Apple is a company as known for its imaginative marketing as its slick, genre-defining products. As you'd expect from a company that recently posted the biggest quarterly profit in history ($18 billion), Apple has plenty of money to splash on marketing, so you'd expect its campaigns to be spectacular.
Recently, though, the issue has come clearly into focus, with many people speculating that the recent spat between Apple and pop star Taylor Swift wasn't in fact a war of words about artist royalties but instead a carefully orchestrated marketing ploy designed to give both parties maximum exposure – to help Swift sell more albums and ensure Apple's music streaming service is widely covered in the news.
Whether this is the case or not, Apple is certainly a marketing behemoth – that much can't be denied. As such, here are five of the best, from the company that shows others just how it's done.
Though grammatically suspect, Apple's 'Think Different' campaign was such a success it didn't only win Emmy and Grand Effie awards but even went on to influence the art direction for a Wu Tang Clan album.
The campaign itself revolved around a TV advert that featured a number of 20th Century personalities, widely known for thinking differently. These included Albert Einstein, Bob Dylan, Martin Luther King Jr., Richard Branson, John Lennon, Thomas Edison, Muhammad Ali, Mahatma Gandhi and Amelia Earhart. To support the campaign, posters featuring each famous face were produced, each bearing the tagline 'Think Different'. The campaign is viewed as one of the most successful in American history, even today.
The image of a true icon is whether it's recognisable even in silhouette. Mickey Mouse, the Coca-Cola bottle and Gibson Les Paul guitars would all be clearly identifiable even with all detail stripped away. Apple sought to enter this territory with its long-running 21st Century campaign to promote its iPod range.
Featuring colourful backgrounds and silhouetted people dancing along to their music, the campaign was a bold, brash affair designed to grab attention. It was also backed with loud, upbeat, rhythm-heavy music, often from undiscovered artists or those waiting to break through. Often, inclusion in the ads was all the band needed to hit the mainstream.
Of course, Apple backed the TV ads up with equally vibrant posters and online ads, bidding to stand out in the increasingly competitive marketplace.
The campaign may have been officially called 'Get a Mac', but it will be remembered by most as 'Mac vs. PC'. Starring David Mitchell and Robert Webb as PC and Mac respectively, the adverts were designed to highlight Apple's products as being quicker, easier and more progressive than their Windows counterparts.
In reprising roles similar to those played in cult series 'Peep Show', Mitchell and Webb made these adverts a huge success, with Mac and PC users alike still fondly remembering them some eight or so years on.
A hallmark of iPhone adverts in recent years has been the distinct lack of actual advertising. The ads themselves haven't sold products, services or capabilities, but instead something much less tangible – a lifestyle. Of course, brands have long known that selling a lifestyle will get a much greater response than selling a product (as it taps into people's emotions) but Apple took this one step further.
One example simply involved someone taking a photo of some children in fancy dress, then putting it up on their wall. This was to showcase the iPhone's panorama feature, but the promotional aspect was implied, not implicit.
The same was true of 'Photos every day', which showed the kind of images people see when out and about – such as people getting their mobiles out to snap funny selfies or some nice scenery they've happened upon. There were no mentions of megapixels, aperture, or fps; just the images you could snap with an iPhone.
It's long been said that the best products market themselves. Whether it's through industry reviews or word of mouth, the best products find a way of breaking through the parapet. Apple knows this perfectly well and manufactures products accordingly. Of course, Apple will want its customers to think they have the best product on the market with all the leading specs, but just as important is the money that investing in top-notch products will save the marketing budget.


John Nugent is a nationally recognized Saskatchewan sculptorA three-dimensional work of art, or the art of making it. Such works may be carved, modeled, constructed, or cast. Sculptures can also be described as assemblage, in the round, and relief, and made in a huge variety of media. A sculptor is one who creates sculptures. (artlex.com) who lives and has his studio in Lumsden, Saskatchewan. His studio has been designated as heritage property because of his reputation as an important Saskatchewan artist and also because it was designed in a modernistModernism is an art movement characterized by the deliberate departure from tradition and the use of innovative forms of expression that distinguish many styles in the arts and literature of the late nineteenth and early twentieth centuries. styleA way of doing something. Use of materials, methods of working, design qualities and choice of subject matter reflect the style of the individual, culture, movement, or time period. of architecture by renowned architect Clifford Wiens.
Nugent was born in Montreal, Quebec and taught sculpture at the University of Regina in Saskatchewan from 1970 to 1985. His work and ideas were important to the development of abstractImagery which departs from representational accuracy, to a variable range of possible degrees. Abstract artists select and then exaggerate or simplify the forms suggested by the world around them. (Artlex.com) sculpture in Saskatchewan and Canada in the 1950's and 1960's.


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Con il termine softcore (sottinteso pornography, alla lettera: "pornografia morbida") si intende quel tipo di rappresentazione cinematografica, teatrale, fotografica, fumettistica o pittorica, ad alta componente erotica dove, a differenza di quel che accade nella pornografia hardcore, l'atto sessuale non viene mostrato, oppure viene presentato senza visualizzare i dettagli della penetrazione sessuale e delle pratiche di masturbazione e di sesso orale dei soggetti rappresentati.

Caratteristiche e differenze rispetto alla pornografia hardcore

Nel settore fotografico e cinematografico la differenza fra hardcore e softcore può anche essere conseguita o modificata con un appropriato uso dell'obiettivo di ripresa, ovvero regolando la distanza (o il contrasto con lo sfondo della scena) che intercorre fra l'operatore alla macchina e chi sta compiendo l'atto sessuale (che potrebbe essere reale e non simulato); gioca infatti un ruolo importante (sebbene non esclusivo) nella distinzione fra hardcore e softcore il vedere oppure no, da parte dello spettatore, la rappresentazione dei genitali nell'atto del coito.

Altro fattore che delimita il confine fra una pornografia hardcore da una pornografia di tipo softcore è che nell'ultima non dovrebbero raffigurarsi o narrarsi certe pratiche sessuali come la masturbazione, il contatto esterno fra genitali e le eiaculazioni, ma al più gli effetti conclusivi che tali pratiche comportano. Ciò significa che, ad esempio, potrebbe essere ammissibile la raffigurazione di una epidermide imbrattata dal seme maschile ma non la fase dell'eiaculazione che invece caratterizza l'hardcore. In linea di massima .

Tuttavia  con le precedenti considerazioni il confine fra pornografia hard e soft è alquanto labile e contestabile. Per esempio nulla di esattamente definito stabilisce se la minuziosa, calligrafica rappresentazione dei genitali (specialmente tramite foto o cinematografia) sia da ascriversi nell'una o nell'altra categoria.

Comunque , mentre la pornografia softcore dovrebbe suggerire il messaggio racchiuso in simbolo nell'immagine (o nella scena).

Voci correlate
Film d'exploitation
Film erotico
Fotografia glamour
Sexploitation
Storia della fotografia erotica

Softcore
Spettacoli erotici

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Saint John, KS
Ida Long Goodman Memorial Library
406 North Monroe
Saint John, KS 67576
The Ida Long Goodman Memorial Library was built and dedicated in 1969. A gift from Mrs. Ida Long Goodman, a former teacher, principal, and Stafford County superintendent made the facility possible. A complete community learning and cultural center has been developed through the cooperation of the City Library Board, the USD 350 Board of Education, faculty, and students, and patrons of the community. The library is owned and operated by the St. John-Hudson School District No. 350. The St. John City Library Board and the USD 350 School Board jointly govern the library. Ida Long Goodman Memorial Library was the first school/community library in Kansas and is a member of the South Central Kansas Library System.
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Saint John Happenings
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Empath Health CEO Honored for Commitment to Diversity, Equity and Inclusion
by Kim Snarr | Jun 10, 2022 | Media Coverage, Press Release | 0 comments
Rafael Sciullo, CEO Empath Health (left) and Karen Davis-Pritchett, VP Diversity, Equity & Inclusion, Empath Health (right)
(Clearwater) Empath Health Chief Executive Officer Rafael J. Sciullo received the Legacy Award from the Interdenominational Ministerial Alliance of Florida. The Legacy Award celebrates the commitment and efforts of leaders and advocates within the African American community throughout Florida. The mission of the organization is to bring positive change to Florida communities.
Sciullo has led Empath Health since 2013 and has been instrumental in the creation of the nonprofit's Diversity, Equity and Inclusion initiatives resulting in the creation of a DE+I department and Community Partnership Specialist roles to work with communities that traditionally have been underserved in seeking care for their chronic or advanced illnesses. In addition, through his leadership, Empath Health has not only shown the value of diversity of its colleagues but its commitment to going into the community and ensuring the equal access to care and support for all."I am deeply honored to receive this award. To truly live Empath Health's mission of full life care for all we must continue to make a commitment to bringing our care to everyone," said Sciullo.
Vice President of Diversity, Equity and Inclusion Karen Davis-Pritchett said, "Congratulations to Rafael for dedicating your life and gifts to ensure our organization continues to serve all communities with compassion and empathy."
ABOUT EMPATH HEALTH
Empath Health is the country's largest not-for-profit health system delivering non-acute care and services through its skilled, medical and holistic programs to individuals with chronic, advanced and terminal illnesses and those experiencing grief. We were created in 2021 through the merger of two leading nonprofit, integrated networks of care: Empath Health, serving the Tampa Bay region, and Stratum Health System, serving Southwest Florida. The Empath Health integrated network of care provides expert medical, counseling and support services including hospice; home health; palliative care; grief services; all-inclusive elder care; HIV/STI prevention, services and support; primary care; and physician services. Empath Health serves more than 12,000 people a day, creating a bridge between chronic, advanced and terminal care and providing seamless integration based on individual needs. Collectively, we have nearly 90 years of experience serving individuals during some of their most vulnerable times. Our wide variety of community-based programs reflects our commitment to the preservation of our charitable mission.


