Cresson, Thierry and Ramnada, Chay and Branchaud, Dominic and Humbert, Ludovic and Godbout, Benoît and Aubert, Benjamin and Skalli, Wafa and de Guise, Jacques A.. 2010. « Coupling 2D/3D Registration Method and Statistical Model to Perform 3D Reconstruction from Partial X-Rays Images Data ». Communication lors de la conférence : 8th International Research Society on Spinal Deformities (IRSSD) Meeting (Montréal, Canada, July 1-3, 2010).


Minutes of meetings of the General Convocation at the University of Strathclyde.
Agendas and papers of meetings of the General Convocation at the University of Strathclyde.
Text of inaugural lectures given by professors or chairs newly appointed by the University of Strathclyde.


text:
Chapters (5)
Statistics and Probability (6)
Canadian Journal of Emergency Medicine (12)
Epidemiology & Infection (5)
Infection Control & Hospital Epidemiology (3)
Canadian Journal of Neurological Sciences (2)
Psychological Medicine (2)
Animal Science (1)
Genetics Research (1)
Journal of Dairy Research (1)
Journal of Developmental Origins of Health and Disease (1)
Journal of Materials Research (1)
Laser and Particle Beams (1)
QRB Discovery (1)
The Journal of Agricultural Science (1)
Weed Science (1)
Canadian Association of Emergency Physicians (CAEP) (12)
BSAS (1)
Colonization of carbapenem-resistant Klebsiella pneumoniae in a sink-drain model biofilm system
Maria Burgos-Garay, Christine Ganim, Tom J.B. de Man, Terri Davy, Amy J. Mathers, Shireen Kotay, Jonathan Daniels, K. Allison Perry, Erin Breaker, Rodney M. Donlan
Journal: Infection Control & Hospital Epidemiology , First View
Published online by Cambridge University Press: 25 November 2020, pp. 1-9
Sink drains in healthcare facilities may provide an environment for antimicrobial-resistant microorganisms, including carbapenemase-producing Klebsiella pneumoniae (CPKP).
We investigated the colonization of a biofilm consortia by CPKP in a model system simulating a sink-drain P-trap. Centers for Disease Control (CDC) biofilm reactors (CBRs) were inoculated with microbial consortia originally recovered from 2 P-traps collected from separate patient rooms (designated rooms A and B) in a hospital. Biofilms were grown on stainless steel (SS) or polyvinyl chloride (PVC) coupons in autoclaved municipal drinking water (ATW) for 7 or 28 days.
Microbial communities in model systems (designated CBR-A or CBR-B) were less diverse than communities in respective P-traps A and B, and they were primarily composed of β and γ Proteobacteria, as determined using 16S rRNA community analysis. Following biofilm development CBRs were inoculated with either K. pneumoniae ST45 (ie, strain CAV1016) or K. pneumoniae ST258 KPC+ (ie, strain 258), and samples were collected over 21 days. Under most conditions tested (CBR-A: SS, 7-day biofilm; CBR-A: PVC, 28-day biofilm; CBR-B: SS, 7-day and 28-day biofilm; CBR-B: PVC, 28-day biofilm) significantly higher numbers of CAV1016 were observed compared to 258. CAV1016 showed no significant difference in quantity or persistence based on biofilm age (7 days vs 28 days) or substratum type (SS vs PVC). However, counts of 258 were significantly higher on 28-day biofilms and on SS.
These results suggest that CPKP persistence in P-trap biofilms may be strain specific or may be related to the type of P-trap material or age of the biofilm.
PL03: Thromboembolic events following cardioversion for acute atrial fibrillation and flutter: a systematic review and meta-analysis
B. Wong, J. Perry, W. Cheng, B. Zheng, K. Guo, M. Taljaard, A. Skanes, I. Stiell
Journal: Canadian Journal of Emergency Medicine / Volume 22 / Issue S1 / May 2020
Published online by Cambridge University Press: 13 May 2020, pp. S5-S6
Introduction: Several recent observational studies have presented concerning data regarding the safety of cardioversion (CV) for acute atrial fibrillation and flutter (AAFF). We conducted this systematic review to determine whether it is safe to cardiovert AAFF patients without prescribing oral anticoagulation (OAC) post-CV for those who are CHADS-65 negative. Methods: We conducted a librarian assisted search of MEDLINE, Embase, and Cochrane from inception through November 23, 2019. We included observational studies and randomized trials reporting thromboembolic (TE) events (i.e. stroke, transient ischemic attack, or systemic thromboembolism) within 30 days following CV in patients with AAFF, where onset of symptoms was <48 hours. Two reviewers independently screened studies and extracted data. The main outcome was risk of TE events within 30 days post-CV, stratified by OAC use. Risk of bias was assessed with the Quality in Prognostic Studies (QUIPS) tool. The primary analysis was based on prospective studies and the secondary analysis was based on retrospective studies. We performed meta-analyses for TE events where 2 or more studies were available, by applying the DerSimonian-Laird random-effects model. We implemented analyses stratified by study design using Open MetaAnalyst and generated the forest plots. Results: Our search yielded 969 titles; 74 were selected for full-text review and 20 studies were included in the review. The primary meta-analysis of 6 prospective studies, including two randomized trials, found a TE event rate of 0.15% (2 TE events/1,314 CVs). Within this prospective group, lack of OAC use was associated with a decreased risk of TE events (RR = 2.15 where RR >1 indicates increased risk of TE events with OAC compared to no OAC; 95% CI 0.50 to 9.31; I2 = 0%). Five of the 6 prospective studies had a low or moderate risk of bias in all QUIPS domains. Secondary meta-analysis of 6 retrospective studies revealed a TE event rate of 0.53% (56 TE events/10,521 CVs). This subgroup showed a trend favouring OAC use with decreased risk of TE events (RR = 0.34 where RR <1 suggests decreased risk of TE events with OAC; 95% CI 0.17 to 0.72; I2 = 0%). Conclusion: In the primary analysis of prospective studies, we found a low TE event rate following CV of AAFF, irrespective of OAC use. This contradicts previous analyses of retrospective studies. Our study supports the longstanding practice of not necessarily prescribing OAC post-CV in the ED for AAFF patients who are CHADS-65 negative.
LO60: Frailty and associated prognosis among older emergency department patients with suspected infection – a prospective, observational cohort study
S. Fernando, K. Guo, M. Lukasik, B. Rochwerg, D. Cook, K. Kyeremanteng, J. Perry
Published online by Cambridge University Press: 13 May 2020, p. S29
Introduction: Prognostication and disposition among older Emergency Department (ED) patients with suspected infection remains challenging. Frailty is increasingly recognized as a predictor of poor prognosis among critically ill patients, however its association with clinical outcomes among older ED patients with suspected infection is unknown. Methods: We conducted a multicentre prospective cohort study at two tertiary care EDs. We included older ED patients (≥ 75 years) presenting with suspected infection. Frailty at baseline (prior to index illness) was explicitly measured for all patients by the treating physicians using the Clinical Frailty Scale (CFS). We defined frailty as a CFS 5-8. The primary outcome was 30-day mortality. We used multivariable logistic regression to adjust for known confounders. We also compared the prognostic accuracy of frailty against the Systemic Inflammatory Response Syndrome (SIRS) and Quick Sequential Organ Failure Assessment (qSOFA) criteria. Results: We enrolled 203 patients, of whom 117 (57.6%) were frail. Frail patients were more likely to develop septic shock (adjusted odds ratio [aOR]: 1.83, 95% confidence interval [CI]: 1.08-2.51) and more likely to die within 30 days of ED presentation (aOR 2.05, 95% CI: 1.02-5.24). Sensitivity for mortality was highest among the CFS (73.1%, 95% CI: 52.2-88.4), as compared to SIRS ≥ 2 (65.4%, 95% CI: 44.3-82.8) or qSOFA ≥ 2 (38.4, 95% CI: 20.2-59.4). Conclusion: Frailty is a highly prevalent prognostic factor that can be used to risk-stratify older ED patients with suspected infection. ED clinicians should consider screening for frailty in order to optimize disposition in this population.
A New Natural Defense Against Airborne Pathogens
David Edwards, Anthony Hickey, Richard Batycky, Lester Griel, Michael Lipp, Wes Dehaan, Robert Clarke, David Hava, Jason Perry, Brendan Laurenzi, Aidan K. Curran, Brandon J. Beddingfield, Chad J. Roy, Tom Devlin, Robert Langer
Journal: QRB Discovery / Volume 1 / 2020
Published online by Cambridge University Press: 07 July 2020, e5
We propose the nasal administration of calcium-enriched physiological salts as a new hygienic intervention with possible therapeutic application as a response to the rapid and tenacious spread of COVID-19. We test the effectiveness of these salts against viral and bacterial pathogens in animals and humans. We find that aerosol administration of these salts to the airways diminishes the exhalation of the small particles that face masks fail to filter and, in the case of an influenza swine model, completely block airborne transmission of disease. In a study of 10 human volunteers (5 less than 65 years and 5 older than 65 years), we show that delivery of a nasal saline comprising calcium and sodium salts quickly (within 15 min) and durably (up to at least 6 h) diminishes exhaled particles from the human airways. Being predominantly smaller than 1 μm, these particles are below the size effectively filtered by conventional masks. The suppression of exhaled droplets by the nasal delivery of calcium-rich saline with aerosol droplet size of around 10 μm suggests the upper airways as a primary source of bioaerosol generation. The suppression effect is especially pronounced (99%) among those who exhale large numbers of particles. In our study, we found this high-particle exhalation group to correlate with advanced age. We argue for a new hygienic practice of nasal cleansing by a calcium-rich saline aerosol, to complement the washing of hands with ordinary soap, use of a face mask, and social distancing.
MP07: Diagnosis of elevated intracranial pressure in critically ill adults – a systematic review and meta-analysis
S. Fernando, A. Tran, W. Cheng, B. Rochwerg, M. Taljaard, K. Kyeremanteng, S. English, M. Sekhon, D. Griesdale, D. Dowlatshahi, M. Czosnyka, V. McCredie, E. Wijdicks, S. Almenawer, K. Inaba, V. Rajajee, J. Perry
Introduction: Elevated intracranial pressure (ICP) is a devastating complication of brain injury, such as traumatic brain injury, subarachnoid hemorrhage, intracerebral hemorrhage, ischemic stroke, and other conditions. Delay to diagnosis and treatment are associated with increased morbidity and mortality. For Emergency Department (ED) physicians, invasive ICP measurement is typically not available. We sought to summarize and compare the accuracy of physical examination, imaging, and ultrasonography of the optic nerve sheath diameter (ONSD) for diagnosis of elevated ICP. Methods: We searched Medline, EMBASE and 4 other databases from inception through August 2018. We included only English studies (randomized controlled trials, cohort and case-control studies). Gold standard was ICP≥20 mmHg on invasive ICP monitoring. Two reviewers independently screened studies and extracted data. We assessed risk of bias using Quality Assessment of Diagnostic Accuracy Studies 2 criteria. Hierarchical Summary Receiver Operating Characteristic model generated summary diagnostic accuracy estimates. Results: We included 37 studies (n = 4,768, kappa = 0.96). Of exam signs, pooled sensitivity and specificity for increased ICP were: mydriasis (28.2% [95% CI: 16.0-44.8], 85.9.0% [95% CI: 74.9-92.5]), motor posturing (54.3% [95% CI: 36.6-71.0], 63.6% [95% CI: 46.5-77.8]) and Glasgow Coma Scale (GCS) ≤8 (75.8% [95% CI: 62.4-85.5], 39.9% [95% CI: 26.9-54.5]). Computed tomography findings: compression of basal cisterns had 85.9% [95% CI: 58.0-96.4] sensitivity and 61.0% [95% CI: 29.1-85.6] specificity; any midline shift had 80.9% [95% CI: 64.3-90.9] sensitivity and 42.7% [95% CI: 24.0-63.7] specificity; midline shift≥1cm had 20.7% [95% CI: 13.0-31.3] sensitivity and 89.2% {95% CI: 77.5-95.2] specificity. Finally, pooled area under the ROC curve describing accuracy for ONSD sonography for ICP was 0.94 (95% CI: 0.91-0.96). Conclusion: The absence of any one physical exam feature (e.g. mydriasis, posturing, or decreased GCS) is not sufficient to rule-out elevated ICP. Significant midline shift is highly suggestive of elevated ICP, but absence of shift does not rule it out. ONSD sonography may be useful in diagnosing elevated ICP. High suspicion of elevated ICP may necessitate treatment and transfer to a centre capable of invasive ICP monitoring.
PL01: Prospective multicenter validation of the Canadian TIA Score for predicting subsequent stroke within seven days
J. Perry, M. Sivilotti, M. Emond, A. Worster, J. Lee, J. Morris, G. Stotts, G. Wells, I. Stiell, K. Cheung, N. Chagnon, H. Murray, M. Sharma
Published online by Cambridge University Press: 02 May 2019, p. S5
Introduction: Individualizing risk for stroke following a transient ischemic attack (TIA) is a topic of intense research, as existing scores are context-dependent or have not been well validated. The Canadian TIA Score stratifies risk of subsequent stroke into low, moderate and high risk. Our objective was to prospectively validate the Canadian TIA Score in a new cohort of emergency department (ED) patients. Methods: We conducted a prospective cohort study in 14 Canadian EDs over 4 years. We enrolled consecutive adult patients with an ED visit for TIA or nondisabling stroke. Treating physicians recorded standardized clinical variables onto data collection forms. Given the ability of prompt emergency carotid endarterectomy (CEA) to prevent stroke (NNT = 3) in high risk patients, our primary outcome was the composite of subsequent stroke or CEA ≤7 days. We conducted telephone follow-up using the validated Questionnaire for Verifying Stroke Free Status at 7 and 90 days. Outcomes were adjudicated by panels of 3 local stroke experts, blinded to the index ED data collection form. Based on prior work, we estimated a sample size of 5,004 patients including 93 subsequent strokes, would yield 95% confidence bands of +/− 10% for sensitivity and likelihood ratio (LR). Our analyses assessed interval LRs (iLR) with 95% CIs. Results: We prospectively enrolled 7,569 patients with mean 68.4 +/−14.7 years and 52.4% female, of whom 107 (1.4%) had a subsequent stroke and 74 (1.0%) CEA ≤7 days (total outcomes = 181). We enrolled 81.2% of eligible patients; missed patients were similar to enrolled. The Canadian TIA Score stratified the stroke/CEA ≤7days risk as: Low (probability <0.2%, iLR 0.20 [95%CI 0.091-0.44]; Moderate (probability 1.3%, iLR 0.79 [0.68-0.92]; High (probability 2.6%, iLR 2.2 [1.9-2.6]. Sensitivity analysis for just stroke ≤7 days yielded similar results: Low iLR 0.17 [95%CI 0.056-0.52], Medium iLR 0.89 [0.75-1.1], High iLR 2.0 [1.6-2.4]. Conclusion: The Canadian TIA Score accurately identifies TIA patients risk for stroke/CEA ≤7 days. Patients classified as low risk can be safely discharged following a careful ED assessment with elective follow-up. Patients at moderate risk can undergo additional testing in the ED, have antithrombotic therapy optimized, and be offered early stroke specialist follow-up. Patients at high risk should in most cases be fully investigated and managed ideally in consultation with a stroke specialist during their index ED visit.
