three did not improve (50%). In group 2, four patients improved (50%) and four did not (50%). In group 3, one patient improved (50%) and one deteriorated (50%). Microbiological improvement occurred in two out of six (33.3%) in group 1, five out of seven (71.4%) in group 2 and one out of two (50%) in group 3. Favorable outcome (discharged to the ward) occurred in one patient out of six (16.6%) in group 1, two out of seven (28.5%) in group 2 and one out of two (50%) in group 3. There is no statistically significant difference in clinical, microbiological or final outcome between the groups (P > 0.05). Three patients (18.75%) had significant side-effects (two renal impairment and one thrombocytopenia).
Patients that received the combination of colistin with β-lactams and colistin with rifampicin had higher rates of microbiological response and better outcome than patients in the colistin monotherapy group. The difference is not statistically significant, which is probably due to the small number of patients, especially in the rifampicin group, and the study is continuing with the recruitment of more patients.
About this article
Cite this article
Tsimogianni, A., Frantzeskaki, F., Adamidis, V. et al. Colistin monotherapy versus combination of colistin with a β-lactam or rifampicin for the treatment of serious infections in the ICU due to multidrug-resistant Gram-negative bacteria. Crit Care 10, P102 (2006). https://doi.org/10.1186/cc4449
- Klebsiella Pneumoniae
- Abdominal Sepsis
- Microbiological Response


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domain: food


All bonds and certificates of indebtedness issued under authority of sections 6117.01 to 6117.45 , inclusive, and 6103.02 to 6103.30, inclusive, of the Revised Code, prior to May 10, 1927, which have been sold for not less than par and accrued interest and the proceeds thereof paid into the treasury, are binding obligations of the political subdivision issuing the same, without regard to whether any special assessments anticipated by such bonds were made prior to the issuance thereof.
Cite as R.C. § 6103.27
History. Effective Date: 10-01-1953


text:
The provisions of this Bill are, in the main, designed to furnish the State with powers adequate to deal with a problem which has, of recent years, become one of urgent importance, namely, the prevention of the illegal exportation or attempted exportation of goods which are the subject of any export prohibition. For goods imported irregularly, whether so imported with intent to evade payment of duty or to evade some import prohibition or restriction, a comprehensive and detailed code has for a long time existed. It is to be found in the appropriate provisions of the Customs Consolidation Act, 1876, as amended by later Acts. No such detailed provision, however, existed as regards goods subject to export prohibition, as at the time that the Act was passed prohibitions of this nature were practically non-existent. From time to time, however, starting with the Dangerous Drugs Act, 1920, such prohibitions began to appear, and an attempt to provide the legal machinery requisite for State control was made in each case by the adaptation to export procedure of certain import provisions. The powers so provided were naturally limited in scope, and it was not until the passing of the Scrap Iron (Control of Export) Act, 1938, that more extended powers were taken. Cases of irregular exportation were then beginning to arise with a certain regularity, but they were few in number and no practical difficulty arose until the wide range of export prohibitions imposed as the result of emergency conditions made the matter one of major importance.
Prohibitions so imposed are as a rule based on Emergency Powers Orders made under Article 31 of the Emergency Powers Order, 1939, which enables a Minister to provide by Order for regulating, restricting or prohibiting the importation or exportation of any article. While the Emergency Powers Act, 1939, prescribes penalties for breaches of such Orders and provides for forfeiture by Order of Court of any goods involved, the procedure thus made available was not sufficient to provide the State with such powers as Revenue practice requires for adequate control. To remedy this defect the penal procedure provided by the Scrap Iron (Control of Export) Act, 1938, was, by Emergency Powers (No. 52) Order, 1940, made applicable to any goods being or attempted to be exported in contravention of an Order made under Article 31 of the Emergency Powers Order, 1939. Accordingly, in such cases, proceedings, whether for penalties or for seizure of the goods, are based on the Act of 1938, as applied by Emergency Powers (No. 52) Order, 1940.
This adaptation of customs law was at best an emergency device to meet a pressing need. It has not been found unsatisfactory in practice, but it remains merely an adaptation, and there is a clear and urgent necessity for direct and detailed provisions to meet the various difficulties which the experience of the past few years has revealed for the first time, and which have increased in proportion to the constant attempts to evade the many export prohibitions which it has been found necessary to impose. It was originally intended that this Bill should form a permanent legal code relating to procedure, penalties and seizure in the case of export goods, but in deference to the wishes of the Opposition Parties it has been agreed that the Bill should, in the first instance at least, be temporary in effect, and it is now provided that it shall continue in force until 31st March, 1950, and then expire.
The general nature of the Bill will make its provisions applicable to any goods which are at present or may be hereafter prohibited, and the powers sought are, in the main, the counterpart of the powers conferred on the Revenue Commissioners in the case of import smuggling. In particular, this applies to the provisions which shift the onus of proof to the defendant and which require certain persons to give all relevant information which is in their possession or knowledge. These correspond to the powers given by Section 20 of the Finance Act, 1936, in the case of evasion of duty or evasion of import prohibitions. It may be added that the principle that the onus of proof should be on the defendant is a well-established feature of customs law—it can be traced back at least as far as 1827.
It was found necessary, after the introduction of the Bill, to insert two amendments, viz: Clauses 9 and 10. The position as regards Clause 9 is this: Under Section 8 of the Courts of Justice Act, 1924, an appeal lies by both parties from a decision of a Justice of the District Court in all cases other than criminal. In the latter type of case an appeal lies only by the person against whom the Order of Court shall have been made. In the case of O Croinin v. Brennan (1939) I.R. 274, the High Court held that in a case which was concerned with evasion of customs duty the proceedings were civil in nature, and, accordingly, it seems clear that in customs cases which relate to non-payment of duty such an appeal lies. In a recent case— The State (Francis Gettins) v. Circuit Court Judge, North Western Circuit— the Supreme Court has in effect held that a breach of prohibition imposed by Emergency Powers Order is a criminal matter, and that in such cases the State has no right of appeal. There is a third type of case, namely, breach of prohibitions imposed otherwise than by Emergency Powers Order. In this case, there is some doubt whether an appeal by the State does or does not lie.
All these three types of cases, whether relating to evasion of customs duty, to a prohibition imposed under an ordinary statute, or to a prohibition arising out of the emergency code, and whether civil or criminal in essence, are subject to the same administrative procedure, namely, search, seizure, detention or charge of the person, and prosecution. It would be illogical that where a dismiss is given in the District Court the procedure would take different ways so that the State would have the right of appeal in some cases but not in others, and it is considered that this procedure should be unified as well, beyond dispute. Such a unified procedure exists in the law relating to excise, as under Section 82 of the Excise Management Act, 1827, there is a general right of appeal from the District Court. In this respect, therefore, the clause merely assimilates customs procedure generally to that which has long obtained in all excise prosecutions.
Clause 10 is designed to facilitate references by way of case stated from the Circuit Court to the Supreme Court by making it competent for either side to apply therefor, instead of, as hitherto, making such application dependent on the consent of all parties. Customs law is in many instances intricate—its operation is far-reaching in effect, and it is desirable that no facility for its proper elucidation should be hindered or withheld.
Opportunity has also been taken to effect some improvements and to supplement some deficiencies in the existing law. Thus, a general provision has been made bringing goods prohibited to be imported within the terms of Section 42 of the Customs Consolidation Act, 1876, which enumerates a list of prohibited imports. The effect will be that the mere fact of prohibition will automatically apply the existing provisions dealing with irregular imports to any goods at present prohibited or which may hereafter be prohibited. This will make for simplicity of drafting in future legislation. Again, in the case of certain goods, weight per given superficial area is a determining factor in deciding liability to duty or the application of the Control of Imports Acts. Ordinarily, no difficulty arises, but it is felt necessary that in cases of dispute there should be the power to make regulations prescribing the method by which weight is to be ascertained in any particular case.
There are also a few minor points which are largely matters of form.

