text:
Once again the continuing criticism of the Mildura Country Music Festival by Lorrelle Lee is factually incorrect.
The festival committee had a signed contract to have the entertainment indoors at the Mildura Gateway Tavern. The new CEO at the Mildura Gateway Tavern called myself in, and advised that he was moving all of the shows outdoors.
We co-operate with all of the venues wishes, we are just providing them with the entertainment.
The venues pay for the entertainment and it is their right to do as they wish. The festival committee was requested by the Mildura Airport CEO to provide entertainment on each day of the festival.
The idea behind this request was to provide some entertainment to the travellers while waiting for their flight, with little financial gain to the airport. If other people wish to see those artists, yes, they have to comply with security checking, however they are able to see the same artists at many other venues.
I see this an act of goodwill for the travelling public by the airport, it’s just a pity more businesses in Mildura don’t give the same support.
If Ms Lee wants to talk about new blood, over 230 artists applied to be at the festival, a spot here is strongly sought after and we have 22 new artists at the festival this year. There are a variety of shows at over 26 venues.
The festival surveys are filled out by the visitors, not me, and confirms that the festival injected more than $4 million into our community last year.
The visitors stayed an average of 10 nights and the festival had a visitor satisfaction rating of 96 per cent.
Ms Lee is welcome to call me to discuss her regular and unsubstantiated concerns.
Mildura Country Music Festival co-ordinator


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Joined: 16 February 2006
Geet & Rang Badalti Odhani begin their journey on STAR One.
Star One launches a fresh line up of content viz. 2 new fiction shows, Geet ' Hui Sabse Parayi and Rang Badalti Odhani, beginning from April 5th at 9.30 p.m. and 10 p.m. respectively from Monday to Friday.
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Joined: 25 May 2007
In conversation with Perneet...
Read on to find out who are the 'phooljhadis' and 'Sutli Bombs' of Tv...
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domain: entertainment


text:
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domain: agronomy


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Fall Ballroom Dancing Weekend: Pipestem
November 17 – November 19
Ballroom dancing at Pipestem Resort State Park returns November 17-19, 2023 with instructor Alicia Elam Clark and Deejay Jerry Bean as your hosts. The ballroom dance activities are in the Hudkins Conference Center at Pipestem’s McKeever Lodge. The weekend welcomes one and all.
Here’s the two-step, the cha-cha-cha, the waltz, the schedule for this popular dance weekend at Pipestem:
FRIDAY, November 17, 2023
7:00 p.m. – 8:00 p.m.: Social w/ light snacks and Pre-Lesson Warm-Up
Let’s meet everyone and dance a little
8:00 p.m. – 9:00 p.m.: Dance Lesson #1
9:00 p.m. – 10:00 p.m.: Dance Lesson #2
10:00 pm – Midnight: Open Ballroom Dancing – Practice your new moves
* Casual Dress for Classes and Friday Night Dance * Cash Bar 10:00 p.m. – 12:00 a.m.
SATURDAY, November 18, 2023
7:30 a.m. – 11:00 a.m.: Breakfast on your own (The Bluestone Dining Room is open)
10:30 a.m. – 11:30am: Saturday Morning Mixer
11:30 a.m.- 4:30 p.m.: Lunch on your own (The Bluestone Dining Room is open)
1:00 p.m. – 2:00 p.m.: Dance Lesson #3
2:15 p.m.- 3:15pm. : Dance Lesson #4
3:15 p.m. – 4:00 p.m.: Practice your moves
5:30 p.m. – 8:00 p.m.: Dinner in The Bluestone Dining Room
8:00 p.m. – Midnight :Evening Ballroom Dance
*Evening Dance – Formal/Semi-Formal or Dressy * Cash Bar 8:00 p.m. – 12:00 a.m.
SUNDAY, November 19, 2023
7:30 a.m. – 11:00 a.m.: Breakfast on your own (The Bluestone Dining Room)
Room checkout is at 11:00 a.m. Cottage checkout is at 10:00 a.m.
For more information about ballroom dancing weekend, contact Alicia Elam Clark at firstname.lastname@example.org. The dance weekend package cost $391.18 for one room, 2 guests, $294.36 for one room, 1 guest (Gorge View Room). To make reservations for the weekend packages that include accommodation at Pipestem Resort’s McKeever Lodge, Friday social, Saturday Dinner and ballroom dancing instruction, and evening dances for two, call Pipestem Resort at 304-466-1800.
About Alicia Elam Clark
Alicia Clark is a Charleston W.Va. native and dance instructor with over 20 years of experience teaching in dance studies, community programs and colleges. She’s a leader within the dance community, including USA Dance and Dancing with the Stars Charleston. She is a group and private lesson instructor to social dances, dance schools and studios.


