"The most common way people give up their power
is thinking they don't have any."
We are just a few short days away from the election! I know several of you have already voted early or by absentee (thank you!) but for those who haven't, details follow:
We often speak with pride about civic duty and responsibility. As proud Americans and Idahoans, it is incumbent on us to carry these valuable traditions into the voting booth fully equipped with information. I encourage you to read the Idaho Statesman Voter Guide to get a sense of your candidates and what they stand for before you vote this Tuesday. For additional information, check their websites.
Yes, and how many years can a mountain exist
Before it's washed to the sea?
Yes, and how many years can some people exist
Before they're allowed to be free?
Yes, and how many times can a man turn his head
And pretend that he just doesn't see?
The answer, my friend, is blowin' in the wind
The answer is blowin' in the wind.
Leaves are beautiful, vibrant shades of red and gold signaling that autumn is upon us. Many of you have already cast your vote, and others are making preparations to vote by mail prior to or in person on November 8th. I know I'm preaching to the choir, but an important reminder: your informed vote is absolutely critical to your future, the future of our families and to the future of our state. Your vote impacts the landscape of our lives. Please don't take this great privilege for granted! Here are some things that have been keeping me busy these final days before the election:
I've got to keep on pushing
I can't stop now
Move up a little higher
Some way, somehow
'Cause I've got my strength
And it don't make sense
Not to keep on pushin'
The Impressions (old school 1964 Soul)
As the summer comes to a close and Election Day approaches, I'm glad to share updates from around District 19 and the state.
End of Session Letter
"And so it is and so I let it be."
Dear Friends and Neighbors,
We are greatly honored to represent District 19 and proud to continue to work for you, our constituents. It has been enlightening to communicate with you, to hear your priorities and concerns during town halls, through email and at the many events taking place around the state.
Idaho Democrats have worked diligently this year and have celebrated many successes, including the release of our Creating Opportunity Plan, developed under the leadership of Representative Mat Erpelding. This plan outlines principles and legislative goals designed to help Idaho prosper. It focuses on investing in education, boosting our economy, balancing government, maintaining transparency, and protecting our quality of life.
Courage is Grace Under Pressure
- Ernest Hemingway
Women's Healthcare Rights
Here we go again. A pair of bills that would erode the reproductive rights of women were up for consideration this week. HB 516 requires physicians to provide any women considering an abortion a list of providers offering free ultrasound services, purportedly as a means of helping a woman make an informed decision about her pregnancy. Yet the bill doesn't identify qualifications for the service provider. This is particularly alarming since anyone could theoretically buy an ultrasound machine, pay a small fee, and set up shop. Professionals caution that certain vaginal ultrasounds can cause considerable fetal damage in the early weeks of the pregnancy. At best, this legislation is incomplete; at worst, it could be life threatening. The bill is now headed to the governor's office.
Constitutional Convention Bill
A piece of legislation (SB 1350) that would have set ground rules for state delegates at a Constitutional Convention was defeated by the Senate this week. According to Article V of the United States Constitution, a Constitutional Convention is a meeting that is called by the U.S. Congress, joining delegates from each state to deal with specific constitutional issues. In accordance with law, two-thirds of the states must agree to hold one before Congress can call the meeting. Not addressed in the bill, however, are the inherent dangers of such a convention, including a weak vetting process that could easily lead to extremist revisions of the constitution, benefitting only special interest groups. Notably, the country has not seen a Constitutional Convention in over 200 years. To my way of thinking, this is certainly no time to start.
In Honor of Women's History Month:
To the wrongs that need resistance,
To the right that needs assistance,
To the future in the distance,
- Carrie Chapman Catt (Suffragette)
School Board Elections
The Senate Education Committee stopped two bills that sought to negatively impact school board elections this week. The first, SB 1307, would change the school board election date from May of odd years, to the November general election in even years. The bill conflicts with efforts that were made in the 2011 session to consolidate elections. Several elections coincide with the current school board election cycle including: hospital boards, highway districts, library districts, and auditorium districts. Moving the school board elections to November would likely result in a decrease in an already-low voter turnout. The second bill, SB 1308, would change the board election process by requiring trustees to live in the zones they represent, while permitting voters across the district to vote for all trustees. The bill would require school board candidates to campaign across an entire school district, resulting in considerable cost to those running for an unpaid trustee position. I voted against both bills.
The measure of a country's greatness is its
ability to retain compassion in times of crisis.
Update: Women's Rights Under Attack
Unfortunately, both of the bills relating to women's productive rights, HB 516 and SB 1349, advanced this week, from the House State Affairs and Senate State Affairs Committees respectively. HB 516 seeks to compel a woman to obtain an ultrasound from a designated provider prior to having an abortion. SB1349 seeks to dictate handling of fetal tissue. I am disappointed that these pieces of legislation will be moving forward as it produces no tangible health benefits for women, and only infringes on their constitutional rights. I will continue to oppose the bills and work toward their defeat in the Senate.
"In the face of adversity, be grateful, for such opportunities do not come by often." Buddha
Much appreciation to D19 constituents, friends, and neighbors who attended our Town Hall at Hidden Springs last week. Thanks for your questions, comments, and sharing your concerns. Having the opportunity to communicate in person is invaluable.
The pace steadily increased last week in the Legislature as we are rapidly approaching the last day legislation can be introduced through a non-privileged committee. As of Monday, February 22, new bills can only be introduced via privileged committees. Here is a look at just a few particularly notable bills currently under consideration.
We are a little more than a month into the Legislative Session, and it seems priorities, for some, are taking an interesting turn. Rather than focusing on more pressing issues, I have seen numerous efforts to pass restrictive, preemptive measures that limit local communities in Idaho. This erosion of local control is not beneficial for hard-working Idahoans and forces our municipalities to petition the state in order to achieve their goals. With this in mind, here is a look at three troublesome pieces of legislation currently under consideration.
The momentum at the State Capitol continues to build as both chambers have completed preparation of personal bills and committees are working through extensive agendas.
Democrats Release Plan to Improve Idaho's Future
Senate Minority Leader Michelle Stennett and House Minority Leader John Rusche rolled out the Democrats' legislative agenda for 2016 and the years ahead. "A Balanced Plan for Idaho's Future" is a document that lays a strong foundation for the future and calls out goals and principles toward realization of a better Idaho that include:


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I have been to Agra many times for a day trip or a maximum of two days to explore the Taj Mahal, Red Fort, and nearby attractions. I visited Agra mainly to explore the Taj Mahal, famously known as the Seven Wonders of the World. I had the impression that Agra is only meant for the Taj Mahal but my perceptions about Agra got misplaced as I discovered Agra beyond Taj when I was recently invited by Ekaa Villa to explore the places and not the Taj. Due to a large amount of publicity for the Taj Mahal, other offbeat, lesser-known places have been dwarfed in front of it. Truly, my first response was what could Agra bring more to the table, yet I was soon to find out in any case. And it makes me wonder how often people know about Offbeat Agra places beyond the Taj Mahal.
Agra has many significant tombs, gardens, and monuments which are spectacular sights to visit but are often overshadowed by the Taj Mahal. Agra Beyond Taj is perfect for armchair travellers who love to experience beyond touristy activities.
The oldest Persian garden in India, Aram Bagh or Ram Bagh is an ideal point of interest to cherish the Yamuna river view and learn about the Mughal Dynasty. Built by Babur in 1528, this garden was one of the most beautiful places in Agra in that era. According to legend, Emperor Akbar proposed to his third wife here, who was a gardener and caretaker there, by lying idle for 6 days until she agreed to marry him.
The garden was created in the concept of Paradise or Jannat where canals and pathways are divided into four ways which represent the Islamic Jannat.
The garden has so many water spurts which make the garden cold in the summer season.
The entry cost is 200 rupees for foreigners and 20 rupees for Indians, and it’s open until sunset.
IItimad-ud-Daulah’s Tomb or the Baby Taj, the dazzling tomb of Mizra Ghiyas Beg, ought not to be missed. This Persian aristocrat was Mumtaz Mahal’s grandfather and Emperor Jehangir’s wazir (chief minister). His daughter Nur Jahan, who wedded Jehangir, constructed the burial chamber somewhere in the range of 1622 and 1628 in a style like the burial place she worked for Jehangir, close to Lahore in Pakistan. It is viewed as the draft of the Taj Mahal.
The entry cost is 210 rupees for foreigners and 10 rupees for Indians, and it’s open until sunset.
While visiting another prominent Garden Mehtab bagh, we found 11 stairs standing tall in an unstructured way. Just 11 stairs and nothing surrounding gives the place something different vibe. No strong history is found behind those 11 stairs, but they might have been represented as a sun clock to calculate the time according to the sun’s movement.
If you do not want to see Taj in the crowd, Mehtab Bagh should be your option then. You can see an amazing view of the Taj from across the river bank. This would be your view to always remember this kind of moment. This 25 acres Mughal Garden was built before the Taj by Babur and is situated directly opposite of Taj Mahal. Mehtab Bagh is also called Moonlight Garden. This place is also wrongly called the Black Taj Mahal, which Emperor Shahjahan wanted to make for himself.
The entry cost is 300 rupees for foreigners and 25 rupees for Indians, and it’s open until sunset.
Built-in red sandstone with a white marble inlay, this astonishing Mausoleum is the burial chamber of one of the best Mughal rulers; Akbar. With an amazing entryway with four minarets that have been complicatedly cut and a patio in front of the grave in the basement, which is covered with wonderful stucco artworks, the landmark will provide you with a quintessence of the enumerating with which it has been conceptualized. This is one of the splendid gateways you must visit.
Did you know Akbar had himself started the construction of his tomb, whose designs are similar to the Taj Mahal?
At Sikandra, Akbar’s wife Mariyam Zamani’s tomb is also situated. Akbar’s daughters Shakrul Nisha Begum and Aram Bano are also entombed here at Sikandra.
The entry cost is 110 rupees for foreigners and 15 rupees for Indians, and it’s open until sunset.
I had no idea about this 17th-century Catholic Cemetery, where a vivid collection of inscribed gravestones can be found. The most prominent was John Hessing’s tomb, which is built in red stone and is a replica of the Taj Mahal. Just like Shah Jahan, who built the Taj Mahal as a symbol of his love for his wife Mumtaz, John Hessing’s tomb was built by John’s wife Anne after his death to express her love for John.
Some points are perfect for Sunrise and you can witness a surreal view of the Taj. Dashrath Ghat, and Hathi Ghats are a few examples to cherish the Sunrise points of the Taj Mahal.
To experience Agra like a local, one can walk through Sadar Bazaar, and Kinari Bazaar to get the fantastic shopping vibes. Agra has terrific places to buy churi (bangles), leather stuff, and marble souvenirs as gift items.
Agra is famous for Petha and Daal moths. Petha is one of the famous desserts of Agra which is prepared from pumpkin and sugar. Gopal Das and Panchi Petha are so famous that everyone wants to try these delicacies whenever they are in Agra.
Apart from Petha, Agra has many local cuisines to try which I bet will make you a foodie for sure. Pushpak Mishthan Bhandar is one such the oldest breakfast place that sells hotcakes of Agra called Bhedai, another special heirloom of Agra. Bhedai is served with aloo ki sabzi, which is one of the mouth-watering delicacies your taste buds would look for again. After the tummy-full bhedai do not forget to try Jalebi and Kullhad wali malai milk to make the breakfast like a royal feast.
In the evening we tried Agra’s special chaats from Chaat Galli and at night after dinner, we went to station Market to try some kadahi doodh and soan papdi which would make you visit Agra again.
Trains run from major stations to Agra. From Delhi, it takes 4 hours to reach Agra By Train.
The easiest way to reach Agra by road is to take the Yamuna Expressway from Delhi and you will reach it within 4 hours. There are a lot of Buses from Delhi and other places to visit Agra.
Nearby Airport is Delhi Airport which is 165 km away from Agra. From where you can commute via cab, traitor bus.
Ekaa Villa & Kitchen – I stayed at Ekaa villa, which is Agra’s only boutique hotel situated on Fatehabad Road. They have amazing, colourful 13 rooms across four categories.
I liked their minimalistic plastic usage. In each room, you will find glass bottles instead of plastic water bottles. Also in the washroom, they use glass bottles of toiletries instead of plastic ones. Ekaa has amazing food ( Pattal platter is my recommendation and you must try it).
Note: Try Ekaa’s Agra Beyond Taj Experience with an unparalleled view of the Taj and taste some street famous food to experience an offbeat Agra.
There are many hotels you can see in Agra as per your budget. From budget properties to 5-star resorts, you can find many options if you want to see Taj and not beyond Taj. But if you want to experience Agra as a complete historical city, you must check out a curated package from Ekaa Villa where you can spot all these locations and have some finger-licking food for sure.
The barren roads, the pastoral calmness hung in the air, changing the colour of the mud dunes from clay brown to camel yellow, the nomadic hue of the lifestyle, frequent noises and the half-forgotten walls set against the backdrop of azure sky, Agra is mesmerizing and have soaked its beauty in the rustic chill of its lifestyle.

