This website helps those in the Oklahoma ARES section. The first goal is to make it easy to drill down and find the information necessary to help others in times of disaster.
It has a secondary goal of helping organize both the individuals and the contact information of those people and served agencies that are typically involved in helping with disasters/emergencies.


Jonathan Robles, known as JP, is a creative, multifaceted media designer. His professional career began in 2005 when he and his wife Diana launched SIMA343 LCC, a media group that specialized in music & post production along with digital cinematography. JP has become a digital jack-of-all-trades working equally as a cinematographer, sound designer, editor, graphic and motion graphic designer. As a sound mixer and musician he has produced and engineered albums for many local artists within his community and abroad. He continues to create and design for a wide variety of clients in both the corporate and television industries, along with independent entrepreneurs.
Some of JP's clients have included Red Bull, DTS Sound (In collaboration with Stuck In Ohio), Humility of Mary Health Partners, Youngstown State University, The McDonough Museum of Art, The Community Foundation of the Mahoning Valley, Broadway Records, From Broadway With Love, "Getting The Word Out" National Broadcast, Victory Media Publishing, Dr. Michael K. Obeng of RESTORE, and many others.
JP's passion for the creative process carries an imprint into every project he finds himself working on.
He and his wife reside in Youngstown, Ohio with their two children, Jon Luke and Maudie.


Here is "The Tentacles of Dr Orlovsky – September 2018 popart trailer" since there is more to tell. "The Oasis of Dr Orlovsky" is the completed sequel to "Sadoschccchoooocck" which had a premiere in 2017. You need to see that.
"The tentacles of Dr Orlovsky" is still a work in progress and needs more footage. I do hope that "The Oasis of Dr Orlovsky" can be shown in public before 2019. If not; well… Dream 2019. "Sadoscchocccck" will later this year or in 2019 be released on USB. Dream 2019. "The Tentacles of Dr Orlovsky" takes place in the 1990´s and has a Bollywood focus with ethics and morals of that era. "The Tentacles of Dr Orlovsky" is a tribute movie to Jess Franco and Lina Romay. Jesus Franco directed 200 movies – my mission is to release 200 trailers connected to "Sadoschocccck", "The Oasis of Dr Orlovsky" and "The Tentacles of Dr Orlovsky". * It will be shared. Since you need to see this.
So here is the first trailer for September 2018. I am well aware that we still have August but the Oasis does not wait… You need to see this.
Here is "The Oasis of Dr Orlovsky – September 2018 popart trailer" since there is more to tell.
"The Oasis of Dr Orlovsky" is a tribute movie to Jess Franco and Lina Romay. Jesus Franco directed 200 movies – my mission is to release 200 trailers connected to "Sadoschocccck", "The Oasis of Dr Orlovsky" and "The Tentacles of Dr Orlovsky".
The members are as always welcome to share this video on youtube and other social media.
No pasaran – Frågor på det?
Nationella Motståndsrörelsen har sedan fyra år representation i Ludvika kommun men på ett Sverigedemokratiskt mandat. Sverigedemokraterna har låtit det passera. No Pasaran? Pasaran. De har haft öppen lista och har det nu med i några kommuner och en rörelse som kallar sig nationalsocialistisk har demokratisk representation. Sverigedemokraterna har alltså haft och har öppna listor i kommunvalet och tillåter således NMR både ha samt förmodligen tillåter de dem att återigen få representation efter valet med. No pasaran? Pasaran.
Nationella Motståndsrörelsen har sedan fyra år representation i Ludvika kommun men på ett Sverigedemokratiskt mandat. Sverigedemokraterna har låtit det passera. No Pasaran? Pasaran. De har haft öppen lista och har det nu med i några kommuner och en rörelse som kallar sig nationalsocialistisk har demokratisk representation. Sverigedemokraterna har alltså haft och har öppna listor i kommunvalet och tillåter således NMR både ha samt förmodligen tillåter de dem att återigen få representation efter valet med. No pasaran?
Bring out the Badger Skull!
Two trailers were sent to the authorities last week. On a USB stick. The USB stick is part of forced futuristic art that got sent back to me from other authorities.
The trailers will be uploaded here and on youtube this week. The trailers are for "The Oasis of Dr Orlovsky" and "The Tentacles of Dr Orlovsky".
The trailers are inspired by "The Welcome to the dark ages" event last year. Last year saw one "Sadoschoccck – burn the shard trailer" and these new trailers also have this title with a popart and glitch focus.
Burn the Shard is connected to the novel 2023 by The Justified Ancients of Mu Mu. As of now, Burn the shard – leg 1 occured last year. That was also when "Sadoschccccoook" that will not get any more trailers made had a trailer inspired by the event that had not yet occured. A leg 2 might occur but the trailers connected to 2023 are inspired by "Welcome to the dark ages" – built by the JAMS.
The Oasis of Dr Orlovsky is edited and a premiere might happen this year or in 2019. The tentacles of Dr Orlovsky is a work in progress.
The Tentacles of Dr Orlovsky is set in the 1990´s and has a Bollywood filter.
The trailers are available on youtube this week. The trailers are for "The Oasis of Dr Orlovsky" and "The Tentacles of Dr Orlovsky".
The Oasis of Dr Orlovsky is set in the 1980´s and has a Bollywood filter. It has the morals and ethics of Bollywood movies of that era. The upcoming "The Tentacles of Dr Orlovsky" is set in the 1990´s.
As always, the members are welcome to post this video on youtube or other social media.
So here is a august 2018 trailer. And it is for "The Tentacles of Dr Orlovsky". Do not confuse this with the trailer for "The Oasis of Dr Orlovsky" for august 2018 which has been shared on yotube in august 2018. This trailer will also be shared but not on the same day. Or it just might be. The plan is to be able to edit "The Oasis of Dr Orlvosky" during this year and hopefully also have a public screening. With that in mind, another trailer needed to be made. And more will come. Since there is more to tell. I also plan to do a director´s cut of "Sadoschccccopppoock" sometime. Since you need to see that. "The Oasis of Dr Orlovsky has been edited" now. I have again started to edit "The Oasis of Dr Orlovsky". So a late premiere in 2018 or some time in 2019 is likely. At the moment, some trial editing has started and haltet but some new editing will probably start to take place during july. And I have managed to edit around 20 minutes at the present time. Now, the edit is complete but another re-edit might happen. This is a trailer has a 8bit and popart filter since there is more to tell. You need to see this. The Tentacles of Dr Orlovsky is set in the 1990´s and has a Bollywood filter. It has the morals and ethics of Bollywood movies of that era. Jess Franco directed 200 movies. My mission is to direct at least 200 trailers and promos. Sadoschoccck is complete and The Tentacles of Dr Orlovsky needs more footage. Since there is more to tell. Editing. Constellations. Interlinked.


text:
Q: Send long SMS via RXTX and GSM Modem My Java Application sends SMS over a GSM Modem connected to COM port. For COM port communication I use RXTX. Everything works fine except sending long (concatenated) SMS.
The code for the port:
private final String        comPortID;

private SerialPort          serialPort;
private OutputStreamWriter  out;
private InputStreamReader   in;

public Port(String comPortID)
{
    this.comPortID = comPortID;
}

public void open() throws Exception
{
    CommPortIdentifier portId = CommPortIdentifier.getPortIdentifier(comPortID);
    serialPort = (SerialPort) portId.open("SMS Transceiver", 100);
    serialPort.setSerialPortParams(19200, SerialPort.DATABITS_8, SerialPort.STOPBITS_1, SerialPort.PARITY_NONE);
    out = new OutputStreamWriter(serialPort.getOutputStream(), "ISO-8859-1");
    in = new InputStreamReader(serialPort.getInputStream(), "ISO-8859-1");
    System.out.println("Port " + comPortID + " opened successfully");
}

public void write(String s) throws Exception
{
    out.write(s);
    out.flush();
    System.out.println("Write to port: " + s);
}

public void write(char[] s) throws Exception
{
    out.write(s);
    out.flush();
    System.out.println("Write to port: " + new String(s));
}

public void writeln(String s) throws Exception
{
    out.write(s);
    out.write('\r');
    out.flush();
    System.out.println("Write to port: " + s);
}

public String read() throws Exception
{
    final long timeout = System.currentTimeMillis() + 3000;
    do
    {
        Thread.sleep(100);
    } while (!in.ready() && System.currentTimeMillis() < timeout);

    final StringBuilder answer = new StringBuilder();
    for (int i = 0; i < 10; i++)
    {
        while (in.ready())
        {
            int n = in.read();
            if (n != -1)
            {
                char c = (char) n;
                answer.append(c);
                Thread.sleep(1);
            }
            else
            {
                break;
            }
        }
        Thread.sleep(100);
    }
    System.out.println("Read from port: " + answer);
    return answer.toString();
}

public void close()
{
    try
    {
        serialPort.close();
        System.out.println("Port closed");
    }
    catch (Exception e)
    {
        e.printStackTrace();
    }
}

The code for sending a long SMS:
        // Set message format to PDU mode
        port.writeln("AT+CMGF=0");
        port.read();

        for (int i = 0; i < textParts.size(); i++)
        {
            System.out.println("\nSend SMS " + (i + 1) + " of " + textParts.size() + "\n");

            final byte[] pdu = PDUUtils.getPDUPart(dialno, textParts.get(i), DataCodingScheme.UCS2, i + 1, textParts.size());
            final char[] pduHex = PDUUtils.toHexString(pdu);

            port.writeln("AT+CMGS=" + pdu.length);
            port.read();

            port.write("00");
            port.write(pduHex);
            port.write("\u001A"); // Ctrl-Z
            port.read();
        }

The problem is not the creation of the PDU or AT commands. When I connect to the COM Port with PUTTY and send exactly the same commands to the modem the messages will be send correctly and will be received at my phone correctly as one SMS. So there must be a timing or configuration problem.
I get no error messages or exceptions. The information received by the read() method is always the same String I wrote via the write() methods before. Except the last read() of the last message (The long SMS is splitted into two parts). There I get different results. Mostly the String "AA" or "AAA" is returned and sometimes the String I wrote via the write() methods. In all cases the SMS is not received by my cell phone.
There is no general problem in sending SMS. When I send two not concatenated SMS (still in PDU mode) everthing works fine.
Can anybody help me please?

redpajama_set_name: RedPajamaStackExchange


It is impossible to time the market, but investors can set certain levels of dividend yields to buy Big Oil stocks such as BP PLC (NYSE: BP), Chevron (NYSE: CVX), and ExxonMobil (NYSE: XOM).
Due to slowing growth in China, oil has fallen in price.
As a result, the share prices of BP PLC, Chevron, ExxonMobil, and other oil stocks have dropped, too (chart below). This always happens with oil falls. The price of oil and natural gas stocks are tied to the price of oil.
That creates an opportunity for long term investors to buy at a discount.
The long term outlook for oil is bullish. Demand will rise. The global economy has still not shaken off the effects of The Great Recession. That and disappointing growth in China has Big Oil and other commodity stocks falling.
The appeal here is that Big Oil comes with Big Dividends.
When the price of a Big Oil stock falls, the dividend yield rises. For long investors, there is now the chance to lock in a strong yield. The dividends of BP PLC, Chevron, and ExxonMobil are all well above average. In addition, BIg Oil stocks have a history of increasing the dividend. Many are Dividend Aristocrats. Those are stocks that have increased the dividend annually for at least the last 25 years.
For the long term shareholder that results in a raise every year just for not selling the stock.
Like all commodities, oil prices will fluctuate. As a result, so will the stock prices of ExxonMobil, BP, Chevron, and others in the sector. That results in the dividend yield rising. It also makes the dividend increases even more rewarding. The long term total return for oil and natural gas stocks looks very rewarding even though the share prices are down in recent market action.


