The Host Microbiome Initiative (HMI) of the University of Michigan Medical School Fast Forward Strategic Research Initiative was established to make advanced microbial research available to the medical school community at large. The progress of the HMI has resulted in the expansion and solidification of infrastructure needed for cutting-edge research related to the interactions between microbes and the mammalian host. As the HMI moves forward it is important to not only support investigators who are currently in this area but to lower the activation energy required for individual researchers who wish to explore how a microbial component could augment their current research programs. Toward this end, the HMI initiated a "kickstarter"-type program to assist investigators explore the role of the microbiome in their current research area of interest. The Microbiome Explorer Program (MEP) provides experimental design assistance and technical/analytic support for preliminary investigations.
Investigators who are interested in incorporating microbiome studies into their research should contact either Vincent Young, or the HMI program manager: Michael Dority. Using a venture capital model, investigators will be partnered with HMI experts who are involved in the HMI. Dr. Young will work with investigators to design potential projects that utilize HMI resources and apply them to their own ongoing research programs. Potential projects will be reviewed by the HMI Local Executive Committee members: Kathryn Eaton, Peter Higgins, Yvonne Huang, John Lipuma, , Harry Mobley, Gabriel Nuñez, Mary O'Riordan, Randy Seeley, Patrick Schloss, Thomas Schmidt, and Vincent Young.
The necessary expenses for microbiome services (including study design, nucleic acid isolation, data generation and data interpretation) will be borne by the HMI through a set allocation to the MEP. This is not a "pilot project" program as no funds will be available to conduct the experiments themselves or collect new specimens. It is envisioned that the MEP will allow investigators to add microbiome aspects to their ongoing research projects. It is hoped that this partnership will lead to publications and ultimately external funding that leverages the resources made available at UMMS through the Host Microbiome Initiative.
The HMI is dedicated to serving as a springboard for innovative microbiome projects and support research that builds a comprehensive microbial systems understanding of microbiome/host interaction.


HELP NEEDED: Truck Campers for fultiming? Models, considerations, etc.
Re: HELP NEEDED: Truck Campers for fultiming? Models, considerations, etc.
I think you're heading for a disappointment planning to take a large TC off the beaten path. We do a lot of less travelled roads and find that even large 4WD pickups often have problems staying with us. Trees and branches can be a problem in wooded areas and rocks in the more open ones. In both the slope side to side is often quite steep.
Our idea isn't do to crazy rock-crawling 4WD off-roading with the camper, but just to go further than 5thWheel would allow us to.
Also, trees and branches aren't a real concern as we like much more to camp in desert areas than in heavily forested ones.
I'd suggest some research before relying on the assumptions you have made.
Thanks for the suggestion, but would one go about researching that? We have no 4WD experience... our plan is to try it out with the camper first, and if we find it doesn't work for us (or don't buy us enough out-of-the-beaten-path capabitilty to offset its restriction inconveniences) then we can always sell the camper later and buy a 5thWheel, all the while keeping the truck, right?
A final thought is that if an empty 2WD pickup can't make it, a heavily loaded 4WD won't either. And don't forget the winches if you do try this!
Good tip re: the empty 2WD pickup rule. Alas, we do plan on having a winch (plus carrying around shovels and a couple of 4x2s plus a ground/sand anchor) to help us get out of eventual mishaps... but our first rule is to use 4WD to get us *out* of trouble, not *into* it.
Host Campers "Mammoth" model. About 11'6" or so. 4000lbs. Probably the nicest camper we've seen, built in Bend OR.
Follow your retirement dream any way you desire!
The Host Mammoth & Everest are nice and among the 3-slide TC's. We have pretty much settled on the Eagle Cap 1165, also a 3-slide unit. It sounds like the OP does not want to go this large with slides, but for us because of our two large dogs we need more floor space which the 3-slide units offer.
Have you looked at the Adventurer TCs? They have models made for trucks that don't require a dually. And then they have the lux models that do need one. Quality-wise, they are similar to the Arctic Fox. We just love the Arctic Fox models and were looking at the Arctic Fox 1140. However, the Adventurer 116DS is a dual slide and it also has a California King size bed, plus it has recliners & a separate dinette. I absolutely love the layout. It's a wet bath, but the shower is on the other side of the sink, so you're not right on the toilet to use it. I'm usually opposed to wet baths, but I would actually use this one.
Like you, we're new to RVing and are still in the planning stages. We were looking at trucks & TTs, but were intrigued by the TCs we saw. We went to an RV dealer and fell in love with the Arctic Fox 1140. We would love to have the freedom to dry camp just about any where and the TC would give us that freedom.
I haven't yet seen the Adventurers in-person, but we found a dealer that's about 4 hours away. We may take a "field trip" over there to see how they compare to the Arctic Foxes. I just love the construction on the Arctic Fox and it is so incredibly roomy inside with the cathedral arch roof. My husband & I would be quite content in it.
Our debate has been: do we just go ahead and get a dually now and the top-of-the-line TC? Or do we get a smaller truck with a smaller TC and upgrade down the road when we have the ability to RV 3/4 to nearly full time?
I'm excited to see what your final choice will be. Keep us posted!!!
We will keep looking and planning, and when decide we will post the results here.
The answer to the question on which direction to go relative to your intended needs, is do you prefer to trade vehicles in every couple of years or do you look long term and want to hang on to a vehicle as long as possible? If you do not have an aversion to trading up short term and your intended truck camper does not require a DRW, then likely a SRW will be perfect. If on the other hand your truck purchase is expected to last a long time, then I would argue a DRW makes sense as it will allow you to step up in the future to a larger TC if you decide to without having to buy another truck and in the interim you will have the added stable platform a DRW provides.
Id invite you to search youtube with full time truck camper keywords. Watched a few interviews (cheaprRVliving channel) about truck campers. One guy had a tacoma with airbags for his truck. another was an F250 with 7.3 for 2 people. so it can be done. Depends on your neeeds. If you dont need a bathroom in it, youll save space and weight.
But to the nay sayers...its very possible.
Good suggestion, these videos are worth looking at and I agree it is possible. As a matter of fact when my wife mentioned our plans to go fulltime in a truck camper to her sister, her reply was "you have got be kidding", well yesterday her sister was in town to visit and we showed her our truck camper and she was like "wow, now I get it and see the possibility".
luckily you got a dually. endless options!
Remember you can always park up and take a tent for a few days if you are somewhere really rough. We have been on several 4x4 roads with our truck that have been very bouncy indeed. Great fun though.
I'm sure some folks here must take theirs off road so hopefully you will get feedback on feasibility of doing that.
Good luck with your search, look forward to the results!!
If I were a single man I'd buy a TC or camper van in a heartbeat. I need little space to live in. Most of my time I spend working on the computer or outside enjoying nature. I'd love the freedom to be able to go to spots other RVers aren't able to get to. It's freedom. Also a smaller space would be easier to heat or cool. I believe that's what the OP wants too. However as a married man it wouldn't work well for us. My wife wants to go to those places too but for her room is more important. Which is fine because there are a lot or beautiful places we can go in a larger setup.
I can't imagine trying to full time in that small a space. DW and I used to use a class C. It was great for a long weekend. It was adequate for a two week week trip. It was barely ok for a three week trip. Then, I retired. We set off on a six week trip, that about drove us nuts. At one point, we had three successive days of heavy rain. Talk about cabin fever. We came home, and bought a truck and 5th wheel.
The TC is not the only way to get off road. There are a few rugged, off road RVs made. See http://www.pddoc.com/camp/mini003.htm, or for the ultimate. see the Unicats https://www.unicat.net/en/index.php.
We just returned from our maiden voyage in our new truck camper we will be full timing in at the end of this year and was a rousing success. We found it provided all the room we really need, we were comfortable and happy, even with our two big Akitas. We had two other campers want to take a look of our TC, one who is considering the make/model we have and another who was curious. Both were skeptical about full timing in a TC. When they came in they were completely blown away and could not believe the space provided with the three slides. One said "I get it now" the other a full timing couple wanting to downsize from their 5th wheel, sent his wife over, saying she needs to see this and now they are looking to buy. We are fortunate enough to have 3-slides which is what we felt we needed for our F/T travels, but there are others full timing in double, single and no slides TC's that make it work and enjoy it, hell there are folks full timing in class B's and we have more space in our TC than any of the class B's we have seen. Granted it is not for everybody, but 5th wheels, Class A's, C's & B's are not for everyone either. To the OP it can be done if it is important enough to you. It comes down to what is the most important thing for your needs? In our case it was more mobility and we have found we get that in our TC with minimal sacrifice to space. Good luck in your journey.
One concern I have about the big slide truck campers is their high center of gravity. Raise the floor level a couple of feet above the truck bed so the slides can clear the bed rails, put it on a 4wd pickup that's taller than the 2wd version and unless you're carrying rocks for ballast in that basement compartment, things can get tippy in a hurry. Even if you beef up the suspension, all that means is you won't get a lot of body lean before things go south.
Then there's the basic structure of the platform. A truck camper rests on a 4 ft. wide footprint in the truck bed, limited by the space between the wheel wells. A conventional Class A or Class C is supported across the entire width of the body. Basically, the only thing that keeps a tall truck camper from rolling out of the bed are the tie downs, which pull downwards instead of providing support.
If I wanted a rig to take back into the boonies, I think I'd look at a conventional trailer that contains the essentials needed to support a full time lifestyle and could be left behind as a base camp. Then put a smaller and lighter camper on the truck, maybe even a pop-top model.
A legitimate concern Lou and one I had as well. After talking with several owners of these multi slide TC's about my concerns, did we feel comfortable enough to make the purchase. Now having driven with our TC I can say, I notice the difference but not anywhere near the point of a white knuckle experience. Driving conservatively, being mindful of the higher COG and weight make it a very doable drive.


