The big day finally arrived for us to perform our nativity play to all our grown ups. The children all worked really hard to learn the songs and each and everyone of them was a superstar on the day. If you came along we really hope you enjoyed it.
Year R enjoyed visiting the church for our annual Christingle service. They sang along to 'Love shine a light' and listened really carefully to Father Jonathon who taught them all about what each part of a Christingle represents.
Year R had a great time making Christmas decorations with their grown ups. They made snowmen baubles and decorated Christmas trees.
A huge well done to Roxie-Lou who was this week's very important person. Roxie-Lou was chosen for impressing her teachers on a daily basis with her reading and writing. Roxie also received a special well done for her extra neat handwriting. Keep up the good work Roxie!
We'd like to say a huge thank you to everyone who donated a shoe box for our shoe box appeal. We collected over 30 altogether. The 'Link Team' were thrilled when they came to collect them and I'm sure the families receiving them in Romania will will appreciate your kindness and generosity. Thank you.
Film stars in the making!
Year R have been extra busy planning and making a short film to advertise their 'shoebox appeal'. Please watch our video below and if you are able to donate please have your boxes in school by the 15th November. Thank you for your support.
The children in Year R were very excited to receive some letters in the post this week. They were even more excited to find out how far their '60th birthday celebration' balloons had travelled.
The reception children have been busy this week with a trip to the church for our harvest festival and a visit from poet Brian Moses! The harvest festival was a great success and we would like to thank everyone for their kind donations.
As part of our 60th birthday celebrations, Year R decided to surprise residents at a local care home with some treats. They enjoyed handing out flowers and cakes and talking to the residents. They even sang some songs which the residents enjoyed joining in with.
Year R have had a super start to the year. We have been learning all about people who help us. We have had a superhero day and have had visits from real life heroes including the police and the fire brigade! We even got to go inside the fire engine!
Year R have loved celebrating Halloween this week! We have been counting spooky items, ordering pumpkins by size, making spooky crafts and we even had a Halloween party!
Year R have worked really hard to solve all the problems they have received from the Matrix this week! We have had a paper chain competition, made shape heroes and have been on a maths hunt around the school! We worked so well as a team!


text:
14th May 2019 13+, A-levels, Common Entrance, Exams, GCSEs, School entranceGraeme
Over the last five years, independent senior schools have been shifting the emphasis in their student assessment processes for Year 9 entry.
Traditionally, school entrance assessment processes have required candidates to sit a full set of subject exams known as Common Entrance (CE) in Year 8.
Schools are now moving away from this process, and are increasingly planning to offer places to candidates based on assessment in Year 6, with no requirement to sit CE exams later in Year 8. This is a radical change to a system that has been in place for 115 years.
The first part of this blog post series looks at what the 13+ entry process used to look like.
The public school system of old
A few decades ago, very broadly speaking, the independent boys' senior school assessment process would run as follows.
Some parents would visit schools with their sons and would register them for entry consideration years in advance. Others would register their sons simply on the basis of the school's reputation and without visiting.
For some schools, parents were advised by Admissions to 'put their son's name down' as early as possible – even at birth for the most renowned / competitive schools – since these schools ostensibly operated a first-come-first-served waiting list. That said, those parents who were 'known' to the school – that is, the fathers had attended the school themselves or the parents had connections with the school (knew someone (who knew someone)) – would be able to jump the queue.
This was the notoriously inegalitarian boys' public school system of yesteryear.
Before applying to these independent boys' senior schools, pupils typically would attend a 'preparatory' ('prep') school. These junior schools, running from seven to 13 years old (and often with an earlier-years pre-prep school attached), prepared pupils specifically for the independent boys' senior school 13+ entrance exams.
Common Entrance exams
Boys would sit the 13+ school entrance exams in May / June at the end of the Upper Sixth Form (ie Year 8). Most would sit Common Entrance (CE), the comprehensive suite of subject exams written by the Independent Schools Examinations Board (ISEB). This included papers in English, Maths and Science, along with some or all of Geography, Latin, History, French, Religious Studies and Classical Greek, depending on what the prep school had traditionally timetabled for its particular Common Entrance syllabus teaching.
A candidate would receive percentage marks for each CE subject, and if he met the particular senior school's overall aggregated percentage pass mark requirements, he would be offered a place to start, aged 13, in the first year of the senior school (now known generally as Year 9, although some senior schools still call this 'First Year'). Candidates with those connections to the school would be given some latitude when it came to their CE performance.
Academic scholarship exams
Boys who had been judged very capable by their teachers at the end of the Fifth Form (ie end of Year 6), were selected to join the prep school's Sixth Form 'scholarship class'. These pupils would follow a more challenging syllabus than CE in their final two years of prep school, with a view to taking their chosen senior school's academic scholarship exams at the end of upper Sixth (Year 8).
Independent boys' senior schools wrote their own scholarship exams, covering a full range of subjects as per CE. But the exams would be pitched at a (much) higher level than CE, and could include some notoriously challenging questions. For example, in a scholarship Latin exam, candidates might be asked to find creative ways to translate into Latin an article from a recent newspaper article or a passage from a science fiction novel.
Those students who achieved appropriately high marks in the scholarship exam papers would be offered a place by the senior school, and those who had achieved the highest marks would be offered an academic scholarship. At that time, an academic scholarship came with a reduction, or even complete waiving, of school fees irrespective of parents' level of income.
Year 6 tour of the school and informal interview
Prior to CE and scholarship exams, some of the most renowned public schools requested that prospective candidates come during Year 6 or Year 7 for a tour of the school. As part of the tour, the candidate would have an informal interview with a housemaster or member of the school's senior leadership team. During this interview, the candidate would be asked about their interests and about key events in the news. They may also have been given a passage from a novel or poem to read aloud, and been asked questions about the text. Possibly also given some mental maths problems.
These tours were an opportunity for the school to meet the parents, as much as for the parents to meet teaching staff – in those days, the school would indirectly be interviewing parents and taking a view on their 'suitability for the school'…
After this tour and interview (and taking into consideration any connections the candidate had with the school), the school might offer a place for the boy to enter aged 13. The place was conditional on the student's attaining the school's required percentages in the CE or school scholarship exams.
[The second part of this blog post series about the changing face of independent senior school assessments can be found here.]
14th May 2019 Graeme
Preparing for summer exams – what should students be doing in the Easter holidays?
11+ exams – Think 'skills' not 'system' (there is no system)
13+, GCSE and A-level exams – tips for parents after the mocks
Graeme on Is this the end of Common Entrance exams? (part 2)
Lucy Harley on Is this the end of Common Entrance exams? (part 2)
University entrance

