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Findings From a Long-Term Study on Marijuana Use Uncover Something Unexpected
By Sean WilliamsFool.com
Source: Pixabay.
Marijuana continues to be a highly polarizing issue for the United States. Despite growing momentum for the marijuana industry, highlighted by nearly two dozen states passing medical marijuana legalization laws and four states also allowing for marijuana to be sold legally for recreational purposes, marijuana is facing a veritable mountain of hurdles.
Marijuana can't catch a break To begin with, legal marijuana businesses are dealing with an abundance of financial issues. Most traditional banking services are out of reach for marijuana shops and growers because the federal government still views the plant as illegal. Banks are concerned that they could face prosecution in the future or lose their loans if the government's hands-off approach to marijuana management changes. Thus, they've simply kept their distance.
Federal tax laws are also working strongly against the marijuana industry. Because federal tax law supersedes state law, marijuana shops are unable to take normalized deductions for their business since they are selling an "illegal drug." The result is marijuana businesses are paying far more in taxes than they would be if they were selling practically any other product.
The current administration also has no interest in quickly changing the federal government's stance on marijuana. With a critical election upcoming in 2016, a move to legalize marijuana prior to then seems unlikely.
But, arguably, the biggest issue for marijuana is its long-term safety. Lawmakers are unlikely to change their tune on marijuana until it can be decisively shown through clinical studies that marijuana poses no long-term threat to the physical or cognitive functions of the body and brain of a user.
Last month, researchers got a look at one such long-term study in adolescents, and the news (or should I say lack of news) was encouraging if you're a proponent of legalization.
No news is good news The study, which was undertaken by researchers at the University of Pittsburgh Medical Center and Rutgers University and published in the Psychology of Addictive Behaviors, began tracking 14-year-old males in Pittsburgh public schools beginning in the late 1980s. A database continued to track these adolescents until 2009-2010, when these individuals were 36 years old. The idea of the study is to establish what effect, if any, marijuana had on physical and mental health conditions, such as asthma, depression, high blood pressure, and psychotic illnesses.
Source: Flickr user Day Donaldson.
The participants were split into four groups for the study. The largest group contained marijuana non-users (46%), following by early chronic users (22%), late-adolescent users who continued using marijuana throughout the lives (21%), and those that used marijuana only during adolescence (11%).
The findings showed that there were no statistically significant physical or mental health differences observed between any of the four groups between the late 1980s and 2009-2010. Furthermore, despite certain controls not being accounted for, researchers note that chronic marijuana users had no worse health prognosis than any of the other groups in the study.
Researchers from both universities were steadfast in pointing out that this isn't an end-all study, but merely represents another piece of the puzzle to resolving marijuana's long-term safety profile. Additionally, researchers suggested that the intellectual and cognitive effects of marijuana aren't covered by this study and still need to be explored as potentially having an effect on users over the long term.
An open door for more researchIf the aforementioned study demonstrates anything, it's that there's plenty of room for additional research into the effects of marijuana on the body and mind. With the Obama administration removing some of the red tape associated with marijuana research earlier this year, it would seem to agree as well.
In recent years, we've witnessed a handful of studies that have suggested marijuana could actually be of benefit to patients with certain diseases. From aggressive brain cancer to type 2 diabetes, marijuana and its cannabinoids have demonstrated promise in helping to treat or ease symptoms associated with deadly and/or chronic diseases.
Source: GW Pharmaceuticals.
At the forefront of that research is GW Pharmaceuticals , a U.K.-based biopharmaceutical company that's discovered more than five dozen cannabinoids from the cannabis plant. GW's hope is to use the cannabinoid receptor system found within the human body to effect positive biological change, and it's currently researching about 10 different indications to that end. The most promising product in its pipeline is Epidiolex, a THCV-based treatment for two rare types of childhood-onset epilepsy. In mid-stage studies, Epidiolex reduced the frequency of seizures in these two rare disease types (Dravet syndrome and Lennox-Gastaut syndrome) by more than 50%.
A quick reality checkHowever, for the marijuana investor, this latest study offers no solace. Puzzle pieces can take a long time to come together before lawmakers are going to feel comfortable enough to take a stand as to whether the drug should be legalized or not. Meanwhile, most marijuana businesses continue to lose money or are struggling to stay profitable. We also have to remember that this is as much of a learning experience for the local, state, and federal government as it is for the shop owners, processors, and marijuana growers.
Ultimately, betting on marijuana to turn into a success story remains just as much a gamble today as it did previously. Even though momentum is squarely in the sails of the marijuana industry, the hurdles that remain don't look as if they're going anywhere anytime soon. Thus, the safest place for your money remains as far as possible away from the marijuana industry.
The article Findings From a Long-Term Study on Marijuana Use Uncover Something Unexpected originally appeared on Fool.com.
Sean Williamshas no material interest in any companies mentioned in this article. You can follow him on CAPS under the screen nameTMFUltraLong, track every pick he makes under the screen nameTrackUltraLong, and check him out on Twitter, where he goes by the handle@TMFUltraLong.The Motley Fool has no position in any of the stocks mentioned. Try any of our Foolish newsletter servicesfree for 30 days. We Fools may not all hold the same opinions, but we all believe thatconsidering a diverse range of insightsmakes us better investors. The Motley Fool has adisclosure policy.
New Las Vegas slogan coming soon


The English village mystery gets a contemporary spin in this hit British television series that has earned a worldwide following. Bucolic settings harbor macabre crimes and eccentric characters that are no match for DCI John Barnaby (Neil Dudgeon, Life of Riley) and his assistant, DS Ben Jones (Jason Hughes, This Life). Guest stars include James Callis, Julie Graham, Kerry Fox, Sinead Cusack, Martine McCutcheon, Kate Ashfield, and Harriet Walter. Midsomer Murders Series 15 DVD includes 6 cases, 9 1/4 hrs, 3 DVDs, SDH. Mature audiences.


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Jan 08, 2019 · 08:54 pm
The big news: Protestors pelt stones, clash with police during Bharat Bandh, and 9 other top stories
Other headlines: Arun Jaitley said the Congress had promised quotas for the poor in 2014, and the Supreme Court reinstated Alok Verma as the CBI chief.
Roads were blocked during the nationwide strike called by central trade unions protesting against 'anti-people' policies of the Centre on January 8, 2019. | PTI
A look at the headlines right now:
Protestors block buses, trains as trade unions observe two-day strike in support of Bharat Bandh: Almost all state-run institutions – except hospitals – remained closed in Bengaluru, while in West Bengal, train services were affected and there were clashes between Trinamool Congress workers and strike supporters.
'Congress promised reservations for the poor in 2014', Jaitley tells Lok Sabha during debate on upper caste quota: Meanwhile, the Lower House passed the Citizenship (Amendment) Bill amid protests inside Parliament and in the North East states.
Supreme Court dismisses Centre's order to divest CBI Director Alok Verma of his duties: Finance Minister Arun Jaitley claimed the top court's order is 'balanced', but the Communist Party of India (Marxist) called for Prime Minister Narendra Modi's resignation.
Congress appoints transgender rights activist Apsara Reddy chief of its women's wing: This makes her the first transgender person to be appointed a party office-bearer.
Supreme Court appoints five-judge Constitution bench for January 10 hearing in Ayodhya case: The bench will comprise Chief Justice Ranjan Gogoi and Justices SA Bobde, NV Ramana, UU Lalit and DY Chandrachud.
Nandan Nilekani to chair RBI panel to improve digital payments: The five-member panel has been tasked with improving financial inclusion through digitisation.
Tamil Nadu government announces creation of 33rd district Kallakurichi: Chief Minister Edappadi K Palaniswami said an Indian Administrative Services officer will be appointed to oversee the formation.
Centre allows private FM channels to broadcast All India Radio news: Private channels can avail the service for free till May 31.
Saudi woman fleeing family given UN protection in Thailand: Rahaf Mohammed al-Qunun, who according to one of her friends is ex-Muslim, has said her family will kill her if she is deported.
Bihar court orders FIR against actors of 'The Accidental Prime Minister': Meanwhile, the Delhi High Court agreed to hear a petition against the film's trailer.
Bharat Bandh
upper caste quota
The big news: 10 dead after building collapses in Dongri area of Mumbai, and 9 other top stories

redpajama_set_name: RedPajamaCommonCrawl


Our modern societies and the fast pace of life have undermined community socialization. People lack of trust and real connection to other people. Their main drive of action and being seem to be growth and profit oriented, promoting competitiveness instead of compassion and solidarity.
In the workshop "A person is a person through other persons", we want to explore an alternative imaginary beyond competition and towards mutual concern, caring and sharing between and among us, as well as with our wider environment. We invite you to join us sharing life experiences of cooperation and learning more about the Ubuntu philosophy of Bantu speaking people in Africa.
The activities that will be presented have been developed under the STEP project. STEP is an 18-months Capacity Building project that links active citizenship to formal education by drawing attention to the values of sustainability. It is trying to be critical towards the "culture of growth" by exploring alternative community models and economies in Vietnam, Spain, Greece, Peru, Ghana, and Kenya.
This workshop is powered by Inter Alia. Inter Alia (IA) is a private not-for-profit organization based in Athens, Greece. Its activities are carried out by its two interconnected branches, a civic organization and a think-tank. Both branches have common aims and diverse tools for pursuing them. IA's founders and members are interested and work on contemporary challenges of the EU with focus on democracy, citizenship, education, and human rights.