LO65: Frailty and associated outcomes among emergency department patients requiring endotracheal intubation
S. Fernando, D. McIsaac, B. Rochwerg, S. Bagshaw, A. Seely, J. Perry, C. Dave, P. Tanuseputro, K. Kyeremanteng
Introduction: Risk-stratification of patients requiring endotracheal intubation and mechanical ventilation in the Emergency Department (ED) is necessary for informed discussions with patients regarding goals-of-care. Frailty is a clinical state characterized by reduced physiologic reserve, and resulting from accumulation of physiological stresses and comorbid disease. Frailty is increasingly being identified as an important independent predictor of outcome among critically ill patients. Our objective was to identify the impact of clinical frailty (defined by the Clinical Frailty Scale [CFS]) on in-hospital mortality and resource utilization of ED patients requiring endotracheal intubation and mechanical ventilation. Methods: We analyzed a prospectively collected registry (2011-2016) of patients requiring endotracheal intubation in the ED at two academic hospitals and six community hospitals. We included all patients ≥18 years of age, who survived to the point of ICU admission. All patient information, outcomes, and resource utilization were stored in the registry. CFS scores were obtained through chart abstraction by two blinded reviewers. The primary outcome, in-hospital mortality, was analyzed using a multivariable logistic regression model, controlling for confounding variables (including patient sex, comorbidities, and illness severity). We defined "frailty" as a CFS ≥ 5. Results: 4,622 patients were included. Mean age was 61.2 years (SD: 17.5), and 2,614 (56.6%) were male. Frailty was associated with increased risk of in-hospital mortality, as compared to those who were not frail (adjusted odds ratio [OR] 2.21 [1.98-2.51]). Frailty was also associated with higher likelihood of discharge to long-term care (adjusted OR 1.78 [1.56-2.01]) among patients initially from a home setting. Frail patients were more likely to fail extubation during their hospitalization (adjusted OR 1.81 [1.67-1.95]) and were more likely to require tracheostomy (adjusted OR 1.41 [1.34-1.49]). Conclusion: Presence of frailty among ED patients requiring endotracheal intubation and mechanical ventilation was associated with increased in-hospital mortality, discharge to long-term care, extubation failure, and tracheostomy. ED physicians should consider the impact of frailty on patient outcomes, and discuss associated prognosis with patients prior to intubation.
10 Toca 5: Toca 511 combined with Toca FC versus standard of care in patients undergoing planned resection for recurrent glioblastoma or anaplastic astrocytoma
G Zadeh, T Walbert, J Perry, J Zhu, M Salacz, D Bota, L Kim, F Iwamoto, K Petrecca, S Sully, T Montellano, T Kheoh, A Das, TF Cloughesy
Journal: Canadian Journal of Neurological Sciences / Volume 45 / Issue S3 / June 2018
Published online by Cambridge University Press: 27 July 2018, p. S2
Toca 511 (vocimagene amiretrorepvec) is an investigational, conditionally lytic, retroviral replicating vector (RRV). RRVs selectively infect cancer cells due to innate and adaptive immune response defects in cancers that allow virus replication, and the requirement for cell division for virus integration into the genome. Toca 511 spreads through tumors, stably delivering an optimized yeast cytosine deaminase gene that converts the prodrug Toca FC (investigational, extended-release 5-FC) into 5-FU within the tumor microenvironment. 5-FU kills infected dividing cancer cells and surrounding tumor, myeloid derived suppressor cells, and tumor associated macrophages, resulting in long-term tumor immunity in preclinical models. Data from a Phase 1 resection trial showed six durable CRs and extended mOS compared to historical controls. The FDA granted Breakthrough Therapy Designation for Toca 511 & Toca FC in the treatment of patients with rHGG. Toca 5 is an international, randomized, open-label Phase 3 trial (NCT02414165) of Toca 511 & Toca FC versus SOC in patients undergoing resection for first or second recurrence of rHGG. Patients will be stratified by IDH1 status, KPS, and geographic region. Primary endpoint is OS, and secondary endpoints are durable response rate, durable clinical benefit rate, duration of durable response, and 12-month survival rate. Key inclusion criteria are histologically proven GBM or AA, tumor size ≥1cm and ≤5cm, and KPS ≥70. Immune monitoring and molecular profiling will be performed. Approximately 380 patients will be randomized. An IDMC is commissioned to review the safety and efficacy data which includes 2 interim analyses. Enrollment is ongoing.
LO50: Necrotizing soft tissue infection: diagnostic accuracy of physical examination, imaging and LRINEC score a systematic review and meta-analysis
S. M. Fernando, A. Tran, W. Cheng, M. Taljaard, B. Rochwerg, K. Kyeremanteng, A. J.E. Seely, K. Inaba, J. J. Perry
Introduction: Necrotizing soft tissue infection (NSTI), a potentially life-threatening diagnosis, is often not immediately recognized by clinicians. Delays in diagnosis are associated with increased morbidity and mortality. We sought to summarize and compare the accuracy of physical exam, imaging, and Laboratory Risk Indicator of Necrotizing Fasciitis (LRINEC) Score used to confirm suspected NSTI in adult patients with skin and soft tissue infections. Methods: We searched Medline, Embase and 4 other databases from inception through November 2017. We included only English studies (randomized controlled trials, cohort and case-control studies) that reported the diagnostic accuracy of testing or LRINEC Score. Outcome was NSTI confirmed by surgery or histopathology. Two reviewers independently screened studies and extracted data. We assessed risk of bias using the Quality Assessment of Diagnostic Accuracy Studies 2 criteria. Diagnostic accuracy summary estimates were obtained from the Hierarchical Summary Receiver Operating Characteristic model. Results: We included 21 studies (n=6,044) in the meta-analysis. Of physical exam signs, pooled sensitivity and specificity for fever (49.4% [95% CI: 41.4-57.5], 78.0% [95% CI: 52.2-92.0]), hemorrhagic bullae (30.8% [95% CI: 16.2-50.6], 94.2% [95% CI: 82.9-98.2]) and hypotension (20.8% [95% CI: 7.7-45.2], 97.9% [95% CI: 89.1-99.6]) were generated. Computed tomography (CT) had 88.5% [95% CI: 55.5-97.9] sensitivity and 93.3% [95% CI: 80.8-97.9] specificity, while plain radiography had 48.9% [95% CI: 24.9-73.4] sensitivity and 94.0% [95% CI: 63.8-99.3] specificity. Finally, LRINEC 6 (traditional threshold) had 67.5% [95% CI: 48.3-82.3] sensitivity and 86.7% [95% CI: 77.6-92.5] specificity, while a LRINEC 8 had 94.9% [95% CI: 89.4-97.6] specificity but 40.8% [95% CI: 28.6-54.2] sensitivity. Conclusion: The absence of any one physical exam feature (e.g. fever or hypotension) is not sufficient to rule-out NSTI. CT is superior to plain radiography. The LRINEC Score had poor sensitivity, suggesting that a low score is not sufficient to rule-out NSTI. For patients with suspected NSTI, further evaluation is warranted. While no single test is sensitive, patients with high-risk features should receive early surgical consultation for definitive diagnosis and management.
PL01: Multicentre before-after implementation study of the Ottawa subarachnoid hemorrhage strategy
J. J. Perry, M. L.A. Sivilotti, M. Emond, C. M. Hohl, H. Lesiuk, J. Sutherland, M. Khan, K. Abdulaziz, G. A. Wells, I. G. Stiell
Introduction: The Ottawa SAH Rule was developed to identify patients at high-risk for subarachnoid hemorrhage (SAH) who require investigations and the 6-Hour CT Rule found that computed tomography (CT) was 100% sensitive for SAH 6 hours of headache onset. Together, they form the Ottawa SAH Strategy. Our objectives were to assess: 1) Safety of the Ottawa SAH Strategy and its 2) Impact on: a) CTs, b) LPs, c) ED length of stay, and d) CT angiography (CTA). Methods: We conducted a multicentre prospective before/after study at 6 tertiary-care EDs January 2010 to December 2016 (implementation July 2013). Consecutive alert, neurologically intact adults with a headache peaking within one hour were included. SAH was defined by subarachnoid blood on head CT (radiologists final report); xanthochromia in the cerebrospinal fluid (CSF); >1x106/L red blood cells in the final tube of CSF with an aneurysm on CTA. Results: We enrolled 3,669 patients, 1,743 before and 1,926 after implementation, including 185 with SAH. The investigation rate before implementation was 89.0% (range 82.9 to 95.6%) versus 88.4% (range 85.2 to 92.3%) after implementation. The proportion who had CT remained stable (88.0% versus 87.4%; p=0.60), while the proportion who had LP decreased from 38.9% to 25.9% (p<0.001), and the proportion investigated with CTA increased from 18.8% to 21.6% (p=0.036). The additional testing rate (i.e. LP or CTA) diminishedfrom 50.1% to 40.8% (p<0.001). The proportion admitted declined from 9.8% to 7.3% (p=0.008), while the mean length of ED stay was stable (6.2 +/− 4.0 to 6.4 +/− 4.1 hours; p=0.45). For the 1,201 patients with CT 6 hours, there was an absolute decrease in additional testing (i.e. LP or CTA) of 15.0% (46.6% versus 31.6%; p<0.001). The sensitivity of the Ottawa SAH Rule was 100% (95%CI: 98-100%), and the 6-Hour CT Rule was 95.3% (95%CI: 88.9-98.3) for SAH. Five patients with early CT had SAH with CT reported as normal: 2 unruptured aneuryms on CTA and presumed traumatic LP (determined by treating neurosurgeon); 1 missed by the radiologist on the initial interpretation; 1 dural vein fistula (i.e. non-aneuyrsmal); and 1 profoundly anemic (Hgb 63g/L). Conclusion: The Ottawa SAH Strategy is highly sensitive and can be used routinely when SAH is being considered in alert and neurologically intact headache patients. Its implementation was associated with a decrease in LPs and admissions to hospital.
LO40: Describing CCFP(EM) programs in Canada: a national survey of program directors
A. Nath, K. Yadav, J. J. Perry
Published online by Cambridge University Press: 11 May 2018, pp. S20-S21
Introduction: Enhanced skills training in emergency medicine (EM) for family physicians (CCFP(EM)) has existed since the 1970s. Accreditation standards define what every program must and should have, yet little is known on what is currently done across Canada. Our objectives were to: 1) describe major components of CCFP(EM) programs; and 2) determine how programs incorporate these components into their curriculum. Methods: A rigorous development process included expert content development and in-person pilot testing using Royal College Emergency Medicine Program Directors. An electronic survey questionnaire comprised of 63 questions was administered to all 17 CCFP(EM) program directors using a modified Dillman technique. Non-responders were sent a reminder email every 2 weeks over a 6-week period and an in-person reminder was given to non-responders at a face to face meeting 4 weeks after the initial survey was sent in June 2016. Results: All 17/17 (100%) program directors responded. There was considerable variation in administrative structure and financial support for each program. All programs provided ultrasound courses for basic skills (trauma, abdominal aortic aneurysm, intrauterine pregnancy). Variation exists for offering independent ultrasound certification (77%), advanced scanning (18%) and protected academic time for scanning (53%). All programs utilize high fidelity simulation. Some programs use in situ simulation (18%) and hold a simulation boot camp (41%). Most centres required an academic project, most commonly a quality assurance project (53%) and/or a critical appraisal of the literature (59%). Publication or national conference presentations were required by 12% of programs. Competency based assessments use simulation (88%) and direct observations (53%). Only 24% of programs have a transition to practice curriculum. All programs maintain strong connections to family medicine. Conclusion: This study demonstrates diverse structures of CCFP(EM) programs across Canada. Programs are similar regarding the provision of ultrasound, simulation and protected teaching time. Variation exists in administrative structure and financial resources of each program, academic project requirements, and how programs perform competency based assessments.
LO35: Improving the precision of emergency physicians diagnosis of stroke and TIA
M. A. Cortel, M. Sharma, A. LeBlanc, K. Abdulaziz, J. J. Perry
Introduction: Studies suggest that there is a significant discrepancy between emergency physicians diagnosis of TIA and confirmation by neurologists. The objectives of our study were to identify factors associated with neurologists confirmation of TIA in patients referred from the emergency department. Methods: Data were obtained from a prospective cohort study across more than 8 university-affiliated Canadian hospitals from 2006-2017 of adult patients diagnosed with a TIA or non-disabling stroke in the ED. Patients presenting after 1 week of symptom onset, receiving TPA as part of a stroke code, with a GCS<15 at baseline, and without a neurology assessment within 90 days were excluded. Univariate analyses were performed with t-tests or chi-square tests as indicated. Multivariate analysis with backward elimination was performed to identify unique predictors of TIA confirmation. Results: Of 8,669 patients diagnosed with TIA in the ED, 7,836 (90%) were assessed by neurology. The mean age of patients was 68.2 years and 71.1% presented with their first ever TIA. The rate of confirmation of TIA by neurology was 56%. The most common alternate diagnoses included migraines (26%), peripheral vertigo (10%), syncope (6%), and seizure (4%). The 3 strongest predictors of confirmation of TIA were infarct on imaging (OR 2.31, 2.03-2.63), history of weakness (OR 2.19, 1.95-2.48), and history of language disturbance (OR 2.05, 1.79-2.34). The 3 strongest predictors of an alternate diagnosis were syncope (OR 0.51, 0.39-0.67), history of bilateral weakness (or 0.51, 0.31-0.84), and confusion (OR 0.57, 0.48-0.67). Conclusion: The rate of TIA confirmation by neurology in our study was 56%. Emergency physicians should have a high index of suspicion of TIA in patients with history of weakness and language disturbance, and should resist referring to a stroke prevention clinic, patients with syncope, bilateral findings, or confusion.
