The first time Jilley Dickinson donated bone marrow, she was a carefree 31-year-old. The decision wasn't hard to make once she got the call stating she'd matched with an eligible patient in need.
Before her first donation experience, Dickinson attended a Be the Match donor drive in Ionia, organized to support a girl in the community who needed a marrow transplant. Be the Match is operated by the National Marrow Donor Program and operates a worldwide registry to connect potential donors with people in need of healthy bone marrow or stem cells, used to treat a variety of conditions including blood cancers.
Dickinson's recipient was a 50-year-old male diagnosed with acute myeloid leukemia. When she signed up to be a donor, a simple swab of her cheek provided DNA, which contained human leukocyte antigens (HLA), proteins found on cells in her body. Donor and patient must be a close HLA match for the transplant to be effective. Of people who sign up for the registry, chances of donating are about one in 430.
By the time she was notified she might be a match, Dickinson had kind of forgotten about the donation drive she'd been part of.
After more blood draws and an extensive physical exam to solidify her good health and that she'd be the best donor, she gave bone marrow through a draw from her pelvic bone. She was put under throughout the procedure but did report some discomfort in the following days.
The second time she got the call that her stem cells were needed, eight years had gone by and the Stanton resident had added a husband and two small boys. The logistics were more complicated, but her gut told her she knew there was only one option and this time, it felt more personal.
Since her first donation, she'd experienced the loss of her father and father-in-law. She knows the name of the man she'll potentially be saving for the second time and she knows he has a family, including a son she's communicated with through Facebook.
"How would I have felt if my dad or father-in-law could have been saved by a bone marrow donation and the original donor, who's already donated once, said 'no' they didn't want to do it again," she asked herself.
To protect privacy, donors don't know the identity of their recipient and vice versa. After about one year after the first donation, Dickinson received an update from Be the Match letting her know the recipient was in remission, which gave her a wonderful sense of accomplishment.
"Not only did I do something for someone else, but it actually worked," she said.
After five years, the patient and donor can contact each other provided both agree. Dickinson was curious to know who this man was and looked him up on Facebook. She ended up becoming friends with his son on the social media platform and was surprised to discover that the man she'd saved lived a world away in Turkey.
Using Google Translate, the recipient thanked Dickinson through his son and welcomed her for a visit. With a then six-month-old, traveling a world away wasn't in the cards but Dickinson was touched by the gesture.
When Dickinson donates to the same man for a second time this April, she'll have a central line placed at Spectrum Butterworth Hospital to donate peripheral blood stem cells. The procedure will take about six hours and she'll likely take the following day off. She's using time off through her employer, Sheridan Hospital, where she works as an accounts receivable specialist.
Donors don't pay for any medical expenses incurred through their donation and certain expenses, such as travel and childcare, can be reimbursed. Some states mandate paid leave for bone marrow donation, although Michigan currently does not.
Dickinson isn't worried about the time lost. She's also not worried about the procedure – she went through breast cancer at 21 and a little time in the hospital certainly doesn't scare her. She gets emotional thinking about what she'd give for more time with her own dad. He died 10 days after a lung cancer diagnosis. He was 59, about the age her bone marrow recipient is today. She wants his family to have him for as long as they can.
"Even if I gave him 10 days … if I gave him a month or a couple more years … I don't know the extent of his illness aside from the fact that he's had a relapse – any amount of time that I can give him with his family is what I wish for them," she said.
Dickinson encourages everyone to sign up for the Be the Match registry and to look for other ways to give back.
"Everybody has the potential to give selflessly to somebody else," she said.
Learn more about Be the Match and how you can sign up to be on the donor registry here.


These pictures show the precarious position a mobility scooter ended up in after its driver was in a crash with a lorry in St Neots today (December 13).
The man on the mobility scooter was pulled out from under the truck after the collision this morning, which forced police to close a road.
Several emergency services were called to the scene in Huntingdon Street at around 8.23am, including the Magpas air ambulance.
The man on the mobility scooter was lifted out of the vehicle by paramedics and suffered minor injuries.
A spokesman for the East of England Ambulance Service said: "We were called at 8.21am today to a road traffic collision between a mobility scooter and a vehicle.
"An ambulance and the air ambulance from Magpas attended.
"The fire service was also on scene.
"A man was trapped under a vehicle.
"He was conscious and breathing and was safely extricated before being taken by ambulance to Hinchingbrooke Hospital with a suspected minor head injury."


text:
, né le  à Kristinehamn – mort le  à Ljungskile, est un compositeur suédois.

Œuvre
Beckman a composé une symphonie, 2 poèmes symphoniques, une sonate pour violon et piano, des pièces pour piano et des Lieder.

Liens externes

Naissance en février 1866
Naissance à Kristinehamn
Compositeur suédois de la période romantique
Compositeur suédois de symphonie
Décès en juillet 1929
Décès en Suède
Décès à 63 ans

redpajama_set_name: RedPajamaWikipedia


text:
The vitamin C question
Dr Ioannis Mavromichalis
This is a quite old question, which has yet to receive a definitive answer! Despite the fact that pigs, like most animals (excluding humans, primates, and guinea pigs), can readily synthesise enough vitamin C to cover their requirements, many manufactured diets and premixes contain large concentrations of this vitamin. Let's explore this issue a bit further…
Vitamin C (ascorbic acid or ascorbate) is a naturally-occurring metabolite of glucose. The absence of the enzyme L-gulonolactone oxidase promotes vitamin C to the status of a dietary essential nutrient for only a few mammalian species.
The metabolic functions of vitamin C include free radical detoxification, vitamin E rejuvenation, collagen, norepinephrine and carnitine biosynthesis, and neurotransmitter and metal ion metabolism.
Also, vitamin C is thought to play a significant role in the functionality of the immune system. During periods of stress (e.g., excessive heat, disease challenge, fighting, crowding) body stores of vitamin C are depleted, and high concentrations of vitamin C metabolites are excreted in urine.
Synthesising
Pigs are able to synthesise vitamin C as early as their first week of age, whereas large quantities of vitamin C are present in sow's colostrum and milk.
However, weaning at an age of 14 to 28 days imposes an immense nutritional, social, and environmental stress on pigs. In fact, the plasma concentration of vitamin C drops drastically in pigs shortly after weaning. This has been taken as evidence of either an insufficient biosynthesis rate and (or) an increased requirement for vitamin C.
In a study conducted in the 80s, pigs weaned at 4 weeks of age were offered diets fortified with increasing concentrations of vitamin C (0, 330, 660, and 990 mg/kg) in a 28-day growth assay. Overall, weight gain was improved by 17% and feed intake by 13% in pigs offered the vitamin C-fortified diets.
Following this unique study, a number of experiments were conducted in several institutions worldwide to verify and refine the effects of supplementation with vitamin C, but with limited success as results have been mixed and ambiguous.
In most studies, fortification of nursery diets with ascorbic acid at various levels ranging from as little as 75 to as much as 990 mg/kg did not result in enhanced growth performance, haemoglobin concentration, immunity, or survivability. Also, injections with vitamin C (40 mg/kg every other day) did not enhance growth performance. Other trials, largely unpublished, showed some limited response.
Crowded or stressed pigs benefit?
It has been suggested that pigs crowded or stressed by cold temperatures may benefit from vitamin C supplementation. To test this hypothesis, a large study involving 11 experimental stations and 1,296 nursery pigs was conducted without any significant response to dietary vitamin C supplementation (625 mg/kg).
Vitamin C is sensitive to a variety of environmental factors including heat, oxygen, and alkalinity. It has been proposed that the lack of response observed in these experiments was due to inevitable vitamin C losses that occurred during storage and feeding.
However, in most of the experiments, the researchers were aware of this problem and they tried to avoid considerable vitamin losses by frequent preparation and cool storage of the diets.
Interestingly, in recent studies, the use of more stable forms of vitamin C (magnesium-L-ascorbyl-2-phosphate and L-ascorbyl-2-polyphosphate) did not help in eliciting a constant and repeatable positive growth response in segregated or early-weaned pigs.
Limited evidence
Today, there is some limited evidence suggesting that supplemental ascorbic acid might be beneficial during stress in certain species (e.g., humans, chickens). However, in pigs there are no solid data to suggest such a beneficial effect.
There are, indeed, some research reports that suggest trends toward increased growth performance in nursery pigs offered vitamin C-fortified diets, but these trends have not been statistically significant (P>0.05). In fact, it is somewhat difficult to explain most of these trends because they are neither repeatable nor biologically justified.
Gino Totte Panagro health & nutrition
Is a pig geneticly still able to produce vitamin C?
Is there always enough glucose available for vitamin C production?
Is vitamin C important in white blood cells?
In these trials did pig have or have not infections and what kind of infections did they have?
Vitamin C is an antioxidant and will do it's job if there is not enough vitamin C available for optimal health (to protect cells from oxidation). If there is enough vitamin C production in the pig then there won't be any difference in a trial between groups with no added vitamin C en groups with added vitamin C. But if vitamin C production is to low to support optimal health and if we make pigs on purpose ill in a trial and then we make a difference in groups with added vitamin C then you will see results. The only problem is to estimate if a pig can produce enough vitamin C or not. Another problem is finding finance to pay for trials. Margin on vitamins has always been low so big companies which produce vitamin C with no patent were not interested in research on this subject.
Quarterly update: All change as ASF arrives in Germany
Reducing antibiotics: Do we need to refocus our attention?
A good stomach function helps piglet gut health
By Vincent ter Beek On Dec 21, 2020 In World of pigs
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Plant proteins can replace animal proteins
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redpajama_set_name: RedPajamaCommonCrawl