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A chawl in Ghatkopar is soon to be razed. Its dilapidated shell, narrow doorways, colonial pillars, rusted walls and cracked windows contradict its existence as the “lifeline” of Mumbai. For Mumbai-based Sudarshan Shetty, it is reminiscent of a place he grew up in. The chawl becomes the subject of a 10-minute video Waiting for Others to Arrive for his solo exhibition titled “Every Broken Moment, Piece by Piece” at GALLERYSKE.
“It is an analogy to loss. The film is a space for regeneration and my inner urge to preserve it,” says Shetty. Showcasing after 10 years in the Capital, his other nine mixed media works comprising broken ceramic crockery, vases, old wooden doors and chairs on display bring out the theme of the show, which according to the artist “is about recalling times gone by and is an attempt at rebuilding them. Every object in the show around us, in some way or the other, reflects our sense
The 52-year-old has had his work tour international galleries including Tate Modern in London and New York’s Guggenheim Museum in the last decade. In this exhibition, he has scaled down his exhibits, as could be seen in an untitled work of ceramic China cups lying on a table. Nowhere close to his often large monumental sculptures, such as the 9,000-kg Flying Bus sculpture a red painted bus with large steel wings — that was displayed at the Bandra Kurla Complex. The ceramic cups were “artificially broken” and redesigned with carved wood in the broken areas. “There is an old saying that ceramic can never be mended. It’s pointless fixing it but this is my attempt at rebuilding it though it is never going to remain the same,” he says.
Another untitled kiosk-like structure, made using old pieces of wooden doors, resembles his 2010-installation for Louis Vuitton, titled House of Shades, which he made using 700 pairs of sunglasses. As one steps into the hut, which borrows elements from different architecture styles, including south Indian temples, a writing on the wall “God envies my mortality” greets the viewer.
Shetty’s solo show after 10 years certainly is a reminder of how moments are pieced together to make a memorable comeback.
The exhibition is on display till February 28 at GALLERYSKE, Connaught Place. Contact: 65652724

