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Cure SMA: Evaluation of SMA in the Era of Telehealth - Episode 9
SMA Resources for Physicians and Families
Diana Castro, MD, Children's Heath UT Southwestern, Garey H. Noritz, MD, Nationwide Children's Hospital
Several spinal muscular atrophy (SMA) resources are suggested to help physicians and families: Cure SMA, SMArt Moves, SMA Standard of Care documents, and the Child Neurology Foundation's Telehealth Tip Sheet.
EP. 1: Pediatric Neurological Exam to Identify SMA
EP. 2: Virtual Exam Findings in an Infant Affected by Spinal Muscular Atrophy
EP. 3: Signs and Symptoms of SMA
EP. 4: Use of Developmental Screening Tools to Identify Early Signs of SMA
EP. 5: Urgency for Early Diagnosis and Treatment in SMA
EP. 6: Use of Telehealth to Address Parental Concerns
EP. 7: Workflow for Remote Visits During COVID-19
EP. 8: Hallmark Signs of SMA in Pediatric Patients
EP. 9: SMA Resources for Physicians and Families
EP. 10: Advice to Community Pediatricians Evaluating SMA
Diana Castro, MD: What resources are available for physicians and families who suspect or have a patient diagnosed with spinal muscular atrophy [SMA]?
Garey H. Noritz, MD: It's a lot to drop that diagnosis on a family, and you want to get them support, as well as the pediatrician. There's an organization called Cure SMA, which is for families, providers, and researchers. It brings them all together to provide care for people with SMA. They have a very nice way of reaching out to newly diagnosed families to get them information and welcome them into the community and so on. Now they have a website and a program called SMArt Moves, which targets both families and pediatricians to help people understand what they should be looking for if they suspect SMA or if they see something that could potentially be SMA. There are videos there, a diagnostic toolkit, and a reference guide. These are some things that both families and pediatricians can use to help point them in that direction.
Separately, there's a set of standard-of-care documents that were written by SMA experts and have evidence-based information about the diagnosis and treatment of SMA. They're peer reviewed and available through Medline and also on the Cure SMA website. It's a very quick place to go and get them. There are all sorts of stuff there, from diagnosis through the care of the adults with SMA.
Diana Castro, MD: That's great. Do you know any resource that is available for families to navigate the telehealth world?
Garey H. Noritz, MD: Yes. All families and all the doctors could use a little help getting used to telehealth. The Child Neurology Foundation put out a tip sheet that's aimed at families. It includes what you might expect from a telehealth visit, how to get ready for a telehealth visit, and how to troubleshoot a telehealth visit. It's very helpful.
Diana Castro, MD: Dr Noritz, thank you so much. It was a very interesting conversation. Thank you for watching this HCPLive® Cure Connections® program. If you're enjoying the content, please subscribe to our e-newsletter to receive upcoming programs and other great content in your inbox. Thank you so much.
Garey H. Noritz, MD: Thank you.
Cure SMA: Evaluation of SMA in the Era of TelehealthVideos


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Derbyshire Public Health spearheads digital revolution in wellbeing services
Derbyshire County Council has joined forces with ORCHA, the Organisation for the Review of Care and Health Apps, on an ambitious long-term project to embed the use of health apps and online tools into its services.
A key part of this is the creation of a health apps library which ensures residents have access to a wide range of high-quality, quality checked, apps to help with their health and wellbeing.
The library forms part of Derbyshire County Council's healthy lifestyles service Live Life Better Derbyshire.
Live Life Better Derbyshire is a free service which offers stop smoking, weight management and physical activity support.
As well as providing a source of trusted apps to the 800,000 residents of Derbyshire, the council has purchased 100 ORCHA Pro Accounts for staff members.
These accounts let staff in council teams to directly recommend apps, via text and email, to their clients.
Derbyshire County Council's Director of Public Health, Dean Wallace, said:
"Derbyshire has always been proactive when it comes to public health and we see huge benefits coming from health apps.
"While Derbyshire County Council commissions a diverse range of accessible public health services, digital health apps can provide information and support when traditional support services may not be available.
"Lockdown could prove detrimental to some people's health. Especially people who may have problems with drinking or smoking.
"Being able to recommend an app if they are unwilling, or unable, to use our services could offer significant benefits to their health and wellbeing.
"We are taking it slowly but we want digital health to become another health and wellbeing tool, and to help normalise its use for people."
Former NHS clinician and founding CEO of ORCHA, Liz Ashall-Payne, said:
"There are lots of apps and online tools that promise to help with your health and wellbeing however it can be difficult to know which ones to trust when you are browsing through Google Play or Apple app stores.
"The app library we have built with the Derbyshire team will open up the widest possible range of top-quality tools, each of which has been rigorously reviewed against 350 tough standards, including elements of the NICE framework.
"It's fantastic to be working with the forward-thinking Derbyshire team and we'll be there to support with their ambitious plans every step of the way."
The Derbyshire ORCHA app library is available here.

redpajama_set_name: RedPajamaCommonCrawl


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Are We "Meat That Thinks" or Potential Saints?
We are living in an age that can be described as "rational materialism," where the prevailing thought is that consciousness arose from matter. According to this viewpoint, human beings are the end result of a random process, whereby solid atoms arranged themselves into organisms that gradually became more complicated, and eventually developed consciousness. In other words, human beings are basically "meat" that learned to think.
Science—slowly catching up with yoga
The yogic view of the world, however, is that everything starts with consciousness. Consciousness gives rise to energy, and energy gives rise to matter. (See the article, What Is Consciousness? by Swami Kriyananda) But because we're coming out of a dark age in the evolution of the planet, our culture as a whole tends to see it in the opposite way: matter gives rise to energy, and energy gives rise to thought.
As late as the start of the 20th century, physics still mainly followed the Newtonian model, which held that atoms, electrons, protons and neutrons, the tiny particles that make up matter, behaved like tiny solid objects.
But then physicists began to realize that the smallest of these particles, the electron, exhibited energy-like behavior. And later they discovered even smaller particles called quarks—the building blocks for protons, neutrons and electrons—which also exhibited energy-like behavior. So by the early 1970s physics was finally saying, "Well, matter really isn't matter. Matter is energy."
So as a culture now, we're going through an evolution. We're beginning to understand that matter just isn't matter; matter is energy. The next step is that energy is really thought—consciousness.
The materialistic view of religious experience
But the materialistic perspective is still very much with us. Scientists who subscribe to this view maintain that our thought patterns, our inspirations – even our love for one another – are simply electrical discharges in the brain and the releasing of neurotransmitters. So, not only are we meat that thinks, we're meat that has spiritual experiences!
A recent well-known study compared the brain activity of Tibetan monks, who were meditating, with Franciscan nuns, who were praying. The study found that the changes that occurred in the brains of the monks and the nuns were surprisingly similar, even though they were doing very different spiritual practices.
Researchers with a materialistic bias interpreted this information as proof that only matter exists. They were pretty much saying, "Oh, well clearly, this is the death of religion. Finally this superstitious folly is going to be put to rest once and for all, because we can now see that spiritual experience is really just brain activity."
Another researcher found that by outfitting a helmet with special magnets and putting it on a person's head, he could put that person in a state that felt somewhat like a spiritual experience. He used this experiment to argue that spiritual experiences are merely electrical changes in the brain, and that nothing else is happening.
These scientists believe that there is no spiritual side to consciousness, that it's just a matter of neurotransmitters and brain chemistry. But there is a growing body of scientific evidence of the existence of aspects of the mind that are totally unrelated to any brain activity.
Scientific evidence that we are more than our bodies
For instance, a recent study on near death experiences, compiled by a surgeon, included cases of people who were clinically dead but who went on to recover. These people were clinically dead not only in having no heart rate and respiration, but also in having no electrical brain activity on EEG. From a materialistic viewpoint, you would expect that during the period of zero brain activity, they would have had no mental activity.
Yet it turned out that many of these people had extremely vivid memories of what was happening around them at that time. Some were aware of having been outside their bodies, and in various rooms, where they saw things going on that they remembered clearly and accurately. In other words, though their brains were clinically dead, they were mentally active.
There's also well documented evidence for past life recall, particularly in children who have remembered a previous lifetime. They're able to speak a language that they've never heard in this lifetime, or they bring forward a talent, such as playing a musical instrument, that they've never been exposed to previously.
And there are studies showing the effects of prayer. It's been demonstrated that with prayer we can dramatically affect others, irrespective of distance and time. Such effects would be impossible if prayers were only electrical discharges in the brain of the person praying.
What is superconsciousness?
We thus have evidence of mental experiences that we can't account for by looking at the physical structure of the brain, and its chemical and electrical activity. This evidence suggests the possibility of some greater non-physical reality that's completely independent of the brain. Yogis refer to that reality as superconsciousness.
When we talk about the levels of mind, there's a subconscious and a conscious aspect that most people are pretty well aware of. Most people know that when they are sleeping, they're in subconsciousness, and that when they are awake and doing things, they're in a normal, conscious state. But very few people know about this much more refined state of superconsciousness that yogis encourage us to aspire to.
Yogananda said it very clearly. He said, "Superconsciousness is where God dwells." And to know God, we have to open ourselves to superconsciousness.
The Brain: a window onto superconsciousness
Yogananda described the brain and central nervous system as a window onto the superconscious mind. When we meditate deeply, when our minds are very still, we open this window, this pathway, to superconsciousness.
Our brain and nervous system are the "medium" through which we have our experience of inner communion, but inner communion itself occurs at a subtler level than the physical brain.
Tuning an old-style radio
We access superconsciousness by attuning ourselves to it. I've always felt that what Swami Kriyananda once said about the process of doing that was an ideal way of describing it. He said, "It's a little bit like tuning an old-style radio where you had a little knob, and you were trying to find a particular station. And sometimes, you'd have to turn it just right to get the static to go away and to actually hear the radio program."
We're doing much the same thing when we meditate. We're trying to tune out all of the mental static that keeps us tied down to the conscious plane. And when we do that, suddenly this window to superconsciousness opens up, and we're experiencing great joy and great love.
Kriya Yoga will take you to superconsciousness
We have been engineered to experience these superconscious states. It's just a question of applying our will power and perseverance, and also remembering that God and Guru are working with us, trying to pull us through this window. We have powerful allies on the other side.
When Yogananda came to the West in 1920, he brought with him not only the inspiration of one who had achieved God-realization, but also Kriya Yoga, a practical, step by step technique by which all of us can achieve that exalted state. Yogananda said Kriya Yoga works like mathematics— "Kriya Yoga plus devotion cannot fail to give you God realization." That's a wonderful promise.
Peter Van Houten, M.D.
Dr. Peter is a graduate of University of California San Francisco Medical School and founder of the Sierra Family Medical Clinic, an award-winning rural community medical clinic in Northern California. As the Clinic's Medical Director, Peter has been instrumental in bringing new and highly effective tools in Behavioral Health to patients in need. In 2009 Dr. Peter was awarded the Rural Champion award for the State of California.