redpajama_set_name: RedPajamaCommonCrawl


text:
Home Finance	Businesses may consider moving from Hong Kong to Singapore
Businesses may consider moving from Hong Kong to Singapore
Businesses in Hong Kong may be moving out amid political uncertainty and massive protests in the city, members of the business community told CNBC.
But one analyst said Hong Kong still holds an advantage over its rivals — its proximity to the mainland.
"The real concern here, which we've seen slight signs of, is that people are moving their companies and their money in greater numbers to Singapore," Tara Joseph, president of the American Chamber of Commerce in Hong Kong, told CNBC's "Squawk Box " on Monday.
Hundreds of thousands of protesters took to the streets of Hong Kong on Sunday to oppose a legal amendment that would allow fugitives to be extradited from the territory to China for trial.
Although the contentious bill was suspended on Saturday, demonstrations continued amid calls for Chief Executive Carrie Lam to step down and withdraw the proposal completely.
In a press conference on Tuesday, Lam apologized and said she and her team would "try (their) very best" in the next three years of her term. The bill remains indefinitely suspended, with Lam saying the government "will not proceed again with this legislative exercise" if the people's concerns have not been allayed.
The government has argued that the law is needed to close a legal "gap," but many are concerned that Hong Kong's freedoms may be threatened if the bill is passed.
I think businesses are seeing China creeping into Hong Kong in an increasing way over the last few years, so that's giving them cause for concern.
Peter Churchouse
Portwood Capital
Recent protests differ from the Occupy Central movement in 2014, said Fraser Howie, an independent analyst. Back then, the business community merely saw it as a "disruption to traffic," he said.
This time, it has woken up to the "very real concerns of Beijing encroachment," he told CNBC's "Street Signs " on Monday.
Impact on Hong Kong
Anecdotally, "increasing numbers" of companies are also relocating their regional headquarters from Hong Kong to other parts of Asia, "most particularly" to Singapore, said Peter Churchouse, managing director of Portwood Capital.
One tycoon reportedly shifted more than $100 million from a Citibank account in Hong Kong to Singapore, according to an advisor involved in the transactions who spoke to Reuters.
"That, of course, will affect demand in the Hong Kong economy," said Churchouse. It will also have an effect on the property market, particularly the commercial and upper-end residential segments, he said.
"That's already happening," said Churchouse, adding that it's not just because of the proposed legal change.
"It's also because of other things that are happening in China generally. There're lots of rules and regulations that are making life tougher," he said. "I think businesses are seeing China creeping into Hong Kong in an increasing way over the last few years, so that's giving them cause for concern."
Joseph also said there are signs of talent moving out of the city, and companies are starting to look at Singapore "more seriously."
It would be a real disappointment if businesses and capital continue to trickle out, she added. "Hong Kong has a lot to play for as a financial center and as a great place to do business," she said.
"The onus is really on the Hong Kong government now, despite a crisis, to really get back in the game and step up and reassure investors, reassure businesses," she said.
Hedging bets elsewhere
But other financial hubs may not be able to take Hong Kong's place, according to Ronald Arculli, senior partner of King & Wood Mallesons.
"If you look at Asia, Hong Kong is probably the leading financial center that we have here," he said. "Tokyo is also very big, Singapore is active, but in terms of the turnover, the liquidity, it really is Hong Kong."
It also helps that the city's legal system is based on English common law that people around the world understand, he added.
Independent analyst Howie said money and wealth management operations could certainly move out to Singapore. But not all businesses would be able to do so, he said.
"A trading desk, first of all, is in China or is in Hong Kong because it's near China," Howie said. "That's ultimately where the China business is. So if you're focused on China, you really need to be a lot closer to China than Singapore."
Still, he acknowledged that the business community may need to start "divesting" from Hong Kong. "You'll need to be hedging your bets in a way that you didn't need to before."
— Reuters and CNBC's Kelly Olsen contributed to this report.
A women is seen holding a sign outside the Chief Executive Office in Admiralty in Hong Kong, China.
Vernon Yuen | NurPhoto | Getty Images
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The spa inspired Retreat print flat sheet will dress up your treatment bed and add a touch of luxury.
Combined with our matching pillowcases or fitted sheet for a unique look.
Bathrobes, headbands and velcro gowns also available in this range.
Buy individually or go to the package sets and save $.
Made to fit our treatment beds perfectly 140cm X 220cm.
Leaves a nice drape over the bed with out being too big.
Colours: Grey and Caramel spa inspired retreat print.


Probably the best way to look at a sole proprietorship is to think of the business and the owner of the business as one and the same. There are literally millions of sole proprietorship examples around all of us. For example, for Juliet Jones Lawn Cutters, the sole proprietorship, Juliet Jones and her lawn cutting business are one and the same. If Ms. Jones runs up steep bills buying a truck and grass cutting equipment, she is responsible for all of those debts. If the lawn mower gets away from her and mows down the neighbor's rose garden, she could be sued for that or at least responsible for buying the new rose plants for the neighbor.
Ms. Jones could create the sole proprietorship lawn cutting service and buy liability insurance to protect her and her company in case she causes some damage while out cutting lawns.
She needs to speak with a lawyer about all of her options before she starts the business.


text:
What Really Happens If You Go Barefoot In The Locker Room?
By Sarah Klein
Janis Christie/Getty Images
The situation: You packed your gym bag in the freaking middle of the night. OK, so it was technically 5:30 a.m. when the alarm went off, but it felt like the middle of the night. Anyway, you crush your workout (naturally), and you're kicking off your sneaks as you rush to beat the pre-work shower scramble when realize you are sans flip-flops. Now you're stuck prancing around on your tiptoes trying to avoid swirls of someone else's hair and puddles of other people's sweat all over the cold, grimy locker room floor. (Want to pick up some healthier habits? Sign up to get daily healthy living tips delivered straight to your inbox!)
What you're worried about: Fungus, warts, who knows what else could be festering in that always-moist gym environment... *shudder* Also: "Is everyone judging me?! I FORGOT the flip-flops, okay? I'm not doing this on PURPOSE!"
MORE: 10 Exercises That Burn More Calories Than Running
The very worst thing that could happen: You'd have to be having a very, very unlucky day, but what you really don't want to happen—when you're , really—is that something in the locker room delivers a fresh cut: You snag a blister on the corner of a rough-edged shower mat or step on a nail, say. "That nail is going to be covered in bacteria, so you could get a very deep infection that could even require hospital admission to treat," says Meredith Ward, DPM, a resident at Saint Francis Hospital in Hartford, CT. She reassuringly admits this definitely isn't a common occurrence in many locker rooms.
MORE: Your 10 Biggest Walking Pains, Solved
Tim Oram/Getty Images
What will probably happen: Some serious side-eye. Because, yeah, sorry, you are taking your chances with infection, both fungal and viral—like athlete's foot and plantar warts, Ward says. They typically do well in damp environments, she says, and they can sit on your skin and eventually make their awful presence known even if you don't have any open cuts or blisters. (Of course, if you do have such a battle wound, the recommendation to don those flip-flops is even stronger.) "At some point, if you've ever worn sweaty shoes, pretty much everyone's been treated for something like this," Ward says, and that treatment makes up a good part of her day-to-day routine (poor doc). Luckily, it's relatively easy to get over both—a couple of weeks of cream to fight athlete's foot and laser or surgical removal of the warts—although (hello!) it's better to avoid them to begin with. Try packing your gym bag the night before (just don't put any of these things in it), and when you inevitably forget again (we're only human!), get creative, at the risk of a little more side-eye. We've heard of devoted gym-goers wearing socks into the shower, standing on towels, even wrapping their feet in plastic bags. Hey, whatever works. Just make sure you dry your tootsies thoroughly—and cover 'em up while you're standing there putting the rest of your clothes on, too.
What Really Happens If You Sit On Pee?
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5 Signs You're Wearing The Wrong Shoes
What Happens If You Eat Food That Fell on the Floor?
What Really Happens If You Never Replace Your Pillows?


The WM-SLIM-54 is a great fireplace for small and difficult areas. At a mere 4 inches thick, the WM-SLIM-54 – Wall Mount Zero Clearance fireplace is the perfect unit for a wall mount application. Heat is propelled from the top of the unit and the flame can operate with or without heat. Featuring a beautiful 'gradient' flame and a realistic coal bed effect, the Slim Line series will make a great impression on any space. A clean black glass surround finishes the contemporary look of this fireplace.
Also perfect for new construction the WM-SLIM-54 – Wall Mount Zero Clearance fireplace can easily be switched to a no heat and no fan mode allowing you to install the unit within the standard 2×4 framing depth.
*Warning, please consult the owner's manual if a built-in application is desired.
Coal bed – as shown in model.


text:
Q: Why does my use of javascript's reduce function return "undefined" 1) I've got an array of objects, called employees.
2) I'm trying to find the highest paid employee in the array.
3) I'm using Javascript's reduce function (inside function findHighestPaid) to do so.
4) Running findHighestPaid(employees) returns "undefined" when I expected it to return the object that has property name: Abelard.
Here's my code.
const employees = [
  {
    name: "Aziz",
    salary: 17050,
  },
  {
    name: "Angela",
    salary: 17060,
  },
  {
    name: "Abelard",
    salary: 17070,
  },
];

function findHighestPaid(arrayOfObjects) {
  let myObject = {
    name: "pretendEmployee",
    salary: 17040,
  };

  arrayOfObjects.reduce(myFunction, myObject);

  function myFunction(acc, item) {
    let personSalary = item.salary;
    let accSalary = acc.salary;
    if (Math.sign(personSalary - accSalary) > 0) {
      console.log(`returning object for ${item.name}`);
      return item;
    } else {
      console.log(`returning object for ${acc.name}`);
      return acc;
    }
  } // end myFunction
}

When I run findHighestPaid(employees) and look in console I see :
returning object for Aziz    // (as I expected)
returning object for Angela  // (as I expected)
returning object for Abelard // (as I expected)
undefined                    // (oh oh!!!)
Why does the reduce function return "undefined"?