Check these Hummer vehicles from 3 companies in Easton, Pennsylvania* and send us request to compare rates!
So, you are searching for a Hummer in Easton, Pennsylvania. Limoscanner offers the largest selection of Hummer vehicles on the internet. You can view Hummer pictures before you make a decision. We have around 3 of limousine companies in Easton, such as TOP NOTCH RIDES LLC, Sans Limousine Service, J & J Luxury Transportation just to name a few. All our limo companies are fully trusted.
* Disclaimer: not every out of 3 companies in Easton, Pennsylvania has Hummer vehicles in their fleet.


The list is compiled from experts at VA's National Center for PTSD.
2. PTSD does not cause someone to be violent.
3. If you have PTSD, you are not alone. With treatment, you can get better.
4. In the general population, women are twice as likely as men to experience PTSD at some point in their lifetime.
5. Many people with PTSD also experience chronic pain or other physical health symptoms.
June is PTSD Awareness Month, here are 5 things you should know about PTSD Symptoms. Learn more about getting help with PTSD from Edge NeuroFitness in San Diego.


text:
Les rames de la série MB.100 sont un matériel roulant sur fer destiné à la ligne B du Métro de Rome. Commandées en 1985 par le gestionnaire public du métro de Rome, ACOTRAL, maintenant ATAC.

Histoire

Les rames MB100 ont été mises en service en 1987 et ont remplacé les anciennes rames MR.100 & 200, datant de 1954, à l'occasion de l'inauguration de la prolongation de la ligne B du métro de Rome vers Rebibbia.

Ce sont, au total, 31 rames complètes composées de 6 voitures immatriculées MB001-MB124 et MB301-MB362.

Caractéristiques techniques
Chaque rame est composée de 3 unités de traction (UdT). Chaque UdT comprend 2 motrices couplées. Les UdT de la série 100, en tête et en queue de la rame, comprennent une motrice pilote (Mp) avec pantographe couplée à une motrice (M). Les UdT série 300 centrales, sont composées d'une motrice semi-pilote (Sp) avec pantographe et d'une motrice (M). La rame peut donc être schématisée ainsi : Mp + M + Sp + M + M + Mp. Les motrices pilote et semi-pilote sont immatriculées dans les séries 100 ou 300 impaires, tandis que les autres éléments ont une immatriculation paire.

L'unité semi-pilote dispose d'un tableau de conduite sous un capot de protection amovible uniquement par un agent autorisé. Cette disposition permet de conduire l'UdT composée des caisses centrales lors des maintenances en atelier lorsque la rame est séparée

L'intercommunication entre les rames est réservée aux agents de sécurité de la compagnie.

Chaque voiture MB.100 dispose de 32 places assises et peut accueillir 169 voyageurs debout. Les caisses Mp ne peuvent accueillir que 160 passagers debout car elles disposent de 2 emplacements sécurisés pour PMR. La rame peut transporter au maximum 1.176 voyageurs.

Les rames fonctionnent sous 1,5 kV CC. Les bogies sont monomoteur avec freins à disque. Le système de fonctionnement électrique est du type full-chopper ce qui permet la récupération d'énergie au freinage. L'accélération et décélération maximale est de 1,2 m/s².

Les industriels retenus

Conformément à la loi sur les marchés publics en vigueur en Italie appuyée par la mise en application de la législation européenne, l'attribution du marché de fabrication des rames MB.100 a été effectuée après un appel d'offres.

 AnsaldoBreda, filiale d'Ansaldo assure la conduite générale du projet et a la responsabilité de fournir un train en parfait état de marche.
 AnsaldoBreda fournit aussi les caisses peintes et aménagées avec ou sans cabines de conduite et les bogies, assure l'assemblage final des moteurs sur les bogies dans ses usines milanaises.
 Ansaldo STS fournit les automatismes de conduite et d'ouverture automatique des portes.
 Ansaldo, fournit toute la partie électrique de puissance et les moteurs.

Cette répartition, très courante dans le domaine de la construction ferroviaire en Italie, a été facilitée par l'intervention de sociétés du même groupe.

Livraisons
Un élément de présérie a été présenté pour validation en 1985. une commande ferme des 186 unités a été confirmée la même année après avoir subi les tests règlementaires. Les rames ont été construites et livrées entre 1986 et 1990, conformément au programme fixé au contrat.

Les rames ML100 pour la ligne 1 du métro de Lima
Le , la loi n° 24565 déclare d'utilité publique la construction du Métro de Lima et l'AATE (Autoridad Autónoma del Sistema Eléctrico de Transporte Masivo de Lima y Callao) attribue officiellement au consortium italien "Tralima/Intermetro" la mission de le construire. Après avoir réalisé les études d'exécution sur le tracé définitif et des ouvrages à réaliser dont de nombreux viaducs aériens en pleine ville, les premiers travaux débutent en 1989 mais, au début des années 1990, sous la présidence d'Alberto Fujimori, l'état des finances du pays ne permet pas de poursuivre les travaux. A cette époque, le dépôt (patio taller) et 9 km de lignes sont terminés et presque opérationnels. Avec un budget extrêmement réduit, l'AATE parvient à rendre opérationnelle cette première section. En 1997, la ligne entre Villa El Salvador et Atocongo est praticable mais aucun service commercial n'est effectué bien que les rames AnsaldoBreda aient été livrées en 1994.

En 2000, les travaux sont définitivement arrêtés à la suite de la mise sous séquestre des chantiers, liée au procès pour corruption du président Alan Garcia, réfugié à Paris. En 2009, toutefois, le gouvernement d'Alan García, à nouveau élu, a relancé un appel d'offres, gagné cette fois-ci par le consortium péruvo-brésilien "Consorcio Tren Eléctrico Lima", comportant le prolongement sur 11,7 km du viaduc de la ligne 1, pour un montant de 410,2 millions d'US$. Le contrat prévoit la construction de 9 stations nouvelles et une fin des travaux en juin 2011 compris la remise en état et aux normes du tronçon déjà construit 10 ans plus tôt.

Contrat AnsaldoBreda pour les lignes 2 & 4 du métro de Lima
En 2014, le groupement "Nuevo Métro de Lima" composé de Iridium Concesiones de Infrastructura SA, Vialia Sociedad Gestora de Concesiones de Infrastrutructura SL, Salini-Impregilo SpA, Cosapi SA, Ansaldo STS SpA et AnsaldoBreda SpA ont obtenu la concession de 35 ans comprenant la construction, la gestion et la maintenance de la ligne 2 et de la parte de la ligne 4 du métro de Lima

Notes et références

Voir aussi

Articles connexes
 Ligne B du métro de Rome
 Liste des stations du métro de Rome
 AnsaldoBreda
 Métro de Lima

Lien externe
  ligne 1 du métro de Lima

MB 100

AnsaldoBreda

redpajama_set_name: RedPajamaWikipedia


A beautiful contrasting mix embodies this particular olive oil & vinegar combo, where the sweet taste of O&CO.'s Pomegranate Fruity Condiment softens the spicy power of our Olive & Chili Pepper Oil. A must-have for barbecuing, summer salads, and unusual cocktails!
Food Pairings: Grilled bell pepper salad, stewed vegetables, beef tartar and carpaccio, grilled red meat, tagine, kefta, & cocktails.
I love to use it in my salad dressings. It's not too acidic and the spicy pomegranate taste is delicious! These products are also versatile separately.