domain: law


text:
There were 142,685 Georgians who voted by absentee ballot or in-person early vote (ABEV) in Tuesday’s special election in Georgia’s Sixth Congressional District, shattering the early vote total in April’s primary. Both parties monitored the daily early numbers on different voter models to project which candidate had an advantage heading into Tuesday’s vote.
Democrat Jon Ossoff won 53.28% of the final absentee and early vote and Republican Karen Handel won 46.72%. Outside model predictions came within two to almost ten points of these results. One conservative super PAC’s partisan model (Republican versus Democrat) projected at least 47% of the ABEV were Democratic ballots (-6.28 to Ossoff’s ABEV final) and 43% were Republican (-3.72 to Handel’s ABEV final). A ballot model (Ossoff versus Handel) gave Ossoff at least 49% of the ABEV vote (-4.28) and Handel 44% (-2.72). Another conservative group’s final ballot model showed Ossoff winning 51% of the ABEV (-2.28) to Handel’s 49% (+2.28).
National Democrats and media pundits built up this race to be a referendum on President Donald Trump, but the election proved that would not be enough. One conservative super PAC’s model found 54% of these voters disapproved of Trump, while only 38% approved. Had voters cast their ballots based on their opinion of the president alone, Ossoff would have performed +0.72 better in the ABEV and Handel would have received only 38% (-8.72), putting her in a significantly weaker position going into Election Day.
Ossoff’s early vote was better than these base projections, but it could not withstand the Republican GOTV operation on Election Day. Tuesday’s election was a reminder for Democrats that anger against Donald Trump will not be enough, especially when they have their own polarizing figures like House Minority Leader Nancy Pelosi. Republicans should not read too much into their GA-06 victory, however. Going into 2018, they must remember that robust ground game and good candidates will be key to stemming losses in more difficult races next year.

domain: news


Nick Rowe recently argued that there can be certain types of products for which the market might allow multiple equilibria. This can happen because the willingness of an individual to buy some product might depend on how many other people buy that product. The upshot, Rowe suggests, is an unusual, non-functional shape to the demand curve characterizing the market for the product in question, resulting in two distinct equilibrium demand quantities corresponding to the same price.
Rowe applies this model to cases in which the supply of a product is determined by a monopoly supplier. Rowe says that in most cases it does not matter, for theoretical purposes, whether we think of a monopolist as setting the optimum output level and then letting the price go to the equilibrium determined by the intersection of the demand curve with that output level, or as setting the optimum price and then supplying output until it reaches the level the market demands at that price. In each case, we get the same result. But if a non-functional demand curve describes the market for some product, then it does make a difference, he claims, whether the monopolist targets a price or targets an output level, because there might be multiple equilibrium output quantities for some prices, but only one equilibrium price for each output quantity.
The kind of case Rowe is discussing, which he illustrates with an example of a hypothetical electronic communications device – a “gizmo”, is theoretically interesting in itself. But what I want to focus on is an application he makes of it, an application which appears to be his main reason for offering the model in the first place. Appealing to some 1970 work by William Poole, Rowe applies the multiple equilibrium model to the central bank, which they view as a monopolist setting either the “price” for money – an interest rate – or the quantity of money. The monopolist in this case is constrained by a “money demand” relation that might be non-functional in the manner described above.
[Read the rest at New Economic Perspectives]


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Wayne’s Music 18/19 August 2012. Those showtunes and others from the 1930s.
But Not For Me Doris Day with the Gershwin’s song they wrote for their musical “Girl Crazy”.
I get Along Without You Very Well Red Norvo - a popular song composed by Hoagy Carmichael in 1939, with lyrics based on a poem written by Jane Brown Thompson. Thompson's identity as the author of the poem was for many years unknown; she died the night before the song was introduced on radio by Dick Powell.
Can This Be Love Matt Monroe sings a Kay Swift song. Two of her most famous songs were written for the 1930 hit musical "Fine and Dandy," It was the first Broadway show for which all the music was composed by a woman. Miss Swift was romantically involved with George Gershwin in the 1930's, and Years later, she was an invaluable resource to Gershwin scholars because she could fill in gaps in manuscripts and remember how Gershwin played his music.
Stairway To The Stars Ella Fitzgerald -Two legendary female vocalists are responsible for definitive versions of “Stairway to the Stars,” Ella Fitzgerald on her lighthearted 1939 recording (The Early Years Part 2) and Sarah Vaughan on a much slower version from 1957 (Live at Mister Kelly’s).
Embraceable You Maureen McGovern’s version of The song originally written in 1928 for an unpublished operetta named East is West.
Three Little Fishies Kay Kyser with just one of the many versions of the 1939 #1 hit.
I Got Rhythm Bing Crosby and Peggy Lee with a jazz standard, and a foundation for many other jazz tunes.
Kitty From Kansas City Rudy Vallee and His Connecticut Yankees …
Jeepers Creepers Louis Armstrong in that wonderful movie scene in 1938 – the one about the racehorse.
All Of me one of jazz legend Mildred Bailey’s majestic sides …
Rosalie Artie Shaw recorded this about the time in 1939 when he hired drummer Buddy Rich then promptly broke up the band and retired to Mexico. Tony Pastor takes the vocal on the old Col Porter tune..
I Found A Million Dollar baby Helen Forrest’s rendition
It Looks Like Rain In Cherry Blossom Lane Guy Lombardo and his Royal Canadians with one of his top hits of 1937.
Dream A Little Dream Of me Ozzie Nelson the entertainer and band leader
Lady Of Spain Al Bowlly a popular British Jazz singer in the United Kingdom during the 1930s, making more than 1,000 recordings between 1927 and 1941.
Wayne’s Music Sunday 19 August 2012. Show tunes and others from the 1930s. PART ONE.
Night And Day Dionne Warwick with the song that was written for the 1932 Musical Play Gay Divorce.
Gloomy Sunday The song was composed by Rezső Seress – it was first recorded, in Hungarian and became associated with a high number of suicides; several people jumped into the Danube holding copies of the sheet music.
You’re Getting To be A habit With me Frank Sinatra with the song from the musical film of 42nd street in 1932.
I’m Gonna Sit Right Down And Write Myself A letter - Fats Waller with another standard from The Great American Songbook, featured in the Broadway Musical “Ain’t Misbehavin’”.
It’s Only A paper Moon The Four Freshmen.
Have You Ever Seen A Dream Walking Gene Austin with a song that surfaced in the 1933 Movie “Sitting Pretty” .. it has been used in all sorts of productions ever since.
Stormy Weather LENA HORNE first recorded the song in 1941 and recorded the song at least five times throughout her career.
Anything Goes Susannah McCorkle
Goody Goody Helen Ward, possibly Benny Goodman’s Best singer – and no doubt about the 30s where they used real instruments – not just manufactured beats in a studio.
I’m In The Mood For Love Brook Benton
The Music Goes Round And Round Tommy Dorsey with Edyth Wright to bring back those times you miss …
You Are My Lucky Star Frances Langford with her most famous hit from Broadway melody in 1936.
The Way You Look Tonight Tony Bennett sings the Academy Award Winner For Best original Song in 1936 …
Red Sails In The Sunset Gracie Fields could sing anything …
The Very Thought Of You here’s the original version by the writer Ray Noble, his band and his boss singer Al Bowlly.
The Breeze and I Catarina Valente, a true world citizen, a polyglot having sung in twelve different languages.
Is It True What They say About Dixie Al Jolson with The Mills Brothers.
Little Man You’ve Had A Busy day Henry Hall orchestra with vocalist Kitty Masters
When My Blue Moon Turns To Gold Again Hank Snow and Anita Carter with one of the lovely old country ballads.

domain: library


The 2018 Culture Quiz
Culture buffs and bluffers, how well do you remember 2018? Test your knowledge with our serious and silly quiz of the year
2. Which artist staged the self-destruction of his own artwork, which started to shred when it was sold for £1 million at Sotheby’s?
3. It’s been a bumper year for royal weddings, with both Meghan Markle and Princess Eugenie saying 'I Do' at St George's Chapel, Windsor and then slipping into a second dress for dancing. Who designed the gowns?
4. Which seasoned thespian topped of a lengthy career playing Shakespeare by starring as King Lear on the West End?
5. What TV show was the most-watched BBC drama in ten years, with 11 million people tuning in to watch the final five minutes?
6. London is getting two new celebrity-owned bars. Which of the famous men below announced plans to open their own pubs?
7. Who is the most-streamed artist on Spotify this year?
8. Kids (and adults) all around the world have been singing doo doo doo doo thanks an impossibly catchy viral video featuring what kind of infant marine predator?
9. What was the title of 2018’s Man Booker winning novel by Anna Burns?
10. This eyebrow pencil, lipstick and rouge was exhibited at the V&A as part of a sold-out retrospective of which artist?
1. Saoirse Ronan
3. A) Zac Posen, B) Peter Pilotto, C) Claire Waight Keller for Givenchy, D) Stella McCartney
4. Ian McKellen
5. The Bodyguard
6. Idris Elba (The Parrot in Covent Garden) and David Beckham (The Walmer Castle in Notting Hill)
8. Baby Shark
10. Frida Kahlo