Web server log files identify server errors that need to be corrected, help identify suspicious activity and highlight security flaws. By default, Microsoft Internet Information Services logs all HTTP transactions to log files. You can choose the log file format with the IIS HTTP Logging element, and you can select the fields written to the log file when you select the W3C Extended log file format.
IIS writes log files to space-separated ASCII or UTF-8 text files that you can open with any text editor. The W3C Extended log file format is the default format, and the only format that enables you to select up to 22 different fields you want written to the log file for each HTTP or FTP transaction. The National Center for Supercomputing Applications, or NCSA, Common format only supports HTTP and includes seven predefined fields. It's helpful to be familiar with the HTTP status codes as you review the data to easily identify transactions that resulted in an error, such as a 404 "Page Not Found" error, or transactions that attempted to access prohibited data, such as a 500 "Forbidden" error (link in Resources).
Instead of writing log files as text files, you can configure IIS to write a predefined set of fields to a file that can populate an ODBC-compliant database. IIS contains a template for loading the data into a Microsoft SQL Server database. This format, however, can degrade server performance because it disables the kernel-mode cache on the server. A better solution to make SQL-like queries against log data in any format is to download and run the Microsoft Log Parser tool (link in Resources).
To configure the log file format for a website and to find the location of the log files, run the IIS Manager, expand the server name in the Connections pane, expand the Sites, navigate to the website you want to configure or view, and then double-click "Logging" on the Home pane. If you select the W3C format, you can also choose the individual fields you want logged. Highlight and copy the location of the log file displayed at the bottom of the screen, and then open the file in a text editor such as WordPad.
The W3C format logs the following data for each HTTP or FTP request based on the fields you selected: date and time, in Coordinated Universal Time; source IP address; username, if known; destination site name and computer name; destination IP address and port number; type of request; target URI requested; URI query, if any; HTTP status and substatus codes; Windows status code; number of bytes the server sent and received; time it took to process, in milliseconds; and protocol version, host name, user agent, cookie and referrer.
The NCSA Common format logs the following fields for each HTTP request: source IP address; remote user log name, if known; username, if known; date and time, in local server time; request URI, HTTP status code; and the number of bytes sent.


text:
NCAA to Appeal Ruling in Antitrust Case About Compensation
Ezra Shaw, Getty Images
The NCAA and major college conferences will appeal a judge's ruling that the governing body violates antitrust laws by limiting education-related benefits to athletes.
In a statement released early Saturday, NCAA chief legal officer Donald Remy said the district court "erred by giving itself authority to micromanage decisions about education-related support" to athletes.
U.S. District Judge Claudia Wilken in Oakland, California, ruled this month in the so-called Alston case that football and men's and women's basketball players competing at the NCAA's highest level may receive compensation from schools beyond the athletic scholarship if the benefits are tied to education.
While the judge ruled the NCAA was in violation of antitrust law, the plaintiffs had asked to lift all NCAA caps on compensation.
Filed Under: antitrust case, college athletics, NCAA
Categories: Associated Press


text:
Who Won Dancing with the Stars Cast 2020?
On November 23, 2020, The Bachelorette star Kaitlyn Bristowe and professional dancer Artem Chigvintsev were announced winners, marking Chigvintsev's first win in the United States. He previously won the original version of DWTS in the United Kingdom, Strictly Come Dancing, in season 8.
1. What star won Dancing With the Stars 2020?
1.1. Who came in second on Dancing With The Stars 2020?
1.2. What place did Cody Rigsby get on DWTS?
2. Who won Dancing on Ice 2020?
3. Who was the runner up in Dancing With the Stars?
4. Who were the top three in Dancing With the Stars?
What star won Dancing With the Stars 2020?
Iman Shumpert has been crowned the winner for season 30 of Dancing with the Stars! The NBA star, 31, was awarded the Mirrorball Trophy by host Tyra Banks in Monday night's finale, after battling on the ballroom floor against fellow finalists Amanda Kloots, Cody Rigsby and JoJo Siwa.
Who came in second on Dancing With The Stars 2020?
Catfish host Nev Schulman and Jenna Johnson finished second, while singer Nelly and Daniella Karagach and actress Justina Machado and Sasha Farber came in third and fourth place, respectively.
What place did Cody Rigsby get on DWTS?
'DWTS' Finale: Cody Rigsby placed third, fans 'thank the lord' for not letting him win. The Finale of 'Dancing With The Stars' just went down and it was truly a fabulous night for the stars who after all the trials made it to the final leg of the competition.
Who won Dancing on Ice 2020?
Joe Swash and Alex Murphy (Series 12 – 2020) – Former EastEnders actor Swash pipped series favourite Perri Kiely to victory 2020's series.
Who was the runner up in Dancing With the Stars?
Professional wrestler Paige VanZant and her partner Mark Ballas placed second on the 22nd season of Dancing With The Stars.
Who were the top three in Dancing With the Stars?
Fourth place is for Amanda Kloots, third for Cody Rigsby, second for JoJo Siwa and Iman Shumpert is the winner of Dancing With the Stars!
Dancing With The Stars Season 29 – Meet The Cast – YouTube
Meet the cast of pros competing on season 29 l GMA – YouTube
Dancing with the Stars 2020 Winner Revealed – YouTube
What are dancers from Spain called?
Can ballet be self taught?
Who is the artistic director of Batsheva?
How long does it take to learn breakdancing?
Where is dance academy set?
What is the best 3D animation?
When did Ford come out with limited?