text:
Vol. 7, No. 5 / June 2016
Volume Seven, Issue Five: NVC Family Camp
Our newsletter appears approximately once a month. Our purpose is to contribute to the NVC learning of people who have taken at least an NVC Level 1 workshop, and help us stay connected as we endeavor to deepen a culture of peace within ourselves, our families and the world. We believe a Level 1 offers so many new ways of thinking that additional support for learning and integration could be helpful.
We endeavor to make each edition informative, connecting, inspiring and fun. Please let us know how the newsletter might contribute to your NVC well-being. Email: newsletter at mainenvcnetwork.org
This month's guest contributor is Steve Andersen, co-host of the first Family HEART Camp to be offered in New York State.
Feature: How Can We Teach Compassion to Our Young People? by Steve Andersen
Monthly Empathy Circles and other Ongoing groups
Paid Announcements
How Can We Teach Compassion to Our Young People?
by Steve Andersen
Remembering back to my youth, I recall growing up in a family with the expectation that I would do as I am told, when I was told to do it. Discussion was not allowed, let alone encouraged. Beatings were used as enforcement.
I vowed never to beat my own children. My wife and I went to family counseling to learn a system of "logical consequences" to get what we wanted from our children. I felt so enlightened. To keep the family running without beatings! Yet looking back, there was still little sense of connection and awareness of what was alive in each one of us. Emotional battles still erupted, especially as the children moved into their teenage years.
After my late wife died, and the children were grown and out of the house, I explored new professions, and changed my residence several times. I landed a job in an international company, and was so excited about traveling the world and making a difference. Then I experienced their corporate culture as too constraining for me. Again I started looking for a way both to give back to the world and to experience it. Then I noticed the Peace Corps.
Two years in the Peace Corps, in West Africa, was one of the hardest physical experiences in my life, and it opened my heart immensely. I sensed somehow a large world, where we are brothers and sisters even at great distances. Returning to the USA was a reverse culture shock; I had to readjust from one of the poorest regions on earth to one of the most affluent. We have so much.
One day, sitting at home in Upstate NY, I noticed the local Buddhist Center was offering an introduction to something called "Nonviolent Communication." I had no idea what that was, but with my Peace Corps experience being so fresh, I just had to check it out.
Oh my, after watching Marshall Rosenberg talk about NVC on video, I just immersed myself in it. I read books, took courses, and eventually started sharing classes with adults in churches and the local food coop. I even went to a 9 day NVC workshop in Israel/Palestine because I wanted to get the sense of the possibilities of NVC had to offer, even in a part of the world with great conflict. I was impressed.
While I was at this workshop, I met a young man with a special sense of peace & presence about him. We spoke about many things over our several days together. Then he mentioned that he was a second generation NVC-er. In other words, he grew in a family where both parents knew and used NVC with him.
Oh my gosh, I thought, what would happen in our world if all younger people were introduced to NVC?
But how to do that?
Upon returning to the USA from Israel/Palestine, I did some research and found an organization called "Family HEART Camp." I liked the sound of the camp, and what it aspired to do. But I still wasn't convinced. Exactly how would they teach NVC to young people? Would we have the young people sit down at a table, and discuss sections of Marshall Rosenberg's book, then do role plays, like I did with adults?
So I asked experienced trainers in the Family HEART Camp how young people learn NVC. I heard them say something like, "We play games together, model NVC behavior, and they learn."
I didn't believe it.
Children learn NVC by experiencing it in a fun environment, and by seeing it modeled for them?
Yet I wanted to be open and learn more. So I volunteered at an existing HEART Camp, and played games, and watched. I saw children & parents having lots of fun, and I saw difficulties arise between children, and between young people and their parents. What was different was that I saw adults experienced in NVC speaking with young people, parents, and the whole family together. I saw connections being made, understanding growing, and mutual agreements developing.
But I still wasn't sure that this is the way that young people can learn NVC.
Then came the closing circle on the closing day. Families were invited to share their experiences. I heard multiple parents attest to the compassion that they were feeling in their families. I heard parents who had been coming for a few years say that their households have been transformed with clearer, more vulnerable communication, and agreements that everyone supported. I heard young people say that they felt that they were being heard, and that what was happening inside them made a difference.
Then I was convinced.
This is a way for our young people to learn compassion. Let's nurture compassion into the fabric of our families. Let's be in community as we contribute to peace in our world, both now and in the future.
Steve Andersen is Co-host of this summer's New York Family HEART Camp, which is being held August 26-September 2 at Camp Unirondack, Lowville, NY. Steve is also a candidate for Certification as an NVC trainer, and shares NVC across the country by offering talks and classes as he travels in his RV.
Related suggestions:
Next time you are with a young person, take time to deeply listen to them. When they have finished, make at least one feelings and needs guess.
A Vermont-based NVC immersion opportunity for teens is Play in the Wild
The Maine NVC Network is considering hosting a Family HEART Camp in 2019. If you would like to be part of the visioning process, please contact us by emailing: peggy at mainenvcnetwork.org
Registration is now open for the 2016-17 Maine NVC Integration Program
Read what past participants have said about this life-changing course!
details & registration form
Special Offer for early registrants:
The first six people to register will receive 1 FREE hour of NVC coaching/empathy from a trainer.
June 11-12, Brunswick, ME
Clear & Compassionate Communication, Level 1
Leah Boyd
Monthly Empathy Circle:
Second Friday of each month, 10am-1pm (formerly first Friday)
Open Communication office, 243 High Street, Belfast
If this is your first time coming, please contact Linda beforehand:
email: chezcote5 at gmail.com
Authentic Communication Groups
with Andrea Ferrante, trainer and coach
Two groups meet biweekly, one on alternate Wednesdays; the other on alternate Mondays.
Authentic Communication Groups are coaching groups designed to open you up to an approach to living that offers greater peace, personal empowerment, and conscious connection to that which sustains and enriches life.
See also the Practice Groups page.
Enjoy sharing NVC? Good at social networking? We are seeking someone to take over maintenance of our facebook page. Please contact peggy at mainenvcnetwork.org
Clarity Services, LLC
Now Accepting Clients
Helping groups of people think together collaboratively and effectively
Free 30 minute initial consultation:
email: leah at clarityservices.us
welcomes individuals and couples, who want NVC-based support, to meet with them at their new office in Belfast, ME
Please contact Peggy:
email: peggy at opencommunication.org
We welcome your feedback and contributions. If you have a poem, NVC celebration, or a question for Dear Giraffe that you would like to contribute, please email us, with "contribution" in the subject line. Material included in future issues is up to the discretion of the newsletter team. Email: newsletter at mainenvcnetwork.org
Newsletter team: Peggy Smith, Betsy Terrell
Eclipse of 2008, © Brad, stockvault.net
other photo(s) aurelia neutrino
Nonviolent Communication, NVC and Compassionate Communication are all registered trademarks of the Center for Nonviolent Communication (CNVC). We do our best to use them in accordance with the published Guidelines for Sharing NVC.

redpajama_set_name: RedPajamaCommonCrawl


text:
November 28th – Giving Tuesday (aka National Day of Giving)
November 28, 2017 at 12:01 am | Posted in Today's Reasons To Celebrate | Leave a comment
Good morning my generous friends. Today is Tuesday, November 28, 2017. Today's reasons to celebrate are:
Giving Tuesday, also known as National Day of Giving, is celebrated on the Tuesday after Thanksgiving. After the crass commercialism of Black Friday, Small Business Saturday, and Cyber Monday, Giving Tuesday kicks off the season of giving.
The tradition of charitable giving during the holidays began thousands of years ago. Today, it continues to be an important part of many cultures and religions around the world and has been a long-standing tradition in America since its creation.
Giving Tuesday was created when two organizations, the 92nd Street Y and the United Nations Foundation came together in 2012, about a month before that year's Thanksgiving. Their intention was to set aside a day that was all about celebrating the generosity of giving. Social media played a big part in spreading the word about Giving Tuesday quickly. The first announcement about Giving Tuesday was made through Mashable, a technology website. The first Giving Tuesday was covered extensively by the Washington Post, the Huffington Post, ABC News, Deseret News, and the White House official blog, causing the scheme to gain an enormous amount of popularity in a short period of time. Giving Tuesday is organized and celebrated each year with the simple aim of encouraging individuals, families, schools, businesses, and other organizations to give to the less fortunate.
There is no shortage of ways to celebrate Giving Tuesday. Secret Santa programs, donating money, and volunteering your time are just a few.
Red Planet Day
Red Planet Day commemorates the launch of the Spacecraft Mariner 4 on November 28,1964. The 228-day mission of Mariner 4 brought the spacecraft within 6,118 miles of Mars on July 14, 1965. It honors our closest celestial neighbor, the fourth planet in the solar system. In the 8 months that it was on its mission, the Mariner 4 became the first spacecraft to successfully fly by Mars. It also gave the world the first close-up images of Mars. Since then several exploratory missions have been sent to Mars to gather data about the planet.
Today, 5 spacecraft orbit Mars and 2 spacecraft – the Curiosity Rover and the Mars Exploration Rover Opportunity – are on the planet's surface. All 7 send an incredible amount of data about the planet back to astronomers on Earth.
Mars is similar to Earth in many ways – it has the same rotational period and seasonal cycles – Mars has 2 moons, Deimos and Phobos, and has the largest volcano, Olympus Mons, in the Solar System. Because of its similarity to Earth, many astronomers and scientists believe that at some point in its history Mars may have been a hospitable planet for life. Exploration of Mars has been high on the agenda of the space programs of many countries. NASA, the American space agency has estimated that it could send humans to the Red Planet by the 2030's.
The planet Mars is referred to as the "Red Planet" because it appears red when viewed from Earth. Scientists speculate that it gets its red hue from the high amount of iron oxide (rust) on its surface.
On Red Planet Day, take a few minutes to look upwards into the sky, and gaze at our neighbor. Hopefully, you will have a cloudless night sky for viewing. You can also recognize this holiday by reading up about Mars and viewing pictures of it. There are plenty of pictures online.
Because of its proximity to Earth, there is much debate about whether or not life ever existed on Mars. Marvin the Martian, Bugs Bunny's nemesis in a number Warner Brother's cartoons, weighs in on the 'yes' side of the argument – and will "scrooch" you if you disagree.
Below are some interesting facts about Mars.
Mars is the fourth Planet from the Sun.
Mars gets its name from the Greek word "Ares", the God of War
Mars is often visible to the naked eye in the night sky.
The distance of Mars from the Sun averages 136,764,000 miles.
Mars' rotation around the Sun takes 687 Earth days.
Mars' rotation period: 1.026 Earth days.
Mars' gravity is 1/3 that of Earth.
Mars is the 7th largest planet, about 1/10th the mass of Earth.
Mars' temperature range is -207 to +81 degrees Fahrenheit.
Mar's atmosphere is nothing like the Earth's. It's thin and composed mostly of carbon dioxide.
A man who weighed 100 pounds on Earth would weigh only 38 pounds on Mars because of the difference in gravity.
Make Your Own Head Day
Well, this holiday makes no sense to me. I think whoever created this holiday was prematurely dipping into the holiday eggnog. From what I gather from my sources, you are supposed to make a piece of art in your own image.
Aside from the literal translation, this holiday could also be interpreted to mean that you should make up your own mind, take some time for self-reflection, or just be yourself. Stop trying to wear someone else's hat if it doesn't fit. Or, perhaps this holiday is about your perception of yourself – in other words, how you see yourself as compared to what others see. I just don't know.
There was an interesting video on YouTube a while ago where a forensic artist drew a picture of a group of women according to the way they described themselves, then drew another picture of that person according to the way another person described them. The artist was behind a curtain and couldn't see the subject. The results were surprising.
Not being artistically inclined (it takes me 3 attempts to draw a "happy face"), I probably will not be celebrating Make Your Own Head Day. But, if you are artistically inclined, why not give it a try?
It's Letter Writing Day
It's Letter Writing Day is celebrated annually on this date and urges you to, oddly enough, write some letters today. Bonus points if you use the cursive alphabet that your teachers so painstakingly tried to teach you in Elementary School (if you still remember how).
To celebrate It's Letter Writing Day, write some letters to your friends and distant family today. They'll be glad to hear from you. Heck, why not kill two birds with one stone and use It's Letter Writing Day to compose those epic tomes that you include in your Christmas cards updating your friends and family on the happenings in your life over the past year?
Semi-writing-related Factoid: The first skywriting occurred on this date in 1922. Captain Cyril Turner, British Royal Air Force ace pilot, flew into position over New York City, spelling out "HELLO USA CALL VANDERBILT 7200" in plumes of white smoke. Over 47,000 people called the number. The telephone number was that of the Vanderbilt Hotel, where George Hill, president of the American Tobacco Company, was sitting with skywriting pioneer and RAF pilot John Savage. So convinced was Mr. Hill by this exhibition that he contracted Mr. Savage to use skywriting advertisements to promote Lucky Strike Cigarettes – and the first widespread commercial use of skywriting was born.
Turkey Leftover Day
Thanksgiving was last week and by now, you're probably pretty tired of eating turkey. You've made hot and cold turkey sandwiches, turkey noodle soup, turkey hash, and turkey a la king and now, it's time to either finish it off or throw it out.
It only takes a few days for leftover food to go bad. Bacteria can grow in any food that needs refrigerating when left at room temperature for longer than two hours, so, after a few days of heating and cooling and heating and cooling your leftover turkey, it's best to throw it out to avoid the risk of food-borne illness.
National French Toast Day
French Toast is the perfect way to start your day. The basic recipe for French Toast is bread, milk, eggs, vanilla, and some sugar and cinnamon, and then topped with delicious maple syrup, but many variations of this classic breakfast can be found around the world.
The origin of French Toast is unknown, but recipes date back to the sixteenth century in Europe and although we tend to call it French Toast, the dish didn't originate in France. Some ancient Latin recipes from the 4th-century mention soaking bread in milk before frying What we in America know as French Toast has many other names depending on where you are from, including – eggy bread, German toast, and Bombay toast – but they all start with the same basic ingredients in mentioned above. Prior to the Hundred Years War, French toast was known in England as "poor knight's pudding" because it was a simple and inexpensive dish that a knight with no money could afford. In France, it was called "pan perdu" or lost bread, because it was a way of using lost or stale bread.
Regardless of what you call it, treat your family to some French Toast for breakfast this morning.
Below is a list of significant historical events that occurred on this date:
In 1919 – American-born Lady Astor was elected the first female member of the British Parliament
In 1925 – The Grand Ole Opry made its radio debut on station WSM.
In 1934 – Notorious bank robber George "Baby Face" Nelson was killed by FBI agents near Barrington, IL.
In 1942 – A fire destroyed the Coconut Grove in Boston. 491 people died in that fire.
In 1943 – President Franklin D. Roosevelt, British Prime Minister Winston Churchill, and Soviet Leader Joseph Stalin met at the Soviet Embassy in Tehran to map out strategy concerning World War II. The conference dealt with the Axis powers in Europe and Asia and made plans to open up a second front against the Germans in France during WW II.
In 1953 – New York City began 11 days without newspapers due to a strike of photoengravers.
In 1958 – The African nation of Chad became an autonomous republic within the French community.
In 1963 – President Johnson announced that Cape Canaveral would be renamed Cape Kennedy in honor of his assassinated predecessor. The name was changed back to Cape Canaveral in 1973 by a vote of residents.
In 1964 – NASA launched the Mariner 4. It was the first spacecraft to make a flyby of Mars and was also the first to send images of a Mars back to Earth.
In 1967 – Graduate student Jocelyn Bell and her advisor Antony Hewish at Cambridge University were the first people to observe and discover pulsars. Pulsars are rapidly spinning neutron magnetized stars that emit radiation.
In 1975 – East Timor declared its independence from Portugal.
In 1977 – Larry Bird was introduced as "College Basketball's Secret Weapon" with a cover story in Sports Illustrated.
In 1978 – The Iranian government banned religious marches.
In 1979 – An Air New Zealand DC-10 flying to the South Pole crashed in Antarctica killing all 257 people aboard.
In 1983 – The space shuttle Columbia took off with the STS-9 Spacelab in its cargo bay.
In 1985 – The Irish Senate approved the Anglo-Irish accord concerning Northern Ireland.
In 1987 – A South African Airways Boeing 747 crashed into the Indian Ocean. All 159 people aboard were killed.
In 1989 – Romanian gymnast Nadia Comaneci arrived in New York after escaping her homeland through Hungary.
In 1990 – Margaret Thatcher resigned as prime minister of Britain.
In 1991 – South Ossetia declared its independence. The disputed region in the country of Georgia called itself the Republic of South Ossetia. The declaration of independence was not recognized by Georgia and was followed by the South Ossetia War. Only a few countries, including Russia and Venezuela, recognize it as a sovereign country.
In 1992 – In Bosnia-Herzegovina, 137 tons of food and supplies were to be delivered to the isolated town of Srebrenica.
In 1992 – In King William's Town, South Africa, black militant gunmen attacked a country club killing four people and injuring 20.
In 1994 – Jeffrey Dahmer, a convicted serial killer, was clubbed to death in a Wisconsin prison by a fellow inmate.
In 1994 – Norwegian voters rejected European Union membership.
In 1995 – President Clinton signed a $6 billion road bill that ended the federal 55 mph speed limit.
In 2010 – WikiLeaks released to the public more than 250,000 United States diplomatic cables. About 100,000 were marked "secret" or "confidential."
If you were born on this date, Happy Birthday. You share your birthday with the following list of illustrious individuals – and about 20-million other people.
William Stanley 1858 – Physicist.
Dick Vance 1915 – Trumpeter, arranger.
Wes Westrum 1922 – Baseball catcher, coach, manager.
Gloria Grahame 1923 – Actress.
Berry Gordy, Jr. 1929 – Motown mogul.
Hope Lange 1933 – Actress.
Gary Hart 1936 – Politician, lawyer.
Gary Troxel 1939 – Musician.
Paul Warfield 1942 – Football wide receiver.
Randy Newman 1943 – Singer, songwriter.
R.B. Greaves 1945 – Singer.
Vern Den Herder 1948 – Football defensive end and nose tackle.
Paul Shaffer 1949 – Band leader.
Ed Harris 1950 – Actor.
Judd Nelson 1959 – Actor.
Jon Stewart 1965 – Political Satirist.
Anna Nicole Smith 1967 – Stripper, gold digger.
Roy Tarpley 1964 – Basketball power forward.
Dawn Robinson 1968 – Musician.
Scarlett Pomers 1988 – Actress, singer.