domain: artistic


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Methods of weaning from mechanical ventilation
- Scott K Epstein, MD
Scott K Epstein, MD
- Professor of Medicine
- Tufts University School of Medicine
- Allan Walkey, MD, MSc
Allan Walkey, MD, MSc
- Assistant Professor of Medicine
- The Pulmonary Center, Boston University School of Medicine
Discontinuation of mechanical ventilation is a two-step process, consisting of readiness testing and weaning:
●Readiness testing – Readiness testing is the evaluation of objective criteria to determine whether a patient might be able to successfully and safely wean from mechanical ventilation.
●Weaning – Weaning is the process of decreasing the amount of support that the patient receives from the mechanical ventilator, so the patient assumes a greater proportion of the ventilatory effort. The purpose is to assess the probability that mechanical ventilation can be successfully discontinued. Weaning may involve either an immediate shift from full ventilatory support to a period of breathing without assistance from the ventilator or a gradual reduction in the amount of ventilator support [1,2]. Weaning has also been referred to as the discontinuation of mechanical ventilation or liberation from the mechanical ventilator.
Patients who wean successfully have less morbidity, mortality, and resource utilization than patients who require prolonged mechanical ventilation or the reinstitution of mechanical ventilation [3-6]. The most successful weaning strategies include a daily assessment of the patient's readiness to wean and the careful use of sedatives [7,8].
Weaning methods are reviewed here. Assessment of a patient's readiness to wean and the extubation process are described separately. (See "Weaning from mechanical ventilation: Readiness testing" and "Extubation management".)To continue reading this article, you must log in with your personal, hospital, or group practice subscription. For more information on subscription options, click below on the option that best describes you:
- Slutsky AS. Mechanical ventilation. American College of Chest Physicians' Consensus Conference. Chest 1993; 104:1833.
- Tobin MJ, Jubran A. Weaning from mechanical ventilation. In: Principles and Practice of Mechanical Ventilation, Jubran A, Tobin MJ (Eds), McGraw Hill, New York 2006. p.1185.
- Esteban A, Anzueto A, Frutos F, et al. Characteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day international study. JAMA 2002; 287:345.
- Coplin WM, Pierson DJ, Cooley KD, et al. Implications of extubation delay in brain-injured patients meeting standard weaning criteria. Am J Respir Crit Care Med 2000; 161:1530.
- Unroe M, Kahn JM, Carson SS, et al. One-year trajectories of care and resource utilization for recipients of prolonged mechanical ventilation: a cohort study. Ann Intern Med 2010; 153:167.
- Epstein SK, Ciubotaru RL, Wong JB. Effect of failed extubation on the outcome of mechanical ventilation. Chest 1997; 112:186.
- Girard TD, Kress JP, Fuchs BD, et al. Efficacy and safety of a paired sedation and ventilator weaning protocol for mechanically ventilated patients in intensive care (Awakening and Breathing Controlled trial): a randomised controlled trial. Lancet 2008; 371:126.
- Ely EW, Baker AM, Dunagan DP, et al. Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 1996; 335:1864.
- Esteban A, Ferguson ND, Meade MO, et al. Evolution of mechanical ventilation in response to clinical research. Am J Respir Crit Care Med 2008; 177:170.
- Esteban A, Frutos F, Tobin MJ, et al. A comparison of four methods of weaning patients from mechanical ventilation. Spanish Lung Failure Collaborative Group. N Engl J Med 1995; 332:345.
- Haberthür C, Mols G, Elsasser S, et al. Extubation after breathing trials with automatic tube compensation, T-tube, or pressure support ventilation. Acta Anaesthesiol Scand 2002; 46:973.
- Ezingeard E, Diconne E, Guyomarc'h S, et al. Weaning from mechanical ventilation with pressure support in patients failing a T-tube trial of spontaneous breathing. Intensive Care Med 2006; 32:165.
- Esteban A, Alía I, Gordo F, et al. Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation. The Spanish Lung Failure Collaborative Group. Am J Respir Crit Care Med 1997; 156:459.
- Matić I, Majerić-Kogler V. Comparison of pressure support and T-tube weaning from mechanical ventilation: randomized prospective study. Croat Med J 2004; 45:162.
- Zhang B, Qin YZ. Comparison of pressure support ventilation and T-piece in determining rapid shallow breathing index in spontaneous breathing trials. Am J Med Sci 2014; 348:300.
- Ouellette DR, Patel S, Girard TD, et al. Liberation From Mechanical Ventilation in Critically Ill Adults: An Official American College of Chest Physicians/American Thoracic Society Clinical Practice Guideline: Inspiratory Pressure Augmentation During Spontaneous Breathing Trials, Protocols Minimizing Sedation, and Noninvasive Ventilation Immediately After Extubation. Chest 2017; 151:166.
- Schmidt GA, Girard TD, Kress JP, et al. Official Executive Summary of an American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline: Liberation from Mechanical Ventilation in Critically Ill Adults. Am J Respir Crit Care Med 2017; 195:115.
- Naughton MT, Rahman MA, Hara K, et al. Effect of continuous positive airway pressure on intrathoracic and left ventricular transmural pressures in patients with congestive heart failure. Circulation 1995; 91:1725.
- Bradley TD, Holloway RM, McLaughlin PR, et al. Cardiac output response to continuous positive airway pressure in congestive heart failure. Am Rev Respir Dis 1992; 145:377.
- Tobin MJ. Extubation and the myth of "minimal ventilator settings". Am J Respir Crit Care Med 2012; 185:349.
- Ladeira MT, Vital FM, Andriolo RB, et al. Pressure support versus T-tube for weaning from mechanical ventilation in adults. Cochrane Database Syst Rev 2014; :CD006056.
- Jones DP, Byrne P, Morgan C, et al. Positive end-expiratory pressure vs T-piece. Extubation after mechanical ventilation. Chest 1991; 100:1655.