text:
You are here:Pain Management
The effect of acidic maintenance solutions on catheter longevity
Long-term indwelling urinary catheterisation is common but is rarely completely trouble free. One of the most common problems is recurrent catheter blockage, caused by deposits of mineral salts encrusting the catheter surfaces coming into contact with urine (Okhawa et al, 1990; Cox and Hukins, 1989). Catheter blockage can be distressing for patients because it results either in bypassing and leakage, or in the discomfort of urinary retention. A build-up of encrustation on the external surfaces of the catheter around the tip and balloon can cause painful tissue abrasion or more severe trauma during catheter changes, such that patients are frequently apprehensive about being recatheterised.
VOL: 100, ISSUE: 16, PAGE NO: 32
Kathryn Getliffe, PhD, MSc, PGCEA, BSc, RGN, DN, is professor of nursing, School of Nursing and Midwifery, University of Southampton
Problems associated with encrustation
As many as 40-50 per cent of patients with long-term indwelling catheters suffer from recurrent encrustation leading to catheter blockage and can be identified as habitual 'blockers' (Getliffe, 1994a; Kunin et al, 1987). Managing such problems places increased demands on health care services in terms of time and other resources, including unscheduled visits to patients at home, frequent replacement of costly appliances, and/or time-consuming procedures.
Bacteriuria is an inevitable consequence of long-term catheterisation (Jewes et al, 1988) and causative organisms are frequently normal residents of the patient's own bowel flora. The bacteria colonise the surface of the catheter forming a living layer or biofilm, which becomes firmly 'cemented' in place by secretion of bacterial polysaccharides (Costerton et al, 1999). However, clinical symptoms of infection may not be present if there is no invasion of urinary tract tissue.
Encrustation is most likely to occur when the biofilm contains bacteria that produce the enzyme urease. These include Proteus mirabilis, some variants of Staphylococcus aureus, Pseudomonas aeruginosa and Klebsiella species. Urease breaks down urinary urea to release ammonia, which causes the urine to become alkaline - commonly with a pH in the range 7.0-9.5. Under these conditions minerals such as calcium phosphate and magnesium ammonium phosphate (struvite) are precipitated onto the catheter surface, causing encrustation (Fig 1).
Several studies have shown that both high pH and calcium content of urine are associated with a high frequency of encrustation (Choong et al, 1999).
Bacterial biofilms can form on all catheter materials currently in use (Morris and Stickler, 1998) and are extremely resistant to antimicrobial agents (Leidl, 2001; Stickler and Hewitt, 1991). Consequently there is no effective way of removing them except by removing the catheter, although efforts to find new materials that resist colonisation continue. There is no evidence that suprapubic insertions are less prone to blockage than urethral catheterisation (Evans and Feneley, 2000).
Proactive catheter changes at set intervals in accordance with the usual time the patient's catheter remains patent ('catheter life'), will remove both the biofilm and encrustation. This can be effective in preventing blockage but must be weighed against other risks accompanying frequent recatheterisation, including urinary tract infection, tissue trauma, patient discomfort, and cost. There are currently no published clinical studies on the risks and benefits, including direct and indirect costs, of managing encrustation by frequent catheter replacement.
Catheter maintenance solutions
A common procedure to reduce the build-up of encrustation and increase catheter life is to wash out the catheter with an acidic 'catheter maintenance solution' to dissolve the minerals which have been deposited. This procedure is sometimes referred to as a bladder washout (particularly in older literature) but this description is not accurate, as the aim is to wash out the catheter rather than the bladder (Getliffe, 1996).
This concept has important implications for the volume of solution introduced into the catheter because the excess will enter the bladder, with the risk of chemical irritation of the mucosa. Commonly available, generic, sterile solutions for catheter maintenance are listed in Table 1.
The British National Formulary (British Medical Association and Royal Pharmaceutical Society of Great Britain, 2004) lists a number of catheter patency solutions based on citric acid formulations (solutions G and R) and the introduction of nurse prescribing makes it imperative that nurses understand the evidence base for their use. The following sections review strategies to acidify patients' urine and examine evidence for acidic catheter maintenance solutions to promote catheter longevity.
Control of urinary pH
Attempts to acidify patients' urine through ingestion of acidic liquids such as cranberry juice, or acidifying agents such as ascorbic acid (vitamin C), have failed to produce clear evidence of effectiveness, although some studies have been poorly controlled. Avorn et al (1994) carried out a randomised, double-blind placebo-controlled trial on the effects of drinking cranberry juice on the incidence of bacteriuria and pyruria in 153 older women without catheters. There was a modest reduction in the rate of antibiotics prescribed for the cranberry group, which provides evidence of some bacteriostatic effect, but there was no significant difference in the pH of the urine in the two groups. Similarly there is no evidence that urine produced by volunteers who have consumed cranberry juice or ascorbic acid slows the swarming and speed of colonisation of Proteus mirabilis in laboratory studies (Stickler and Hughes, 1999).
Data from other laboratory-based studies also suggests that any attempt to reduce urinary pH to prevent catheter encrustation, without the elimination of urease-producers, is unlikely to succeed (Bibby et al, 1995). Given the constant supply of urea in the urine, the presence of urease-producers as a biofilm on the catheter surface will continue to create an alkaline micro-environment within the catheter lumen.
Instilling acidic maintenance solutions
The application of an acidic solution to an encrusted catheter has a lengthy history. Over 200 years ago the surgeon John Hunter recommended that catheters prone to encrustation should be removed at regular intervals and soaked in vinegar prior to re-insertion (Quist, 1981). In, 1943 Suby and Albright reported that Solution G, a buffered mixture of four per cent citric acid, magnesium oxide and sodium bicarbonate, was effective at dissolving phosphatic calculi. More strongly acidic solutions such as solution R (six per cent citric acid) have been used successfully to dissolve fragments of struvite renal calculi following lithotripsy (Holden and Rao, 1991) and have also been used to treat catheter encrustation.
A recent literature search using the Cochrane Library, Medline, Embase, and CINAHL databases demonstrated that the strongest evidence to support the use of acidic catheter maintenance solutions comes from laboratory studies, using models of the catheterised bladder. The effectiveness of acidic solutions in reducing encrustation has been shown by increased concentrations of magnesium and calcium in drainage fluid following washouts and by measurement of the non-occluded luminal area of catheters receiving washouts compared with those which have not (Getliffe, et al, 2000; Getliffe, 1994b; Hesse et al, 1989). Neutral solutions such as saline and chlorhexidine are not effective.
Although mineral deposits dissolve in the acidic environment of catheter maintenance solutions, the effect is temporary as the urinary pH inside the catheter rises rapidly again once the acidic solution is withdrawn. Citric acid solutions G and R (and mandelic acid, Table 1) will dissolve encrusting material but researchers caution that the potential benefits of stronger acids may be outweighed by inflammatory tissue reactions that arise. They suggest a weaker acidic solution such as Suby G is likely to be more appropriate for regular use.
The bladder mucosa plays an important role in host defence against urinary tract infection, and in animal studies dilute acids have been shown to remove the protective layer of mucus - although it was regenerated within 24-48 hours (Donmez et al, 1990; Parsons et al, 1975).
Increased shedding of urothelial cells in the urine has been associated with disruption of the urothelium and there is evidence such increases occur after washouts with both acidic and neutral pH solutions (Kennedy et al, 1992; Elliott et al, 1989). This suggests both chemical irritation and the physical force of instillation can be potential risk factors. Manufacturers of prepacked catheter maintenance solutions therefore recommend that solutions should be instilled under the force of gravity only.
Prepacked solutions are usually available in 100ml and 50ml volumes. However, even large catheters such as 18 Charriere hold only approximately 4ml, so after allowing for sufficient fluid to bathe the catheter balloon and tip as well as the lumen, a large amount of solution still enters the bladder, where it may cause chemical irritation.
A logical conclusion is that smaller volumes of catheter maintenance solution are likely to reduce the potential for mucosal irritation. This is supported by the observation that 100ml is no more effective than 50ml at reducing encrustations in laboratory models. Furthermore, two sequential washouts with 50ml may be more effective than a single washout with either 50ml or 100ml (Getliffe et al, 2000). This may be partly due to a cumulative effect in lowering the pH within the catheter lumen, thus promoting further dissolution. It is also possible that the small quantity of solution actually within the catheter rapidly becomes saturated with dissolved minerals and therefore, drainage of the first 50ml followed by the introduction of a further 50ml fresh solution would result in further dissolution. However, these regimens still need to be tested rigorously in clinical environments before conclusive guidance can be given.
There have been few clinically-based studies of the use of catheter maintenance solutions, at least in part because they are difficult to perform. Many patients are older and/or unwilling to change their usual care regimens. In addition, the existence of large variations among patients in the frequency with which their catheters block presents difficulties in comparing results between groups, as differences among individuals within a group may be greater than those between groups.
Mayes et al (2003) undertook a structured review of the literature, which aimed to identify systematic reviews or randomised clinical trials (RCTs) that addressed catheter blockage or patency, but were unable to find any RCTs. In the only randomised study identified Kennedy et al (1992) used a randomised crossover design of three bladder washout treatments (saline, Suby G, and Solution R) to examine crystal formation and catheter encrustation in 25 older women. Washouts were given twice a week for three weeks, then the catheter was removed and examined (or changed earlier if necessary). Saline washouts were administered for one week to provide a neutral period between test solutions.
The order of administration of test solutions was decided using randomisation tables but there was no blinding to treatment allocation, so staff, researchers, and patients were all aware of which solution was being used. Each subject received all three test solutions but only 14 (56 per cent) completed the study.
While a significant reduction in struvite crystals was found in the returned acidic washout fluid, there was no significant reduction of crystals in the neutral (saline) washout following any of the three-week periods of treatment. Uric acid crystals appeared with Suby G and Solution R, and these solutions were associated with higher red-cell deposits in the urine. However, the interpretation of the results is not straightforward as there was no standard protocol for decision-making when a catheter was removed earlier than planned and no details on other control measures to ensure equality during different tests. Consequently, it is not possible to draw robust conclusions on the length of time catheters remained patent in relation to the treatment conditions.
The majority of evidence on the effect of maintenance solutions on catheter longevity is derived from in vitro, laboratory-based studies. While these provide important information, their outcomes need to be translated into the clinical environment in order to guide clinical practice.
There remains an urgent need to conduct well-designed clinical trials and/or cohort studies to provide clearer evidence of the effect of acidic solutions on catheter patency for patients susceptible to recurrent encrustation and blockage. Although such studies may be difficult to undertake with the patient group concerned, clear agreements on methodology and the outcome measures would allow comparisons of results even if sample sizes are small. Meanwhile, practitioners must keep using their clinical judgement to select the most appropriate catheter care regimen for each patient.
- This article has been double-blind peer-reviewed.
040420The effect of acidic maintenance solutions on catheter longevity
Call for caution over prescribing antibiotics for UTIs in A&E
Most accident and emergency patients with a suspected urinary tract infection (UTI) and who are treated with antibiotics actually lack evidence of this infection, warn UK researchers.
Admiral nurses produce dementia pain management guide
2 July 2019Gemma Mitchell
A new pain management guide written by specialist nurses has been published to help ensure people with dementia are not left suffering in silence.
NICE launches surgery decision aids for stress urinary incontinence
Patient decision aids have been launched by the National Institute for Health and Care Excellence to help women choose a surgical option for stress urinary incontinence or pelvic organ prolapse.
Surgical site infection rates 'differ by gender for certain procedures'
Men and women are at differing risks of developing surgical site infections depending on the type of operation they undergo, according to new research from Germany.
Assessment skills
Medicine Management
Tissue viability