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Post-War Housing in Northern Ireland
(Talk by Ronald Green in 1945 on the Northern Ireland Housing Trust)
Housing is a problem which interests every single one of us from the cradle to the grave. There is no need, therefore, to apologise for talking about it at a time like the present. The trouble about it is that it is such an enormous subject that it is quite impossible within the limits of what even the best trained audience can stand to give anything like a comprehensive picture of the situation and of the means which can be devised to deal with that situation. The most one can do is to pick out a few of the highlights of the subject and to try and sum up at the end.
First of all as to the size of the problem, I often wonder whether anyone except the poor themselves and the few trained social workers who go among them realize what housing is like in the back streets of our cities, in the older parts of our country towns and in the picturesque little cottages that are so nice to whiz past in a motor car in the Ulster countryside. One has to fall back on figures to describe such a situation, but figures are a very cold and bloodless way of expressing the ill health, suffering and unhappiness which the housing conditions which the figures disclose must cost to the thousands who live in the houses.
Here then are some selected figures. They say that figures will prove anything but these are not cooked, they are merely picked out of a huge mass of statistics which all sum up to the same deplorable picture of housing conditions in Ulster.
There are over 300,000 inhabited houses in N. Ireland. Over 37,000 are unfit for human habitation but are inhabited today. By 'unfit' I mean unfit and not merely that the house is suffering from minor defects. In the present state of our housing a place has to be pretty bad before it earns that unenviable title. A further 74,000 houses are fit or could be made fit for occupation but are overcrowded, and again when I say 'overcrowded' I mean overcrowded. By that magic word I mean that when you have reserved one room in the house as a room for living and working in you do not count the place overcrowded unless it houses more than 1.5 people for each of the remaining rooms. On this basis there are in Belfast alone 139,000 people living at the rate of more than 1.5 people per room, and included in that figure are 71,000 people at more than 2 to a room; 21,000 at more than 3 to a room and 6,000 at more than 4 to a room. It is a measure of social progress to be able to report that there are only 1,850 inhabitants of Belfast living at more than 5 to a room. This is probably what Dr Thomson, the former M.O.H. of Belfast meant when he said that there were no slums in the city.
This distribution of unfitness and overcrowding is not evenly distributed at all, it bears almost entirely upon the poorer people. People are inclined to talk of the poor, the working classes, and so forth, as though they were some strange species of animal of unpredictable behaviour, with no rights and with a preference for wallowing in misery and filth. The attitude of far too many people in more fortunate circumstances is that of the naval captain who when asked to report on the manners and customs of a South Sea island reported simply -"Manners, none; customs beastly". I will not labour the point except to say that human nature is very much the same in all walks of life. Everywhere there are people who make the most of housing accommodation and everywhere people who lower whatever standard they find when first they go into a house. The transferred slum dweller who is alleged, I think quite unfairly, to keep his coals in the bath, has his counterpart in the transient aristocrat who wrecks the furnished houses of suburbia and writes his character in cigarette burns and bottle marks all over the furniture.
But as I say, overcrowding and unfitness is a problem of the poor and of the very poor. Consider for instance the statistics for some of the Belfast wards. In Smithfield 65% of all the houses are either overcrowded or totally unfit; in Court 50% is the figure, but in the distinguished atmosphere of Windsor only 9% of the houses fall within this category. In Smithfield 3/4 of the population live in the 65% of overcrowded or unfit houses; in Court 2/3 of the population inhabit the half of bad houses; in Windsor no less than 15% of the total population occupy the 9% overcrowded or unfit houses. In other words, the worse the house the more people both absolutely and relatively will be found in it.
Let us look at the rural areas for a moment where there are 127,000 houses. Eighty-five thousand of those houses have no water in house or yard, that is, it has to be carried in buckets, and a surprising thing is that 35,000 of those houses have no water within 50 yards in the case of houses in villages, and 100 yards in other places. One would think that enough water fell both on the just and on the unjust in Northern Ireland to save the amount of carrying which is obviously revealed by these statistics. The ordinary urban consumption of water is over 30 gallons per head per day, but if all the water used has to be carried in buckets you can hardly wonder if the average consumption is a good deal lower in rural Ulster, with obvious and unhappy results. Of the 127,000 houses 107,000 have no better sanitation than an earth closet and 40,000 of these have no closet at all, or at any rate do not have the exclusive use of one for the family occupying the cottage. Ninety-six thousand have neither gas nor electricity.
I could go on with these figures for hours but surely I have sketched in with sufficient emphasis the picture I have tried to paint, and when I tell you that the figures total up to an estimated immediate need of 100,000 new houses you will not be altogether surprised. However, like all the figures, 100,000 just seems a nice round number, but in terms of bricks and mortar it means a very great deal of hard work and expenditure. For instance in no year between the wars did N. Ireland produce more than 6,000 houses and you will see that it will take a long time to get the houses we need at this rate of building. How long it will take at the Belfast Corporation's rate of progress I leave to the astronomers who think in terms of light years rather than in the brief calendar of human affairs.
How are these houses to be built? first of all they will be built by the building industry unless some method of turning them out ready-made from factories can be evolved and I am sorry to say that as yet I see no sign of a successful permanent factory-made house. The crux is not, who is to build the houses, but who is to pay for them and own them once they are built, and there are only three parties who can compete for that doubtful privilege. They are, the State, the Local Authority and the private owner. Between the wars four-fifths of our houses were built by private owners and it is not unreasonable to ask why they should not build the same proportion of the houses which we now so desperately need. This is a question which probably generates more heat than any other connected with housing, and like all forms of heat it generates smoke which confuses the issue and leads to muddled thinking and muddled talking. Let me state the proposition, I hope impartially, in elementary terms. The private owner is neither a fool nor a philanthropist. If he builds a house he wishes either to occupy it himself or to sell it or let it to someone else. The man who commissions the building of a house for himself is in a small minority. He probably has some money and he knows or should know what he is doing. In his case the motto of 'caveat emptor' applies and we need waste no sympathy or time upon him. Next let us consider the man who builds a house to sell; his ambition is to complete the house, complete the sale, draw his money and go and build another house. He has no long-term responsibility for the structure which he builds and indeed the pressure upon him is to build something which looks nice rather than something which is durable. It is to this curious trait of human nature that we owe the rash of suburban development which took place between the wars. No house could look quite like its neighbours and each had to be done up so as to attract the eye and only too often to conceal the defects of basic construction.
Thus was born what Mr Aneurin Bevan calls the marzipan school of architecture, heavily sugar-coated. But a great number of owners will sooner or later get through the coating to the shoddy pill underneath.
The third Case is that of the private owner who builds houses to let. Because he has built to let he retains an interest in the building and is responsible for seeing that it is not a wasting asset; you will ordinarily find, therefore, that houses of this kind are better constructed than the more pretentious erections of outer suburbia and that they are more largely devoid of ornament. But even there the trouble is that the wise private owner chooses his tenants not for their housing needs but for their ability to pay rent and to refrain from damaging the structure. He will take a rich tenant rather than a poor one and a childless tenant rather than one that has a quiverful of innocent but destructive children. (Geometrical progression "If one can do what he can do, just think what two can do.) The result, therefore, of his activities is not one to take the overcrowded portion of the people from the very bad homes which they occupy. He simply skims the cream from the top of the jug. Thus, the threefold activities of private enterprise tend to house first the man who can commission his own house, those who are financially able to buy a house, so to speak, off the peg, and thirdly the financially strong and well-paid childless section who are best able to pay rent. Even in peacetime this was an unhappy tendency. It went far to producing the segregation of classes – the development of three quite different towns within the same area. first of all the high-class suburban development like Upper Malone, all mock Tudor, sham Jacobean (Stock Exchange Georgian); second, the closely-packed small modern houses of the Ormeau district, and thirdly and quite untouched by the march of progress, the old slums and rookeries of our back streets. Good people talked in horror of what came out of those areas after the bombing but what on earth did they expect in the way of behaviour from people existing in hopelessly overcrowded, small, dark houses 40 and 60 and 80 to the acre, with not a bath to the square mile and no way of heating water except on the kitchen fire?