domain: travel


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While working on construction projects of varied sizes and scopes, you’re liable to handle a vast amount and variety of debris. The preparation that goes into beginning any construction, demolition or renovation project requires selecting an efficient and sufficient method of removing waste from your site. The most common and often most practical solution is … Read moreYour Questions About Commercial Dumpsters Just Got Answered!
An ambitious DIY project can provide an outlet for our creative reveries, an opportunity to hone new skills, and home improvement at minimum cost. DIY projects offer a feeling of excitement and accomplishment, whether you are a Youtube newbie or DIY projects have been running in your family for ages. But like every new undertaking, … Read moreKick-Off Your DIY Project Waste with Residential Dumpster Rental
Does your weekly garbage service take care of construction debris such as metal, glass, lumber, granite, gypsum, steel, soil, etc?

domain: hobby


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These six stories from acclaimed author Chris Crutcher are about athletes, but are not simply sports stories. Here he presents characters from some of his best–loved novels, as well as creating some unforgettable new personalities, in tales of love, death, bigotry, heroism, and coming of age. Ages 11+
|Product dimensions:||7.16(w) x 5.00(h) x 0.44(d)|
|Age Range:||14 - 17 Years|
About the Author
Chris Crutcher has written nine critically acclaimed novels, an autobiography, and two collections of short stories. Drawing on his experience as a family therapist and child protection specialist, Crutcher writes honestly about real issues facing teenagers today: making it through school, competing in sports, handling rejection and failure, and dealing with parents. He has won three lifetime achievement awards for the body of his work: the Margaret A. Edwards Award, the ALAN Award, and the NCTE National Intellectual Freedom Award. Chris Crutcher lives in Spokane, Washington.

domain: library


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The film is being directed by Beeban Kidron (Bridget Jones: The Edge of Reason) and was adapted by Billy Elliot scribe Lee Hall. Back in May, Monika confirmed that Sienna Miller and Cillian Murphy had signed on for lead roles. Playing Greer in the film is model-turned-actress Emily Booth, and in talking about the film Greer doesn't let Booth off the hook either, saying that the actress should get "an honest job." Shooting for Hippie Hippie Shake is set to start this September, and in the end, Greer might have ended up giving the film a little free publicity -- I'll admit I'm now curious to see what all the fuss is about.
- 'Big Hero 6' Directors Reveal Story Behind Wild New Trailer - Moviefone
- GM Almost Screwed Up 'Toy Story,' 'Cars,' & More - AutoBlog
- Colin Farrell, Taylor Kitsch Rumored for 'True Detective' - ScreenCrush
- Honest Trailers: 'Divergent' (Video) - ScreenJunkies
- 25 Best Romantic Comedies Since 'When Harry Met Sally' - Vulture
- 11 Loose Ends on 'True Blood' - POPSUGAR
- 10 Ways 'A Hard Day's Night' Changed the World - Vulture
- 20 Summer Romance Movies to Stream Now - POPSUGAR
- New 'The Walking Dead' Season 5 Photos - ScreenCrush
- What We Already Know About 'Star Wars: Episode VII' - POPSUGAR
Around the web
Stay Connected with Moviefone
Download the Free App!

domain: entertainment


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55 PLUS: Do you remember the dial telephone?
You wanted to watch some TV?
First, you had to adjust those rabbit ears on top of the big console set.
“We had to point the rabbit ears in just the right direction, toward the TV tower,” recalls Anne Kelly of Middletown. That was in 1958, when she lived in an apartment building in Queens.
“The picture was in black and white anyway, and we still had ghosts,” said Kelly, a 1954 Middletown High School grad who works at the Middletown Business Improvement District. She shied away from giving her age.
Wanted to get around town? You had to get out your map.
“The learning curve for the geography was a lot harder than it is now,” recalls Orange County Sheriff Carl DuBois, 66, who joined the Middletown Police Department in 1974. “It was more advantageous to hire somebody local. If you didn’t know your way around, you had to use some kind of street directory.”
Wanted to make a phone call?
No walking around while you talk, and you’d better have that number memorized. Heavy, black, table-top rotary-dial telephones were the norm in households through most of the 1960s. Later, they were mounted on walls, typically in kitchens.
Tracy Racine, who owns the Any Old Thing antique shop on West Main Street in Middletown, had a laugh when some young girls came in and tried to work a rotary telephone. “They tried to push buttons like it was digital,” said Racine, 57. “They didn’t realize you had to turn the dial.”
Gone but not forgotten
Technology has changed so fast that gadgets that were part of our everyday lives for those of us in our 60s and up - like pay phones, manual typewriters, maps and milk bottles - are turning up in antique stores and museums.
Remember that console phonograph-radio combo that was a prized piece of furniture in your living room? Now they’re called “Mid-Century Modern,” Racine said, and they’re really hot.
You can find them advertised online, some as high as $2,500, with the electronics upgraded. Kelly paid $259 for her console set back in 1962. She remembers buying two albums from popular ’60s artists on that shopping trip: Peter, Paul and Mary and The Beach Boys.
Manual typewriters also are enjoying new popularity. “People set them up at weddings to have guests write out their good wishes for the bride and groom,” Racine said.
Eight-track tape players, an innovation for auto stereo sound that debuted in the mid-1960s and got big in the ’70s, have a new fan base, too.
And you if you look hard enough, you can still find film cameras (some with the folding bellows) and 35 mm film projectors.
Those 35 mm projectors were standard issue in schools. You loaded the early ones manually, and if you messed up, you could end up with a lot of film on the floor or, worse, burn up the film behind the lens.
DuBois remembers the challenge of chasing suspects while maneuvering walkie-talkies the size of small tool boxes with long antennas attached.
“Those things could break into a million pieces,” DuBois said.
Smartphones and all the things we can do with them have rendered once-familiar items, like maps, telephone books and film cameras, obsolete.
“There are more electronics in your cellphone than they used in the Apollo 11 trip to the moon,” Racine says.
It’s challenging to keep up with the technology, says former Orange County Legislator Jeff Berkman, who has a long career in education. Through his work with the Middletown Thrall Library, Berkman, who’s in his early 60s, is committed to making sure lower-income folks have access to technology.
But he worries that rapidly expanding technology can lead to less reliance on interpersonal skills. “I think that’s a loss,” he said.
Rabbit ears - a television antenna with two metal rods arranged in a V-shape.

domain: news


TFCM SAS continues and heightens its efforts in the field of automation by integrating a new generation of equipment.
TFCM increases its efforts in the field of automation by integrating advanced equipment. Manual Line Feedback
All this equipment, alongside the digital transformation project, will equip TFCM SAS with :
- additional factors of competitiveness
- important factors in working condition improvements.
Several production units
These investments focus on several production centres :
- robotised bending and welding platform (Toolmaster bending – cobot system for the welding cells
- automatic tool changer
- cutting production units’ destocking and supply platform.
The introduction of these advanced tools within our different production sectors requires specific support from our teams. Indeed, the arrival of cobots generates a new way of working and a new organisation for the workshops.
Thanks to cobots, the work of our employees is facilitated at several levels :
- less heavy loads to carry,
- fewer repetitive actions to perform,
- more versatility in the operator’s job, etc.