- Cohen JD, Shapiro M, Grozovski E, et al. Extubation outcome following a spontaneous breathing trial with automatic tube compensation versus continuous positive airway pressure. Crit Care Med 2006; 34:682.
- Cohen J, Shapiro M, Grozovski E, et al. Prediction of extubation outcome: a randomised, controlled trial with automatic tube compensation vs. pressure support ventilation. Crit Care 2009; 13:R21.
- Wilson AM, Gray DM, Thomas JG. Increases in endotracheal tube resistance are unpredictable relative to duration of intubation. Chest 2009; 136:1006.
- Mehta S, Nelson DL, Klinger JR, et al. Prediction of post-extubation work of breathing. Crit Care Med 2000; 28:1341.
- Straus C, Louis B, Isabey D, et al. Contribution of the endotracheal tube and the upper airway to breathing workload. Am J Respir Crit Care Med 1998; 157:23.
- DeHaven CB, Kirton OC, Morgan JP, et al. Breathing measurement reduces false-negative classification of tachypneic preextubation trial failures. Crit Care Med 1996; 24:976.
- Kirton OC, DeHaven CB, Morgan JP, et al. Elevated imposed work of breathing masquerading as ventilator weaning intolerance. Chest 1995; 108:1021.
- Esteban A, Alía I, Tobin MJ, et al. Effect of spontaneous breathing trial duration on outcome of attempts to discontinue mechanical ventilation. Spanish Lung Failure Collaborative Group. Am J Respir Crit Care Med 1999; 159:512.
- Vitacca M, Vianello A, Colombo D, et al. Comparison of two methods for weaning patients with chronic obstructive pulmonary disease requiring mechanical ventilation for more than 15 days. Am J Respir Crit Care Med 2001; 164:225.
- Teixeira C, da Silva NB, Savi A, et al. Central venous saturation is a predictor of reintubation in difficult-to-wean patients. Crit Care Med 2010; 38:491.
- Brochard L, Rauss A, Benito S, et al. Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 1994; 150:896.
- Imsand C, Feihl F, Perret C, Fitting JW. Regulation of inspiratory neuromuscular output during synchronized intermittent mechanical ventilation. Anesthesiology 1994; 80:13.
- Jounieaux V, Duran A, Levi-Valensi P. Synchronized intermittent mandatory ventilation with and without pressure support ventilation in weaning patients with COPD from mechanical ventilation. Chest 1994; 105:1204.
- Laghi F, Cattapan SE, Jubran A, et al. Is weaning failure caused by low-frequency fatigue of the diaphragm? Am J Respir Crit Care Med 2003; 167:120.
- Laghi F, D'Alfonso N, Tobin MJ. Pattern of recovery from diaphragmatic fatigue over 24 hours. J Appl Physiol (1985) 1995; 79:539.
- Burns KE, Adhikari NK, Keenan SP, Meade MO. Noninvasive positive pressure ventilation as a weaning strategy for intubated adults with respiratory failure. Cochrane Database Syst Rev 2010; :CD004127.
- Betbesé AJ, Pérez M, Bak E, et al. A prospective study of unplanned endotracheal extubation in intensive care unit patients. Crit Care Med 1998; 26:1180.
- Saura P, Blanch L, Mestre J, et al. Clinical consequences of the implementation of a weaning protocol. Intensive Care Med 1996; 22:1052.
- Dries DJ, McGonigal MD, Malian MS, et al. Protocol-driven ventilator weaning reduces use of mechanical ventilation, rate of early reintubation, and ventilator-associated pneumonia. J Trauma 2004; 56:943.
- Jordan J, Rose L, Dainty KN, et al. Factors that impact on the use of mechanical ventilation weaning protocols in critically ill adults and children: a qualitative evidence-synthesis. Cochrane Database Syst Rev 2016; 10:CD011812.
- Girard TD, Alhazzani W, Kress JP, et al. An Official American Thoracic Society/American College of Chest Physicians Clinical Practice Guideline: Liberation from Mechanical Ventilation in Critically Ill Adults. Rehabilitation Protocols, Ventilator Liberation Protocols, and Cuff Leak Tests. Am J Respir Crit Care Med 2017; 195:120.
- Blackwood B, Alderdice F, Burns K, et al. Use of weaning protocols for reducing duration of mechanical ventilation in critically ill adult patients: Cochrane systematic review and meta-analysis. BMJ 2011; 342:c7237.
- Krishnan JA, Moore D, Robeson C, et al. A prospective, controlled trial of a protocol-based strategy to discontinue mechanical ventilation. Am J Respir Crit Care Med 2004; 169:673.
- Namen AM, Ely EW, Tatter SB, et al. Predictors of successful extubation in neurosurgical patients. Am J Respir Crit Care Med 2001; 163:658.
- Navalesi P, Frigerio P, Moretti MP, et al. Rate of reintubation in mechanically ventilated neurosurgical and neurologic patients: evaluation of a systematic approach to weaning and extubation. Crit Care Med 2008; 36:2986.
- Lellouche F, Mancebo J, Jolliet P, et al. A multicenter randomized trial of computer-driven protocolized weaning from mechanical ventilation. Am J Respir Crit Care Med 2006; 174:894.
- Stahl C, Dahmen G, Ziegler A, Muhl E. Protocolised automated versus non-protocolised physician-directed weaning from mechanical ventilation: a controlled clinical trial. Intensivemed Prax 2009; 46:441.
- Rose L, Presneill JJ, Johnston L, Cade JF. A randomised, controlled trial of conventional versus automated weaning from mechanical ventilation using SmartCare/PS. Intensive Care Med 2008; 34:1788.
- Burns KE, Meade MO, Lessard MR, et al. Wean earlier and automatically with new technology (the WEAN study). A multicenter, pilot randomized controlled trial. Am J Respir Crit Care Med 2013; 187:1203.
- Schädler D, Engel C, Elke G, et al. Automatic control of pressure support for ventilator weaning in surgical intensive care patients. Am J Respir Crit Care Med 2012; 185:637.
- Rose L, Schultz MJ, Cardwell CR, et al. Automated versus non-automated weaning for reducing the duration of mechanical ventilation for critically ill adults and children. Cochrane Database Syst Rev 2014; :CD009235.
- Burns KE, Lellouche F, Lessard MR, Friedrich JO. Automated weaning and spontaneous breathing trial systems versus non-automated weaning strategies for discontinuation time in invasively ventilated postoperative adults. Cochrane Database Syst Rev 2014; :CD008639.
- Burns KE, Lellouche F, Nisenbaum R, et al. Automated weaning and SBT systems versus non-automated weaning strategies for weaning time in invasively ventilated critically ill adults. Cochrane Database Syst Rev 2014; :CD008638.