text:
ABSTRACTS FOR NSRS CONFERENCE
Book of Abstracts for the 68th biannual scientific conference of Nigerian Surgical Research Society, Oghara December 2015
Date of Web Publication 15-Feb-2016
. Book of Abstracts for the 68th biannual scientific conference of Nigerian Surgical Research Society, Oghara December 2015. Niger J Surg 2016;22:58-63
. Book of Abstracts for the 68th biannual scientific conference of Nigerian Surgical Research Society, Oghara December 2015. Niger J Surg [serial online] 2016 [cited 2022 Jan 18];22:58-63. Available from: https://www.nigerianjsurg.com/text.asp?2016/22/1/58/176399
Okugbo Stanley, Anyanhun Gandhi
Department of Surgery, University of Benin Teaching Hospital, Benin City, Nigeria
Symptomatic Surgical Pleural Effusion in the University of Benin Teaching Hospital - prospective Study
Background: Pleural effusion is usually classified as exudate or transudate based on its protein content. Exudative effusion is rich in protein which is produced by inflammatory process ignited by direct invasion of the pleural surfaces either by infective bacteria, i.e., tuberculosis or by malignancies. Breast cancer and lung cancers are among the most common causes of significant pleural effusion. Involvement of the pleural indicates advance cancers in patients so affected. With accumulation of pleural effusions; in time, they begin to exert forces within the thoracic cavity, impeding lung expansion, producing mediastina shift, and resulting in respiratory embarrassment. Untreated, it may lead to respiratory failure and death. Chest pain, cough, dyspnea, and heaviness are the common symptoms necessitating intervention. Many exudative effusions are recalcitrant and require pleurodesis for complete resolution. Treatment usually entails thoracocentesis or tube thoracostomy. Pleurodesis is usual for malignant and recalcitrant cases, while decortication may become necessary for chronic empyema. Aim: This is a prospective study to ascertain the main causes, types, and management outcome of symptomatic pleural effusion in our hospital practice. Patients and Methods: This is the preliminary 6-month report of an ongoing prospective study commenced in April 2014. It involved the enrollment of all patients referred to the cardiothoracic surgical unit of the University of Benin Teaching Hospital, Benin City, who had moderate to severe effusion. All patients had a questionnaire filled for them including proper documentation of their clinical features, modes of presentation, diagnosis, results of investigations, and treatments given. All data were entered to spreadsheets and analyzed. All patients with minimal to mild pleural effusion not requiring tube thoracostomy were excluded from the study. All patients with hemothorax from trauma were also excluded from the study. Results: A total of forty patients were seen in the period under review, with a male: female ratio of 2:1.9. The mean age was 40.6 years (range 3 months to 72 years). The effusion was right-sided in 21 patients, left-sided in twenty, and bilateral in two patients. Pulmonary tuberculosis accounted for 25% (10); breast cancer for 22.5% (9); and bronchogenic cancer in 15% (6). The effusion was serous in 25 patients (55.6%), while 12 patients (26.7%) had empyema thoracis, and it was hemorrhagic in eight patients (20%). Four patients had systemic hypertension and another four had diabetes mellitus, while only one patient had chronic obstructive airway disease. The 19 cancer patients were distributed thus: Lung cancer 6; breast cancer 9; thoracic neuro-endocrine tumors 2; renal cell carcinoma 1; neck tumor 1; and wound sepsis occurred in four patients, while the tube was malpositioned in five. Breast carcinoma; the cancer was on the right breast in five patients with one of them having bilateral pleural effusion; of the three left breast cancer patients, only one patient had contralateral pleural effusion. While the only patient with bilateral breast cancer had right-sided effusion, all the patients had pleural biopsy done and all the breast cancer patients had pleurodesis done. Conclusion: Moderate pleural effusion (from our study) is mainly due to tumors with breast cancer being the most common cause. The effusion is commonly ipsilateral and right-sided, from direct pleural invasion. Pulmonary tuberculosis is still a significant cause of effusion.
Clinicopathological Features, Treatment, and Outcome of Pregnancy-Associated Breast Cancer in Ahmadu Bello University Teaching Hospital, Zaria, Northwestern Nigeria
Abur PP1, Odigie VI1, Yusufu LMD1, Dawotola DA1,2
Departments of 1Surgery and 2Radio-oncology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
Background: Pregnancy-associated breast cancer (PABC) is breast cancer diagnosed during pregnancy or within 1 year of delivery. It is the most frequent malignancy diagnosed during pregnancy or lactation. There is paucity of literature of PABC in Northwestern Nigeria. Aim: To highlight the clinicopathological features, treatment, and outcome of PABC in Ahmadu Bello University Teaching Hospital (ABUTH), Zaria, Northwestern Nigeria. Methods: It was a 6-year prospective study of PABC from January 2007 to December 2012 at ABUTH Zaria. Information documented included patients' biodata, clinical features, pathological types, receptor status, staging, treatment, and outcome of PABC patients seen in ABUTH. Results: About 1344 had breast cancer during the study period. Thirty one patients (2.3%) had PABC. Age ranged 20–43 years, median of 31 years. Common clinical features were breast lump/mass −27 (87.1%) patients, skin thickness 10 (32.3%), nipple retraction 9 (29.0%), and inflammation 6 (19.4%). Nineteen (61.3%) patients were diagnosed in pregnancy: 1st trimester, 4 (12.9%); 2nd trimester, 7 (22.6%); 3rd trimester, 8 (25.8%); while 12 (38.7%) were within 1 year of delivery. Twenty-two patients (71.0%) had advanced disease. Twenty-four (77.4%) patients had invasive ductal carcinoma. Eight (36.4%) patients were ER/PR positive. Six (27.3%) were triple negative and 2 (13.6%) were HER 2 positive. Twenty-four patients (77.4%) had vaginal delivery. Three patients (9.7%) had spontaneous abortion and 1 patient (3.2%) had still birth. Twenty-five babies (80.6%) were alive and well. Seventeen patients (56.9%) had modified radical mastectomy (2 patients in 2nd trimester and 15 patients after delivery), 25 (80.6%) had chemotherapy, 14 (45.2%) had radiotherapy, and 1 (3.2%) received trastuzumab. Mortality was 8 (25.8%). Conclusion: PABC constituted 2.3% of all breast cancer patients in our hospital. Majority (71%) presented with advanced disease. Three out of every four were invasive ductal carcinoma, while one in four were triple negative. The mortality was 25.8%.
Quality Of Life Of Breast Cancer Patients Receiving Chemotherapy in Delta State University Teaching Hospital, Oghara
Afeyodion Akhator, Martins Odes Akpomiemie
Department of Surgery, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria
Introduction: The World Health Organization defines the quality of life (QOL) as the individual's perception of life, its values, objectives, standards, and interest in the framework of culture. This is increasingly been used by investigators to assess treatment outcomes in terminal diseases and malignancy. The complications of chemotherapy negatively impact on the QOL of breast cancer patients receiving chemotherapy alongside the negative impact of the primary pathology. Aim: The objective of this study is to describe the QOL in breast cancer patients receiving chemotherapy in Delta State University Teaching Hospital, Oghara. Materials and Methods: This is a questionnaire-based study; the European Organization for Research and Treatment of Cancer QOL Questionnaire, breast cancer module was used to measure QOL in the study population. The module assesses both the patient's functional and symptom scales. Results: There were 39 patients in this study; all were females with advanced breast cancer at various cycles of chemotherapy. The mean age was 49.02 years, with range of 31–63 years. Thirty-two patients (82.05%) had favorable body image, 17 (43.59%) had no or minimal side effects from systemic therapy, 22 (56.41%) had no or minimal breast symptoms, and 21 (53.85%). While 27 had hair loss, only 3 (11.11%) were very upset with the hair loss. Twenty-four patients (61.53%) were significantly worried about their future health and only 12 (30.77%) had any interest in sex in the preceding 4 weeks of the interview. Conclusion: This study shows that breast cancer patients receiving chemotherapy had a favorable QOL in spite of the late stage of presentation.
Postmastectomy Breast Reconstruction At The University Of Benin Teaching Hospital, Benin City
Ijekeye FO, Nwashilli NJ, Kadiri AI
Background: Postmastectomy breast reconstruction, though a desirable rehabilitation procedure, has remained an uncommon procedure in most resource-limited environments. Aim: To review the number of cases of breast reconstruction carried out. Methods: This was a retrospective study carried out over a 3-year period from January 2010 to December 2012. All the case files of patients who had mastectomy and breast reconstruction were retrieved from the Medical Records Department and analyzed for the following parameters: Age, marital status, educational level, TNM staging at presentation, body frame, breast cup size, breast reconstruction technique, postoperative complications, and patients' satisfaction. Results: A total of 86 mastectomies were carried out over the period. All were females. The indication for the mastectomies was breast cancer. Out of the 86 patients, only five had breast reconstruction. Their mean age was 37.0 ± 6.0 years. All the patients had immediate breast reconstructions. Reconstruction techniques utilized were latissimus dorsi and transverse rectus abdominis myocutaneous flap. Four out of the five patients (80%) were very satisfied with their surgical outcome. Conclusion: Breast reconstruction remains a relatively uncommon procedure in our environment, but retains the potential for improving the psychosocial wellbeing of the patient. Availability of the expertise and improved social awareness will help maximize patient's benefits.
Utilization Of Autopsy Service In A Nigerian Teaching Hospital
Ohayi SAR, Edeh AJ
Department of Surgery, Enugu State University Teaching Hospital, Enugu, Nigeria
Background: Autopsy is known to be an important part of clinical practice. It serves as an audit and quality control for safety and quality of diagnosis and treatment. It provides families with "informed grieving" by giving clearer understanding of the nature and cause of illness and also may reveal diseases in the family that may be inheritable or communicable. It helps in advancement of medical research and education. It helps in providing information on the cause of death in a society and provides useful information for policy makers. Despite these benefits, the rate of autopsy is low and declining. The aim of this study is to ascertain the frequency of clinical autopsy in our hospital. Methods: A retrospective study of hospital autopsies performed from January 2011 to December 2014. The mortuary and autopsy records of the Enugu State University Teaching Hospital over the period were reviewed. We assessed the factors that affected the uptake of autopsy services. Exclusion criteria: Deaths reported to the police including sudden deaths, deaths from interpersonal violence, and other forms of trauma including various forms of accidents and deaths before arriving at the hospital (brought-in-dead). Results: A total of two thousand, two hundred and twenty five bodies were received in the mortuary in the period under review with 149 being excluded for various reasons. Of the 1976 studied, there were 1078 males and 898 females (M: F = 1:1.2). Ninety-six (4.9%) were aged 18 years and below while 1880 (95.1%) were aged above 18. Clinicians claim that they generally often suggest autopsy to patient's relations. Actual requests for autopsy made in 22 (1.1%) cases: 13 (0.66%) from pediatrics, 3 (0.15%) from internal medicine, and 2 (0.1%) from accident and emergency. Consent for autopsy was granted in five cases (22.7% of actual request and 0.3% of number of deaths) and autopsy performed in all giving an average of 1.25 autopsies/year. Four autopsies were performed on pediatric patients, namely: One neonate, two infants, and one child. Average hospital stay for those consenting for autopsy is 12.6 days and 36.3 days for those who declined autopsy. Persons who consented to autopsy belong to diverse economic and educational level. Conclusion: Autopsy rate is very low in our center. It appears that both clinicians and patients' relatives contribute to this trend. Vigorous education for all stakeholders is recommended if the autopsy art is to continue.