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88Rising uploaded this song onto their Youtube on Wednesday from Japanese artist Joji and it's absolutely lovely.
In "I don't wanna waste my time", beautiful melody lines blend with minimalistic production that is in between melancholy and perfect calm. The soothing production deceptively masks the more complicated lyrics, and what listeners get is an experience reminiscent of being on the verge of tears for inexplicable reasons. It will make your heart ache.
Simplistic yet quietly charming, "I don't wanna waste my time" is a song that is lush with emotion and thoughtfully executed. Joji has plans to drop a full-length project and judging by this song and his previous tracks, there's an infinite amount of optimism his listeners will have for anything he creates.
[soundcloud url="https://api.soundcloud.com/tracks/319581872" params="auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false&visual=true" width="100%" height="450" iframe="true" /]

domain: artistic


The Last Podcast Ep 198 - Death Is The Flipside of Life
We did it! We pulled off two episodes in two weeks! With Sony pulling all first-party support for the Vita, it’s officially living on borrowed time. We cover the little news there is in the first segment like Kojima who, according to Konami’s drug addled mind, is still an employee of Konami apparently, and the return of Batman Arkham Knight to Steam. Mario once again lavish praise upon praise on Life Is Strange having finished Episode 5. Karli manages to not play MGS5 and freaks himself out with an entirely different game.
Today’s music is courtesy of Back to The Future, because of course it is!


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Warning that the world faces a stark choice between breakdown and breakthrough, Secretary General António Guterres today presented his vision for the future of international cooperation – Our Common Agenda – to the United Nations General Assembly.
For the Next Generation Fellows, publication of this long-awaited report offered the chance to find out how the Secretary-General plans to deliver his commitment that young people should be designers of their own future.
“Our Common Agenda sets out plans for a more far-sighted multilateralism,” says Next Generation Fellow, Aish Machani. “We strongly endorse the SG’s call for global solidarity with young people and future generations at a time when we are confronted by an emergency we did not cause.”
The Secretary-General describes Our Common Agenda as an agenda for action and has promised it will make a tangible difference to young people’s lives. He will convene a Transforming Education summit in 2022, lead a new push to provide young people with jobs and economic opportunities, and continue to promote action to end the climate emergency.
Our Common Agenda also makes a new commitment to the 10 billion people who are yet to be born this century. The Secretary-General promises to set up a Futures Lab, calls for the appointment of a Special Envoy for Future Generations, and proposes that A Declaration on Future Generations is agreed at Summit for the Future in 2023.
“When the Secretary-General asked us to set out a vision and plan for young people and future generations in a companion report, Our Future Agenda, we didn’t know whether our ideas would really influence his thinking,” admits Next Generation Fellow, Valeria Colunga.
“But when we first saw an advanced copy of the Our Common Agenda yesterday, we were absolutely delighted to discover that he has really listened to us, picking up on our proposals for a Recovery Barometer and a jobs guarantee for young workers, for example.”
Our Future Agenda was the result of an open and inclusive process that started with a Big Brainstorm and continued to gather and debate ideas from around the world. Civil society also made a contribution through a We the People’s digital consultation and subsequent report.
The Next Generation Fellows are now committed to turning this new agenda for next and future generations into reality, and are already making plans for the Summit for the Future.
“In our report, we make a commitment to fight without fear for a more just, resilient, and sustainable world and underline the importance of young people as champions of multilateralism,” says Jevanic Henry, a Next Generation Fellow from St Lucia. “But young people will not wait for those in authority to act. We believe it is time for leaders to catch up with us or risk being left behind.”The Next Generation Fellows were nominated BRAC, Girl Up, Restless Development and the United Nations Office of the Secretary-General’s Envoy on Youth, and hosted by the UN Foundation.

domain: sociology


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Jackie Robinson breaks a racial barrier by joining white men on the baseball team the Dodgers
President Harry Truman attempts to enforce racial equality by integrating the military
Oliver Brown complains to court on behalf of his black daughter about racial segregation of the school
Emmett Till was killed for whistling at a white women while visting family in mississppi
Rosa Parks refused to get up out of a white seat and was arrested. This encouraged the bus boycott.
9 african american students were blocked by the national guard from entering a newly integrated school.
4 african american college students sat in a white booth at a restaurant and refused to move unless served
Provided young black people with a place in the Civil Rights Movement
They were attacked by mobs.
A march of hundreds of students takes place in Birmingham, Alabama
enforced by congress to give racial equality
Jackson was part of the civil rights movement and was shot and killed by a state trooper
Blacks marched to montgomery in support of voting rights
This act passed by congress banned any barriers in african american voting

domain: history


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DJ Khaled has struck gold with his new album Major Key as fans heap praise on the record. The For Free producer released his anticipated ninth album on 29 July via iTunes and it appears to be his best work yet with many hailing the record as a "masterpiece".
Major Key, released under We The Best and Epic Records, features a flood of collaborations with artistes such as Jay Z, Rick Ross, Drake, Chris Brown, Kendrick Lamar, Nicki Minaj and Future to name just a few. The 14-track record has received five stars from fans with one declaring via Twitter: "So @djkhaled just released the album of the summer. It's one of the best albums I've heard with the some of the greatest features #MajorKey."
Another commented: "#MajorKey is such a great album, every song is dope. @djkhaled is the greatest of all time!!" and another fan agreed, adding boldly: "#MajorKey is a masterpiece..Inspiring album." Others particularly referenced the rappers whose talents they felt stood out on the album with Big Sean seemingly drawing the most praise.
One impressed listener said: "Big Sean defo the most underrated artist rn [right now]," while another agreed, stating: "It's damn near criminal how underrated Big Sean is, he spazzed out on all his verses on #Majorkey." Another commentator added of the star-studded line-up: "So #MajorKey is full of collabs you would never think go together."
Major Key could land DJ Khaled his first number one on the Billboard 200 chart as the record soared to the top of the US iTunes chart within hours. Speaking about his new material, Khaled, 40, told Good Morning America: "This album represents my fans. They inspired me to make this album.
"When I get in the studio, I feel like I can bring the best out of every superstar, even though they're already great. I feel like my energy and their energy [together]... I come up with some of these presentations or these concepts that inspire."
The Major Key album features the previously released songs I Got The Keys featuring Jay Z and Future, For Free, a collaboration with Drake, and Holy Key featuring Kendrick Lamar, Big Sean and Betty Wright.

domain: celebrity


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Although not a founding member in comics, Captain America stands head-and-shoulders above his fellow members as the leader of the team -- and in the upcoming Avengers: Age of Ultron, he's stepping up as well.
Chris Evans, who plays Captain America in Marvel's various movies, recently spoke with IGN about his role in the forthcoming Avengers: Age of Ultron and revealed that he's grown much more comfortable with the role and being a part of the massive Marvel Cinematic Universe thanks to the camraderie formed with his fellow actors, and also the experiences of Captain America: The Winter Soldier. Evans says that the plot of that movie, with the fall of S.H.I.E.L.D., also paved the way for Cap to step up as a leader for the new movie.
"The team doesn't have anyone to report to now. There's no more S.H.I.E.L.D., so we're all kind of depending upon on one another, but that gives him an opportunity to kind of take more of a leadership role," Evans says. "Since there's no one else giving him orders he doesn’t have to question the chain of command or anyone’s motives. But it does mean that he needs to rely on his team a lot more. So it has kind of added a little bit more tension to the actual dynamic of the Avengers."
Evans said up until Captain America: The Winter Soldier, his character hadn't really hit a stride but that movie worked for his character -- something he hopes to hit harder for 2016's Captain America: Civil War.
"You know, the first movie you're terrified. The second one you're just intimidated because there's so many great people, but by Captain America 2 you really start hitting your stride and feeling like you're making some core progress with the character. And you get a little more comfortable speaking up when you have opinions. The Russos [the directors of Captain America: The Winter Soldier] are so great and I love that movie. It all just kind of worked out in terms of the evolution of my personal connection with character. So at this point, I'm feeling really good. Again, it's hard to give too much individual attention to your own plotline in a movie like this. They still give good hurdles to jump, but it's almost... I'm very excited for Cap 3."
Avengers: Age of Ultron will also see a continued evolution of Captain America's fighting style from when it started in the first Captain America.
"The only thing I kind of talked to [Joss Whedon] about was his ability consistency," says Evans. "You know, with the second Captain America we really pushed the envelope in terms of what this guy is capable of, which I was excited to see. Because, you know, the first Captain America, he's just strong. In Avengers it was still, in my opinion, a little bit 'punch, punch, kick, kick.' It's fine but, you know, you can't just be Jason Bourne."
Speaking of next-level actions, Evans says the newly added Paul Bettany as the Vision has been a welcome addition to the coast.
"Paul... man. We just had our first scene with him. He's so good. He is," the actor says. "You're gonna love him. He's gonna be amazing."