As I say, even in peacetime the activities of the private owner were creating a very awkward housing situation and the enormous increase in building costs which has followed the war emphasises this to a very much greater degree. building costs are at least double what they were pre-war but wages have not risen to match, and it follows that the rents needed to repay present building costs for the sale price of houses built today are quite out of proportion to the ability of people to pay. Houses built under these conditions will, therefore, go to people with an income level far above that for which the houses were originally built.
What is the remedy? A subsidy to bridge the gap between ability to pay and current costs. If that subsidy is put into houses which are sold the builder has no incentive to put good workmanship into his job because he gets the subsidy and the sooner he can get another house started the better he will be pleased. Again, if the subsidy is paid and the house let to a person chosen by the builder the house will go to the most socially desirable, that is to say, the man with money and no children.
The position then is that at present private ownership can and will do nothing to meet the direct need shown in the statistics. What it will do, if given a free hand, is to build houses to be sold to those who can pay for them irrespective of need, and if confined to letting the houses the choice of tenant will be, not on the basis of solving the social problems but of getting solvent respectable tenants.
Fifty years ago when the doctrines of laisser faire and self help were at their maximum currency this would have been regarded as quite a reasonable and natural thing. The laws of supply and demand would have been left to operate and the poor and the very poor could go to the wall. "The poor are always with us" was a suitable text and the poem:
God bless the Squire and his relations
And keep us in our proper stations
very fairly represented popular feeling.
As I say I would be no party to the payment of a subsidy which would enable people to build houses and sell them to those best able to pay for them or to let them to tenants picked for their social stability and not their housing needs. If private owners will come in to help in rehousing the people who live in bad houses or under overcrowded conditions, then they will be very welcome allies.
Now could we consider what Local Authorities can do in the way of housing. First of all it should be made clear that they are the housing authority for each area and on them is laid by Parliament the duty of seeing that people are properly housed. They are armed with a formidable medley of powers under which they can stop the ordinary citizen from doing practically everything that he wants to do and under which they can themselves initiate reforms of all kinds. Local Authorities are elected by the people of their areas and they should reflect the popular will. If I am any judge of people's wishes, at the moment they want houses and they want them quickly. Government Departments are slow. Our own society is not notorious for the speed with which it moves but both seem to me to move like jet-propelled planes when compared to the progress of some local authorities, and in particular, our old friend, the Belfast Corporation.
This august body was given the job of building 750 houses in November, 1943. By April, 1944 they had gone to the length of selecting a site. That is what is meant by local knowledge. By October, 1944 they had got as far as to submit plans for the first 88 houses to the Ministry of Health. By February, 1945 they placed a contract and in April of that year by superhuman exertions they actually got the contractor on to the site. He is slaving away and has completed 16 houses up to first floor level. Today the Corporation have put in an advertisement for the building of another 124 houses. Two years to take a site and start the building of 200 houses. It is little wonder that people complain of slowness and talk despairingly of ever getting the houses which are needed built, and yet the Corporation are trying to do what the city needs. They are building houses for workers who need them; not for the middle class, who can afford to buy them. It is essential that there should be in these times of unbalanced economics of housing houses built by public authorities to be let at rents which match the general level of workers' wages and which can be let on a basis of need.
The third way of tackling the problem is through State intervention. I am not such a believer in the speed and efficiency of the Government as to advocate that the Government should itself start building houses. We are tied up with what is popularly called red tape, but which is really little more than the taking of precautions to see that nobody puts his arm into the till during the expenditure of public money. So instead of direct State intervention we set up a Housing Trust backed by State finance but run by people whose integrity and efficiency were completely above question. This is, in fact, a rather rare attempt to combine the virtues of public honesty and private enterprise. I think we may say that, as an experiment on these lines, it has already been a great success.
It has already in its possession the land for 2,000 houses and it has got more houses under actual construction in the eight months of its existence than the rest have been able to achieve in the past two years or so.
There on the one hand is the problem and on the other the machines which we hope will grind it down and dissolve it. Private enterprise, subject to adequate safeguards against shoddy building and anti-social practices in sale or letting. The Local Authorities moving with at present barely perceptible, but let us hope increasing momentum, and of course, gingered up by the prospect of elections in 1946; the Housing Trust working swiftly and efficiently with no object but to do good, if possible by stealth, and in any event at the utmost speed which can be obtained by the pooled efforts of organizers, technicians and builders.
Another important feature of the post-war housing programme is to see that reasonable standards of housing shall be observed. In 1917 the Tudor Walter's Report on Housing made an authoritative survey of housing in England and Wales condemning existing practice root and branch, and laid down new minimum standards far in advance of anything hitherto considered necessary or desirable for ordinary workers. Those standards were abandoned in the bad years of depression in 1930 and after. That was in England but in Northern Ireland no more than lip service was paid to those standards and by 1925 they had been thrown completely overboard. From then until 1939 it was as though a competition had been introduced between speculative builders to see who could crowd the smallest houses on to the narrowest frontage. They did not quite achieve the heights of Victorian slumdom when nine feet frontages were achieved by taking the front door into the living room and leading the stairs up like an almost vertical ladder to a couple of small boxes above, but they did get down to fourteen feet or so. Houses built to these standards had certain minor defects as you may imagine.
For the future we want to see that every house has one decent sized living room, a scullery or kitchen in which it is possible to cook, wash up, turn round, see out of and breathe. All these are remarkable refinements on the small sculleries built between the wars. We want to see at least one decent double bedroom, a smaller room which is capable of housing two people and in most houses a third single bedroom. These standards are not popular with speculators, estate agents and others who derive financial or other benefits from the ownership of small substandard houses, but they are really the minimum for human decency and all right-thinking people should support them through thick and thin.
I spoke before of the blitzed areas and the people who had come from them. These people have seen their houses, if that be the right word, destroyed and they have overflowed into the country and into other parts of the city, where housing conditions are similar to those which they left behind them. In doing so they have aggravated the problem of overcrowding and unfitness. They do not want to live in the country and travel in to work; they are city people and they would like to live in the city again but there is no point whatever in trying to rebuild the little warrens which have been destroyed. The streets are too close together to enable two houses to be built back to back with any reasonable light to either and they are just too wide apart to make it economic to redevelop at one house where two previously stood.
What is needed for those areas is to replan them entirely taking the existing main road structure and basing upon it now communities built by reference to the area and not to the previously existing streets. Advantage could be taken at the same time to provide open spaces, children's playgrounds and all the other amenities which are so badly needed in the densely packed central areas of the town.
In any event the building of large numbers of separate houses in these areas is a very wasteful use of land and it would be far better to use these valuable central sites to put blocks of flats on them. I know there is a prejudice against flats here but this will have to be overcome if Belfast is to become a civilized modern city and not a worn out relic of the industrial revolution.
The Belfast of the future must be built higher than the Belfast of today. The huge areas of mean, narrow streets and ghastly houses must be swept away in accordance with a well-thought-out long-term plan and the city must be rebuilt on formal pleasing lines with proper traffic arteries to carry its trade to and fro, with open spaces to give air and light, with public buildings to add dignity to the scene and with housing designed so as to give its people healthy living conditions under which to bring up their families in the new world to which we look with hope and apprehension.
I remember after the last war the extravagant promises that were made. Mr Lloyd George promised, for instance "to make Britain a fit country for heroes to live in." I am promising no homes for heroes; only heroes could live in the homes that were provided as a result of the wild promises made in 1918, but if the housing and planning programme of the Government is put in train on a long-term basis, pushed from above and supported from below by the ordinary decent citizen, then we shall have a city and a country in which our children and our children's children can live a full and happy life.
http://www.tara.tcd.ie/bitstream/handle/2262/3970/jssisiVolXVIXPart1_6072.pdf?sequence=1