New India Assurance Company Ltd (NIACL) Requirement for (312) Administrative Officers Posts 2018.This is very big news for those candidate how looking for this job.New assurance company required 312 Post Apply online before 26 Dec 2018.
Age Relaxation for ST/SC/OBC/PWD as Government rule and regulations.
All other details for apply online,syllabus,Notification detail all important link given below online Form available as on 10/12/2018.


HAMILTON, ON: In recognition of Scotiabank's 25 years of supporting McMaster Children's Hospital Foundation, the 2G Child and Youth Clinic at McMaster Children's Hospital was renamed the "Scotiabank Child and Youth Clinic" on November 6. The clinic is the largest in the hospital, serving approximately 31,000 patients last year. Multidisciplinary teams collaborate to provide a range of specialty services, including cardiology, exercise and nutrition, neonatal follow-up care, and urology, among others.
McMaster Children's Hospital Foundation is Scotiabank's longest-standing philanthropic partner in Canada. More than $6 million has been raised for McMaster Children's Hospital through the annual Scotiabank Smiles for MacKids campaign. During the campaign, Scotiabankers volunteer their time to host fundraisers and participate in the sale of plush toys.
Funds from the campaign have supported many areas of McMaster Children's Hospital, including the expansion and redevelopment of the Neonatal Intensive Care Unit and the Angiography Suite. Proceeds have supported the purchase of equipment such as an MRI anesthetic machine, a neonatal transport incubator and ventilators. Scotiabank has also supported the McMaster Children's Hospital Research Collaborative by funding the Scotiabank Chair in Child Health Research.
McMaster Children's Hospital Foundation, as part of Hamilton Health Sciences Foundation, is focused on raising funds in support of McMaster Children's Hospital, including Ron Joyce Children's Health Centre, McMaster University Medical Centre and their programs. The Foundation provides funding for leading-edge equipment and patient amenities, innovative research initiatives, redevelopment of patient care spaces, and the education and training of health care providers.
McMaster Children's Hospital Foundation supports specialized pediatric and women's reproductive health programs. The second largest provider of inpatient pediatric services in Ontario, the site is also home to a dedicated pediatric emergency department, more than 40 outpatient clinics, the province's largest neonatal intensive care unit including supportive maternal care, the largest single-site inpatient pediatric mental health program in Canada, and the only pediatric trauma centre in the region. Specialized outpatient services are provided at Ron Joyce Children's Health Centre, as part of McMaster Children's Hospital. At its shared home with the Hospital, McMaster University Medical Centre delivers a wide range of women's reproductive health services, including high-risk obstetrics and pre-natal screening, as well as a number of adult outpatient and day surgery clinics. The Foundation is focused on enabling outstanding patient care through its goal of Health Care, Transformed.


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Leptotrophon perclarus is a species of sea snail, a marine gastropod mollusk in the family Muricidae, the murex snails or rock snails.

Description
The length of the shell attains 17.2 mm.

Distribution
This marine species occurs off New Caledonia at a depth of 400 m.

References

 Houart, R. (2001). Ingensia gen. nov. and eleven new species of Muricidae (Gastropoda) from New Caledonia, Vanuatu, and Wallis and Futuna Islands. in: P. Bouchet & B.A. Marshall (eds) Tropical Deep-Sea Benthos, volume 22. Mémoires du Muséum National d'Histoire Naturelle, ser. A, Zoologie. 185: 243–269.

External links
 MNHN, Paris: holotype

Muricidae
Gastropods described in 2001

redpajama_set_name: RedPajamaWikipedia


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News Global Times Higher Ed
A University President in Ukraine Turns to Social Media
Head of Kyiv School of Economics builds a following with English-language tweets.
Pola Lem for Times Higher Education
When the president of the Kyiv School of Economics began to post photos of his daily life to social media in November, it was a gut reaction. A day earlier, Russian air strikes had hit Ukraine's power grid, plunging the capital city into darkness.
"I didn't have a plan. I realized we had no heating and no water for a while, and somehow I felt it would be interesting for the world to know how people are trying to get through the war," said Tymofiy Mylovanov.
His tweets have resonated with readers around the world. Mylovanov has accumulated more than 39,000 followers and become an in-demand commentator for Western news outlets, explaining the war's toll in hard numbers and, even more importantly, he believes, providing a firsthand account of everyday life on the ground.
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When Times Higher Education spoke with Mylovanov, he had just finished an interview with Al Jazeera and had an upcoming on-air appointment with CNN.
Previously Ukraine's minister of economic development under the Honcharuk government and an adviser to its president, Volodymyr Zelensky, Mylovanov knows well the value of good press. But he insisted that his decision to share his experiences was not an orchestrated PR mission.
"I'm fighting my own battle, for the world to stay connected to Ukraine," he said. "I wanted people to feel that we're human. It's easier for people to connect with us when they see us in our daily lives."
Made up of observations on everyday minutiae and life at a university, his tweets are both simple and profound.
On the second day of the Kyiv blackout, he posted a video of students doing their work from a shelter and queueing at the university cafe.
"But students are here, and classes are at full speed (8.30am). Therefore we must have our fancy coffee at our cafe, which indeed is working," he wrote.
War upends plans for campus in Kyiv
Honor and invest in Ukraine through scholarships (opinion)
Jackson State Delays Student Move-Ins Due to Water Problems
In another tweet, he poked fun at Russia's foreign affairs minister, Sergei Lavrov, simultaneously exposing the Kremlin's barbarity.
"Lavrov is shocked by unisex bathrooms and calls them inhumane. I am proud to report that all bathrooms at the Kyiv School of Economics are unisex … What's that blue water tank in our bathroom? That's water to flush toilets [when] Lavrov's 'humane' country bombs us and our water pump system stops working."
An economist, Mylovanov is keenly aware of the link between people connecting emotionally with the conflict and supporting Ukraine financially. His posts often come with an appeal for donations. Already, they've had a sizable impact.
Recently, his followers donated 37,000 pounds ($44,600) to buy gifts for orphaned and refugee children in Ukraine after he posted videos of a student-led KSE fundraiser, noting that the only thing standing in the way of scaling it up was a lack of funding.
Crucially for KSE, Mylovanov's efforts have secured the university a mobile generator, a massive yellow box that will power the whole building when electricity goes out, something that's increasingly important as Russia targets Ukraine's energy infrastructure. Next on the plan, the university will drill a well so it can have running water even when main lines are down.
While undeniably, circumstances in Ukraine now are "much more difficult" than before the war, Mylovanov said the atmosphere, at the university and beyond, is better than it's ever been.
"Yesterday there was a snowstorm and traffic jams three hours long in the morning, but by evening they actually cleaned it up. I think things work better than before the war … like everyone is a Navy SEAL," he said.
Meanwhile, at KSE, the faculty devotion to the curriculum is "amazing," and among students, motivation is "through the charts," with roughly 70 percent of students attending classes in person, a rare feat in the country, where the majority of education continues in online form.
Still, he admitted that there are certain less savory things he leaves out of his media appearances. "Do we have fights? Yes. Is my roof leaking in two places? Yes."
Not all KSE's attempts to help the local community have panned out. When he offered a generator to a school in another city, an official there asked for a bribe to install it, an unfortunate reminder that Ukraine, however virtuous its wartime efforts may be, is not free of its prewar corruption problem.
Still, Mylovanov said such hang-ups are minor in the scheme of things.
"There are these bad apples, and if the war doesn't fix them, I don't know what can," he joked.
These days, he has more serious concerns, chiefly how Ukrainians will make it through a bitter winter. With Russian bombings leaving millions without heat or running water, daily life has become unpredictable and at times exhausting. Because of the war, KSE colleagues have had to put in many more hours, and Mylovanov worries about staff retention amid burnout.
"It takes a toll on them," he said.
Still, his deep pride in the institution comes through, especially faith in his students, who are "very different" from previous cohorts.
"The people who go through school right now are going to be great generations of leaders," he said. "They get things done."
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With inspiring harbour views and a rich history, a tour of the Coal Loader site is a beautiful location to learn about sustainable living. The Coal Loader features a sustainability cottage, wetlands, community garden, native bushland nursery, historical tunnels, Aboriginal engravings, parklands and a beautiful bushland reserve next door. Experience this on a free guided tour as well as learn about the Coal Loader platform, Sustainability Centre and history of the Waverton peninsula. It is recommended that you book ahead.
Where: Coal Loader Centre for Sustainability, Waverton.