Lily grew up in the countryside, just a stones throw away from the Hidden Woods base itself. Having developed a keen appreciation for the natural world from a young age, Lily went on to study a BSc in Applied Zoology. Since then she has taken on various roles surrounding her love for the outdoors including; working as an ecologist, working on the popular BBC Springwatch programmes and spending time in Minnesota, USA, working with wild American black bears. She wants to help inspire the next generation of nature lovers by getting out in the woods and teaching people of all ages about the wonderful wildlife and nature that we are lucky enough to have right on our doorstep! Lily is First Aid trained and has enhanced DBS disclosure.


Sweet escapades: de-stress protocol for commoners.
In case you didn't know, we beat the Matta fair rate.
Everyone have their own opinion and as for me, I love the way I travel, as backpackers – off luxury which suits the commoner level very well but yet still manage to enjoy the city to its heart. This is the adventure of 5 girls and a guy exploring Singapore heart and soul. We had a splendid time in Singapore for one whole day!
Our first spot is Orchard Road. Orchard Rd displays Prada, Louis Vuitton, Gucci, Ferragamor, Coach, Jimmy Choo and all-you-can-name designer brands on its front row. A definite place for glam and fab but before stepping into any of these shops, make sure you have that platinum no-limit credit card because you'll need it even for a small souvenir keychain.
We then head to Al-Falah Mosque but there still half an hour before Zuhr prayer. So, we plan we hit the Seven-Eleven and had ramen cup. Unfortunately, there's no hot water and according to the local Muslim girl, there's Muslim shop at the end of junction. There also KFC which is Halal (recognized by Singapore Halal Federation). So, we walk a bit further from the mosque and Kak Jmie saw H&M – my favorite. As far as I know, H&M is basically from Europe and I start dating with her while in Germany. I'm specifically looking for a bracelet- a gold and very Egyptian like- another product from H&M that makes me skip beat. But, because our time is very limited and I'm kindda in tight wallet, I'm glad Kak Jmie didn't decide to drop by there. Or, I'll be crazy! Seriously!
From Orchard we took a metro to Chinatown. Every signs are written in strokes, so immediately you knew you went off at the right station. The Chinese essence bloom from the chopstick with Chinese zodiac printed pattern to red lanterns that decorate the skies. The best part about Chinatown is its affordable. I bought a fridge magnet with fun sayings about Singapore "fine" city at only SGD2. Kak Jmie bought her "fine" tee at SGD 15,90. There's Tintin Museum – the famous animated detective and Coin Museum. You'll get to see how large the world largest dim are- well at least that's what they call the big stone outside the museum. They left it outside because I bet a thief will think twice to steal them – super size heavy! There's shrine too, where tourists get to experience the temple closer. Other eye-catchy things are the food. We have snakes and large centipedes or hairy chestnut for you to try if you dare enough. Or maybe you would just want to stick to Fried Keow Teoy or cold Lai Chi Kang, it's all there.
Next is Vivo City. Vivo City was magnificent. There's National Geography Museum and who ever can resist that. Excellent photos from professionals, remarkable discoveries, tempting souvenirs and astonishing gallery. Unfortunately no photos allowed, so the only proof that I've been there is a photo of me sitting awarkdly on the glowing Nat Geog globe. I enjoy myself dearly being there but will do more if I can try the frosting challenge. I wouldn't be surprised if suddenly I went off there just to try on the game. Vivo City didn't stop there. At the top level, there's cable car which allow you for a skyway experience. Vivo City has lots of great food to offer. From Korean bibimbap, to Japanese bento, to sweet mango shredded ice-cream, and handmade noodles – all are halal.
This excitements continue. We head off to the city most famous landmark- the Merlion. I simply can't describe the experience in words. Maybe because of the warm weather, or maybe because the breath-taking park, or maybe because the fun I had with my dearest friends that turn everything awesome. We went to Esplanade. We get to watch a Sunda performer performs a fascinating performance. I took a first few minutes video. Then, we get to vote some arts and I get a cute short pencil as souvenir. We can't be too long at the art gallery because we need to catch metro to get to mosque in Arab St.
The Arab Street was a wrap off. We stop for dinner at this lovely little Italian restaurant. The decor was all English, so you can tell the owner took anything out of her house and put it here and there just live up the space. The owner lady is very polite and modest. She's a Malay who originated from Johor but live in Singapore. They even apologize for the food that they assume to be a bit salty but actually turn to be superb. The bologneise sauce taste homemade – just the way they promised. My linguine is cook to perfection. Raja's fish and chips is a big course. We enjoy the meals so dearly, that I forgot my camera for while. Not much photo from the inside of the shop. But I would greatly recommend this to everyone. A taste you must go for.
« The adventure of a traveler and his privilege.


WAS ESTABLISHED IN DUBAI, UAE IN 2001. 'Capriole' is taken from the equestrian meaning - leap to an elevated position that a horse can only achieve by coordinating its strength, confidence and shear Willingness to perform. We chose 'Capriole' as the name of our company to symbolize our commitment to these values.


Our SE-To-Go cards are a great tool to help your people answer questions when they are out and about serving, questions such as: "What is This About?" "What Do I Say?", "Keep In Mind" and "Ideas for Noticing Others".
This great, little bookmark-sized card is approx 2" X 5.5" and comes with a glossy finish to withstand any weather you might face.


