Introduction A new generation of carotid artery stents that use a dual micromesh layer to reduce embolic events during carotid artery stenting has recently been introduced. We aimed to analyze the effectiveness and safety of the new Casper-RX stent in patients experiencing acute ischemic stroke with large vessel intracranial occlusion associated with a tandem lesion (another carotid occlusion or severe stenosis).
Methods We retrospectively analyzed all consecutive patients treated with carotid Casper-RX stents from our stroke registry. We analyzed clinical, angiographic, and neuroimaging data. Endpoints included acute intra-stent thrombus formation, stent occlusion prior to hospital discharge, 3 month modified Rankin Scale score (mRS), and symptomatic intracranial hemorrhage.
Results 21 patients were included: 10 patients had tandem carotid occlusions and 11 patients had severe carotid stenosis, 8 of whom had a hemodynamically significant stenosis. We observed acute in-stent thrombus formation in 11 patients. No stent occlusion occurred prior to hospital discharge. We report no stroke recurrence at 3 months but symptomatic intracranial hemorrhage in two patients. mRS score at 3 months was 0–2 (favorable) for 15 patients (71%), 3–5 for 3 patients, and 6 for 3 patients.
Conclusions In the present series, we frequently observed clot formation during the procedure with Casper-RX stents, which required periprocedural intravenous infusion of anticoagulant and antiplatelet treatment. This motivated us, in the absence of a prospective randomized controlled study demonstrating the non-inferiority of micromesh dual layer stents compared with the single layer design, to discontinue using this stent type in acute stroke requiring carotid angioplasty.
Stent assisted angioplasty of the extracranial internal carotid artery has a risk of periprocedural stroke due to dislodgement of debris from the carotid plaque. Recently, the Casper-RX stent (MicroVention, Tustin, California, USA), a double layered micromesh low profile closed cell stent with higher mesh density and smaller pore size compared with conventional stents, was developed to reduce the risk of distal embolism.1 2 However, in acute ischemic stroke, a retrospective case controlled study reported that the recently introduced dual layer stents have a higher risk of acute occlusion compared with single layer stents in acute stroke treatment.3 They argued that the higher metal density of these dual layer stents increases thrombogenicity in patients not previously prepared with dual antiplatelet therapy. Few post-market studies prove the effectiveness and safety of this newer stent in patients harboring symptomatic and asymptomatic carotid occlusive disease, and preloaded with dual antiplatelet therapy.1 4 5 We performed a retrospective analysis of patients who had acute ischemic stroke with large vessel intracranial occlusions associated with extracranial tandem lesions (another carotid occlusion or severe stenosis) treated with Casper-RX stents with an emphasis on acute stent thrombosis.
In this retrospective study, we identified a consecutive series of patients from our prospective stroke database, Acute STroke Registry and Analysis of Lausanne (ASTRAL). We collected all patients experiencing acute ischemic stroke with large vessel intracranial occlusion and a tandem lesion (ie, another carotid occlusion or severe stenosis) treated with one or more carotid Casper-RX stents from November 2014 to August 2017. Eligibility criteria for procedures of mechanical thrombectomy were: (1) National Institutes of Health Stroke Scale (NIHSS) score of ≥4; (2) modified Ranking Scale (mRS) score of ≤2; (3) confirmed anterior circulation large vessel intracranial occlusion (M1, M2) associated with a tandem carotid lesion (severe stenosis or occlusion); (4) Alberta Stroke Program Early CT Score (ASPECTS) ≥5; and (5) initiation of mechanical thrombectomy within 8 hours of symptom onset. Our ethics committee waived patient consent for retrospective analysis using the ASTRAL registry.
The carotid Casper-RX stent is a nitinol double layer closed cell micromesh design. This construction is designed to prevent plaque prolapse. It comes in a 143 cm 5.2 F catheter with a 0.014 inch guidewire. The stent diameters are 5–10 mm and lengths 16–40 mm. A stent can be repositioned in the catheter with up to 50% extrusion for improved positioning, as determined by the operator. The Casper-RX device is currently not approved by the Food and Drug Administration for sale or use in the USA.