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Armageddon and the Judgement of the Living nations
Michael Browne, Bath, England [SEE PROFILE BELOW]
The storm is gathering and threatening on God's prophetic horizon. Already the prophesied apostasy of the end times of the church age is gathering strength. Anti-Christian attitudes and rejection of moral restraints are evident from governments, down through the social institutions of Western nations. Humanism, atheism, false religions, and idolatry are accepted while the Christian faith is increasingly rejected. Escalating social and spiritual darkness is evidence that we are in the end times and the rapture of the church is imminent. The storm we speak of is that time of universal divine judgement and retributive wrath against an apostate Israel and satanically deceived anti-God Gentile world powers, described by the Lord in Matt. 24. 21 as 'great tribulation', and which follows the removal of the church.
The Tribulation is prophetically Daniel's 70th week of years, Dan. 9. 27, a time period of seven years. A seven year firm covenant is established between apostate Israel and the head of the revived ancient Roman empire 'the Prince (Ruler) that shall come' who is Antichrist. This covenant will be abrogated by the Prince halfway through the covenant week. He will then turn and instigate an intense persecution for the last three-and-a-half years against the Jewish nation. This is the period described as the Great Tribulation. The climactic events of this Tribulation period are the battle of Armageddon and the public second advent of our Lord Jesus Christ.
The passage dealing with the description of this subject is Revelation chapter 16 verses 12-16, and the outpouring of the sixth judgement vial upon the great river Euphrates. Armageddon, v. 16, or, in Hebrew, Har-Magedon (Mountain of Megiddo), was a city about 40 km south-west of the southern tip of the Sea of Galilee, on the western end of the Valley of Jezreel. Famous in Old Testament history, this valley has been the site of many battles over the centuries. Barak defeated the Canaanites there, Judg. 4, and Gideon the Midianites, Judg. 6, and it was here the Philistines slew King Saul.
It is this valley, twelve miles wide by fourteen miles long, where 'the kings of the earth and of the whole world', Rev. 16. 14, will assemble for the final drive to destroy Jerusalem, defeat the Messiah, and wipe out the Jewish nation (see Psalm 2). No battle will actually be fought at Armageddon; it is the central assembling point for the kings that come from the east or sun-rising to meet with the western armies under Antichrist, for the last great 'battle of that great day of God Almighty', v. 14.
The 'kings of the east', v. 12, for whom the drying-up of the Euphrates at the outpouring of the sixth vial will make it easier for them to rendezvous with allied Antichrist forces in the west, have been identified with the 200 million army of Revelation chapter 9 verse 16. Some have taken this vast force to be the oriental hordes of China, together with Japan and India. However, plain comparisons with other sections of Revelation will not allow for this. The 'two hundred million' of Revelation chapter 9 belong to the earlier trumpet judgements, whereas 'the kings of the east' are in the vial judgements period. Then again, the 200 million in chapter 9 are seen as denizens of hell, horrific demon-like supernatural creatures and not men. Similarly, the direction 'east' in scripture invariably refers to areas immediately east of the river Euphrates – and as Antichrist's capital is Babylon, would here indicate it is Mesopotamian kings that are in view.
This final conflict, while commonly called 'the Battle of Armageddon', is, in reality, not a single battle but rather an extended war campaign. In verse 14 'battle' is the Greek word polemos, and both Robertson and Vincent in their Word Studies translate it as war or campaign. The word used for a single battle or fight is mache (see James chapter 4 verse 1 where both words are used). The command for the Armageddon campaign to commence comes from the unholy and counterfeit trinity of verse 13, the dragon (Satan), the beast (Antichrist), and the false prophet (Antichrist's executive officer). They are described as 'the spirits of demons', v. 14, who work miracles and deceive the nations into war with God Almighty.
The campaign of Armageddon extends the whole length of the land of Israel and further. The armies assemble in the Valley of Jezreel, v. 16; Joel 3. 9-14, then is included the destruction of Babylon under the vial judgements, Rev. 17. 1-2; ch. 18; then Jerusalem is surrounded and partially destroyed, Zech. 14. 1-2; the battle flows south into Edom and Antichrist's hordes assault Bozrah and are annihilated there, Isa. 63. 1-6. The final drama is then played out again in Jerusalem when the sign of the Son of Man appears in the heavens, Matt. 24. 30, and Messiah comes with power and great glory. He rescues His people, engages the Beast and all his dismayed armies, thundering from the heavens seated upon a white horse and the armies of heaven with Him. There is a terrible slaughter, the Beast and False Prophet are taken and cast alive into the lake of fire, Rev. 19. 11-21. The Messiah has returned victorious to take up the reins of worldwide government and plant His standard in Jerusalem, Ps. 2. 7-8; Ps. 48. 2.
There is a parenthetical statement in verse 15 addressed by God to the remnant of faithful believers living at that time. It is a word of encouragement and hope indicating He will soon return but without warning 'as a thief', so let them watch and keep the faith. In verse 16 'he' KJV refers to God who overrules the plans of Antichrist and reveals that it is He who really gathers the nations into this final confrontation to destroy Satan's power, and all human rebellion and pride once and for all.
The Judgement of the Living Nations – (Matt. 25. 31- 46)
The time of this judgement is immediately post-Tribulation and prior to the inauguration of the Messianic Kingdom.
The judgement upon the remnant of Israel surviving after the Tribulation persecution, has already taken place. Ezekiel describes this judgement in his prophecy, 20. 34-38. Jehovah will gather Israel for solemn judgement 'into the wilderness of the people' (very probably the Sinai Peninsula on the borders of the land); they have passed under His 'rod' and the rebels 'purged out' and banished from the land in judgement, who had been traitors and accepted Antichrist. The saved remnant are brought into the 'bond of the covenant' and enter Messiah's kingdom. This is paralleled in Matthew chapter 25 verses 1-30, where again Israel are judged prior to the judgement of the Gentile nations. It is a judgement based on preparedness to welcome the Messiah, v. 11-13; service and responsibility for talents received, v. 23-30 – with final irrevocable eternal judgement in outer darkness for those whose works reveal they are plainly unsaved, v. 30.
Now, verse 31 follows with the judgement on the gathered living Gentile nations when the Son of Man (His millennial title) Himself sits upon the throne of His glory and commences this awesome inquest.
Though the world population will have been decimated by the slaughter and fearsome disasters of the recent Tribulation period, a multitude of Gentiles still survive, and this is the company now gathered for judgement. This judgement is described in two passages of scripture – one in the Old and the other in the New Testament.
Firstly, in Joel chapter 3 verses 1-3 where Joel assigns the time of this judgement to be when the Lord restores Israel to their land, and the place as the valley of Jehoshaphat, 'For, behold, in those days, and in that time, when I shall bring again the captivity of Judah and Jerusalem, I will also gather all nations, and will bring them down into the valley of Jehoshaphat, and will plead with them there for my people and for my heritage Israel'. This valley appears to be, appropriately, the very place where the campaign of Armageddon ended, and the basis for the judgement is the treatment of the Jewish people!
The second passage is Matthew chapter 25 verses 31-46, where also the Lord pleads on behalf of His 'brethren', and the basis of judgement is the same, how these Gentile nations treated His 'brethren' the Jews during the Tribulation holocaust – whether they were pro- or anti-Semitic. He separates them as 'sheep' or 'goats'. The pro-Semitic sheep on the right hand – the place of honour and approbation – the anti-Semitic goats on the left – the place of dishonour and contempt in this instance.
The outcome of this judgement is their eternal destiny. For those 'sheep' Gentiles who fed, clothed, visited and cared for the hated and persecuted Jews during the Tribulation, 'life eternal' and 'inheritance of the kingdom', v. 34, 46. For the 'goat' Gentiles who failed to care for the Jews 'everlasting punishment and fire', v. 41, 46. We must see here in the sheep evidence of salvation through accepting by faith the gospel of the kingdom offered them by the fiery Jewish evangelists, the 144,000 sealed from the twelve tribes of Israel in Revelation chapter 7, and whom they cared for after conversion. These sheep Gentiles are called 'righteous', v. 37, therefore are clearly saved, and by their works reveal their faith, Jas. 2. 17-18. The goats refused the message proclaimed by the Jews and took part in Antichrist's continuing persecution and killing spree against them. In so doing they manifest their unbelief and hatred of the Jews and merit the summary execution of judgement against them, v. 41.
The sheep then enter into the messianic kingdom under the headship and priesthood of restored Israel, Deut. 28. 13; Isa. 61. 6. In that day there will be only believers left upon the earth, all unbelievers have been judged and banished. 'And the Lord shall be king over all the earth: in that day shall there be one Lord, and his name one', Zech. 14. 9.
AUTHOR PROFILE: Michael is in fellowship in Manvers Hall, Bath, where he serves as an elder. He worked as a missionary in Hong Kong for thirteen years and since 1972 has had an itinerant Bible teaching and gospel ministry labouring in many parts of the world.
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Medical is known as a difficult and challenging field for switching language especially interpretation. ExperTrans Global's interpreters not only have the knowledge about language but also the basic knowledge of the medical field. ExperTrans Global executed the switching language service for the customer between English and Indonesia (Bahasa) in an interpretation project that lasted for 3 weeks in Agency for Science, Technology and Research (Singapore). Even though the working schedule was very busy and constant, ExperTrans Global still kept the "Regional Clinical Immersion Programme" at Indonesia done successfully.