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I feel a deep affinity with the growing energy of this upcoming Solstice. There is something very familiar in what is coming through now. It might be there is more of the energy of Home within it, or I am able to feel more of the energy Home within me. Whatever the mechanics, I sense a tangible glow of Celestial Light emanating through the heart of it.
It is often said, if we could actually see all the Angelics surrounding us, we would never waste another ounce on worry. Why would we when we are watched over, supported, guided and protected, whether we are aware of it or not. We are not alone in this and even as I write this, Ulysses butterflies are circling round and round in front of my window.
Remember when you were young
You shone Like the Sun
Shine on, you crazy Diamond!
Now there’s a look in your eye
Like black holes in the sky
Shine on, you crazy Diamond!
With the Eclipse energies settling, the Light Waves are now holding us in a pattern of releasing all non-truths blocking our connection to Divine Flow so we may move freely into the Higher Purpose of the New Templates.
The New Templates are steeped in Freedom. We must be free to do, be, create, give, share and receive through our connection to Divine Flow so we can bring through that which is already instilled within us for the benefit of Gaia and the whole of humanity alike.
And so on the Day of Hearts, the eve of the closing Eclipse window, the message of this Eclipse Season is about eliminating the polarity frequencies that keep us separate from our Soul Truth and engaging in practices that encourage the physical body to let go of what it has always known and embrace the space of what it considers to be the Unknown. The space of the Master Frequency.
In truth, the Master Frequency isn’t unknown to us, it has been wholly known for all time at an unconscious level. It is where we originate from, where we are projected from, where we are sustained from. It is what generates our Peace, Balance and Harmony and as we peel away the layers of polarity programming it is revealed to our 3D consciousness as a way of restoring our reality to one that is more consciously aligned with vibration of that frequency.
If 2017 is a one year, a Year of New Beginnings, then it has been a year of preparation for that beginning. A year of transitioning from one phase to the next. A year of slowing down and coming into a long drawn out pause while everything catches up with itself, gets in the same space, on the same level, in wholeness and completeness. It is only in wholeness and completeness, that we shift in a unified way into what lies in waiting.
This year has been a leveling ground. It has created great rifts in relationships, in ideologies and beliefs, illuminating all that is wrong with the world and all that is twisted and distorted in the minds of humanity. But in being confronted with the dark and unpleasant, the frustrating and displeasing, we are being shown exactly what we want in our lives and what we have to let go of to get it.
Anyone in tune with these prolific energies understands the vastness of the transformation taking place. It is a continual wave of regeneration infiltrating every aspect and layer of what we understand as life.
Here at the point of the Aries Full Moon, a marker for establishing new beginnings after what has been a phenomenal phase since August, we are in the midst of epic changes where we can no longer connect to what was. We are disconnecting from the past where all appears distant and faded as if it was from an old era totally irrelevant to what is emerging in this new Here and Now.
In the Heart of the sacred centre, the harmonic core of all Beings, lies the Light of the Soul, the power centre of life force. This life force is the magnetic realm for all creation, the Radiant Heart of Divine White Fire.
In this place all creation lies in waiting. All thoughts, visions, desires and wishes exist in the resonance of their creation. In this space of possibility, all things exist in their infinite beingness.
Through the grace of Samadhi we bring these creations to life. We grant them presence through our participation in blending desire and form. Through the magnetics of the life force sustaining all creation, we co-create the union that creates life.
Through this next passage there is a new language forming. This language speaks the Essences of the Soul and establishes within you the greatness that lies in the space beyond.
In this space there are bountiful gifts for the ones that see. There are bountiful gifts for the ones that know. Open your eyes and see into the beyond for there is a thread of Light streaming from this space that will lead you into worlds unknown.
Dear One the Goddesses of the Light are calling all Beings blessed under the Light of the Sun. These Beings are you, they are one and the same, the ones with the coding to be affected by the Light.

domain: literature


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Faces of Beijing Opera
He is a national award-winning artist, whose work is exhibited widely in solo and group exhibitions in galleries and museums and is included in numerous public and private collections. After immigrating to Canada, he began to illustrate and published dozens of children’s books such as Grandpa Joe, Froggy, Ajay, My Stone Lion, Lotus-The Little Bald Girl, etc.
U Art Studio is a professional fine art studio, offers you extensive creative courses such as sketch, acrylic painting, watercolor, oil painting, Chinese traditional ink painting, calligraphy, graphic design, comic, illustration and much more. We are the perfect venue for students and artists to develop and refine their skills in the visual arts.
U ART STUDIO
“I love the studio and my teacher. I won’t go anywhere else.
Point of View
David X. Yu
He chen Yu Art Show
“我已经得了好多次绘画比赛的大奖了，作品还在Toronto City Hall展出过。于老师专业的指导让我进步很快。”


Congratulations KJ Choi! He needed only one extra playoff hole to edge David Toms on Sunday at The Players Championship. This is by far his biggest win on the PGA Tour and is also a milestone for Asian golfers, he becomes the first Asian winner at TPC Sawgrass.
What does this mean for Choi in the long run? Will this new level of achievement allow him to take his game to the next level and become a “first name” golfer here in America like Phil and Tiger?
In my opinion, he’s got what it takes but needs another Major win this year to solidify his status with casual golf fans and, more importantly, advertisers. I’ll be keepin’ a close eye on Mr. Choi this year and hope he keeps winning big!
Shape your shot like KJ Choi! Check out this instructional video at GolfDigest.com!
But for many the talk of the tourney was Graeme McDowell adding his name to the long list of golfers who have come up short on Sunday. “One of my top 10 worst rounds ever,” he said, and this Caveman can’t muster any evidence to the contrary. His 79-stroke final round took away his one-shot lead from the start of the day and left him frustrated, to say the least. “The life just drained right out of me,” he said. “My leg work was pretty sloppy on the back nine there. It was a pretty ugly finish and I was just trying to get out of [his playing partners’] way a little bit after. It was a lonely place out there.”
I’ve been a big fan of Graeme since his surprising US Open win in June 2010, but how he handles this setback will say a lot about his future in professional golf. We’re rootin’ for you here at Rock Bottom Golf, Graeme!
PS: Read more about Graeme McDowell’s bad round and see how it compares to Rory McIlroy’s collapse at Augusta in April at The Guardian