Since the armed conflict ended, the military has continued to confiscate public and private land largely under the pretext of security. While many military camps have been created for the army and navy, the government has also resettled thousands of Sinhalese soldiers and civilians from the South in Tamil areas by incentivizing them with free land and permanent housing. This is occurring while 57% out of 138,651 households already residing in the North remain in transitional or emergency shelters while only 32% have permanent homes. Consequently, land grabs are reigniting fears of a concerted effort by the government to change the demographics of Tamil areas in the North and East.
Economic: In Tamil areas, the Sri Lankan military has exerted its influence in almost every aspect of the economy and often in competition with and at the expense of IDPs. Agriculture and fishing are primary sources of income for Tamils and land grabs have prevented these communities from pursuing their livelihoods. The army has acquired large swathes of land to set up farms for cultivation, which has left Tamil farmers without land to re-engage in their only livelihood.
The acquisition of these lands has also allowed the army to engage in business ventures such as hotels, shops, restaurants, power plants, tourism, selling produce, and airline services. The military has put many Tamils out of business because they are unable to compete with government subsidies to the military. A survey by the UN indicated that only 9% of 138,651 resettled families in the North have found permanent employment.
As one Tamil political party noted, "[b]y appropriating the limited economic opportunities that might otherwise be used by local residents to bring income and revenue to the fragile local communities, the military is sustaining and reinforcing the cycle of poverty. With the access and advertising support of corporate entities in the South and the unfair benefits of highly subsidized cost structure through the use of state infrastructure the military is distorting and suppressing any attempt at economic recovery in the North." Subsequently, the military's control over development policy and land has sidelined the Tamil civil administration and suppressed efforts to address the immediate needs of internally displaced persons and returnees.
Women: Women's economic situation has been particularly precarious with an estimated 89,000 war widows in the North and East. With the increase of female-headed households, lack of access to resources, and the inability to compete with businesses run by the military, land grabs in Tamil areas have made livelihood opportunities nearly impossible with many women resorting to prostitution and sexual favors as a result. Due to the lack of economic opportunities and money, large numbers of children in the North and East are also dropping out of school to help their families survive.
Additionally, land grabs have put women at a disadvantage because many lack documentation to prove property rights and land titles are often in the name of male relatives. There have also been reports of harassment against women who brought court cases over land disputes.
Promoting a Sinhala-Buddhist Identity: Land grabs are also being justified under the pretext of building Buddhist temples and statutes in Tamil areas, a population which has traditionally been Hindu or Christian. In addition to changing place names from Tamil to Sinhalese, the creation of monuments and war museums that celebrate the Sinhalese victory are creating additional grievances. Many of these museums and monuments built in Tamil areas are only open to the Sinhalese and have been built over destroyed Hindu temples or on private land without permission. The continued promotion of Sinhala nationalism and triumphalism through land grabs, five years after the war, has done little to kindle reconciliation.
Destroying Evidence of War Crimes: Last month, the United Nations Human Rights Council passed a resolution calling for an international inquiry into allegations of war crimes during the last stages of the war in Sri Lanka. Reports indicate that the military, with the knowledge of senior officials, have made concerted efforts to identify and destroy mass burial sites. There is growing concern that given the increased militarization and land grabs, future discoveries indicating evidence of mass graves or war crimes will be destroyed.
Court Cases: Several petitions have been filed domestically with both the Court of Appeals and the Supreme Court of Sri Lanka. Two of the major ones to follow were filed on May 14, 2013, with the Court of Appeals on behalf of 1,474 people who owned land in the North of Sri Lanka. On May 22, 2013, a fundamental rights petition was also filed for 192 people with the Supreme Court of Sri Lanka; however there has been little movement on these cases.
Diaspora: From January 31-February 2, 2014, the first international conference of its kind was held by the Tamil Diaspora and the UK All Party Parliamentary Group for Tamils (APPG-T). The conference highlighted the extent of land grabs and the tactics that have been used to seize land.
Also discussed was Sri Lanka's status quo as an ethnocratic state and its unchecked ability to create discriminatory laws and influence the judiciary by having a guaranteed Sinhalese super majority. By implementing these laws under the banner of democracy, ethnocratic states such as Sri Lanka, have been able to use land policy as an innocuous tool for oppression and escape the international community's radar. Ethnocratic societies, it was argued, are never stable because minorities never accept their suppression.
Since the end of the war, the international community has urged Sri Lanka to address widespread concerns over its human rights record, and in turn, Sri Lanka has asked for time and space to implement policies aimed at reconciliation. What the last five years has shown, however, is that Sri Lanka has used the rhetoric of development and reconciliation to cloak the magnitude of land grabs and oppression.
At present, the military's proliferation and dominion over the population has expedited a process to dismantle the very political, economic, social, and cultural attributes of the Tamil population – all of which are tied to land. Without pressure from the international community to cease these land grabs, it is likely that this region will continue to be a source of instability and conflict for years to come.
This entry was posted in Commentary, Guest posting and tagged development, gender, land-grabbing, minorities, reconciliation, Sri Lanka, UN. Bookmark the permalink.


text:
Privacy and Non-Discrimination
3MT PhD Student Contest
Patrons and Exhibitors
RadarConf20 Patrons
RadarConf20 Exhibitors
Patron and Exhibitor Information
International Airports Amerigo Vespucci and Galileo Galilei
The International Florence Airport "Amerigo Vespucci" (IATA code – FLR) is only 4 km away from the Florence city centre and can be easily reached by taxi or with the Ataf/Sita 'Vola in Bus' shuttle service, connecting the airport to the main railway station of Santa Maria Novella in just 15-20 minutes. Thanks to the connections with Rome Fiumicino Airport, Milan Malpensa and the main European capitals, Florence is easily connected to the rest of the world. The main car rental companies are to be found inside the airport (Florence Airport).
The International Airport of Pisa "Galileo Galilei" (IATA code- PSA) is located 80 km from the city centre of Florence and is connected to the Tuscan capital by train (every hour) and by Terravision bus (full flight coverage with 18 return journeys).In addition to scheduled flights, the Pisa Airport also hosts many low-cost companies (Pisa Airport).
The main railway station of Santa Maria Novella
The main railway station of Santa Maria Novella is located two minutes away on foot from the entrance of the Fair & Congress Center, and from the central reception of Firenze Fiera, on the ground floor of Palazzo degli Affari. The other two railway stations (Rifredi and Campo di Marte) are at a ten-minute distance from the central railway Station of Santa Maria Novella, or connected to it through local trains and city buses (Trenitalia).
Autostrade per l'Italia
Florence is well connected with the main Italian cities, thanks to the Italian motorway network, thus making it easier to get to the city centre, where the fair & congress center is located (Autostrade per l'Italia).
f.gini@ing.unipi.it
m.greco@ing.unipi.it
Palazzo dei Congressi _ Florence
Palazzo degli Affari _ Florence
IEEE RadarConf 20 is coming! Florence, Italy / September, 21-25, 2020 _ Privacy policy

redpajama_set_name: RedPajamaCommonCrawl


PsM Website reminder: Message from Claire:- From tomorrow until March 3rd 2017, I shall have limited internet access, and may not be able to update the website very frequently. You can post urgent/important information on the Parea sti Mani page, while I am away, but please note that as I do not use Facebook on a regular basis, I do not respond to 'friend' requests.
Government help for the very poor and for small businesses: A welfare programme has just been launched by the Μinistry of Labor and Social Solidarity, aimed at providing a safety net to households living under extreme poverty. The program is based on three pillars: a) income support, b) connection with social integration services, and c) connection with activation services aimed towards the integration or reintegration of beneficiaries into the labor market. GreekNewsAgenda. It has been announced that NSRF( ΕΣΠΑ) funding will be available by March. The program involves the upgrading of existing micro, small and medium enterprises in the retail and service sector around the four categories of interventions: energy saving, information technology, health & safety of premises, and enhancing supply chains. The budget for these actions amounts to € 50 million snippets27/1.