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DataStax and Databricks Partner on Faster Analytics for Cassandra Database
DataStax, a provider of a NoSQL platform powered by Apache Cassandra, and Databricks, a company founded by the creators of Apache Spark, have formed a partnership to integrate Cassandra and Spark. Together, the companies say, these technologies can boost analytics performance in a transactional database and allow companies to act quicker when serving customers' needs.
According to Martin Van Ryswyk, executive vice president of engineering, DataStax, the companies hope that the integration will accomplish two things – give existing users from the two communities a useful new tool in their arsenal, and also garner the attention of new users who are still evaluating their technology choices.
"More and more, we see customers in the community wanting to do analytics on data in as real time as possible. That is what this is really about. By taking what is shaping up to be a really interesting, well architected, fast analytic tool like Spark and the Spark ecosystem, and getting it to run on top of the Cassandra database, where real time data is, in addition to where it has been playing, which is on top of HDFS, we are moving analytics into real-time."
Apache Cassandra is a distributed, scalable database that allows users to create online applications that are always on and can process large amounts of data in real time.
Originally developed at UC Berkeley's AMPLab, Apache Spark is a processing engine that enables applications in Hadoop clusters to run up to 100X faster in memory, and even 10X faster when running on disk. It also provides SQL, streaming data, machine learning, and graph computation functionality out-of-the-box to simplify building end-to-end analytic workflows. Together, these technologies can boost analytics performance in a transactional database and allow companies to act quicker when serving customers' needs.
"There are online, line-of-business, transaction-oriented systems, and then there are more data warehouse, batch-oriented databases, and they serve different needs," says Van Ryswyk. "But the world has changed. People need analytics faster and earlier in the cycle for all of their applications."
Van Ryswyk said the two organizations are actively working on the integration and expect to share more information at the Spark Summit, June 30 through July 2, with the results of the partnership coming to market shortly after.
For more information, visit www.datastax.com and www.databricks.com.