A: the undefined that's being printed at the end is the return value of findHighestPaid() function that you run.
since you're not returning anything it's returning undefined.
if your goal is to see the return value of reduce() add a return statement to the function like this:

const employees = [
  {
    name: "Aziz",
    salary: 17050,
  },
  {
    name: "Angela",
    salary: 17060,
  },
  {
    name: "Abelard",
    salary: 17070,
  },
];

function findHighestPaid(arrayOfObjects) {
  let myObject = {
    name: "pretendEmployee",
    salary: 17040,
  };

  return arrayOfObjects.reduce(myFunction, myObject);

  function myFunction(acc, item) {
    let personSalary = item.salary;
    let accSalary = acc.salary;
    if (Math.sign(personSalary - accSalary) > 0) {
      console.log(`returning object for ${item.name}`);
      return item;
    } else {
      console.log(`returning object for ${acc.name}`);
      return acc;
    }
  } // end myFunction
}

console.log(findHighestPaid(employees));

A: Your code is working perfectly although you don't need Math.sign at all, just return the result:

const employees = [
  {
    name: "Aziz",
    salary: 17050,
  },
  {
    name: "Angela",
    salary: 17080,
  },
  {
    name: "Abelard",
    salary: 17070,
  },
];

function findHighestPaid(arrayOfObjects) {
  let myObject = {
    name: "pretendEmployee",
    salary: 17040,
  };

  return arrayOfObjects.reduce(myFunction, myObject);

  function myFunction(acc, item) {
    let personSalary = item.salary;
    let accSalary = acc.salary;
    if (personSalary - accSalary > 0) {
      console.log(`returning object for ${item.name}`);
      return item;
    } else {
      console.log(`returning object for ${acc.name}`);
      return acc;
    }
  } // end myFunction
}

console.log('Highest paid', findHighestPaid(employees));

A: you just have to put it like this
function findHighestPaid(arrayOfObjects) {
    return arrayOfObjects.reduce((prev, curr) => {
        if(!prev) {
            return curr;
        }

        return curr.salary > prev.salary ? curr : prev;
    }, null);
}

const highestPaidEmployee = findHighestPaid(employees);

redpajama_set_name: RedPajamaStackExchange


We find alpacas intriguing animals. They are intelligent, enquiring and sensitive. They quickly respond to gentle handling and they are calming to be around. Alpacas are one of nature's stress busters!
When we came to Little Goytre Cottage we quickly appreciated that we needed livestock to bring the farm to life. We considered all the usual options, but none really suited us. We first saw alpacas at a country show and we were fascinated by them. Like many other newcomers to alpacas, we undertook nearly a year of research, before taking the plunge and buying four young females, three of which were pregnant. From that modest start, we built the herd we have today.
We have never once looked back. Our alpacas have a range of personalities. Some are boisterous and playful, some determined and proud, while others are passive and shy. They are curious about what's going on around them, bond with other herd members and, most importantly, are great fun to be around.
Be warned, owning alpacas considerably reduces your productivity! We spend hours watching them, strolling amongst them and being entertained by their antics. They will become a huge part of your life - and your life will be richer as a result.
We decided to establish a breeding herd - there is something magical about seeing a new born alpaca take its first steps in life - but many people choose to keep gelded (castrated) males for their fibre and natural beauty.
There are several hundred registered breeders, like us, across the uk, but there are considerably more private owners with small herds. The national herd stands at around 60,000 animals. Although increasing in numbers, alpacas are still fairly thin on the ground, so prices for good breeding females remain quite high. Pet males are considerably more affordable. At the top end of the market, world-class animals are sought out by a few discerning breeders and quality rather than quantity is the key. That being said, there are alpacas to suit every budget and whatever your plans, you will get enormous satisfaction from keeping them.
Can you farm alpacas at a profit? That's perfectly feasible, but like any business venture, in the early years the cost of your foundation stock is likely to soak up cash reserves. To trade profitably you will need to sell fibre and livestock or provide added value services to your customers and, like most businesses, it will probably take a while to become established. Running costs are modest, but still have to be met! Consult your accountant or business advisor, do your research, get your hands on the animals and be careful how you spend your cash. It may seem obvious, but try to buy with your head... not your heart!
Today alpacas are raised by breeders, fibre producers, farmers seeking agricultural diversification, glamping sites, smallholders looking for a sustainable lifestyle business, country landowners who want to grace their pastures with something beautiful - and people who just adore alpacas.