text:
Woman Accused Of Hiding Stolen Rolex Inside Her Body
December 16, 2022 in America - 2 Minutes
A Baltimore woman is now facing multiple charges after being accused of hiding a stolen Rolex watch inside her body on Sunday after previously being arrested in June and accused of stealing a $100,000 watch.
Sara Richards, 33, was in Las Vegas to face charges in court on December 12 for allegedly stealing a wristwatch valued at $100,000 from a man she met in the casinos while she was visiting the city back in June, WFSB reported.
However, while Richards was in town to deal with those criminal charges, she allegedly added to that list after being accused of hiding a $12,000 Rolex watch and placing it in an unexpected place — inside her genitals — police shared with the outlet.
This woman hides a $12,000 Rolex watch in an unexpected place. https://t.co/S5QmUhvrwU
— WFSB Channel 3 (@WFSBnews) December 14, 2022
In June, a man claimed to police to have been drugged by a woman he met at a Vegas hotel casino and had his Patek Philippe wristwatch, valued at $100,000, stolen, the outlet noted.
He said he fell asleep in his room and woke up the next day to find his expensive watch — which he remembered as being on his wrist — was gone. The woman he met was identified as Richards, the outlet noted.
On Monday, the Baltimore woman was supposed to appear for a preliminary hearing in the case. However, on Sunday, police responded to different hotel after a 911 call came in from a man that his $12,000 Rolex had reportedly been stolen from his room — along with other items — by a woman who was later identified as Richards.
Security located the woman, but couldn't find any watch on her. A search of the room by police didn't result in finding the watch either. However, a metal detector wand passed over Richards "kept alarming around her vaginal region," police shared.
It was then that Richards finally told police that they "were going to find it anyways at jail, and she did not want to go through the hassle," the outlet noted. She then agreed to remove the watch from inside her body.
The December 12 court hearing was canceled. Richards has since posted bond, and is scheduled to now appear in court Jan. 10. She is facing a host of charges including theft of over $100,000 in value, residential burglary, administering drugs to aid in commission of a felony, and grand larceny between $5,000 to $25,000, the outlet noted.
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'Wouldn't Do Anything Different': Dr. Peter McCullough Unbowed After Winning Legal Case


Ferrari is an Italian manufacturer of racing cars and exclusive, expensive sports cars, formed by Enzo Ferrari (in 1946 as an independent brand), now owned by the Fiat group. It is based in Maranello[?], near Modena, Italy.
The origins of the company go back to the Scuderia Ferrari racing team, which from 1929 to 1938 prepared and raced Alfa Romeo cars very successfully under the leadership of Enzo Ferrari.
In 1940 the Scuderia became the "Auto Avio Costruzioni Ferrari" and in 1943 the factory moved to Maranello, which is still now its see. Here it produced cars and aircraft accessories. The factory was bombed in 1944 and rebuilt in 1946.
The first Ferrari car was the 125 C Sport, with a 1.5-litre V12 engine, of 1947.
Noted for their exquisite styling by design house Pininfarina, the road cars have long been one of the ultimate accessories for the rich and young (or young-at-heart).
Featuring highly-tuned (and, until the introduction of fuel injection in the 1980s, highly temperamental) small V8 and V12 engines, often in a mid-engined configuration, their performance, handling, sound, and shape made them extremely desirable. Their reputation for unreliability and poor-quality engineering (though largely dispelled by the 1990s), was viewed as an example of the car's "character" (though fans of Porsche would argue that their vehicles had similar virtues and were as reliable and tractable as a Toyota).
Ferrari has had a Formula One race team since 1948 (first Formula 1 car was the Tipo 125 F1), making it the oldest team in the championship. It is also the most successful. A lean period throughout the 1980s and 1990s ended with Michael Schumacher taking the team to three driver's championships in 2000, 2001 and 2002.
Famous drivers include Niki Lauda.
Other design houses that Ferrari used over the years include Scaglietti[?], Bertone[?], Vignale[?].
The famous symbol of Ferrari is a black horse on yellow background, usually with the letters S F for Scuderia Ferrari.
The horse was originally the symbol of Count Francesco Baracca[?], a legendary "asso" of the Italian air force during WWI, who had it painted on his planes. Baracca died very young on June 19, 1918, shot down after 34 victorious duels and a hundred of team victories, and soon became a national hero, a symbol of the new cultural values of his age (these were the times in which Futurism was developed).
Baracca had wanted the rampant horse on his planes because his squad, the "Battaglione Aviatori", was enrolled in a Cavalry regiment (air forces were at their first years of life and had no separate administration), and also because he himself was reputed to be the best cavaliere of his team. It has been supposed that this was perhaps partly due to the fact that his noble family was known for having plenty of horses in their estates at Lugo di Romagna[?].
Another, unproven, theory suggests Baracca copied the rampant horse design from a German pilot having the emblem of the city of Stuttgart on his plane. Interestingly, German car manufacturer Porsche, from Stuttgart, borrowed its rampant horse logo from the city's emblem.
In 1923, Enzo Ferrari won a car race in Ravenna, and there he met the Countess Paolina, mother of Baracca. He was granted a permission to use the horse (the Countess wished him that it could grant him good luck), but it wasn't until 1932 that the horse was used on the Alfa Romeo cars of Scuderia Ferrari, at Spa (24 hours). Of course, we should say, Ferrari won.
Enzo Ferrari had added the yellow background because this was the symbolic color of Modena, his town, and the logo was since then connected to the brand.
The rampant horse however does not identify the Ferrari brand only: Fabio Taglioni's Ducati too had it on its motorbikes. Taglioni's father was in fact a companion of Baracca's, and fought in his famous squad, the 91st Air Squad but when Ferrari became famous and the early legend started to accompany it, Ducati abandoned the horse, some suggest because of a private agreement between the two brands.
The rampant horse is however a trademark of Ferrari.