Polar Wine Cooler 47 Bottles Drinks Chiller Refrigerator Commercial Bar Black. A stylish and practical wine cooler that is finished in painted black steel. The glass door displays the 47 bottle capacity to customers and staff. Adjustable thermostats allow control of wine temperatures and the adjustable feet make installation flexible and straightforward. Comes with efficient, low noise coolers. Capacity: 47 x 750ml Bordeaux style bottles. Dimensions: 820(h) x 550(w) x 570(d)mm. Temperature Range: 4°C to 18°C. For Items Marked Collection Only.
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The item "Polar Wine Cooler 47 Bottles Drinks Chiller Refrigerator Commercial Bar Black" is in sale since Thursday, January 10, 2019. This item is in the category "Home, Furniture & DIY\Appliances\Fridges & Freezers\Wine Cabinets/Fridges". The seller is "andyflogit2u" and is located in Rochdale. This item can't be shipped, the buyer must pick up the item.


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Tag: Nick Piazza
Attleboro, 68 vs. Durfee, 55 – Final – Attleboro senior Kevin Velazquez caught fire in the fourth quarter, hitting three three-pointers and scoring 13 of his career-high 24 points to help the Bombardiers pull away and end the regular season with a win. Attleboro led by one after eight minutes, and took a 31-28 advantage over the Hilltoppers into the locker room at half. Junior Qualeem Charles (14 rebounds) dominated the third quarter, scoring 12 of his 16 points in the frame as the Bombardiers created a double digit lead (49-38) going into the fourth. Junior Bryant Ciccio had another strong game for Attleboro with 18 points.
King Philip, 49 vs. Falmouth, 54 – Final – King Philip had a bright start but went cold in the final eight minutes, suffering a setback to Falmouth in its season finale. The Warriors led 26-21 at halftime but allowed 20 points in the third quarter and trailed by one (41-40) entering the final frame. KP was held to just nine points in the final quarter. Senior Bruce Saintilus had a team-high 20 points and junior Alex Fritz added 17 points, both players connecting on three three-pointers.
Mansfield, 64 vs. Brockton, 57 – Final – Mansfield had a successful day from three-point range, connecting on 14 triples – one shy of the program record – to pick up a win over visiting Brockton. Junior Sam Stevens hit four threes in the third quarter along, the Hornets totaling eight triples in that frame alone, to create the necessary separation. The game was tied at 26-26 at halftime but Mansfield's red-hot shooting in the third helped the Hornets take a 49-39 lead into the final eight minutes. Stevens finished with five threes total and a team-high 17 points, Tommy Dooling connecting on five threes for 15 points, and sophomore TJ Guy finished with 11 points, including one three-pointer. Damani Scott (seven points) and Matt Boen (seven points, 11 rebounds) also hit threes for Mansfield.
Milford, 68 vs. Tantasqua, 59 – Final – Click here for a photo gallery from this game. – Milford's three seniors finished their careers in style, leading the Scarlet Hawks to an upset win over Tantasqua (15-5). Brendan White, Danny Corsini, and Brendon Sailer each scored 20 points, combining to score 60 of Milford's 68 points in the win. White added 16 rebounds, five steals, and five assists, Corsini scored eight of his points in the opening quarter to give the Hawks an early lead, and Sailor shot 50% from the field along with six rebounds and four assists. The Scarlet Hawks built a 35-20 lead at halftime, and the advantage ballooned to 24 (50-26) late in the third before Tantasqua made a comeback bid in the fourth. The Warriors cut it to eight on two occasions, including with two minutes to go, but Corsini answered with a traditional three point play to thwart the comeback. "I just want thank Brendan, Brendon and Danny for all their hard work and commitment to this program," Milford head coach Paul Seaver said. "I'm very proud that they were able to end their careers with a victory tonight and that they all found success in their final games of their careers."
North Attleboro, 59 @ Framingham, 54 – Final – Framingham's Victor Carrillo scored 17 points in the first quarter and had 22 by halftime but the Rocketeers clamped down defensively on the Flyers' leading scorer, allowing him just four points in each the third and fourth quarters to get a comeback win. Behind Carillo, Framingham led 19-11 after one and took a 33-25 advantage into halftime. North scored 16 points in the third quarter, sparked by eight from senior Nate Gonsalves (14 points) to cut the deficit to 47-41 going into the fourth. In the final frame, senior Josh Montague scored nine of his team-high 19 points, Gonsalves went 4-for-4 from the line, and sophomore George Ladd (11 points) sank a key three to help North pull ahead for the win.
Oliver Ames, 70 @ Barnstable, 34 – Final – After an even start, Oliver Ames dominated the second quarter, outscoring the Raiders 32-9 to build a sizable halftime lead that it ever relinquished. The Tigers led by just one, 12-11, after eight minutes but then kicked it into gear, limiting Barnstable to single digits in each of the remaining three quarters. Harry DeChellis scored six of his team-high 13 points in the second quarter, Sean O'Brien (11 points) and Michael Greene (nine points) each hit a three in the second, while Amari Brown (eight points), Jay Spillane, Jake Erlich, and Evan Craig each scored as well.
Taunton, 68 @ New Bedford, 56 – Final – Taunton sophomore Danny MacDougall scored seven of his career-high 13 points in the second quarter, helping the Tigers outscore the Whalers 22-8 in the frame to create enough separation for the rest of the way. Tied 14-14 after eight minutes, Wesner Charles (12 points) added six points in the second, Mike Quinn scored five and sophomore Josh Lopes had four to help Taunton build a 36-22 lead by halftime. New Bedford was able to close the gap to nine (44-35) heading into the final quarter but Taunton closed the door with 24 points in the finale frame, including nine from Quinn.
Attleboro, 57 @ Durfee, 40 – Final – Attleboro won for the third time in its last four games to end the season on a high. Nyah Thomas was the top scorer for the Bombardiers with 13 points, 11 in the second half, and Jordyn Lako added 11. Hailey Perry chipped in with eight points off the bench in the second half for Attleboro, igniting its comeback on the road.
Franklin, 33 vs. Coyle & Cassidy, 43 – Final
King Philip, 46 vs. Dartmouth, 34 – Final – Emma Glaser led the Warriors with 16 points and Faye Veilleux scored 11 as KP closed out the regular season with back-to-back wins.
Mansfield, 43 vs. Bishop Feehan, 22 – Final – The Hornets won the Roundball Classic with a strong second half, earning head coach Mike Redding his 300th career victory. Maggie Danehy scored 11 points and grabbed 13 rebounds and was named the tournament MVP. Sydney Mulkern had a team-high 13 points and Mady Bendanillo scored five points, pulled in six assists, and had four steals. Mansfield led 13-10 at halftime and by eight after three quarters. The Hornets sealed the win by outscoring the Shamrocks 17-4 in the fourth quarter.
Milford, 51 vs. Burncoat, 29 – Final – Milford picked up a win in its season finale, knocking off visiting Burncoat. Katie Maietta had a team-high 17 points while Jill Michaelson added 11 points for the Scarlet Hawks.
Oliver Ames, 51 @ Norwell, 63 – Final – Oliver Ames and Norwell were tied at halftime (24-24), and the Tigers trailed by just two (42-40) entering the final frame, but the Clippers put together their best quarter in the final eight minutes to outscore OA 21-11. Freshman Caroline Peper had a team-high 15 points while sophomore Caroline Flynn added 12 points, 12 assists, and six rebounds.
Taunton, 62 vs. New Bedford, 54 – Final – Click here for a Recap and Photo Gallery from this game.
Attleboro, 10 @ Dighton-Rehoboth/Seekonk, 3 – Final – Click here for a photo gallery from this game. – – Attleboro scored five goals in the second period to get a win in the regular season finale over Dighton-Rehoboth/Seekonk. Senior Sam Larkin scored a hat trick, Aidan Diggan and Cam Littig each scored twice, and Kyle McCabe finished with five points, including four assists. Freshman Nick Piazza earned the win in net for the Bombardiers.
Foxboro, 3 vs. Blue Hills, 0 – Final – Click here for a photo gallery from this game. – – Foxboro scored once in each period and Espen Reager made 13 saves for the shutout as the Warriors claimed the Dan Jordan Invitational championship. Kirk Leach put the Warriors ahead less than four minutes into the contest, but Blue Hills goalie Brendan Todd (44 saves) made it tough for the Warriors to add to its lead. Sebastian Ricketts fired a wrist shot in with 5:11 left in the second period, and then Ronnie MacLellan (from Leach) iced the game with a power play goal late in the third.
Franklin, 2 vs. Marshfield, 1 – Final – Just over a minute after surrendering a shorthanded goal that tied the game, Franklin scored what turned out to be the game-winner with four minutes left in the second period. Just 1:18 after the Rams knotted the score at 1-1, Franklin's Kyle Hedvig found Tom Tasker, and the junior defenseman buried his chance to put the Panthers ahead 2-1. Junior goalie Ray Ivers had a strong third period to help Franklin secure the win. Junior Shane McCaffrey put Franklin up midway through the first off an assist from Zac Falvey.
King Philip, 8 vs. Bridgewater-Raynham, 1 – Final
North Attleboro, 2 @ Mansfield, 2 – Final
Taunton, 2 vs. Middleboro/Hull, 4 – Final
Franklin, 2 vs. Norwood, 3 – Final – Cassi Ronan and Amanda Lewandowski each scored a goal and had an assist for the Panthers against a Norwood team that needed a point to make the playoffs. Libby Carter also had an assist while Gabby Colace made 18 saves in net.
King Philip, 2 vs. Dedham, 3 – Final
Mansfield/Oliver Ames, 4 @ Whitman-Hanson/Silver Lake, 0 – Final – Jessica Widdop made 26 saves to record the shutout and the Warriors wasted no time, scoring three goals in the first period to sweep the season series against WHSL and qualify for the state tournament. Three different players scored in the first for the Warriors, with Kenzi Fraser, Ella Waryas, and Skyler Sharfman lighting the lamp in the opening period. Lily O'Brien scored in the second on an assist from Emma Pereira.
Aidan Diggin Alex Fritz Amanda Lewandowski Amari Brown Bruce Saintilus Bryant Ciccio Cam Littig Caroline Flynn Caroline Peper Cassi Ronan Damani Scott Danny MacDougall Ella Waryas Emma Glaser Emma Pereira Espen Reager Evan Craig Faye Veilleux Gabby Colace George Ladd Hailey Perry Harry DeChellis Jake Erlich Jay Spillane Jessica Widdop Jill Michaelson Jordyn Lako Josh Lopes Josh Montague Katie Maietta Kenzi Fraser Kevin Velazquez Kirk Leach Kyle Hedvig Kyle McCabe Libby Carter Lily O'Brien Mady Bendanillo Maggie Danehy Matt Boen Michael Greene Mike Quinn Nate Gonsalves Nick Piazza Nyah Thomas Qualeem Charles Ray Ivers Ronnie MacLellan Sam Larkin Sam Stevens Sean O'Brien Sebastian Ricketts Shane McCaffrey Skyler Sharfman Sydney Mulkern TJ Guy Tom Tasker Tommy Dooling Wesner Charles Zac Falvey