This piece was inspired by Animal Kingdom and all the entertainers they have dancing around. The shield references to one of the many horned animals that live in the park and the staff hosts a hidden Mickey.
The original painting is made with watercolor and ink on 140 lb. cold press paper. It measures 5.5″x8.5″ unframed and comes in a clear protective sleeve with a stiff backing.
The squirrels at the Disney Parks are some of the most brazen little creatures I've ever witnessed. We watched one go from stroller to stroller and just ransack everyones left overs and bags. The day before, we were in Hollywood Studios at the Star Wars Launch Bay, where we met a couple of Jawas. Apparently they will trade little trinkets with you if you ask them to, but for some reason they refused my offer and traded with my wife instead. I tried a few more times to trade things with them but nope they weren't into it. So that's why I made this painting of sweet squirrel vengeance! Maybe now they will trade something for their eye back!
One of the highlights of visiting any Disney Park is eating all the things!! I really wish they would start serving Dole Whips in skull bowls. This skull can't even resist the sweet soft serve spilling out of his cranium.
Ducks, ducks, and more ducks! At every Disney park you go to, you see the happiest ducks in the world! This piece shows a mother duck taking her ducklings around the World Showcase at EPCOT. She is wearing a first visit pin because she has never left. Each duck has a different hat that represents one of the eleven countries in the park. See if you can identify them all!
My favorite country in the World Showcase at EPCOT is also the place my family is from, Mexico. If Aztecs invented Churros this guy sure wouldn't have those abs. This fierce warrior is shown in Mexican style Mickey ears and is trying to find his way around the big wide world of EPCOT.
"Every Dog Has His Best Day Ever" is centered around the Haunted Mansions biggest underdog. The piece depicts two of the only living characters in the whole ride, which are the Caretaker and his dog Bones. Being dog lovers, every time my wife and I go on the ride we always talk about how we wish we could throw that poor dog a turkey leg or churro to help fatten him up! So I decided what better time than the Haunted Mansions 50th Anniversary to give this dog his best day ever. Bones is shown standing on a pile of Disney snacks with a turkey leg in his mouth, Mickey Ears on his head, and a Magic Band around his leg. His owner looks on astounded and is in disbelief that he has left the Mansion and is out cruising the park!
The painting is made with acrylic on a mounted Birch panel and measures 12.5″x15″x1.5″ and is ready to hang.
"Head Shot" is my personal favorite of this series. It was inspired by the Pirate theming around Pirates of the Caribbean in Adventureland. A skeleton pirate fires his own head through a cannon as a last resort in hopes of winning a battle. I like to think that he is going to bite and clamp onto whatever or whoever he hits.
This hitchhiking ghoul finally got a ride! Too bad the People Mover is going to drop him off right back at the same place he got on. This piece is a combination of two rides The Haunted Mansion, which is one of my favorites, and the other is the People Mover, something I go on just because Rachel wants to.
"Jabba's Best Day Ever" shows Jabba cruising around on a Rascal Scooter with C3P0 plates. His Kowakian monkey-lizard side kick is navigating through Hollywood Studios because they don't want to miss their reserved seating for the Galactic Spectacular!
Fine Art prints only come in the original size of the piece 5.5″x8.5″ and are printed on German Etching with an archival pigment based ink. They come individually wrapped in a clear sleeve with a stiff backing.
"Out of Reach" was inspired by Main Street at the Magic Kingdom. It shows a skeleton who lost his arm to the mighty strength of Mickey balloons. The worst part is that his Magic Band is on that arm and he had a Fast Pass scheduled for Seven Dwarfs Mine Train, Peter Pan's Fligt, and Space Mountain! Looks like it's Stitches Great escape for this skelly.
This little Watercolor was inspired by the Magic Kingdom but more specifically Adventrueland. Adventureland is by far one of my favorite parts of any park! This tiki skeleton character is a combination of the tiki room mixed with a little Pirates of the Caribbean. He is eating a melting Mickey ice cream while a parrot from the tiki room joins in!
Rafiki is one of my favorite characters from the Lion King and he is so cool that he even has a whole section at Animal Kingdom devoted to him, "Rafiki's Planet Watch". I tried to make him a little darker of a character by replacing his gourds on his staff with skulls and gave him a more angular design reminiscent of a tiki carving.
Set of 12 park inspired prints. Printed on a textured fine art paper and comes in the size of the original paintings 5.5″x8.5″. Each print comes wrapped in a clear sleeve with a stiff backing.
This is my version of the Mistress of all Evil! Maleficent working the bubble wand. At all the parks there were gangs of bubbles floating around every twenty steps. It seemed like all the strollers just had these bubble wands built into the wheels.