Audit Of Surgical Operation Notes In A Teaching Hospital, South -Western Nigeria: Based On Royal College Of Surgeons Of England As Standard
Akanbi Olusola Olateju, Adeoti Moses Layi, Oguntola Adetunji Saliu, Onilede David Adekunle, Aderounmu AOA, Olawale Lateef Idris
Department of Surgery LAUTECH Teaching Hospital, Osogbo, Nigeria
Background: Operation notes are important medical records that document operative procedures, intraoperative findings, subsequent care, and plan for the patients. The value of quality operation notes for academic, research, clinical auditing, and when medical litigation arises cannot be disputed. These notes when properly documented will help to promote prompt response to care and need of patients in postoperative period. Methodology: This study assessed the quality of operation notes in our center by retrospectively reviewing all the available operation notes over a 2-year period, against a set standard by Royal College of Surgeons of England. Results: A total of 168 general surgical operation notes were reviewed. One hundred and eleven (66.07%) cases were performed by consultants; however, only 24 (14.28%) notes were written by them (P < 0.001). One hundred and thirteen (67.2%) cases were electives whereas 55 (32.74%) cases were emergencies; however, none of the writers documented this component. Compliance of >90%, 70–90%, and <70% were achieved in 7 (43.75%), 4 (25%), and 5 (31.25%), components, respectively. None of the notes achieved up to 90% overall compliance, with highest compliance of 87.5% achieved in 11 (6.54%) operation notes. Most of the operation notes were not written by the lead surgeons. This finding is more prevalent among consultant cadres. Conclusion: Our study revealed deficit in some areas of information with good compliance in other areas. We therefore recommend the use of standard operation note-based proforma as aide-memoires will help improve the quality of our operation notes.
Death On Arrival In A Tertiary Hospital In Enugu, Nigeria
Edeh AJ, Ilo C, Nevo AC, Ohayi SAR, Osodu C
Aim: A new accident and emergency block was opened in July 2011 at Enugu State University Teaching Hospital. It was soon observed that the number of brought-in-dead (BID) appeared high. We decided to investigate the magnitude of this problem. Methods: Retrospective recording of all BID from January 2012 to June 2014 (30 months). Attempts were made to obtain information on circumstances that made it impossible to arrive the health facility alive. Basic patients' characteristics such as age, sex, distance of home from hospital, and duration of illness were obtained where possible. Results: Two hundred and ninety-four medical, surgical, and gynecological emergencies were seen over the period. Obstetric and children emergencies were seen in other units. There were 88 cases recorded as dead on arrival (29.91% of cases attended over the period). Sixty three (71%) were referred from other health facilities. Nineteen (21.6%) were accident victims. Eleven (12.5%) were sudden deaths – at home and playground. Resuscitation effort was attempted in only one case. No record of autopsy in any was obtained. Discussion: Though this figure is high, this compares with figures from Lagos and Ghana. Majority were referrals from other health facilities. Accident victims and sudden deaths were also high. Resuscitation efforts and autopsy were not considered seriously. Conclusion: Death on arrival (BID) appears unacceptably high in Enugu. In the absence of civil strife or war; efforts, including research must be made to reduce it.
Antibiotics Use In Inguinal Hernia Repair In West Africa: A survey Of Surgeons' Belief And Preferences And Practices
Amarachukwu Chiduziem Etonyeaku, Elugbaraonu Augustine Agbakwuru, Olalekan Olasehinde, Ademola Olusegun Talabi, Oladapo Adedayo Kolawole, Akinbolaji Andrew Akinkuolie
Department of Surgery, Obafemi Awolowo University Teaching Hospital, Ile Ife, Nigeria
Background: There are divergent opinions on the use of antibiotics in inguinal hernia surgery (IHS). This study evaluates practices in the West African sub-region. Methods: A self-administered questionnaire-based survey on the use of antibiotics in IHS in West African sub-region. Respondents were drawn from participants at the 2014 West African College of Surgeons' conference in Kumasi, Ghana. Only those who perform IHS were studied. Results: Sixty-seven respondents were studied. The mean duration of surgical practice was 16.61 (±9.96) years. Respondents were from Nigeria (51), Ghana (10), Benin (2), and one each from the Gambia, Sierra-Leone, Liberia, and Cote D'Ivoire. Majority practice at tertiary hospitals (54; 80.6%) and perform <5 IHS monthly (58.2%). Bassini (n = 34) and nylon darn (n = 32) repair methods were most popular. Majority of the respondents (48; 71.6%) administer antibiotics: Intraoperatively (36; 75%), limiting its use to within 24 h of surgery (20; 41.7%). Concerned breach in asepsis (20, 41.7%) and desire to prevent surgical site infection (SSI) (18; 37.5%) were the major reasons for antibiotics use. The use and duration of use of antibiotics were independent of the length of surgeon's experience, location, or nature of his/her practice and the frequency of IHS or repair method deployed. However, the duration of use of antibiotics seems to be influenced by the location of practice. Conclusion: Many surgeons in West Africa still administer antibiotics in uncomplicated IHS irrespective of repair technique, work experience, location, and nature of practice. Prevention of SSI is the major reason for use.
Congenital Anomalies Of The Gastrointestinal Tract: A Review Of 130 cases
Eighemhenrio Aiwanlehi, Ebuka Egwuata F, Okomayin Andrew
Department of Surgery, DELSUTH, Oghara, Nigeria
Introduction: Congenital anomalies of the gastrointestinal tract (GIT) are a common cause of serious morbidity and mortality in many pediatric surgical centers. Most patients with these conditions would present early because of the associated challenges in feeding and defecation. Aim: To evaluate the common cases of congenital anomalies of the GIT seen in our hospital and appraise their pattern of presentation and other correlates. Materials and methods: The study was a retrospective study of pediatric patients with congenital anomalies of the GIT over a 3-year duration at the University of Benin Teaching Hospital from 2011 to 2013. Information was retrieved from the case notes of patients obtained from the medical records unit. Results: A total of 130 cases were seen over the 3-year period. A wide range of anomalies were seen. Anorectal malformation was the most common anomaly seen. It accounted for 31.1% of cases. This was followed by Hirschsprung's disease with 20.1%. Most patients with congenital anomalies of the GIT are seen in the neonatal period, 6.9% presented after 5 years. Discussion: Congenital anomalies of the GIT are a common cause of pediatric surgical consultation. The outcome is usually good following the early presentation in most cases.
Pattern Of Head Injury In The Emergency Department Of The Delta State University Teaching Hospital, Oghara, Nigeria
Andrew A Bock-Oruma
Department of Accident and Emergency, Delta State University Teaching Hospital, P.M.B. 07, Oghara, Delta State, Nigeria
Background: Head injury (HI) accounts for a significant proportion of morbidity and mortality of the productive age of the world's population. The objective of this study is to highlight HI patients' epidemiological properties and trauma patterns. Methodology: This is a prospective study using a proforma for assessing HI adult patients in the Emergency Department (ED) of Delta State University Teaching Hospital from January to December, 2014. The variables assessed include age, gender, mechanism of injury (MOI), severity of injury, and mortality. Glasgow Coma Scale was used to assess the severity of injury.{2}Results: Three hundred and fifty-three trauma cases presented to the ED, 88 (24.9%) were HI patients. The mean age was 32.80 ± 12.50 years. Age range was 68.00 years (17–85). Young persons (15–24 years) were most affected, with 22.6%. The male: female ratio was 9:1. On MOI, 4.4% of the patients had a fall, 13.6% were assaults, and 81.9% had road traffic accident (RTA). On the severity of injury, 55.7% of the patients had mild HI, 20.4% had moderate HI, and 23.8% had severe HI. RTA was more common in those 45-year-old and above (22.7%) and assault in young persons (5.6%). The majority of young persons had mild HI (15.9%), moderate HI, more within the age group of 25–29 years (3.9%) and severe HI more in the elderly (5.7%). Mortality was 6.8%. Conclusion: HI is a major contributor to trauma admissions in the ED. The productive age group and the male sex are mostly affected. RTA is still a major cause of head injury in our society.
Epidemiology Of Road Traffic Accident Injuries As Seen At The Emergency Room Of Delta State University Teaching Hospital, Oghara, Delta State: A Preliminary Report
Odatuwa-Omagbemi DO, Bock-Oruma AA, Enemudo RET, Otene CI, Iwegbu GC, Okeke MO, Akpojevwe E
Introduction: Road traffic crash is a major cause of trauma, morbidity, and mortality worldwide. It is particularly more rampant in developing countries. An estimated 1.2 million people die annually from road traffic crashes globally. The young and productive age groups are more affected. Aim: The aim of this study is to highlight significant epidemiological features associated with road traffic accident victims presenting at the emergency room of Delta State University Teaching Hospital. Patients and Methods: Patients who presented at our emergency room during the period of study - April 1st to October 31st, 2015, with a history of road traffic crash and gave consent to participate were included in the study. Data on age, sex, vehicles involved, nature of injury, etc., were collected on already prepared proforma by attending doctors. Data analysis was done using SPSS version 17. Results: Data were collected from 53 victims of road traffic crash during the period. There were 35 males and 18 females (M:F = 2:1). The average age of victims was 36 ± 15 years. The most frequently affected age group was that of 20–29 years followed by 30–39 years, both which accounted for close to 60% of victims. More than half of the cases (51%) involved motorcycles. Three victims were known to have died at the accident scene (5.6%). About 40% of victims opined that cause of accident was probably driver-related (excessive speed, sleep driving, etc.). Drivers were the victims in 43% of cases, passengers in 43%, and the rest being pedestrians. Head and neck region was most frequently injured followed by lower limbs. About half of the victims (49%) had associated fractures; the tibia/fibula being the most frequently fractured. Most of the victims (60%) were conscious and stable at presentation, 34% were unconscious, and 6% were in shock. Over 90% of victims were rescued from crash scene by other road users. Those presenting direct from accident scene took an average of 90 min to get the hospital. Conclusion: Road traffic crashes commonly involve males and the most productive age groups in our society. Human-related factors such as excessive speed are thought to contribute substantially to its occurrence. Organized rescue and prehospital care are almost nonexistent. The need for drivers' education, road maintenance, and well organized rescue and prehospital care team is emphasized.