LO51: Increased mortality and costs in emergency department sepsis patients with delayed intensive care unit admission
S. M. Fernando, B. Rochwerg, P. M. Reardon, K. Thavorn, N. I. Shapiro, A. J.E. Seely, J. J. Perry, D. P. Barnaby, P. Tanuseputro, K. Kyeremanteng
Introduction: Sepsis remains a major cause of mortality. In the Emergency Department (ED), rapid identification and management of sepsis have been associated with improved outcomes. Following ED assessment, patients with infection may be directly admitted to the Intensive Care Unit (ICU), or alternatively admitted to hospital wards or sent home, with risk of future deterioration necessitating ICU admission. Little is known regarding outcomes and costs of ICU sepsis patients who are initially admitted to a ward or discharged home (delayed ICU admission), as compared to those with direct ICU admission from the ED. Methods: We analyzed a prospectively collected registry (2011-2014) of patients admitted to the ICU with a diagnosis of sepsis at two academic hospitals. We included all adult patients with an index ED visit within 72 hours of ICU admission. Patients were categorized into 3 groups: 1) Admitted directly to ICU; 2) Admitted to wards, with ICU admission within 72 hours; and 3) Sent home, with ICU admission within 72 hours. ICU length of stay (LOS) and total costs (both direct and indirect) were recorded. The primary outcome, in-hospital mortality, was analyzed using a multivariable logistic regression model, controlling for confounding variables (including patient sex, comorbidities, and illness severity). Results: 657 ICU patients were included. Of these, 338 (51.4%) were admitted directly from ED to ICU, 246 (37.4%) were initially admitted to the wards, and 73 (11.1%) were initially sent home. In-hospital mortality was lowest amongst patients admitted directly to the ICU (29.5%), as compared to patients admitted to ICU from wards (42.7%), or home (61.6%). Delayed ICU admission was associated with increased odds of mortality (adjusted odds ratio 1.85 [1.24-2.76], P<0.01) and increased median ICU LOS (11 days vs. 4 days, P<0.001). Median total costs were lowest among patients directly admitted to the ICU ($19,924, [Interquartile range [IQR], 10,333-32,387]), as compared to those admitted from wards ($72,155 [IQR, $42,771-122,749]) and those initially sent home ($45,121 [IQR, $19,930-86,843]). Conclusion: Only half of ED sepsis patients ultimately requiring ICU admission within 72 hours of ED arrival are directly admitted to the ICU. Delayed ICU admission is associated with higher mortality, LOS, and costs.
Genome organization: connecting the developmental origins of disease and genetic variation
Liggins Institute, New Zealand and the Japanese DOHaD Society
E. Jacobson, M. H. Vickers, J. K. Perry, J. M. O'Sullivan
Journal: Journal of Developmental Origins of Health and Disease / Volume 9 / Issue 3 / June 2018
An adverse early life environment can increase the risk of metabolic and other disorders later in life. Genetic variation can modify an individual's susceptibility to these environmental challenges. These gene by environment interactions are important, but difficult, to dissect. The nucleus is the primary organelle where environmental responses impact directly on the genetic variants within the genome, resulting in changes to the biology of the genome and ultimately the phenotype. Understanding genome biology requires the integration of the linear DNA sequence, epigenetic modifications and nuclear proteins that are present within the nucleus. The interactions between these layers of information may be captured in the emergent spatial genome organization. As such genome organization represents a key research area for decoding the role of genetic variation in the Developmental Origins of Health and Disease.
An Environmental Scan of Academic Emergency Medicine at the 17 Canadian Medical Schools: Why Does this Matter to Emergency Physicians? – CORRIGENDUM
G. Stiell, J. D. Artz, E. S. Lang, J. Sherbino, L. J. Morrison, J. Christenson, J. J. Perry, C. Topping, R. Woods, R. S. Green, R. Lim, K. Magee, J. Foote, G. Meckle, M. Mensour, S. Field, B. Chung, M. Kuuskne, J. Ducharme, V. Klein, J. McEwen
Published online by Cambridge University Press: 09 February 2017, p. 247
PS1 - 160 A Telephone Based Cognitive Assessment Tool for Brain Metastases Patients
M.N. Tsao, K. Edelstein, L.J. Bernstein, J. Wong, N. Laperriere, J.R. Perry, A. Sahgal, C. Menard, H. Soliman, E. Chow, T. Barnes, C. Danjoux, B.A. Millar, R. Wong, W. Wells, R.S. McIntyre, W. Mason, C. Chung
Journal: Canadian Journal of Neurological Sciences / Volume 43 / Issue S4 / October 2016
Published online by Cambridge University Press: 18 October 2016, p. S9
Improving neurocognitive outcomes following treatment for brain metastases have become increasingly important. We propose that a brief telephone-based neurocognitive assessment may improve follow-up cognitive assessments in this palliative population. Aim: To prospectively assess the feasibility and reliability of a telephone based brief neurocognitive assessment compared to the same tests delivered face-to-face. Methods: Brain metastases patients to be treated with whole brain radiotherapy (WBRT) were assessed using a brief validated neurocognitive battery at baseline, at 1 month and 3 months following WBRT (in person and over the phone). The primary outcome was feasibility and inter-procedural (in person versus telephone) reliability. The secondary objective was to evaluate the change in neurocognitive function before and after WBRT. Results: Out of 39 patients enrolled, 82% of patients completed the baseline in-person and telephone neurocognitive assessments. However, at 1 month, only 41% of enrolled patients completed the in-person and telephone cognitive assessments and at 3 months, only 10% of patients completed them. Results pertaining to reliability and change in neurocognitive function will be updated. Conclusion: The pre-defined definition of feasibility (at least 80% completion for face to face and telephone neurocognitive assessments) was met at baseline. However, a large proportion of participants did not complete either telephone or in person neurocognitive follow-up at 1 month and at 3 months post-WBRT. Attrition remained a challenge for neurocognitive testing in this population even when a telephone-based brief assessment was used.
Isolated transient aphasia at emergency presentation is associated with a high rate of cardioembolic embolism
Jason K. Wasserman, Jeffrey J. Perry, Dar Dowlatshahi, Grant Stotts, Marco L. A. Sivilotti, Andrew Worster, Marcel Emond, Jane Sutherland, Ian G. Stiell, Mukul Sharma
Journal: Canadian Journal of Emergency Medicine / Volume 17 / Issue 6 / November 2015
A cardiac source is often implicated in strokes where the deficit includes aphasia. However, less is known about the etiology of isolated aphasia during transient ischemic attack (TIA). Our objective was to determine whether patients with isolated aphasia are likely to have a cardioembolic etiology for their TIA.
We prospectively studied a cohort of TIA patients in eight tertiary-care emergency departments. Patients with isolated aphasia were identified by the treating physician at the time of emergency department presentation. Patients with dysarthria (i.e., a phonation disturbance) were not included. Potential cardiac sources for embolism were defined as atrial fibrillation on history, electrocardiogram, Holter monitor, atrial fibrillation on echocardiography, or thrombus on echocardiography.
Of the 2,360 TIA patients identified, 1,155 had neurological deficits at the time of the emergency physician assessment and were included in this analysis, and 41 had isolated aphasia as their only neurological deficit. Patients with isolated aphasia were older (73.9±10.0 v. 67.2±14.5 years; p=0.003), more likely to have a history of heart failure (9.8% v. 2.6%; p=0.027), and were twice as likely to have any cardiac source of embolism (22.0% v. 10.6%; p=0.037).
Isolated aphasia is associated with a high rate of cardioembolic sources of embolism after TIA. Emergency patients with isolated aphasia diagnosed with a TIA warrant a rapid and thorough assessment for a cardioembolic source.
Multipoint observations of plasma phenomena made in space by Cluster
Focus on Space Plasmas
Present Achievements in SpacePlasmas
M. L. Goldstein, P. Escoubet, K.-Joo Hwang, D. E. Wendel, A.-F. Viñas, S. F. Fung, S. Perri, S. Servidio, J. S. Pickett, G. K. Parks, F. Sahraoui, C. Gurgiolo, W. Matthaeus, J. M. Weygand
Journal: Journal of Plasma Physics / Volume 81 / Issue 3 / June 2015
Published online by Cambridge University Press: 11 March 2015, 325810301
Plasmas are ubiquitous in nature, surround our local geospace environment, and permeate the universe. Plasma phenomena in space give rise to energetic particles, the aurora, solar flares and coronal mass ejections, as well as many energetic phenomena in interstellar space. Although plasmas can be studied in laboratory settings, it is often difficult, if not impossible, to replicate the conditions (density, temperature, magnetic and electric fields, etc.) of space. Single-point space missions too numerous to list have described many properties of near-Earth and heliospheric plasmas as measured both in situ and remotely (see http://www.nasa.gov/missions/#.U1mcVmeweRY for a list of NASA-related missions). However, a full description of our plasma environment requires three-dimensional spatial measurements. Cluster is the first, and until data begin flowing from the Magnetospheric Multiscale Mission (MMS), the only mission designed to describe the three-dimensional spatial structure of plasma phenomena in geospace. In this paper, we concentrate on some of the many plasma phenomena that have been studied using data from Cluster. To date, there have been more than 2000 refereed papers published using Cluster data but in this paper we will, of necessity, refer to only a small fraction of the published work. We have focused on a few basic plasma phenomena, but, for example, have not dealt with most of the vast body of work describing dynamical phenomena in Earth's magnetosphere, including the dynamics of current sheets in Earth's magnetotail and the morphology of the dayside high latitude cusp. Several review articles and special publications are available that describe aspects of that research in detail and interested readers are referred to them (see for example, Escoubet et al. 2005Multiscale Coupling of Sun-Earth Processes, p. 459, Keith et al. 2005Sur. Geophys.26, 307–339, Paschmann et al. 2005Outer Magnetospheric Boundaries: Cluster Results, Space Sciences Series of ISSI. Berlin: Springer, Goldstein et al. 2006Adv. Space Res.38, 21–36, Taylor et al. 2010The Cluster Mission: Space Plasma in Three Dimensions, Springer, pp. 309–330 and Escoubet et al. 2013Ann. Geophys.31, 1045–1059).
Large outbreak of Legionnaires' disease and Pontiac fever at a military base
J. AMBROSE, L. M. HAMPTON, K. E. FLEMING-DUTRA, C. MARTEN, C. McCLUSKY, C. PERRY, N. A. CLEMMONS, Z. McCORMIC, S. PEIK, J. MANCUSO, E. BROWN, N. KOZAK, T. TRAVIS, C. LUCAS, B. FIELDS, L. HICKS, S. B. CERSOVSKY
Journal: Epidemiology & Infection / Volume 142 / Issue 11 / November 2014
Published online by Cambridge University Press: 30 January 2014, pp. 2336-2346
We investigated a mixed outbreak of Legionnaires' disease (LD) and Pontiac fever (PF) at a military base to identify the outbreak's environmental source as well as known legionellosis risk factors. Base workers with possible legionellosis were interviewed and, if consenting, underwent testing for legionellosis. A retrospective cohort study collected information on occupants of the buildings closest to the outbreak source. We identified 29 confirmed and probable LD and 38 PF cases. All cases were exposed to airborne pathogens from a cooling tower. Occupants of the building closest to the cooling tower were 6·9 [95% confidence interval (CI) 2·2–22·0] and 5·5 (95% CI 2·1–14·5) times more likely to develop LD and PF, respectively, than occupants of the next closest building. Thorough preventive measures and aggressive responses to outbreaks, including searching for PF cases in mixed legionellosis outbreaks, are essential for legionellosis control.
Fabrication of High-Resolution Nuclear Detectors Using 4H-SiC n-type Epitaxial Layers
Kelvin J. Zavalla, Sandeep K. Chaudhuri, Krishna C. Mandal
Journal: MRS Online Proceedings Library Archive / Volume 1576 / 2013
Published online by Cambridge University Press: 13 December 2013, mrss13-1576-ww01-02
High resolution Schottky barrier detectors for alpha particles have been fabricated on 20 μm n-type 4H-SiC epitaxial layers. Schottky barrier contact structure was accomplished by deposition of 10 nm nickel on the Si face of the epilayers. The detectors were characterized for structural, electrical, and spectroscopic properties. Scanning electron microscopy and Nomarski optical microscopy revealed a micropipe density lower than 1 cm-2. The current-voltage (I-V) characteristics of the device exhibited very low leakage current of the order of 6.5 pA at an operating bias of 90 V. C-V measurements revealed a typical effective doping concentrations of 2.4 × 1014 cm-3 in these epilayers. The detectors were evaluated for alpha particles detection using a 241Am source. An energy resolution of ∼0.98% for 5.48 MeV alpha particles was observed. The separate contribution of charge carrier drift and diffusion to the total charge collection efficiency has been calculated in these detectors following a drift-diffusion model. Detailed electronic noise analysis in terms of equivalent noise charge (ENC) was carried out to study the effect of various noise components that contribute to the total electronic noise in the detection system. Effect of shaping time, presence of source and bias on the ENC has been studied in details.