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Collinsworth AW, Masica AL, Priest EL
Modifying the electronic health record to facilitate the implementation and evaluation of a bundled care program for intensive care unit delirium.
This case study describes how an integrated health care delivery system modified its inpatient electronic health record to accelerate the implementation and evaluation of ABCDE bundle deployment as a safety and quality initiative for the prevention of delirium in intensive care unit patients.
AHRQ-funded; HS021459
Citation: Collinsworth AW, Masica AL, Priest EL . Modifying the electronic health record to facilitate the implementation and evaluation of a bundled care program for intensive care unit delirium. eGEMS. 2014;2(1):1121. doi: 10.13063/2327-9214.1121..
Keywords: Electronic Health Records (EHRs), Health Information Technology (HIT), Intensive Care Unit (ICU), Patient Safety, Quality of Care
Holcomb CN, Graham LA, Richman JS
The incremental risk of noncardiac surgery on adverse cardiac events following coronary stenting.
The investigators sought to determine the incremental risk of noncardiac surgery on myocardial infarction (MI) and coronary revascularization following coronary stenting. They found that the incremental risk of noncardiac surgery on adverse cardiac events among post-stent patients is highest in the initial 6 months following stent implantation and stabilizes at 1.0% after 6 months.
Citation: Holcomb CN, Graham LA, Richman JS . The incremental risk of noncardiac surgery on adverse cardiac events following coronary stenting. J Am Coll Cardiol 2014 Dec 30;64(25):2730-9. doi: 10.1016/j.jacc.2014.09.072.
Keywords: Adverse Events, Cardiovascular Conditions, Patient-Centered Healthcare, Risk, Surgery
Brilakis ES, Dangas GD
What to do when a patient with coronary stents needs surgery?
This article discusses "take-home messages" from the Holcomb et al. study in this same issue, concluding that the study further enhances the provision of optimal management and optimal outcomes to these challenging-to-treat patients.
Editorial accompanying AHRQ-funded studies.
Citation: Brilakis ES, Dangas GD . What to do when a patient with coronary stents needs surgery? J Am Coll Cardiol 2014 Dec 30;64(25):2740-2. doi: 10.1016/j.jacc.2014.09.073.
Keywords: Adverse Events, Cardiovascular Conditions, Surgery
Bobb JF, Obermeyer Z, Wang Y
Cause-specific risk of hospital admission related to extreme heat in older adults.
The purpose of this study was to identify possible causes of hospital admissions during extreme heat events and to estimate their risks using historical data. The investigators found that among older adults, periods of extreme heat were associated with increased risk of hospitalization for fluid and electrolyte disorders, renal failure, urinary tract infection, septicemia, and heat stroke. They noted however, that the absolute risk increase was small and of uncertain clinical importance.
Citation: Bobb JF, Obermeyer Z, Wang Y . Cause-specific risk of hospital admission related to extreme heat in older adults. JAMA 2014 Dec 24-31;312(24):2659-67. doi: 10.1001/jama.2014.15715..
Keywords: Elderly, Hospitalization, Risk
Singh JA, Lewallen DG
Are outcomes after total knee arthroplasty worsening over time? A time-trends study of activity limitation and pain outcomes.
The authors examined whether function and pain outcomes of patients undergoing primary total knee arthroplasty (TKA) are changing over time. Using Mayo Clinic Total Joint Registry data, they found that patient-reported function and pain outcomes after primary TKA have worsened over the study period 1993-95 to 2002-05; this time-trend is independent of changes in preoperative pain/limitation and certain patient characteristics.
Citation: Singh JA, Lewallen DG . Are outcomes after total knee arthroplasty worsening over time? A time-trends study of activity limitation and pain outcomes. BMC Musculoskelet Disord 2014 Dec 17;15:440. doi: 10.1186/1471-2474-15-440.
Keywords: Centers for Education and Research on Therapeutics (CERTs), Orthopedics, Pain, Patient-Centered Outcomes Research, Surgery
McCullagh LJ, Sofianou A, Kannry J
User centered clinical decision support tools: adoption across clinician training level.
This study examined the differences in adoption of CDS tools across providers' training level. It found that the completion rates of the CDS calculator and medication order sets were higher among first year residents compared to all other training levels. Attending physicians were the less likely to accept the initial step of the CDS tool (29.3 percent) or complete the medication order sets (22.4 percent) that guided their prescription decisions.
Citation: McCullagh LJ, Sofianou A, Kannry J . User centered clinical decision support tools: adoption across clinician training level. Appl Clin Inform 2014 Dec 17;5(4):1015-25. doi: 10.4338/aci-2014-05-ra-0048.
Keywords: Clinical Decision Support (CDS), Decision Making, Practice Patterns
Increasing obesity and comorbidity in patients undergoing primary total hip arthroplasty in the U.S.: a 13-year study of time trends.
The researchers examined the time-trends in key demographic and clinical characteristics of patients undergoing primary total hip arthroplasty (THA). They found that obesity, medical and psychological comorbidity increased and the underlying diagnosis of RA/inflammatory arthritis decreased rapidly in primary THA patients over 13-years.
Citation: Singh JA, Lewallen DG . Increasing obesity and comorbidity in patients undergoing primary total hip arthroplasty in the U.S.: a 13-year study of time trends. BMC Musculoskelet Disord 2014 Dec 17;15:441. doi: 10.1186/1471-2474-15-441..
Keywords: Surgery, Obesity, Risk, Registries, Arthritis
Franklin PD, Lewallen D, Bozic K
Implementation of patient-reported outcome measures in U.S. total joint replacement registries: rationale, status, and plans.
The authors report on the status of patient-reported outcomes (PRO) implementation as well as perceived barriers and facilitators of PRO use among five U.S. total joint replacement registries. They find that the current stage of implementation of patient-reported outcomes measures varies widely among U.S. registries.
Citation: Franklin PD, Lewallen D, Bozic K . Implementation of patient-reported outcome measures in U.S. total joint replacement registries: rationale, status, and plans. J Bone Joint Surg Am 2014 Dec 17;96 Suppl 1:104-9. doi: 10.2106/jbjs.n.00328..
Keywords: Registries, Surgery, Comparative Effectiveness, Patient-Centered Outcomes Research
Van der Wees PJ, Friedberg MW, Guzman EA
Comparing the implementation of team approaches for improving diabetes care in community health centers.
The researchers sought to clarify implementation processes and experiences of integrating office-based medical assistant (MA) panel management and community health worker (CHW) community-based management into routine care for diabetic patients. They found that CHW and MA responsibilities converged over time to focus on health coaching of diabetic patients, with the MA health coaches experiencing difficulty in allocating dedicated time due to other responsibilities. Time constraints also limited the personal introduction of patients to health coaches by clinicians. Participants highlighted the importance of a supportive team climate and proactive leadership as important enablers for MAs and CHWs to implement their health coaching responsibilities. This study suggests that a flexible approach to implementing health coaching is more important than fidelity to rigid models that do not allow for variable allocation of responsibilities across team members.
Citation: Van der Wees PJ, Friedberg MW, Guzman EA . Comparing the implementation of team approaches for improving diabetes care in community health centers. BMC Health Serv Res 2014 Dec 3;14:608. doi: 10.1186/s12913-014-0608-z.
Keywords: Community-Based Practice, Diabetes, Patient-Centered Healthcare, Quality Improvement, Teams
Turan B, Stringer KL, Onono M
Linkage to HIV care, postpartum depression, and HIV-related stigma in newly diagnosed pregnant women living with HIV in Kenya: a longitudinal observational study.
The investigators examined associations between linkage to HIV care, postpartum depression, and internalized stigma in a population with a high risk of depression: newly diagnosed HIV-positive pregnant women. They found that, in this study group of women from rural Kenya, at 6 weeks postpartum, those who had not linked to HIV care after testing positive at their first antenatal visit had higher levels of depression and internalized stigma, compared to women who had linked to care. Internalized stigma mediated the effect of linkage to care on depression. Furthermore, participants who had both linked to HIV care and initiated antiretroviral therapy reported the lowest levels of depressive symptoms.
Citation: Turan B, Stringer KL, Onono M . Linkage to HIV care, postpartum depression, and HIV-related stigma in newly diagnosed pregnant women living with HIV in Kenya: a longitudinal observational study. BMC Pregnancy Childbirth 2014 Dec 3;14:400. doi: 10.1186/s12884-014-0400-4.
Keywords: Depression, Human Immunodeficiency Virus (HIV), Pregnancy, Social Stigma
Blecker S, Ladapo JA, Doran KM
Emergency department visits for heart failure and subsequent hospitalization or observation unit admission.
The purpose of this study was to examine trends in ED visits for heart failure and disposition following such visits. The investigators found that the number of ED visits for heart failure and the high proportion of ED visits with subsequent inpatient hospitalization have not changed in the last decade. They suggest that opportunities may exist to reduce hospitalizations by increasing short-term management of heart failure in the ED or observation unit.
Citation: Blecker S, Ladapo JA, Doran KM . Emergency department visits for heart failure and subsequent hospitalization or observation unit admission. Am Heart J 2014 Dec;168(6):901-8.e1. doi: 10.1016/j.ahj.2014.08.002..
Keywords: Cardiovascular Conditions, Emergency Department, Heart Disease and Health, Hospitalization
Lee JL, Dy SM, Kravet SJ
Patient satisfaction and provider use of electronic communication: a cross-sectional analysis.
This cross sectional analysis examined provider patterns of communication with patients outside of the clinic setting via cellphone, email and text messaging and the relationship between communication behaviors and patient satisfaction. Among other conclusions, the investigators found that providers who made their email addresses available to patients had significantly higher overall satisfaction scores than those who did not, although there were no statistically significant differences in individual satisfaction domains.
Citation: Lee JL, Dy SM, Kravet SJ . Patient satisfaction and provider use of electronic communication: a cross-sectional analysis. European Journal for Person Centered Healthcare 2014;5(4)..
Keywords: Communications, Health Information Technology (HIT), Patient Experience, Practice Patterns, Clinician-Patient Communication
Rangachari P
Using social knowledge networking technology to enable meaningful use of electronic health record technology in hospitals and health systems.
In this paper, Rangachari (1) reviewed the theoretical literatures on technology use & implementation, and identified a framework for understanding & overcoming unintended adverse consequences of implementing Electronic Health Records; (2) outlined a broad project proposal to test the applicability of the framework in enabling "meaningful use" of Electronic Health Records in a healthcare context; and (3) identified strategies for successful implementation of Electronic Health Records in hospitals & health systems, based on the literature review and application.
Citation: Rangachari P . Using social knowledge networking technology to enable meaningful use of electronic health record technology in hospitals and health systems. J Hosp Adm 2014 Dec;3(6):66-78. doi: 10.5430/jha.v3n6p66.
Keywords: Healthcare Systems, Electronic Health Records (EHRs), Health Information Technology (HIT), Hospitals, Implementation
Dulai PS, Siegel CA, Colombel JF
Systematic review: monotherapy with antitumour necrosis factor alpha agents versus combination therapy with an immunosuppressive for IBD.
The authors discussed the efficacy and the risks of anti-TNF monotherapy versus combination therapy with an immunosuppressive in patients with IBD. They concluded that the addition of an immunosuppressive to anti-TNF therapy improves treatment efficacy for infliximab in ulcerative colitis and Crohn's disease. Further, the use of combination therapy appears to add no significant incremental risk for serious infections above that seen with anti-TNF or immunosuppressive monotherapy in most patients.
Citation: Dulai PS, Siegel CA, Colombel JF . Systematic review: monotherapy with antitumour necrosis factor alpha agents versus combination therapy with an immunosuppressive for IBD. Gut 2014 Dec;63(12):1843-53. doi: 10.1136/gutjnl-2014-307126.
Keywords: Comparative Effectiveness, Evidence-Based Practice, Medication, Outcomes, Patient-Centered Outcomes Research, Treatments
Saloner B, Matone M, Kreider AR
Second-generation antipsychotic use among stimulant-using children, by organization of Medicaid mental health.
The authors compared differences in second-generation antipsychotic utilization among Medicaid-enrolled children across fee-for-service, integrated managed care, and managed behavioral health carve-out organizational structures. They found that carve-outs, versus other arrangements, were associated with lower second-generation antipsychotic use.
Citation: Saloner B, Matone M, Kreider AR . Second-generation antipsychotic use among stimulant-using children, by organization of Medicaid mental health. Psychiatr Serv 2014 Dec;65(12):1458-64. doi: 10.1176/appi.ps.201300574.
Keywords: Children/Adolescents, Healthcare Utilization, Medicaid, Medication, Behavioral Health
Raghavan R, Brown DS, Allaire BT
Medicaid expenditures on psychotropic medications for maltreated children: a study of 36 States.
The authors aimed to quantify the magnitude of Medicaid expenditures incurred in the purchase of psychotropic drugs for children with histories of abuse or neglect. They concluded that Medicaid agencies should focus their cost containment strategies on antidepressants and antimanic drugs, consider expanding primary care case management arrangements, and expand use of instruments such as the Child Behavior Checklist to identify and treat high-need children.
Citation: Raghavan R, Brown DS, Allaire BT . Medicaid expenditures on psychotropic medications for maltreated children: a study of 36 States. Psychiatr Serv 2014 Dec;65(12):1445-51. doi: 10.1176/appi.ps.201400028.
Keywords: Children/Adolescents, Healthcare Costs, Medicaid, Medication, Behavioral Health
Moyer VA, Papile LA, Eichenwald E
An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study.
The authors tested whether a multifaceted intervention that included a health coach to assist families and an enhanced personal health record to improve the quality of information available to parents and community professionals would decrease adverse events and improve family assessment of the transition of infants born prematurely or with complex medical problems to home. They found that a multicomponent discharge intervention designed to address specific problems identified using Healthcare Failure Modes and Effects Analysis did not reduce certain adverse outcomes in the post-discharge period.
Citation: Moyer VA, Papile LA, Eichenwald E . An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. BMJ Qual Saf 2014 Dec;23(12):e3. doi: 10.1136/bmjqs-2012-001726.
Keywords: Neonatal Intensive Care Unit (NICU), Outpatient Care, Patient Safety, Quality Improvement, Transitions of Care
Meeks DW, Meyer AN, Rose B
Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data.
The researchers described outcomes of peer review within the Department of Veterans Affairs (VA) healthcare system and identified opportunities to leverage peer review data for measurement and improvement of safety. Results showed that the most common process contributing to substandard care was 'timing and appropriateness of treatment'; approximately 16% had diagnosis-related performance concerns. The authors concluded that peer review may be a useful tool for healthcare organizations to assess their sharp end clinical performance, particularly safety events related to diagnostic and treatment errors.
Citation: Meeks DW, Meyer AN, Rose B . Exploring new avenues to assess the sharp end of patient safety: an analysis of nationally aggregated peer review data. BMJ Qual Saf 2014 Dec;23(12):1023-30. doi: 10.1136/bmjqs-2014-003239.
Keywords: Adverse Events, Medical Errors, Patient Safety, Quality Improvement, Veterans
McGarry BE, Temkin-Greener H, Li Y
Role of race and ethnicity in private long-term care insurance ownership.
The authors sought to determine if racial/ethnic disparities exist in the ownership of private long-term care insurance (LTCI) among current Medicare beneficiaries. They found that 12.3% of Blacks and 5.8% of Hispanics, compared with 20.2% of Whites, reported having LTCI coverage and that Hispanics were 48% less likely to have LTCI compared with Whites. Hispanic women were 81% less likely to be insured compared with White women.
Citation: McGarry BE, Temkin-Greener H, Li Y . Role of race and ethnicity in private long-term care insurance ownership. Gerontologist 2014 Dec;54(6):1001-12. doi: 10.1093/geront/gnt102.
Keywords: Disparities, Elderly, Health Insurance, Long-Term Care, Racial / Ethnic Minorities
Kuntz JL, Safford MM, Singh JA
Patient-centered interventions to improve medication management and adherence: a qualitative review of research findings.
This review reports the current state of scientific research around interventions to improve medication management through four patient-centered domains. Out of 60 studies, the authors found the following types of intervention: patient education, augmented pharmacy services, decision aids, shared decision-making, and clinical review of patient adherence. They were unable to determine whether these interventions were more effective than traditional medication adherence interventions.
Citation: Kuntz JL, Safford MM, Singh JA . Patient-centered interventions to improve medication management and adherence: a qualitative review of research findings. Patient Educ Couns 2014 Dec;97(3):310-26. doi: 10.1016/j.pec.2014.08.021.
Keywords: Education: Patient and Caregiver, Decision Making, Medication, Patient Adherence/Compliance, Patient-Centered Healthcare
Hollingsworth JM, Birkmeyer JD, Ye Z
Specialty-specific trends in the prevalence and distribution of outpatient surgery: implications for payment and delivery system reforms.
The authors sought to assess the prevalence and distribution of outpatient surgery across specialties. They found that several specialties - urology, gastroenterology, plastic surgery, and ophthalmology - perform most of their cases in outpatient settings. They suggested that incorporating these findings into the design of future payment and delivery system reforms will help to ensure adequate surgeon exposure to the efficiency gains that evolve from them.
Citation: Hollingsworth JM, Birkmeyer JD, Ye Z . Specialty-specific trends in the prevalence and distribution of outpatient surgery: implications for payment and delivery system reforms. Surg Innov 2014 Dec;21(6):560-5. doi: 10.1177/1553350613520515.
Keywords: Ambulatory Care and Surgery, Surgery, Healthcare Delivery, Payment
King HA, Jeffreys AS, McVay MA
Spouse health behavior outcomes from a randomized controlled trial of a spouse-assisted lifestyle change intervention to improve patient low-density lipoprotein cholesterol.
The authors evaluated spouse health behavior outcomes from a randomized controlled trial of a spouse-assisted lifestyle intervention to reduce patient low-density lipoprotein cholesterol and improve patient health behaviors. Participants were 251 spouses of patients from the Durham Veterans Affairs Medical Center. At 11 months, there were no differences in spouse outcomes between intervention and usual care groups for moderate intensity physical activity or dietary intake. To improve spouse outcomes, the authors recommended couple interventions to include spouse behavior change goals and reciprocal support between patients and spouses.
Citation: King HA, Jeffreys AS, McVay MA . Spouse health behavior outcomes from a randomized controlled trial of a spouse-assisted lifestyle change intervention to improve patient low-density lipoprotein cholesterol. J Behav Med 2014 Dec;37(6):1102-7. doi: 10.1007/s10865-014-9559-4.
Keywords: Cholesterol, Family Health and History, Lifestyle Changes, Patient-Centered Outcomes Research
Hwang D, Teno JM, Clark M
Family perceptions of quality of hospice care in the nursing home.
The investigators examined bereaved family members' perceptions of nursing home-hospice collaborations in terms of what family members believe went well or could have been improved. The focus group participants identified three major aspects of collaboration as important to care delivery: knowing who (nursing home or hospice) is responsible for which aspects of patient care, concern about information coordination between the nursing home and hospice, and the need for hospice to advocate for high-quality care rather than their having to directly do so on behalf of their family members. These concerns have been incorporated into the revised Family Evaluation of Hospice Care, a post-death survey used to evaluate quality of hospice care.
Citation: Hwang D, Teno JM, Clark M . Family perceptions of quality of hospice care in the nursing home. J Pain Symptom Manage 2014 Dec;48(6):1100-7. doi: 10.1016/j.jpainsymman.2014.04.003.
Keywords: Care Coordination, Nursing Homes, Palliative Care, Quality of Care
Fiscella K
Tackling disparities in influenza vaccination in primary care: it takes a team.
This article discusses a study in the same issue by Maurer. Fiscella describes reasons involving influenza vaccination disparities and points out that the emergence of accountable care organizations creates opportunities for better integration of primary care and public health.
Citation: Fiscella K . Tackling disparities in influenza vaccination in primary care: it takes a team. J Gen Intern Med 2014 Dec;29(12):1579-81. doi: 10.1007/s11606-014-2999-2.
Keywords: Disparities, Influenza, Primary Care, Teams, Vaccination
Elstad EA, Sheridan SL, Lee JG
Have screening harms become newsworthy? News coverage of prostate and colorectal cancer screening since the 2008 USPSTF recommendation changes.
The researchers aimed to determine whether newspapers portrayed screening for prostate and colorectal cancers differently after the 2008 USPSTF recommendation changes. In US newspapers from 2005 to 2012, they found that benefits in prostate cancer screening articles and harms and benefits in colonoscopy articles did not change over time, but mentions of prostate cancer screening harms increased after 2008. They concluded that consumers, especially lay consumers, are receiving unbalanced information on cancer screening.
Citation: Elstad EA, Sheridan SL, Lee JG . Have screening harms become newsworthy? News coverage of prostate and colorectal cancer screening since the 2008 USPSTF recommendation changes. J Behav Med 2014 Dec;37(6):1242-51. doi: 10.1007/s10865-014-9572-7.
Keywords: Cancer: Colorectal Cancer, Colonoscopy, Cancer: Prostate Cancer, Screening, U.S. Preventive Services Task Force (USPSTF)