All procedures were performed with the patient under general anesthesia. We placed a balloon guide catheter or a long sheet into the common carotid artery after common femoral artery puncture. Balloon carotid angioplasty was done to get access to the intracranial occlusion; carotid assisted stenting (CAS) was performed after successful intracranial recanalization (modified Thrombolysis in Cerebral Infarction (mTICI) 2b/3). If balloon assisted angioplasty was insufficient for intracranial access, we performed CAS before mechanical intracranial thrombectomy. Balloon assisted angioplasty was done after stent placement to improve conformability. We did not use distal protection devices. Intravenous aspirin (250–500 mg) was administrated to all patients immediately after stent deployment. We started a 300 mg loading dose of clopidogrel on day 1 for patients treated with recombinant tissue plasminogen activator (rt-PA), and for the others, after the end of the procedure once the patient was awake. We continued the double antiplatelet therapy for 3 months after the procedure.
In all cases, clinical follow-up was assessed by NIHSS at 24 hours, at hospital discharge, and by mRS at 90 days. We analyzed stent patency with cervical CT angiography or cervical sonography.
We obtained the following data from ASTRAL using picture archiving and communication system (PACS) reports: patient demographics, cerebrovascular risk factors, pre-stroke mRS, prior antiplatelet or anticoagulant treatment, pre- and per-procedural medicaments, side and location of the intracranial occlusion, type of carotid involvement (severe stenosis or occlusion), number and size of carotid stents and balloon catheters, carotid vessel wall apposition of stents, acute in-stent thrombus formation defined as partial or total lack of opacification in the lumen of the stent, carotid residual stenosis, DSA mTICI, and symptomatic intracranial hemorrhage.
Categorical variables are expressed as absolute values (percentages), and quantitative variables as mean±SD or median (IQR), as appropriate.
Twenty-one patients were included in this study with a follow-up of 90 days. Mean age was 71.3±9.8 years (range 51–88); 38.1% were women. table 1. Nine patients (42.9%) had single or double antiplatelet treatment; none had anticoagulation treatment. All patients had a pre-stroke mRS score of 0–2. Patient baseline characteristics are summarized in table 1.
The median presenting NIHSS score was 15 (IQR 9.5–19). Eighteen (85.7%) patients received intravenous rt-PA. One patient was preloaded with aspirin and clopidogrel prior to intervention. All other patients without previous antiplatelet treatment received 250–500 mg of aspirin during the procedure. Intravenous heparin (range 50–70 UI/kg) was used in seven patients periprocedurally (three patients already treated with intravenous rt-PA). DSA confirmed acute carotid occlusion in 10 patients and severe carotid stenosis in 11 patients. Carotid disease and hemispheric clot location was predominantly on the left side (61.9%). Fifteen (71.4%) patients had intracranial occlusion on the M1 middle cerebral artery segment and six (28.6%) on the M2 middle cerebral artery segment. In 18 patients, one carotid Casper-RX stent was used, in 2 patients two stents were used, and three stents were used in 1 patient. Vessel wall apposition was complete in 20 patients and incomplete in 1 patient. We observed acute thrombus formation inside the stent after deployment in 11 (52.4%) cases; we treated this angiographic complication with repeated intra-stent balloon carotid angioplasty, and in 3 patients we added intravenous heparin to rt-PA and antiplatelet therapy. Modified TICI 2b-3 was obtained in 20 patients and mTICI 2a in 1 patient.
The mean time from symptom onset to arterial puncture was 230.1 (±94) min. The mean time from symptom onset to recanalization was 312.6 (±103) min. Emboli to an additional vascular territory (distal anterior cerebral artery (ACA)) was observed in three patients, in which two were observed before and one following deployment of the CASPER-RX stent. We found distal perforation and consequent subarachnoid hemorrhage in one patient. The study procedural characteristics are summarized in table 2.