redpajama_set_name: RedPajamaCommonCrawl


text:
Museums in Tokyo
Photo by Masaya Yoshimura
The name 21_21 DESIGN SIGHT comes from our desire to be a place where people can see beyond their own eyesight. It is. Our name is "21_21 DESIGN SIGHT", which translates as "Two One Two One Design Site".
21_21 DESIGN SIGHT is a place to think about various events and things through design, to communicate to the world, and to make proposals. It aims to foster understanding and interest in design by bringing together designers, engineers, artisans, companies, the general public, and many other people.
Through a multifaceted program of talks and workshops, 21_21 DESIGN SIGHT focuses on exhibitions with the theme of "everyday life", allowing visitors to experience the joy of design and to have a fresh and surprising experience. Many of these exhibitions are directed by designers.
Design makes life fun and enriching and opens up possibilities for thinking and action. 21_21 DESIGN SIGHT is a base for discovering and creating the future of design as a culture.
Exhibition!! 21_21 DESIGN SIGHT
Address Tokyo Midtown garden, 9-7-6 Akasaka, Minato-ku, Tokyo
WEB http://www.2121designsight.jp/en/
Business Hour*1 11:00 to 19:00 (admission until 18:30)
Closed*2 Tuesdays, New Year Holidays, Installation Periods
Genre*3 Design
Entrance Fee*4 General ¥1,200,University student ¥800,High School Student ¥500,Junior High School student and under may enter for free
Access*5 5 minutes walk from Roppongi(H04,E23) station
*1 The last day of an exhibition or event may end early. *2 There are also end-of-year and temporary closures *3 Blanks refer to all genres. *4 Admission prices may vary depending on the event. Check for senior citizens, children and group discounts.*5 The times shown are approximate.
Precautions may be taken to prevent the spread of corona infection. Please contact the gallery for more information.
Hachioji Yume Art Museum
Fuchu Art Museum
Seikado@Marunouchi (Seikado Bunko Art Museum)
Bunkyo City Mori Ogai Memorial Museum
JRA Racing Museum
The National Museum of Western Art, Tokyo
Kumagai Morikazu Museum of Art
SEN-OKU HAKUKOKAN MUSEUM TOKYO
Eisei Bunko Museum
Gas Museum
Memorial Museum for Soldiers, Detainees in Siberia, and Postwa...
Matsuoka Museum of Art
TOKYO METROPOLITAN TEIEN ART MUSEUM
Tokyo Station Gallery
Suntory Museum of Art
Tokyo Zokei University Art Museum, Zokei Gallery & CS Gal...
Panasonic Shiodome Museum of Art
Mitsubishi Ichigokan Museum, Tokyo
TOKYO METROPOLITAN ART MUSEUM
Miraikan National Museum of Emerging Science and Innovation
Saitama Museum of Natural History
Museums in Tokyo , …


My Data has been somehow deleted on PS4 after the new patch.
Can i get it somehow back?
Thanks for reporting. We're actively looking into the cause of this now. Hopefully we'll have more info soon.
If xbox got an update too, you should check it out too. I am not updating the game until it is safe. Too much steel on my account.
Oh dear, still 10 patients to cure before checking out !
Yep, if you haven't seen, this issue should be fixed now. Looks like there was just a problem with prep for the live update tomorrow, but should be fixed now.