text:
1791 papers • 1000+ followers • Airway Interventions & Management in Emergencies AIME for airway success aimeairway.ca
By George Kovacs
https://read.qxmd.com/read/31208469/videolaryngoscopy-in-critically-ill-patients
Videolaryngoscopy in critically ill patients.
Samir Jaber, Audrey De Jong, Paolo Pelosi, Luca Cabrini, Jean Reignier, Jean Baptiste Lascarrou
Intubation is frequently required for patients in the intensive care unit (ICU) but is associated with high morbidity and mortality mainly in emergency procedures and in the presence of severe organ failures. Improving the intubation procedure is a major goal for all ICU physicians worldwide, and videolaryngoscopy may play a relevant role.Videolaryngoscopes are a heterogeneous entity, including Macintosh blade-shaped optical laryngoscopes, anatomically shaped blade without a tube guide and anatomically shaped blade with a tube guide, which might have theoretical benefits and pitfalls...
June 17, 2019: Critical Care: the Official Journal of the Critical Care Forum
https://read.qxmd.com/read/31206383/anesthesia-residency-training-in-airway-management-a-competency-based-model-curriculum
Anesthesia Residency Training in Airway Management: A Competency-Based Model Curriculum.
Ursula A Galway, Tracey Straker, Lorraine J Foley, Michael Aziz, Glenn Woodworth
The Accreditation Council for Graduate Medical Education (ACGME) is moving toward competency-based medical education. This educational framework requires the description of educational outcomes based on the knowledge, skills, and behaviors expected of competent trainees. An assessment program is essential to provide formative feedback to trainees as they progress to competency in each outcome. This article describes the development of 2 model curricula for airway management training (basic and advanced) using a competency-based framework...
June 11, 2019: A&A practice
https://read.qxmd.com/read/31211460/the-effect-of-placement-of-a-support-under-the-shoulders-on-laryngeal-visualization-with-a-c-mac-miller-video-laryngoscope-in-children-younger-than-two-years-of-age
The Effect of Placement of a Support Under the Shoulders on Laryngeal Visualization with a C-Mac Miller Video Laryngoscope in Children Younger than Two Years of Age.
Zeynep Koylu Gencay, Zekine Begec, Ulku Ozgul, Cemil Colak
BACKGROUND: We aimed to evaluate glottis visualization and time to intubation in children younger than two years of age during laryngoscopy performed with a C-MAC Miller Video Laryngoscope in a position determined by placing a folded towel under the shoulders to align the oral-pharyngeal and laryngeal axes in the horizontal plane. METHODS: Ninety-six children younger than two years of age, who were classified by the American Society of Anesthesiologists as having a physical status I or II and who were scheduled for elective surgery necessitating endotracheal intubation under general anesthesia, were included in the study...
June 18, 2019: Paediatric Anaesthesia
https://read.qxmd.com/read/31146497/c-mac-video-laryngoscope-versus-conventional-direct-laryngoscopy-for-endotracheal-intubation-during-cardiopulmonary-resuscitation
C-MAC Video Laryngoscope versus Conventional Direct Laryngoscopy for Endotracheal Intubation During Cardiopulmonary Resuscitation.
Byeong Chul Min, Jong Eun Park, Gun Tak Lee, Tae Rim Kim, Hee Yoon, Won Chul Cha, Tae Gun Shin, Keun Jeong Song, Minsu Park, Heewon Han, Sung Yeon Hwang
Background and objectives : To compare the first pass success (FPS) rate of the C-MAC video laryngoscope (C-MAC) and conventional Macintosh-type direct laryngoscopy (DL) during cardiopulmonary resuscitation (CPR) in the emergency department (ED). Materials and Methods : This study was a single-center, retrospective study conducted from April 2014 to July 2018. Patients were categorized into either the C-MAC or DL group, according to the device used on the first endotracheal intubation (ETI) attempt. The primary outcome was the FPS rate...
May 29, 2019: Medicina
https://read.qxmd.com/read/31147349/the-association-of-paramedic-rapid-sequence-intubation-and-survival-in-out-of-hospital-stroke
The association of paramedic rapid sequence intubation and survival in out-of-hospital stroke.
Pieter Francsois Fouche, Karen Smith, Paul Andrew Jennings, Malcolm Boyle, Stephen Bernard
INTRODUCTION: Ambulance transport of patients with stroke is common, with rapid sequence intubation (RSI) to secure the airway used regularly. Randomised controlled trial evidence exists to support the use of RSI in traumatic brain injuries (TBIs), but it is not clear whether the RSI evidence from TBI can be applied to the patient with stroke. To this end, we analysed a retrospective stroke dataset to compare survival of patients with RSI compared with patients that did not receive RSI...
May 30, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/31162158/nasolaryngeal-distances-in-the-adult-population-and-an-evaluation-of-commercially-available-nasotracheal-tubes
Nasolaryngeal Distances in the Adult Population and an Evaluation of Commercially Available Nasotracheal Tubes.
Christina Massoth, Christoph Schülke, Jeanette Köppe, Raphael Weiss, Daniel Pöpping, Michael Dahrmann, Alexander Zarbock, Manuel Wenk
BACKGROUND: Preformed nasal endotracheal tubes (NETs) come with a predefined insertion depth due to their curved design. While size indication refers to internal diameter, there is a considerable variability in the corresponding lengths and proportions of same-sized tubes of different manufacturers which is probably based on the lack of data of nasolaryngeal distances (NLDs) in the adult population. Choosing the best-fitting NET is therefore difficult and carries the risk of endobronchial intubation or, on the contrary, cuff inflation at the vocal cord level...
May 30, 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31162351/tracheal-intubations-for-critically-ill-children-outside-specialized-centers-in-the-united-kingdom-patient-provider-practice-factors-and-adverse-events
Tracheal Intubations for Critically Ill Children Outside Specialized Centers in the United Kingdom-Patient, Provider, Practice Factors, and Adverse Events.
Ron Sanders, Lauren Edwards, Akira Nishisaki
June 2019: Pediatric Critical Care Medicine
https://read.qxmd.com/read/31162669/frequency-distribution-of-modified-cormack-lehane-views-a-retrospective-audit-of-tracheal-intubation-in-children-with-normal-airways
Frequency distribution of modified Cormack-Lehane views-A retrospective audit of tracheal intubation in children with normal airways.
Kathrin Schmid, Philipp K Buehler, Achim Schmitz, Christian P Both, Markus Weiss
BACKGROUND: Paediatric patients with an unanticipated poor grade of laryngoscopic view during tracheal intubation represent a challenging situation potentially associated with increased morbidity and mortality. The aim of this study was to investigate the frequency of modified Cormack-Lehane (MCL) views and to elucidate variables for poor views in a large collective of children without anticipated airway difficulties. METHODS: The departmental anaesthesia patient database was searched for patients who had undergone general anaesthesia with tracheal intubation between January 2007 and March 2017...
June 4, 2019: Acta Anaesthesiologica Scandinavica
https://read.qxmd.com/read/31165475/time-to-oxygenation-for-cannula-and-scalpel-based-techniques-for-emergency-front-of-neck-access-a-wet-lab-simulation-using-an-ovine-model
Time to oxygenation for cannula- and scalpel-based techniques for emergency front-of-neck access: a wet lab simulation using an ovine model.
K A Rees, L J O'Halloran, J B Wawryk, R Gotmaker, E K Cameron, H D J Woonton
Emergency front-of-neck access to achieve a percutaneous airway can be a life-saving intervention, but there is debate about the preferred technique. This prospective, observational study was designed to compare the two most common emergency surgical airway techniques in a wet lab simulation using an ovine model. Forty-three doctors participated. After providing standardised reading, a lecture and dry lab benchtop training, participants progressed to a high-fidelity wet lab simulation. Participants entered an operating theatre where a 'cannot intubate, cannot oxygenate' situation had been declared and were directed to perform emergency front-of-neck access: first with a cannula technique (14-gauge cannula insertion with ventilation using a Rapid-O2® cricothyroidotomy insufflation device); and subsequently, a scalpel-bougie technique (surgical incision, bougie insertion into trachea and then tracheal tube passed over bougie, with ventilation using a self-inflating bag)...
June 4, 2019: Anaesthesia
https://read.qxmd.com/read/31174573/pre-hospital-emergent-intubation-in-trauma-patients-the-influence-of-etomidate-on-mortality-morbidity-and-healthcare-resource-utilization
Pre-hospital emergent intubation in trauma patients: the influence of etomidate on mortality, morbidity and healthcare resource utilization.
Michael Gäßler, Matthias Ruppert, Rolf Lefering, Bertil Bouillon, Arasch Wafaisade
BACKGROUND: Due to its favorable hemodynamic characteristics and by providing good intubation conditions etomidate is often used for induction of general anesthesia in trauma patients. It has been linked to temporary adrenal cortical dysfunction. The clinical relevance of this finding after a single-dose is still lacking appropriate evidence. METHODS: This retrospective multi-centre study is based on merged data from a German Helicopter Emergency Medical Service (HEMS) database and a large trauma patient registry...
June 7, 2019: Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
https://read.qxmd.com/read/31142245/a-practice-survey-of-airway-management-in-australian-and-new-zealand-intensive-care-units
A practice survey of airway management in Australian and New Zealand intensive care units.
Michael Toolis, Ravindranath Tiruvoipati, John Botha, Cameron Green, Ashwin Subramaniam
OBJECTIVE: To characterise intubation practices in Australian and New Zealand intensive care units (ICUs) and investigate clinician support for establishing airway management guidelines in Australian and New Zealand ICUs. DESIGN: An online survey was designed, piloted and distributed to members of the mailing list of the Australian and New Zealand Intensive Care Society (ANZICS), with medical members invited to participate. Respondents were excluded if their primary practice was in paediatric ICUs...
June 2019: Critical Care and Resuscitation: Journal of the Australasian Academy of Critical Care Medicine
https://read.qxmd.com/read/31169409/learner-and-educator-experiences-and-priorities-in-paediatric-airway-education-a-qualitative-study
Learner and educator experiences and priorities in paediatric airway education: A qualitative study.
Andrew D Weatherall, Minal Menezes, Su May Koh, Michelle D Lazarus
Paediatric airway management is a challenging area of anaesthesia practice to learn. Techniques and skills required need modification from adult practice and gaining experience through exposure takes considerable time. Preparation to manage airway emergencies can be particularly difficult as these events are rare in paediatric practice. This study aimed to examine what educational approaches health professionals of varying backgrounds find useful when learning or teaching paediatric airway management. This qualitative study involved the conduct of five interdisciplinary focus groups; each group consisted of four to six health professionals from nursing, anaesthetic, simulation and critical care backgrounds...
June 6, 2019: Anaesthesia and Intensive Care
https://read.qxmd.com/read/31171627/confirmed-cardiac-output-on-emergency-medical-services-arrival-as-confounding-by-indication-an-observational-study-of-prehospital-airway-management-in-patients-with-out-of-hospital-cardiac-arrest
Confirmed cardiac output on emergency medical services arrival as confounding by indication: an observational study of prehospital airway management in patients with out-of-hospital cardiac arrest.
Atsushi Sakurai, Kosaku Kinoshita, Yukihiro Maeda, Yosuke Homma, Yoshio Tahara, Naohiro Yonemoto, Ken Nagao, Arino Yaguchi, Naoto Morimura
OBJECTIVES: Many registry studies on patients with out-of-hospital cardiac arrest (OHCA) have reported that conventional bag-valve-mask (BVM) ventilation is independently associated with favourable outcomes. This study aimed to compare the data of patients with OCHA with confirmed cardiac output on emergency medical services (EMS) arrival and consider the confounding factors in prehospital airway management studies. METHODS: This was a cohort study using the registry data for survivors after out-of hospital cardiac arrest in the Kanto region at 2012 in Japan (SOS-KANTO 2012)...
June 6, 2019: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/31093966/removal-methods-of-rigid-stylets-to-minimise-adverse-force-and-tracheal-tube-movement-a-mathematical-and-in-vitro-analysis-in-manikins
Removal methods of rigid stylets to minimise adverse force and tracheal tube movement: a mathematical and in-vitro analysis in manikins.
M Kotoda, T Oguchi, K Mitsui, S Hishiyama, K Ueda, A Kawakami, T Matsukawa
This study investigated displacement of the tracheal tube caused by different methods of intubating stylet removal, using in-vitro experiments and mathematical analysis. In the first in-vitro experiment, we measured the distance travelled by the tube tip during stylet extraction. Then, we investigated the ideal technique for stylet extraction using mathematical analysis, which would cause minimal tube displacement. Then, using a training manikin, we measured the force applied to the vocal cords and stylet extraction force during tracheal intubation...
May 15, 2019: Anaesthesia
https://read.qxmd.com/read/31094759/comparison-of-tracheal-intubation-conditions-in-operating-room-and-intensive-care-unit-a-prospective-observational-study-erratum
Comparison of Tracheal Intubation Conditions in Operating Room and Intensive Care Unit: A Prospective, Observational Study: Erratum.
(no author information available yet)
May 14, 2019: Anesthesiology
https://read.qxmd.com/read/31094798/effect-of-dynamic-versus-stylet-guided-intubation-on-first-attempt-success-in-difficult-airways-undergoing-glidescope-laryngoscopy-a-randomized-controlled-trial
Effect of Dynamic Versus Stylet-Guided Intubation on First-Attempt Success in Difficult Airways Undergoing Glidescope Laryngoscopy: A Randomized Controlled Trial.
Guido Mazzinari, Lucas Rovira, Liliana Henao, Juan Ortega, Alma Casasempere, Yolanda Fernandez, Mariana Acosta, Moncef Belaouchi, José Miguel Esparza-Miñana
BACKGROUND: Tracheal intubation failure in patients with difficult airway is still not uncommon. While videolaryngoscopes such as the Glidescope offer better glottic vision due to an acute-angled blade, this advantage does not always lead to an increased success rate because successful insertion of the tube through the vocal cords may be the limiting factor. We hypothesize that combined use of Glidescope and fiberscope used only as a dynamic guide facilitates tracheal intubation compared to a conventional Glidescope technique with a preshaped nondynamic stylet...
June 2019: Anesthesia and Analgesia
https://read.qxmd.com/read/31096995/how-i-manage-a-difficult-intubation
How I manage a difficult intubation.
Jonathan D Casey, Matthew W Semler, Kevin High, Wesley H Self
May 16, 2019: Critical Care: the Official Journal of the Critical Care Forum
https://read.qxmd.com/read/31107352/reintubation-in-the-icu-following-cardiac-surgery-is-it-more-difficult-than-first-time-intubation-in-the-operating-room-a-prospective-observational-study
Reintubation in the ICU following cardiac surgery: is it more difficult than first-time intubation in the operating room?: A prospective, observational study.
Manuel Taboada, Raúl Rey, Susana Martínez, Rosa Soto-Jove, Paula Mirón, Salome Selas, María Eiras, Adrian Martínez, María Rial, Agustin Cariñena, Irene Rodríguez, Sonia Veiras, Julián Álvarez, Aurora Baluja, Peter G Atanassoff
BACKGROUND: After cardiac surgery, a patient's trachea is usually extubated; however, 2 to 13% of cardiac surgery patients require reintubation in the ICU. OBJECTIVE: The objective of this study was to compare the initial intubation in the cardiac operating room with reintubation (if required) in the ICU following cardiac surgery. DESIGN: A prospective, observational study. SETTING: Department of Anesthesiology and Intensive Care Medicine, Clinical Hospital of Santiago, Spain...
May 15, 2019: European Journal of Anaesthesiology
https://read.qxmd.com/read/31110032/ventilator-induced-lung-injury-classic-and-novel-concepts
Ventilator-Induced Lung Injury: Classic and Novel Concepts.
Bhushan H Katira
Ventilator-induced lung injury (VILI) is a central confounder to improving outcomes from use of positive-pressure ventilation in critical illness. Therefore, with increasing use of positive-pressure ventilation, awareness to prevent VILI has grown. Because VILI cannot be diagnosed at the bedside, its prevention can only be attained by identifying the clinical mechanisms of harm, such as high tidal volume, high plateau pressure, and so forth, which, in turn, are derived from decades of laboratory work. The practice of positive-pressure ventilation has undergone a significant change; most important in the past decade is the preference to use noninvasive ventilation...
June 2019: Respiratory Care
https://read.qxmd.com/read/31110033/noninvasive-respiratory-support-in-acute-hypoxemic-respiratory-failure
Noninvasive Respiratory Support in Acute Hypoxemic Respiratory Failure.
Thomas Piraino
For more than 40 years, noninvasive ventilation has been the first-line preferred therapy for acute-on-chronic conditions, such as COPD and cardiogenic pulmonary edema. The use of noninvasive ventilation in the treatment of hypoxemic respiratory failure, however, has been met with mixed results associated with higher risks of intubation (failure of therapy) and with higher risks of mortality. The purpose of this review was to describe the current evidence and important considerations when patients with hypoxemic respiratory failure are managed with noninvasive ventilation...