Telegram Messaging on Sunday announced a new privacy rights feature that allows user to delete not only their own comments, but also those of all other participants in the message thread on all devices that received the conversation. Although the move is meant to bolster privacy, it's likely to spark some controversy.
Telegram, a cloud-based instant messaging and Voice over IP service, is similar to WhatsApp and Facebook Messenger. Telegram Messenger allows users to send free messages by using a WiFi connection or mobile data allowance with optional end-to-end encryption and encrypted local storage for Secret Chats.
Telegram's new unsend feature does two things. First, it removes the previous 48-hour time limit for removing anything a user wrote from the devices of participants. Second, it lets users delete entire chats from the devices of all participating parties.
Telegram also changed a policy regarding how users can or can not forward another's conversation.
"Many people use chat apps under the assumption that their communications are private, so it is very important that chat apps meet those expectations of privacy," he told LinuxInsider.
Obviously, if you're a dissident in an autocratic country that cracks down on free speech, privacy is very important. However, it is also important to everyday people, said Bischoff, for "sending photos of their kids, organizing meetings, and exchanging Netflix passwords," for example.
Telegram's new unsend feature could stir controversy over the rights of parties to a message conversation. One user's right to carry out a privacy purge could impact other participants' rights to engage in discourse.
Regardless of who initiated the chat, any participant can delete some or all of the conversation. Criticisms voiced since the change in the company's unsend policy suggest that the first participant to unsend effectively can remove control from everyone else. Telegram's process allows deletion of messages in their entirety — not just the senders' comments.
The chat history suddenly disappears. No notification indicates the message thread was deleted.
Telegram Messenger, like its competitors, has had an "unsend" feature for the last two years. It allowed users to delete any messages they sent via the app within a 48-hour time limit. However, users could not delete conversations they did not send.
Facebook's unsend feature differs in that it gives users the ability to recall a sent message — but only within 10 minutes of sending it.
"Telegram doesn't enable end-to-end encryption by default, but you can get it by using the "Secret Chats" feature," said Comparitech's Bischoff.
End-to-end encryption ensures that no one except the intended recipient — not even Telegram — can decrypt messages, he said. WhatsApp and Signal encrypt messages by default.
Go Best VPN. It has a reputation for being the app of the people, since it's been banned from Russia for not providing the encryption keys to the government.
"Its founder, Pavel Durov, actively seeks to fight censorship and is widely considered the Mark Zuckerberg of Russia," he told LinuxInsider.
The new unsend feature gives millions of users complete control of any private conversation they have ever had, according to Telegram. Users can choose to delete any message they sent or received from both sides in any private chat.
"The messages will disappear for both you and the other person — without leaving a trace," noted the Telegram Team in an online post.
The privacy changes are to protect users, according to the company. Old forgotten messages might be taken out of context and used against them decades later.
For example, a hasty text sent to a girlfriend in school can return to haunt the sender years later "when you decide to run for mayor," the company suggested.
Telegram users can delete any private chat entirely from both their device and the other person's device with just two taps.
To delete a message from both ends, a user taps on the message and selects the delete button. A message windows then asks the user to select whether to delete just his/her chat messages or those of the other participants as well.
Telegram's new feature lets users delete messages in one-to-one or group private chats. Selecting the second choice deletes the message everywhere. Selecting the first choice only removes it from the inbox of the user initiating the delete request.
The privacy purge allows users to delete all traces of the conversation, even if the user did not send the original message or begin the thread.
Telegram also added an Anonymous Forwarding feature to make privacy more complete. This feature gives users new controls to restrict who can forward their messages, according to Telegram.
When users enable the Anonymous Forwarding setting, their forwarded messages no longer will link back to their account. Instead, the message window will only display an unclickable name in the "from" field.
"This way people you chat with will have no verifiable proof you ever sent them anything," according to Telegram's announcement.
Telegram also introduced new message controls in the app's Privacy and Security settings. A new feature called "Forwarded messages" lets users restrict who can view their profile photos and prevent any forwarded messages from being traced back to their account.
is 100 percent open for all developers who want to build applications on the Telegram platform, according to the company.
"Open APIs allow third-party developers to create applications that integrate with Telegram and extend its capabilities," Bischoff said.
Telegram may be venturing further into open source terrain. The company might release all of the messaging app's code at some point, suggests a note on its website's FAQ page. That could bode well for privacy rights enthusiasts.
"Releasing more of the code will have a positive effect on Telegram's appeal, barring any unforeseen security issues. That allows security auditors to crack open the code to see if Telegram is doing anything unsafe or malicious," Bischoff added.
LegalAdvice.com. It benefits both customers who want more control over how their data and communications are shared and privacy rights advocates who see privacy as an important cornerstone of society.
It is not uncommon for a person to send a message and then later regret it. There also can be legal reasons for a person to want to delete all copies of a previously sent message.
For example, "a person may send a message and then realize, even many months later, that the communication contained confidential information that should not be shared or entered into the public domain," Reischer told LinuxInsider.
Allowing a person to prevent the communication from being forwarded is also an important advance for consumers who value their privacy, he added. It allows a user to prevent sharing of important confidential communications.
"Privacy rights advocates, such as myself, see these technology features as extremely important because the right to privacy entails that one's personal communications should have a high standard of protection from public scrutiny," Reischer said.
Still, there exists a negative effect when private conversations are breached through malicious actors who find an unlawful way to circumvent the privacy features, he cautioned. Ultimately, the trust and confidence on the part of senders could be misplaced if communications turn out to be not-so-private after all.
Privacy is extremely important to those who use chat communications — at least those who are somewhat tech-savvy, noted Cambell. For Telegram, privacy is the most important feature for users.
Privacy is extremely important to many Americans who want to have private conversations even when the communications are just ordinary in nature, said Reischer. Many people like to know that their thoughts and ideas are to be read only by the intended recipient.
"A conversation taken out of context may appear damnable to others even when the original intent of the message was innocuous," he said.
Telegram added new features that made the app more efficient to use. For example, the company added a search tool that allows users to find settings quickly. It also shows answers to any Telegram-related questions based on the FAQ.
The company also upgraded GIF and stickers search and appearance on all mobile platforms. Any GIF can be previewed by tapping and holding.
Sticker packs now have icons, which makes selecting the right pack easier. Large GIFs and video messages on Telegram are now streamed. This lets users start watching them without waiting for the download to complete.
VoiceOver and TalkBack support for accessibility features now support gesture-based technologies to give spoken feedback that makes it possible to use Telegram without seeing the screen.


Via OutSports: Openly gay former college track star L'equan Chapman is getting his shot at the United States Olympic Team. Chapman is one of 97 athletes invited to be part of Team USA's "Scouting Camp: The Next Olympic Hopeful," which will air nationally as a two-hour broadcast premiering at 9 p.m. ET on Aug. 25 on NBCSN.
Chapman was a standout jumper and sprinter at Shippensburg University. In 2015 he was named the 2015 U.S. Track & Field and Cross Country Coaches Association Atlantic Region Men's Outdoor Field Athlete of the Year.
His strength and speed will be put to the test as he competes for a shot at a spot with the U.S. Men's National Rugby Team. He's competing with about dozen other athletes for the shot at the men's team. The athlete they select as the next hopeful will receive training at the Olympic Training Center in Colorado Springs.
The rugby mentor for the event is 2016 Olympian and former Detroit Lion Carlin Isles.


Help reduce occasional urinary urgency.
Flow-Less contains a special combination of pumpkin seed extract and soy isoflavones that has been shown to support healthy bladder function, help reduce occasional urinary urgency, and promote sleep satisfaction. EFLA® 940 is a special water-soluble pumpkin seed extract that has no rancidity and increased stability and solubility. SoyLife is a non-GMO, patent-protected soy germ extract containing standardized isoflavones and other phytonutrients.
As a dietary supplement, 1 Flow-Less capsule three times daily for the first two weeks. After two weeks, take 1 capsule two times daily, or as directed by a healthcare professional.
Disclaimer: The product descriptions and the statements on this page are from manufacturers and/or distributors and have not been evaluated by VitaSprings or the FDA. These products are not intended to diagnose, treat, cure, or prevent any disease. VitaSprings does not imply any medical claims from the customer reviews on this Flow-Less, Bladder Health product on this website.
Write a Review on this Flow-Less, Bladder Health product and share your experience or opinion with other customers.
Welcome to VitaSprings Online Store - Source of Your Healthy Life. We carry huge selections of vitamins and supplements, and other different health and beauty products, over 400 brands and 30,000 items now, with new products added frequently. Buy Flow-Less, Bladder Health from NutriCology / Allergy Research Group at VitaSprings, and we guarantee you a safe, secure online shopping experience! We value your business greatly and do our best to honor any requests you might have. Our customer service hot line is here waiting for you: 1-626-579-2668.


Britannia Vehicle Rentals are proud to be able to deliver our customers like for like replacement taxis just within 4 hours of initial call. Our nationwide service is available nationwide and our lines are open 24/7.
If your taxi is repairable, Britannia Vehicle Rentals will ensure the highest quality of repairs are done for your taxi, so it would be in the same or even better condition than before the accident. However, if the taxi cannot be fixed, we will make sure you receive a full compensation for total loss. Britannia Vehicle Rentals will provide you with like for like replacement taxi, so instead of waiting for your taxi to be repaired, you would be able to get back to your work straight away and keep earning money.
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This silversmith stone ring is handcrafted in sterling silver and features a piece of mossy Agua Nueva agate.
Agua Nueva agate is found in northern Mexico. It is generally known for its bright colors and patterns, but I loved the uncommonly mossy look of this particular piece and polished it to highlight that portion.
This ring is available in size 6 only. If you are interested in a custom ring in your size, please contact me for availability.
The agate measures 17mm, and the sterling silver is finished with a rustic, brushed polish.