Feohromotsytoma - hormone-active brain tumor layer of the adrenal gland, consisting of chromaffin cells secreting adrenaline and adrenalin substance. Pheochromocytoma is a smooth node, sometimes of considerable size, in the context of a yellowish-brown color with hemorrhages.
Clinical manifestations caused by excessive getting the blood catecholamines (see), secreted by tumor cells. Hyperfunction cerebral napochechnikov layer in feohromotsytome may be constant or intermittent, resulting in permanent or paroxysmal character of hypertension.
The most characteristic clinical signs pheochromocytoma: suddenly arising hypertensive crises (with the sharp rise in blood pressure), accompanied by chills, skin pallor, cooling of the extremities, headache, tachycardia; the duration of the attack from a few minutes to many hours. If the disease attacks are becoming longer, sometimes hypertension can be permanent, without crises. Characteristic increase of base exchange, hyperglycemia.
Untreated pheochromocytoma causes severe damage to the body (the defeat of vessels of the kidney, brain, heart and other). The disease can be long, however, the prognosis is poor: in the time of crisis, death can occur.
Diagnosis of pheochromocytoma difficult, because the clinical picture is not always characteristic; the urinalysis and blood collected during the crisis, catecholamines, and x-ray examination with the introduction of oxygen in okolopochechnuyu fibre. Are also used samples from adrenolytic means a significant reduction of blood pressure on a background of the introduction of these funds confirms the presence of pheochromocytomas.
Treatment - removal of the tumor; during attacks - full peace, validol, valokordin, preparations of Valerian, adrenolytic means (regitine, tropafen).


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Q: Incremental Build aspnet_compiler I am using aspnet_complier command for building website, first time it is compiling complete website i.e all pages, but after modification on the site, it is again compiling all the pages. It should compile only that pages that have been changed or modified.
And other things are
1) How can i speed up the aspnet_compiler ?
2) how can i exclude warning from the output ?
Please suggest on the same.

A: According to the documentation, "You can also recompile an application in place after adding new source files to it. The tool compiles only the new or changed files unless you include the -c option".
Unfortunately, there doesn't appear to be an option to hide warnings.
Speed up the process by making sure the machine where you run it is appropriately powered. eg. an SSD disk should probably help.