The Ideas Industry: How Pessimists, Partisans, and Plutocrats are Transforming the Marketplace of Ideas by Daniel Drezner.
Dani Rodrik: Economics of the populist backlash. The backlash to globalisation was predictable, but the forms that it took weren't.
Richard Fletcher and Rasmus Kleis Nielsen: Using social media appears to diversify your news diet, not narrow it. The counter-narrative to the Cass Sunstein mantra about echo-chambers and 'enclave extremism'.
David Wallace-Wells: The Uninhabitable Earth. The most alarming article on climate change that I've ever read.


Items where Author or Contributor is "Bostoen, K"
Bostoen, K; Chalabi, Z; (2006) Optimization of household survey sampling without sample frames. International journal of epidemiology, 35 (3). pp. 751-5. ISSN 0300-5771 DOI: https://doi.org/10.1093/ije/dyl019 Full text not available from this repository.
Bostoen, K; Smith, L; Luyendijk, R; (2006) Measuring access to water and sanitaion: universal and local indicators. Background Report for: Meeting development goals in small urban centres: water and sanitation in the world's cities 2006. Technical Report. UN-HABITAT, Nairobi. http://researchonline.lshtm.ac.uk/id/eprint/11047 Full text not available from this repository.
This list was generated on Fri Apr 19 11:58:09 2019 BST.


You need help for dealing with nail fungus and athlete's foot?
Using all three products provides an ideal care for feet and nails. Simultaneously they are the ideal prevention of nail fungus and athlete's feet.
Mit NewCare ATP HairComplex ist ein Haartonicum mit einem völlig neuem Wirkmechanismus.
Das NewCare HairComplex Shampoo ist ein mildes Shampoo für die empfindliche Kopfhaut.


text:
Separating Liturgy from Ideology
Referring page
The liturgy is often perceived not only as an "icon" of heaven but also as a "banner" of human ideology. In the 16th century, the Reformers could not tolerate traditional liturgies, because they thought of them as symbols of medieval superstition and a departure from strict Monotheism. In the 20th century, the liturgical reformers mandated by Pope Paul VI could not tolerate the traditional Roman liturgy, because they perceived it to be the symbol of a force opposing progress and human evolution. The same intolerance reigns, whether it is a priest imprisoned in the 1860's for "ritualism" or priests removed from their parishes in the 1970's for refusing the Novus Ordo.
In reaction to these reforms, the traditional Roman liturgy has become associated with the political right-wing and conservatism. Many find it incredible that the "ritualist" priests of the 19th century were not right-wing conservatives - but Socialists. They were highly innovative in their concern for the poor and unfortunate people at the fringes of society.
We live in a society where tolerance and inclusivity are the keywords, but in which tolerance and inclusivity are hard to come by in the clash of ideologies. On the 7th July 2007, Pope Benedict XVI released a document in which he affirmed the right of Roman Rite priests to celebrate the liturgy of before the Pauline reform as an "extraordinary use". Fair-minded people would say that they would have no objection to that. Surely people can then choose what they prefer, just like being free to buy products of different brands in the world of trade and commerce.
Then the accusation came, sometimes from diocesan bishops, saying that the Pope had "given in" to the traditionalists, that he was something of a traditionalist himself and planned to cancel what was acquired by Vatican II and its positive teachings and aspirations in the modern world. Indeed, it is time to cast away our ideology and look at things with a fair mind. We can read the Conciliar documents, and we can read what Pope Benedict XVI has clearly written and said.
The Pope was very careful to avoid using the habitual terminology of the traditionalists, for example constrasting "traditional" and "conciliar" or "modern", or even "new" and "old". He introduced the notion of two uses of the Roman Rite. At long last, we see the key to undoing the ideological damage caused ever since the Protestant Reformation. Before the Council of Trent, and in some places, many centuries after it, there remained particular liturgical uses in local dioceses and some of the religious Orders like the Dominicans. Many modern Roman Catholics are surprised to know that the Archdiocese of Milan, the Diocese of Braga in Portugal and Lyons in France were not using the standard rite "of Pius V". The Church has always been a coloured tapestry of unity in diversity.
Is this opening a step backwards in terms of progress and modernity? Some have said that by allowing the old rite, Benedict XVI wanted to go back in time like a nostalgic old man. Nothing could be further from the truth. For him, the Church lives in our own time, and the teaching of Vatican II is yet to be received in the Church for there to be a renewal. In the immediate post-conciliar period, there was a cultural crisis that implied that in 2,000 years, Christendom had done little to improve the condition of man, and now Marxism was to be the new panacea. Later, Communism collapsed, but the response was "post-modern" scepticism and not a return to the faith. As ideologies wear down, we see more clearly and in retrospect the intentions of the Concilar Fathers. Fr. Joseph Ratzinger, who then became an Archbishop, then a Cardinal, and now Pope, was in the middle of the whole period as one of the world's greatest theologians - and his experience should be seen as the key to his decision as regards the liturgy. When we read his profound thought and theology, we see that we are not faced with a conservative or someone who lives in the past. The past affects the present and the present turns towards the future.
The motu proprio is not the expression of a step backwards, because spiritual progress is not like scientific or technological progress. None of us using Windows Vista, XP or even 98 is using Windows 3.1. We don't even have the old programmes on our hard disks. When a car is no longer roadworthy, it is taken to the scrap heap and broken up, and we buy a new car. Not so with the liturgy, because innovations do not abolish and cancel the older elements. To make another analogy, some of the English cathedral organs were redesigned and rebuilt in the 1960's according to an entirely different aesthetic ideal. They were no longer to be "stodgy" romantic English instruments, but were to sound like 18th century German and French organs. 40 years later, these radical rebuilds are often seen to be errors. Old organs are restored to be again as they were built in the first place. Perhaps an improvement can be made here and there, but the original material is respected and fostered for future generations. No one objects to new elements in the liturgy, for they show the liturgy to be as alive as the Church, but the old remains as a testimony of tradition.
Why should the liturgy be separated from conservative ideologies? Simply, the liturgy is not the property of a group of believers, the old rite no more to a group of right-wingers than the new use to a radical community. In the 1950's, as in the 1540's, there needed to be something of a shake-up. In Europe and America, the Mass was in Latin and many of the prayers were inaudible. True, people could follow the Mass with a bi-lingual missal, but a real separation was in place as when they squinted through holes in the Rood screen. As a result of this separation, people resorted to private devotions and the Rosary. When the changes came, like a "Christmas game" as the recusants complained, lay people became more active. It went to the other extreme, and in came the dialectical divide and the "hermeneutics of rupture".
With a little intelligence, we will find that lay participation is possible in the older forms of the liturgy, with appropriate pastoral guidance and priestly sensitivity. "Actual participation" is not only doing, but also praying and silence.
I listened to an interview with an independent bishop of the Liberal Catholic tradition. Like the "progressives" in the Roman Church, he was experimenting with a "circular Mass". Unlike the Protestants who do not admit an ordained Priesthood in the Apostolic Succession, he advocated opening the priesthood to all and removing its association with any kind of "clerical status". I found this bishop's thought profound and cogent in many respects. Many aspects of what he said were similar to the ideas of the "emerging church" movement - discarding traditional forms to provide a Christian platform for disconnected post-modern people. I found that I could not reject this person with the usual brush-off cynical attitude. He has walked his spiritual path and is convinced he is doing the right thing. The reflections this talk provoke in me amount to doing things a different way: separate the liturgy from ideology in order to impregnate the old with a new spirit.
Separate the liturgy from ideology in order to impregnate the old with a new spirit - I would advise the reader to stop on these words and reflect. Perhaps go for a walk or do some gardening, and then read the rest of this article on returning to your computer or printed paper. Christ talked of old wine and new bottles, the new and old things from the treasure house, and above all the spirit he did not find in the attitude of the Pharisees. The key is the Knowledge of God through personal experience. Christ's strongest reproach of these formalist and hypocritical self-righteous clerics was that they they took the key of knowledge away from the people. The people were no longer to have their own experience of God, but be guided only by verbal teaching from the clerocracy.
I am not in favour of the "circular Mass", because the Mass is pointed to God and open to Him. It is a communal celebration of immanence, but turned to the sacred and the transcendent. However, there are ways to involve the laity in an eastward-facing celebration. Allow them to sit in the choir stalls and be near the altar. The charismatics often like sitting on the floor using mats and little kneeling desks. I would have nothing against this kind of spontaneity. I often think of university lectures in the Middle-Ages: the professor had a chair, a kind of pulpit, and the students sat on the floor to listen to the lecture, ask questions or make "objections" for the professor to answer. For those who assist at Mass, there are times to be silent and adore, times to learn from the reading of Holy Scripture or the teaching by the priest, and times to witness to the power of God.
As the older form of the Roman Mass returns, at least for those who want it, I made the decision nearly a year ago to adopt the ancient Use of Sarum as the "older form" of the Anglican rite. It can be celebrated in the original Latin or according to the excellent English translations of Pearson and Canon Warren. There is no Feast of the Sacred Heart or of Saint Francis of Assisi! These are just 2 feasts among others. We English have our own, like the Five Wounds and the Holy Name of Jesus on August 7th. My vestments are of Roman shape and colour - but does this matter? There is no objection to adding feasts and celebrations from the Roman Missal to the Sarum Use, as prefeces from the "ordinary use" (Novus Ordo) can be used with the "extraordinary use". This kind of flexibility can help to find the via media between excessive purism or eclecticism. After all, Anglicans have used the Roman Missal as a supplement to the parsimonious 17th century Prayer Book for decades. Our voyage of discovery leads to a new world.
I cannot say enough for fostering a sense of wonder and awe, without which our hearts and souls are exposed to the mortal dangers of indifference and spiritual lethargy (acedia). Far from turning back the clock, whichever rite to which we are attracted, we are invited to turn away from radicalism - both right-wing and left-wing, and embrace traditional liturgical worship in an entirely new way. For many years, I have found the "conservative" spirit just as foreign as 1970's philistine brutalism. I feel the way for a new approach, the prophetic voice of the Vatican II Fathers.
We Anglicans are not Roman Catholics, though now there is a formal dialogue between the Traditional Anglican Communion and Rome, as there is also for other groups of Anglicans opposed to the "dictatorship of relativism". Our recovery of the liturgy is very similar to that in the Roman Catholic Church under Benedict XVI. Our forefathers suffered for it as we ourselves have suffered from isolation, marginalisation, ostracism, incomprehension from our own families and friends, rejection by our churches and parishes, ruined lives of former seminarians whose generosity met with the irrevocable sentence of "unstable and psychologically immature - no vocation". This treasure is too dear for us to discard along with our old Windows 3.1 and DOS 6 (anyone remember that?) and the old Ford Cortina that failed its roadworthiness test. It is a treasure for which many of have given our lives, at least morally and emotionally.
In the Roman Catholic Church, most people will continue to prefer the vernacular liturgy, as most of us Anglicans use the Prayer Book or one of the new revised services. But the presence of the ancient wealth of the Roman rite or the old diocesan uses is an invitation to a voyage of discovery in a world so far removed from the world of fast food, instant entertainment and supermarkets.
The independent liberal Catholic bishop whom I mentioned advocates new liturgies and entirely new forms for new pastoral situations. Perhaps he is right for his own flock, and I am impressed with his reasoning and candour - but I see much more potential in presenting old signs, gestures, symbols and texts for rediscovery by open-minded people in this new pastoral situation of "post-Christianity" that is rapidly becoming a new "pre-Christianity". The Orthodox Churches of the East (except one American Antiochian archbishop and a couple of open-minded bishops in the Russian Church) have missed out by their self-centred conservatism and refusal of western Christianity. At last, Rome is becoming open to the same thing we Anglicans have been working for over the past 170 years or so. We are tired of our aspirations being just "not available".
The whole point of traditional liturgy is not to be a banner of conservatism, prejudice, bigotry and anti-intellectualism, but the spiritual and Sacramental reference of the Church in a new age of openness and post-ideology. The renewal will be slow, as people still find difficulties in seeing through the ideologies, but those who persevere will have the grace and strength to lift away the curtain so that the sunlight might shine into their souls. Few will see this vision in these early days, but it will snowball in time.
I see some parallels between the beginning of this century and the beginning of the 19th. The old Establishment was largely destroyed by the French Revolution and people were tired of the terror and the fanaticism. They turned to what was good in the middle ages, even though they saw things through a distorted mirror of Romanticism. The 19th century revival was far from perfect, and it only lasted for so long, but there was something in Romanticism then as there is now. I cannot see the future, but we can but ... hope.