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Prince Charles Urges Backbreaking Toil on Jobless Brits During Pandemic
Keith Girard May 20, 2020 CELEBRITIES
Prince Charles, heir to the British Throne, has a favor to ask of his subjects. (Photo: Palácio do Planalto)
Prince Charles has taken a moment from his cloistered royal life to urge backbreaking toil for Brits who have been left jobless by the coronavirus pandemic. Not that he ever had a real job.
The 71-year-old royal has adopted the "Pick for Britain" campaign – a website created for those without jobs to sign up to work for agricultural businesses that need laborers for the backbreaking job of picking fruits and vegetables.
Charles admitted the back-breaking job "unglamorous," but called it "vital" to keep the country fed amid the pandemic.
"It will be hard graft but is hugely important if we are to avoid the growing crops going to waste," he said.
Charles, next in line to the British throne, insisted it will take "an army" to make sure fruits and vegetables don't go to waste.
"At this time of great uncertainty, many of our normal routines and regular patterns of life are being challenged," he said in a video message. "The food and farming sector is no exception."
It was exactly King George VI's historic address to the nation during World War II, but apparently every generation gets the monarch it deserves.
"If we are to harvest British fruit and vegetables this year, we need an army of people to help," the Prince extorted. "Food does not happen by magic; it all begins with our remarkable farmers and growers.
"If the last few weeks have proved anything, it is that food is precious and valued, and it cannot be taken for granted."
You know, sort of like the royal family often is..
"This is why that great movement of the Second World War – the Land Army – is being rediscovered in the newly-created 'Pick for Britain' campaign. In the coming months, many thousands of people will be needed to bring in the crops."
The harvest in Britain runs until the early Autumn.
The royal was drawn to the 'Pick for Britain' campaign his concern that COVID-19 could "destroy" the British cheese industry.
Who knew the UK had one?
He's been patron of the Specialty Cheesemakers Association since 1993, and is passionate about supporting local cheeses.
"One thing that undoubtedly brings many of us great comfort is good food. It is, therefore, deeply troubling to learn that this crisis risks destroying one of the most wonderful joys in life – British cheese!" he wrote in a post shared on the Clarence House Instagram page.
The royal battled a mild case of coronavirus himself and has since recovered.
British fruitcheeseCoronavirusCOVID-19Great BritainpandemicPick for BritainPrince Charles
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Vaccine-Induced Immune Thrombotic Thrombocytopenia (VITT) Following Adenovirus Vector COVID-19 Vaccination
Menaka Pai, Benjamin Chan, Nathan M. Stall, Allan Grill, Noah Ivers, Antonina Maltsev, Katherine J. Miller, Ayodele Odutayo, Fahad Razak, Michael Schull, Brian Schwartz, Michelle Sholzberg, Robert Steiner, Sarah Wilson, Ullanda Niel, Peter Jüni, Andrew M. Morris on behalf of the Drugs & Biologics Clinical Practice Guidelines Working Group and the Ontario COVID-19 Science Advisory Table
Version 1.0 is available under Additional Resources.
208,049 views | 5,961 downloads | Published: May 7, 2021
This Science Brief provides information for health care professionals about Vaccine-Induced Immune Thrombotic Thrombocytopenia (VITT), also known as Vaccine-Induced Prothrombotic Immune Thrombocytopenia (VIPIT) and Thrombotic Thrombocytopenia Syndrome (TTS). This is a rare adverse eventfollowing adenovirus vector COVID-19 vaccines, including the AstraZeneca/COVISHIELD and Janssen/Johnson & Johnson COVID-19 vaccines.
This brief describes the pathophysiology, presentation, diagnostic work-up and treatment of VITT.
Figure 1. Decision Tree for Diagnosing and Ruling Out VITT
aBlood film to rule out platelet clumping as a cause of low platelet count; bNot all cases of VITT initially present with a clot or bleeding. Patients with all of the features of presumptive VITT (low platelets, high D-dimer, presenting 4 to 28 days post-vaccination) but NO blood clot or bleeding merit hematology consultation (locally or externally) to consider starting treatment until the results of confirmatory testing are back. VITT, vaccine-induced immune thrombotic thrombocytopenia. CBC, complete blood count. HIT, heparin induced thrombocytopenia. ELISA, enzyme linked immunosorbent assay. LIA, latex immunoturbidometric assay. CLIA, chemiluminescent immunoassay.
What do we know so far?
The AstraZeneca/COVISHIELD COVID-19 vaccine appears to be associated with rare cases of serious blood clots, including blood clots in the brain and other critical organs. Similar cases have also been reported following the Janssen/Johnson & Johnson COVID-19 vaccine. These blood clots have two important features: they can occur 4 to 28 days after vaccination, and they are associated with low platelets (tiny blood cells that help form blood clots to stop bleeding). Doctors are calling this "vaccine-induced immune thrombotic thrombocytopenia" (VITT), "vaccine-induced prothrombotic immune thrombocytopenia" (VIPIT), or "thrombotic thrombocytopenic syndrome" (TTS). These blood clots are different from the blood clots most people are familiar with; they are more aggressive and are more likely to cause death or severe disability, even with early diagnosis and treatment.
Published estimates of the incidence of VITT range from 1 case per 26,000 to 1 case per 127,000 doses of AstraZeneca/COVISHIELD administered. The estimates vary by country, with countries like Norway and Denmark reporting the highest rates. As of April 28, 2021, the rate of VITT in Canada has been estimated to be approximately 1 per 100,000 doses. Nearly all reported cases have occurred after the first dose. There have been few reported cases of VITT with the Janssen/Johnson & Johnson vaccine, so it is difficult to calculate a precise rate, but the incidence of VITT appears to be approximately 1 case per 500,000 vaccine doses administered.
Are certain people more likely to get VITT?
At this time, we do not know if certain patients are more likely to get VITT. Currently, we do not have any evidence that VITT is more common in people who have had blood clots before, people with a family history of blood clots, people on birth control or other hormones, people with autoimmune disease, people with low platelets or other platelet disorders, or pregnant people, because VITT does not develop through the same process as more common types of bleeding or clotting problems. It may be possible, however, that people with a history of heparin induced thrombocytopenia (HIT) or cerebral sinus vein thrombosis (CSVT) with low platelets are at increased risk of VITT; they should receive an mRNA vaccine (Pfizer or Moderna) rather than an adenoviral vector vaccine.
What should you look out for if you received the AstraZeneca/COVISHIELD or Janssen/Johnson & Johnson COVID-19 vaccine?
You should speak to a health care professional if you have unusual or severe symptoms after any COVID-19 vaccine. If you experience the following symptoms that start between 4 and 28 days after vaccination, it might indicate that you have VITT: a severe headache that does not go away; a seizure; difficulty moving part of your body; new blurry vision or double vision that does not go away; difficulty speaking; shortness of breath; severe chest, back, or abdominal pain; unusual bleeding or bruising; new reddish or purplish spots, or blood blisters; or new severe swelling, pain, or colour change of an arm or a leg. These symptoms can also be a sign of other serious conditions and should be assessed in an emergency department.
What should you do if you have concerning symptoms after the AstraZeneca/COVISHIELD or Janssen/Johnson & Johnson COVID-19 vaccine?
If you have severe symptoms such as those listed above, you should go to the nearest emergency department immediately. If you have other symptoms that are not severe, you can discuss them (virtually or in-person) with your primary healthcare professional. You should tell the health care providers who see you that you received the AstraZeneca/COVISHIELD or Janssen/Johnson & Johnson COVID-19 vaccine and give them the date you got vaccinated. If the healthcare professional who assesses you is concerned, you may have scans done and additional bloodwork collected. When recognized early, VITT can be successfully treated.
Do healthcare professionals know how to diagnose and treat VITT?
Health care professionals and scientists in Ontario have been working with experts in Canada, and around the world, to better understand VITT. The Ontario COVID-19 Science Advisory Table has summarized what we know about VITT right now and has published guides for healthcare professionals outside and inside of hospitals to help them diagnose and treat VITT.
Why is Ontario still using the AstraZeneca/COVISHIELD and Janssen/Johnson & Johnson COVID-19 vaccines?
Health Canada has authorized the AstraZeneca/COVISHIELD COVID-19 vaccine, as well as the Janssen/Johnson & Johnson vaccine for use in Canadians aged 18 years and above. The National Advisory Committee on Immunization (NACI) makes a strong preferential recommendation for mRNA vaccines for all Canadians. NACI has recommended that the AstraZeneca/COVISHIELD and Janssen/Johnson & Johnson vaccine may be offered to Canadians 30 years of age and older, if the benefits outweigh risks of waiting for an mRNA vaccine, the decision to receive the vaccine is informed by risks and consequences of VITT, and the delay to receive an mRNA vaccine is substantial.
There have been over 1.1 million cases of COVID-19 diagnosed in Canada so far, COVID-19 has killed over 24,000 Canadians, about 1 in 100 Canadians who get COVID-19 end up needing intensive care. The AstraZeneca/COVISHIELD and Janssen/Johnson & Johnson vaccines are both effective at reducing hospitalization and severe illness from COVID-19, and at reducing the chance you could pass the SARS-CoV-2 virus on to others. Health care professionals, scientists, and government agencies in Ontario – and around the world – will continue to monitor the safety of these and all COVID-19 vaccines.
Could other COVID-19 vaccines available in Ontario cause VITT?
There have been no confirmed cases of VITT with the Pfizer or Moderna COVID-19 vaccines.
Adenoviral vector COVID-19 vaccines, including the AstraZeneca/COVISHIELD vaccine and the Janssen/Johnson & Johnson vaccine, are associated with immune thrombosis that is similar to heparin-induced thrombocytopenia (HIT).
In March 2021, the United Kingdom, European Union, and Scandinavian countries began reporting rare cases of thrombosis (including splanchnic thrombosis and cerebral sinus vein thrombosis (CSVT)) and thrombocytopenia in patients who received the AstraZeneca/COVISHIELD COVID-19 vaccine. Further cases were reported in Canada and other countries, and in the United States after administration of the Janssen/Johnson & Johnson COVID-19 vaccine.1 Women and young people appear to be slightly overrepresented in reported cases, and thrombosis seems to occur 4 to 28 days after vaccination. Affected individuals have antibodies targeted against platelet factor 4 (PF4) that induce massive platelet activation, reducing the platelet count and causing thrombosis.2–4 (The delayed onset of symptoms after vaccination is likely due to the lag between antigen presentation and development of specific antibodies.) This phenomenon is similar to HIT, but, unlike HIT, VITT does not require heparin as a trigger. It has been referred to as Vaccine-Induced Immune Thrombotic Thrombocytopenia (VITT), Vaccine-Induced Prothrombotic Immune Thrombocytopenia (VIPIT), and Thrombosis Thrombocytopenia syndrome (TTS). In this Science Brief, the term VITT will be used.
How frequent is VITT?
Are certain patients predisposed to VITT?
When should I suspect my patient has VITT?
How do I diagnose VITT? How do I rule it out?
How do I treat VITT?
Is VITT a reportable event?
Can patients who develop VITT safely receive a second dose of the same COVID-19 vaccine? Can they receive another COVID-19 vaccine?
Published estimates of the incidence of VITT range from 1 case per 26,000 to 1 case per 127,000 doses of AstraZeneca/COVISHIELD administered.4–7 The rate of VITT in Canada as of April 28, 2021 has been estimated to be approximately 1 per 100,000 doses.8 The estimates have increased as we have learned more about VITT, and they vary by country with countries like Norway and Denmark reporting the highest rates.4They may continue to increase with better recognition of the disease. Nearly all reported cases have occurred after the first dose.6 There have been few reported cases of VITT with the Janssen/Johnson & Johnson vaccine thus far, so it is challenging to calculate a precise frequency, but the incidence of VITT appears to be approximately 1 case per 500,000 vaccine doses administered.9
There is no evidence that the AstraZeneca/COVISHIELD or Janssen/Johnson & Johnson COVID-19 vaccines increase the overall risk of thrombosis (e.g., deep vein thromboses, pulmonary emboli, myocardial infarction, stroke) without thrombocytopenia, beyond what is seen in the general population. However, there is an observed increase in thrombosis with thrombocytopenia, including an observed increase in unusual clots like CSVT.
AstraZeneca/COVISHIELD and Janssen/Johnson & Johnson COVID-19 vaccines are highly effective in reducing hospitalization and severe illness from COVID-19 and in reducing transmission to others. Health Canada, the United Kingdom Medicines and Healthcare Products Regulatory Agency, and the European Medicines Agency have recommended to continue administering adenoviral vector COVID-19 vaccines.10–12Physicians, scientists, and regulatory agencies worldwide will continue to carefully monitor the safety of the AstraZeneca/COVISHIELD and Janssen/Johnson & Johnson COVID-19 vaccines.
At this time, it is not clear if certain patients are predisposed to VITT. Early reported cases were predominantly in younger women, however these individuals may have been overrepresented in the vaccinated population in reporting countries. Cases have now been reported in men and in older adults. Since VITT appears immune-mediated and linked to a very specific antigen, an individual with classical risk factors for blood clots, including thrombophilia, a family history of blood clots, a personal history of arterial or venous clots, autoimmune disease, low platelets without a history of clotting, a disorder of platelet function, or who is on birth control or other hormones, or who is pregnant, is probably not at increased risk of VITT. Accordingly, there are no new contraindications to receiving the AstraZeneca/COVISHIELD or Janssen/Johnson & Johnson COVID-19 vaccine. However, Health Canada recommends that individuals who have experienced a previous CVST with thrombocytopenia or HIT should only receive the AstraZeneca/COVISHIELD or Janssen/Johnson & Johnson COVID-19 vaccine if the potential benefits outweigh the potential risks; they may be at increased risk of VITT.13,14
The National Advisory Committee on Immunization (NACI) makes a strong preferential recommendation for mRNA vaccines for all Canadians. NACI has recommended that the AstraZeneca/COVISHIELD or Janssen/Johnson & Johnson vaccine may be offered to Canadians 30 years of age and older, if the benefits outweigh risks of waiting for an mRNA vaccine, the decision to receive the vaccine is informed by risks and consequences of VITT, and the delay to receive an mRNA vaccine is substantial.8 NACI outlines that risk-benefit decisions should be informed by several factors including the local COVID-19 epidemic conditions, local vaccine supply, an individual's risk of severe illness and death if they develop COVID-19, and their risk of exposure to the SARS-CoV-2 virus.
Patients with VITT may present with CSVT, or with other arterial or venous clots. Any patient with unusual symptoms following vaccination should be assessed by a health care provider. Some symptoms make it more likely that a patient has VITT: persistent and severe headache; focal neurological symptoms (including blurred or double vision); shortness of breath; chest, back, or abdominal pain; unusual bleeding, bruising, petechiae, or blood blisters; swelling and redness in a limb; or pallor and coldness in a limb. VITT seems to occur between 4 and 28 days post-vaccination. Symptoms that begin in this time frame should raise the clinical suspicion of VITT.
Patients with symptoms suspicious of VITT should urgently seek care at their nearest emergency department. Patients with non-severe symptoms may have initial investigations done in the primary care or outpatient setting (see Figure 1).
Clinicians should ask patients about their COVID-19 vaccine history and should draw a complete blood count (CBC). VITT is unlikely if symptom onset falls outside of the 4 to 28 day time frame OR if the platelet count is ≥150 x 109/L.2–4,15,16 VITT is more likely if symptom onset falls within the 4 to 28 day time frame AND the platelet count is < 150 x 109/L, and such patients should be evaluated at their nearest emergency department for suspected VITT. This will expedite further diagnostic workup, treatment, and urgent hematology consultation (local or external).
Patients with suspected VITT should go on to have bloodwork drawn including a D-dimer level and a blood film (also referred to as peripheral blood smear) to rule out platelet clumping. They should also have diagnostic imaging/testing to investigate for arterial and/or venous blood clots or bleeding, based on their clinical symptoms.
Unenhanced CT brain is a reasonable first diagnostic imaging test if CSVT is suspected, given CSVT's nonspecific clinical presentation and the importance of ruling out alternate diagnoses. However, CSVT can only be ruled out with both parenchymal imaging and vascular imaging, with a CT head / MR head and a CT venogram / MR venogram.17 When clinical suspicion of CSVT is high, this potential diagnosis should be investigated urgently with same-day neuroimaging. In centres where imaging is not emergently available and there is a high clinical suspicion of VITT, appropriate treatment should be initiated while imaging is arranged.
Thrombocytopenia with an elevated D-dimer, a normal blood film (apart from thrombocytopenia), and confirmation of a blood clot or bleeding on diagnostic imaging makes the diagnosis of VITT presumptive. VITT can also manifest with a low fibrinogen as evidence of more disseminated coagulation consumption.
There have been reports of patients with all of the features of presumptive VITT (low platelets, high D-dimer, symptoms starting 4 to 28 days post-vaccination) but no confirmed blood clot. These patients may have an early VITT syndrome. Their workup and initial management should be similar to presumptive VITT; in consultation with a hematologist, anticoagulation may be started until the results of confirmatory testing are received.18 There have been no reports of patients with VITT who have normal platelet counts >150 x 109/L. However, given the rapid evolution of knowledge, it is appropriate to monitor patients with symptoms starting 4 to 28 days post-vaccination whose platelets are >150 x 109/L if there is clinical concern regarding an alternate diagnosis. If no other diagnosis is made and the patient is discharged home, they should be instructed to return for a repeat assessment and repeat CBC if their symptoms change or worsen.
The confirmatory diagnosis of VITT is made by using tests that are also used for HIT, but with some important caveats. This testing should be done even if the patient has had no previous exposure to heparin. Like HIT, VITT testing involves two steps: identification of antibodies against the complex of platelet factor 4 and heparin; and confirmatory functional testing of the antibodies' ability to activate platelets.16,19 The HIT ELISA (enzyme linked immunosorbent assay) antibody test appears to be sensitive for VITT because of specific parameters of the assay that also make it applicable to VITT; if it is positive, VITT is confirmed, and if it is negative, VITT is unlikely.16
Importantly, other HIT antibody tests, like the Rapid HIT tests (e.g., latex immunoturbidometric assay (LIA), chemiluminescent immunoassay (CLIA) are not sensitive for VITT, and are likely to yield false negative results. It is important to consult with a hematologist, and the testing laboratory, to ensure that an ELISA method is used for antibody testing. A number of large laboratories test for HIT antibodies using the ELISA method in Ontario, but only one laboratory in Canada performs confirmatory functional testing (the McMaster University Platelet Immunology Laboratory). Therefore, presumptive VITT should prompt an urgent hematology consultation (in person, virtually, or by phone) to arrange HIT ELISA testing, initiate confirmatory functional testing at the national reference laboratory, and start appropriate empiric treatment of blood clots (see below). All testing (HIT ELISA and functional testing) must be sent prior to administration of IVIG treatment, as IVIG can interfere with the results.16
Patients with presumptive and confirmed VITT should be treated similarly to HIT. Treatment should ideally occur in an emergency department or hospital setting, where the patient can be closely monitored.
Summary Box. Treating Patients with Presumptive or Confirmed VITT
*Platelet transfusions could theoretically worsen the clotting; if patients present with a life-threatening bleed, platelets should only be transfused under the guidance of a hematologist.
Until VITT has been ruled out, anticoagulation with heparin (unfractionated heparin and low molecular weight heparins) should be avoided. Platelet transfusions should be avoided.
Alternative anticoagulants that are safe to use in HIT, and likely safe to use in VITT, include direct thrombin inhibitors and factor Xa inhibitors. Direct oral factor Xa inhibitors (e.g., rivaroxaban, apixaban, edoxaban) should be started empirically while awaiting further advice from a hematologist; these agents are used in the treatment of HIT. The dose of direct oral factor Xa inhibitor is identical to the dose used to treat uncomplicated deep vein thromboses. If the patient has severe renal impairment that makes direct oral anticoagulants unsafe, or is too unwell or unstable to take oral medication, advice from a hematologist should be sought to guide use of parenteral anticoagulants that are safe to use in HIT (e.g., argatroban). In pregnant and lactating patients with presumptive or confirmed VITT, direct oral factor Xa inhibitors are not recommended; advice from a hematologist should be sought to guide use of safe non-heparin anticoagulants.
In patients with presumptive or confirmed VITT, it is important to dampen the prothrombotic response and increase platelet counts with intravenous immunoglobulin (IVIG). Administration of high dose IVIG (1 g/kg of actual body weight daily for at least two days) is appropriate and can be guided by the consulting hematologist.
Patients with all of the features of presumptive VITT (low platelets, high D-dimer, symptoms starting 4 to 28 days post-vaccination) but who have NO evidence of thrombosis or bleeding may have an early VITT syndrome. In these patients, it is important to consult hematology and consider starting anticoagulation and/or IVIG until the results of confirmatory laboratory testing are available.
All suspected adverse events following immunization (AEFI), including thrombosis, thrombocytopenia, and both presumptive and confirmed VITT, should be reported using the provincial AEFI form and sent to the local Public Health Unit. More information on how to report AEFIs can be found on the Public Health Ontario website. Ontario conducts vaccine surveillance safety in collaboration with the Public Health Agency of Canada, and prompt reporting is essential to learn more about this rare but serious thrombotic phenomenon.
Can patients who develop VITT safely receive a second dose of the same vaccine? Can they receive another COVID-19 vaccine?
Patients who have experienced major venous or arterial thrombosis with thrombocytopenia following vaccination with the AstraZeneca/COVISHIELD COVID-19 vaccine or the Janssen/Johnson & Johnson vaccine should not receive a second dose of either of these vaccines.13,14 There have been no confirmed cases of VITT with mRNA-based COVID-19 vaccines (e.g., Pfizer and Moderna). Therefore, a second dose of mRNA-based COVID-19 vaccines may be safe.
VITT is a rare adverse event following the AstraZeneca/COVISHIELD and Janssen/Johnson & Johnson vaccines. This brief describes the pathophysiology, presentation, diagnostic work-up and treatment of VITT, including a decision tree for diagnosing and ruling out VITT.
1. See I, Su JR, Lale A, et al. US case reports of cerebral venous sinus thrombosis with thrombocytopenia after Ad26.COV2.S vaccination, March 2 to April 21, 2021. JAMA. Published online April 30, 2021. https://doi.org/10.1001/jama.2021.7517
2. Greinacher A, Thiele T, Warkentin TE, Weisser K, Kyrle PA, Eichinger S. Thrombotic Thrombocytopenia after ChAdOx1 nCov-19 Vaccination. N Engl J Med. Published online April 9, 2021. https://doi.org/10.1056/NEJMoa2104840
3. Scully M, Singh D, Lown R, et al. Pathologic antibodies to platelet factor 4 after ChAdOx1 nCoV-19 vaccination. N Engl J Med. Published online April 16, 2021. https://doi.org/10.1056/NEJMoa2105385
4. Schultz NH, Sørvoll IH, Michelsen AE, et al. Thrombosis and thrombocytopenia after ChAdOx1 nCoV-19 vaccination. N Engl J Med. Published online April 9, 2021. https://doi.org/10.1056/NEJMoa2104882
5. Pottegård A, Lund LC, Karlstad Ø, et al. Arterial events, venous thromboembolism, thrombocytopenia, and bleeding after vaccination with Oxford-AstraZeneca ChAdOx1-S in Denmark and Norway: population based cohort study. BMJ. 2021;373:n1114. https://doi.org/10.1136/bmj.n1114
6. Government of United Kingdom. Coronavirus vaccine – weekly summary of Yellow Card reporting. GOV.UK. Published April 29, 2021. https://www.gov.uk/government/publications/coronavirus-covid-19-vaccine-adverse-reactions/coronavirus-vaccine-summary-of-yellow-card-reporting
7. Australian Government. COVID-19 vaccine weekly safety report – 06-05-2021. Therapeutic Goods Administration (TGA). Published May 6, 2021. Accessed May 7, 2021. https://www.tga.gov.au/periodic/covid-19-vaccine-weekly-safety-report-06-05-2021
8. Advisory Committee Statement (ACS). Recommendations on the Use of COVID-19 Vaccines. National Advisory Committee on Immunization (NACI); 2021:120. https://www.canada.ca/content/dam/phac-aspc/documents/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines/recommendations-use-covid-19-vaccines-en.pdf
9. Oliver S. Risk/Benefit Assessment of Thrombotic Thrombocytopenic Events after Janssen COVID-19 Vaccines. Advisory Committee on Immunization Practices (ACIP); 2021:76. https://www.cdc.gov/vaccines/acip/meetings/downloads/slides-2021-04-23/06-COVID-Oliver-508.pdf
10. European Medicines Agency. AstraZeneca's COVID-19 vaccine: benefits and risks in context. European Medicines Agency. Published April 23, 2021. https://www.ema.europa.eu/en/news/astrazenecas-covid-19-vaccine-benefits-risks-context
11. Health Canada. Health Canada provides update on the AstraZeneca and COVISHIELD COVID-19 vaccines. Government of Canada. Published April 16, 2021. https://healthycanadians.gc.ca/recall-alert-rappel-avis/hc-sc/2021/75389a-eng.php
12. Government of United Kingdom. MHRA issues new advice, concluding a possible link between COVID-19 Vaccine AstraZeneca and extremely rare, unlikely to occur blood clots. GOV.UK. Accessed May 4, 2021. https://www.gov.uk/government/news/mhra-issues-new-advice-concluding-a-possible-link-between-covid-19-vaccine-astrazeneca-and-extremely-rare-unlikely-to-occur-blood-clots
13. Health Canada. Product Monograph Including Patient Medication Information: AstraZeneca COVID-19 Vaccine. Government of Canada; 2021:26. https://covid-vaccine.canada.ca/info/pdf/astrazeneca-covid-19-vaccine-pm-en.pdf
14. Health Canada. Product Monograph Including Patient Medication Information: Janssen COVID-19 Vaccine. Government of Canada; 2021:24. https://covid-vaccine.canada.ca/info/pdf/janssen-covid-19-vaccine-pm-en.pdf
15. Nopp S, Moik F, Jilma B, Pabinger I, Ay C. Risk of venous thromboembolism in patients with COVID-19: A systematic review and meta-analysis. Res Pract Thromb Haemost. Published online September 25, 2020. https://doi.org/10.1002/rth2.12439
16. Nazy I, Sachs UJ, Arnold DM, et al. Recommendations for the clinical and laboratory diagnosis of vaccine-induced immune thrombotic thrombocytopenia (VITT) for SARS-CoV-2 infections: Communication from the ISTH SSC Subcommittee on Platelet Immunology. J Thromb Haemost. Published online April 22, 2021. https://doi.org/10.1111/jth.15341
17. Saposnik G, Barinagarrementeria F, Brown RD, et al. Diagnosis and management of cerebral venous thrombosis: a statement for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2011;42(4):1158-1192. https://doi.org/10.1161/STR.0b013e31820a8364
18. Thaler J, Ay C, Gleixner KV, et al. Successful treatment of vaccine-induced prothrombotic immune thrombocytopenia (VIPIT). J Thromb Haemost. https://doi.org/10.1111/jth.15346
19. Greinacher A, Selleng K, Warkentin TE. Autoimmune heparin-induced thrombocytopenia. J Thromb Haemost. 2017;15(11):2099-2114. https://doi.org/10.1111/jth.13813
Updated on May 10, 2021.
Author Contributions: MP, PJ and AMM conceived the Science Brief. MP wrote the first draft of the Science Brief. All authors contributed to the conception of the Science Brief, revised it critically for important intellectual content and approved the final version.
Citation: Pai M, Chan B, Stall NM, et al. Vaccine-induced immune thrombotic thrombocytopenia (VITT) following adenovirus vector COVID-19 vaccination. Science Briefs of the Ontario COVID-19 Science Advisory Table. 2021;2(17). https://doi.org/10.47326/ocsat.2021.02.17.2.0
Product Monograph Including Patient Medication Information: AstraZeneca COVID-19 Vaccine
Product Monograph Including Patient Medication Information: Janssen COVID-19 Vaccine
An Advisory Committee Statement from the National Advisory Committee on Immunization (NACI): Recommendations on the use of COVID-19 Vaccines
Vaccine-Induced Immune Thrombotic Thrombocytopenia (VITT) Following Adenovirus Vector COVID-19 Vaccination: Lay Summary
Vaccine-Induced Immune Thrombotic Thrombocytopenia (VITT) Following Adenovirus Vector COVID-19 Vaccination: Interim Guidance for Healthcare Professionals in the Outpatient Setting
Vaccine-Induced Immune Thrombotic Thrombocytopenia (VITT) Following Adenovirus Vector COVID-19 Vaccination: Interim Guidance for Healthcare Professionals in Emergency Department and Inpatient Settings
Version 1.0: Vaccine-Induced Prothrombotic Immune Thrombocytopenia (VIPIT) Following AstraZeneca COVID-19 Vaccination
Declaration of Interest: Benjamin Chan
Declaration of Interest: Allan Grill
Declaration of Interest: Noah Ivers
Declaration of Interest: Michelle Sholzberg
Declaration of Interest: Sarah Wilson