text:
Serverless computing explained
Serverless computing is a cloud-computing execution model in which the cloud provider runs the server, and dynamically manages the allocation of machine resources. Pricing is based on the actual amount of resources consumed by an application, rather than on pre-purchased units of capacity.[1] It can be a form of utility computing.
Serverless computing can simplify the process of deploying code into production. Scaling, capacity planning and maintenance operations may be hidden from the developer or operator. Serverless code can be used in conjunction with code deployed in traditional styles, such as microservices. Alternatively, applications can be written to be purely serverless and use no provisioned servers at all.
This should not be confused with computing or networking models that do not require an actual server to function, like Peer-to-peer (P2P).
Serverless runtimes
Most, but not all, serverless vendors offer compute runtimes, also known as function as a service (FaaS) platforms, which execute application logic but do not store data. The first "pay as you go" code execution platform was Zimki, released in 2006, but it was not commercially successful.[2] In 2008, Google released Google App Engine, which featured metered billing for applications that used a custom Python framework, but could not execute arbitrary code.[3] PiCloud, released in 2010, offered FaaS support for Python.[4]
AWS Lambda, introduced by Amazon in 2014,[5] was the first public cloud infrastructure vendor with an abstract serverless computing offering.
Google Cloud Platform offers Google Cloud Functions since 2016.[6]
IBM offers IBM Cloud Functions in the public IBM Cloud since 2016.[7]
Microsoft Azure offers Azure Functions, offered both in the Azure public cloud or on-premises via Azure Stack.[8]
Oracle introduced Fn Project, an open source serverless computing framework offered on Oracle Cloud Platform and available on GitHub for deployment on other platforms.[9]
In addition, there are a number of open source serverless projects with various levels of popularity and usage:
OpenWhisk was initially developed by IBM with contributions from RedHat, Adobe, and others.[10] OpenWhisk is the core technology in IBM Cloud Functions.
Project Riff is an open source serverless platform implementation built on Kubernetes by Pivotal Software[11] . Project Riff is the foundation of Pivotal Function Service[12] [13] .
Serverless databases
Several serverless databases have emerged in the last few years. These systems extend the serverless execution model to the RDBMS, eliminating the need to provision or scale virtualized or physical database hardware.
Amazon Aurora offers a serverless version of its databases, based on MySQL and PostgreSQL, providing on-demand, auto-scaling configurations. [14]
Azure Data Lake is a highly scalable data storage and analytics service. The service is hosted in Azure, Microsoft's public cloud. Azure Data Lake Analytics provides a distributed infrastructure that can dynamically allocate or de-allocate resources so customers pay for only the services they use.
Google Cloud Datastore is an eventually-consistent document store. It offers the database component of Google App Engine as a standalone service. Firebase, also owned by Google,[15] includes a hierarchical database and is available via fixed and pay-as-you-go plans.[16]
FaunaDB Cloud is a serverless managed offering of FaunaDB in the cloud that can be accessed via a function-as-a-service provider. In FaunaDB Cloud, data is replicated across multiple datacenters running on Amazon Web Services, Google Cloud Platform, and, Microsoft Azure. [17]
Serverless can be more cost-effective than renting or purchasing a fixed quantity of servers, which generally involves significant periods of underutilization or idle time. It can even be more cost-efficient than provisioning an autoscaling group, due to more efficient bin-packing of the underlying machine resources.
This can be described as pay-as-you-go computing or bare-code as you are charged based solely upon the time and memory allocated to run your code; without associated fees for idle time.
Immediate cost benefits are related to the lack of operating systems costs, including: licences, installation, dependencies, maintenance, support, and patching.
Elasticity versus scalability
See also: scalability and Elasticity (cloud computing). In addition, a serverless architecture means that developers and operators do not need to spend time setting up and tuning autoscaling policies or systems; the cloud provider is responsible for scaling the capacity to the demand.[18] . As Google puts it: 'from prototype to production to planet-scale.'
As cloud native systems inherently scale down as well as up, these systems are known as elastic rather than scalable.
Small teams of developers are able to run code themselves without the dependence upon teams of infrastructure and support engineers; more developers are becoming DevOps skilled and distinctions between being a software developer or hardware engineer are blurring.
With function as a service, the units of code exposed to the outside world are simple functions. This means that typically, the programmer does not have to worry about multithreading or directly handling HTTP requests in their code, simplifying the task of back-end software development.
Infrequently-used serverless code may suffer from greater response latency than code that is continuously running on a dedicated server, virtual machine, or container. This is because, unlike with autoscaling, the cloud provider typically "spins down" the serverless code completely when not in use. This means that if the runtime (for example, the Java runtime) requires a significant amount of time to start up, it will create additional latency.
Serverless computing is not suited to some computing workloads, such as high-performance computing, because of the resource limits imposed by cloud providers, and also because it would likely be cheaper to bulk-provision the number of servers believed to be required at any given point in time.
Monitoring and debugging
Diagnosing performance or excessive resource usage problems with serverless code may be more difficult than with traditional server code, because although entire functions can be timed,[19] there is typically no ability to dig into more detail by attaching profilers, debuggers or APM tools. Furthermore, the environment in which the code runs is typically not open source, so its performance characteristics cannot be precisely replicated in a local environment.
Serverless is sometimes mistakenly considered as more secure than traditional architectures. While this is true to some extent because OS vulnerabilities are taken care of by the cloud provider, the total attack surface is significantly larger as there are many more components to the application compared to traditional architectures and each component is an entry point to the serverless application. Moreover, the security solutions customers used to have to protect their cloud workloads become irrelevant as customers cannot control and install anything on the endpoint and network level such as an intrusion detection/prevention system (IDS/IPS). [20]
This is intensified by the mono-culture properties of the entire server network. (A single flaw can be applied globally.) The solution to secure serverless apps is close partnership between developers, DevOps, and AppSec. Find the balance where developers don't own security, but they aren't absolved from responsibility either. Take steps to make it everyone's problem. Create cross-functional teams and work towards tight integration between security specialists and development teams. Collaborate so your organization can resolve security risks at the speed of serverless.[21]
Many serverless function environments are based on proprietary public cloud environments. Here, some privacy implications have to be considered, such as shared resources and access by external employees. However, serverless computing can also be done on private cloud environment or even on-premises, using for example the Kubernetes platform. This gives companies full control over privacy mechanisms, just as with hosting in traditional server setups.
Serverless computing is covered by International Data Center Authority (IDCA) in their Framework AE360. However, the part related to portability can be an issue when moving business logic from one public cloud to another for which the Docker solution was created. Cloud Native Computing Foundation (CNCF) is also working on developing a specification with Oracle.[22]
Vendor lock-in
Serverless computing is provided as a third-party service. Applications and software that run in the serverless environment are by default locked to a specific cloud vendor.[23] Therefore, serverless can cause multiple issues during migration.[24]
Serverless frameworks
Serverless frameworks are designed to make it easier to build, test, and deploy serverless applications. Notable frameworks include:
Fn Project, an open-source and container-native serverless platform that can be run on cloud environments or on-premise.[25]
Serverless Framework, for creating serverless applications deployed to AWS Lambda, Azure Functions, or GCP Cloud Functions with Node.js and Python.
Function as a service
Web site: Roberts. Mike. Serverless Architectures. 25 July 2016. 30 July 2016. MartinFowler.com.
Web site: Losing the server? Everybody is talking about serverless architecture. Jamieson. Frazer. BCS, the Chartered Institute for IT . 4 September 2017. 7 November 2017.
Web site: AWS Lambda Makes Serverless Applications A Reality. Miller. Ron. TechCrunch. 24 Nov 2015. 10 July 2016.
Web site: Fotango to smother Zimki on Christmas Eve. Williams. Christopher. 2017-06-11.
Web site: Python Runtime Environment App Engine standard environment for Python Google Cloud Platform. Google Cloud Platform. en. 2017-06-11.
Web site: PiCloud Launches Serverless Computing Platform To The Public. TechCrunch. en-US. 2018-12-17.
Web site: Amazon Launches Lambda, An Event-Driven Compute Service. 13 Nov 2014. 10 July 2016. Miller. Ron. TechCrunch.
Web site: Google has quietly launched its answer to AWS Lambda. 9 February 2016. 10 July 2016. Novet. Jordan. VentureBeat.
Web site: IBM Unveils Fast, Open Alternative to Event-Driven Programming. Zimmerman. Mike. 23 February 2016.
Web site: Microsoft answers AWS Lambda's event-triggered serverless apps with Azure Functions. 31 March 2016. 10 July 2016. Miller. Ron. TechCrunch.
Web site: https://developer.oracle.com/java/fn-project-introduction.
Web site: Swift, OpenWhisk and APIs – Reflections on IBM InterConnect. Ryan. Fintan. 29 February 2016.
Web site: Introducing riff. Fisher. Mark. 15 December 2017.
Web site: Building Functions with riff. Tantachuco. Guillermo. 26 February 2018.
Web site: Pivotal announces new serverless framework. Miller. Ron. 7 December 2018.
Web site: Amazon Aurora Serverless - On-demand, Auto-scaling Relational Database - AWS. Amazon Web Services, Inc.. en-US. 2019-08-08.
Web site: Google Acquires Firebase To Help Developers Build Better Real-Time Apps TechCrunch. Lardinois. Frederic. 2017-06-11.
Web site: Firebase gets $5.6M to launch its paid product and fire up its base. Darrow. Barb. 2013-06-20. gigaom.com. en-US. 2017-06-11.
Web site: FaunaDB takes First Serverless Database to the cloud. Ramel. David. 2017-03-16. adtmag.com. en-US. 2019-01-14.
Web site: Losing the server? Everybody is talking about serverless architecture. 4 September 2017. Jamieson. Frazer.
Web site: PaaS Vendors, Watch Out! Amazon Is All Set To Disrupt the Market. MSV. Janakiram. 16 July 2015. 10 July 2016.
https://www.puresec.io/serverless-security-top-12-csa-puresec
Web site: Serverless Computing Security Risks & Challenges. Solow. Hillel. 2019-02-05. protego.io. en-US. 2019-03-20.
News: CNCF, Oracle Boost Serverless Standardization Efforts. SDxCentral. 2018-11-24. en-US.
Web site: What is Serverless Architecture? What are its Pros and Cons?. Bashir. Faizan. 2018-05-28. Hacker Noon. 2019-04-03.
Web site: What Is Serverless? Here's a Plain Answer!. 2019-01-17. Squadex. en-US. 2019-04-03.
Web site: Oracle Joins Serverless Race with Open Source Fn Project. InfoQ. 2018-01-18.
This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Serverless computing".