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Ambulatory Surgical Procedures
Serotonin 5-HT3 Receptor Antagonists
Anesthesia Department, Hospital
Anesthesia Recovery Period
Obstetric Surgical Procedures
Oxygen Inhalation Therapy
Randomized Controlled Trials as Topic
Drug Administration Schedule
Drug Therapy, Combination
Dose-Response Relationship, Drug
Effects of anticholinergics on postoperative vomiting, recovery, and hospital stay in children undergoing tonsillectomy with or without adenoidectomy. (1/321)BACKGROUND: Nausea and vomiting are the most frequent problems after minor ambulatory surgical procedures. The agents used to induce and maintain anesthesia may modify the incidence of emesis. When neuromuscular blockade is antagonized with anticholinesterases, atropine or glycopyrrolate is used commonly to prevent bradycardia and excessive oral secretions. This study was designed to evaluate the effect of atropine and glycopyrrolate on postoperative vomiting in children. METHODS: Ninety-three patients undergoing tonsillectomy with or without adenoidectomy were studied. After inhalation induction of anesthesia with nitrous oxide, oxygen, and halothane, anesthesia was maintained with a nitrous oxide-oxygen mixture, halothane, morphine, and atracurium. Patients were randomized to receive, in a double-blinded manner, either 15 microg/kg atropine or 10 microg/kg glycopyrrolate with 60 microg/kg neostigmine to reverse neuromuscular blockade. Patient recovery, the incidence of postoperative emesis, antiemetic therapy, and the duration of postoperative hospital stay were assessed. RESULTS: There were no significant differences in age, gender, weight, or discharge time from the postanesthesia care unit or the hospital between the groups. Twenty-four hours after operation, the incidence of vomiting in the atropine group (56%) was significantly less than in the glycopyrrolate group (81%; P<0.05). There was no significant difference between the atropine and glycopyrrolate groups in the number of patients who required antiemetics or additional analgesics. CONCLUSIONS: In children undergoing tonsillectomy with or without adenoidectomy, reversal of neuromuscular blockade with atropine and neostigmine is associated with a lesser incidence of postoperative emesis compared with glycopyrrolate and neostigmine. (+info)
Comparison of three solutions of ropivacaine/fentanyl for postoperative patient-controlled epidural analgesia. (2/321)BACKGROUND: Ropivacaine, 0.2%, is a new local anesthetic approved for epidural analgesia. The addition of 4 microg/ml fentanyl improves analgesia from epidural ropivacaine. Use of a lower concentration of ropivacaine-fentanyl may further improve analgesia or decrease side effects. METHODS: Thirty patients undergoing lower abdominal surgery were randomized in a double-blinded manner to receive one of three solutions: 0.2% ropivacaine-4 microg fentanyl 0.1% ropivacaine-2 microg fentanyl, or 0.05% ropivacaine-1 microg fentanyl for patient-controlled epidural analgesia after standardized combined epidural and general anesthesia. Patient-controlled epidural analgesia settings and adjustments for the three solutions were standardized to deliver equivalent drug doses. Pain scores (rest, cough, and ambulation), side effects (nausea, pruritus, sedation, motor block, hypotension, and orthostasis), and patient-controlled epidural analgesia consumption were measured for 48 h. RESULTS: All three solutions produced equivalent analgesia. Motor block was significantly more common (30 vs. 0%) and more intense with the 0.2% ropivacaine-4 microg fentanyl solution. Other side effects were equivalent between solutions and mild in severity. A significantly smaller volume of 0.2% ropivacaine-4 microg fentanyl solution was used, whereas the 0.1% ropivacaine-2 microg fentanyl group used a significantly greater amount of ropivacaine and fentanyl. CONCLUSIONS: Lesser concentrations of ropivacaine and fentanyl provide comparable analgesia with less motor block despite the use of similar amounts of ropivacaine and fentanyl. This finding suggests that concentration of local anesthetic solution at low doses is a primary determinant of motor block with patient-controlled epidural analgesia after lower abdominal surgery. (+info)
Postoperative analgesia and vomiting, with special reference to day-case surgery: a systematic review. (3/321)BACKGROUND: Day-case surgery is of great value to patients and the health service. It enables many more patients to be treated properly, and faster than before. Newer, less invasive, operative techniques will allow many more procedures to be carried out. There are many elements to successful day-case surgery. Two key components are the effectiveness of the control of pain after the operation, and the effectiveness of measures to minimise postoperative nausea and vomiting. OBJECTIVES: To enable those caring for patients undergoing day-case surgery to make the best choices for their patients and the health service, this review sought the highest quality evidence on: (1) the effectiveness of the control of pain after an operation; (2) the effectiveness of measures to minimise postoperative nausea and vomiting. METHODS: Full details of the search strategy are presented in the report. RESULTS - ANALGESIA: The systematic reviews of the literature explored whether different interventions work and, if they do work, how well they work. A number of conclusions can be drawn. RESULTS-ANALGESIA, INEFFECTIVE INTERVENTIONS: There is good evidence that some interventions are ineffective. They include: (1) transcutaneous electrical nerve stimulation in acute postoperative pain; (2) the use of local injections of opioids at sites other than the knee joint; (3) the use of dihydrocodeine, 30 mg, in acute postoperative pain (it is no better than placebo). RESULTS-ANALGESIA, INTERVENTIONS OF DOUBTFUL VALUE: Some interventions may be effective but the size of the effect or the complication of undertaking them confers no measurable benefit over conventional methods. Such interventions include: (1) injecting morphine into the knee joint after surgery: there is a small analgesic benefit which may last for up to 24 hours but there is no clear evidence that the size of the benefit is of any clinical value; (2) manoeuvres to try and anticipate pain by using pre-emptive analgesia; these are no more effective than standard methods; (3) administering non-steroidal anti-inflammatory drugs (NSAIDs) by injection or per rectum in patients who can swallow; this appears to be no more effective than giving NSAIDs by mouth and, indeed, may do more harm than good; (4) administering codeine in single doses; this has poor analgesic efficacy. RESULTS-ANALGESIA, INTERVENTIONS OF PROVEN VALUE: These include a number of oral analgesics including (at standard doses): (1) dextropropoxyphene; (2) tramadol; (3) paracetamol; (4) ibuprofen; (5) diclofenac. Diclofenac and ibuprofen at standard doses give analgesia equivalent to that obtained with 10 mg of intramuscular morphine. Each will provide at least 50% pain relief from a single oral dose in patients with moderate or severe postoperative pain. Paracetamol and codeine combinations also appear to be highly effective, although there is little information on the standard doses used in the UK. The relative effectiveness of these analgesics is compared in an effectiveness 'ladder' which can inform prescribers making choices for individual patients, or planning day-case surgery. Dose-response relationships show that higher doses of ibuprofen may be particularly effective. Topical NSAIDs (applied to the skin) are effective in minor injuries and chronic pain but there is no obvious role for them in day-case surgery. RESULTS-POSTOPERATIVE NAUSEA AND VOMITING: The proportion of patients who may feel nauseated or vomit after surgery is very variable, despite similar operations and anaesthetic techniques. Systematic review can still lead to clear estimations of effectiveness of interventions. Whichever anti-emetic is used, the choice is often between prophylactic use (trying to prevent anyone vomiting) and treating those people who do feel nauseated or who may vomit. Systematic reviews of a number of different anti-emetics show clearly that none of the anti-emetics is sufficiently effective to be used for prophylaxis. (ABSTRACT TRUNCATE (+info)
Prophylactic antiemetic therapy with a combination of granisetron and dexamethasone in patients undergoing middle ear surgery. (4/321)We have compared the efficacy of granisetron in combination with dexamethasone with each drug alone in the prevention of postoperative nausea and vomiting (PONV) after middle ear surgery. In a randomized, double-blind study, 120 patients (85 females) received granisetron 3 mg, dexamethasone 8 mg or granisetron 3 mg with dexamethasone 8 mg i.v. (n = 40 in each group), immediately before induction of anaesthesia. A standardized general anaesthetic technique was used. A complete response, defined as no PONV and no need for another rescue antiemetic during the first 3 h after anaesthesia, was recorded in 83%, 50% and 98% of patients who had received granisetron, dexamethasone and granisetron-dexamethasone, respectively. The corresponding incidences during the next 21 h after anaesthesia were 80%, 55% and 98% (P < 0.05; overall Fisher's exact probability test). In summary, prophylactic use of combined granisetron and dexamethasone was more effective than each antiemetic alone for the prevention of PONV after middle ear surgery. (+info)
Neostigmine with glycopyrrolate does not increase the incidence or severity of postoperative nausea and vomiting in outpatients undergoing gynaecological laparoscopy. (5/321)We studied 100 healthy women undergoing outpatient gynaecological laparoscopy in a randomized, double-blind and placebo-controlled study to evaluate the effect of neostigmine on postoperative nausea and vomiting (PONV). After induction of anaesthesia with propofol, anaesthesia was maintained with sevoflurane and 66% nitrous oxide in oxygen. Mivacurium was used for neuromuscular block. At the end of anaesthesia, neostigmine 2.0 mg and glycopyrrolate 0.4 mg, or saline, was given i.v. The incidence of PONV was evaluated in the postanaesthesia care unit, on the ward and at home. The severity of nausea and vomiting, worst pain, antiemetic and analgesic use, times to urinary voiding and home readiness were recorded. During the first 24 h after operation, 44% of patients in the neostigmine group and 43% in the saline group did not have PONV. We conclude that neostigmine with glycopyrrolate did not increase the occurrence of PONV in this patient group. (+info)
Comparison of intrathecal and epidural diamorphine for elective caesarean section using a combined spinal-epidural technique. (6/321)To assess calculated equivalent doses of intrathecal and epidural opioids for elective Caesarean section in terms of quality and duration of analgesia, and incidence of side effects, we have compared 50 patients, allocated randomly to one of two groups to receive either diamorphine 0.25 mg intrathecally (group 1) or 5 mg epidurally (group 2), in addition to intrathecal bupivacaine 10 mg, using a combined spinal-epidural technique. There was no significant difference in duration of analgesia between groups (group 1 mean 14.6 (SD 5.9) h, group 2 14.2 (6.5) h; mean difference 0.8 h; 95% Cl -2.8-4.5; P = 0.65) or quality of analgesia (VAPS and VRS scores). The degree of pruritus was similar in both groups (80-88%) but the incidence of postoperative nausea and vomiting was significantly higher in the epidural group (24% vs 4%; P < 0.05). Intrathecal diamorphine 0.25 mg produced the same duration and quality of postoperative analgesia as epidural diamorphine 5 mg for elective Caesarean section but with significantly less nausea and vomiting. (+info)
Antiemetic activity of the NK1 receptor antagonist GR205171 in the treatment of established postoperative nausea and vomiting after major gynaecological surgery. (7/321)In this double-blind, randomized, parallel group study, we have investigated the antiemetic activity of the potent and selective NK1 receptor antagonist GR205171 25 mg i.v. compared with placebo in the treatment of established postoperative nausea and vomiting (PONV) in patients after major gynaecological surgery performed under general anaesthesia. The incidence of PONV in the study population was 65%. Thirty-six patients were treated with placebo or GR205171 (18 patients per group). GR205171 produced greater control of PONV than placebo over the 24-h assessment period. The stimuli for emesis after PONV are multifactorial and the efficacy of GR205171 in this study supports the broad spectrum potential for NK1 receptor antagonists in the management of postoperative emesis. GR205171 was well tolerated and no adverse events were reported that would preclude the further development of this agent. (+info)
Glycopyrrolate reduces nausea during spinal anaesthesia for caesarean section without affecting neonatal outcome. (8/321)We have tested the hypotheses that glycopyrrolate, administered immediately before induction of subarachnoid anaesthesia for elective Caesarean section, reduces the incidence and severity of nausea, with no adverse effects on neonatal Apgar scores, in a double-blind, randomized, controlled study. Fifty women received either glycopyrrolate 200 micrograms or saline (placebo) i.v. during fluid preload, before induction of spinal anaesthesia with 2.5 ml of 0.5% isobaric bupivacaine. Patients were questioned directly regarding nausea at 3-min intervals throughout operation and asked to report symptoms as they arose. The severity of nausea was assessed using a verbal scoring system and was treated with increments of i.v. ephedrine and fluids. Patients in the group pretreated with glycopyrrolate reported a reduction in the frequency (P = 0.02) and severity (P = 0.03) of nausea. Glycopyrrolate also reduced the severity of hypotension, as evidenced by reduced ephedrine requirements (P = 0.02). There were no differences in neonatal Apgar scores between groups. (+info)
Postoperative nausea and vomiting (PONV) is a common complication that occurs after surgery. It is characterized by feelings of nausea (an unpleasant sensation in the stomach) and vomiting (throwing up) that can occur within hours of surgery. PONV can be caused by a variety of factors, including anesthesia, pain medication, and the stress of surgery. It can be a distressing and uncomfortable experience for patients, and in severe cases, it can lead to dehydration, electrolyte imbalances, and other complications. Treatment for PONV typically involves medications to prevent or relieve nausea and vomiting, as well as supportive care to help patients manage their symptoms.
Nausea is a common sensation of uneasiness or discomfort in the upper stomach with an involuntary urge to vomit. It can be a symptom of various medical conditions, including gastrointestinal disorders, infections, pregnancy, and certain medications. In the medical field, nausea is often evaluated and treated by a healthcare provider to determine the underlying cause and provide appropriate treatment.
Droperidol is a medication that is used to treat nausea and vomiting, particularly in patients who are undergoing chemotherapy or surgery. It is also used to treat anxiety and agitation, and to control hallucinations and delirium in patients with certain mental health conditions. Droperidol is a type of medication called a dopamine antagonist, which means that it blocks the effects of dopamine, a neurotransmitter that plays a role in regulating movement, mood, and other bodily functions. It is available in both oral and injectable forms, and is typically administered by a healthcare professional.