The Devils Thumb Ranch wedding this past weekend was really quite spectacular. It was nestled in the Colorado high country, just beyond Winter Park and Fraser in the mountains west of Denver. As you'll see from the photos, the location is just stunning. That can't be denied. But when you get a collection of so many really kind people together, that's when everything just feels right–and the scenery just becomes secondary. It was an awesome honor to be Shelby and Blake's wedding photographer. A huge congrats out to them! And it was also a real joy to work along side the fine folks at Love This Day Events and to rock out to awesome tunes played by Groove Nation. Ok, enjoy a little sampling of Shelby and Blake's wedding photography!
This entry was posted on June 24, 2013. It was filed under Weddings.
Beautiful wedding photography; thanks for sharing.
SO AWESOME! beautiful photos and that venue is gorgeous!
Loving that third image down. Very artistic!
Wow absolutely fantastic! I love everyone of these man. So good to be back in a group full of awesome photographers like yourself. Keep up the great work Brian maybe someday I can come second shoot for you!
ridiculous location! that sunset shot is killer!
Oh so gorgeous! MAN I want to go to the mountains now!
That sunset shot is awesome man! Gorgeous work as always!
great work brian. love the b&w frame of the bride during the speeches. what an amazing setting!
My goodness. What a perfect location! Absolutely amazing work!
Sweet location! Love the b/w shot with the couple looking at each other.
You got some beautiful Colorado light and you rocked it.
Brian great selection of photographs. Vivid wedding, makes me feel like I was there. Last image really sums it up nicely. So calm and peaceful. Great work.


Made to measure curtains the Astrid range. A collection of soft, woven Linens in a number of subtle, but chic patterns. These fabrics make stunning curtains, the high Linen content of the fabric ensures a perfect drape. 51% Linen 49& Cotton.Manufactured in our factory in West Yorkshire.


text:
Be careful what you wish for: Amir
NEW DELHI, July 18: �Be careful what you wish for kid�, was British boxing star Amir Khan�s response to Vijender Singh and his promoters� proposal of a possible showdown with the Indian in the coming few months.
Congratulating Vijender for winning the WBO Asia Pacific Super Middleweight title here on Saturday, Khan also reacted to Vijender and his promoter Queensberry Promotions hints at a possible face off.
�Congratulations to @boxervijender on the win. Careful what you wish for kid!,� tweeted Khan, a former Olympic silver-medallist and WBA light welterweight world champion.
The 30-year-old Vijender clinched his seventh straight win and the Super Middleweight title by outlasting former WBC European champion Kerry Hope in a 10-round contest.
�Mine and Amir�s weight categories are different. So, in case he increases his weight or I decrease mine then we can work it out. We are thinking about it, so let�s see. I hope that when that big fight happens, it happens in India only,� said Vijender.
Khan, who is currently in Dubai, recently tried himself in the middleweight by taking on world champion Saul Canelo Alvarez. However, it ended in disaster for him when he was knocked out in the sixth round.
The Pakistan-origin boxer had expressed a desire to take on Vijender in India before the showdown with Alvarez. � PTI


text:
Q: Using an Algorithm library operation in a vector array C++ Is it possible to use an Algorithm library operation in a vector array? If so, how am I supposed to do it and what operations could I use here(ex. remove_if)? Currently, I'm running a for loop to calculate my score checking if I hit a certain object and deleting it afterwards if it was hit. It all works great, but I somehow need to use an Algorithm library here. (I'm still quite new in C++) Here's what I have so far:
std::vector<Coin*>coins;
coins.push_back(new Coin(&window_object[0], 60.0f, 60.0f, 350.0f, 425.0f, "res/coin.png"));
coins.push_back(new Coin(&window_object[0], 60.0f, 60.0f, 450.0f, 425.0f, "res/coin.png"));

...
for (size_t i = 0; i < coins.size(); i++) {
    if (coins[i]->CheckCollect(player)) {
        Coin* temp = coins[i];
        coins.erase(coins.begin()+i);
        delete temp;
        score++;
    }
}

EDIT: code miss-type

A: It's not hard to replace your for loop with a standard library algorithm. You're iterating over a vector, doing some work, and possibly erasing some elements. That can be done with std::remove_if.
I moved the loop body into a lambda expression and then used that in an erase/remove_if:
auto my_predicate = [&](Coin *coin) {
    if (coin->CheckCollect(player)) {
        delete coin;
        score++;
        return true; // remove this element
    }
    return false; // don't remove
};

coins.erase(std::remove_if(coins.begin(), coins.end(), my_predicate), coins.end());

I don't know if it's cleaner code but it might perform better. The for loop repeatedly calling erase can be expensive as elements are moved multiple times to fill in the holes. With std::remove_if each element is moved at most once and there's a single erase to fix the vector size.

redpajama_set_name: RedPajamaStackExchange


Australia has retained its ranking of 13th position in Transparency International's Corruption Perception Index for 2018. So why has it been singled out for scrutiny?
Self-service check outs allow supermarkets to cut staff and boost profits, but they can be a headache for customers to use as something always seems to go wrong.
Official action to rein in Facebook's power should reflect on the bad and ugly things the company has done and allowed to happen, but the debate shouldn't forget some of the positives.
A new study suggests that diverse groups around the world share more in common in terms of their beliefs and values than polarised reporting too often suggests.
Research shows people still want to own their own cars and so we need to be prepared for autonomous vehicles to enhance, rather than replace, the status quo of car use and ownership.
With affordable rental housing in short supply in Australia's major cities, shared room accommodation is likely to increase with profound implications for residents of these rooms, local housing markets and government agencies.
A new poll conducted by the Australian National University finds that more Australians believe the country's population has already reached saturation levels.
Like the Anzac soldier and bronzed surf lifesaver, the farmer holds a special place in the Australian imagination, but the costs imposed on the environment and indigenous population must also be acknowledged.
Fifty years after the last execution in Australia, is it time to revisit the arguments about capital punishment and consider its reintroduction for the most extreme offences?
From cheating on the cricket pitch to violence on the field and at home, 2018 reminded us how sport can be a prism through which society can view uncomfortable social issues in a fresh light.
The "new economy" is changing Canberra's city centre, but its transformation into an "innovation precinct" drives a social gentrification which prices out the locals.


1) All sub sandwiches come with an order of fries.
Beef tongue with special chef's sauce.
Chunks of shrimp marinated in vinegar, served with lettuce, tomatoes, and lemon.
Grilled chicken breast served with lettuce and tomatoes, topped with half hard-boiled egg.
A very thin piece of New York steak, grilled onions topped with white American cheese.
A thick piece of grilled New York strip.
Grilled tenderloin topped with black pepper sauce.
New York strip served with potatoes, fava beans, and "soltero salad" (onions, tomatoes and Bolivian cheese).
Two short ribs with two hot dogs, sauteed onions, tomatoes, green peppers and topped with eggs.
One short rib, small intestine, one flank steak and one Argentinian sausage.
Steak, chicken and shrimp fajita served with rice, pico de gallo, black beans, sour cream and flour tortillas.
Fries topped with hotdog slices.
Breaded New York strip topped with ham, melted mozzarella cheese and tomato sauce.
Chicken topped with onions and tomatoes, served with spicy sauce, boiled potato and rice.
Beef tongue topped with onions and tomatoes, served with spicy sauce, boiled potato and rice.
Beef tongue and chicken topped with onions and tomatoes, served with spicy sauce, potatoes and rice.
Very thin piece of breaded tenderloin in a spicy sauce, served with boiled potatoes and rice.
Chunks of New York strip mixed with onions, tomatoes, green pepper and fries. Served with an order of rice.
Breaded chicken breast topped with ham, melted mozzarella cheese and tomato sauce.
Breaded chicken breast topped with two fried eggs.
Chunks of chicken breast sauteed with onions, tomatoes, green pepper and fries; comes with and order of rice.
Grilled boneless chicken breast topped with mushrooms sauce and vegetables.
Quarter grilled chicken plus two side orders.
Sauteed tomatoes, green peppers, onions, green peas, seafood mix and cream. Served with rice.
Seafood mix soup with cheese, eggs and cream.
Seafood mix soup with potatoes.
Two short ribs, two Argentinian sausages, one blood pudding, two flank steaks, two pork chops, pieces of chicken and intestine. All served in a hot plate.
Fried pork served with potatoes and white corn.
Banana, three ice scream scoops topped with whipped cream and cherry.
Fruit Cocktail, Jello, three ice cream scoops topped with whipped cream, cherry and wafer on the side.
Our most popular item the meat platter, the Parrillada Argentina. You can share this great platter between two very hungry adults or up to four people. This dish includes a variety of meats.