If you aren't familiar with the yearly Vladimir Film Festival already, sorry to say you've been sleepin' and slippin'. Now one of the main underground institutions in modern skateboarding altogether, all the while standing out as a commercial oddity being 100% ran by the locals out of their personal pockets and Istrian hearts first and foremost, you'd be hard-pressed to run into a local event with better curated exhibitions, thereby attracting the attention of guests all showing up in a 3000-inhabitants fishermen's village (and former military zone complete with fortresses) from all over the world.
Ferry to the Brioni islands screening.
This year's edition (taking place Sept. 21-24) was no exception and, indeed, again hit remarkably strong, not just as far as the quality of the program, the impeccable schedule, or the dream-like holiday landscapes (if you're a visitor) are concerned, but also in terms of popularity as guests from most continents ended up finding their way to Fažana and Pula, Croatia for a handful of days spent binge-watching independent skate videos and publications, studying photos, sharing approaches – exchanging. When they aren't playing table tennis tournaments 'til 5 AM after screening skate films at former Yugoslavia president Tito's private outdoor cinema, or stuck in an ale-induced vortex at Black Lady's that is.
Other film screenings notably included Lucas Beaufort's Devoted, Jim Craven's Island filmed throughout Scotland and edited in four days just prior to the event, as well as Vantte Lindevall's Abkhazia; but also productions such as the new Traffic Skateboards video Look Left, the latest Push Periodical partial world tour clip as well as a fresh Northern Co. Japan trip edit both put together by Zach Chamberlin, Anton Beliaev's O3epo, Mihael Sandro's Kompa, and more. Also this year's artists behind the photo exhibitions were SF expat Nich Kunz, Olman Torres, as well as the aforementioned Taufek Asmarak who coincidentally left behind him, upon departure, the deck I'm actually skating right now – so thanks, Taufek. Connor K also ran a participative photo installation involving a projector, hashtags and launch ramps, and last but not least the locals dug up a location that hadn't been in use for two decades, as to better exhibit a selection of 1000+ photos tangibly mailed to Jai Tanju over the course of the late 2000's in the context of the Film Por Vida / Print Exchange program.
What is there left to say besides how without the pure passion and insane inner drive, focus and expertise of the locals, led by August Senoa Skate Klub's Nikola Racan (of Solsticij fame) and his crew, an event of such cultural caliber wouldn't not just be the same, it most likely just wouldn't exist altogether. In a context such as 2017 skateboarding riddled with endless debates over the Olympics, corporate shoe sponsors, insecurities and 'fits', their thing stands out as a fresh anomaly and makes for a major instance left to represent what made most of us fall in love with skateboarding in the first place, also resulting in a venue for likeminded people to meet and reconcile around a certain essence. Gimmicks are dying and it only took the most devoted out of 3000 inhabitants to hold 'em back.