The median NIHSS score at 24 hours, available for 19 patients, was 3 (IQR 1–7), and we report two symptomatic cerebral hemorrhagic complications. All carotid stents were patent on patient discharge. In one case, CT angiography found a large non-occlusive clot inside the stent; we treated the patient for 3 months with aspirin and acenocoumarol. No stroke recurrence was observed at the 3 month follow-up. The mRS score at 3 months was 0–2 in 16 (76.2%) patients, 3–5 in 2 (9.5%) patients, and 6 in 3 (14.3%) patients.
In the HERMES meta-analysis,6–11 acute ischemic stroke due to tandem occlusions was underestimated, with only 122 found out of 1278 patients; nevertheless, the risk ratio in favor of intervention was 1.81 (95% CI 0.96 to 3.40), similar to intracranial occlusions. A recent pooled analysis12 and a meta-analysis13 confirmed these results for tandem occlusions but some questions remain. For example, should the intracranial or the cervical occlusion be recanalized first ? Should balloon carotid angioplasty or CAS be used for cervical occlusions and severe stenosis? What type of stent should be used for CAS?
Concerning stent technology, as mentioned in the introduction, new carotid stents designed to improve carotid plaque coverage and reduce intracranial thromboembolic events have been recently developed. These include the Casper-RX (Microvention) and Roadsaver (Terumo, Tokyo, Japan) with nitinol double layer closed cell micromesh and the C guard (Penumbra), a laser cut nitinol stent covered with a micromesh polymer. Preliminary clinical results with the new stents confirmed their effectiveness and safety over single layer stents.5 14 15 However, the clinical studies included patients with carotid stenosis and not acute ischemic stroke due to tandem occlusions. Yilmaz et al3 retrospectively compared single layer stents with the Casper-RX dual layer stent for emergency treatment of tandem lesions and reported a significantly higher rate of acute stent occlusions with Casper-RX stents compared with single layer stents. They suggested that the second micromesh layer increased thrombogenicy in cases of insufficient antiplatelet pretreatment. In our series of 21 consecutive patients with acute ischemic stroke due to tandem occlusions or stenosis treated with Casper-RX stents, we observed different results, in that all stents in survivors were patent at patient discharge. We do not have a clear explanation for this difference.
Our series is different from that of Yilmaz et al's in two respects. First, most of our patients received rt-PA (85.7%). Additionally, a loading dose of clopidogrel was given to all 17 survivors not already under dual antiplatelet therapy, while in the dual layer stent group of the Yilmaz et al series, rt-PA was used in 30.0% of patients and a loading dose of clopidogrel was used in only 27.8% of patients. Yilmaz et al found a higher rate of stent occlusions using Casper-RX stents in patients who did not receive intravenous rt-PA (45.5% vs 11.1%); however, the difference was not significant. Their sample size was very small and we suggest that there were too few participants to demonstrate a difference, as they pointed out in the paper's limitations. Concerning acute in-stent thrombus formation however, our results are comparable with those of Yilmaz et al (50% in the dual layer group). We found in-stent thrombus formation in more than half of the patients and treated this complication with repeated in-stent balloon carotid angioplasty; in three patients we added intravenous heparin to rt-PA and antiplatelet therapy, exposing these patients to a higher risk of spontaneous or iatrogenic bleeding.
To corroborate this finding, we analyzed the records of all patients with acute tandem occlusions or severe stenosis treated with single layer carotid stents from November 2014 to September 2018. The rate of in-stent thrombus formation in single layer stents was lower than that in dual layer Casper-RX stents (33.3% vs 52.4%). Moreover, in the five patients with single layer stents and acute in-stent thrombus formation, we did not add any additional antithrombotic drugs and we resolved the thrombus either by repeated intra-stent balloon carotid angioplasty or by conservative management in the case of small thrombus formation along the stent strut at the level of the carotid plaque.
Our study limitations are its retrospective design, the limited number of patients, the lack of a matched comparison group, and the fact that patients were not consecutive (some cases used single layer stents and others carotid balloon angioplasty).