text:
The American Journal of Education, Volume 2
edited by Henry Barnard
II. WILLIAM LAWRENCE.
Want teaches us value. They know best bow to prize a thing, who are deprived of it, or have never been blessed with its possession. This explains the fact that education, for its wider diffusion, and its enlarged instrumentalities, is greatly indebted to the benefactions of many, who in their youth had themselves but slight participation in its advantages.
If the facilities of Commerce have been multiplied, and her gains increased by the discoveries of science and the inventions of art, commerce has repaid the debt by her rich gifts to schools and colleges, her noble endowment of institutions of learning, at which science can be studied, and art promoted, and many successive generations have the benefit of the highest intellectual and moral culture.
The history of education in all ages and countries, bears some testimony to this fact; New England especially abounds with evidences and illustrations of it. The sneer about "the Almighty Dollar," in connection with American character, is as false as it is silly, and as ungenerous as it is untrue. The New England people are undoubtedly frugal, industrious, enterprising. Like all the rest of the world they love money, they strive to get it, and commonly succeed in obtaining it. But they know how to use and enjoy it. They love it not for its own sake simply, but for what it enables them to do, and as a general remark it may be said, that they do well with it. They have devoted large portions of it, in every generation, to objects of public benefit and blessing.
New England, as regards the Anglo Saxon occupation of her soil, is but little over two hundred years old. She is not without spot or blemish, either in her present condition or her past history, but if we collect the statistics of her beneficence ; if we take an inventory of her schools, colleges, hospitals, asylums, the various institutions of learning or philanthropy, which that beneficence has established, endowed, made strong and efficient; the result is honorable alike to human nature and the New England character. It teaches that wealth does not always beget a hard-hearted, selfish man; that many rich in this world's goods, have also been rich in good deeds, and as faithful
VOL. II, No. 1.-3.,


Kimberley Hannagan is all about working smarter rather than harder. In today's high-pressured world of competitive business, she teaches people how to take control at work, dramatically improve their performance and achieve a positive work-life balance.
One of Kimberley's great strengths lies in her ability to remain authentic while being able to vary her style to meet clients' needs and comfort levels. She is also highly sensitive to the cultural aspects of communication that can make or break any learning experience.
Kimberley is a strong advocate for building positive workplace culture, transparent and principled communications and robust, ethical process as the road to success - in short for treating people like people.
Kimberley has been associated with Work Smarter, Live Better (WSLB) since its earliest days. Highly adaptable, she has found herself in boardrooms building approaches with CEOs and leadership teams, on the road with sales people, on site in manufacturing environments and even driving into country towns to deliver workshops to local communities. Alongside the WSLB program, her other areas of expertise and experience include leadership, mindfulness, resilience, strategy facilitation, communication and, conflict management.
Kimberley works on international leadership programs and guest lectures on MBA and post-graduate law programs. She is an associate of Cranfield University UK, one of the top 10 business schools worldwide for customised executive development. Her expertise has been honed in the banking and finance industry, with lawyers, and working with Federal, State and Local governments. She has also worked in pharmaceutical/biomedical contexts, hospitality settings, with aged care workers, in the IT and oil and gas industries, with property developers, architects, engineers and in tourism amongst others.
A natural people person, Kimberley is a lively facilitator, mediator and coach who brings to her work her passion for enabling people to get the best out of life by pursuing what is most important for them. A former student and instructor of drama and performance, she is keenly aware of making learning experiential and alive.
The benefits of the concept of "Think quarterly, plan weekly, act daily"


text:
Leonard Nimoy lives long and prosperous life as…
Leonard Nimoy lives long and prosperous life as Spock and so much more
FILE – This undated In this undated file photo released by Paramount Pictures, DeForest Kelley, left, Leonard Nimoy, second left, Nichelle Nichols, second right and William Shatner, right, appear in a scene from the TV series "Star Trek." Nimoy, famous for playing officer Mr. Spock in ìStar Trekî died Friday, Feb. 27, 2015 in Los Angeles of end-stage chronic obstructive pulmonary disease. He was 83.
PUBLISHED: February 27, 2015 at 8:34 p.m. | UPDATED: August 28, 2017 at 7:05 a.m.
Leonard Nimoy, whose half-alien "Star Trek" character Mr. Spock was a pop culture icon, died in his Bel Air home Friday from complications of chronic obstructive pulmonary disease. The actor, director, writer, poet, photographer and recording artist was 83.
"I loved him like a brother," said William Shatnerin a statement following news of Nimoy's death. "We will all miss his humor, his talent, and his capacity to love."
Shatner played the pointy-eared Spock's commander and friend Capt. James T. Kirk in "Star Trek," the show that made Nimoy a legend.
"Obviously I'm devastated by this and I will miss him immensely," said a distraught Nichelle Nichols, who played Lt. Uhura in the original series and early films, said from a comic convention she was appearing at in Florida. "The world is not a better place without him."
Even the commander in chief of the country, himself a Trekkie, paid condolences.
"Long before being nerdy was cool, there was Leonard Nimoy," President Barack Obama said in a statement released by the White House. "Leonard was a lifelong lover of the arts and humanities, a supporter of the sciences, generous with his talent and his time. And of course, Leonard was Spock. Cool, logical, big-eared and level-headed, the center of Star Trek's optimistic, inclusive vision of humanity's future."
The president is among generations of geeks who were inspired by Nimoy's signature character. Gene Roddenberry's 1960's NBC series was the first with a regular cast that took science fiction seriously and Spock, science officer of the starship Enterprise, was the prime symbol of that approach. Raised on the planet Vulcan by a diplomat father and human mother, Spock exemplified that culture's rigorous dedication to logical thinking and emotional control.
As Nimoy played him, however, Spock was paradoxically one of American television's first truly complex characters. The actor would often, subtly and poignantly, permit the feelings Spock tried so hard to repress slip into his behavior. And the deadpan humor Nimoy found in Spock's brainiac among illogical but fascinating humans predicament was an extended master class in timing, double takes and vocal precision.
"Obviously, he made a big impression in the original 'Star Trek' in the 1960s that wasn't really recognized by a lot of people until the 1970s when all the conventions started up," noted James Van Hise, sci-fi authority and editor of the 1980s Trek magazine Enterprise Incidents. "Leonard Nimoy basically became a superstar then. His Spock was something unique up until that time. Obviously, he's been imitated a lot since then, but he was someone who was aloof, but also someone you very much related to."
Nimoy also voiced the character on a Star Trek animated series and went on to play Spock in the first six "Star Trek" movies, as well as the elderly Spock Prime in the 2009 "Star Trek" reboot and its 2013 sequel, "Star Trek Into Darkness." The 2013 film with the new generation Spock played by Zachary Quinto, was Nimoy's final film appearance.
"my heart is broken. i love you profoundly my dear friend. and i will miss you everyday. may flights of angels sing thee to thy rest," Quinto posted on his Instagram feed with a stoic photo of Nimoy.
The last two "Star Trek" films' director, J.J. Abrams, also paid his respects with touching words.
"What a man you were," Abrams expressed in a handwritten note posted on his production company Bad Robot's Twitter feed Friday. "What a life you lived. As funny and thoughtful and generous and loving as you were talented. You taught us all, at every encounter. We will miss and love you forever."
The actor also directed the third and fourth Star Trek features, with the latter, "Star Trek IV: The Voyage Home," by far the most popular, pre-reboot franchise entry. The film grossed nearly $110 million domestic in 1986.
But Nimoy was more than just Trek.
After "Star Trek IV," Nimoy directed the biggest movie hit of 1987, the comedy "Three Men and a Baby," which grossed $168 million.
"Leonard was a good friend and a fine director," said Tom Selleck, one of the film's stars. "His contribution to 'Three Men and a Baby' could never be overstated."
After the original "Star Trek" series was canceled in 1969, Nimoy spent two years on "Mission: Impossible." His most recent regular television role was as William Bell on Abrams' sci fi series "Fringe." Among his many voice-only jobs are an episode of "The Big Bang Theory" and the 2011 mega-production "Transformers: Dark of the Moon."
While in 1975, the title of his autobiography, "I Am Not Spock," indicated his ambivalence about being so closely associated with the role, he'd clearly made peace with the situation before his 1995 follow-up, "I Am Spock," came out.
Born in Boston on March 26, 1931 to a family of Orthodox Jews from the then-Soviet Ukraine, Nimoy began acting in amateur stage productions at the age of 17. His film career started in 1951 and he played the lead role of a boxer in "Kid Monk Baroni" (1952), a Martian in the serial "Zombies of the Stratosphere" that same year, and had an uncredited part in the 1954 giant ant classic "Them!"
Nimoy reached the rank of sergeant during a 1953-55 army stint and appeared in dozens of episodes of the top TV series through the ensuing decade, including "Dragnet," "Twilight Zone," "Bonanza," "Perry Mason," "Combat!" and "The Man from U.N.C.L.E.," in which he first worked with Shatner.
Survived by his second wife, actress Susan Bay, two children from his first marriage and a stepson, Nimoy was also an accomplished (and sometimes controversial) art photographer, published poet and Dot Records vocalist; his first album was called "Mr. Spock's Music from Outer Space."
Nimoy was a recovering alcoholic and blamed the disease that took his life on cigarettes, although he'd quit smoking many years ago. He took Judaism seriously and was fluent in Yiddish; Nimoy based the famous split-fingers Vulcan greeting on a Jewish congregational blessing. Once "Star Trek" fandom became a phenomenon, Nimoy could usually be counted on to reciprocate the Trekkers' appreciation.
"I met him at one of the many personal appearances he made," Van Hise recalls. "He was very approachable. At a talk I was at, someone asked him about that Republic serial 'Zombies of the Stratosphere' he made when he was about 21. Leonard laughed and said, 'You must forgive me, I needed to work!'"
Music + Concerts |
Beyoncé will bring her Renaissance World Tour to SoFi Stadium in Inglewood


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Here is another addition to my baby series I've been running with. Can you tell I really love this texture? Anyway, this bib is made to coordinate with the Diaper Soaker and Baby Sunhat I've previously made.
Introducing the Baby Pocket Bib!
The pocket is designed to mimic the pockets on the Diaper Soaker.