Glass art normally means the modern glass art movement in which individual artists working alone or with a few assistants to create works from molten glass in relatively small furnaces of a few hundred pounds of glass. glass art began in the early 1960s and showed continued growth through the end of the century. The glass objects created are not primarily utilitarian but are intended to make a sculptural or decorative statement.
On the market, glass art prices may range from a few hundred to tens of thousands of dollars..Prior to the early 1960s, art glass would have referred to glass made for decorative use, usually by teams of factory workers, taking glass from furnaces with a thousand or more pounds of glass. This form of glass art, of which Tiffany and Steuben in the U.S.A., Gallé in France and Hoya Crystal in Japan and Kosta Boda in Sweden are perhaps the best known, grew out of the factory system in which all glass objects were hand or mold blown by teams of 4 or more men.
In a glass art workshop, ideally, "production work" (goblets, vases, pitchers, art marbles etc.) shows more hand worked variation than was allowed in pure factory work environment and each piece shows some of the lead glass worker's creativity, the gaffer. In addition to smaller production pieces, most glass art workers also try to turn out larger individual glass art pieces which might be the equivalent of a master piece in the journeyman system of guild and factory work.


text:
«Everything but Mine» () — песня с шестого студийного альбома Unbreakable группы Backstreet Boys. Несмотря на то, что альбом официально был презентован 24 октября 2007 года, эта песня (вместе с «Intro») впервые прозвучала 3 октября того же года на волнах японских радиостанций.

Примечательно, что во время гастролей в Токио (16—17 февраля 2008, Токио Доум), с которых началось мировое турне группы Backstreet Boys, песня «Everything but Mine» была изначально включена в концертную программу, однако позже была исключена из списка исполняемых песен, при этом постоянно извучала на репетициях перед концертами на протяжении всего турне.

Трек планировали сделать третьим международным синглом с альбома и выпустить его летом 2008 года. Параллельно с Everything but mine в Италии планировали выпустить сингл Treat Me Right, который был выбран итальянскими фанами. Позже руководством Jive Records было принято решение не выпускать больше синглов с Unbreakable, а сосредоточить внимание на гастролях.

Ссылки
 Клип группы на Youtube
 Текст песни с аккордами

Синглы Backstreet Boys

redpajama_set_name: RedPajamaWikipedia


Comments: Located in the Hopkins/Patterson Park Neighborhood - This town home is suited for a homeowner or investor. Blocks from both Hopkins/Wolfe St & Broadway in one direction and Lovely Patterson Park is just blocks away. Floor plan is open with wood floors and exposed brick. Half bath on the mail level/Eat in kitchen with Natural wood cabinetry and mixed tile compliment the wrought iron railings / Full unfinished basement with good ceiling height to add more living space or rooms- Basement has a walk out stair to yard/Upper leel has 2 bedroom- full bath - laundry area and good closet space - In need of a little TLC and personal touches-- this space is ready to be called home!!


Designed for River Guides and Whitewater professionals. The ultimate rescue rope for both swimmer and equipment rescue. Easy and quick to handle and comfortable enough to wear it all the time.
Quick throw, fast repack. Specially developed Waist belt and Caribiner pocket features.


Firearms instructors in Union, GA have various levels of expertise, training, experience, and many specialize in particular shooting disciplines such as; revolvers only, automatics only, a combination of both types of handguns, rifles, shotguns, hunting, precision shooting, long-distance shooting, and the list goes on. In addition to a firearm instructors training, experience, and shooting discipline that they teach it is important to find out if they also are currently certified, and who was the certification organization or agency, do they have references they can provide, how many students have they taught in the past, and are they insured?
Remember, you're asking this individual to not only teach you about the proper use of a firearm and firearm safety, but also many of the laws in Union, GA that will pertain to your gun ownership. You have every right to investigate them thoroughly. Any firearms instructor that is not willing to answer all of your questions or to invite you to their facility so you can observe a training class is an instructor that I would not recommend and I would be very leery of.
US Precision Defense maintains a large database of Firearms Instructors in Union, GA and from all across the country, find a link on our Firearms Instructors introduction page for a complete list of NRA Certified Instructors in your area by Clicking on the "Shoot For More" link below.
Union, GA, Located in scenic Northwest Pennsylvania, Union City offers a charming, small town atmosphere with many historical and natural attractions within a close proximity. Founded in 1800, the community has managed to retain many of its traditional qualities while expanding to offer many services found in larger cities.
Union, GA, Most children in Union City attend schools in the Union City Area School District. This school district also includes children from Crawford County. There is one elementary school and the middle and high schools are located in the same building. The school colors are green and white and the mascot is a Bear.