redpajama_set_name: RedPajamaStackExchange


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Al Tucker, The Alley Oop, and An Idea
Al Tucker (photo via Gasoline Alley)
Al Tucker would have been 71 years old today, and if he's remembered for anything today, it's for being credited (with his brother, Gerald) with the invention of the alley oop.
I've long had a soft spot for Tucker, who, despite his meager career statistics, always seemed to be someone who could've been a more memorable NBA player and, at the very least, someone who I would've love to have spoken with. He loved poetry and the music of Sam and Dave, could shoot 3's and dunk with equal aplomb, dominated the NAIA, and made the all-rookie team.
But it is the alley-oop for which he is most known, and that leads me to an idea. If you're a basketball fan, you know how poorly received the NBA slam dunk competition has been the past, what, 20 years? At times it feels as though more words have been written about how to fix the darn thing than there have been to actually talk about it. So, if your eyes begin to roll back into your skull at the thought of yet another hare-brained scheme, well, your skepticism is well earned.
Next year's contest will be held in New York City, and one would hope the league would be able to parlay the notoriety of the world's biggest basketball stage into something more than yet another boring missed-dunkfest.
Yes, you ask, but what does Al Tucker have to do with that?
Well, how about a tribute to the alley-oop? What if, for one year only, the NBA required all entrants to dunk via alley-oops? What if, rather than ignoring its history, the league invited David Thompson and Gerald Tucker to be guest judges? Would that not be at least somewhat more interesting than the typical fare we get at the dunk contest?
And, to piggyback on that idea, how about inviting non-NBA players to participate? How exciting would it be to have two brackets - one for NBA players and one for New York streetball players, with the winners of each bracket meeting in the championship? Wouldn't you be more likely to watch a contest that featured a bunch of amateurs trying to knock off the NBA players?
Who knows, maybe these ideas will be as successful as Al Tucker's brief NBA career, but they're worth thinking about.
Posted by PN at 12:00 PM 2 comments: Links to this post
A Perfect Storm
With the Seahawks' Super Bowl victory parade set for today, most Sonic fans of a certain age are spending the day cheering on their new heroes while simultaneously playing back the memories of their old heroes, the 1979 Seattle Sonics.
One group left out in that reminiscence are the members of the Seattle Storm, and some of them are, well, less than enthusiastic about their neglected place in Seattle's sports history. Both Lauren Jackson and Karen Bryant took to social media to decry their removal from the city's championship pedigree. After all, they argue, the WNBA has been around for more than a decade, the Storm won two titles, and they are professionals - do they not count as much as the Sonics and the Seahawks?
It's a difficult debate to deal with, simply because both sides have persuasive arguments.
On the one hand, the WNBA checks many of the boxes that indicate that it is a "major" sport. It is televised nationally, players are paid enough money that they don't have to work in the offseason in other lines of work, and the top stars - while not celebrities like LeBron or A-Rod - are at least somewhat in the cultural sports lexicon.
On the other, the WNBA is continually surrounded by "how long will it be able to exist financially" articles, the extent to which the NBA is propping up the league is always in the background, and, quite frankly, the ratings for the WNBA are not in the same universe as the NBA, MLB, NFL and NHL.
The biggest problem is that, by definition, "major" is an ambiguous term. To a WNBA fan, the WNBA is a major professional sport, and much more important than the NHL. To a non-WNBA fan, the WNBA is like pro bowling or NASCAR or anything else he or she is uninterested in.
Is it sexist? Perhaps, although it is also true that many of the same people who ignore the WNBA also ignore the MLS. And, to be honest, the MLS' TV ratings are even worse than the WNBA's, meaning that anyone who claims the MLS is a "major" sport had sure better include the WNBA on that same list.
Thankfully, the decision as to whether the WNBA and the Storm have the right to place their championship trophy alongside those of the Sonics and Seahawks won't be decided today, or even next year. It will come if and when the WNBA continues to exist for another decade. If, in 2030, Lauren Jackson is part of a trophy presentation at Starbucks Arena to the Microsoft 17.XL Storm, I don't think anyone would begrudge her argument that her former team is a member of Seattle's proud professional sporting history.
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Service : Client service appeared to be brilliant. Guy on the phone had a enjoyable approach moreover My hubby and i obtained funding super quick.
Value :My family and i were given a very good value the fact that cash advance fees happened to be absolutely very competitive.


Build HoloLens is a showcase of unique and aggregated content that focuses on EVERYTHING Microsoft HoloLens; from Developer to Consumer. This site contains videos, tutorials, open source showcases, and much more!
This site is a sister site to BuildAzure.com. Build Azure focuses on everything Microsoft Azure.
This site is maintained by Chris Pietschmann. He created the site to have a place to focus on just Azure related content, rather than the multi-disciplinary, technology randomness that has been his personal blog since 2004. While Chris posts things just related to Azure here, he still posts other technology randomness over there. You can also follow Chris on Twitter @crpietschmann.


If there were just some way to say, for me you're still that pup.
Memorialize your pet with love.
Beautiful sculptured art glass that holds the remains of your pet.
As essential part of grieving, keeping the cremated remains in crystal form serves to capture life's essence in a new and beautiful way. This patented process is available exclusively through Chicago's highly respected Saint Francis Pet Crematory or through your veterinarian.


Lean and Six Sigma have been strongly associated with cost cutting, but few leaders associate Lean-Six Sigma with market growth. A deeper examination of waste reveals that market share and revenue can be greatly enhanced by eliminating waste such as missed appointments, waiting times, delays in procedures, and other events that suboptimize care delivery. CBA recommends the following process for organizations who want to increase their market share.
Creating awareness of potential opportunities for market share growth.
Identify market barriers and identify process changes and activities that will successfully increase market share when implemented.
Focus the organization's attention on attainable opportunities.
Generate buy-in and commitment among the clinical staff for growing market share.
Support the development of 100-Day Action Plans by each participating manager.
B. Growth Initiative Readiness Assessment – The assessment should utilize structured one-on-one interviews to examine service lines. Areas of focus should include interviews with each of the service line leaders to examine patient access, capacity, procedural readiness, leadership champions, physician support, the business strategy behind the service line, as well as operational excellence and marketing outreach.
C. Physician Assessment – This survey instrument consists of structured interviews starting with the CMO, COO, and other employees who work in physician relations. The assessment analyzes the referring primary base of physicians, the hospitalists, specialists, and any owned (employed) physicians who admit to or practice at the hospital. This also examines the activities or processes with opportunities to improve physicians support, increase the ease of admission, capacity and outreach efforts by the hospital to guide patients to their practices.
D. Marketing, Public Relations, Community Relationships, and Promotions Assessment – This assessment examines the activities of the outreach departments of the hospital. The review includes how campaigns for service lines are selected, promoted, and the return on that investment. It will review if and/or how community information is gathered and analyzed, what transactional tactics are used to drive selected market share, and review of the vehicles used: web, advertising, public relations, and community relations. Extra emphasis will be placed on the relationships with area employers for insured patients.
At the Kick-Off of the 100-Day Workout, team leaders shall be presented with the preliminary Sphere of Influence Map.
CBA recommends organizing the staff into 3-5 sub teams. Each team will be comprised of individuals related to a specific market segment where the participant has a role in influencing growth and volume. The job function of some individuals will mean that they are members of multiple teams. Each team shall have a designated leader to guide the team through an in-depth discussion of their respective market segment. CBA recommends providing the team a series of critical prompting questions designed to aid the team in the development of actionable steps that will increase market share.
CBA recommends that accountability for implementation of improvements be maintained through the use of the 100-Day Workout.
CBA shall support managers in the implementation and rapid cycle testing of their strategies. CBA staff shall work with finance to track the budget implications of the total changes.
CBA recommends that implementation be tracked in a system like EXCELerator®. In addition, senior leaders should appoint a Finance Liaison to track the financial impact of changes implemented and track growth in volume.
CBA recommends that all changes be hardwired into the work processes using one of the 84 change concepts. This will ensure that gains are sustainable and that sound process redesign and control processes are in place to hold the gains.


This is a replacement of the original self centering vise that shipped mounted on the Roland ZCL-540 Rotary Axis Unit. You could also uses this with other machine brands by clamping it in the 3 or 4 jaw chuck. This does not include the rotary axis unit ZCL-540 only the self centering vise.
We only have 1 of these at this price we are selling some extra stocked items.
This vise centers both round and square material on the rotary axis unit. So it makes loading the stock much easier. Instead of using shims or some other method you just turn the tightening knob and the vise jaws move together to center the work piece. This also allows you to use off the shelf material that has not been prepared or surfaced / squared. The Roland machines uses the center for the z origin which means your work-piece will be cut out in the center of the material. If you have a rough piece of material no problem because the top or bottom surface will not be a part of your part.
Use with 3 or 4 jaw chuck on other milling machines.
It will take about 3 minutes to replace the part. You will remove the 3 hex screws that mount the vise to the rotary axis unit and replace the vise.