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Faber is famous for its kitchen accessories. They have classified their stock under various categories like built in, cooperate, professional, decorative and designer etc.


Summary: Definition of accomplishment. Something done, achieved, or accomplished successfully. The successful completion of something , the act of accomplishing something. A special skill or ability gained by practice or training.
Sabbath requires surrender. If we only stop when we are finished with all our work, we will never stop, because our work is never completely done. With every accomplishment there arises a new responsibility... Sabbath dissolves the artificial urgency of our days, because it liberates us from the need to be finished.
Nothing whatever pertaining to godliness and real holiness can be accomplished without grace .
Even on education, his one accomplishment, the Leave No Child Behind Act, and he has left it unfunded.


text:
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Rep. Ayanna Pressley Reveals Alopecia—and Shares a Beautiful Photo of Her Bald Head
"I want to be freed from the secret and the shame that that secret carries with it."
leah groth
By Leah Groth Updated January 17, 2020
For the first time publicly on Thursday, Rep. Ayanna Pressley (D-Mass.) revealed that she suffers from Alopecia, an autoimmune disorder that can lead to complete hair loss.
In a new seven-minute long interview with The Root, the popular politician discussed her relationship with her hair, and how she first came to realize she was suffering from alopecia. She also used the interview as an opportunity to remove her wig in public for the very first time.
"I think it's important that I'm transparent about this new normal," she said, regarding her decision to share her hair loss struggles. Pressley added that she first became aware her alopecia last fall when she was getting her hair retwisted. The hair loss continued, and she woke up every morning with less and less hair on her scalp—despite efforts to stave off hair loss by sleeping on silk pillowcases and in bonnets, she said.
Her demanding career on Capitol Hill complicated her health struggle, and she opted to "creatively conceal" her baldness with the help of wigs.
However, the night prior to Donald Trump's impeachment vote in the House of Representatives and the anniversary of her mother's death, she lost her final piece of hair. The sense of loss truly resonated with her.
"I was missing her. I was mourning my hair. I was mourning the state of our democracy. I was mourning my mentor, Chairman Elijah Cummings," she said.
Instead of exposing her bald head, she opted to wear a custom wig made by "hair caregiver" Jamal Edmonds to deliver her vote.
"When I saw myself in the mirror, he had done a beautiful job, but I did not recognize myself," she said. "I was wearing this wig, fully clothed. But in that moment, I couldn't recall the last time I'd ever felt more naked."
After casting her vote, she explains that she hid in a bathroom stall, "feeling exposed, vulnerable, and embarrassed," according to The Root. "It was at that point that she remembered those same little girls looking up to her—and decided that when she was ready, she'd go public with her condition." "I want to be freed from the secret and the shame that that secret carries with it," Pressley says.
While she is still coming to terms with her condition, every day she is making progress. "I think you might overly intellectualize it and say it's just hair," she adds. "But I still want it so I am trying to find my way here and I do believe going public will help. I am making peace with having alopecia. I have not arrived there."
She is also experimenting with different styles and even has names for some of her wigs. "One I call 'FLOTUS' because it feels very Michelle Obama to me, [and another] I call 'Tracee,' because it feels very Tracee Ellis Ross to me," she reveals.
RELATED: What It's Like to Have Your Immune System Attack Your Hair
What exactly is alopecia?
According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases, alopecia areata is an autoimmune disease, which occurs when your immune system mistakenly attacks your hair follicles (the part of your skin that makes hair).
In the majority of alopecia—which can be broken down into about six different types, including alopecia areata, androgenic alopecia, and telogen effluvium—hair falls out small patches, round in shape and about the size of a quarter. In very rare cases, the disease can cause total hair loss all over the head and even the body. There is no pain involved in the hair loss and it is not contagious.
Alopecia usually begins in childhood and your risk increases if you have a family member who has had it, especially if their symptoms first started before the age of 30. It's also unclear what exactly causes alopecia, though scientists believe that genetics may play a role, and that the disease process begins when specific genes are triggered by a virus or environmental factors.
Race may also come into play. One July 2019 study from the Journal of the American Academy of Dermatology found that African Americans experience alopecia areata at a higher rate than other racial groups. One Boston University survey found that of 5,500 black women, nearly 48 percent of them dealt with hair loss.
While there's no cure for alopecia and no drugs have been approved to treat it, there are medications approved for other diseases that can help grow back hair loss, according to the NIAMS.
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God morning all. Grey and wet.
Only 4 more days until Nicole's due date!!!!
who is our mystery couple.
Quick post, working, and the little ones are restless tonight!
who are this happy couple?
Maen! Nice picture, friendly looking couple. Mild morning for winter.
Happy birthday to Lindy from Townsville and Scott from Ohio! I hope your day is filled with love and laughter...wine and chocolate too.
You were right yesterday Bluey! We need more people posting photos on Kids Sudoku.
Hello fi, someone was wondering about that first story we all contributed to on jigsaws and I believe that you took a copy to e'mail to people. Is that correct and how do I get a copy, please.
whats so confidential abt the cheese??
is it 'coz the night falls the day breaks??
and who fixes the broken day??or who picks up the fallen night??
are all ladybugs female??if not whats the male called??
2:28 Hi to all and to the smiling couple.
Today is the start of a new error!
Ian from Boston, where is my lutefisk?
Quieter now. Thanks for the laughs ap and Stella!
have no consideration whatsoever.Don't they realise that sudoku comes first???
Holiday craziness...haven't been able to sit and play since just after Thanksgiving, I think! Hope all are well and happy.
Found out today that my 10 month old has allergies! Poor little guy. Hopefully, can find him some relief from the symptoms, though.
I'm glad that i wasn't writing out Elizabeth Bolden's Christmas cards.
Or putting the checks in them, eh, JIM?!
It didn't say how many children she started all that from.Think 10 priests must've lit candles for her in Rome!!!
2:04 Another dreary day here, but at least there's no rain. A green Christmas is predicted. Ho hum. Glad I got the skis tuned up.


text:
Photographic Print of Wigan Borough - 1923/4
Wigan Borough - 1923/4
Football - 1923 / 1924 Third Division (North) - Wigan Borough Team Group Back (left to right): John Jack Pendleton (also Aston Villa), Harold Harry Fare, Archibald Archie Williams, Alexander Hunter (also Tottenham Hotspur), Samuel Currie (also Leicester Fosse), Jimmy McCrae (also West Ham united and Manchester United).
Football - 1923 / 1924 Third Division (North) - Wigan Borough Team Group
Back (left to right): John Jack Pendleton (also Aston Villa), Harold Harry Fare, Archibald Archie Williams, Alexander Hunter (also Tottenham Hotspur), Samuel Currie (also Leicester Fosse), Jimmy McCrae (also West Ham united and Manchester United).
Front: George Jones (also Everton and Middlesbrough), William Billy Glover, Leonard Len Armitage (also Leeds United), Henry Spencer (also Everton), George Rae, Frank Whitfield (also Lincoln)


Spring has brought a number of changes to our staffing.
We said goodbye to Karen Evans, and wish her the best on the next step in her career.
We are very fortunate to have Dvorah joining our staff. We are also very excited to be able to offer counseling to those that prefer Spanish-speaking providers! Please join us in welcoming Dvorah.


text:
The GIANT Company Launches New Initiative To Help Students Facing Food Insecurity
Sponsored Message
Dulcinea - Winter ProgramLearn More
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Mon. January 11th, 2021
- by Peggy Packer
CARLISLE, PA - There is no better time to make a difference in your own community than now. The GIANT Company is more than aware of this as it has revealed a vital new initiative aimed at helping students facing childhood hunger at local public schools in its communities.
"This school-based giving initiative, which builds on The GIANT Company's long history of supporting both schools and local hunger relief efforts, is part of our continued commitment to connect families for a better future and build stronger communities," said Chief Marketing Officer Matt Simon. "Studies show how important a nutritious and balanced diet is to a child's performance in school, and that's why The GIANT Company wants to make sure every student can focus on learning, instead of wondering where their next meal will come from."
From now until the end of February, shoppers at GIANT, GIANT Heirloom Market, and MARTIN'S stores will be offered the option to round their purchases up to the nearest dollar to donate to local public school food programs, according to a press release. The company has also promised to match the first $1 million donated. School districts can use the funds to support meal programs, cover outstanding student meal debt, expand food distribution programs, as well as build food pantries on campus.
The retailer's customers will also be able to convert their CHOICE points into a meaningful donation, donating $1 for every 100 points converted into Grocery Dollars via its apps. GIANT has also agreed to match every CHOICE point converted, up to another $500,000 donated.
AndNowUKnow will continue to report as more retailers work to make a difference in the communities they serve.
The GIANT Company
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Retail Retailer