Ondansetron is a medication used to prevent nausea and vomiting caused by chemotherapy, radiation therapy, surgery, or other medical procedures. It is also used to prevent nausea and vomiting caused by motion sickness or morning sickness during pregnancy. Ondansetron works by blocking the action of chemicals in the brain that trigger the feeling of nausea and vomiting. It is available in tablet, oral solution, and injectable forms.
Vomiting is a medical condition characterized by the involuntary and forceful expulsion of the contents of the stomach through the mouth. It is also known as emesis or retching. Vomiting can be a symptom of a variety of medical conditions, including infections, digestive disorders, pregnancy, and certain medications. It can also be a response to toxins, such as those found in certain foods or chemicals. In severe cases, vomiting can lead to dehydration, electrolyte imbalances, and other complications. Treatment for vomiting depends on the underlying cause and may include medications, changes in diet and fluid intake, or other interventions.
Metoclopramide is a medication that is used to treat a variety of gastrointestinal disorders. It is a type of medication called a prokinetic, which means that it helps to speed up the movement of food through the digestive system. Metoclopramide is often used to treat conditions such as nausea and vomiting, gastroparesis (a condition in which the stomach empties too slowly), and acid reflux disease (GERD). It is available in both oral and injectable forms, and is typically prescribed by a doctor or other healthcare professional.
Pain, Postoperative refers to the discomfort or pain experienced by a patient after undergoing surgery. It is a common and expected complication of surgery, and can range from mild to severe. Postoperative pain can be caused by a variety of factors, including tissue damage, inflammation, and nerve stimulation. It is typically managed with a combination of pain medications, such as opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), and local anesthetics, as well as other treatments such as physical therapy, ice packs, and relaxation techniques. Proper management of postoperative pain is important for promoting healing, reducing the risk of complications, and improving the patient's overall comfort and quality of life.
Nitrous oxide, also known as laughing gas, is a colorless, odorless gas that is commonly used in the medical field as an anesthetic and analgesic. It is a potent analgesic, meaning it can help to reduce pain and discomfort during medical procedures, and it is also a sedative, meaning it can help to calm and relax patients. In medical settings, nitrous oxide is typically administered through a mask that covers the patient's nose and mouth. The gas is mixed with oxygen and inhaled by the patient, which helps to produce a feeling of relaxation and euphoria. Nitrous oxide is often used in combination with other anesthetics, such as local anesthetics or general anesthesia, to provide a more complete and effective anesthetic. Nitrous oxide is considered to be a relatively safe anesthetic, with few side effects. However, it can cause dizziness, lightheadedness, and nausea in some patients, and it can also cause a temporary decrease in blood pressure. As with any anesthetic, it is important for patients to follow their doctor's instructions carefully and to report any side effects or concerns to their healthcare provider.
Granisetron is a medication used to prevent nausea and vomiting caused by chemotherapy, radiation therapy, and surgery. It is a 5-hydroxytryptamine (5-HT3) receptor antagonist, which means it blocks the action of a chemical in the brain that can trigger vomiting. Granisetron is available in both oral and injectable forms and is typically administered before or after exposure to the nausea-inducing agent. It is also sometimes used to treat nausea and vomiting caused by motion sickness or surgery.
Propofol is a medication that is commonly used in the medical field for anesthesia. It is a short-acting sedative-hypnotic drug that is administered intravenously to induce and maintain general anesthesia. Propofol works by binding to specific receptors in the brain, which leads to a loss of consciousness and muscle relaxation. It is often used in combination with other anesthetic drugs and is also used to manage pain and anxiety in intensive care units and during medical procedures. Propofol is a powerful drug and can cause serious side effects if not administered properly, so it is typically only used by trained medical professionals in a controlled setting.
Postoperative complications are adverse events that occur after a surgical procedure. They can range from minor issues, such as bruising or discomfort, to more serious problems, such as infection, bleeding, or organ damage. Postoperative complications can occur for a variety of reasons, including surgical errors, anesthesia errors, infections, allergic reactions to medications, and underlying medical conditions. They can also be caused by factors such as poor nutrition, dehydration, and smoking. Postoperative complications can have serious consequences for patients, including prolonged hospital stays, additional surgeries, and even death. Therefore, it is important for healthcare providers to take steps to prevent postoperative complications and to promptly recognize and treat them if they do occur.
Fentanyl is a synthetic opioid pain medication that is approximately 100 times more potent than morphine. It is used to treat severe pain, such as that caused by cancer or after surgery. Fentanyl is available in a variety of forms, including tablets, lozenges, patches, and injections. It is also sometimes used in combination with other medications, such as hydromorphone or oxycodone, to increase their effectiveness. Fentanyl can be highly addictive and can cause respiratory depression, which can be life-threatening. It is important to use fentanyl only under the guidance of a healthcare professional and to follow their instructions carefully.
Morphine is a powerful opioid medication that is used to relieve severe pain. It is derived from the opium poppy and is one of the most potent naturally occurring opioids. Morphine works by binding to specific receptors in the brain and spinal cord, which can reduce the perception of pain and produce feelings of euphoria. It is often prescribed for patients who are experiencing severe pain, such as those with cancer or after surgery. Morphine can be administered in a variety of ways, including orally, intravenously, or through injection. It can also be used in combination with other medications to enhance its pain-relieving effects. However, morphine can also be highly addictive and can lead to dependence and withdrawal symptoms if used for an extended period of time. It is important for patients to use morphine only as directed by their healthcare provider and to avoid taking more than the recommended dose.
Alfentanil is a synthetic opioid medication that is used for anesthesia during surgery or other medical procedures. It is a strong analgesic, meaning it is highly effective at reducing pain, and is often used in combination with other anesthetic drugs to provide a deeper level of sedation and pain relief. Alfentanil is a short-acting opioid, meaning its effects wear off quickly, which allows for easier recovery and reduced risk of respiratory depression. It is typically administered intravenously, although it can also be given by inhalation or injection. Alfentanil is a controlled substance and is only available by prescription from a qualified healthcare provider.
Strabismus is a medical condition in which the eyes are not aligned properly, causing them to point in different directions. This can result in double vision, difficulty seeing in depth, and other visual problems. Strabismus can be caused by a variety of factors, including muscle weakness or paralysis, nerve damage, or problems with the brain's visual processing centers. Treatment for strabismus may include glasses, patches, eye exercises, or surgery, depending on the underlying cause and severity of the condition.
Dexamethasone is a synthetic glucocorticoid hormone that is used in the medical field as an anti-inflammatory, immunosuppressive, and antipyretic agent. It is a potent corticosteroid that has a wide range of therapeutic applications, including the treatment of allergic reactions, inflammatory diseases, autoimmune disorders, and cancer. Dexamethasone is available in various forms, including tablets, injections, and inhalers, and is used to treat a variety of conditions, such as asthma, COPD, rheumatoid arthritis, lupus, multiple sclerosis, and inflammatory bowel disease. It is also used to treat severe cases of COVID-19, as it has been shown to reduce inflammation and improve outcomes in patients with severe illness. However, dexamethasone is a potent drug that can have significant side effects, including weight gain, fluid retention, high blood pressure, increased risk of infection, and mood changes. Therefore, it is typically prescribed only when other treatments have failed or when the potential benefits outweigh the risks.
Pruritus is a medical term used to describe an intense, persistent, and often uncontrollable urge to scratch or rub a particular area of the skin. It is commonly referred to as "itching" and can be caused by a variety of factors, including skin conditions, infections, allergies, hormonal changes, and certain medications. Pruritus can be a symptom of many different medical conditions, such as eczema, psoriasis, liver disease, kidney disease, and cancer. It can also be a side effect of certain medications, such as antibiotics, antihistamines, and chemotherapy drugs. Treatment for pruritus depends on the underlying cause. In some cases, over-the-counter creams or ointments may be sufficient to relieve symptoms. In more severe cases, prescription medications or other treatments may be necessary. It is important to consult a healthcare professional if you are experiencing persistent or severe itching, as it could be a sign of an underlying medical condition that requires treatment.
Quinolizines are a class of organic compounds that contain a six-membered ring with two nitrogen atoms. They are structurally related to quinolines, which have a similar ring structure but with only one nitrogen atom. Quinolizines have a wide range of biological activities and are used in the treatment of various medical conditions, including: 1. Antimalarial drugs: Quinolizines are used as antimalarial drugs, such as chloroquine and hydroxychloroquine, which are used to treat and prevent malaria. 2. Antipsychotic drugs: Quinolizines are also used as antipsychotic drugs, such as chlorpromazine and thioridazine, which are used to treat schizophrenia and other psychotic disorders. 3. Antihistamines: Quinolizines are used as antihistamines, such as astemizole and terfenadine, which are used to treat allergies and other conditions caused by histamine release. 4. Antifungal drugs: Quinolizines are used as antifungal drugs, such as ketoconazole and itraconazole, which are used to treat fungal infections. 5. Anticancer drugs: Quinolizines are also used as anticancer drugs, such as quinoline-8-carboxylic acid, which is being studied for its potential to treat various types of cancer. Overall, quinolizines have a diverse range of biological activities and are used in the treatment of various medical conditions.
Neostigmine is a medication that is used to treat certain muscle disorders, such as myasthenia gravis, and to reverse the effects of certain medications that cause muscle weakness, such as neuromuscular blockers used during surgery. It works by increasing the activity of a neurotransmitter called acetylcholine, which helps to improve muscle strength and coordination. Neostigmine is available in both injectable and oral forms, and is typically administered by a healthcare professional. It can cause side effects such as nausea, vomiting, diarrhea, and muscle cramps.
Sufentanil is a synthetic opioid analgesic that is used in medicine for the relief of severe pain. It is a potent and short-acting opioid, with a rapid onset and a relatively brief duration of action. Sufentanil is often used in anesthesia and intensive care medicine, as well as for the management of acute pain in the emergency department. It is available in a variety of forms, including intravenous injection, intramuscular injection, and transdermal patch. Sufentanil is a Schedule II controlled substance in the United States, meaning that it has a high potential for abuse and dependence.
Piperidines are a class of organic compounds that contain a six-membered ring with nitrogen atoms at positions 1 and 4. They are commonly used in the pharmaceutical industry as a building block for the synthesis of a wide range of drugs, including analgesics, anti-inflammatory agents, and antihistamines. Piperidines are also found in natural products, such as alkaloids, and have been used in traditional medicine for their various therapeutic effects. In the medical field, piperidines are often used as a starting point for the development of new drugs, as they can be easily modified to produce a wide range of pharmacological activities.
Methyl ethers are organic compounds that contain a methyl group (CH3) attached to an oxygen atom. They are a type of ether, which is a functional group consisting of an oxygen atom bonded to two alkyl or aryl groups. In the medical field, methyl ethers are used as anesthetic agents, particularly for induction of anesthesia. They are also used as solvents and as intermediates in the synthesis of other compounds. Some methyl ethers have been found to have potential medicinal properties, such as anti-inflammatory and analgesic effects. One example of a methyl ether used in medicine is methoxyflurane, which was once a common anesthetic but has been largely replaced by other agents due to its potential for toxicity and side effects. Other methyl ethers that have been studied for their potential medicinal properties include diisopropyl ether and tert-butyl methyl ether.
Isoflurane is a volatile anesthetic gas that is commonly used in medical procedures to induce and maintain general anesthesia. It is a colorless, odorless gas that is similar in structure to halothane, another anesthetic gas. When inhaled, isoflurane produces a state of unconsciousness and a lack of response to pain, allowing medical procedures to be performed without the patient feeling any discomfort. It also has a relatively low risk of causing side effects, such as nausea, vomiting, or respiratory depression. Isoflurane is often used in combination with other anesthetics, such as opioids or muscle relaxants, to provide a more complete anesthetic effect. It is also used in veterinary medicine and in research settings to induce anesthesia in animals.
Motion sickness, also known as seasickness, car sickness, or vertigo, is a common condition that affects people when they experience a mismatch between the sensory information received by the brain and the body's actual movement. The brain relies on information from the inner ear, which detects changes in head position and movement, and the eyes, which provide visual cues about the environment. When these two sources of information do not match, the brain becomes confused and can trigger symptoms such as dizziness, nausea, vomiting, sweating, and headache. Motion sickness can occur in a variety of situations, including traveling in a car, plane, or boat, riding a roller coaster, or watching a 3D movie. It is more common in children and young adults, and some people may be more susceptible to motion sickness than others. Treatment for motion sickness may include over-the-counter medications such as antihistamines or motion sickness bands, as well as lifestyle changes such as avoiding triggers, getting plenty of rest, and staying hydrated. In severe cases, medical treatment may be necessary.