In conclusion, in our series of tandem occlusion acute ischemic stroke patients, we did not report Casper-RX stent occlusion prior to patient discharge after endovascular treatment. However, in-stent thrombus formation during the procedure was frequent, and for three patients, previously treated with aspirin and rt-PA, additional heparin therapy was required followed by a fatal hemorrhagic complication in one patient. Due to the high rate of in-stent thrombus formation, we decided not to use dual layer stents in acute tandem occlusion therapy even though a prospective randomized controlled study has yet to demonstrate the non-inferiority of these stents compared with a single layer design.
Melanie Price Hirt provided editorial assistance in the final version of the manuscript and was funded by the authors.
Contributors BB contributed to the conception and design of the work, analysis and interpretation of the data, and drafting the paper. FP contributed to acquisition of the data and critical revision. PJM contributed to acquisition of the data and critical revision. SDH contributed to critical revision. LV contributed to analysis and interpretation of the data, and critical revision. PM contributed to the conception and design of the work, acquisition of the data, and critical revision. GS contributed to the conception and design of the work, and critical revision. All authors approved the final version to be published.
Competing interests PM: speaker and consulting fees from Medtronic, Steering committee of PROMISE (Penumbra). All this support goes to the institution and is used for stroke education and research. The other authors report no conflicts.
Ethics approval The Swiss ethics committee (Canton of Vaud) approved collection, analysis and publication of data from ASTRAL registry.
Data sharing statement Additional unpublished data are available upon request.


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The British at Gallipoli, August 1915 Part II
Posted on November 17, 2020 by MSW
Stopford first learned of the Suvla Bay plan on July 22, fifteen days before he was scheduled to carry it out.28 His orders laid down the main objective as the "capture and retention of Suvla Bay as a base of operations for the northern army"; to do this he was to capture the low hills in the basin behind the bay quickly and then take the heights on its northern and eastern sides. Subsequent moves would "depend upon circumstances which cannot at present be gauged," but it was "hoped" that Stopford's troops would then be able to move southeastward to give flanking assistance to Birdwood's main attack on the heights of Sari Bair. These instructions were faulty in that they insufficiently emphasized the primary importance of cooperating with the offensive on Sari Bair; nor did they alert the commander to the vital need to take every advantage of opportunity. A more aggressive commander might not have needed to be told so bluntly what to do—but Stopford was not such a commander, and Hamilton had good reason to suspect as much. As the task of planning passed down the chain of command, Stopford now began to take a personal hand, yet further closing down the opportunities to profit from surprise and success.
Within four days of receiving his orders, Stopford began to emphasize nonexistent difficulties. Leaning heavily on current experience in France—which bore little resemblance to Gallipoli—he argued that without a large number of howitzers, troops could not be expected to attack an organized system of trenches.30 Hamilton did not have the howitzers—but neither did the Turks in the bay area enjoy the luxury of a Western Front-style organized trench system. Rather than point out what aerial photographs showed to be the weak positions occupied by the few Turks in the area, Hamilton's staff officers left IX Corps to discover for itself that these fears were groundless. Revised instructions issued by Hamilton on July 29 emphasized that the primary objective of Stopford's force was to secure Suvla Bay as a supply base for all forces operating in the northern part of the peninsula; this might require all the troops at Stopford's disposal, but if he had troops to spare they should be used to help the main Anzac attack.
In view of all the charges subsequently leveled at Hamilton, Stopford, and others for failing to capitalize on a golden opportunity, we may pause to note that the commander in chief—the source of all direction and authority—apparently never perceived the Suvla Bay landing as playing any more than a subordinate role in the push for Sari Bair and made no provision to expand it if circumstances favored such a course. For him, the greatest possibility held out by possession of the bay was that a light railway could be run up to the troops on Sari Bair more effectively from there than from the narrow and crowded beaches at Anzac Landing. Looking further ahead to operations in 1916, he saw Suvla Bay as an ideal winter base for the troops on the northern part of the peninsula. Hamilton had failed to develop a scheme that accommodated the idea of capitalizing on local success, thereby putting a heavy burden on the troops when opportunities later presented themselves.