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"Peace is present right here and now, in ourselves and in everything we do and see."
We can smile, breathe, walk, and eat our meals in a way that allows us to be in touch with the abundance of happiness that is available. We are very good at preparing to live, but not very good at living. We know how to sacrifice ten years for a diploma, and we are willing to work very hard to get a job, a car, a house, and so on. But we have difficulty remembering that we are alive in the present moment, the only moment there is for us to be alive. Every breath we take, every step we make, can be filled with peace, joy, and serenity. We need only to be awake, alive in the present moment.
This small book is offered as a bell of mindfulness, a reminder that happiness is possible only in the present moment. Of course, planning for the future is a part of life. But even planning can only take place in the present moment. This book is an invitation to come back to the present moment and find peace and joy. I offer some of my experiences and a number of techniques that may be of help. But please do not wait until finishing this book to find peace. Peace and happiness are available in every moment. Peace is every step. We shall walk hand in hand. Bon voyage.
How can you remember to smile when you wake up? You might hang a reminder--such as a branch, a leaf, a painting, or some inspiring words--in your window or from the ceiling above your bed, so that you notice it when you wake up. Once you develop the practice of smiling, you may not need a reminder. You will smile as soon as you hear a bird singing or see the sunlight streaming through the window. Smiling helps you approach the day with gentleness and understanding.
When I see someone smile, I know immediately that he or she is dwelling in awareness. This half-smile, how many artists have labored to bring it to the lips of countless statues and paintings? I am sure the same smile must have been on the faces of the sculptors and painters as they worked. Can you imagine an angry painter giving birth to such a smile? Mona Lisa's smile is light, just a hint of a smile. Yet even a smile like that is enough to relax all the muscles in our face, to banish all worries and fatigue. A tiny bud of a smile on our lips nourishes awareness and calms us miraculously. It returns to us the peace we thought we had lost.
If you have lost your smile and yet are still capable of seeing that a dandelion is keeping it for you, the situation is not too bad. You still have enough mindfulness to see that the smile is there.
You only need to breathe consciously one or two times and you will recover your smile. The dandelion is one member of your community of friends. It is there, quite faithful, keeping your smile for you.
In fact, everything around you is keeping your smile for you. You don't need to feel isolated. You only have to open yourself to the support that is all around you, and in you. Like the friend who saw that her smile was being kept by the dandelion, you can breathe in awareness, and your smile will return.
There are a number of breathing techniques you can use to make life vivid and more enjoyable. The first exercise is very simple. As you breathe in, you say to yourself, "Breathing in, I know that I am breathing in." And as you breathe out, say, "Breathing out, I know that I am breathing out." Just that. You recognize your in-breath as an in-breath and your out-breath as an out-breath. You don't even need to recite the whole sentence; you can use just two words: "In" and "Out." This technique can help you keep your mind on your breath. As you practice, your breath will become peaceful and gentle, and your mind and body will also become peaceful and gentle. This is not a difficult exercise. In just a few minutes you can realize the fruit of meditation.
Breathing in and out is very important, and it is enjoyable. Our breathing is the link between our body and our mind. Sometimes our mind is thinking of one thing and our body is doing another, and mind and body are not unified. By concentrating on our breathing, "In" and "Out," we bring body and mind back together, and become whole again. Conscious breathing is an important bridge.
To me, breathing is a joy that I cannot miss. Every day, I practice conscious breathing, and in my small meditation room, I have calligraphed this sentence: "Breathe, you are alive!" Just breathing and smiling can make us very happy, because when we breathe consciously we recover ourselves completely and encounter life in the present moment.