domain: literature


text:
The Last Coyote by Michael Connelly
My rating: 5 of 5 stars
After watching several seasons of Bosch, reading the books are always fascinating. It's so interesting to see the choices the producers made about what to change. Certainly somethings have to change just because of the time frame (this book is about 20 years old). In this case, there are many changes to Bosch's story. Through most of the TV series, Bosch is looking for his mother's killer; and this book is all about that. But it's a very different story in many ways--though the basic thrust is similar in some intriguing ways.
This is a great Bosch novel. There are several twists, and Bosch's character development and growth is excellent.
View all my reviews


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domain: hobby


text:
Located inside Wal-Mart's Vision Center, optometrist Dr. Andrea Washington's general practice has been treating eye patients in the area since July.
According to Washington, the best part of her job is when a patient, after slipping on a pair of eyeglasses or contact lens for the first time, announces they can see again.
"If I can help just one person to see better, then I have done my job," Washington said. "My job overall is to prevent, diagnose, treat and manage diseases and disorders of the eye.
Washington's general practice offers complete eye exams for all ages. An eye exam includes a check for visual acuity with and without eye glasses, an eye pressure check, color vision testing and stereotesting.
Washington is an independent doctor of optometry and her practice is separate from Wal-Mart. Patient prescriptions can be used, not only in the Vision Center, but anywhere in the U.S.
"At this practice we go above and beyond to address the patient's needs," Washington said, "We check for diseases such as glaucoma. We check for vision conditions such as cataracts."
Washington said she also checks for lazy eye, retinopathy, which can occur in patients with diabetes and high blood pressure, and macular degeneration, a disease that affects central vision.
Both appointments and walk-ins are welcome at Washington's practice. Spectera, Davis Vision, Avesis, Blue Cross Blue Shield and many other insurance carriers are all accepted. Free vision screenings - which test whether you need corrected vision - are offered daily. Accommodations for eye exams for the hearing impaired and for Spanish speakers are also offered.
Washington graduated from the University of Missouri-St. Louis College of Optometry in 2004. She completed her residency at the University of Houston College of Optometry in 2005. Washington is a member of the Georgia Optometric Association, the American Optometric Association and the Contact Lens and Cornea section of the American Optometric Association.
According to the AOA, more than 10 million children in the U.S. suffer from undetected vision problems. The AOA recommends at least one eye exam every one to two years.

domain: medical