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Director: MICHEL SPINOSA
FRANCE • 2007 • SUBTITLED • COLOUR • ANAMORPHIC • DTS STEREO • 106 MIN
DIRECTOR MICHEL SPINOSA'S DRAMA ABOUT A YOUNG WOMAN IN THE THROES OF A MORBID PASSION MAY BE A TOUCH MANIPULATIVE, BUT IT HAS AN IRON GRIP THAT DOESN'T LET GO ANY MORE EASILY THAN ITS HEROINE DOES.
The film sets a fastidious, Chabrol-esque tone in the first few shots, showing Anna (Isabelle Carre) at work as a rare-book restorer in Paris's old Bibliotheque nationale. Anna seems a well-balanced professional sort, but all is not well. Following an unexplained collapse, she leaves the flat where she lives with her mother and deliberately walks into traffic. Recovering from her injuries, she is tended by Dr Andre Zanevsky (Gilbert Melki), for whom she immediately conceives an unrequited passion. At first, her crush seems to be the sort of skittish folly that has provided the material for many a French comedy of misunderstanding, but the depth of Anna's disturbance emerges as she starts pursuing Zanevsky and casting dark looks at his wife. Divided into chapters, entitled after the phases of pathological erotomania, the film keeps us guessing about what's going on in the mind of this intelligent, sensitive but disturbed young woman. Spinosa artfully keeps the film fluctuating between Zanevsky's view of Anna as a Basic Instinct-style menace, and a sympathetic closeness to this vulnerable woman who's a prisoner of her own psyche. Whatever its narrative unevenness, Anna M. is unfailingly gripping and directed with well-paced, steely concentration. It also represents a tour de force for Isabelle Carre, currently on a career roll. The subtlety of her characterisation reminds you of the early Isabelle Huppert. —Jonathan Romney/'Screen International'.