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As an "All Star Company", Pactera was recognized as a top company in all five judging categories covering size and growth, customer references, awards and certifications, programs for innovation, and programs for corporate social responsibility. In addition to its All Star rating, Pactera was awarded the special distinction of "Sustained Excellence" for appearing on the Global Outsourcing 100 list each year since the list's inception in 2006.
"Buyers understand there are hundreds of qualified service providers out there, but what they really need to understand now is what makes each one exceptional," said IAOP CEO, Debi Hamill, "The Global Outsourcing 100 list has done just that. We are proud to recognize Pactera for being among the highest rated companies in customer references, company awards and certifications, programs for innovation, corporate social responsibility, and size and growth."
"Being ranked as an All Star Company on IAOP's Global Outsourcing 100 list represents recognition from international experts and customers for our achievements," commented Pactera CEO Tiak Koon Loh, "We will continue to strive for recognition as we increase the value we bring clients through an ongoing effort to strengthen our digital expertise and global business deployment, and with a focus on providing best-in-class services."
IAOP is the go-to association leading the way to improve outsourcing outcomes by bringing together customers, providers and advisors in a collaborative, knowledge-based environment that promotes professional development, recognition, certification and excellence. With over 120,000 members and affiliates worldwide, IAOP is not only on top of the latest trends but in front of them. Through its expansive global chapter network, premier training and certification programs, knowledge center, member community and more, IAOP helps members learn, grow and succeed. For more information and how you can become involved, visit www.IAOP.org.
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The 23rd China Capital Market Forum 2019 was held in Beijing on January 12, with the theme of "Capital Market and Modern Financial System". The forum was co-hosted by the Financial and Securities Institute of Renmin University of China (FSI), Guorong Securities Co., Ltd. And Chongyang Institute for Financial Studies at Renmin University of China (RDCY).
Over 500 people attended the forum including heads from government departments, and experts and scholars from universities, research institutions, as well as guests from securities companies, fund companies, listed companies and media.
Liu Wei, President of Renmin University of China, attended the forum and delivered opening remarks. He said that it is of great significance to research the construction law of the financial system for deepening reform and opening up and building a major financial power.
The opening ceremony was presided by Zhuang Yumin, dean of School of Finance at Renmin University of China. Hou Shoufa, Chairman of Guorong Securities Co., Ltd., delivered a speech on behalf of the organizers of the forum.
Fang Xinghai, vice chairman of the China Securities Regulatory Commission and Ning Jizhe, deputy director of the National Development and Reform Commission and director of the National Bureau of Statistics of China, delivered keynote speeches. Wu Xiaoqiu, vice president of Renmin University of China, made a thematic report with the theme of "The Road to Modern Financial System: Exploration in China" .
Then, at the sessions of thematic speeches and luncheon speeches, several experts gave their opinions. Two sub-forums was held in the afternoon. The guests discussed the issues on "the formation and development of the modern financial system" and "the status quo and future of the capital market".