The Use Of Complementary And Alternative Medicine By Breast Cancer Patients in Delta State University Teaching Hospital, Oghara
Introduction: The use of complementary and alternative medicine (CAM) by patients with cancer is very common worldwide. This is particularly worrisome because some of the agents of CAM are biologically active and interact with conventional orthodox cancer care by either reducing their efficacy or increasing the toxicity. Aim: This study examines the prevalence, pattern of use, and factors influencing the use of CAM among breast cancer patients in Delta State University Teaching Hospital, Oghara, and their perception of the effectiveness of CAM. Methods: This was a cross-sectional questionnaire-based study. The questionnaire used was developed by Ezeome et al. for the study of CAM use in Nigeria. Results: A total of 50 patients were interviewed. Twenty-eight patients (56%) admitted to the use of CAM during their present illness. The mean age of the CAM users was 48.57 years and that of the non-CAM users was 49.50 years. The use of CAM was not affected by age, but patients with higher educational background and higher level of income used CAM more. The most frequently used CAM were faith healing (78.57%), herbal preparation (42.86%), and massage (17.86%). Thirteen patients (46.27%) used more than one CAM. The three reasons for the usage of CAM were to achieve cure (78.57%), relieve pain (42.86%), and get good sleep (32.14%). Only one patient (3.57%) had side effect from the CAM (dizziness), the others were satisfied with the use of CAM. Conclusion: There was a high rate of usage of CAM in this study with majority of the patients satisfied with its use.
Comparative Review Of Outcome Of Prolapsed And Unprolapsed Intussusception In Children
Eighemhenrio Aiwanlehi, Odion.Obomwense H, Oside CP
Introduction: Intussusception is the most common childhood cause of intestinal obstruction. It is commonly seen between the ages of 3 months and 3 years with a peak age of 6 months. The presentation is usually classical with one-third of the patients presenting with red-currant jelly stools. The outcome depends on the timing of presentation and presence or absence of complications. Patients and Methods: This was a prospective study of patients with prolapsed and unprolapsed intussusception over a 2-year period. Results: Twenty-two cases of intussusceptions were seen over the period. M: F ratio was approximately 1:1. About 72.7% were unprolapsed cases and 28.3% were prolapsed. There was no statistical difference in the ages of presentation in the two groups. Bowel resection and anastomosis was done in 37.5% of unprolapsed cases and 33.3% of prolapsed cases. Sixty-six percentage of prolapse occurred within 24 h after the symptoms of abdominal pain and vomiting was noticed by parents. Postoperative pyrexia and wound infection were more common in prolapsed cases. There was no statistical difference in the length of hospital stay in both cases. Discussion: Prolapsed intussusceptions from the anus can be an accompanying problem in children with intussusceptions and should be differentiated from rectal prolapse. There is no particular indicator of the risk of prolapse in patients with intussusceptions. The study shows that there are no significant difference in the ages, duration of surgery, or length of hospital stay in the two groups.
Awareness Of The Lichtenstein Technique Among Secondary Care Surgical Care Providers In Akwa-Ibom State
Udo IA, Umeh KU, Etuk EB
Department of Surgery, University of Uyo Teaching Hospital, Uyo, Nigeria
Background: The Lichtenstein technique for inguinal hernia repair is widely practiced because it is simple, tension-free, easy to learn, and is done as an ambulatory procedure using local nerve block. The technique is advocated as the minimum standard of care for uncomplicated inguinal hernias, and workshops have been mounted in the state to train secondary care providers on its practice in an effort to change practice. Aim: To assess the awareness of workshop attendees of the Lichtenstein technique. Methods: A questionnaire was administered to participants at a workshop on Lichtenstein inguinal hernia repair prior to the lectures and hands-on sessions. All participants were actively engaged in hernia repairs at their hospitals and had attended at least one workshop or lecture on inguinal hernia repair in the past year, while a quarter had been exposed to practical aspects of the repair in more than five sessions. The questionnaire tested eight aspects of the repair. Results: Sixteen participants, 14 male and 1 female, took part in the workshop and all completed the questionnaire. One questionnaire was rejected. The highest awareness was in the anesthetic technique (93.3%) and absence of tension (60%), otherwise awareness was generally poor. Conclusion: There is a low awareness of the Lichtenstein repair among secondary care providers of surgical care in the state. Regular hands-on training and re-training is mandatory to change practice.
A Prospective Study Of Colonoscopy In The University Of Benin Teaching Hospital: 2009 – till Date
Irowa Omorodion O, Okoro Eseosa P, Nwashilli Nnamdi
Background: The practice of colonoscopy in the Benin University of Benin Teaching Hospital (UBTH) dates back to the early 80's, but waned in the 90's. Lately, there has being renewal of the practice from 2009 till date with the acquisition of colonoscopy equipment and accompanying manpower development. The colonoscopy suite now has trained personnel at consultant level and residents in training. Aims/Objectives: The aim of this study is to review and evaluate the practice of colonoscopy in Benin and then share our experience. Methods: Data were collected from a prospectively kept record of all clients/patients who had colonoscopy from 2009 till date in the special investigation unit of UBTH. The demographic data, indication, colonoscopy findings, procedure, and complication were reviewed. Results: A total of 302 colonoscopies were done over the period of study. The most common indication for referral was bleeding per rectum (27.8%) and majority of the patients were in their sixth and seventh decades of life (50%). Our cecal intubation rate was 86%. There were positive findings in 61.8% with tumor constituting 28% of these. The site of this new growth was mainly the rectosigmoid (68.5%). The procedures done were biopsy and polypectomy (50.6%); polypectomy - 5.2%. The complications noted were bleeding in a patient and perforation in 2 (1.3%) of the total procedure. Conclusion: Bleeding per rectum is the most common indication for colonoscopy in our center. In our series, the presence of a new growth is the most common finding, mainly in the rectosigmoid. Cecal intubation rate was quite high and the risk of perforation was very low.
Acute Abdomen: Etiology And Outcome Of Patients Seen At The Delta State University Teaching Hospital
Akpo EE, Nwaokweanwa C, Onerhime T
Background: Acute abdomen is a common cause of morbidity and/or mortality in emergency units. The incidences of the etiology of acute abdomen among health institutions vary. Aim: To describe the etiology and outcome of acute abdomen at the Delta State University Teaching Hospital (DELSUTH), Oghara. Methods: A prospective study of all patients with acute abdomen seen at the emergency section of DELSUTH between November 1, 2014 and October 31st, 2015 were reviewed. Gynecological and medical causes of acute abdomen were excluded. Results: A total of 125 patients were reviewed. Age range = 1 month –90 years. Mean age = 30.7 ± 21.4. Male: Female ratio = 1.7:1. The etiology of acute abdomen include abdominal trauma, 38 (30.4%); acute appendicitis/ruptured appendix, 25 (20%); perforated peptic ulcer disease, 19 (15.2%); bands and adhesions, 17 (13.6%); intussusceptions, 10 (8%); obstructed hernia, 6 (4.8%); volvulus, 5 (4%); typhoid perforation, 3 (2.4%); and colonic tumor, 2 (1.6%). Emergency surgery was carried out on 109 (87.2%) patients. There were 13 deaths (10.4%) (6 occurred in the emergency room), 2 (1.6%) signed against medical advice, and 1 (0.8%) was referred. Conclusion: Trauma is the main cause of acute abdomen in DELSUTH. Improvement in emergency care services is advised for patients seen in the teaching hospital, particularly postoperatively.
Epidemiology Of Trauma In The Delta State University Teaching Hospital
Bock.Oruma AA, Esieke KL
Department of Accident and Emergency, Delta State University Teaching Hospital, Oghara, Delta State, Nigeria
Background: Trauma is a leading cause of disability and preventable death. One of the effects of civilization and the quick adaptation to industrialization of developing countries such as Nigeria can be seen in the patterns on trauma presentation to the Emergency Department (ED). This study aims to describe the epidemiological factors, mechanism of injury, and disposition of trauma patients seen at the ED of Delta State University Teaching Hospital (DELSUTH). Methods: Data were collected from the departmental records of the trauma cases who attended the ED of DELSUTH between January and December 2014. Variables assessed include age, sex, mechanism of injury, trauma patterns, and their dispositions. These data were collated and analyzed using SPSS 16 and Microsoft Excel. Results: The total number of adult patients analyzed with different patterns of trauma in the period of study was 353. The mean age was 32.72 years, age range of 17–91 years. About 72.3% of the patients were within ages of 20–44 years, 66.7% of the Gun Shot Wound (GSW) were within the ages of 20–34 years, 80% of the assault cases were ages of 20–34 years, and 69.9% of the burns patients were between 20- and 39-years-old. The sex prevalence was males 267 (75.6%) and females 86 (24.4%). Road traffic accidents accounted for most cases of trauma seen with 218 (61.8%). Assault and GSW accounted for 62 (17.6%), burns, 9 (2.5%), and other trauma 60 (17.0%). Description of trauma patterns showed 88 (24.9%) with traumatic brain injury, fractures, 68 (19.3%), bruises and lacerations, 62 (17.6%), and multiple injuries 18 (5.1%) among others. Their dispositions showed 165 (46.8%) admissions into the ward, 87 (24.6%) discharged home, 19 (5.4%) discharged against medical advice, 34 (9.6%) to theater, 6 (1.7%) to Intensive Care Unit, 17 (4.8%) died, 24 (6.8%) were referred, and 1 (0.3%) absconded. Conclusion: Trauma affects mostly the young and productive workforce of the society leaving a trail of morbidities and mortalities. It also impacts negatively on the burden of noncommunicable diseases both to the society and the health sector. Stakeholders should do more to reduce this burden.
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Awareness Of The...
A Prospective St...
Acute Abdomen: E...