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Top Contenders Revealed: Ranking the Best Facebook Cryptocurrency Projects by Cointelegraph
Full-time cryptocurrency investment requires knowing market news, reports, analysis, and statistics. Cointelegraph is a news channel providing independent analysis and reviews about cryptocurrencies, blockchain, and finance. The platform offers news, prices, breakthroughs, and expert commentaries. Competitions with various prizes are also available, and users can sign up for newsletters. Cointelegraph is an open platform for all to join and repost links.

domain: finance


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When the Department of Homeland Security investigated conditions in detention centers in 2015 it reported the system “obscures and perpetuates widespread abuses of detained immigrants.” This should surprise no one. Detainees have reported abuses for years. As recently as November 2017 the National Immigrant Justice Center issued a report that substantiates those claims.
Every detention center used by Immigrations and Custom Enforcement (ICE) passed 100% of their inspections between 2012 and 2017. Some passed despite the fact they had multiple deaths due to medical neglect. One ICE employee dismissed the inspection process as useless. Another told investigators that it is very difficult to fail an inspection.
The government contracts with private, for-profit prison systems to operate detention centers. Contract renewal is contingent on the facilities meeting certain standards set by law. When investigations are lax, at best, and possibly fraudulent, the companies are rewarded with renewed contracts they don’t deserve.
The present system does not offer any incentive for companies to operate fair and humane detention centers. Until ICE revokes funding for flagrant violations of the standards in place it seems unlikely to change.
If you have concerns about abuse and mismanagement at a facility, you have the right to submit your complaint to the Office of Inspector General.
You can mail it to:
Office for Civil Rights and Civil Liberties U.S. Department of Homeland Security Building 410, Mail Stop #0190 Washington, D.C. 20528
You can also email or call the Office of Inspector General
Phone: 202-401-1474 | 1-866-644-8360 (toll free) TTY: 202-401-0470 | 1-866-644-8361 (toll free) Fax: 202-401-4708 E-mail: email@example.com
Bringing detention center failures into the light of day can motivate ICE to hold abusive operators accountable. These days it may be the only way change will happen. If you or a loved one is detained by ICE, you need a lawyer urgently. Please contact our experienced immigration lawyers at 510-488-1020 to see how our office can help!


MILAN (Reuters) - French media group Vivendi confirmed on Tuesday that it has raised its stake in Telecom Italia to 19.9 percent, in a move that brings its overall investment in Italy’s former monopoly network operator to more than 3 billion euros ($3.4 billion).
Sources familiar with the matter told Reuters last week that Vivendi had taken steps to increase its holding in Telecom Italia to around 19 percent, giving Vivendi’s chairman Vincent Bollore a key position at a time when the mobile telecoms industry is consolidating and the indebted Italian company is seen as a possible takeover target.
The stake-building makes Bollore, Vivendi’s biggest shareholder, a major player in European telecoms again only months after Vivendi finished selling off all three of its main telecoms interests - French mobile network operator SFR, Maroc Telecom and GVT.
“This new investment confirms Vivendi’s intention to support the (Italian) telecoms group over the long term and to develop its activities in southern Europe,” Vivendi said in a statement on Tuesday.
Vivendi became Telecom Italia’s biggest shareholder in June when it took an 8.3 percent stake off the hands of rival Spanish group Telefonica as part-payment for selling its Brazilian broadband telecoms group GVT to Telefonica Brasil.
The French company then began buying additional shares following the dissolution of the Telco investment vehicle that once held 22.4 percent of Telecom Italia on behalf of Telefonica and three Italian financial institutions.
Vivendi said on Tuesday it had since bought shares on the market to take its stake in Telecom Italia to 19.9 percent. Its stake previously stood at 15.49 percent.
Altogether Vivendi said it had spent 3.05 billion euros or around 1.14 euros per ordinary share on acquiring its stake. At current market prices the stake is worth around 2.85 billion euros.
Telecom Italia shares were down 1.2 percent at 1.06 euros by 0805 GMT.
Reporting by Valentina Za; Editing by Himani Sarkar and Greg Mahlich