text:
A former GOP judicial candidate claims in lawsuit she was "tortured" in courtroom and jail
March 26, 2015 — 11:00pm
Michelle MacDonald, the 2014 Republican endorsed candidate for the Minnesota Supreme Court, and her husband Thomas Shomita have filed a sixty-page civil rights lawsuit in federal court, in which they claim she was "handcuffed, detained and tortured" in a Dakota County courtroom and jail in September 2013.
The lawsuit stems from an incident where MacDonald, who was representing a client in court, was removed from the courtroom by deputies and placed in a cell after taking pictures in the courtroom. MacDonald and her husband are seeking injunctions and monetary awards for compensatory and punitive damages, along with all attorney fees and costs associated with the lawsuit.
According to the lawsuit, MacDonald was handcuffed, placed in a wheel chair and wheeled back into the courtroom by a deputy. The hearing resumed and MacDonald continued to represent her client, but she was in a wheel chair and handcuffed. The lawsuit states MacDonald was detained for 36 hours and was charged with one count of contempt of court, which was later dismissed.
In her lawsuit, MacDonald alleges "seven of the eleven internationally recognized forms of torture" were used against her including, "sexual humiliation, sleep deprivation, sensory deprivation, solitary confinement and isolation, temperature extremes, sensory bombardment, and psychological techniques."
MacDonald's lawsuit even notes she has started smoking and continues to suffer from embarrassment due to this incident as she considers another run for public office. Moments after she was sentenced on charges in November 2014 from a traffic stop for speeding and suspicion of drunk driving in 2013, MacDonald declared she would again run for office as a judicial candidate.
Nathan Busch, MacDonald's attorney, said in a press release announcing the lawsuit, "[o]ur Constitution guarantees every citizen inalienable rights of due process before arrest and detention to prevent exactly the outrageous tyranny Dakota County officials have inflicted on Ms. MacDonald."
MacDonald lost to incumbent Justice David Lillehaug by just 7 points - 53 percent to 46 percent. MacDonald received the highest vote percentage of any Republican statewide candidate for office on Election Day and said "she would have won" her campaign if she had not been detained.
Picture source: Michelle MacDonald
Local Pregnant Fargo woman died from homicidal violence
Politics GOP state Sen. David Osmek says he's running for governor
Pregnant Fargo woman died from homicidal violence
GOP state Sen. David Osmek says he's running for governor


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Homecoming spirit week started on September 14th and the leadership class chose the themes of; Fashion Disaster day, Superhero day, Wacky Workout day, Class Color day, and RC color day.
"I think spirit week can be a good thing as far as building campus pride, you know it can be above academics but sometimes students can be distracted. It's more positive now than it used to be," says River City's psychology teacher, Mike Shriver.
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text:
Home Authors Posts by Ryan Cary
Ryan Cary
http://cmareno.com/
Ryan Cary, son of Professor Larry Cary, has been an instructor in the Martial Arts for over 14 years. The youngest black belt in the history of Champion Martial Arts, Sensei Ryan was Junior Sport Jujitsu Grand Champion for two years in a row. He holds a 5th Degree Black Belt in the arts of Ninjitsu, Taijitsu, and Jujitsu.
Sensei Ryan Speaks Out About Habits
In this video Sensei Ryan speaks out about habits and asks, do you have a friend or loved one that is difficult to be around...
Sensei Ryan Speaks Out About Falling
In case you practice parking lot ice skating that ends in a fall on concrete? Or if you are clumsy and end up tripping...


text:
Болина (пол. Potok Bolina) — річка в південній Польщі, у Сілезькому воєводстві. Права притока Чорної Пшемши, (басейн Балтійського моря).

Опис
Довжина річки приблизно 8,10 км, найкоротша відстань між витоком і гирлом — 5,56 км, коефіцієнт звивистості річки — 1,46 . Формується притоками, безіменними струмками, загатами та частково каналізована.

Розташування
Бере початок на південно-східній околиці селища Ґішовець. Спочатку тече переважно на північний захід, потім на північний схід і в межах між містами Сосновець та Мисловиці впадає у річку Чорну Пшемшу, праву притоку Пшемши.

Цікаві факти
 У деяких місцях річку перетинають автошляхи та багатоколійні залізниці.

Галерея

Примітки

Річки Польщі


Using the Law of Attraction and Lynn Grabhorn's Excuse Me, Your Life Is Waiting as a starting point, Excuse Me, College Is Now is an invaluable, up-beat guide for college students, and their parents, on how to navigate the stresses of college life to enjoy it.
Excuse Me, College Is Now is the ideal gift for high-school seniors and college students.
Sebastian Oddo is a recent graduate of Manhattanville College, and is currently a project manager at MediaSPA, LLC.
Name What You Want. Feel What You Want. Allow it to Happen.


text:
Q: How can I select elements outside of my component? I have two LWCs that I have put in a community page. I wanted to select an element of the other LWC from the other LWC, which I currently do not know how.
So, basically, my question is that, is there a way we can select an element in LWC1 from LWC2?
In native JavaScript, I believe this is how it's done:
document.querySelector('.some-classname');

But I've tried it in LWC and it didn't work.

A: By design, see e.g. Shadow DOM, that is not possible.
Edit your question to say exactly what you are aiming to do here between the two LWCs as how best to do that can depend on that.
Typically for LWCs that are not directly related, and assuming you have control over both LWCs, use the Lightning Message Service when the LWCs are running in the normal Salesforce desktop.
For Communities (AKA Digital Experiences), in the past you had to use a separate pub/sub library for this (works fine, just extra code to add), but LMS was in beta for Communities in May 2021, so may be GA by now or GA soon.

redpajama_set_name: RedPajamaStackExchange


text:
Mima Simić (born Ana Marija Simić; 4 February 1976) is a Croatian writer, an awarded film critic, translator and an LGBTIQ+ media activist. She holds degrees in Comparative Literature and English Language and Literature from the Faculty of Humanities and Social Sciences, University of Zagreb and Gender Studies from the Central European University. Simić was Croatia's first openly out LGBTIQ+ political candidate.

Career

Simić wrote for the Feral Tribune in the 2000s.

She is the author of a short story collection Pustolovine Glorije Scott (The Adventures of Gloria Scott, AGM, 2005), which is currently being made into an animated series and a collection of film essays Otporna na Hollywood (HFS, 2009). Her short stories and various other texts have been published in numerous Croatian and international magazines, journals and anthologies.