text:
Writing, Reading, Living
family, faith, books and writing
November 12, 2020 November 11, 2020 by Writing, Reading, Living
First chapters
As creatives, I think we all know that when we set out to do something the first things we produce are not the best. They need refining and tweaking but ultimately, it's a thrill to begin something new. I have always felt this way when an idea strikes and I write the first words on a page. It is the endless possibilities and for a while that feeling keeps me going, but once it subsides, then comes the hard slog of trying to finish.
Some ideas fizzle out and some are persistent, but nothing I have found, is a waste.
This is the beginning of a sort of series. I am just going to be posting up the first chapters of my stories, old and new, for your reading pleasure. Some are finished and some are a work in progress, do let me know what you think. I am leaving them unedited so…yeah. You're just going to have to put up with the all the worst things about first drafts for some of them.
Mad Daughter
"I WILL NOT MARRY HIM FATHER!" Princess Marissa roared.
The King remained unmoved by his daughters rage, "My decision is final."
"Why should I sacrifice my future to compensate for you mistakes?" Princess Marissa lifted her chin in defiance. She loved her father dearly but he had crossed the line in agreeing to marriage that he didn't even consult her first. If he had maybe she wouldn't have felt so betrayed. Her father narrowed his eyes and pointed a ruby studied finger at her, "Watch your tone. I am king and what I decree is law."
"Pah!" she flapped her arms in an unladylike fashion, causing some the stitching of her fine dress to tear. "If you didn't spend all your time war mongering, we would not be in this position." He felt the echo of a similar argument long ago with her mother.
"I AM KING! You do not second guess me!" He roared at his daughter, but she remained defiant.
"I am more than a bargaining chip!" she countered.
"You are what I say you are and I say you will be married! The people depend on it!"
"The people depend on you. You're the one who failed them. If you had stopped making wars you could not afford like I had advised and used that money to feed your people, we would not be here. You're a desperate king and nothing more." She turned her back on her father.
The condemnation in his daughters eyes and watching her walk away from him, made his anger flare again, "DON'T TURN YOU BACK ON ME!" She turned to face him again. "I ONLY WANT WHAT IS BEST FOR YOU AND THIS DAMN COUNTRY! WHY CAN'T YOU SEE THAT?!" He implored.
Princess Marissa stopped by the door, "No, it's the last resort. You are losing grip on your kingdom and you are trading the one thing you have to keep your throne."
The king shook his head, his emotions now getting the better of him, "You are just like your mother, mad. Madness is a curse on you women."
Marissa curtseyed and left the king alone.
The king sank into his favourite chair, with velvet lining and a little foot stool right next to the fire, utterly defeated. His anger could only explained by the fact his daughter was telling the truth, that the shame he felt was nothing but his own making. His kingdom was crumbling about his ears and he was the reason, just like his late wife and daughter have made abundantly clear. He stared absently at the gold rings on his fingers. Each intricately laid with precious stones, found from the furthest corners of his kingdom, yet he found no comfort in them. He could feel his own light fading, seeing nothing but his own despair the King lamented his life.
Marissa, cloaked herself and entered the stable, she took her favourite chest nut brown mare called Ava and escaped into the night.
Chapter one: The great forest/Lost princess
The forest crossed borders and invaded the four kingdoms that surrounded it. It was a kingdom of its own and feared as such as it was larger than the four kingdoms put together, anyone entering into could be lost for days, or for years. The great lake was at its centre, rivers and streams flowed out from it and out in to the kingdoms.
The king did not sleep that night. He sat by the fire watching it burn until there was only ashen logs in the fireplace. When that was gone, he stood at his window looking out over his kingdom and watched the sun rise over the great forest that dominated the horizon. All he could feel was regret. He did not mean to be so heavy handed, he would apologise but he was also resolute, Marissa would marry for the sake of the kingdom.
He left his study in search of his daughter. He went to her room, he knocked gently at first, but when that brought no answer he knocked more forcefully. He realised that it was a little too quiet and he opened the door to find her bed unslept in. He closed the door thinking that the servants had already made her bed and he went to look for her in the rose garden, on a beautiful morning like this she was often reading outside, but there was no trace of her. Maybe she is with her archery tutor, he thought to himself. When he approached the stern looking older man on the other side of the palace gardens, he bowed low. "Have you seen Princess Marissa?" He asked.
"No your highness, I am just setting up for this morning's lesson."
"Carry on." He smiled and he turned away but something began to irk the King, a feeling that he had pushed things too far this time.
He looked in the library, he searched for her in the fencing hall, he even looked for her in the kitchen with everyone telling him that they had not seen the princess.
Finally, he went to the stables searching for the answer he dreaded. With Ava's stall empty he knew that she was gone. His heart sank, knowing his daughter she had probably left as soon she left his study and that gave her a whole night's start. Panic began to set in and he found General Hadwin, head of the guards of the palace inspecting his men
"General Hadwin." The general and his men stood to attention.
"The princess has gone missing. You must find her."
The general did not give away any surprise but turned to his men and ordered them to get battle ready. He turned to the King, "I will leave a small contingent behind…"
"No." the king interrupted, "take all you men, the princess must be found as soon as possible."
"We cannot leave you unprotected." General Hadwin countered.
"That is an order, search the whole kingdom. Inform me when you are about to leave."
The king turned his back on the General and headed back to his study, he sank bank in to his seat and placed his head in hands.
Marissa rode for the entire night until she came to her own country's border to the forest. She stopped momentarily to look up at the foreboding ancient trees, Marissa looked back from where she came but decided to go a little further. She dug her heels in and rode on, around the edge of the forest.
The night began to fade as wells as Marissa's rage. She pulled on Ava's reigns and jumped down near a stream. Ava began to drink and Marissa sat down on a log. She contemplated her actions. Running away was not the best idea she had of late but she wanted to punish her father. She Sighed deeply, Marissa didn't want to punish him, not really. But what else could she do? She wished that her father had just talked to her first, she knew the reality in which inhabited, and her place. Marissa stood up and stroked Ava, she knew she had to go home. Her people needed her and if she went home now, no harm would be done, even if the thought of just riding away was for more tempting.
She hesitated, watching Ava rest and drink her fill. His last words, "mad like your mother," had hit a nerve, a nerve so deep it took all her strength not to cry. Marissa knew that if her mother were here, she would be in front of her saying the same thing.
It had been a full year since her passing and she remembered how one of the courtiers whispered, "the mad queen is dead" and sniggered, Marissa knew then that she had to be like steel, never letting them near her. Her mother was the wisest woman she knew and yet all that anyone remembered was her supposed madness. Marissa remembered the last piece of advice she had given to her, "Don't let them rob you of who you are." It had an echo of her own pain, that word haunted and chipped away at her. Marissa knew her mother died a broken hearted woman who only did her best for her country men but they all sneered and called her mad even at her own funeral. Marissa turned her mind to happy times of when her mother smiled and chased her around the rose garden, of the books they read together and the weapons lessons they shared. Her mother was faithful and beautiful and she would try to be the like her.
"It's not safe for you here." A voice called out from behind.
"I can handle myself, thank you for your concern." She eyed the stranger warily.
"There is no need to be afraid of me."
Marissa turned to look at him properly, he was tall and broad. He was handsome, his dark skin striking and his wide grin mesmerising so she concluded that he was in fact dangerous.
"I'd rather take my chances." Princess Marissa mounted her horse. The stranger shrugged his shoulders and watched the princess ride away.
He decided to contact the palace and let them know where they can find her or at least her last known location. He sighed, "so much for retirement." But he was glad he did not get rid of his communication device, it was golden disk with a red button on it and grey mesh in the centre. He pushed the button and waited for his old friend to answer. The crackling lasted a while but finally someone answered, "General?" woman's voice answered.
"Where is General Hadwin?"
"Sent out."
"Alicia is that you?"
"Yes Tobias it is," he could sense her smile, "Aren't you supposed to be retired?"
"Yes well…I have encountered someone that I think Hadwin should know about."
"The princess?"
"Yes, last seen on the southern end of the great forest."
"Ah so that's where you are."
"Leave it Alicia, tell him.
"The king has sent him out to search for her, I will tell as soon as I am able… I will have to tell the king about you."
Tobias sighed, "It can't be helped. Good to hear your voice Alicia."
"Good to know you are still alive…you may be summoned."
"I won't come."
Alicia laughed then and hung up. Tobias thought about her and the days when they were shoulder to shoulder in war, he was there when she lost her right eye but she just became more deadly after that. She was his sister and he missed her dearly.
As the sun climbed higher in the sky, its warmth made everything better. She could forgive her father and herself for running away. She could forgive her future and the reality of the life that lay ahead of her, of ceremony and pomp. She would endeavour to find meaning in it and love her people with all her strength. Her resolve grew as Ava galloped, the feeling of her strong movements and her beautiful country illuminated by the sun breathed new life into her.
Ava slowed, becoming nervous, "What is it?" Marissa asked, but Ava grew tense. She began to move backwards and Marissa saw something small scuttle quickly across the grass in front of Ava and she reared up, throwing Marissa to the ground.
A sharp pain came up her right arm and she watched Ava gallop away. "No, Ava!" she called out but it was useless, her pain came into sharp focus. She touched her arm and up and down and to her relief it wasn't broken, she could move all her fingers.
Marissa snapped to attention at the sound of woman's laughter. She stepped out from behind the remaining shadows, she was tall and willowy but strong with multiple weapons at her hips, a gun and two swords. She wore a pirate's hat, long black coat and boots, her bodice though was a thing of beauty, intricately covered with metal that swirled and glinted in the dawn's sunlight.
"I heard a rumour this morning, that the princess had run away from her ivory tower."
Marissa noticed that crowd gathering, cackling. A mixture of men and women looking down at her.
"And as luck would have it, you fell right into my grasp." She smiled then at Marissa, her amber eyes had a glint of malice in them but her smile was pretty.
Marissa go to her feet, "If you know who I am then you know there is a reward for you if you take me home."
Her captor chuckled, "There is nothing for us there. The way things are going your father is more likely to execute us than reward us. No." Marissa watched the woman begin to pace obviously thinking about her next move.
"How about her fiancée?" One of her men offered, "We are not far from the border and he would pay a pretty penny for her to be handed over in one piece."
"That's good, but not good enough, that still most likely with us being executed. She is the biggest pay load of our lives." Marissa saw it, the flash of inspiration. "The great market," she looked at the princess, "there are many who would pay for the luxury of foreign princess."
A cold stab of fear ran through Marissa, it only meant one thing, to be bundled onto a ship and taken to the only place where humans were sold as little as the cost a pigeon, but her captor was right about everything concerning her worth.
"Boys go to the coast and ready our ship." A troupe of men left.
Marissa lifted her chin and walked up to the woman till they were face to face, "What is your name?"
"Tatiana."
"I will remember it." Marissa swiftly moved her head and it connected to her nose. Stunned Tatiana stumbled and Marissa seized her gun and one of her swords. With her right hand she pointed the sword at Tatiana and with her left she began to fire at the men and women coming toward her. When a clear path was made she ran toward the only horse she could see. She dumped the weapons down and jumped on, she dug in her heels and sharply rode away.
Tatiana got to her feet to see her band pointing their guns at her back, "NO!" she roared. "If you kill her we will be dead! Go after her!" she ordered.
Marissa could hear their thundering hooves behind her, she had never experienced such fear but her mind was clear. She knew where she was going, she had to reach the border and find a patrol they would protect her and take her to her intended fiancée.
A small silver ball flew past her head, it was an orb and it lit up like the sun blinding her and startling the horse to rear up like Ava.
Everything was dark and new pain ran through her. Once the darkness began to fade she saw that she was surrounded again, this time with them on horses. Tatiana's nose was bloody but she looked triumphant. "Come now princess you have no place to go."
"Take me home and I will see to it that you are rewarded." She offered again.
"Your father is bankrupt and he has made robbers of us all- he can' t give us anything," she replied with disdain. A squat man came towards her with shackles.
Marissa shakily backed away and she bumped into the tree. The forest was right behind her. Before Marissa there were only two choices before her The Great Market or The Forest. Marissa smiled, curtseyed deeply and ran into the forest.
"Stop her!" Tatiana shouted at her henchman.
He turned to her and replied, "I am not going in there."
She turned to the men and women at either side if her, "After her!" But she was met with only silence, she had to admit even to herself that The Forest was too menacing even for her.
"YOU ARE GOING TO DIE IN THERE." Tatiana shouted after echoing through the forest after Marissa.
I'd rather take my chances. Marissa thought.
Photo by Tobias Tullius on Unsplash
Official break
by Writing, Reading, Living	 February 12, 2021
by Writing, Reading, Living	 January 10, 2021
Fast Color: Review
by Writing, Reading, Living	 November 26, 2020
A tribute to my mother.
by Writing, Reading, Living	 October 30, 2020
Prayer Diary no.3
She Dreams: A review
by Writing, Reading, Living	 October 1, 2020
Growing up.
by Writing, Reading, Living	 September 23, 2020
Learning to be brave.
by Writing, Reading, Living	 August 14, 2020
by Writing, Reading, Living	 August 8, 2020
I am Pharaoh
Home grown goodies.
by Writing, Reading, Living	 July 25, 2020
Pushing forward.
Food for the mind.
by Writing, Reading, Living	 June 27, 2020
Point of view.
Posted in work, writingTagged fairytale, feedback, first chapter, first chapter series, read my story, readers, reading, stories, writing
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Official break February 12, 2021
Fast Color: Review November 26, 2020
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First chapters November 12, 2020
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text:
Walker háborúi: Az amerikai William Walker kalandor 1853-tól 1860-ig három expedíciót vezetett a latin-amerikai területekre. Az általa toborzott Amerikai Falanx csupa zsoldosból verődött össze. A meghódított területeket Walker sok esetben magánállamaként kezelte.