text:
Looking Back / Looking Forward, Day 1
Previous December 31, 2018 Next
— Audio Player —
Season: Looking Back / Looking Forward Buy
Looking Back / Looking Forward (CD)
Episode Resources
Download "Questions for the New Year."
Leslie Basham: Nancy DeMoss Wolgemuth explains what you can expect in a new year.
Nancy DeMoss Wolgemuth: There will be heartaches. There will be hard times. But you can still smile at the future if you have planned for, thought intentionally about how you can walk into this year—walking in God's grace and growing in your relationship with Him.
Leslie: This is Revive Our Hearts with Nancy DeMoss Wolgemuth, author of A Place of Quiet Rest, for December 31, 2018.
Women are making all kinds of resolutions about diet, exercise, and finances—and these can be very helpful. When they're in their proper place, all these things flow out of our relationship with God. Nancy's encouraging us to be more intentional about that relationship as we look ahead into the new year.
Nancy: Matt Emmons is a name that probably is not familiar to you, as it was not to me until I found this on Google. But he is an American sport shooter who competed in the 2004 summer Olympics in Athens.
He was one shot away from claiming the gold medal in the 50-meter three-position rifle event. Now, I'm not even sure what all that means. But I know what a gold medal means.
The first nine shots had scored so high that he did not even need a bull's-eye to win. All he needed for his final shot was to hit the target, and he would be the gold-medal winner.
So he took aim, he fired, and bulls-eye! But no score came up on the board. He looked puzzled. He said, "I shot." He knew he'd hit a bull's-eye.
Moments later, the judges informed him that he had made a very rare mistake called "crossfire." It means he had fired at the wrong target. He was standing in lane two. And in the pressure of the moment, he forgot to look at the number of the target through his viewfinder, which he normally did. He fired at the target in lane three.
So his shot was accurate—it was a bull's-eye—but because he had aimed at the wrong goal, he got a score of zero for that shot.
His American teammate who received the silver medal said, "He's the best shooter I've ever seen. I can't believe it happened to Matt Emmons." Instead of the expected gold medal, Emmons ended up in eighth place.
Today and tomorrow I want us to think about the importance of aiming at the right goal as we look forward to the year ahead.
As we come to a new year, and really, a new year is the turning of a page on the calendar. There's not anything mystical or magical about the calendar page turning over. But I find this is a good chance, whether it's a birthday, the turning of a year, or my spiritual birthday—those are the three times a year that I stop and consider and recallibrate and get my bearings to seek the Lord and resolve to be the woman He wants me to be, by His grace and the power of His Spirit, as I go into that next chapter or season of life.
There's biblical basis for celebrating these markers and looking forward. I think of that passage in Exodus chapter 40 where "The LORD spoke to Moses, saying, 'On the first day of the first month you shall erect the tabernacle of the tent of meeting'" (vv. 1–2).
So the launching of the place of worship was to take place on the first day of the first month of the year. What was God saying? As you start into a new season, put first things first. Do the important things first. Take care of your spiritual life, your relationship with God, your relationship with the community of faith. Deal with that. Be intentional about it.
I want to encourage you, in this session and in the next, to take time to look in the viewfinder and make sure you're aiming for the right target, to make some resolutions for 2019. The Scripture talks about the value of planning and thinking ahead.
Proverbs 21: "The plans of the diligent lead surely to abundance, but everyone who is hasty comes only to poverty" (v. 5). If you don't stop and think about what you're doing and how to do it right, you're going to end up in spiritual poverty. But if you'll take time diligently to plan and seek the Lord, it will lead to abundance.
We have that graphic passage in Proverbs chapter 6, where it says, "Go to the ant, O sluggard; consider her ways, and be wise. Without having any chief, officer, or ruler"—she doesn't have somebody looking over her shoulder, telling her to do this—"she prepares her bread in summer and gathers her food in harvest" (vv. 6–8).
She doesn't wait until the last minute to decide what she's aiming at. She thinks ahead to what her needs will be and how to be prepared for that. That's part of the idea of planning, setting goals, setting resolutions, and thinking:
What kind of person do I want to be a year from now?
What does God want me to be a year from now?
What is He wanting to do in my life, and how can I set my sails to head in that direction?
Proverbs 22:3 tells us, "A prudent man [wise person] foresees evil and hides himself, but the simple pass on and are punished" (NKJV).
Look ahead. See what are some of the traps that lie ahead. What are some of the potential areas of vulnerability? The wise person looks ahead and foresees, "This could be a situation where I could be vulnerable." And he takes precautions to protect himself from that. But the simple just pass on without thinking. They're thoughtless; they're mindless; they're unintentional. As a result, they reap consequences.
Proverbs 4:26: "Ponder the path of your feet; then all your ways will be sure." Ponder. Think about it. Consider it. Consider your ways.
The Proverbs 31 woman is a woman who plans ahead. Verse 21 tells us that she plans ahead for winter. She makes sure that her family is not caught off-guard, that their clothing needs have been met. She's planning ahead. As a result, it says, she can smile at the future (see v. 25). She's not afraid of the future.
It doesn't mean that there won't be problems in the future. There will be hard times. But you can still smile at the future if you have planned for and thought intentionally about how you can go into this year walking in God's grace and growing in your relationship with Him.
It's so easy to just drift. That's our natural tendency—not to be careful, but to be careless. As we move into a new year, it's a good time to think about how to not drift. So many people, I find, just let life happen. They're not intentional. Life is happening to them.
Minutes that are unevaluated become hours. Hours become days. Days become weeks. Weeks become months. Months become years. Years becomes decades. And decades become a lifetime.
I think a lot of people who weren't intentional about their moments are going to end up in eternity with a lifetime of very little to show for the glory of God and the advancement of His kingdom. We need to live an intentional, focused life.
We need to live an intentional, focused life.
The apostle Paul did not just let life happen to him, as so many of us do. He says in 2 Corinthians 5, "We make it our goal to please him, whether we are at home in the body or away from it" (v. 9 NIV). Whether we live or die, our goal is to be pleasing to the Lord.
And then he tells why. He says, "For we must all appear before the judgment seat of Christ, that each one may receive what is due him for the things done while in the body, whether good or bad" (v. 10 NIV).
I won't unpack now the whole subject of the judgment seat of Christ and what Christians will be judged for except to say we know Scripture says that for believers there will be a judgment seat. What we have done with these lives will in some way be scrutinized by the eyes of Him who sees and knows all.
Paul was gripped by a vision of that final award ceremony. He says, "Because I know what's coming, because I know that there will be this judgment . . ." Most of us don't even think about that. We'll go weeks or months without ever thinking of the judgment seat of Christ.
When was the last time you thought about it? When was the last time I thought about it? But Paul lived with this in his vision.
He says, "Because I see that coming, it causes me to live an intentional, measured, evaluated, thought-through life." It helped him to keep his eye on the goal for which God had saved him.
He says in 1 Corinthians 9, "Do you not know that in a race all the runners run, but only one receives the prize? So run that you may obtain it" (v. 24). Go for the prize! Don't just lollygag around the track of life. Go for the prize.
He continues, "Every athlete exercises self-control in all things." And Paul says,
They do it to receive a perishable wreath, but we an imperishable. So I do not run aimlessly; I do not box as one beating the air. But I discipline my body and keep it under control, lest after preaching to others I myself should be disqualified (v. 25–27).
That word disqualified means "to be put on a shelf, to be pulled out of commission." The apostle Paul lived with the sense that if he did not run intentionally in the race God had set before him, he could actually end up being put on a shelf. It didn't mean he would lose his salvation. But he would lose the rewards and the privilege of fulfilling that for which God saved him.
Now, if the apostle Paul had that concern, don't you think we should have this concern? It's this kind of thinking that informs how we think about goals and resolutions and walking into a new year.
So I want to challenge you again, as we come to the close of this year, to pause. Don't just let New Year's Eve and all its celebrations, partying and fun, and New Year's Day with its football games hijack your life for these next days.
What will happen is that it will be the second and then the third and the fourth day of the month, and you'll already be into the flow of things, and you'll be living next year just like you lived this past year.
By God's grace, we want to do some things differently this next year than we did this past year. I want to be more intentional, more focused, more fixing my eye on the goal, on the target of God's plan for my life. So take some time to be purposeful, to be intentional, to think through where God wants you to head in the year to come.
Do you even know? If not, you may hit a target, as Matt Emmons did, but it will likely be the wrong one. You may end up forfeiting the prize that God has in store for you.
Some of you have heard the late pastor Ray Ortlund on Revive Our Hearts and his widow Anne Ortlund, who's also been on our program a number of times. Ray went home to be with the Lord back in 2007. But his widow, Anne, shared a list that he wrote when he was sixty-six years old, a number of years before he went to be with the Lord.
She discovered this list after his home-going. I won't read the whole thing. But it just illustrates, in an older man, this idea of being intentional.
I don't know what occasioned this list. I don't know if it was a new year or a birthday. But he said, "These are steps I am taking, in courage and obedience, to help me establish an inner life of rest and trust in God." And then he said, "These things don't get me to heaven, but they help heaven get to me."
Let me read you some of the things he wrote down:
Regular time set aside every day for reading the Word and for prayer
Now, here is a man who was a very godly and faithful servant of the Lord. You may have heard him on the "Haven of Rest" radio program for a number of years. He was my pastor when I was in college. He was a long-time pastor and servant of the Lord. But here at sixty-six years of age, he was recalibrating.
He had spent years and years in the Word of God. But he was reaffirming, "I want to set aside time every day for reading of the Word and prayer." If you don't make any other commitment for this year to come, I would hope that would be the one, the first one.
And then he wrote:
Be in constant contact with God
Abiding in Him
Humbling myself under God's hand
Letting go of ego
These are steps he wanted to take in the coming year.
Saying only that which will build others up
Watching the mouth
I want to remember that everything I have is His.
I want to see what God sees, love what He loves, and hate what He hates.
To make life more serene and God-oriented, I want to eliminate from my home clutter, arguing, complaining, and constant TV and other noise.
Sometimes you just need to turn off the radio, turn off the television, turn off the computer. I don't know how God will lead you to do it. But what are some things you may want to do, as Ray Ortlund said, to make your life more serene and God-oriented?
And then he said:
Ordering my mental life so as to be constantly in prayer at a deeper level