Postoperative nausea and vomiting
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- The global postoperative nausea and vomiting (ponv) treatment market is expected to witness a significant CAGR of X.X% during the forecast period from 2023 to 2030. (researchcorridor.com)
- The global postoperative nausea and vomiting (ponv) treatment market report provides a comprehensive understanding of the industry being analyzed. (researchcorridor.com)
- The postoperative nausea and vomiting (ponv) treatment market report offers a primary overview of the postoperative nausea and vomiting (ponv) treatment industry covering different product definitions, classifications, and participants in the industry chain structure. (researchcorridor.com)
- The global postoperative nausea and vomiting (ponv) treatment market report examines the market dynamics, trends, and opportunities across major regions, including North America, Europe, Asia Pacific, Latin America, and the Middle East and Africa (MEA). (researchcorridor.com)
- The purpose of this study was to look at the effectiveness of low dose granisetron, a common antiemetic used for postoperative nausea and vomiting (PONV). (und.edu)
- Prevention of postoperative nausea and vomiting (PONV) for up to 24 hours following surgery. (tevausa.com)
- NEW ORLEANS -- There was no benefit to giving patients supplemental oxygen during surgery to reduce postoperative nausea and vomiting (PONV), according to a post hoc analysis of a randomized trial. (medpagetoday.com)
- There are no shortage of reasons to make preventing postoperative nausea and vomiting (PONV) a top priority, as this problematic complication often prolongs. (aorn.org)
- Demonstrated antiemetic efficacy in pregnancy, postoperative nausea and vomiting and vertigo . (rxlist.com)
- nausea and vomiting associated with initial and repeat courses of moderately emetogenic cancer chemotherapy. (nih.gov)
- Palonosetron hydrochloride injection-in a class of medications called 5-HT 3 receptor antagonists-is used in adults to prevent nausea and vomiting that may occur as a result of receiving cancer chemotherapy with a moderate or high risk of causing nausea and vomiting. (tevausa.com)
- This double-blind clinical trial assessed the incidence of nausea and vomiting after cataract surgery with intravenous anaesthesia in 100 patients randomly assigned to preinduction placebo (saline), metoclopramide (10 mg), dexamethasone (8 mg) or the 2 drugs combined. (who.int)
- The incidence of nausea in the recovery room was 44% with placebo, 20% with metoclopramide, 16% with dexamethasone and 8% with the combination. (who.int)
- The incidence of vomiting was 20%, 4%, 4% and 0% respectively in the 4 groups. (who.int)
- In patients where nausea and vomiting must be avoided during the postoperative period, palonosetron hydrochloride injection is recommended even where the incidence of postoperative nausea and/or vomiting is low. (tevausa.com)
- In clinical trials, the most common adverse reactions in chemotherapy-induced nausea and vomiting in adults (incidence ≥ 5%) were headache and constipation. (tevausa.com)
- The most common adverse reactions in postoperative nausea and vomiting (incidence ≥ 2%) were QT prolongation, bradycardia, headache, and constipation. (tevausa.com)
- It can be effective in treatment of dyspepsia , migraine headache , morning sickness, nausea ( chemo induced), post-operative nausea and/or vomiting, osteoarthritis , respiratory infections, rheumatoid arthritis and for SSRI taper/discontinuation. (rxlist.com)
- The information from this study is beneficial to anesthesia providers in helping prevent and treat postoperative nausea and vomiting and to nursing professionals in helping improve patient outcome and satisfaction following open cholecystectomy and abdominal hysterectomy surgery. (und.edu)
- In the ambulatory surgery environment, regional anesthesia is a go-to technique for reducing postoperative pain. (aorn.org)
- [ 6 ] They reported a better outcome in the ERAS group with implementation of only the postoperative components of ERAS. (medscape.com)
- There are some high quality trials that support the use of acupuncture for some types of pain and nausea, but there are also high quality trials that contradict this conclusion. (dcscience.net)
- Results were unconvincing for most conditions, although there is some evidence to suggest that acupuncture may be effective for postoperative nausea and vomiting, and that hypnotherapy may be effective in reducing procedure-related pain. (positivehealth.com)
- prevention of radiation-induced nausea and vomiting (greater than or equal to 2%) are: headache, constipation, and diarrhea. (nih.gov)
- Nausea and Vomiting During Early Pregnancy Pregnancy frequently causes nausea and vomiting. (msdmanuals.com)
- Scientific studies suggest ginger is effective for pregnancy-related nausea and postoperative nausea and vomiting, but not for nausea caused by chemotherapy. (msdmanuals.com)
- Ginger is relatively safe and may be effective for pregnancy-related nausea and postoperative nausea and vomiting. (msdmanuals.com)
- Cette étude clinique en double aveugle évaluait l'incidence des nausées et des vomissements après une chirurgie de la cataracte avec anesthésie par voie intraveineuse chez 100 patients auxquels un placebo (eau saline), du métoclopramide (10 mg), de la dexaméthasone (8 mg) ou les deux médicaments associés avaient été administrés de manière randomisée avant l'opération. (who.int)
- L'association du métoclopramide et de la dexaméthasone a considérablement réduit les nausées et vomissements, non seulement en salle de réveil mais également dans les 24 heures qui suivent, et est recommandée pour les groupes à haut risque, notamment pour les patients opérés en ambulatoire. (who.int)
- nausea and vomiting associated with radiotherapy in patients receiving either total body irradiation, single high-dose fraction to the abdomen, or daily fractions to the abdomen. (nih.gov)
- A number of subspecialties have started implementing ERAS in their patients and have shown improved postoperative outcomes. (medscape.com)
- Several studies have documented the inability of nurses, physicians, and parents/guardians to correctly identify and treat pain, even in postoperative pediatric patients. (nysora.com)
- As with other antiemetics, routine prophylaxis is not recommended in patients in whom there is little expectation that nausea and/or vomiting will occur postoperatively. (tevausa.com)
- Preoperative, intraoperative, and postoperative components of Enhanced Recovery After Surgery (ERAS). (medscape.com)
- It is also given to prevent nausea and vomiting up to 24 hours after surgery. (tevausa.com)
- The effect of neostigmine and atropine combination on postoperative nausea and vomiting after arthroscopic surgery]. (bvsalud.org)
- Although there was no significant difference in the 1-year morbidity among the groups, heart failure was observed in one patient in the high liberal group in the early postoperative period. (dovepress.com)
- This patient tolerated oral analgesics, but acetaminophen can be administered intravenously for those experiencing problems with postoperative nausea and vomiting. (netce.com)
- prevention of postoperative nausea and vomiting (greater than or equal to 9%) are: headache and hypoxia. (nih.gov)
- At this time, basic postoperative issues can also be addressed, including the anticipated length of hospital stay, the activity and dietary restrictions in the postoperative period, and the time the child will likely be away from school. (medscape.com)
- Metoclopramide plus dexamethasone combination significantly decreased nausea and vomiting both in the recovery room and 24 hours afterwards and is recommended for high-risk groups, especially in outpatient surgeries. (who.int)
- Meta-analysis of acustimulation effects on postoperative nausea and vomiting in children. (bvsalud.org)
- Fourth Consensus Guidelines for the Management of Postoperative Nausea and Vomiting. (nih.gov)
- The components of ERAS may be broadly divided into preadmission, preoperative, intraoperative, and postoperative phases, each of which includes various distinct components (see the image below). (medscape.com)
- In contrast to other studies that used limited intra- and postoperative care elements, the authors maximized the use of ERAS care elements in the study population, including the preoperative components whenever feasible and most of the intraoperative and postoperative components. (medscape.com)
- National Institutes of Health (NIH) studies have shown that acupuncture is an effective treatment alone or in combination with conventional therapies to treat the following: Nausea caused by surgical anesthesia and cancer chemotherapy. (kembrel.com)
- Prevention and treatment of nausea and vomiting in chemotherapy with cytostatics. (lekarstwo.ru)
- It was approved by the FDA in July 2003 to treat Chemotherapy-induced nausea and vomiting. (mrmed.in)
- It is also used to treat Chemotherapy induced nausea & vomiting. (mrmed.in)
- In certain people, cannabinoids may be effective in reducing chemotherapy associated nausea and vomiting. (parasitetesting.com)
- 1). Anaesthesia, 1994, Volume 49 (Supplement), pages 34-37 Ondansetron, clinical development for postoperative nausea and vomiting: current studies and future directions A. F. JOSLYN Summary The clinical development of ondansetron for the prevention and treatment of postoperative nausea and vomiting has been progressing for 5 years, and continues as new directions of research are being … transdermal scopolamine). (shakhidi.com)
- Ondansetron (Zofran) is effective for nausea and vomiting but is expensive. (parasitetesting.com)
- The mean postoperative total opioid requirement per patient was 32 mg of pethidine. (hkmj.org)
Urge to vomit2
- Vomiting, or emesis, is defined as the expulsion of gastric contents through the mouth after contraction of the abdominal muscle, the descent of the diaphragm and the opening of the gastric cardia. (hospitalpharmacyeurope.com)
- Postoperative Nausea and Vomiting market report covers a descriptive overview and comprehensive insight of the Postoperative Nausea and Vomiting Epidemiology and Postoperative Nausea and Vomiting market in the 7MM (the United States, EU5 (Germany, Spain, France, Italy, UK) & Japan. (mountaintoday.in)
- number of conditions involving balance such as motion sickness and vertigo can lead to nausea and vomiting. (parasitetesting.com)
- Nausea, retching, or vomiting usually occurs during the first 24-48 h after surgery in inpatients. (mountaintoday.in)
- It suppresses vomiting that occurs when the parasympathetic nervous system is excited due to the release of serotonin by enterochromaffin cells. (lekarstwo.ru)
- The chemotherapeutic trigger zone( CTZ) contains the receptor serotonin, when this CTZ is stimulated, vomiting occurs. (mrmed.in)
- Dimenhydrinate (Gravol) is an inexpensive and effective medication for preventing postoperative nausea and vomiting. (parasitetesting.com)
- The released serotonin may stimulate the vagal afferents through the 5-HT receptors and initiate the vomiting reflex. (nih.gov)
- The vomiting centre in the brainstem is activated by the chemoreceptor trigger zone (CTZ), which is rich in serotonin type-3 (5HT3), histamine type-1 (H1), muscarinic cholinergic type-1 (M1), dopamine type-2 (D2), neurokinin type-1 (NK1) and opioid receptors. (hospitalpharmacyeurope.com)
- In addition, stimulation of H1 and/or M1 receptors in the vestibular labyrinth via the CTZ can also activate the vomiting centre. (hospitalpharmacyeurope.com)
- Finally, peripheral input via gastrointestinal vagal nerve fibres can also stimulate the brainstem vomiting centre by activation of 5HT3, NK1 or D2 receptors. (hospitalpharmacyeurope.com)
- Then, efferent pathways involving the salivary, respiratory and vasomotor centres and cranial nerves mediate vomiting. (hospitalpharmacyeurope.com)
- and Dr. Pace for their interest in our meta-regression analysis of the relationship of duration of exposure to the risk of nitrous oxide (N 2 O)-induced postoperative nausea and vomiting. (asahq.org)
- The influence of type of surgery on postoperative nausea and vomiting risk is still debated, and a rationale for a differential effect of nitrous oxide in specific surgeries is unclear. (asahq.org)
- 11. A comparison between inhalational (Desflurane) and total intravenous anaesthesia (Propofol and dexmedetomidine) in improving postoperative recovery for morbidly obese patients undergoing laparoscopic sleeve gastrectomy: A double-blinded randomised controlled trial. (nih.gov)
- The Postoperative Nausea and Vomiting market report provides insights on the current and emerging therapies. (mountaintoday.in)
- The dynamics of the Postoperative Nausea and Vomiting market are anticipated to change in the coming years owing to the expected launch of emerging therapies by key companies such as Vivozon, Avenue Therapeutics, Taiwan Liposome Company , and others during the forecasted period 2019-2032. (mountaintoday.in)
- A person can suffer nausea without vomiting. (parasitetesting.com)
- The paucity of data on postoperative IPNs for esophageal cancer causes a clinical dilemma. (bvsalud.org)
- A meta-analysis of 13 studies (1174 subjects) reported ginger was significantly more effective than placebo in relieving pregnancy-related nausea but not vomiting. (msdmanuals.com)
- Meta-analysis of acustimulation effects on postoperative nausea and vomiting in children. (bvsalud.org)
- Featured Review: Drugs for preventing postoperative nausea and vomiting in adults after general anaesthesia: a network meta-analysis Why are people sick after an operation? (shakhidi.com)
- Stimulation of these chemoreceptor triggers activates the vomiting centre. (hospitalpharmacyeurope.com)
- Nausea or "morning sickness" is common during early pregnancy but may occasionally continue into the second and third trimesters. (parasitetesting.com)
- Pregnancy should therefore be considered as a possible cause of nausea in any women of child bearing age. (parasitetesting.com)
- Pyridoxine or metoclopramide are the first line treatments for pregnancy related nausea and vomiting. (parasitetesting.com)
- Netupitant, Palonosetron is an anti-emetic agent used to treat Postoperative nausea & vomiting. (mrmed.in)
- Metoclopramide plus dexamethasone combination significantly decreased nausea and vomiting both in the recovery room and 24 hours afterwards and is recommended for high-risk groups, especially in outpatient surgeries. (who.int)
- We analysed 30 consecutive cases between 1 January 2015 and 31 March 2015 to investigate the postoperative opioid requirements using this anaesthesia protocol. (hkmj.org)
- If dehydration is present due to loss of fluids from severe vomiting and/or accompanying diarrhea, rehydration with oral electrolyte solutions is preferred. (parasitetesting.com)
- Many medications can potentially cause nausea. (parasitetesting.com)
- L'incidence des nausées en salle de réveil était de 44 % avec le placebo, 20 % avec le métoclopramide, 16 % avec la dexaméthasone et 8 % avec l'association des deux médicaments. (who.int)
- Postoperative nausea and vomiting remains a common cause of morbidity. (shakhidi.com)