St. Mark's Women's Guild has long offered an "Angel Tree" in Stacy Hall for the Women's Christmas Luncheon and other parish Christmas celebrations. In recent years, needle-pointed angels have commemorated the lives and contributions of women of St. Mark's. Dale Rossi was added to the tree this year. Look for all the beautiful angels on the tree: Mignon Baer, Marie Chalmers, Judy Dunn, Beezie Emory, Ann Flynn, Vi Hansen, Patricia Hauck, Dodie Herdman, Lorraine LaFargue, Judy Loughrin, Karen Parrish, Marilyn Person, Lee Petrick, Marie Ramsey, Rosa Rasmussen, Jean Mae Reese, Maurine Reynolds, Isabel Rittenhouse, Janet Rush, Betty Russell, Frances Rose, Dale Rossi, Millie Rush, Lynn Scott, Marjorie Scribner, Audrey Sharpe, Karen Shumey, Diane Swett, Ann Visscher. Many of them have particular characteristics or passions stitched into their designs. Can you find an angel with a martini glass?


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CorrecTek Selects Draganfly's Vital Intelligence Technology to Enhance its Corrections Health Records Management Platform
Draganfly's Vital Intelligence Technology will help improve inmate intake and management across the United States
Los Angeles, CA., Nov. 30, 2022 (GLOBE NEWSWIRE) -- Draganfly Inc. (NASDAQ: DPRO) (CSE: DPRO) (FSE: 3U8) ("Draganfly" or the "Company"), an award-winning, industry-leading drone solutions and systems developer, is pleased to announce its Vital Intelligence Technology has been integrated with CorrecTek's Corrections Management Platform.
CorrecTek, Inc. is a national leader in its sector with its innovative correctional management platform and correctional electronic health records management. CorrecTek's platform is currently implemented in correctional facilities, county jails, prisons, and juvenile detention centers across the United States.
Draganfly's Vital Intelligence Technology is designed to work both from Drones for public safety applications, and from other camera systems, to measure human vital signs in real-time. The Vital Intelligence Technology extracts data from camera feeds to measure human health parameters such as heart and respiratory rates, oxygen saturation, and body temperature. The data is transferred to an easy-to-read dashboard providing health insights within seconds.
The integration of Draganfly's Vital Intelligence Technology into CorrecTek's platform can provide a cost-saving solution that can improve operational insight, workflows, overall safety, and time management.
"CorrecTek is excited to have integrated with Draganfly leveraging this effective technology," said Dan Jarrett, President of CorrecTek. "Our collective goal is to enhance patient care and reduce staff workload by providing seamless integration of information into the CorrecTek record for the benefit of the medical authority."
"We are very excited to integrate our Vital Intelligence Technology into CorrecTek's platform, which is used in over 200 correctional institutions and growing across the United States," said Cameron Chell, President and CEO of Draganfly. "This critical platform can help improve current intake procedures and provide valuable insight, all while helping provide a safe environment for everyone."
Draganfly Inc. (NASDAQ: DPRO; CSE: DPRO; FSE: 3U8) is the creator of quality, cutting-edge drone solutions, software, and AI systems that revolutionize the way organizations can do business and service their stakeholders. Recognized as being at the forefront of technology for over 22 years, Draganfly is an award-winning industry leader serving the public safety, agriculture, industrial inspections, security, mapping, and surveying markets. Draganfly is a company driven by passion, ingenuity, and the need to provide efficient solutions and first-class services to its customers around the world with the goal of saving time, money, and lives.
For additional investor information, visit https://www.thecse.com/en/listings/technology/draganfly-inc, https://www.nasdaq.com/market-activity/stocks/dpro, or https://www.boerse-frankfurt.de/aktie/draganfly-inc.
This release contains certain "forward looking statements" and certain "forward-looking information" as defined under applicable securities laws. Forward-looking statements and information can generally be identified by the use of forward-looking terminology such as "may", "will", "expect", "intend", "estimate", "anticipate", "believe", "continue", "plans" or similar terminology. Forward-looking statements and information are based on forecasts of future results, estimates of amounts not yet determinable and assumptions that, while believed by management to be reasonable, are inherently subject to significant business, economic and competitive uncertainties and contingencies. Forward-looking statements include, but are not limited to, statements with respect to Draganfly's Vital Intelligence platform improving operational insight, workflows, overall safety, and time-management. Forward-looking statements and information are subject to various known and unknown risks and uncertainties, many of which are beyond the ability of the Company to control or predict, that may cause the Company's actual results, performance or achievements to be materially different from those expressed or implied thereby, and are developed based on assumptions about such risks, uncertainties and other factors set out here in, including but not limited to: the potential impact of epidemics, pandemics or other public health crises, including the COVID-19 pandemic, on the Company's business, operations and financial condition; the successful integration of technology; the inherent risks involved in the general securities markets; uncertainties relating to the availability and costs of financing needed in the future; the inherent uncertainty of cost estimates; the potential for unexpected costs and expenses, currency fluctuations; regulatory restrictions; and liability, competition, loss of key employees and other related risks and uncertainties disclosed under the heading "Risk Factors" in the Company's most recent filings filed with securities regulators in Canada on the SEDAR website at www.sedar.com and with the United States Securities and Exchange Commission (the "SEC") on EDGAR through the SEC's website at www.sec.gov. The Company undertakes no obligation to update forward-looking information except as required by applicable law. Such forward-looking information represents managements' best judgment based on information currently available. No forward-looking statement can be guaranteed and actual future results may vary materially. Accordingly, readers are advised not to place undue reliance on forward-looking statements or information.
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The 96th running of the Indianapolis 500 is today and our city is decked out in black and white checkered flags.
For more black and white goodness, check out my Pinterest board or last year's race day post.. Have a great day!!
Gorgeous room with so many cool patterns! Love the kitchen!
I hope all of your boys have fun. my daughter's fiance is working there this weekend, lucky guy! We aren't too far but have never gone.
Very clever into to such a cool post. I think you and I are the only design bloggers who think the Indy 500 is blog worthy. How can you live in Indy and not be swept away?
Love all of those pics! We watched the race on tv for a bit yesterday. 97 degrees.....really? Lord that's hot!
This is my favorite post ever! I LOVE black and white, so this was such a treat!
Love all the black and white. So dramatic, especially the one with the pale blue ceiling.


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Q: Hover state for menu is not working - something to do with z-index? The ":hover" CSS state on the navigation bar my website Pixel Crescent is not working right now. I have spent the past little while tinkering with my CSS and HTML trying to find and fix the root of the problem, but have had no luck.
I'm suspecting z-index to be at fault, and it's quite possible and I have been having quite a few problems with the z-index and have been using it a bit.
Any help is greatly appreciated.

A: You have a syntax error in your code: .navbar ul li a: hover
Remove the space after the : and it will work.