Those are goals of a sixty-six-year-old man who was still being intentional and purposeful about pressing on toward the mark, pressing on to seek the Lord.
Now, let me go to another age range. A friend of mine named Jenny, who, a couple of years ago when she was nineteen, sent to me her New Year's resolutions. Again, I won't read all of them. She sought the Lord, and these are some of the things God had put on her heart.
I say this because I know we have some young listeners, and a lot of moms who have teenagers and children. They're not too young to be thinking about being intentional as they go into a new year.
My friend Jenny said:
Resolved to be truthful with my words, with no exaggeration or deceit.
Resolved to practice femininity, modesty, and biblical womanhood so that I may be an example of virtue in a world of confusion.
I love that—nineteen years old.
Resolved to act on things that are eternal and furthering to God's kingdom, and when fallen into temporal living, to cry out for grace that He may once again show me His big picture.
Resolved to love His people with a genuine servant's heart and be available to those who are in need.
Resolved to dedicate my life for the cause of revival and pray for the desperate needs of our nation and world.
Resolved to take a step further in my pilgrimage of conquering fear of man.
And then she said:
Resolved to know God, to love God, to walk with God, to believe God, to live and die for the glory of God.
I want to tell you where she got the words for that last one. This is a girl who, when she was three years old, her dad died of a brain tumor. Her dad was the founder of our ministry, Del Fehsenfeld, Jr. On his grave marker are written these words: "He knew God; he loved God; he walked with God; he believed God; he lived and died for the glory of God."
Here's a nineteen-year-old girl who has never really known her dad since she was three years of age, but who has been marked by the way he lived—purposefully, intentionally. She's been to that grave marker. She's internalized those words. And she's saying, "That's my heart's desire."
See, you're living not just for you. You're living not just for your era, not just for your generation, but for those who come behind—that they may find us faithful. That's another reason to live intentionally and purposefully.
You're living not just for you or for your generation, but for also those who come behind.
I'm so glad that Del Fehsenfeld, Jr. lived an intentional and purposeful life. He impacted my life in a huge way. He's impacted his daughter Jenny's life. Here she comes, as a nineteen-year-old girl, saying, "That's my resolution too."
Last year at this time I came across a series of questions that Don Whitney had written. He's an author and a seminary professor, a man with a real heart for the Lord. He came up with a list of questions to ask at the start of a new year.
Now, you don't have to just use these at a new year. You can do it at a birthday or at other times. We're going to put those questions up in a PDF format, available to you at ReviveOurHearts.com.
I want to encourage you to go through these questions, as I did a year ago. I didn't answer all of them, but I picked out particular ones that spoke to me and that I wanted to reflect on, and I jotted down some responses. I want to encourage you to take some time to consider questions like these as you think about the year to come.
Here are some of those questions:
In what area of your life do you most need change, and what will you do about it this year?
In what area of your life do you most need growth, and what will you do about that this year?
What one thing do you most regret about last year, and what will you do about it this year?
What's one new way you could be a blessing to your pastor or to another who ministers to you this year?
What's one thing you could do this year to enrich the spiritual legacy you will leave to your children and grandchildren?
What habit would you most like to establish this year?
Whom do you most want to encourage this year?
What area of your life most needs simplifying, and what's one way you could simplify in that area?
What's the most important way you will, by God's grace, try to make this year different from last year?
What one thing could you do to improve your prayer life this year?
What's the most helpful new way you could strengthen your church?
What's the single most important thing you could do to improve the quality of your family life this year?
In which spiritual discipline do you want to make progress this year, and what will you do about it?
What's the most humanly impossible thing you will ask God to do this year?
I'm not suggesting that you should take time necessarily to answer all of those questions, because you'd probably be going from now until the end of this year. But I would urge you to take time to answer some of those questions and to ask the Lord, "Which ones do You want me to focus on?"
Don't come up with ninety-three resolutions for the new year, because you will definitely not remember those through the rest of this week. But do come up with a few that God puts on your heart for this year.
It may be just one word—one character quality of Christ that you want to concentrate on this year, one area or topic that you want to study and see embedded into your life. As I've said, this has been the year for me of focusing on meekness. I can't say I've got it down, and I'll still continuing growing in that area in the year ahead. But I'm asking the Lord for this coming year, "What do You want to focus on in my life, and how can I cooperate with You in that?"
Again, if you'll go to ReviveOurHearts.com, we'll give you these and some other questions that you can use as a basis to write out some of your resolutions.
Matt Emmons forfeited the gold medal because he didn't aim for the right target. Where you do want to be a year from now? By God's grace, I don't want to be the same person a year from now that I am today.
I've got to keep my eye on the target, keep my eye on the mark, and ask the Lord, "Where do You want me to head? By Your grace and the power of Your Spirit, show me how to get there, for Your glory and for the sake of Your kingdom."
Leslie: I hope you'll take some time to write out the type of resolutions Nancy's been describing. She's in the first of a two-day series called "Looking Back / Looking Forward." She's helping us reflect back on the past year and look ahead to what God might do next.
When you look back on a year, sometimes you realize how different life has become. Nancy's here to talk about that.
Nancy: Well, here we are on December 31, New Year's Eve. We've been anticipating throughout this month how the Lord was going to provide to meet our year-end needs. Typically, over 40% of the donations we need for the whole year arrive in December. In fact, a good number of those donations arrive the very last day! So today is significant in our ability to fund the outreaches of Revive Our Hearts in the year ahead. Would you pray that many listeners would get involved and help meet the year-end needs on this final day? And if you've wanted to be part of meeting this need, but just haven't done it yet, you can visit us at ReviveOurHearts.com to make your donation. Or you can call us at 1–800–569–5959.
Thank you so much for your encouragement, support, and prayers as we anticipate all that God has in store for us in the year ahead. Now as we come to the end of the final program of 2018, I'd love to pray a New Year's Eve blessing on you.
Father, how we thank You as we look over this past year—that You have been faithful. You've been so good, so kind. You blessed us even when our eyes were filled with tears. We've been able to look up and see Your face, Your hand, and trust that You are moving, You are working for our good and Your glory.
Lord, now that we are on the cusp of a new year, we want to stop and pause and acknowledge our need for You. We trust as You've been faithful in the past year, You will be faithful, come what may in the year ahead. You've surprised me with grace and love in an amazing way this year, something I never dreamed would be true. Lord, I'm asking that You would surprise my friends who are listening today. I don't know what it will be that You will have for them, but I ask for surprises of grace, times when they would know Your amazing love in a greater way than they've ever experienced it before. I ask that You would extend the helping, healing hand of Jesus into the hearts and homes that desperately need You to intervene.
Oh Lord, how quickly You can turn the desert into a fruitful, abundant place. I pray that You would do that. For those that are suffering, I pray the You would grant grace to persevere and stay the course and to know Your presence in the midst of the pain. Father, I pray for each listener. Would You strengthen them, support them, sustain them in this season. Would You continue to sanctify them by Your truth. Throughout this year ahead, would you satisfy them deeply with Your steadfast love. I pray in Jesus' name, amen.
Leslie: Thanks, Nancy. 2018 has seen headlines full of violence, heartache, and scandal. But Nancy says, deep down, you don't have to enter 2019 in fear. Find out why tomorrow, on Revive Our Hearts.
Revive Our Hearts with Nancy DeMoss Wolgemuth wants you to live an intentional, focused life. It's an outreach of Life Action Ministries.
All Scripture is taken from the English Standard Version unless otherwise noted.
Topics: Time Management
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Vladimir Putin had a brief meeting with Vice Premier of the People's Republic of China State Council Wang Yang, who represented China at the Eastern Economic Forum in Vladivostok.
Mr Putin and Mr Wang exchanged views on ways to implement planned joined projects in the Far East. The President said he is sure that Russia's Chinese partners will show great interest in the Far East region's economic potential.
President of Russia Vladimir Putin: <…> We support constructive dialogue, an exchange regarding what we can do together to implement the projects we have planned for the Far East, to ensure that our cooperation benefits both the Russian Federation and our friends in the People's Republic of China.
As you may know, I have just returned from China, where we took part in large-scale events to mark the end of World War II and victory over Japanese militarism. I believe China organised a very brightly coloured, grand scale and useful event that reminds us of the tragedy of World War II, of the heroism of the Chinese people and our combat fraternity.
Today we are facing quite a few tasks and challenges that we can and must tackle jointly. We discussed with our friend and colleague, President of China Xi Jinping, the entire range of cooperation between China and Russia. Within this context, cooperation between China and Russia in the Far East looks highly promising and significant.
Therefore, we very much hope that our Chinese friends will show interest in the projects and the opportunities that we are demonstrating here in the Russian Far East. I hope you have already familiarised yourself with the opportunities we are offering here and the prospects that are opening up.
Vice-Premier of the People's Republic of China State Council Wang Yang (retranslated): At the plenary session, you made a very inspired address with examples of specific grand scale events, and your address greatly enhanced our confidence in our successful cooperation.
During our meeting in Ufa, you invited the Chinese side and President of the People's Republic of China Xi Jinping personally to send a government delegation to the Eastern Economic Forum. President Xi Jinping attaches great importance to this event and sent me to head this representative government delegation at the forum. Accompanying me are ten government ministers and four governors.
Apart from government representatives, the delegation also includes business representatives. This time more than 60 leading Chinese companies have come to the Forum. Last year their overall revenue exceeded $2 trillion, which is almost 25 percent of China's GDP.
I believe that after your address, our Chinese companies will feel more confident in the further successful cooperation in developing the Russian Far East and they will take practical measures to promote joint projects.
Tomorrow, together with Deputy Prime Minister Yury Trutnev, I am ready to hold the first session of the Cooperation Council between regions of the Russian Far East and the Northeast of China. We are ready to make every effort to implement the agreements reached by the heads of our states.