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Having reached the quarter-mark of the season, it makes sense to look back on how the Yankees performed. Heading into Wednesday’s doubleheader, the team owned a 24-16 record. The club also fielded a star-studded injured list, one that ran a mile long. Replacement players came and went, but one thread held constant and deserves credit for the success: Aaron Boone.
Yankees fans were quick to sour on Boone in 2019, especially after his tough ALDS. Injuries and a stretch of poor play toppled his approval mark to just 34% in Week Four. He rebounded nicely, however, and currently owns a 71% favorable rating.
While he has a ways to go to catch up to his season-opening 84%, it’s clear fans appreciate his work. Boone deserves a lot of credit for managing the squad to a playoff position.
This week’s national question has to do with the length of games.
Too slow? Maybe. But fans overwhelmingly agree that games don’t need shortening.
If you missed out on this poll but would like to join us for future ones, sign up at the link above. We’ll have more questions and answers next week!


text:
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text:
Guangzhou’s catering has always been regarded as the best in mainland of China, and has a large number of experienced old and famous shops, as well as the new boutiques, including the numerous traditional and new dishes, famous snacks, and flavor food.
Guangzhou cuisine is the representative of Cantonese cuisine, with tea and soup as its major featured food, which is also a unique local food culture. Most delicious and authentic restaurants are concentrated in the old city (Yuexiu District Liwan District, Haizhu District), Panfu Road, Jiangnan West Road, Huifu East Road, Shang Xia Jiu Pedestrian Street and other places.
Baiyun trotter is one of Guangzhou traditional dishes, fat but not greasy, crisp, and fresh. This dish is available in general restaurants in Guangzhou, and Baiyun trotter in the restaurant on the peak of Baiyun Mountain is the most delicious.
Tingzai Porridge is a kind of Cantonese porridge, and is made with fish, fried peanuts and other ingredients. This dish was original made on the river of Lichee Bay. The porridge taste creamy and sweet, suitable for all tastes.
Eight Treasures Melon Soup
Eight Treasures Melon Soup is a kind of soup in summer. The melon is used as the container when making the soup, so the soup got its name, when eating the dish, slowly scraped the fresh melon with a spoon, don’t put soy sauce. This dish is aesthetically pleasing, light and delicious, so is good to eat in the hot summertime.
Claypot cooking is a technique of cooking food, and the Guangdong's traditional cuisine. There are totally 20 kinds of Cantonese-style claypot flavor cooking, such as sausages, mushrooms slippery chicken, tempeh ribs, liver, roast duck, plain chicken and so on. Claypot Rice is the food in an unglazed clay pot which has been soaked in water so as to release steam during the cooking process. Typically, an unglazed clay pot is submerged for 15 to 30 minutes to absorb water before cooking, then filled with the food and placed into an oven. The walls of the pot help to diffuse the heat, and as the pot warms it releases the water as steam.
Roast goose is a traditional grill roast meat in Guangzhou. Derived from roast duck, roast goose is in golden red color, and delicious taste. There are many roast goose shops in the markets.
Pork tripe stew chicken
Pork tripe stew chicken, or Pork bellies chicken pot, is an essential soup before the banquet for Hakka people in Guangzhou region, with a rich aroma of herbs and pepper.
Beef offal is one kind of food stew with beef, cow offal and other offal for several hours. You can eat the beef offal in many ways, such as offal hotpot, offal seafood, offal string offal etc.
Double-skin pudding is also known as Shuangpinai, and as its name, contains double-skin made from milk and egg white and sugar. This snack is one of Guangzhou people's favorite.
Feel free to contact us if you require any further information.

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