Activism and media work
Simić is particularly interested in activist interventions in the media. In 2007, Simić went on Tko želi biti milijunaš?, the Croatian version of the Who Wants to Be a Millionaire? and outed herself as a lesbian. She ended up winning 125,000 HRK. For her activist engagement in 2011, she was named the Croatian LGBT person of the decade by the Zagreb Pride Committee. During the debate on 2013 Croatian constitutional referendum, Simić was the guest on Nedjeljom u dva, becoming the first out lesbian to appear in the long history of this most popular Croatian political TV show.

Simić received a literary grant from the Croatian Ministry of Culture in 2012.

From 2013 to 2015, Simić hosted the weekly TV show Peti dan (Fifth Day) on Croatian Radiotelevision.

During the leftist-liberal coalition government, Simić was named to the Croatian Ministry of Culture's committee for non-profit media in 2013, 2014, and 2015. The committee was relieved by the next and shortest nationalist-democrats coalition government.

With her band Drvena Marija (Wooden Mary), Simić took part in protests calling for the government's resignation organized by the far-left Workers' Front on 1 February 2016.

In 2017, Simić has signed the Declaration on the Common Language of the Croats, Serbs, Bosniaks and Montenegrins.

Political work
Simić was an active member of Zagreb is OURS, a green-left political platform, since its start in 2017. Running for the European Parliament in the 2019 elections on the list of the Croatian left-green coalition We can!, she became the first Croatian openly lesbian politician.

References

External links
 Short video statements 100% magazine in 2019

1976 births
Writers from Zadar
21st-century Croatian writers
Lesbian writers
Living people
Croatian LGBT people
Croatian LGBT rights activists
Signatories of the Declaration on the Common Language
21st-century Croatian women writers


We are incredibly grateful for the support we received from the community at last Thursday's celebration of our 1st anniversary in 4S Ranch! We had a great turnout and a lot of fun. Thank you for being a part of our special day.


My kitten has stopped his crying, yet the infant across the way has not. On this gorgeous, windows open sort of morning, we hear each other – the birds, the kittens, the people. It is this difference, the one between human and other earth-life, that fascinates.
The kitten wants to be outside. I don't blame him, yet also, as his owner, won't allow him to be. It's in his best interests, and as a "rescue kitty", an agreement we made. After a few cries, he accepts his indoor fate and now waits, regally and patiently at the screen door for my return.
My neighbor, the screaming child, has not (accepted his fate). He's been yelling now for about thirty minutes. I'm almost certain his family has awoken as well and is hoping he'll stop, unaware that the entire block is hoping the same thing. It's 5:30 AM and, as was mentioned earlier, a "windows open" sort of morning. As we silently wish he'd "get with the program" and return to sleep, her persists relentlessly. It's clear he will not stop until satisfied or too exhausted to continue.
Although we humans admire the quiet dignity of our pets, we present a picture much more like that of the infant this morning. This will help us right now. We can be relentless, persistent, determined and demanding when we know the thing we want is possible, and maybe, just on the other side of the wall. That baby won't get anywhere if he stops shouting, so shouting is his only option.
It feels like that now. Not the shouting so much, but the necessity of persistence. What's been realized by those of us paying attention, (and reading these words), is that there are things, so many things, within the realm of possibility, but that we have been led to believe were impossible. Things like healing technologies, free energy, food replicators, space travel; which all lead us to peace and prosperity worldwide. We, like that noisy child, know that these things are just out of sight. We need to keep shouting, and increase our volume.
As we wake each other up, awareness slowly dawns on those nearby. You can only reach as far as your voice carries. There are those of us on network programs whose voices carry far. Yet even there, in order to be heard, someone has to "tune into" the network. We are still a relatively small group.
Our greatest effort must come then, from home. For from there, our reach does not depend on interest or awareness but proximity. We all live with, work with, shop with, play with, lots of people. We are all over the planet. We will have to walk our talk in our every day.
These things, the ones to bring up to the people you live with, are not so strange as to make us appear "odd". These are things we all desire; health, prosperity, love, sustenance, peace. There is a great deal of common ground. Don't you think, that if your seemingly stressed out boss or disconnected neighbor knew these things were possible right now, that they would join in our shouting? You bet they would.
We don't have to do this by ourselves. That was never the point. We were meant to spark the desire for freedom and all that goes with it. The humans around us will take care of the rest. The way to trigger desire is to let everyone know what is possible. It is so much more than we've been told.
Like that screaming baby, once humanity knows that peace, prosperity, health and freedom are all possible (not only possible, but right here, just beyond reach or sight), the relentless quest for it begins. This happens in small person-to-person ways. It comes out in conversations. It is the end result of common ground.
And one more, here's another sharing of what this connection can feel like, by Julie M Daley, click here.
Whether you consider yourself a star seed or hybrid, indigo, crystal, or a bit of a mix, you are on the planet right now for and with humanity. It doesn't get much more unified than that. We are One, and we are One everywhere that we are.
Let's talk to each other, and get that baby to start shouting for us all.
PS Check out my books and newsletter here! Thank you for writing a review on Amazon!
 This song below was chosen because it speaks to many of us, getting over 10 million views in less than a weeks' time! Wow. All of us are looking to connect in a real way.
as we shift - what's stopping you?
Sometimes it seems as if there is no love around you. Serious faces, worried looks and anxious glances fill the heads of the people who walk through your life. Mostly, eyes avoid contact.
In uncertain times, we tend to fall back, at least internally, to a specific state of comfort. If concern and focus on the problem (whatever it is) is where you spend the most time, that's where your natural zone is and where you'll head when under stress.
What happens on our journey through "time" is that we arrive knowing every aspect, dimension and version of ourselves. There is no "veil" and we spend time everywhere, as every possibility of us is "real". We are awake and aware.
As infants react to these "alternative realities", we, the humans in this "reality", do nothing to reinforce what they are seeing. Not until they react to something we can also perceive. Then we smile, clap, hug and encourage them. This is how the separation begins. Those places are deemed our "imagination", and relegated to fantasy.
Slowly, we train each other to focus where we are looking. "The forgetting" is the beginning of the process of going to sleep. Deep sleep happens at puberty – when we become cognizant of all that is "real" and put away our super hero's and fairy tales. We get serious. We grow up.
This is neither good nor bad, yet it does explain how we, adults now, have only a small amount of fairy dust or super power to pull out and have fun with. We thought that in order to be a responsible powerful adult - we had to put those things away.
I guess it depends on where you want your success and what success means for you. If you are reading this, you are awake and perhaps are re-defining success. It may be time to pull out the capes and wings and fly around a bit; just because.
Loving yourself is something you came here doing. You focused on what made you happy. You looked around – a lot. You noticed, heard and smelled every new thing. You wondered about someone who talked in another language, looked different or had a funny way of getting around; and you, unafraid, asked "why". You laughed often. You cried freely. You stopped both on a moments notice.
You did not come here stuck on replay – doomed to react the same way over and over to similar events. Somewhere and somehow that behavior is learned by our ego self. We are easily addicted as humans and with each passing year our "need for a fix" just grows. We require more and more for the same hit, in order to feel some sense of equilibrium.
Loving yourself means adjusting those addictions. Turn the dial back until they are closer to the addictions you had as a child. The only things on your mind then were happiness, curiosity, comfort, fun and exploration. You did everything you did to get one or all of the above. The purpose was love. The focus was you.
As you love yourself, you'll notice a softness emerge. It is difficult to explain, yet easily felt. As a child your shields were down and you let everything in. If something hurt – you cried and were over it. You knew all things were temporary; every moment was NOW, and you didn't want to miss any of it. You were present.
If all that freed up empty space makes you queasy, fill it up with fairy dust, angel wings, super powers, magic wands, light sabers and hero capes. Play. You are an exuberant, 1,000,000 watt light beam of energy. You are powered with love and move because the very force of creation deems it so.
As you remember play, you'll remember me. I was right there with you when you arrived oh so many years ago. I've been hidden behind should, can't and have to. Once you see me you'll remember our secret. We are the same. Allowing love into your own heart opens up space for our connection to be visible. We are One.
Unity happens without force or a movement or a pushing against. It occurs seamlessly with an opening up. Allow me to see your super powers. I'll show you my wings. Love yourself and I will feel your hug. That's when we'll remember.
PS - Check out my store for my newsletter and books! Once you read them, and love them, write a review! Thanks! Here is one for Inclusion: "I couldn't put this down. Very good information and truth about the earth and humanity. Hold on to your hats! It will be good!"
Let's talk about forgiveness. It has two parts. One side first has to do something that hurts, harms or disturbs another. The other side, now having been disturbed, hurt or harmed – has to allow it to be okay. Blame or retribution hold no quarter. There is no room for shame or need to admonish. It is love that handles the details.
In a polarized world such as earth, there are churches, schools, banks and courts built to take care of what love hasn't. They are places of judgment, debt, worship and measurement; fictitious paces we've created so that we have 3D replicas for our inner dilemmas. Ultimately, it begins and ends with us. There is nothing else, not really.
But what does this mean? I believe it means that we are here now to forgive ourselves on the innermost level. That in these days where daily exposure of the most heinous crimes is becoming the norm; we are finally getting down to it. For in every case, I am you. There is no sin or sacrifice I haven't committed, no repulsive or divine act undone.
If oneness is fact, then I am you right now. The lifetimes and fractals are merely remnants of a mind's shattered pictures – as it attempts to deal with infinity. I am every possibility, absent limit.
Now, that sounds beautiful and awesome, yet realize the scope of limitless – it reaches out into every direction. It's not just limitless in the coolest things.
So, we are left with self. Another truth of oneness is that every act effects self. Judgment of any one of us is felt by all of us.
Our deepest desire is to be seen and loved. These daily exposures of our darkest sides are allowing us to be seen. Thus far, they haven't let in any love. The headlines shout at us to blame and punish. The call for polarization has never been louder or more insistent.
What we can do is start within. I believe that if we start there, the answer will be obvious.
If we embrace multi-dimensional as a personal attribute, we have to consider an idea that not all of those parts were our best self. We've done stuff, some of it really "bad". Forgiveness is our only option.
If we keep this self-directed, perhaps we'll have a bit of success. After all, who loves you and knows you best? It is, or hopefully is, you.
Forgive yourself for everything that you've ever done. Use this (I forgive myself), as a mantra. Repeat it often. Embellish it. Perhaps, once self-forgiveness takes hold as a viable action plan – others will emerge.
We've shown up now to end an experiment and build something new. It is this new part I reference today. This will be exactly what we believe is possible. Forgiveness is an answer, a possibility and the only option that doesn't cause more harm. Forgiveness does not, in any case, allow harm to continue unabated.
A new idea is like this one red tulip. It stands alone and sticks out. Discussing forgiveness while watching a media storm of murder and dark magic and pedophilia, is like that. It seems out of place. Yet, eventually, the color of that tulip bleeds into the rest and if it is strong enough, changes everything.
Be gentle with yourself. You are the one you've been waiting for.
PS Check out my books and newsletters! Sign up here! Books found here!
Pay attention. These are the days you'll look back on, the vivid memories you'll recall, the tales you'll relate to anyone who asks. You've ended an era, and begin a new age.
This post is a bit of a sharing in a way not previously done. It is the method used when trying to discern the root of emotional turmoil. This is my own turmoil. It has been quite the ride since the last week of March. Today I was expecting to write about other things, worldly things and outward changes. Instead, this came up. In this sharing it is hoped that some of you may be assisted as well. The first few sentences are me, (my "ego self"); the last part is a sort of melding. It is both me and that part of me who I've come to regard as my greater self.
My struggle continues and well's up from deep within. There is a void no one can fill.
Yes. You are beginning to understand. It is the human dilemma, created as you brought forth this body. In form, there is not access to all that you are. Thus, you seek, relentlessly, that aspect.
All judgment is self-abuse. All discomfort – self-directed. Those free of inhibitions become your greatest teachers then. Why do you frown in their direction?
It is not that there is something wrong with them, but something they represent, is unsaid from you, even to yourself.
You refuse to self-examine, for that brings up the greatest pain.
To look beneath the mirror is not possible while human.
What is left, all that is left, is you. Standing there, seeing your reflection, considering which fix will finally fix it for good.
There is no such adjustment. Change clothes, jobs, spouses, lovers, friends or homes and STILL THE MIRROR HOLDS THE SAME REFLECTION.
As the world disintegrates its slavery structures, we remain with mirrors in hand.
This post reminds us what is true every time. It is the answer to the question and the reason that physical alteration does not forever satisfy. The truth is not found in "other".
…and make one more leap, you see that we reside in a box that cannot contain the expanse of what we are.
This box is not a coffin. This box is a body. This box is illusory. It is the BELIEF IN ITS VALUE THAT CREATES SO MUCH MISERY.
You can change the box anytime, and have no effect on your worth.
What it takes, we come to realize at this late stage of our ascension/awareness process, is letting go. You can move so much more easily when you aren't hanging on to something.
Until you are willing to appear weightless, you are burdened with judgment, and stuck to the box.
Letting go does not mean dying (although that works). It means retaining awareness of value every time and in every instance. It looks like regarding yourself with kindness. It feels like self-care. It puts no hierarchy on people, while retaining always a single directive. This directive rests beneath all of your actions.
This directive puts the heart always first and foremost. It does not advocate activity, talk or plans that chip away at sovereignty. It is humbling. The heart is the beginning of it all, the reason for it all, the source. Not any heart – your heart.
The last 6 weeks of my life have turned it upside down. Four "jobs" were ended in shocking and unexpected ways, while conditions, physical and emotional, rise to the surface that have been brewing for decades. As I navigate these, I am left with one conclusion, and it is shattering. I can no longer pretend. Anywhere.
There is no more "faking it until making it". It is time to BE. In every moment, I am left with only truth. My heart will not be stifled or silenced or shut down. It is looking to birth brilliance and will not be hidden.
I am ashamed, gladdened, humbled and frightened for this learning. The extreme nature of it foretells massive change.
I cannot do this alone (or pretending to be). We are united at our core and it is time to trust both self and other. Separation is illusion.
Above all else, we love. It is the source of that love that bursts forth now, demanding its place in our illusory life. Our wildest imaginings are about to be realized.
Let go. We came to fly.
PS Check out my books on Amazon, here! The first few chapters can be read for no charge! Sign up for my newsletter here!