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There’s a moment in the The Walking Dead Season 2 opener involving a dog that a lot of people talked about.
Our hero Clementine discovers the archetypical post-apocalypse mutt, names him Sam, and invites him join her for a little traipse around the wasteland.
They walk around for a little bit, fun around in some eerie woods, discover an abandoned camp, and then find some much needed food. You search around until you find a knife, and carefully, carefully remove the lid.
Now you have a choice: feed this poor, hungry dog, or let him starve.
Regardless of your choice, Sam shows his true survival instincts and attempts to rip out your throat, snarling and ravenous.
You’re forced to put him down in gory, almost fetishized, fashion and the audience is shown how tough and ruthless Clementine now is. Much like the storied ‘Save the Cat’ / ‘Kill the Dog’ scenes in scriptwriting lore.
Something that the opening of Netflix’s House of Cards used to great effect also. Clementine and Frank Underwood. Two peas in a pod, thanks to writing craft.
This scene garnered a lot of attention from a large majority of gaming presses, often mentioning just how much of a ‘badass’ Clementine had grown up into being.
However, there was another scene involving Sam that stayed with me for much longer.
But not for a good reason, such as character development, or it’s because it shocked me with its depravity. I remembered it because of its insistence to enforce such a monotonous tone of drudgery through its gameplay.
The opening chapter of the second season of The Walking Dead seems to focus solely on the theme, to paraphrase from the game, ‘bad things happen to everyone.’ This is then shown through Clementine, and her ongoing struggles to survive without the aid of her original protectors.
Whilst its gameplay thoroughly enforces this, by doing so, it makes the game a trudge to play through; something that I thought the first season never suffered from despite its own insistence to keep to its own chosen theme.
Looking back at the first season of The Walking Dead, and more specifically its first chapter, it’s clear that its tone is one of responsibility. Responsibility for your actions, as well as for your humanity. Large swathes of the game meditated on the troubles of retaining your humanity despite all the terrible post-apocalypse can throw at you.
This is something that can be seen in the opening scene in Lee’s conversation with the police officer. Many of Lee’s dialogue options, including the default top option, paint him a remorseful light. One of a man who has come to terms with his actions, and has accepted the consequences of them.
This theme of responsibility is shown through the gameplay numerous times in the first chapter, most notably when choosing between saving the characters of Duck or Shaun.
The game does a good job of leading up to this choice, by giving the player some down-time between set-pieces, to wander around at your own pace and talk to the varied assembly of characters on hand.
This not only relieves the tension from the hectic previous scenes (the ‘trough’ between the ‘peaks’ of the action scenes) and allows for some quick character development, but the idyllic setting also reminds the player of the other important theme: retaining your humanity.
The action scene then shatters this sense of security, and deliberately enforces the player to have agency over the characters in this world.
Throughout the first season of The Walking Dead, these themes of responsibility come up time and time again, shown by Lee’s frantic protectiveness of Clementine to his dying breath. Not only did this theme reflect perfectly with the overriding narrative of returning Clementine to her parents and keeping her safe, but in doing so it also made the game much more engaging.
The theme dovetails perfectly with the gameplay, putting the player through the same kind of emotional turmoil that the characters are themselves going through. This makes it incredibly easy for players to grasp new concepts or ideas in the game, as well as allowing players to get emotionally invested in the plot of the game, rather than it just piecing it together various set pieces.
This succinct method of making players get attached to both the story and its characters through the theme was the greatest accomplishment of the first Season of The Walking Dead.
And because of this, I believe, is one of the main reasons why the themes shown throughout Season Two, and most importantly the first episode of the second season, make it so underwhelming.
Whilst the theme of reasonability placed the gamer right in the midst of the ragtag group of the first Season, the second season’s theme of toughness through adversary actively pushes away the player from getting involved with the story.
Before the moment where Clementine is forced to slay her ex-new found canine friend, there is another moment that illustrate the game’s theme even clearer. A moment that showed that not even the sacred game of fetch is not safe in this dangerous post-apocalyptic world.
Whilst searching the abandoned camp, you happen to find a battered frisbee, something that our play-starved companion would probably be extremely interested in. This frisbee becomes of one of the only objects in the game that offers multiple opportunities to interact with it, allowing the gameplay to mirror the repetitive nature of playing fetch with Sam the dog.
This allows some touching dialogue from Clementine mentioning how long it’s been since she’s had an opportunity to do anything fun. It’s a cheery scene, one that harkens back to the first game, and the importance of the character’s humanity and hope no matter how dire the situation.
However, these warm feelings are dashed when after selecting the frisbee multiple times, instead of playing fetch with Sam, we watch the frisbee sail into an inaccessible part of the level, and Clementine remarking dryly, ‘Shouldn’t have wasted the energy anyway.’
This is the game telling us, quite literally, that there is no point in having fun, because that surviving is the one and only thing that matters.
And whilst this deliberately and clearly enforced the chosen theme, it only serves to alienate and bore players. The vast majority of players simply have no way to properly empathise with characters going through these kinds of emotions, surviving at all costs, and so it becomes harder to get invested in them.
Every person has responsibility thrust upon them in life at some point though, which is what made The Walking Dead Season One the engrossing game that it was. Every player was able to relate and empathise with what the characters were going though.
The Second Season, however, ratcheted up the action and drama to the point where the average player cannot comprehend the kind of emotional turmoil is going though, leaving them to interpret the game as simply one bad thing after another. A string of unfair circumstances that gets tiring and dull after a while.
From the beginning of the chapter to the Frisbee scene, Clementine is held and gunpoint and robbed, has to watch two people get shot in front of her (one a long-time friend), be privy to a mother losing her child (implied), has her only companion left in the world taken from her, chased for her life until she falls into a river, nearly drowns and then narrowly avoids being eaten by zombies.
The average viewer can only take a certain amount of depressing and terrible events, before they get frustrated at the game for what it is doing to your character. This kind of criticism is often levelled at such games with ‘ludonarrative dissonance’ for much the same reason. We instinctively don’t like when our characters are put in situations or act in a way that they should not.
Without these ‘peaks’ of happiness, or satisfaction for their accomplishments, the ‘troughs’ of hardships cannot be felt as strongly as when we have juxtaposing emotions. Watching our protagonist achieves his or her goals without any struggles or conflict, will never be as satisfying to watch our protagonist achieve them against all odds.
Looking back at the first episode of the second season as a whole, I believe that whilst the gameplay portrayed the tone and theme that the writers wanted perfectly, through it’s tough decisions, illusion of choice, gruelling actions scenes such as the self-stitching Clementine performs on herself; the theme and tone make the game a chore to play.
Through fully committing the theme of ‘bad things happen to everyone’ and the tone of danger around every corner, the player is never given a chance to relax and take a breather.
This is exacerbated by the washed-out setting we are taken through, from grotty gas station bathroom, to desolate campsites, to corpse strewn riverbanks. Not once does the sun shine. It all feels like the equivalent of Paranormal Activity if it was all set in at night-time.
Whilst this opening chapter only serves as the opening act of a movie, and therefore it’s choices in tone and theme are arguably justifiable if our characters use these hardships to achieve their goals, it makes the chapter unengaging to play; something that is inexcusable when you’re trying to get the player to buy the next episodes on the basis on the first.
A tactic that failed on me this time around, and judging by the decreased lack of interest despite continued good critical receptions, I believe that many players feel the same way as I do.
Whilst the second season undoubtedly as good a game as the first, its theme and tone prevent most gamers from being truly engaged with it. Something that ultimately draws in more sales in episodic formats like this, and something that the first season pulled off excellently.
Something that made the first season the ground-breaking series it was, and something that the second season sorely, sorely lacks.

domain: artistic


French research institute Cetim has received accreditation from the National Aerospace and Defense Contractors Accreditation Program (Nadcap) for the fifth consecutive time covering testing of composite materials.
Some 19 mechanical, physical and chemical tests were assessed under the NMMT: AC7122 Non Metallic Materials Testing standard.
The prevalence of composite materials, which allow for lighter aircraft structures and airframes, thereby improving energy efficiency and reducing harmful emissions, has led to a growing demand for composite testing in the aircraft manufacturing industry, the company said.
This Nadcap accreditation complements others held by Cetim’s subsidiary Etim and as a result, the two companes can offer the aeronautics sector a comprehensive range of Nadcap accredited tests.
The Nadcap accreditation covers the following mechanical tests (on non-metallic materials):
- Tensile test at room temperature
- Tensile test at non-ambient temperature
- Tensile deformation measurement
- Compression test at room temperature
- Compression test at non-ambient temperature
- Compression deformation measurement
- Bending shearing on close supports at room temperature
- Bending test at room temperature
- Bending test at non-ambient temperature.
The physical tests will relate to :
- Density/specific gravity
- Fiber/resin/porosity rate by acid ingestion
- Fiber/resin/porosity rate by calcination
- Moisture pick-up test
- Volatile component rate characterisation
- Surface density of the reinforcements
- Surface density of the adhesive/prepreg films.
The thermal analyses are focused on thermo-gravimetric analysis (TGA) and differential scanning calorimetry (DSC), whilst the chemical tests will pertain to Fourrier transform infrared analysis.
This story is reprinted from material from Cetim, with editorial changes made by Materials Today. The views expressed in this article do not necessarily represent those of Elsevier.


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Well, well. Who do we have here? She looks like AnnaLynne McCord, but we know she is NOT AnnaLynne McCord.
Somebody has a type!
Yesterday, Kellan Lutz was spotted grabbing a bite to eat and a stroll through a lush garden in Marina Del Rey, CA with a mystery woman. The pair seemed quite comfortable with each other and took their time strolling through the lovely foliage.
Who is she Kellan? Someone special? Someone not so special? Someone you plan on flaunting around to get a rise out of a certain ex for the time being?
Check out more shots of the couple in the gallery (below)
[Image via Ramey Pix.]
Tags: annalynne mccord, date, kellan lutz, marina del rey, woman

domain: celebrity


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You probably would have heard of Coinbase PayPal and you’re wondering whether you can use the service or not. Or maybe you have been searching for steps and guidelines that enable you Link or Connect your PayPal to your Coinbase Account. You can read through this write Up to the very end for questions to all your answers. Without a doubt, PayPal is one of the most secured and most used online payment platforms with millions of users across the world. Aside from making or performing secure transactions with PayPal, you can also buy a cryptocurrency and add US dollars to your account. However, only US users can access the earlier mentioned services while other customers are able to use PayPal to sell, make purchases and transact depending on their region or country.
Coinbase on the other hand is amongst the secure online platforms where online users can buy, sell, transfer and store digital Currency. To enable people in the US to buy Crypto with ease, Coinbase PayPal was introduced. US customers can shop for Crypto on Coinbase using their Debit Cards and Bank Accounts connected or Linked to PayPal. This feature was created with the vision of helping Individuals Purchase Cryptocurrency seamlessly without going through any form of stress. You can instantly fund your crypto Purchase on Coinbase using your PayPal Account. Besides, it is safe and secure to use the feature as you get to explore the world of Crypto.
Why Use PayPal to Buy Crypto on Coinbase?
There are so many reasons why you need to use PayPal to instantly fund your Coinbase account after purchasing Crypto. Aside from the fact that the feature is secure and safe to use. It is also simple and easy and it is faster to use. Instead of performing a wire transfer which might take your time and effort, you can quickly make payment for your crypto purchase on Coinbase using the Debit card linked to your PayPal. In addition, PayPal has built the necessary tools to assure that the service is transparent and secure to use. You get to enjoy secure and easy access to the crypto economy.
How do I Link PayPal to My Coinbase Account?
As stated above, PayPal with Coinbase is only available or can be used in the US for now. However, PayPal is planning on expanding this feature to more countries. For US citizens, you can link or connect your PayPal to your Coinbase account following the below steps.
- Carefully Complete all the required Identity document Verification steps and that the country your residing is correct
- Right from your Account setting, tap On PAYMENT METHODS
- Then, click on LINK NEW ACCOUNT from your Computer
- Or click on ADD A PEYMENT METHOD in the Mobile App
- Choose PayPal and you will be required to Login to your PayPal Account
Following the above step and guidelines, you will be able to connect your PayPal Account to that of your Coinbase Account. You can equally submit a request to Coinbase about linking your PayPal account with your Coinbase account.
It is worthy to note that; if your PayPal Email doesn’t match with your Coinbase Email. You will be required to complete a two-factor authentication On Coinbase for security Reasons. Also, your PayPal country must be the same as your Coinbase Account country. It is only possible to Link your PayPal account to One PayPal at a time. In order to add a different PayPal, you must unlink the previous account added. To unlink or disconnect your PayPal, select setting, then tap Payment Method and choose Delete.
You can sign in to your PayPal to select another payment method. Note again; All US Customers must have a valid payment method such as a bank account or Debit Card linked to their PayPal account to purchase Crypto or add cash through their PayPal account. Cards like Prepaid Cards, Business Cards, and Credits Cards connected to your PayPal are not currently supported by Coinbase.