text:
Yahmureh-ye Seh (, also Romanized as Yaḩmūreh-ye Seh) is a village in Shoaybiyeh-ye Gharbi Rural District, Shadravan District, Shushtar County, Khuzestan Province, Iran. At the 2006 census, its population was 111, in 21 families.

References

Populated places in Shushtar County


Jordan Searcy and Taylor Phelan battled it out with 'Breakeven' by The Script on The Voice 2014 Battle Rounds, October 14, 2014.
Here's what the judges have to say about their performance.
"That was a class. You both are so real, I got so lost when judging," said Gwen. "Jordan you did a difficult crisp that you did so well.. I was expecting that with Taylor. Taylor has great stage presence," said Adam.
"There is something in the way taylor attacks when he is singing," said Blake. "You guys both improved incredibly. You guys both did a great job," said Pharrel.
The winner of the battle is Taylor, he is moving to the knock out rounds. No one steal Jordan.


Box type modern contemporary house plan in an area of 3289 Square Feet (306 Square Meter) (365 Square Yards). Design provided by Greenline Architects & Builders, Calicut, Kerala.
Ground floor area : 1992 Sq.Ft.
First floor area : 1297 Sq.Ft.
Total area : 3289 Sq.Ft.
0 comments on "Modern box model 3289 sq-ft"


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text:
Digital Transformation Is Changing Youth Perspectives On Business
Kayleigh Alexandra Brand Contributor
Grads of Life BRANDVOICE
Storytelling and expertise from marketers
| Paid Program
The U.S. economy is in something of a boom period. Theories about the reasons abound, but it's inarguable that the technology industry is playing a significant role in the healthy condition of American business. With high average wages and rapidly-expanding role possibilities, it's no surprise that 34,000 tech startups were formed in 2017.
Furthermore, digital technology extends past those confines to influence every sector, enhancing how entire industries operate: automating what it can and easing inconvenience for manual tasks of all varieties. Even someone who avoids technology in their professional life with invariably accepts it for personal use.
But what can we make of the qualitative impact of digital technology on American business? Is it something to be wholeheartedly celebrated, or must we sound a note of caution? I have mixed thoughts — I'll elaborate.
The internet as the grand American equalizer
America is a nation of extraordinary contrasts that have only become sharper in recent times. National law comes into conflict with state law. The GDP leads the world yet 40 million people live in poverty. Antipathy between Democrats and Republicans continues to spiral out of control.
Yet beneath all of this, and in spite of it, progress quietly marches on, often unnoticed. And for all the obvious damage that has been done using digital technology — the unbridled rage exposed through social media, the jobs lost through automation — it remains a powerful force for much-needed equalization of opportunity.
Not just through supporting vital causes through exposure, petitions, and fundraising campaigns, it bears noting, but fundamentally through allowing anyone with a modern computer and a decent data connection to pursue their dreams without needing support or even permission from anyone else.
For what is the internet but a starter kit for the American dream (in both of its forms), polished to a shine and made accessible at low cost? A virtual landscape in which anyone, regardless of their color, sex, background, qualifications or finances can achieve self-improvement and stake their claim for a patch of American-style prosperity.
Opportunities abound for digital entrepreneurs
As internet infrastructure has rapidly spread throughout the nation and become a staple, the fundamentals of business that have stood for so long have begun to shift. Rigid company structures are becoming malleable and contending with a surge in entrepreneurial spirit. If you want to leave the safety of the corporate ladder and strike out on your own, there have never been more tools for building an independent professional future.
Consider the rise of crowdfunding platforms such as Kickstarter, GoFundMe, and Indiegogo, plus the subscription-based support model that now allows content creators of all kinds to effectively draw salaries outside of the typical business structure through systems like Patreon. Even when the financial viability of monetizing YouTube videos was at its zenith, it never seemed sufficiently stable to be a long-term solution — but crowdsourcing is.
And the opportunities aren't just for seasoned adults looking for reinvention. Over the last decade, college attendance in the U.S. has hovered around the 20% mark, a remarkable stat from a historical standpoint. However, this is also contributing to the perceived devaluation (whether warranted or not) of many formal qualifications, requiring each student year to achieve even greater results to keep up.
Consequently, a teenager today might well envision two possible futures: one in which they continue with the typical system, pursue numerous qualifications, and trust that things will work in their favor, and another in which they work independently to advance their interests by developing their skills, documenting their progress, learning to trade and invest, buying and selling businesses online, building connections, and becoming self-sufficient. With its freedom and creative potential, it's hard to deny the potential of the latter approach.
Infrastructure must develop to withstand the rate of change
Despite the accessibility of digital technology, there remains a notable disconnect between the tech-savvy and those struggling to find a place in the digital nation. The barriers to entry aren't merely financial or practical — they're also attitudinal. Many people, particularly those from families negatively affected by automation, are reluctant to adapt, and many more lack the willingness to reskill later in life.
This isn't a problem that can be overcome with any urgency, but it's imperative that the educational system continues to pivot curriculums towards digital skills. Programming, AI development, machine learning, analytics, data-driven strategy: if business is to adapt at all levels, it will need a formidable baseline of understanding.
The growth of American business may be strong as we approach 2019, but this is no time for resting on laurels. The wave of innovation is largely global, and if the U.S. economy is to retain its lofty position, it's clear that digital enterprise must become an even greater focus.
This article was originally posted here.
Kayleigh Alexandra is a content writer for Micro Startups, a site dedicated to supporting startups and small businesses of all shapes and sizes. She's curious to see wha...