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Atria Plc
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Interim Report of Atria Plc 1 January - 30 September 2012
INTERIM REPORT OF ATRIA PLC 1 JANUARY – 30 SEPTEMBER 2012
Atria Group's EBIT improved considerably
- EBIT for January–September grew to EUR 22.4 million (EUR 3.8 million)
- Net sales amounted to EUR 982.9 million (EUR 963.1 million)
- Atria Finland's EBIT increased to EUR 25.5 million (EUR 12.2 million)
- Atria Scandinavia's EBIT fell to EUR 6.3 million (EUR 9.7 million)
- Atria Russia's EBIT improved to EUR -4.7 million (EUR -14.5 million), and the Q3 EBIT was positive, amounting to EUR 0.6 million (EUR -3.3 million)
- The Group's equity ratio was 39.4 per cent (on 31 December 2011: 39.5%)
Q3 Q3 Q1–Q3 Q1–Q3
EUR million 2012 2011 2012 2011 2011
Net sales 341.1 325.5 982.9 963.1 1,301.9
EBIT 16.6 9.0 22.4 3.8 8.0
EBIT, % 4.9 2.8 2.3 0.4 0.6
Profit before taxes 13.1 5.4 12.9 -5.5 -4.7
Earnings per share, EUR 0.31 0.13 0.17 -0.21 -0.24
Extraordinary items* 0.0 0.0 0.0 0.1 -2.2
Review Q3/2012
Atria Group's net sales for July–September totalled EUR 341.1 million (EUR 325.5 million), showing growth of EUR 15.6 million compared to the corresponding period last year. EBIT improved by EUR 7.6 million year-on-year, amounting to EUR 16.6 million (EUR 9.0 million).
Atria Finland's Q3/2012 net sales totalled EUR 205.1 million (EUR 197.5 million), showing growth of EUR 7.6 million year-on-year. The EUR 12.5 million EBIT (EUR 9.0 million) was EUR 3.5 million higher than the EBIT for the corresponding period last year. This increase was due to improved conditions in the meat market and higher sales prices especially in export and wholesale.
Atria Scandinavia's Q3/2012 net sales totalled EUR 100.1 million (EUR 93.5 million), representing an increase of EUR 6.6 million year-on-year. In the local currency, net sales were at the same level as last year. EBIT amounted to EUR 4.4 million (EUR 4.7 million). The reason for this decrease was the higher price of meat raw material. Atria has not been able to pass on all of the increased raw material costs to sales prices.
Atria Russia's Q3/2012 net sales amounted to EUR 33.9 million (EUR 31.0 million). In the local currency, net sales grew by 5.5 per cent year-on-year. EBIT was EUR 0.6 million (EUR -3.3 million), showing an improvement of EUR 3.9 million over the comparative period. This increase was due to implemented efficiency improvement measures and the raising of sales prices.
Atria Baltic's Q3/2012 net sales amounted to EUR 8.4 million (EUR 9.0 million). EBIT was EUR -0.4 million (EUR -0.4 million).
Olle Horm was appointed Executive Vice President of Atria Baltic and a member of Atria Group's Management Team. He assumed his position on 15 August 2012 and reports to Juha Gröhn, CEO, Atria Plc.
Review 1 January–30 September 2012
Atria Group's net sales for January–September totalled EUR 982.9 million (EUR 963.1 million), showing growth of EUR 19.8 million compared to the corresponding period last year. EBIT improved by EUR 18.6 million year-on-year, amounting to EUR 22.4 million (EUR 3.8 million). The results for the period include net EUR 0.1 million of non-recurring profit.
Atria Finland's net sales for January–September totalled EUR 598.1 million (EUR 586.8 million), up by EUR 11.3 million year-on-year. The EUR 25.5 million EBIT (EUR 12.2 million) was EUR 13.3 million higher than the EBIT for the corresponding period last year. This increase was due to improved conditions in the meat market, higher sales prices, an enhanced sales structure and implemented efficiency improvement measures.
Atria Scandinavia's net sales for January–September totalled EUR 284.6 million (EUR 277.1 million), representing an increase of EUR 7.5 million year-on-year. In the local currency, net sales were at the same level as last year. EBIT amounted to EUR 6.3 million (EUR 9.7 million). The reason for this decrease was the higher price of meat raw material. Atria has not been able to pass on all of the increased raw material costs to sales prices.
Atria Russia's net sales for January–September amounted to EUR 93.5 million (EUR 91.8 million). In the local currency, net sales were at the same level as last year. EBIT was EUR -4.7 million (EUR -14.5 million), showing an improvement of EUR 9.8 million over the comparative period. This increase was due to implemented efficiency improvement measures, price increases and the streamlining of the product range.
Atria Baltic's net sales for January–September totalled EUR 25.4 million (EUR 26.3 million), representing a fall of EUR 0.9 million year-on-year. EBIT was EUR -1.3 million (EUR -0.4 million), which is EUR 0.9 million weaker than in the same period last year. The result for the comparative period contain EUR 0.9 million of non-recurring profit. The results were weighed down by the increase in raw material prices, which could not be fully transferred to sales prices.
Due to an increase in investments, the Group's free cash flow (operating cash flow – cash flow from investments) during the review period was EUR -1.5 million (EUR -0.6 million). Interest-bearing net liabilities came to EUR 417.8 million, showing an increase of EUR 15.1 million since the turn of the year. This increase was mainly due to exchange rate changes.
During the review period, a programme was launched to improve the profitability of Atria Scandinavia's production of meat products. Atria is investing approximately EUR 4.7 million in new production equipment for the Malmö plant. The manufacture of ham products and the slicing of cold cuts will be transferred from the Halmstad plant to the Malmö plant. By the end of September, most of the production had been transferred to Malmö. The transfer will be completed by the end of 2012. The programme is expected to generate annual cost savings of approximately EUR 1.5 million. The savings will begin to materialise in 2012 and will be fully effective from the beginning of 2013.
During the review period, Atria Russia launched a programme aimed at improving production efficiency at the Sinyavino and Gorelovo plants in St Petersburg. These measures are expected to generate annual cost savings of around EUR 2.0 million, which will be fully realised from the beginning of 2013. Meat products are now produced at the centralised Sinyavino and Gorelovo plants.
Atria Plc's Board of Directors decided to terminate the share incentive plan for Atria Group's key personnel and replace it with a new long-term reward programme. The share incentive plan will no longer be applied in 2012.
EUR million 30.9.12 30.9.11 31.12.11
Equity/share, EUR 15.07 14.74 14.81
Interest-bearing liabilities 425.8 423.5 409.4
Equity ratio, % 39.4 39.8 39.5
Gearing, % 99.2 101.0 97.1
Net gearing, % 97.4 98.9 95.5
Gross investments in fixed assets 41.2 36.9 47.0
Gross investments of net sales, % 4.2 3.8 3.6
Average number of employees 4,927 5,550 5,46
The Group's EBIT was EUR 8.0 million in 2011. EBIT is expected to be considerably higher in 2012. Some growth in net sales is expected for 2012.
Publication procedure
Atria Plc complies with the publication procedure in accordance with standard 5.2b of the Financial Supervisory Authority and publishes its 1 JANUARY – 30 SEPTEMBER 2012 interim report release as an attachment to this company announcement. The full interim report is available on the company's website at www.atriagroup.com.
For more information, please contact Juha Gröhn, CEO, Atria Plc, tel. +358 400 684 224.
Invitation to a press conference
A press conference conducted in Finnish will be arranged today 1 November 2012 at 9:30 am at Atria offices in Helsinki, address Läkkisepäntie 23, Helsinki. The presentation material will be available on the company's website (www.atriagroup.com/en/investors/FinancialInformation/quarterlyreports) after the distribution of the interim report and as an attachment to this company announcement.
Nasdaq OMX Helsinki Ltd
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www.atriagroup.com
Liitetiedostot
Atria Plc_Interim Report_Q3_2012.pdf
Atria Plc_Interim Report_Q3_2012_presentation.pdf
Atria Denmark
Atria Estonia
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