When you have aged or damaged skin, you get fine lines and wrinkles on your hands. If you do not follow a good hand care routine, you may get wrinkles on your hands even when you are young. There are also many other causes of the development of wrinkles on your hands such as the side effects of the rays of the sun, use of cleansing agents, and hormonal changes. In this video, I am going to share with you some easy home remedies to remove wrinkles from hands and to make your hands baby soft and smooth.
Here are a few home remedies for the removal of wrinkles and dryness of your hands. Follow the remedies below to have super soft and smooth hands.
The first home remedy to get fair and soft hands is to use raw milk. For this, take some raw milk, and apply it on your hands with a cotton ball. Or soak your hands in a bowl of milk for five minutes and get fair and soft hands. Use the remedy regularly for the best results.
Take a banana, and peel it off. Cut the banana into small pieces, and then blend them to make a smooth paste. Take one tsp of banana paste, and one tsp of honey, and mix. Apply the mask and leave it for 10 minutes. Wash it off with cold water. Use the remedy daily to remove wrinkles from hands & get baby soft hands.
Massage your hands with warm coconut oil for five minutes before going to bed. After this, wear gloves and leave your hands overnight. Wash your hands in the morning. Use the remedy daily.
All of these home remedies to remove wrinkles from hands are very effective, and also, you can make these easily at home with some natural ingredients. So, if you are worried because of dry, rough, ugly hands, follow one of the remedies and have super soft, smooth and wrinkle-free hands.


text:
Oakdale Junior School
Find out how Oakdale Junior School rates compared to other primary schools in Redbridge with our school ratings
Here Oakdale Junior School, Oakdale Road, Redbridge, South Woodford, London, E18 1JX, is put into focus to show its scores in relation to other schools in the area.
Oakdale Road, Redbridge, South Woodford, London, E18 1JX
The open date and status above indicate when Oakdale Junior School opened or when it changed to its most recent incarnation, with a number of schools converting to academies in recent years. Where schools have changed type recently, data for previous years covering their previous incarnation is included below as well - so a school may have a status of New due to converting to an academy but have data for previous years prior to conversion.
What type of school is Oakdale Junior School?
Overall Score 53.7 54.9 45.7 51.8
Local Rank 31 25 38 25
How Oakdale Junior School scores on each indicator.
Oakdale Junior School has been rated as Good at its most recent Ofsted inspection.
How does Oakdale Junior School perform on each of the areas inspected by Ofsted? As of September 2012, a score of 3 changed from indicating Satisfactory to Requires Improvement.
In 2019, 71% of pupils at Oakdale Junior School reached the expected standard in reading, writing and maths.
How have pupils at Oakdale Junior School done in assessments at the end of Key Stage 2 and how does it compare to local authority and national averages?
While pupils are generally aiming to be working at the expected level in reading, writing and maths, what proportion of children at Oakdale Junior School had a high score in reading and maths and were working at greater depth in writing, and how does this compare to performance at local and national level?
How do children at Oakdale Junior School with different levels of attainment at Key Stage 1 and pupils from disadvantaged backgrounds perform in terms of reaching the expected standard in reading, writing and maths?
How does the % of boys and girls at Oakdale Junior School achieving the expected standard in reading, writing and maths compare to the national average?
What is the pupil:teacher ratio at Oakdale Junior School and how does it compare to the national average?
At Oakdale Junior School, pupils had an average progress score in maths in 2019 that was 0.3 compared to the national average of 0.
At Oakdale Junior School, pupils had an average progress score in reading in 2019 that was -0.2 compared to the national average of 0.
At Oakdale Junior School, pupils had an average progress score in writing in 2019 that was 2.1 compared to the national average of 0.
In 2017/18, the most recent full school year, 3.9% of half-day sessions were missed by pupils at Oakdale Junior School. Nationally, primary school pupils missed 4% of half-day sessions.
What is the total school spend per pupil at Oakdale Junior School compared to the local average? (school is in blue)
How much does Oakdale Junior School spend per pupil on teachers and educational support staff and how does this compare to the average spending across Redbridge?
What percentage of the budget at Oakdale Junior School is spent on supply staff?
London crime: Harrow mum denies murdering 5-month-old baby son
HarrowMariam Benzain, 32, has pleaded not guilty on grounds of insanity
SuttonSutton Cafe fined £1,000 for repeatedly flouting Covid rulesThe owner allowed people to eat and drink inside despite takeaway only rules
'Humiliated' social worker 'shoved, laughed at and racially abused' in Thornton Heath Lidl
TescoA manager allegedly abused the social worker while other members of staff laughed
'It's ok to cry:' Dr Alex George speaks honestly about grief after losing brother to suicide
HealthThe Love Island star is a strong advocate for mental health issues
KensingtonKensington High Street cycle lane 'should be re-installed', say campaigners as they eye up court challengeThe cycle lane was removed by the council in early December, seven weeks after it was installed


You are here » Convicts transported to Australia » Van Diemen's Land. » Augusta Jessie » 10 August 1838.
Convicted at Lincoln. Lindsey Quarter Session for a term of 7 years on 24 October 1837.
Convicted at Lincoln. Holland Quarter Session for a term of 10 years.
Convicted at York. West Riding Quarter Session for a term of 7 years on 10 January 1838.
Convicted at Kent Quarter Session for a term of 7 years on 27 June 1837. [Sentence] to be computed from 27 September being under sentence 3 calendar months.
Convicted at Worcester Assizes for a term of life on 06 March 1838.
Convicted at Chester Quarter Session for a term of 7 years on 02 July 1838.
Convicted at Suffolk Quarter Session for a term of 14 years on 27 October 1837.
Convicted at Lancaster. Liverpool Quarter Session for a term of 10 years on 19 July 1838.
Convicted at Lancaster. Liverpool Quarter Session for a term of life on 09 July 1838.
Convicted at Lancaster. Liverpool Quarter Session for a term of 10 years on 09 July 1838.
Convicted at Gloucester City Quarter Session for a term of 14 years on 02 July 1838.
Convicted at Stafford Quarter Session for a term of 7 years on 17 October 1837.
Convicted at Central Criminal Court for a term of 14 years on 18 June 1838.
Convicted at Warwick Assizes for a term of 15 years on 22 March 1838.
Convicted at Cumberland Quarter Session for a term of 7 years on 03 April 1838.
Convicted at Lancaster Quarter Session for a term of 14 years on 03 January 1838.
Convicted at Essex Quarter Session for a term of 7 years on 28 November 1837.
Convicted at Hereford Quarter Session for a term of 14 years on 02 July 1838.


The consensus is that the Fed will increase the Fed Funds Rate 25bps at the meeting this week.
Assuming the expected happens, the focus will be on the wording of the statement, the projections, and Fed Chair Janet Yellen's final press conference to try to determine how many rate hikes to expect in 2018.
Here are the September FOMC projections.
The projection for GDP in 2017 will likely be revised up. GDP in Q1 was at 1.2% annualized, Q2 at 3.1%, and Q3 at 3.3%. Current projections put Q4 GDP at around 2.5% to 2.9%. This would put GDP (Q4 over Q4) at the high end of the September forecast range.
Note: My guess is, as far as the impact of any fiscal stimulus, the Fed will continue to wait and see and not incorporate any tax cuts in their projections for 2018 and beyond.
The unemployment rate was at 4.1% in both October and November. So the unemployment rate for Q4 2017 will be revised down. The unemployment rate for 2018 and 2019 will probably be revised down too.
As of October, PCE inflation was up 1.6% from October 2016. Based on recent readings, PCE inflation will probably be revised up slightly for Q4 2017, and possibly for 2018.
PCE core inflation was up 1.4% in October year-over-year. Core PCE inflation will probably be unchanged or revised down slightly for Q4 2017.
In general, it appears GDP will be revised up, the unemployment rate revised down, and inflation is mixed. The inflation outlook will be key for Fed rate hikes in 2018.


text:
Q: SQL - how to get out chained data? I have 4 tables which were auto generated for me:

*

*User

*Challenge

*Exercise

*Challenge_Exercise

One User may have many Challenges, and one Challenge will have many Exercises.
What I noticed is that the Challenge table has a reference to it's parent User (called user_id) but Exercise do not have a reference in it's table to Challenge; their relation is stored in Challenge_Exercise as Challenge_id and exercise_id.
My question is, how would I take out every Exercise that is linked to a specific user? For instance User with id = 1?

A: SELECT *
FROM   excerise,
       challenge_excerise,
       challenge
WHERE  challenge.user_id = 1
       AND challenge_excerise.challenge_id = challenge.id
       AND challenge_excerise.exercise_id = excercise.id

What I'm doing here is a join, you could also explicitly do it with inner joins (google it if you wanna know more).
This table is needed because you have a many to many relationship, which means each challenge can have multiple exercises, but also each exercise can have multiple challenges. It's a standard to make an extra table then, so you don't have redundant data, this table is often called junction table.
If you want background just google it, there are tons of data to this topic.

redpajama_set_name: RedPajamaStackExchange


text:
package io.github.retz.admin;

import com.beust.jcommander.Parameter;
import com.j256.simplejmx.client.JmxClient;
import io.github.retz.cli.FileConfiguration;
import io.github.retz.protocol.data.User;
import org.slf4j.Logger;
import org.slf4j.LoggerFactory;

public class CommandGetUser implements SubCommand {
    static final Logger LOG = LoggerFactory.getLogger(CommandGetUser.class);

    @Parameter(names = {"--user-id", "-id"}, description = "Get user", required = true)
    private String id;

    @Override
    public String description() {
        return "Get details of a user";
    }

    @Override
    public String getName() {
        return "get-user";
    }

    @Override
    public int handle(FileConfiguration fileConfig, boolean verbose) throws Throwable  {
        int port = fileConfig.getJmxPort();
        try (AdminConsoleClient client = new AdminConsoleClient(new JmxClient("localhost", port))) {
            User user = client.getUserAsObject(id);
            LOG.info("User id={}, enabled={}, info={}", user.keyId(), user.enabled(), user.info());
            return 0;
        }
    }
}