Whilst the regular Evolution Sportster 883-1200 conversion remains the best "bang for the buck" of any Harley-Davidson performance upgrade, there is a lot of additional power to be had by porting the existing 883 cylinder heads. The head castings and existing valve seats have sufficient material in them to allow both the installation of the larger valves from the earlier ('88-'03) 1200 heads, as well as a thorough and well developed reshaping of the ports. The small diameter 883 "hemi" combustion chamber is also used to good effect, as when coupled with the larger cylinder bore size of the 1200 (3 1/2" instead of 3"), a substantial quench area is created. These reworked 883 castings give a far better result than trying to rework the older XL1200 heads, as there is already too much material removed from the wrong places with these.
Because the valve stem protrusions remain as stock, and the heads are only decked sufficient to clean them up and balance the chamber volumes, the stock pushrods and tubes can also be retained. Compression can be set between 10.25 and 10.5, and the stock camshafts can also be used. The Sportsters are not under cammed in the same way that the Big Twins are. We recommend the existing 40mm CV carb with a Head Quarters jet kit for the 1986-2006 models, and the stock throttle body and injectors for the 2007 up EFI models. Carb models benefit from one of our programable ignition modules, and the fuel injected models require dyno tuning.
With the introduction of the rubbermount Sportster in 2004, Harley redesigned the 1200 cylinder heads. These are the best XL heads yet, superior even than the older Buell Thunderstorm heads. The valves, combustion chamber, and port design are the same as the Buell XB12 and the XR1200, and they are excellent raw material for porting. Our Head Quarters reworked heads utilise 1.900 intake valves and 1.625 exhaust valves, the same as used with our Harley-Davidson Twin Cam and Evolution Big Twin performance cylinder head upgrades. By using various readily available Wiseco forged pistons and/or decking the heads, we can set compression ratios anywhere between 8 and 12 to 1 with the 1200 engine! This covers any racing or turbo charged application, although typically we will use 10.5 and the stock cams for street use.


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Sunday, September 3, 2017: at the old pool in the woods of Finca Buenvino, Spain
Ambling along the wooded path, morning sun dapples.
Gentle veer to the left and a slight decline reveals an old, maybe even ancient, archway.
A threshold into invited imagination.
Broken amphora and tree limbs.
The small square abandoned pool, its once white marble stones now stained from cork and chestnut leaves long dead and decayed. Its once crystal waters, now dark and stagnant.
What story evoked, mystery imagined here?
She pushes the lattice gate, patina green with age, and enters a space out of time, out of place. Another era. Another life.
Walls made of stone and stucco. Moss fans like sea coral across the surface.
A pool. Square. Its surface thick with algae.
Amphora cracked and gaping like a heart that never healed.
A little boy lost.
Following his dog, together running, leaping, caught in a moment of sunshine, lost in the reverie of play.
His mother calls, calls, calls. No reply.
Hot, tired and bitten by honey bees, he follows his dog who, smelling the fresh spring water and overcome by instinct, leaps into the pool below.
Making his way down the slope, now at the pool’s edge, he wavers. So hot. So thirsty. Overcomes the caution of his mother’s warning.
Splashes. Flounders. Grabs hold of the dog who wiggles out and away.
Kneeling by the edge she peers into the dank and murky depths, mesmerized by memory.

domain: literature


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Results of a recent study published by Hamad Medical Corporation’s (HMC) Hamad Trauma Center (HTC) found that none of the patients admitted to the trauma centre
The Ministry of Interior (MoI) has issued guidelines for a safe Ramadan, stressing the importance of ensuring general safety during the holy month -- whether it is at home, the workplace, in markets or on the road.
Improper use of heaters, wood or coal or negligence towards safety procedures could sometimes lead to unexpected fires either at home or desert camps, MoI pointed out.
Ahead of Eid al-Fitr holidays, the Qatar Stock Exchange rebounded strongly to cross the 9,000 level with more than 95% of the traded stocks extending gains and capitalisation expanding about QR15bn.
The Public Relations Department at the Ministry of Interior (MoI) has issued an advisory, titled ‘Have a Pleasant Trip’, in view of the upcoming summer vacation.
The move to proceed to a vote sparked fresh anger from opposition lawmakers.


7 Questions Trans People Have About Brett Kavanaugh
We already know a lot about Brett Kavanaugh: he is a reliable arch-conservative to the right of Justices Scalia and Gorsuch, and President Trump promises he would “automatically” overturn Roe v. Wade and Obamacare. He has controversial views of Presidential power, and a long, consistent record of ruling for corporations and against employees and consumers.
Yet as far as anyone can tell, in his long career he has never ruled on or written about legal issues related to LGBTQ people. With Brett Kavanaugh, no news is not good news for LGBTQ people. What we already know of his record makes clear he would be dangerous for LGBTQ Americans. And there is a great deal we still don’t know — including about his tenure as a staffer in the George W. Bush White House.
These are the questions LGBTQ people — and their Senators — should be asking about Kavanaugh before letting him anywhere near the Supreme Court.


What is virtualization
Virtualization stands for the process of creating a virtual resource like a server, operating system, network, or storage device. Here, a hypervisor is used to create several virtual machines on one physical system. Virtualization offers a multitude of benefits including better scalability, improved flexibility, minimized downtime, enhanced performance, significant cost savings, among others. Web hosting providers use it to offer VPS hosting.


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What are the signs & symptoms that develop in affected dogs?
Chondrodystrophic dogs have characteristically short and bowed legs with a relatively long body.
When do signs and symptoms develop?
Signs of chondrodystrophy are recognized in puppies.
How do vets diagnose this condition?
Chondrodystrophy can often be identified simply by looking at the affected dog.
How is this condition treated?
There is no treatment for chondrodystrophy.

domain: pet


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North America • United States • Idaho • Springhill Suites Boise Parkcenter
Marriott SpringHill Suites Boise ParkCenter hotel is located in Boise's business district and minutes from Boise State University and downtown Boise shopping and entertainment.
Destination 360 is your friendly travel guide.
If you like to travel, like us on Facebook or spread the good word. Thanks!

domain: travel


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Jeetendra Starts Shooting for Ekta Kapoor’s Baarish 2!
Veteran actor Jeetendra is all set to make his digital debut with a cameo in Ekta Kapoor’s Baarish 2. The actor has started shooting for the same...
Published: Tuesday,Jan 07, 2020 09:17 AM GMT-07:00
After the success of the first season of ALT Balaji series Baarish starring Asha Negi and Sharman Joshi in the lead roles, the makers have already started shooting for the second season. We at India Forums previously broke the news of Jeetendra making his digital debut with Baarish 2 with a special appearance in the series.
Now, the latest, we hear, is that the actor has started shooting for the same. Ekta Kapoor posted the same on her social media account where she shared glimpse of the same.
Check out her post below:https://www.instagram.com/p/B7Aw6sMgTJZ/
The first season which was directed by Nandita Mehra was loved and appreciated by the fans for the phenomenal chemistry of Asha and Sharman and an endearing storyline.
Now with Jeetendra's cameo in the series, the excitement levels has increased. Are you excited for the series, like we are. Let us know your views in the comments below...