In one of my first articles titled, Make Them Love You By Taking (Not Giving), I put forth a novel concept. As the title suggests, I found some evidence to support the notion that an investment of time and energy makes a giver more romantically attracted and committed to the receiver of their favors. Unless they are indeed grateful and appreciative, however, such favors may not have a positive effect on the feelings of the recipient too (much to the woe of many givers).
Within the realm of established couples, researchers Lemay, Clark, and Feeney (2007) evaluated the effects of each individual's responsiveness to the other on the emotions of both partners. Particularly, the researchers were interested how an individual's responsiveness to a romantic partner's needs might influence his/her emotions and perceptions of that partner. To do so, they conducted two studies with married couples, exploring how each actually responded to the needs of the other, the perceptions each held regarding the responsiveness of their partner, and each partner's satisfaction with the relationship overall too.
Consistent with the previous work above, the findings of Lemay, Clark, and Feeney (2007) indicated that individuals who did more for a partner came to have more positive feelings about that partner. In fact, the more an individual did for a partner, the more they perceived that the other partner did for them too. This effect happened, even in instances when a partner was not really doing more for them.
Given that unique finding, the phenomenon has been called the Social Projection Model. That is because individuals "project" their own feelings and behaviors onto the perceptions of a partner (even when they are not accurate or reciprocated). Therefore, it appears that the more an individual GIVES to a partner, the more they LOVE their partner–no matter what the partner is actually doing in return.
To improve how a partner feels about you, get them to treat you well. While this may seem backwards, especially as we are told that feelings drive behavior, the results above would indicate the opposite is also true. A partner doesn't just treat you well because they already feel positively toward you—they feel positively toward you when they treat you well too.
1) Favors: Asking favors of strangers and partners increases attraction. So, make sure you request them. Small things especially add up. Ask an attractive stranger to give you directions, watch your seat, or grab you a straw. Ask lovers to get you a soda, rub your back, or help you with a chore. The more they do for you, the more they will like you.
2) Verbal Behaviors: Expect and request positive treatment from others. When they are rude or harsh, ask them to change their tone and behavior. Be assertive on these points. Steer them in a positive direction. Ask them to say something good. Focus them on the positive. Even make a game out of it (tell them they have to start every topic with a positive statement about you). Remember, how they treat you sets the tone for how they feel about you. So, don't settle for bad behavior!
3) Non-Verbal Behaviors: Arrange situations where dates or mates attend to you, get close, and make eye contact. Meet people in crowded places where they have to get close. Speak quietly, so they have to lean in to hear. Ask them to look at you when you talk. Request a hug or kiss. Find an excuse to get close and cuddly.
4) Choices: Finally, get others to choose you. Play a game with other couples and have them "pick" you for their team. Have them add you to their social networking site and later label you as a boyfriend/girlfriend. In established couples, make sure they ask you to accompany them to places. If they don't, ask to go, then thank them for inviting you. Overall, find ways that they can pick you, choose you, and select you above all others.


Betsy Couture invests in long-term relationships with our clients, providing brides and their entire family and wedding party with an experience characterized by warm and attentive service, tasteful elegance and inspired craftsmanship. We sincerely appreciate the kind letters and notes we receive from our brides. We invite you to read for yourself comments from clients who are now part of the Betsy Couture family.
I always knew that I wanted a vintage inspired dress for my wedding dress. Moving to the beautiful mountainous state of Utah, I did not know anyone who made vintage dresses, and no one in my circle of friends could give me a referral. So after searching the internet for half an hour and finding Betsy's website, I became very excited. My first impression in seeing her vintage dresses online was how carefully she paid attention to detail. I could see that she put extra thought and love to each one of her dresses. And she had various dress designs with a range of color, print and embellishment.
I loved working with Betsy in person. She listened to my ideas of what I had in mind for my pink wedding dress, and also added to my ideas of making my dress special. I knew the kind of design of dress after perusing her website, but wasn't sure of the hue of pink and the kind of embellishments that I wanted, and Betsy was armed with many design concepts.
After my Mom and I had watched several episodes of Say Yes to the Dress, we were scared. We wanted a fun and memorable dress search. I found Betsy Couture on the web searching tea-length wedding dress with sleeves. I was unable to attend the first meeting in person, but Skyed in with Betsy while my Mom and sister we present. Betsy listened to my desires and asked me to stand so she could see me. Her designer's eye was spot on. Betsy worked very well with an out of state east coast bride. Due to family circumstances, I was able to attend the first fitting in mid-July, and a final crash weekend of fittings the end of August. I flew home with my complete ensemble.


text:
Voters approve California law banning flavored tobacco
Californians on Tuesday voted to allow a law banning flavored tobacco products such as menthol cigarettes and strawberry gummy vaping juice to go into effect.With about a quarter of the ballots counted, Proposition 31 won handily with 76.5% of the vote.A campaign funded by tobacco giants, including R.J. Reynolds Tobacco Co. and Philip Morris USA, had effectively blocked the law passed two years ago. The $20 million campaign gathered enough signatures to put the issue on the statewide ballot.Supporters of the ban, who included doctors, child welfare advocates and the state's dominant Democratic Party, said the law was necessary to put a stop to the staggering rise in teen smoking. Supporters of the ban said the victory will save lives and money on tobacco-related health care costs."Voters have overwhelmingly decided to protect kids from being lured into a lifetime of addiction to nicotine," Lindsey Freitas of the Campaign for Tobacco-Free Kids said in a statement. "And it sets a powerful example for other states and cities, as well as the FDA, which has proposed nationwide regulations prohibiting menthol cigarettes and flavored cigars."Tobacco companies had pushed hard to keep from being shut out of a large portion of California's vast market. California's Republican party also opposed the ban, saying it would cause a giant loss in tax revenue. The independent Legislative Analyst's Office estimated it could cost the state tens of millions of dollars to around $100 million annually.California becomes the second state in the nation, after Massachusetts, to enact a ban prohibiting the sale of all flavored tobacco products, including menthol cigarettes. A number of California cities, including Los Angeles and San Diego, already enacted their own bans.PGlmcmFtZSBjbGFzcz0iYXAtZW1iZWQiIHRpdGxlPSJMaXZlIGVsZWN0aW9uIHJlc3VsdHMgdmlhIHRoZSBBc3NvY2lhdGVkIFByZXNzIiBzcmM9Imh0dHBzOi8vaW50ZXJhY3RpdmVzLmFwLm9yZy9lbGVjdGlvbi1yZXN1bHRzL2N1c3RvbWVycy9sYXlvdXRzL29yZ2FuaXphdGlvbi1sYXlvdXRzL3B1Ymxpc2hlZC81ODY2OS84NDc2Lmh0bWwiIHdpZHRoPSIxMDAlIiBmcmFtZWJvcmRlcj0iMCIgc2Nyb2xsaW5nPSJubyIgbWFyZ2luaGVpZ2h0PSIwIj48L2lmcmFtZT48c2NyaXB0IGRlZmVyIHNyYz0iaHR0cHM6Ly9pbnRlcmFjdGl2ZXMuYXAub3JnL2VsZWN0aW9uLXJlc3VsdHMvYXNzZXRzL21pY3Jvc2l0ZS9yZXNpemVDbGllbnQuanMiPjwvc2NyaXB0Pg==It's already illegal for retailers to sell tobacco to anyone under 21. But advocates of the ban said flavored cigarettes and vaping cartridges were still too easy for teens to obtain. The ban doesn't make it a crime to possess such products but retailers who sold them to kids could be fined up to $250.The ban, which passed the Legislature with bipartisan support, also prohibits the sale of pods for vape pens, tank-based systems and chewing tobacco, with exceptions made for hookahs, some cigars and loose-leaf tobacco.
SACRAMENTO, Calif. —
Californians on Tuesday voted to allow a law banning flavored tobacco products such as menthol cigarettes and strawberry gummy vaping juice to go into effect.
With about a quarter of the ballots counted, Proposition 31 won handily with 76.5% of the vote.
A campaign funded by tobacco giants, including R.J. Reynolds Tobacco Co. and Philip Morris USA, had effectively blocked the law passed two years ago. The $20 million campaign gathered enough signatures to put the issue on the statewide ballot.
Supporters of the ban, who included doctors, child welfare advocates and the state's dominant Democratic Party, said the law was necessary to put a stop to the staggering rise in teen smoking.
Election results: Nov. 8 California Midterm Election results
Supporters of the ban said the victory will save lives and money on tobacco-related health care costs.
"Voters have overwhelmingly decided to protect kids from being lured into a lifetime of addiction to nicotine," Lindsey Freitas of the Campaign for Tobacco-Free Kids said in a statement. "And it sets a powerful example for other states and cities, as well as the FDA, which has proposed nationwide regulations prohibiting menthol cigarettes and flavored cigars."
Tobacco companies had pushed hard to keep from being shut out of a large portion of California's vast market. California's Republican party also opposed the ban, saying it would cause a giant loss in tax revenue. The independent Legislative Analyst's Office estimated it could cost the state tens of millions of dollars to around $100 million annually.
California becomes the second state in the nation, after Massachusetts, to enact a ban prohibiting the sale of all flavored tobacco products, including menthol cigarettes. A number of California cities, including Los Angeles and San Diego, already enacted their own bans.
It's already illegal for retailers to sell tobacco to anyone under 21. But advocates of the ban said flavored cigarettes and vaping cartridges were still too easy for teens to obtain. The ban doesn't make it a crime to possess such products but retailers who sold them to kids could be fined up to $250.
The ban, which passed the Legislature with bipartisan support, also prohibits the sale of pods for vape pens, tank-based systems and chewing tobacco, with exceptions made for hookahs, some cigars and loose-leaf tobacco.