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Aspirated foreign bodies in children: BC Children's Hospital emergency room protocol
Issue: BCMJ, vol. 50 , No. 5 , June 2008 , Pages 252-256	Clinical Articles
By: Navid Dehghani, MD, FRCPC, P. Ludemann, MDCM, FRCSC,
Foreign bodies lodged in either the larynx or bronchi lead to significant morbidity and mortality in children. Diagnosis may be delayed for several reasons. Often parents or caregivers do not recognize that a choking event has occurred. Symptoms often mimic asthma or croup. Standard radiographic examinations may not reveal the foreign body. As well, medical schools and residency programs do not consistently provide formal education on the diagnosis of foreign body aspiration. Clinicians should be aware that diagnosis of foreign body aspiration requires a history, a physical examination, and, in the case of non-metallic bronchial foreign bodies, special imaging (prior to the onset of atelectasis and pneumonia, inspiratory and expiratory chest radiographs may reveal obstructive emphysema). If a bronchial foreign body is suspected, rigid laryngobronchoscopy should be performed by a team of medical professionals with proper experience and equipment. If a laryngeal foreign body is suspected, flexible laryngoscopy may be diagnostic; definitive treatment requires rigid laryngoscopy under general anaesthesia.
Delays in diagnosing upper aerodigestive objects in children may be avoided by obtaining a history, performing a physical examination, and reviewing inspiratory and expiratory chest radiographs.
Aspiration of foreign bodies results in significant morbidity and mortality in children. The majority of foreign body aspirations occur in children younger than 4 years of age.
Immature dentition, poor food control, physical activity during feeding, and propensity to explore the environment orally all make children susceptible to foreign body aspiration.[1]
In the first 9 months of 2007, the divisions of emergency medicine and otolaryngology at BC Children's Hospital (BCCH) treated nine children with a bronchial or esophageal foreign body after diagnosis had been significantly delayed. In five patients, a bronchial foreign body eluded diagnosis for at least 3 weeks.
Nut fragments were eventually found in four toddlers and a thumbtack was found in one teenager. Four of these patients presented to BCCH in September 2007. The parents of all five patients had already reported to one or more physicians outside BCCH that their child had experienced a coughing fit after oral exposure to a nut or a thumbtack.
Prior to referral to BCCH, the patients had received various medications and some had multiple hospital admissions. Radiology confirmed our clinical suspicions. In the OR, all five patients were found to have severe purulent bronchitis and bronchial granulation tissue formation, which made removal of the foreign bodies by rigid bronchscopy more difficult than usual.
All patients needed postoperative antibiotics and one toddler needed postoperative overnight ICU care. Fortunately, no patient needed a thoracotomy and all recovered fully.
We believe that education regarding the diagnosis and treatment of upper aerodigestive foreign bodies is a responsibility that should be shared between medical schools and university departments of otolaryngology, emergency medicine, pediatrics, and family medicine. We recognize that there are numerous factors that might cause delays in diagnosis.
These include the following:
• Lack of parent or caregiver recognition of the choking event.
• Parental denial.
• Unwarranted reassurance provided by medicines that cause temporary improvement of signs and symptoms.
• Difficulty performing radiographic examinations for radiolucent foreign bodies.
• Difficulty distinguishing coins from disc batteries radiographically.
• Lack of consistent formal education regarding injuries caused by aspirated foreign bodies in many medical schools and residency programs.
In order to reduce the morbidity associated with delayed diagnosis and to establish consistency in evaluation of children with aspirated foreign bodies, we have developed the following guidelines for BC physicians. We are also working to complete two interactive computerized learning modules: one on bronchial foreign bodies and another on esophageal foreign bodies.
In addition we plan to develop a learning module on obstructive and nonobstructive laryngeal foreign bodies. We plan to make these modules available free of charge to medical schools and residency programs and will try to promote their worldwide implementation.
While treatment is our focus here, prevention is key. Parents should be warned of the risk of death to young children from uncut hot dogs, uncut grapes, gel candies ("fruit poppers"), popped balloons, and disc batteries. Hot dogs and grapes should be cut into small pieces until a child is at least 5 years old and has no developmental delay in terms of swallowing.
Children should be taught to sit quietly while chewing and swallowing. A child's diet should be advanced slowly in terms of food textures.[2] We look forward to continuing to educate the public about choking hazards and prevention through Safe Start, BCCH's injury prevention program.
Because it is difficult to convince most adults of the realities of choking hazards, we plan to develop a web-based educational video and an interactive web site on choking risks, prevention, and treatment that is geared toward preteens, teenagers, parents and teachers, day-care staff, and babysitting course instructors. We hope these materials will change society's perception of choking and thus reduce choking morbidity and mortality.
Laryngeal foreign bodies
Completely obstructive laryngeal foreign bodies cause acute respiratory distress and aphonia. Uncut hot dogs, uncut grapes, and gel candies are the foods most commonly responsible for lethal choking (Table 1). Retrieval of these objects requires prompt basic life support measures, such as the Heimlich maneuver or rigid laryngoscopy and retrieval with McGill forceps.
In older children, heroic maneuvers, such as cricothyroidotomy or rapid tracheotomy (or both) can be technically possible and may allow bypass of the obstructed larynx.[3]
Partially obstructive laryngeal foreign bodies include thin, sharp objects, such as metallic stickers (Table 2). On rare occasions, these objects can become lodged between the vocal cords in the sagittal plane and cause dysphonia, a croupy cough, and progressive biphasic stridor despite medications for presumed croup.
Flexible laryngoscopy is often needed to identify radiolucent objects. Occasionally a large metal object, such as a fishhook, may become a partially obstructive supraglottic foreign body. This is usually readily diagnosed by history and radiology.[4]
Bronchial foreign bodies
Aspirated foreign bodies most commonly lodge in the bronchi. Organic objects, especially nut fragments, account for the majority of aspirated objects (Table 3). Inorganic objects, such as plastic toy parts and metal pins and thumbtacks, account for the rest.[5]
Diagnosis of bronchial foreign body aspiration is challenging in children[6] and delayed diagnoses occur for several reasons. The aspiration event is often unwitnessed or denied by parents. Most aspirated objects are radiolucent. After the initial coughing paroxysm, there is usually a quiescent (relatively asymptomatic) phase for about a week before pneumonia or other complications occur.
The wheezing that is present during the quiescent phase is often attributed to viral infections or asthma and may initially respond to bronchodilators, steroids, or antibiotics. Every year at BCCH we encounter several cases in which the diagnosis of a bronchial foreign body has been delayed, sometimes for several weeks or longer.
Potential complications of untreated bronchial foreign bodies include atelectasis, pneumonitis, bronchial granulomas, recurrent pneumonias, pneumomediastinum, bronchiectasis, plastic bronchitis, and bronchocutaneous or bronchovascular fistulization.
A high index of suspicion is required for prompt diagnosis.[7] Any patient who has a severe coughing fit after oral exposure to a high-risk object should be considered to have a bronchial foreign body until proven otherwise.[8]
Pathophysiological considerations for aspirated foreign bodies include the anatomy of the lodgment site, the physical properties of the foreign body (size, shape, and composition), and the local tissue reaction to the foreign body. For example, eggshells have a propensity to obstruct the larynx because their sharp, thin, and firm nature allows them to lodge between the vocal cords in the sagittal plane.
The specific physical property of the object and the local reaction determine the risk category of the aspirated foreign body. High-risk objects create more morbidity than the low-risk objects.[9]
High-risk objects include any small hard pieces of food, especially nuts or nut fragments, seeds, raw carrots, raw apples, raw pears, unpopped popcorn kernels, dried peas or beans (which expand rapidly as they absorb moisture and therefore require urgent bronchoscopic removal), or any small pieces of toys, plastic, metal, pebbles, stones, or beads. Low-risk objects include processed dried cereal, wet noodles, chips, pretzels without nuts, soft or pureed foods, and cheese.
Three important diagnostic procedures help determine the need for bronchoscopy: history, physical examination, and imaging. A history of choking is present in 75% to 90% of cases. Obtaining a history of choking is therefore essential to the diagnosis of aspirated foreign bodies.
An airway foreign body should be suspected if a child puts an object into his or her mouth and then experiences paroxysmal coughing for at least 1 minute. While a severe coughing fit suggests an airway foreign body, gagging and retching without coughing suggest a pharyngeal or esophageal foreign body.
Physical examination is nonspecific and often the findings are similar to those for a child with reactive airway disease. The classic triad of wheeze, cough, and decreased breath sounds occurs in only one-third of all cases. This triad is more common when diagnosis is delayed. About 20% of patients with bronchial foreign bodies are totally asymptomatic.
Inspiratory and expiratory chest radiographs are difficult to obtain in an uncooperative child. Despite this, in some series, up to 80% of retrieved bronchial foreign bodies demonstrated abnormal inspiratory and expiratory chest radiographs (Figure 1). Lateral decubitus chest radiographs and fluoroscopy are rarely used at BCCH, but may be helpful for diagnosis in less cooperative children.[10]
Once a bronchial foreign body is identified, rigid bronchoscopy is almost always successful in retrieving the aspirated object (see Figure 2). For affected children, care at a tertiary centre with a full array of pediatric bronchoscopic and anesthetic equipment and expertise is highly recommended.[11]
Stable children suspected of unilateral foreign body aspiration are all candidates for bronchoscopy. However, the BC Children's Hospital Aspirated Foreign Body Protocol should not be used in the following circumstances:*
• Upper airway aspirations, including laryngeal or pharyngeal aspirations presenting with upper airway obstruction signs and symptoms, including stridor, croupy cough, hoarseness, and aphonia.
• Bilateral bronchial foreign body aspiration.
• Clinically unstable children with decreased level of consciousness, airway compromise, respiratory failure (abnormalities of oxygenation and ventilation), or shock.
Conditions that preclude rigid laryngoscopy (such as cervical spine instability, mandibular hypoplasia and macroglossia or glossoptosis) also preclude the use of this protocol; in such cases, flexible endoscopy and intubation and/or temporary tracheotomy or bronchotomy might be needed to facilitate diagnosis, patient ventilation, and airway foreign body removal.†
Evaluations of foreign body aspiration requires a history, a physical examination, and imaging. A history suggestive of foreign body aspiration includes a witnessed episode of choking or acute respiratory distress. The physical examination should focus on identifying the presence of a focal wheeze or poor aeration, and inspiratory and expiratory chest radiographs should be used to look for air trapping on expiration or unilateral atelectasis.
Suggestive findings in two of the three evaluation categories (history, physical examination, and imaging) require involvement of a pediatric otolaryngologist for rigid bronchoscopy. (If a pediatric otolaryngologist is not available, the surgeon with the most experience with rigid pediatric bronchoscopy and foreign body removal should be consulted.)
Suggestive findings in one of the three evaluation categories require consultation with a pediatric otolaryngologist and close follow-up. Equivocal findings of any kind require close follow-up.
Dr Ludemann dedicates this work to the memory of Dr Michael F. Smith, esteemed anesthesia colleague and friend.
None declared.
*Corrected 3 July 2008
† Added 3 July 2008
1. Ayed A, Jafar AM, Owayed A. Foreign body aspiration in children: Diagnosis and treatment. Pediatr Surg Int 2003;19:485-488.
2. Rovin J, Rodgers B. Pediatric foreign body aspiration. Pediatr Rev 2000;21:86-90.
3. Morley RE, Ludemann JP, Moxham JP, et al. Foreign body aspiration in infants and toddlers: Recent trends in British Columbia. J Otolaryngol 2004;33:37-41.
4. Oguz F, Citak A, Unuvar E, et al. Airway foreign bodies in childhood. Int J Pediatr Otorhinolaryngol 2000;52:11-16.
5. Midulla F, Guidi R, Barbato A, et al. Foreign body aspiration in children. Pediatr Int 2005;47:663-668.
6. Chiu CY, Wong KS, Lai SH, et al. Factors predicting early diagnosis of foreign body aspiration in children. Pediatr Emerg Care 2005;21:161-164.
7. Metrangelo S, Monetti C, Meneghini L, et al. Eight years' experience with foreign-body aspiration in children: What is really important for a timely diagnosis? J Pediatr Surg 1999;34:1229-1231.
8. Even L, Heno N, Talmon Y, et al. Diagnostic evaluation of foreign body aspiration in children: A prospective study. J Pediatr Surg 2005;40:1122-1127.
9. Schmidt H, Manegold BC. Foreign body aspiration in children. Surg Endosc 2000;14:644-648.
10. Schunk JE. Foreign body—ingestion/aspiration. In: Fleisher GR, Ludwig S, Henretig FM, (eds). Textbook of Pediatric Emergency Medicine. 5th ed. Philadelphia: Lippincott Williams and Wilkins; 2006:307-314.
11. Ludemann JP, Hughes CA, Holinger LD. Management of foreign bodies of the airway. In: Shields TW, LoCicero J, Ponn RB (eds). General Thoracic Surgery. Vol. 1. 5th ed. Philadelphia: Lippincott Williams and Wilkins; 2000:853-862.
Dr Dehghani is a physician in the Division of Pediatric Emergency Medicine at BC Children's Hospital and a clinical associate professor in the Department of Pediatrics at the University of British Columbia. Dr Ludemann is an otolaryngologist in the Division of Pediatric Otolaryngology at BC Children's Hospital and a clinical assistant professor in the Department of Surgery at UBC.
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Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.
About the ICMJE and citation styles
The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.
An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.
BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:
Only the first three authors are listed, followed by "et al."
There is no period after the journal name.
Page numbers are not abbreviated.
For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org
BCMJ Guidelines for Authors
Multidermatomal varicella zoster with multiple cranial nerve involvement presenting with partial ophthalmoplegia in an immunocompetent woman
An inside look at BC's illicit drug market during the COVID-19 pandemic
Lyme carditis: A can't miss diagnosis
Emergency medical services: A new subspecialty on the horizon
Implementing saline gargle sample collection for COVID-19 testing
Urgent need for long-term aftercare of post-ICU COVID-19 patients
Centralized PPE distribution system for doctors
Finding connectedness and promoting mental health during COVID-19: A video-sharing group
British Columbia Medical Journal
The BC Medical Journal is a general medical journal published by Doctors of BC. It provides continuing medical education with a focus on evidence-based medicine.
Medical innovations for 2021 January 15, 2021
Non-adherence to public health recommendations: Call the psychotherapists January 08, 2021
Beyond the day-to-day practice of medicine December 21, 2020
The pandemic and solitary sex December 16, 2020
Green: The most suitable color for hospital textiles December 07, 2020
Geriatric depression: The use of antidepressants in the elderly
Changes to medical staff privileging in British Columbia
The history of bloodletting
Timing of return to work after hernia repair: Recommendations based on a literature review
Is living near power lines bad for our health?