redpajama_set_name: RedPajamaStackExchange


Syria ( i/ˈsɪ.riə/; Arabic: سوريا Sūriyā), officially known as the Syrian Arab Republic (Arabic: الجمهورية العربية السورية al-Jumhūrīyah al-ʻArabīyah as-Sūrīyah), is a country in Western Asia, bordering Lebanon and the Mediterranean Sea to the west, Turkey to the north, Iraq to the east, Jordan to the south, and Israel to the southwest. Syria's capital and largest city is Damascus.
In the first part of 1967, a low-key state of war existed between Syria and Israel. Conflict over Israeli cultivation of land in the Demilitarized Zone led to 7 April prewar aerial clashes between Israel and Syria. When the Six-Day War broke out between Egypt and Israel, Syria joined the war and attacked Israel as well. In the final days of the war, Israel turned its attention to Syria, capturing two-thirds of the Golan Heights in under 48 hours. The defeat caused a split between Jadid and Assad over what steps to take next.
The ongoing Syrian Civil War was inspired by the Arab Spring revolutions. It began in 2011 as a chain of supposedly peaceful protests, followed by an alleged crackdown by the Syrian Army. In July 2011, so-called army defectors declared the formation of the Free Syrian Army and began forming fighting units. The opposition is dominated by Sunni Muslims, whereas the leading government figures are generally associated with Alawites. According to various sources, including the United Nations, up to 100,000 people had been killed by June 2013, including 11,000 children. To escape the violence, 4.9 million Syrian refugees have fled to neighboring countries of Jordan, Iraq, Lebanon, and Turkey. An estimated 450,000 Syrian Christians have fled their homes. As the civil war has dragged on, there have been worries that the country could become fragmented and cease to function as a state.
The Syrian Network for Human Rights (SNHR) claimed on 14 November 2016: "the total number of victims who were killed at the hands of the Syrian regime amounts to 188,279 civilians."
In April 2017, the U.S. Navy carried out a missile attack against a Syrian air base which had been used to conduct a chemical weapons attack on Syrian civilians.
The first law passed (Law 134; passed 4 September 1958) in response to concern about peasant mobilization and expanding peasants' rights. This was designed to strengthen the position of sharecroppers and agricultural laborers in relation to land owners. This law lead to the creation of the Ministry of Labor and Social Affairs, which announced the implementation of new laws that would allow the regulation of working condition especially for women and adolescents, set hours of work, and introduce the principle of minimum wage for paid laborers and an equitable division of harvest for sharecroppers. Furthermore, it obligated landlords to honor both written and oral contracts, established collective barging, contained provisions for workers' compensation, health, housing, and employment services. Law 134 was not designed strictly to protect workers. It also acknowledged the rights of landlords to form their own syndicates.
As of 2015[update], the Syrian economy relies upon inherently unreliable revenue sources such as dwindling customs and income taxes which are heavily bolstered by lines of credit from Iran. Iran is believed to spend between $6 billion and $20 billion USD a year on Syria during the Syrian Civil War. The Syrian economy has contracted 60% and the Syrian pound has lost 80% of its value, with the economy becoming part state-owned and part war economy. At the outset of the ongoing Syrian Civil War, Syria was classified by the World Bank as a "lower middle income country." In 2010, Syria remained dependent on the oil and agriculture sectors. The oil sector provided about 40% of export earnings. Proven offshore expeditions have indicated that large sums of oil exist on the Mediterranean Sea floor between Syria and Cyprus. The agriculture sector contributes to about 20% of GDP and 20% of employment. Oil reserves are expected to decrease in the coming years and Syria has already become a net oil importer. Since the civil war began, the economy shrank by 35%, and the Syrian pound has fallen to one-sixth of its prewar value. The government increasingly relies on credit from Iran, Russia and China.
Syrians are an overall indigenous Levantine people, closely related to their immediate neighbours, such as Lebanese people, Palestinians, Iraqis, Maltese and Jordanians. Syria has a population of approximately 17,065,000 (2014 estimate). Syrian Arabs, together with some 600,000 Palestinian Arabs, make up roughly 74% of the population (if Syriac Christians are excluded).
The indigenous Christian Western Aramaic-speakers and Assyrians number around 400,000 people, with the Western Aramaic-speakers living all over the country, particularly in major urban centers, while the Assyrians mainly reside in the north and northeast (Homs, Aleppo, Qamishli, Hasakah). Many (particularly the Assyrian group) still retain several Neo-Aramaic dialects as spoken and written languages, while villagers of Ma'loula, Jubb'adin and Bakh'a still retain Western Aramaic.
The third largest ethnic group are the Turkish-speaking Syrian Turkmen/Turkoman, with estimates suggesting they constitute approximately 4–5% of the population of Syria. However, their population is significantly higher if Arabized Turkmen were also taken into account. There are no reliable estimates of their total population, with estimates ranging from several hundred thousand to 3.5 million.
↑ 142.0 142.1 142.2 142.3 Heydemann, Steven. Authoritarianism in Syria. Ithaca: Cornell UP, 1999. Print.
↑ 184.0 184.1 184.2 184.3 184.4 184.5 184.6 184.7 184.8 Khalifa, Mustafa (2013), The impossible partition of Syria, Arab Reform Initiative, pp. 3–5, Arabs constitute the major ethnic group in Syria, making up between 80 and 85% of the population.
Glass, Charles (1990), Tribes with Flags: A Dangerous Passage Through the Chaos of the Middle East, Atlantic Monthly Press (New York) and Picador (London), ISBN 0-436-18130-4 <templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>.
Forward Magazine (Syria's English monthly since 2007) <templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>.
van Dam, Nikolaos (2011), The Struggle for Power in Syria: Politics and Society under Asad and the Ba'ath Party, I. B. Tauris <templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>.
Lawson, Fred H (2010), Demystifying Syria, Saqi <templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>.
Schlicht, Alfred (1980), "The role of foreign powers in the history of Lebanon and Syria from 1799 to 1861", Journal of Asian History, 14 <templatestyles src="Module:Citation/CS1/styles.css"></templatestyles>.
This page was last modified on 5 May 2017, at 01:34.


Robert Hight, Richie Crampton Bo Butner and Andrew Hines conquered their classes at the 50th annual Amalie Motor Oil NHRA Gatornationals at Gainesville Raceway, the third event on the 2019 NHRA schedule.
Upcoming livestreams on Motorsport.tv - April 21, 2019 featuring Super Formula at Suzuka, British GT at Oulton Park, and FIA Karting at Angerville, France. All LIVE.
The F1 Esports series is back on April 8th for the first qualifier in Shanghai.
Fernando Alonso announces his involvement with Motorsport Games and Motorsport Network.


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Welcome to Lovely Natalia Dyer, your online fansource about everything related to the actress Natalia Dyer. Natalia is most known for her role as Nancy Wheeler in the famous Netflix tv series 'Stranger Things'. She is also known for her roles as Coco in the movie 'Velvet Buzzsaw' and Alice in 'Yes, God, Yes'. Attached to this site, you can find a large photogallery collecting Natalia's latest appearances, events, photoshoots and much more! We aim to provide you the best and fastest source about Natalia Dyer so don't forget to come back often not to miss any news, photos or videos about Natalia Dyer. Enjoy your stay!
Home › Interviews › Natalia Dyer for Behind the Blinds Magazine
Natalia Dyer for Behind the Blinds Magazine
Interviews Photoshoots
Natalia was featured in Behind The Blinds Magazine. Photos from the Interview can be found in our gallery!
STUDIO PHOTOSHOOTS & PORTRAITS » 2022 » Session 004 – Behind the Blinds
Natalia Dyer is drawn to characters who are still figuring it out. This Spring, she returns to her biggest role to date as precocious big sister Nancy Wheeler in Season 4 of Netflix's hit supernatural thriller Stranger Things. The 27-year-old promises that the next season will be bigger than ever. But whether she's playing Nancy, fiercely taking on the Demogorgon, or Alice in Yes, God, Yes, discovering female pleasure for the first time, Dyer's teenage characters are in a state of flux. She likes playing girls and young women who are allowed to grow and be messy and have flaws. Meanwhile, fame is the biggest adjustment Dyer herself has had to make as she navigates her 20s. Negotiating boundaries has been a learning process, but one that she seems to be taking in her stride.
We caught up with her to talk about Stranger Things, female stories and coming of age.
Season 4 of Stranger Things came out in May. It's been a while since you started filming before the pandemic. What are you most excited for people to see when it comes out?
I am really excited about the new cast members we have this season. I think they do such an excellent job. I feel like I say this every season, but I think this one is our biggest, darkest, scariest season so far. The scale of it is bigger. It feels more all-encompassing. This season, there are lots of different storylines going on. It really stretches what we're familiar with. I hope people like it.
You must have grown quite close to your character, Nancy, over the years. I read that you relish the moments in the script where you get to see inside her character's mind. Do we learn anything new about Nancy in season 4? Are there any moments where we see a new side to her or a new depth of character?
I think so. She's definitely still Nancy. She's still curious. There are some soft moments as well. It is a crazy season with lots of things going on, but I always get to know her a little bit better. I hope that comes across as well despite all the madness that a show like ours can do.
By David • Leave a comment
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(TV Series) 2016- On Netflix As Nancy Wheeler. When a young boy disappears, his mother, a police chief and his friends must confront terrifying supernatural forces in order to get him back.
IMDB Updates Photos
TBAPost-production As Annie. A recent graduate becomes entangled in a relationship with a man and a woman during her summer after college.
All Fun and Games
TBAPost-production As Billie. There's a strange element of cruelty that's embedded in kids' games - Flashlight Tag, Hangman, Simon Says - and sometimes it's taken too far. ALL FUN AND GAMES follows a group of siblings who find themselves in a game with a demonic twist.
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DEVELOPING STORY:
https://www.fairplanet.org/editors-pick/russias-undesirables-putin-signs-anti-ngo-law/
28.May
Russia's undesirables: Putin signs Anti-NGO-law
Nurcan Özdemir
Russian president Vladimir Putin signed a controversial law allowing authorities to shut down foreign and international organizations if they are deemed "undesirable" without court proceedings.
Under the wide-ranging law, non-governmental organizations posing "a threat" to Russia's constitutional order, its defenses or its security, can be blacklisted without warning. Employees as well as people being involved in listed NGO´s risk high financial penalties, restrictions on movement or imprisonment of up to six years.
Human Rights Watch and Amnesty International have condemned the measure as part of an "ongoing draconian crackdown which is squeezing the life out of civil society."
Sergej Nikitin, Amnesty Russia, and Tatjana Lokschina, Human Rights Watch, confirmed to carry on with their work regardless the law.
The law is being harshly criticized by the US also, declared as an attempt to further isolate and discredit members of civil society who are critical of the government. In a statement, U.S. State Department spokeswoman Marie Harf said the United States is "deeply troubled" by the new law, calling it "a further example of the Russian government's growing crackdown on independent voices and intentional steps to isolate the Russian people from the world."
Russian non-governmental organizations have already been pressured or shut down by laws being passed in recent years, especially those which receive foreign funding. A 2012 law branded groups receiving foreign financing to be registered as "foreign agents." About 60 organizations have been officially listed in that category.
Mass migrant graves found in Malaysia
Vanessa Ellingham
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Ireland has become the first nation in the world to vote in favour of legalising same-sex marriage by popular vote. 62% of voters were in favour, and the event was quickly hailed as a landmark success in both [...]
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