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Wheat yesterday traded with the positive node and settled 1.46% up at 1390 on buying support tracking firm spot demand but upside was limited on fears that the government might intervene to control rising food prices. India's wheat stocks at government warehouses on Aug. 1 were 47.5 million tonnes, more than three times the official target of 17.1 million tonnes for the quarter ending September, government sources said. As pert official data, India has exported over 18 lakh tonne of wheat under OGL (open general license) since September 2011. This controlled measure by government might witness strong stockiest liquidation in local mandies as most of the traders have stocked the commodity with the anticipation of strong export demand. On July 1, government stocks amounted to 49.8 million tonnes, much higher than a target of 17.1 million for the current quarter. India harvests only one wheat crop a year while the new season rice harvest begins in October, swelling stocks which are then drawn on for distribution in government welfare schemes. In Delhi wheat prices dropped -9.05 rupee to end at 1392.75 rupees per 10 kg. In yesterday's trading session Wheat has touched the low of 1354 after opening at 1360, and finally settled at 1390. For today's session market is looking to take support at 1364.7, a break below could see a test of 1339.3 and where as resistance is now likely to be seen at 1404.7, a move above could see prices testing 1419.3.
Wheat trading range for the day is 1339-1419.
Wheat ended with good gains on buying support tracking firm spot demand
India's wheat stocks at government warehouses on Aug. 1 were 47.5 million tonnes.
Government stocks amounted to 49.8 mln tns, much higher than a target of 17.1 million for current quarter.
In Delhi wheat prices dropped -9.05 rupee to end at 1392.75 rupees per 10 kg.


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Indian Spices: Too Hot to Handle !
Paneer tikka Masala, tandoori Naan and paneer roll with green chutney along with onion salad……yummmm !Â Who cares what it may bring tomorrow. Right now I am hungry and just can’t resist spicy food. As it is no Indian cuisine is completed without spices. Some like it hot and spicy and some use less spices […]


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There is a prevailing belief system in the Western world today that says the illness and disease is caused by something physical body and physical illness is caused by physical means. This belief is one of the greatest misunderstandings, or more precisely, misunderstandings, which exists today in the field of health and medicine in the Western world. Is the main reason why medicine is not making any progress on any of the major diseases and diseases currently prevalent throughout the world.
Somewhere along the way we’ve developed a mistaken view or perception of what the disease is and why it exists in the first place. Unfortunately, we are currently stuck in the belief system that says we are at the mercy of disease and illness and that there’s nothing we can do about it. This is mainly due to the belief that the disease is caused by physical means and sources closely and only them.
We get the flu because we are infected with the flu virus. We develop cancer because cancer cells in our bodies; We have repeated headaches, why don’t we drink enough water; or we have a backache, simply because we have wrongly sitting in a Chair. These are just a few examples of cases which we attribute to our physical symptoms. In most of these cases, we are told that these physical complaints are separated from us and that we must suffer the effects until it disappears, or through the help of medicines etc.
Fortunately, we don’t have to believe this any longer. Know of a better way begins to flood the Earth as the sun rises above the horizon. It is always clear to many that there must be more to this disease which is commonly believed and taught the whole world.
As was introduced in my article, 3 misconceptions about disease and illness, the body, in fact, has no power to create. The belief that one can, a fundamental error, is the source of all the physical symptoms, produced in our body. As hard as it may be to accept, the body is nothing but a machine and as a machine, receives signs and messages from a higher source.
What is that source? Is the mind, which is the only level of creation. Nothing physical is able to create all that is physical. The level of the mind is the level of creation, aka the cause and the physical layer is simply the effects of this cause. It may seem hard to accept at first, but this is how it works. There may be nothing as a physician unless there was first in the mind. For something to be in the body in the first place must have been in the mind, if it wasn’t, it wouldn’t be there.
This brings us to something we all have to learn about the disease and illness: cannot cure using physical means, because it is not caused by such means. What does this mean for us? It means that we don’t need to look outside ourselves for healing; We care that we tried. Our perceptions and beliefs are what drive our physical symptoms. In this way, the disease and the disease is a call to lead us towards a more balanced perception, to help us to let go of the beliefs that hinder our progress in life.
Until we understand and recognize this, nothing will change in our health and well-being. No one will be completely free from illness and disease across the globe until you realize that it’s not a physical problem. The symptom may seem physically and appear in the body as something physical, but the symptom is not the real disease or illness. Illness and disease comes from the mind, and this is the only place that can be cured or relieved. Therefore, the problem is not physical, it’s mental. All types of treatment or physical healing are forms of magic, being based on principles.
Again, as hard as it may be to accept, as long as it is not accepted, no progress will be made to overcome the disease and illness, no matter the form. It’s not something to be despised or avoided, since it contains within it the seeds for its reversal. Any disease or disorder is designed to teach a specific lesson, to lead us forward and finally back to completeness in the mind. It is useless for us to hold onto the belief that these things are separated from us, that sickness and disease are out for us.

domain: biology


27″ Samsung DVE52A5500V 7.4 cu. ft. Electric Smart Dryer
1 Year Warranty
Condition: Open Box
- 27″ Electric Smart Dryer
- 7.4 cu. ft. Capacity
- 18 Drying Cycles
- Steam Sanitize+
- Lint Filter Indicator
- Wi-Fi Connectivity
27 Inch Electric Smart Dryer with 7.4 cu.ft. Capacity
This Samsung Smart Dryer has integrated Wi-Fi that allows you to remotely start or stop your cycle, schedule laundry on your time, and receive end-of-cycle alerts and more, right from your smartphone. Also, the Steam Sanitize+ cycle eliminates 99.9% of germs and bacteria while relaxing and smoothing away wrinkles from everyday wear. Features include 18 Dryer Programs, Sensor Dry, Smart Care, Lint Filter Indicator, and an Interior Drum Light.
- Steam Sanitize+: Steams away 99.9% of germs and bacteria, while also reducing wrinkles and odors
- Wi-Fi Connectivity: Receive end-of-cycle alerts, remotely start, schedule, and more, from your smartphone with the SmartThings App
- 18 Drying Cycles: A variety of dryer programs to choose from to accommodate drying needs
- Sensor Dry: Automatically optimizes the time and temperature of your drying cycle to protect your clothes from heat damage, while avoiding excess energy use
- Smart Care: Easy troubleshooting from the convenience of your smartphone
- Vent Sensor: Continuously monitors the condition of the air duct to ensure it's operating safely and efficiently
- Interior Drum Light: An interior drum light brightly illuminates your laundry and the rest of the interior, so you can quickly and safely check your dryer's contents
- Lint Filter Indicator: The Lint Filter Indicator light lets you know when it is time to clean the filter
- Reversible Door: Choose the direction your dryer door opens to better suit your laundry room layout
- Accessibility (AUI, Braille): Designed for easy use for everyone
- 7.4 cu. ft. Capacity: Fewer loads, less time in the laundry room, and more time doing the things you love
Dryer Capacity: 7.4 cu. ft.
Load Type: Front Load
Fuel Type: Electric
Steam Cycles: Yes
Wrinkle Care: Yes
Stainless Steel Drum: No
Venting Type: Vented
Interior Light: Yes
Volts: 120 V
Amps: 30 Amps
Exterior Width (in): 27"
Width (in): 27"
Height (in): 44 11/16"
Depth (in): 30 1/4 "