Derivatized-agarose supports are suitable for enzyme immobilization by different methods, taking advantage of different physical, chemical and biological conditions of the protein and the support. In this study, agarose particles were modified with MANAE, PEI and glyoxyl groups and evaluated to stabilize polygalacturonase from Streptomyces halstedii ATCC 10897. A new immobilized biocatalyst was developed using glyoxyl-agarose as support; it exhibited high performance in degrading polygalacturonic acid and releasing oligogalacturonides. Maximal enzyme activity was detected at 5 h of reaction using 0.05 g/mL of immobilized biocatalyst, which released 3 mg/mL of reducing sugars and allowed the highest product yield conversion and increased stability. These results are very favorable for pectin degradation with reusability up to 18 successive reactions (90 h) and application in juice clarification. Plum (4.7 °Bx) and grape (10.6 °Bx) juices were successfully clarified, increasing reducing sugars content and markedly decreasing turbidity and viscosity.


text:
Top News Uncategorized
Dead Man Found In Flat With Leg Eaten By His Dog
September 9, 2019 spainuser	0 Comments
Police have found the body of a 56-year-old man whose leg had been eaten by his famished pet pooch after he was left dead in his flat for over a month and the ravenous animal grew hungry.
The Spanish National Police found the body of Matias S. in his flat in the Ciudad Lineal area of the central Spanish capital Madrid and forensic doctors believe he had been dead for around one month when he was found.
The victim, a cook in a nearby prison, reportedly suffered from lymphatic cancer and neighbours told local media he had appeared weaker in the last few months.
Reports state residents in the block of flats began noticing a bad smell coming from Matias' flat in the middle of August.
However, they thought the flat owner was on holiday with his dog as they could not hear the animal barking.
Celia, the neighbour who lives next to Matias' flat, told reporters the smell became worse, saying it was "unbearable" and was causing her and her daughter to "vomit".
She says insects and flies then began coming from the flat and she called the police as "I knew that there was a dead body".
Police arrived and could reportedly hear the dog barking inside so they then entered the flat through a window.
They found the victim's body in a bedroom and reports state that only his bones could be seen on some areas of his right leg.
A police spokesperson told reporters that the dog, a mongrel born in 2016 weighing 40 kilogrammes (88 lbs), had survived by eating its owners remains.
It had reportedly managed to survive without water. The dog was sedated and taken to a nearby veterinary centre.
One neighbour told reporters: "He was a great guy, it's such a shame he died like that." The victim's body has been taken to a morgue.
← Charging Bull Jumps Into Terrified Spectators
Attempted Teen Kidnapping Thwarted In Seville →