Thanks to all the volunteers that sold tickets this year, and special thanks to all those that bought tickets. We appreciate your support!
The Pierre Jr Shooters participated in the DC Shooting Team Invitational BB Gun Match held on March 22 in Armour, SD. Teams participating included Davison Co., Douglas Co., Highmore, Humboldt, Kirley, Marshall Co., and Pierre.
Jasmine Hays - eighth - sitting.
Alayna Kliewer - tenth - prone; third - standing; fifth - sitting; sixth - kneeling; overall fifth.
Jenna Kruger - fourth - prone; fifth - standing; overall eighth.
Jazzlyn Rombough - third - prone; third - sitting.
Roper Hammersley - ninth - sitting; seventh - kneeling.
Jessica Hays - third - standing.
Vanya Kliewer - fifth - kneeling.
Justin Merriman - 98 on test; fourth - standing; eighth - sitting; third - kneeling; overall first.
Wyatt Rose - 92 on test; first - prone; sixth - sitting; second - kneeling; overall fourth.
Savannah Shrake - tenth - prone.
Alee Smith - 90 on test; fourth - prone; second - standing; fourth - sitting; overall third.
Noah Smith - 92 on test; ninth - prone.
Adam Forman - 90 on test; fourth - prone; sixth - sitting; first - kneeling; overall fifth.
Andrew Kliewer - 90 on test.
Natalie Mohr - 96 on test.
Cassandra Ryckman - 98 on test; first - prone; eighth - sitting; fourth - kneeling; overall third.
Zane Schuchard - 94 on test.
Canaan Smith - 96 on test.
8-9 yr old division - Second Place ( Jasmine Hays, Alayna Kliewer, Jenna Kruger, Riley Pfeifer, and Jazzlyn Rombough); 10-11 yr old division - First Place (Jessica Hays, Vanya Kliewer, Justin Merriman, Wyatt Rose, and Alee Smith); 12-15 yr old division - Second Place (Adam Forman, Natalie Mohr, Cassandra Ryckman, Zane Schuchard and Canaan Smith); The whole Pierre team won the Sportsmanship Award.
The Pierre Jr Shooters participated in the National Wild Turkey Federation State BB Gun Match held on March 29 in Pierre at Riggs High Gym. Teams participating included Davison Co, Douglas Co, Highmore, Humboldt, Kirley, Marshall Co, Pierre and Spink Co. By winning this tournament, the Pierre team qualified for the Daisy National BB Gun Championships t be held on July 4-6 in Rogers, Arkansas. This will be the tenth consecutive year for coaches John Forman and Gene Garber, and the 11th consecutive for the Pierre Junior Shooters. During that time, the Pierre team has won five national championships.
Jasmine Hays - first - kneeling.
Alayna Kliewer - seventh - prone; fifth - kneeling; overall seventh.
Jenna Kruger - third - prone; fourth - standing; fourth - kneeling; overall fourth.
Jazzlyn Rombough - tenth - sitting.
Rylie Stoeser - sixth - prone; ninth - sitting; seventh - kneeling; overall sixth.
Ruben Bowen - 90 on test.
Jessica Hays - eighth - sitting.
Vanya Kliewer - 92 on test.
Jeremy Knigge - 94 on test.
Justin Merriman - 100 on test; first - prone; seventh - standing; sixth - sitting; second - kneeling; overall first.
Isaak Rombough - 94 on test; fifth - sitting.
Wyatt Rose - 98 on test; seventh - kneeling. overall fifth.
Drew Schuchard - 96 on test.
Alee Smith - 94 on test; third - sitting; overall third.
Jacob Beastrom - 100 on test; seventh - kneeling; overall tenth.
Ryan Habeck - 98 on test; fourth - standing; ninth - sitting; first - kneeling; overall first.
Will Kessler - 92 on test.
Conner Kroll - fifth - prone.
Natalie Mohr - 98 on test.
Cassandra Ryckman - 100 on test; first - prone; tenth - standing; overall fifth.
Nathan Schnabel - 100 on test; fourth - prone.
Zane Schuchard - 96 on test; eighth - prone.
Canaan Smith - 100 on test; fourth - kneeling; overall seventh.
Will Zebroski - 100 on test; second - prone; fifth - sitting; fifth - kneeling; overall second.
8-9 yr old division - First Place (Jasmine Hays, Alayna Kliewer, Jenna Kruger, Domnick Namanny and Rylie Stoeser); 10-11 yr old division - First Place (Jessica Hays, Justin Merriman, Wyatt Rose, Drew Schuchard and Alee Smith); 12-15 yr old division - First Place and High Team Test Award (Jacob Beastrom, Ryan Habeck, Cassandra Ryckman, Nathan Schnabel and Canaan Smith).
The Pierre Jr Shooters participated in the Safari Club International State BB Gun Match held on April 5 in Montrose. Teams participating included Buffalo, MN, Buffalo, ND, Davison Co, Douglas Co, Highmore, Humboldt, Kirley, Lake Co, Marshall Co, Pierre and Spink Co.
Jasmine Hays - ninth - sitting; seventh - kneeling.
Alayna Kliewer - fourth - prone; fifth - sitting; overall eighth.
Jenna Kruger - second - prone.
Jazzlyn Rombough - sixth - prone; third - sitting.
Jessica Hays - 96 on test; eighth - prone; eighth - kneeling.
Jeremy Knigge - 92 on test.
Justin Merriman - 94 on test; fourth - prone; third - kneeling; overall fifth.
Isaak Rombough - 94 on test.
Wyatt Rose - 94 on test; ninth - prone.
Drew Schuchard - 98 on test.
Alee Smith - 94 on test; sixth - sitting.
Noah Smith - 90 on test.
Jacob Beastrom - 98 on test; fifth - prone; fifth - kneeling; overall seventh.
Adam Forman - 94 on test; third - prone.
Ryan Habeck - 98 on test; fourth - prone; second - standing; second - kneeling; overall first.
Austin Lesmann - 94 on test.
Natalie Mohr - 100 on test.
Nolan Ortbahn - 98 on test; third - standing; seventh - sitting; overall third.
Cassandra Ryckman - 98 on test; tenth - sitting; fourth - kneeling; overall sixth.
Nathan Schnabel - 96 on test; third - kneeling.
Zane Schuchard - 98 on test.
Canaan Smith - 98 on test; fourth - standing.
Will Zebroski - 100 on test; ninth - standing; first - kneeling; overall fourth.
8-9 yr old division - Second Place (Jasmine Hays, Alayna Kliewer, Jenna Kruger, Riley Pfeifer and Jazzlyn Rombough); 10-11 yr old division - Second Place (Jessica Hays, Vanya Kliewer, Justin Merriman, Wyatt Rose and Alee Smith); 12-15 yr old division - First Place (Jacob Beastrom, Ryan Habeck, Cassandra Ryckman, Nathan Schnabel and Canaan Smith).
The Pierre Jr Shooters participated in the Marshall Co. Invitational BB Gun Match held on March 15 in Britton, SD. Teams participating included Buffalo, MN, Buffalo, ND, Day Co, Douglas Co, Highmore, Humboldt, Kirley, Lake Co, Marshall Co, Pierre and Spink Co.
Drew Schuchard - ninth - prone; second - standing; tenth - sitting; third - kneeling; overall fourth.
Jayce Beastrom - tenth - sitting.
Justin Merriman - 96 on test; eighth - prone; first - standing; fourth - sitting; tenth - kneeling; overall first.
Wyatt Rose - 96 on test; second - prone; seventh - kneeling; overall eighth.
Alee Smith - ninth - prone; fourth - sitting.
Noah Smith - 96 on test.
Jacob Beastrom - 100 on test; sixth - standing; eighth - sitting; overall fifth.
Adam Forman - 96 on test.
Ryan Habeck - 94 on test; first - standing; first - sitting; eighth - kneeling; overall first.
Nolan Ortbahn - 98 on test; seventh - prone; fourth -standing; third - sitting; overall second.
Cassandra Ryckman - 100 on test.
Nathan Schnabel - 94 on test; fourth - prone.
Canaan Smith - 98 on test.
Will Zebroski - 98 on test; second - kneeling; overall sixth.
The Pierre Jr. Shooters participated in the Highmore Invitational BB Gun Match held on March 8 in Highmore, SD. Teams participating included Douglas Co., Highmore, Humboldt, Kirley, Marshall Co., Pierre and Spink Co. The next competition for the Pierre team will be in Britton at the Marshall Co. Invitational on Saturday, March 15.
Jasmine Hays - eighth - kneeling.
Alayna Kliewer - eighth - standing.
Domnick Namanny - eighth - sitting; ninth - kneeling; overall ninth.
Nick Roggenbuck - tenth - sitting.
Jazzlyn Rombough - eighth - prone; fifth - sitting.
Drew Schuchard - 94 on test; seventh - prone; overall sixth.
Rylie Stoeser - 90 on test; sixth - standing; fourth - sitting; fourth - kneeling; overall fourth.
Jessica Hays - fifth - kneeling.
Vanya Kliewer - first - standing.
Jeremy Knigge - 90 on test.
Justin Merriman - 98 on test; sixth - prone; ninth - standing; second - sitting; first - kneeling; overall first.
Alec Pickard - ninth - kneeling.
Wyatt Rose - 94 on test.
Alee Smith - 96 on test; eighth - sitting.
Alex Taylor - eighth - prone; seventh - sitting.
Jacob Beastrom - 96 on test; seventh - sitting; sixth - kneeling; overall fourth.
Ryan Habeck - 98 on test.
Austin Lesmann - 92 on test.
Nolan Ortbahn - 100 on test; eighth - prone; eighth - sitting.
Cassandra Ryckman - 100 on test; fourth - standing; seventh - kneeling; overall first.
Nathan Schnabel - 94 on test; sixth - prone; fifth - kneeling.
Canaan Smith - 96 on test; third - prone.
William Zebroski - 96 on test; second - standing; overall seventh.
8-9 yr old division - First Place (Jasmine Hays, Alayna Kliewer, Domnick Namanny, Drew Schuchard, and Rylie Stoeser).
Competing in Doland on March 1 in the Spink Co Invitational BB Gun Match were teams from Buffalo, MN, Buffalo, ND, Douglas Co, Highmore, Humboldt, Kirley, Lake Co, Marshall Co, Pierre, and Spink Co.
Jasmine Hays - prone - eighth; kneeling - eighth.
Alayna Kliewer - prone - tenth; sitting - ninth.
Domnick Namanny - prone - second; standing - ninth; seventh overall.
Jessica Hays - kneeling - sixth.
Justin Merriman - prone - eighth; standing - sixth; sitting - second; kneeling - second; fourth overall.
Wyatt Rose - prone - fourth; standing - sixth; sitting - sixth; kneeling - fourth; second overall.
Jacob Beastrom - standing - tenth; sitting - ninth; test 96; tenth overall.
Adam Forman - prone - first; kneeling - fifth; test 94; fourth overall.
Ryan Habeck - standing - second; sitting - first; kneeling - third; second overall.
Austin Lesmann - prone - tenth.
Natalie Mohr - test 94.
Cassandra Ryckman - standing - first; test 96.
Nathan Schnabel - prone - fifth; sitting - fifth.
Canaan Smith - prone - tenth; test 96.