text:
Areas of Practice
When an infant suffers an injury at birth because of healthcare provider’s negligence, the newborn’s parents may be able to file a claim to obtain compensation for their child’s pain and suffering.
At The Law Offices of Peter T. Nicholl, our Maryland birth injury lawyers understand the physical and emotional struggle that parents suffer when their child is injured during the delivery process. An injured newborn may require extensive medical treatment following his or her birth and, in some cases, for the rest of the child’s life. Our birth injury attorneys in Maryland will work tirelessly to hold the negligent healthcare provider or medical facility liable for your child’s birth injury. Our nationally-recognized Maryland personal injury attorneys have a strong record of successfully representing victims of negligence, and have won millions in verdicts and settlements for our clients.
Our firm’s founding partner Peter T. Nicholl is a member of the American Association for Justice and has received an AV© Rating from Martindale Hubbell, a rating reserved for attorneys with the highest professional and ethical standards. All of our services are provided at no upfront cost and there will be no fees or costs unless we recover compensation for your claim. There is no risk in scheduling a free, no obligation consultation to find out if you have a case.
Complete a Free Case Evaluation form to get started.
If you suspect your child suffered an injury during child birth, a healthcare provider may be at fault. However, birth injury lawsuits can be complex. Birth injuries can be caused by several factors, most of which are rare and difficult to identify.
For this reason, you should immediately contact knowledgeable birth injury lawyer in Maryland to find out if your child’s injury resulted from medical negligence. By consulting with an attorney, you can establish a case that helps you obtain justice and compensation for your child’s injury. A skilled attorney will:
Determining which party is at fault for your child’s birth injury can be challenging. Often, parents interact with several healthcare providers before their child has been born. Each one has a duty to identify any possible health risks the infant might suffer in the womb, or be susceptible to once he or she is born.
Additionally, doctors, nurses and other healthcare providers must act with the highest degree of care throughout the pregnancy and birthing process to avoid causing the infant harm. In some cases, the hospital may be at fault for having faulty equipment, failing to manage your child’s birth appropriately, or hiring a doctor or staff member who was not qualified to treat you or your infant.
Our skilled childbirth attorneys in Maryland will examine your child’s medical records, diagnostic tests, your electric fetal monitor strips, or birthing tools and techniques used by the delivery team to determine the stage in which your child’s injury occurred. Your attorney will then use his or her findings to help you file a claim against the party liable for your child’s injury.
Once your Maryland birth injury lawyer has helped you identify the at-fault party, he or she will work to build a case that supports your claim. This will require evidence that proves four elements exist in your claim:
To build your case, your Maryland birth injury attorney will use your child’s medical records, testimony by witnesses, and use the opinion of expert medical witnesses to show the at-fault party’s negligence resulted in your child’s injury.
Many parents of infants injured during childbirth are unprepared to handle the burden of filing a birth injury lawsuit against the at-fault healthcare provider, which may affect the outcome of their case.
Unfortunately, insurance companies depend on most people being unfamiliar with Maryland’s personal injury and medical malpractice laws. For this reason, it is in your best interest to contact a skilled birth injury lawyer in Maryland who knows how to handle your claim and represent your interests when dealing with the at-fault party’s insurance company.
Our Maryland birth injury lawyers are sharp negotiators who have decades of experience representing claims filed by injury victims and their families. We understand how to work with insurers and use our knowledge and experience to reach fair outcomes for our clients that reflects their best interests.
If your child suffered a birth injury, do not wait to contact our birth injury attorneys in Maryland for a free, no obligation consultation. We will help you determine if you have a case that entitles you to justice and compensation.
Call 410-244-7005 to schedule a free consultation.
A birth injury often results in a child suffering a serious, long-term or permanent medical condition that leads to mounting medical expenses and causes the victim’s family to suffer emotionally.
When an infant’s birth injury resulted from medical negligence, the family may be entitled to compensation for their pain and suffering. This can include compensation for both monetary damages and intangible losses.
During your free consultation, our Maryland birth injury lawyers will review your claim to determine if you may be entitled to compensation for:
In Maryland, the amount of non-economic damages, such as pain and suffering, you can pursue in a medical negligence claim is limited to $800,000. However, this amount is set to increase by $15,000 each year, according to Md. Cts. & Jud Proc. § 3-2A-09.
Furthermore, there is currently no limit to the amount of economic damages you can pursue through a medical negligence claim. This includes compensation for medical expenses or additional healthcare costs that your child may need to treat his or her injury or provide him or her with a comfortable life.
Complete a Free Case Evaluation form today.
Under Maryland law, preventable birth injuries fall under the category of medical malpractice statutes. This means you must file your birth injury claim within a legal timeframe called the “statute of limitations.” The statute of limitations requires any claim for birth injury must be filed before your child’s 21st birthday.
However, you should not wait to pursue justice and compensation from the negligent healthcare provider who injured your child. Contact our Maryland birth injury attorneys as soon as possible to find out if you have a case.
A birth injury or defect can have a severely adverse effect on a child’s appearance, development and behavior.
In some cases, a birth injury can result in a physical abnormality, such as a cleft lip or neurological defects. Likewise, a birth injury may cause internal defects like a heart condition, where symptoms may not appear for several months or years after birth.
Some common causes of birth injuries caused by medical negligence include:
Vacuums are used during childbirth when the mother is having difficulty delivering the infant from the birth canal. In such cases, the attending healthcare provider will use a vacuum to latch onto the child’s shoulder or skull and guide him or her through the birth canal. When the vacuum is improperly used, it can result in severe injuries to both the infant and the mother.
An emergency C-section can be ordered if the child is suffering from fetal distress. This may occur when the child’s heart rate has dropped or is suffering from other problems during the delivery.
However, the medical team in charge of delivering the infant is responsible for monitoring the child and his or her mother. If the delivery team fails to recognize a situation in which the mother needs an emergency C-section, they can be held liable for any birth injury suffered by the infant.
Healthcare providers must carefully monitor the mother throughout her pregnancy. Neglecting to perform specialized tests to detect issues with the pregnancy may endanger the infant and result in birth injuries and complications.
Any complications that occur during delivery must be immediately addressed and corrected. If a healthcare provider or delivery team fail to resolve birthing complications, it may result in further injury or illness. Common complications during delivery include:
One of the more common causes of birth injuries is oxygen deprivation. When an infant’s brain is deprived of oxygen, it can cause brain tissue to die. This is known as Hypoxic ischemic encephalopathy (HIE).
If an infant is suffering from HIE and is not delivered quickly, he or she can suffer from permanent brain damage. Additionally, oxygen deprivation can be caused by several health conditions that affect the womb. These conditions must be quickly diagnosed and treated immediately to ensure the safety of the mother and child. If a healthcare provider fails to uphold this standard, he or she can be held liable for any injury that occurs.
A difficult delivery can place a significant amount of stress on a mother and may require more effort than she is physically capable of. To correct the issue, doctors often use medical equipment like forceps, vacuums, or forced pressure to help aid the delivery.
However, forcing a delivery often increases the risk of injury to the infant, including brachial plexus injuries and Erb’s palsy. This may result in the infant suffering immobility, weakness or paralyses.
When a child suffers trauma to the head and brain during delivery, he or she is at risk of suffering damage to the brain and nervous system. Often, infants who suffer injuries to the brain or head are at risk of suffering debilitating conditions like cerebral palsy and long-term delays in physical and cognitive development.
Complete a Free Case Evaluation form.
Each year, approximately 28,000 newborn infants suffer childbirth injuries in the U.S. because of a healthcare provider’s negligence.
Common types of birth injuries include:
A brachial plexus injury, also called neonatal brachial plexus (NBPP), is a paralysis of the arm that occurs when the upper group of the arm’s main nerves are damaged or severed.
NBPP can occur during childbirth when the infant’s neck is pulled toward the side as the shoulders pass through the birth canal. Additionally, an infant can suffer a brachial plexus injury when a healthcare provider stretches his or her shoulders during a head-first delivery. Furthermore, NBPP can also occur when a healthcare provider places pressure on the infant’s raised arms during a feet-first (breech) delivery.
Cerebral palsy is a neurological disorder caused by a non-progressive injury or malformation that occurs when the child’s brain is under development.
Although cerebral palsy is known to cause physical disabilities, it also result in severe cognitive impairment in the infant’s brain. Children who suffer from cerebral palsy often exhibit a variety of symptoms, including:
Cerebral palsy occurs when the brain develops abnormally or when the damage occurs to the part of the brain that controls movement. Although the majority of children who suffer from cerebral palsy are born with the condition, some develop the condition during or shortly after birth. This often occurs due to:
This is a congenital condition where the tissue that develops into the brain and spinal cord does not properly seal before birth.
The most common type of spina bifida appears as malformations near the lower back. Although the affected area can be surgically closed after birth, the child will not recover function to the injured area of the spinal cord.
There are many different degrees of spina bifida based on the location of the damage or the level of the spinal lesion. Typically, the higher the lesion is on the spine, the more physical problems the child will suffer. Some common symptoms of spina bifida are:
Often, spina bifida can be detected by ultrasound or testing a mother’s blood through an AFP screening, and by examining the fluid surrounding the fetus. However, if a doctor failed to notice or properly inform the infant’s parents the child suffers spina bifida, the he or she can be held liable for a wrongful birth lawsuit.
This can occurs during the delivery when an infant’s face may have too much pressure on it. This can result in nerve damage and is often caused by negligent use of forceps or a vacuum extraction to pull the infant out of the birth canal.
Symptoms of facial paralysis in newborn infants can include being unable to close the eye on the affected side of the face, or lack of movement on the affected side of the infant’s face. Although most cases of facial paralysis clear up within a few weeks, serious cases may lead to total permanent paralysis on the affected side of the face.
Healthcare providers have an obligation to avoid causing patients and newborn infants harm by providing safe and competent medical services. If you believe your child suffered a birth injury because of a healthcare provider’s negligence, do not hesitate to contact our birth injury attorneys in Maryland to find out if you have a case.
Call 410-244-7005 to schedule a free consultation.
A child’s birth is meant to be a time of celebration and happiness. However, when a healthcare provider negligently handles the delivery of a newborn, it can result in a devastating injury to the infant.
If you believe your child’s birth injury or defect resulted from another’s negligence, do not hesitate to contact The Law Offices of Peter T. Nicholl’s Maryland birth injury lawyers for professional legal guidance.
We will provide you with a free, no obligation consultation to review your claim and determine if you are entitled to compensation for your child’s pain and suffering. If we find that you have a lawsuit against the at-fault party, we will aggressively pursue your case to help your obtain the justice your family deserves. All of our services are provided on a contingency fee basis, which means you will not have any fees or costs unless we make a recovery for you. There is no risk in contacting us to discuss obtaining justice for your child’s injury.
Call 410-244-7005 for a free consultation with a Maryland birth injury lawyer.
Contact our personal injury lawyers for a free consultation if you have been injured by another’s negligence. You may be entitled to compensation.
GET WHAT YOU DESERVE410-244-7005