text:
Q: WF: Workflow Designer: List of InArgument added dynamically : How to get value during workflow execution I have built a workflow designer that allows to enter a list of email addresses.Each email in the list needs to be an InArgument(Of String) so they can be individually edited/added using variables.
On my Activity, I have a property that is declared like so:
Public Property [To] As ObservableCollection(Of InArgument(Of String))

My designer is wired up and populating this collection properly.
However during the execution, I do not know how to get the run-time value  for each InArgument that was added.
When we are executing the workflow and iterating for each InArgument added to the list, I attempted to get the value as shown below but that fails:
For Each toAddress As InArgument(Of String) In Me.To.ToList()
            Dim emailToAddress As String = toAddress.Get(_Context)
Next

The error we get is "The argument of type '<type>' cannot be used. Make sure that it is declared on an activity" and type is a string in my case...
The error we get sort of make sense because we haven't declared a property on the activity since it was added dynamically to the list and therefore cannot get the value using the syntax shown below:
The_Property_Name.Get(_Context)

Can someone help? I can't seem to find anything. Should I be doing a different approach?

A: I figured it out so I will answer my own question! All we need to do is explicitly add the collection items to the metadata by overriding CacheMetadata() method on the activity. This then makes it available to the workflow context.
First we add them to the context:
   Protected Overrides Sub CacheMetadata(ByVal metadata As CodeActivityMetadata)
        MyBase.CacheMetadata(metadata)

        Dim i As Integer = 0
        For Each item As InArgument(Of String) In Me.To
            Dim runTimeArg As RuntimeArgument = New RuntimeArgument("TO" & i.ToString(), item.ArgumentType, item.Direction, False)
            metadata.Bind(item, runTimeArg)
            metadata.AddArgument(runTimeArg)
            i = i + 1
        Next

    End Sub

Then when executing, we get the values like this
   For Each item As InArgument(Of String) In Me.To
            Dim email As String = _Context.GetValue(item)
        Next


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Finally, some positive tax relief news for landlords! Could this help buy-to-let rebound?
Home News Finally, some positive tax relief news for landlords! Could this help buy-to-let rebound?
For UK landlords, the taxman has morphed into the bogeyman in recent years, hiking stamp duty and reducing the tax breaks available for buy-to-let owners as part of the government's uphill battle to make homes available for first-time buyers and thus soothe the housing crisis.
First HM Revenues and Customs came for the Wear and Tear Allowance that it switched out in favour of Replacement Relief in the 2016/17 tax year. Then the following year it introduced a phased reduction in mortgage interest tax relief on rental mortgages before the benefit is totally eradicated in 2020/21. And more recently in late 2018, the government launched plans to also eradicate tax breaks on capital gains when certain properties are sold. This will affect people who once lived in a now-rented-out property and will reduce returns when the home in question is sold.
Fun in the sun? In a turn up for the books, though, news emerged from the corridors of power this week to finally put a smile on the face of many buy-to-let investors.
In a Westminster debate discussing steps to help regenerate dilapidated seaside resorts, a House of Lords committee suggested that, along with measures like improving transport links, boosting digital connectivity and reviewing flood defence investment, government should consider introducing tax breaks for landlords in these areas.
Don't break out the bubbly yet Clearly these are just suggestions and remain a long way off from being signed off by the Treasury. And what's more, these proposed changes would only benefit those investors whose properties are (or would be) located on the coast, individuals who comprise a very small slice of the overall pie.
Let's hypothesise for a moment and imagine that those recommended tax breaks do indeed come into force. Can it be argued that they would make buy-to-let investment in holiday resorts that much better on balance, given the raft of adverse tax changes I mentioned at the top of the piece? Certainly not, I would say. In fact, irrespective of this week's news, legislative changes in the months and indeed years ahead are likely to remain mostly detrimental to landlords as the government takes action to solve the housing shortage. This is why I'm giving buy-to-let a wide berth and will continue to do so.


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