Oh! This cover is all kinds of gorgeous. And it sounds so good too. Sigh. I cannot wait to read Riders :D It shall be perfect. <3 Because I adore Veronica Rossi. So much. She's amazing. So kind and sweet. I loved her Under the Never Sky trilogy oh so much. And I simply can't wait to read more by her :D And just, gosh damn. This book sounds epic. The summary is so amazing. I cannot wait to get to meet Gideon :D And everyone. And ugh, this plot sounds amazing. I want this book so badly. February 2nd cannot arrive fast enough. I will love this book. And I can't wait to get to read it :D What do you think?
Riders. Veronica Rossi. Official Reveal Post. The Book Depository. Amazon.
This is stunning! I wasn't much interested in Rossi's dystopian series,..but a guy who becomes part of the four horsemen?? THAT strikes my interest! Thanks for sharing this, Carina!
Definitely gorgeous! I love horses, though the face of this one with the flames is a tad bit creepy... But still awesome!
This sounds fantastic, doesn't it?? And that cover is awesome and creepy and simply brilliant!
Thank you for sharing Carina!
LOVE! I relaly enjoyed Rossi's Under the Never Sky trilogy, and her NA series, but I'm excited for more YA!
I love Under the Never Sky SO FREAKING MUCH. I need this book in my life!
Thank you for sharing, Carina! I had missed this news on Twitter!
Ack!!! I'm so happy she's coming out with a new book!!!


text:
<?php

/**
 * @category   PHP
 * @package    CodeCoverage
 * @author     Arne Blankerts <arne@blankerts.de>
 * @copyright  Sebastian Bergmann <sebastian@phpunit.de>
 * @license    http://www.opensource.org/licenses/BSD-3-Clause  The BSD 3-Clause License
 * @link       http://github.com/sebastianbergmann/php-code-coverage
 * @since      Class available since Release 2.0.0
 */
class PHP_CodeCoverage_Report_XML_Node
{
    /**
     * @var DOMDocument
     */
    private $dom;

    /**
     * @var DOMElement
     */
    private $contextNode;

    public function __construct(DOMElement $context)
    {
        $this->setContextNode($context);
    }

    protected function setContextNode(DOMElement $context)
    {
        $this->dom         = $context->ownerDocument;
        $this->contextNode = $context;
    }

    public function getDom()
    {
        return $this->dom;
    }

    protected function getContextNode()
    {
        return $this->contextNode;
    }

    public function getTotals()
    {
        $totalsContainer = $this->getContextNode()->firstChild;

        if (!$totalsContainer) {
            $totalsContainer = $this->getContextNode()->appendChild(
                $this->dom->createElementNS(
                    'http://schema.phpunit.de/coverage/1.0',
                    'totals'
                )
            );
        }

        return new PHP_CodeCoverage_Report_XML_Totals($totalsContainer);
    }

    public function addDirectory($name)
    {
        $dirNode = $this->getDom()->createElementNS(
            'http://schema.phpunit.de/coverage/1.0',
            'directory'
        );

        $dirNode->setAttribute('name', $name);
        $this->getContextNode()->appendChild($dirNode);

        return new PHP_CodeCoverage_Report_XML_Directory($dirNode);
    }

    public function addFile($name, $href)
    {
        $fileNode = $this->getDom()->createElementNS(
            'http://schema.phpunit.de/coverage/1.0',
            'file'
        );

        $fileNode->setAttribute('name', $name);
        $fileNode->setAttribute('href', $href);
        $this->getContextNode()->appendChild($fileNode);

        return new PHP_CodeCoverage_Report_XML_File($fileNode);
    }
}

redpajama_set_name: RedPajamaGithub


text:
require "minitest_helper"

class AlternateNameTest < ActiveSupport::TestCase
  # test "the truth" do
  #   assert true
  # end
end