domain: medical


text:
A WOMAN who took a 14-year-old boy to a hotel for sex and got him high on cannabis has been jailed for more than two years.
Natalie Williams, from Darlington, was told by a judge yesterday she had preyed upon the teenager and failed to appreciate why what she had done was so wrong.
The 22-year-old used a bank card he had stolen from his family to pay for the overnight hotel stay and drugs, and regularly withdrew money on it.
Teesside Crown Court heard that after she was arrested, she deliberately got pregnant with a new boyfriend – thought to be an attempt to stay out of prison.
But Judge Simon Bourne-Arton, QC, told her that would not dissuade him from locking her up – because a man who preyed on a young girl would face jail.
He said: “The law sets out to protect those that are under the age of consent, whether they are boys or girls, from those who would take advantage of their youth.
“They are not to be preyed upon by those who are older than them, and certainly over the age of consent, and that is why these are very serious offences.”
Williams’ lawyer disputed a psychologist’s report saying her pregnancy was deliberate, but the judge said: “She describes it as planned – when she was facing these proceedings.”
He added: “That shows not only a level of immaturity, but also irresponsibility . . . I do not take into account, in any way, that you are pregnant.”
Ben Pegman, mitigating, said: “She has been in a relationship for six months and would take issue with the proposition she puts it before the court to avoid custody.
“The sentencing guidelines greatly alarm her. She is of previous good character. I suspect the court will never see this lady again. My plea is to ask you to suspend any custodial sentence.
“She now realises he didn’t have sufficient maturity, more than that, that it was unlawful. She simply hasn’t thought it through. It hasn’t gone through her head at the time.
“Clearly, there is an acceptance from the defendant that her behaviour was wrong. As to how much insight she has got into that, I think, it is a moot point.”
Williams, of Close Street, Darlington, admitted three charges of sexual activity with a child, attempted sexual touching, fraud and handling stolen goods. She was jailed for a total of two years and four months.
The court heard that the first sexual encounter with the schoolboy – described in court as a vulnerable virgin – was on a garden trampoline in front of a friend.
The relationship came to light when the victim’s stepmother realised there had been a series of unauthorised payments from her bank account and her card was missing.
It emerged that tattooed Williams and the boy had spent the night in Bannatyne’s Hotel in Darlington, and spent more than £1,000 on the debit card.
Williams was also put on the sex offenders’ register for ten years and banned for life from working with children and having unsupervised contact with under-18 males.
Judge Bourne-Arton told her: “You knew perfectly well that which you were doing was wrong. I am quite sure it was you who carried out the initiative.
“There are worrying signs you have failed to completely appreciate what impact what you did has had on him . . . there are deeply worrying factors in your case.”


text:
From Our Editors
Grab a homemade soup and sandwich for lunch or dinner at Firehouse Subs in Aurora.
Firehouse Subs offers an informal dining experience for those who are allergic to jackets and ties. Ordering food? You can pick it up yourself!
We'll let you park onsite to help get you closer to our scrumptious menu. If cycling is more your speed, you'll find plenty of space to stash your bike outside the restaurant.
You can eat for next to nothing at Firehouse Subs, where a typical meal will cost you less than $15. If you are looking for a great grab-and-go lunch option in the area, a sandwich from Firehouse Subs will do the trick.


Assignment 3: Renault
Describe the French automotive industry
and its main features
In 2008, in terms of value, France represents 14.1% of the European automobile market. On the other hand, in terms of value, Germany represents 20.2% of the European automobile market. But this simple comparison hides some differences in terms of strategy. For example,French automobile manufacturers dominate the market with international players generally doing less well in France. On the contrary, German automotive industry is well-spread all around the world, and keeps a luxurious and strong brand image.
To clearly define the whole industry, we have to distinguish the automotive aftermarket from the automotive manufacturing industry. The automotive aftermarketincludes service parts, wear & tear parts, mechanical parts, tires, crash repair and consumables & accessories. But it’s not the most significant side of the French automotive industry. We’re going to focus on the second kind of industry: the automobile manufacturing industry. It covers all global sales of new cars and light commercial vehicles. The country’s automobile manufacturing market hasremained relatively unscathed following a period of economic downturn in Europe. The leading sector in terms of volume is the passenger cars sector, and domestic automobile manufacturers such as Renault and PSA dominate the French market.
The competitive panorama
On the current French automotive markets the main automotive manufacturers are PSA Peugeot Citroen and Renault. TheFrench automotive industry lived a really bad period due to the crisis. In order to avoid bankruptcy the French government had even implemented a support plan in order to enable the survival of the French automotive industry and made them a loan of 6 billion Euros. Even if the crisis is finished the revival of the automotive industry will not take place before 2011.
PSA was formed through a mergerbetween Peugeot and Citroen. Nowadays, PSA Peugeot Citroen is among the largest automobile makers in Europe, manufacturing cars and other vehicles under the Peugeot and Citroen brands. The company operates in a number of areas including automotive equipment, automobile transportation and logistics, and financial services. PSA manufactures a range of vehicles including petrol, diesel and electricpassenger and light commercial vehicles. Renault is also one of the most influent French automobile manufacturing groups that designs, produces and markets a range of passenger, light commercial and agricultural vehicles. The group is a worldwide multi brand manufacturer, through an alliance with Nissan and its ownership of Dacia of Romania and Samsung Motors of South Korea. Renault-Nissan, thecommon strategic management structure of the Renault-Nissan group, is equally owned by Renault and Nissan. It has manufacturing plants in Mexico, South America and Europe.
The two other actors of the French automobile market are Daimler Chrysler AG and Toyota Motor Corporation. Daimler Chrysler AG is the world's is third largest car producer in terms of sales. DaimlerChrysler primarily engages inthe development, manufacture, distribution and sale of passenger cars and commercial vehicles but also makes a wide range of automotive and transportation products. The company also provides a variety of services relating to the automotive value-added chain. Toyota Motor Corporation develops and manufactures vehicles, and is one of the largest car manufacturers in the world offering a wide rangeof products from mini 3
vehicles to trucks. One manufacturing unit is implanted in Valenciennes, in the north of France.
A global strategy
The fact is that the automotive industry doesn’t get away from the economical crisis. 2009 will be one of the worst years for the French industry. For example, Renault has already cut 15000 jobs since 2007**, and it’s just not over yet. On the...
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list >> SPS601 Italy Pressure Switch For Steam 2.9~130PSI
SPS601 Italy Pressure Switch For Steam 2.9~130PSI
SPS601 Series steam pressure switch is designed for control pressure with higher current capacity. It is widely used in steam cleaner, steam sadiron and other pressure control system. It provides SPST or SPDT contact form and switch deadband (also referred to as mechanical differential or hysteresis).