 Walker Mexikóban – Walker első kalandja Felső-Kaliforniában indult. Az országot az Amerikai Falanx meghódította, de az USA támogatásának híján a szerzeményt hamar elvesztették.
 Walker Nicaraguában – William Walker a konzervatívok ellen küzdő liberálisok hívták az országba, amelyet a kalandor teljesen uralma alá hajtott. A szomszédos államok és Nagy-Britannia összefogott ellene és megdöntötték hatalmát.
 Walker Hondurasban – Walker utolsó útja Hondurasba vezetett. Itt azonban elfogták és mint kalózt, kivégezték.

Az Amerikai Egyesült Államok háborúi
Honduras történelme
Mexikó történelme
Nicaragua

redpajama_set_name: RedPajamaWikipedia


Coral Bay Wine & Spirits, Inc.
Which location(s) are you interested in applying to?
Are you at least 21 years old? Yes No - You must be at least 21 to sell alcohol at a liquor store.
ALL QUESTIONS MUST BE ANSWERD!
Note: If you would like to include a resume and cover letter please email them to employment@coralbayspirits.com. A resume will not substitute for filling out this application.


111 W 23rd St, Sioux Falls, SD 57105 is a Condominium property with 2 bedrooms, -- bathrooms, and is approximately 1,792 sq feet of living space. The estimated market value for 111 W 23rd St, Sioux Falls, SD 57105 is $143,000, based on recent sales of similar homes and other property assessment information. Built in 1971, this Condominium is located in Sioux Falls, SD in the zip code 57105. The nearest zip codes are 57005 , 57101 , 57103. Pine Lakes Addition, Springdale Township and Anderson are the nearest cities.
Sioux Falls, SD has healthy air quality, with a score of 95.48%.
Sioux Falls, SD is a red zone.
Sioux Falls, SD is a moderate risk area for ultra-violet rays.
Sioux Falls, SD has a very low risk of earthquakes.
Sioux Falls, SD has no risk of hurricanes.
Sioux Falls, SD has a very high risk of hail storms.
Sioux Falls, SD has a very high risk of tornadoes.


text:
Q: Node JS passport-saml authentication fails with "preflight request doesn't pass access control check" when deploying multiple instance using pm2 I have tried plenty of answers posted for a similar question but my issue is slightly different from straight forward CORS issue.
I am using passport-saml with my Node JS app to authenticate my web-application with ADFS. Everything works fine as long as I deploy only one instance of the app but as soon as I run multiple instances using pm2 I get the following error:
Access to XMLHttpRequest at 'https://login.microsoftonline.com/.....'
(redirected from 'https://sampleserver.com/get/employee')
from origin 'https://sampleserver.com' has been blocked by
CORS policy: Response to preflight request doesn't pass access control check:
No 'Access-Control-Allow-Origin' header is present on the requested resource.

This is my pm2 config file:
{
    "apps": [
    {
        "name" : "sample-worker",
        "script" : "./app",
        "log_date_format": "YYYY-MM-DD HH:mm:ss.SSS",
        "autorestart" : true,
        "instances" : 3,
        "exec_mode" : "cluster",
        "instance_var": "INSTANCE_ID"
    }
    ]
}

Based on some of the questions posted online I tried the following:
app.use(express.json());
app.use(cors({ origin: true }));

ALSO
const corsOptions = {
    origin: '*',
    optionsSuccessStatus: 200
};
app.options('*', cors(corsOptions));

And also tried some other options from the questions below:
Question_1
Question_2
Question_3
Please let me know if you would need any other information to shed some more light on the issue. I really appreciate any help I can get on this. I've been stuck on this for days now.
P.S. The app works perfectly fine when only a single instance is deployed - regardless of whether it is deployed using node command or pm2 command.
Edit:
This is the code that checks for presence of a user in the request object:
app.get("/", function (req, res, next) {
        if (req.isAuthenticated()) {
            console.log(JSON.stringify(req.user));
            next();
        } else {
            console.log("***************************");
            console.log('User not authenticated, routing to AD for authentication');
            console.log('***************************');
            res.redirect("/login");
        }
    });

A: This is not a CORS problem, but a session management problem:
After successful SAML logon flow, the server issues a session cookie, which the browser re-sends with every subsequent request.
For this to work with multiple backend instances, it must be ensured that a session cookie that was issued by one instance is also recognized by all other instances. In other words: The instances need a common session store, for example a database. Storing sessions in a global Node.js variable does not work, because every instance has its own global variables.
The pm2 documentation also says as much.