Announced August 17, 2015, QVC is paying $2.4 billion to buy internet retailer Zulily Inc.
QVC's parent, Liberty Interactive Corp. , said Monday that it would pay the equivalent of $18.75 a Zulily share, representing a 49% premium to Friday's closing price of $12.57 a share.
Did Alibaba have good timing, good luck, or just the right amount of inside knowledge? They certainly appear to have timed their stock purchase well.
Learn more about Alibaba here on Apparel Search.


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text:
Mindfulness & Expressive Arts Therapies
Maternal Mental Health
The Resilience Team
Barbara Reese
Vanessa Matos
Kristen Palmieri
Tracy Fredericks
Sally Duerr Rodriguez
Join The Resilience Team
Who We Treat
DBT Services
Resilience DBT Services
What Is DBT?
Helpful Resources DBT
Eating Disorder Groups
DBT Skills Groups
CEDS Certification
The Resilience DBT Therapists
Ms. Kristen Palmieri, MSW, LCSW
Ms. Palmieri is a Resilience DBT Staff Clinician. She is a Licensed Clinical Social Worker and provides evidenced-based treatment for Eating Disorder Recovery and and Mental Health Counseling to children, adolescents, adults, and families.
As an Eating Disorder Clinician, Ms. Palmieri works with teens and adults with the full range of eating disorders, anorexia, bulimia, and binge eating disorder and is a firm believer in full and complete recovery is the treatment goal. She advises early intervention and assessment of eating disorders, when prognosis is the best.
She received her training in CBT-E for the Treatment of Eating Disorders, from the Credo-Oxford Institute in the United Kingdom, developed by Christopher Fairburn. Ms. Palmieri is experienced with Family Based Treatment for Children and adolescents, as well as its impact of siblings and families
Ms. Palmieri received her Foundation Training in Dialectical Behavior Therapy from Behavioral Tech, the training Institute of Marcia Linehan. As a Resilience DBT Therapist, she is committed to DBT as a comprehensive treatment method and prevention tool for emotional dysregulation in children, adolescents, and adults. Ms. Palmieri specializes in treating depressive disorders and anxiety disorders— PTSD, panic, OCD, generalized anxiety and social anxiety. She is skilled in providing Cognitive-Behavioral Therapy and holds a certificate in Trauma-Based CBT for children and teens.
Ms. Palmieri believes her greatest strength as a therapist is her capacity for fostering a strong therapeutic rapport with her clients. She believes building relationships based on trust, transparency, and hope, are essential for client growth. Ms. Palmieri provides evidence- based interventions that assist the client in reaching their goals in an empathetic and non-judgmental environment. She believes the most effective way to create change is through collaboration and the utilization of the client's strengths. Ms. Palmieri is enthusiastic to facilitate positive transformation with her child, teen, and adult clients.
Ms. Palmieri a professional member of:
* The National Association of Social Workers
* The International Association of Eating Disorder Professionals
33 Plymouth Street, Suite 105
Montclair, NJ, 07042
Resilience DBT & Eating Recovery
at Resilience Therapy Collaborative, LLC
ResilienceDBT-ED.com
Telehealth services offered in:
New Jersey * Florida * Maryland
© 2021 Resilience Therapy Collaborative


text:
Q: Server does not receive the self-signed client certificate Client certificate:
Self-signed, made using the following commands:
Test CA:
makecert.exe -n "CN=My Test CA" -r -sv MyTestCA.pvk MyTestCA.cer

Test client certificate:
makecert.exe -ic MyTestCA.cer -iv MyTestCA.pvk -pe -sv MyTestClientCert.pvk -a sha1 -n "CN=MyTestClientCert" -len 2048 -b 01/01/2015 -e 01/01/2030 -sky exchange MyTestClientCert.cer -eku 1.3.6.1.5.5.7.3.2

Server:
Windows Server 2019. SSL setting: accept client certificate. IIS.
The test CA installed in trusted root CA, and the test client certificate installed in

*

*Local computer | Personal & trusted people

*Current user | Personal & trusted people

Client code:
X509Certificate2 clientCertificate = null;
X509Store userCaStore = new X509Store(StoreName.My, StoreLocation.CurrentUser);

try
{
    userCaStore.Open(OpenFlags.ReadOnly);
    X509Certificate2Collection certificatesInStore = userCaStore.Certificates;
    X509Certificate2Collection findResult = certificatesInStore.Find(X509FindType.FindByThumbprint, strClientCertThumbprint, true);

    if (findResult.Count == 1)
    {
        clientCertificate = findResult[0];
    }
}
catch
{
}
finally
{
    userCaStore.Close();
}

if (clientCertificate != null)
{
    X509Chain chain = new X509Chain();
    var chainBuilt = chain.Build(clientCertificate);
    Log.Write(LogLevel.Debug, string.Format("Chain building status: {0}", chainBuilt));

    if (chainBuilt == false)
        foreach (X509ChainStatus chainStatus in chain.ChainStatus)
            Log.Write(LogLevel.Debug, string.Format("Chain error: {0} {1}", chainStatus.Status, chainStatus.StatusInformation));

    WebRequestHandler handler = new WebRequestHandler();
    X509Certificate certificate = clientCertificate;
    handler.ClientCertificates.Add(certificate);
    //handler.ServerCertificateValidationCallback = new RemoteCertificateValidationCallback(ValidateServerCertificate);
    handler.ClientCertificateOptions = ClientCertificateOption.Manual;
    m_httpClient = new HttpClient(handler);
    Log.WriteNamed(LogLevel.Debug, "CimWebApiClient", "[Constructor] Client certificate retrieved successfully from the store.");
}
else
{
    m_httpClient = new HttpClient();
    Log.WriteNamed(LogLevel.Debug, "CimWebApiClient", "[Constructor] No client certificate found in the store.");
}

m_httpClient.BaseAddress = new Uri(strCimWebApiBaseAddress);
m_httpClient.DefaultRequestHeaders.Accept.Clear();
m_httpClient.DefaultRequestHeaders.Accept.Add(new MediaTypeWithQualityHeaderValue("application/json"));

The certificate is located, but the "chainStatus.Status" has "The revocation function was unable to check revocation for the certificate."
Server code:
public class RequireHttpsAttribute : AuthorizationFilterAttribute
{
    public override void OnAuthorization(HttpActionContext actionContext)
    {
        string strSettingsCsv = ConfigurationManager.AppSettings["Require HTTPS,Client cert thumbprint,Issuer,Subject"];

        WebApiHelper.GetWebApiSecuritySettings(
            strSettingsCsv,
            out bool bRequireHttps,
            out string strClientCertThumbnail,
            out string strClientCertIssuer,
            out string strClientCertSubject);

        if (bRequireHttps && actionContext.Request.RequestUri.Scheme != Uri.UriSchemeHttps)
        {
            actionContext.Response = new HttpResponseMessage(System.Net.HttpStatusCode.Forbidden)
            {
                ReasonPhrase = "HTTPS Required"
            };

            Log.WriteNamed(LogLevel.Error, "RequireHttpsAttribute", "[OnAuthorization] HTTPS required, but request is not via HTTPS.");
            return;
        }

        if (strClientCertThumbnail != null && strClientCertIssuer != null && strClientCertSubject != null)
        {
            var cert = actionContext.Request.GetClientCertificate();

            if (cert == null)
            {
                actionContext.Response = new HttpResponseMessage(System.Net.HttpStatusCode.Forbidden)
                {
                    ReasonPhrase = "Client Certificate not present in the HTTP request."
                };

                Log.WriteNamed(LogLevel.Error, "RequireHttpsAttribute", "[OnAuthorization] Client certificate required but not present in the HTTP request.");
                return;
            }

            if (cert.Thumbprint != strClientCertThumbnail || cert.Issuer != strClientCertIssuer || cert.Subject != strClientCertSubject)
            {
                actionContext.Response = new HttpResponseMessage(System.Net.HttpStatusCode.Forbidden)
                {
                    ReasonPhrase = "Client Certificate cannot be validated."
                };

                Log.WriteNamed(LogLevel.Error, "RequireHttpsAttribute", "[OnAuthorization] Client certificate in the HTTP request cannot be validated.");
                return;
            }
        }

        base.OnAuthorization(actionContext);
    }
}

Server always returns 403, "Client Certificate not present in the HTTP request".


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Well, if transition is defined by a change from one state to another, then moving is the literal embodiment of transition.
And moving you must do, at one point or another. I have not met a single person who loves to move, even if they transition every two to three years. You might be a pro, but you don't have to like it!
Because a stress-free move is pretty much like a unicorn — lovely, hoped for, but not real — I want to share with you some thoughts on how to have a less stressful move.
Get yourself and family ready for the move by having each member of your family dream about what they want their new space to be like. Collect pictures on Pinterest, craft a vision board, or have kids draw their new rooms. Have family time to show each person's dream space and talk about hopes and fears.
This helps get everyone excited and can give ownership of the process to each member of the family, especially if you have little ones. It can also help you manage expectations better, which is super helpful if you are moving to a very different space, i.e. from a giant Texas suburban house to a compact, urban German apartment.
Please, for the love of all things from The Container Store, DO NOT MOVE WITHOUT PURGING. I beg of you – I've actually unpacked trashcans full of trash! The movers will have less to pack and move, and you will save yourself time and energy in unpacking, organizing, and getting settled.
There are some things that you will not use much, but need to keep. Other things can be donated, recycled, thrown away, or shredded.
Think about what is in your current space and then where you want items to go in your new space. Then collect the items that will go together in the new space and have them grouped together, so the movers can box them together and move them straight into the room they need to go to.
This might be putting U.S. appliances in a corner to be packed and having international appliances in another corner. Or pulling all winter clothes together in a guest room, so they can be boxed together and unpacked together. This might be super helpful if you are moving to a climate that is vastly different than the one in which you currently live and will need immediate or infrequent access to those winter items!
Work in advance with purging and grouping things together by priority zones. Begin, well in advance of your move, with what is the least used in your home and start purging and categorizing (and inventorying if you need to) with those items. This would be items in an attic or basement or out in the garage. Then move to items in guest rooms or back closets or things squirreled away under beds.
Working in priority zones allows you to spread out all the decisions you have to make in the moving process. It also allows you to focus on purging and packing the most frequently used items closer to your move date.
I hope these tips and ideas are helpful. If you get stuck and overwhelmed, call a professional, be it a professional organizer, a house cleaner, or whatever you need. You don't have to do this move alone. And as always, if you have questions, do let me know. I'm here to support you in any way that I can!
Suzanne is a holistic, professional organizer who provides restful and organized homes for busy military spouses — just like you — so you can have time to focus on the important things in life. You can learn more about her work on her website, suzanneholsomback.com.