Hamilton's failure to perceive and emphasize the broader possibilities inherent in the operation encouraged Stopford to give further vent to his naturally pessimistic frame of mind. Writing to his commander on July 31, he warned that attaining "security" in the bay was likely to be so demanding a task as to make it "improbable" that he would be able to give Birdwood any assistance; if, however, the opposition was sufficiently slight as to allow him to free some of his troops, "you may rely upon my giving him [Birdwood] every assistance in my power." This attitude bespoke a reluctance or inability to perceive opportunities that boded ill. It was magnified as orders were passed down from general headquarters through corps and divisional staffs to the brigades that would do the fighting. The urgency of seizing key positions quickly was watered down; the lack of precision in the orders was magnified; and what were perceived as important geographical positions simply disappeared from the orders put out to the fighting units as they filtered down the chain of command. A combination of pessimism in command and deficient staff work—evident in the chaotic arrangements for unloading water, stores and equipment on the beaches—resulted in Stopford's taking command of a battle for which his troops were inadequately prepared.
The landings on the shore of Suvla Bay, which began just before dawn on August 7, quickly bogged down in confusion. Mistaking the shoreline in the dark, the navy landed one brigade in the wrong place; the direction of attack was altered by one of the divisional commanders not once but several times; and men began to pile up on or near the beaches in confused masses. The early omens looked good; one member of the naval landing party recorded hearing
intermittent firing accompanied by some cheering going on ashore, so that already some of our troops were in action and judging by the slackness of the fire, it looked as if we had taken the Turks by surprise.
More ominously, the same eyewitness noticed that troops met little opposition until they had penetrated about a mile inland, where they began to be held up by snipers. The demoralizing effect on the troops of a handful of Turkish sharpshooters was exacerbated by the growing heat of the day; eventually temperatures mounted until they stood at 90°F. in the shade. Over the next forty-eight hours thirst began to determine the attitudes and then the actions of many of the troops.
During the first day Stopford put some 20,000 men ashore. His force enjoyed a massive ten-to-one superiority, for it faced an opposition that amounted to no more than 2,000 Turks under the command of a determined Bavarian, Major Willmer, backed by eleven guns. Willmer's men fought well, using to full effect the advantage of defending ground that was clothed in dense, thorny ilex scrub. The odds were heavily against them; the outcome of the battle depended on one commander reacting faster and more effectively than the other to the unexpected.
A general Allied attack on the enemy line, which had started the previous day, distracted the Turks' attention from Suvla for a while, but on August 7 Liman von Sanders decided—wrongly—that Suvla Bay was the main British objective. By misunderstanding his enemy's plan, he put himself in a position to snuff out the unexpected opportunity offered to Stopford. But his quick mental reaction was not matched by physical action: Turkish reinforcements were 30 miles away at Bulair, and the local commander, Feizi Bey, was listless and incompetent. On August 8, Liman replaced him with the energetic but as-yet-unknown Mustafa Kemal (later, as Kemal Atatürk, the father of modern Turkey) and ordered an attack the following morning. Reinforcements were ordered up on the double, and meanwhile Kemal prepared to defend to the last. For forty-eight hours, though, the way to the heart of the Gallipoli peninsula was there for the taking, barred only by a handful of resolute Turks.
On August 7, the British lines should have been alive with movement and activity. Instead, they were a picture of tranquility. An anonymous artillery officer recorded being "struck by the restfulness of all around. There appeared to be little going on, a good many infantrymen sitting about or having a bathe." Stopford lay off shore on board the Jonquil and there he stayed throughout the day. He sent one telegram to Hamilton at 7:30 A.M. reporting that one of the hills in the plain behind the bay—Hill 10—had not yet been captured, ending his message "As you see, we have been able to advance little beyond the edge of the beach." Hamilton—one hour's steaming away on the island of Imbros—received this message about noon; some four and a half hours later his chief of staff replied to Stopford: "Chief glad to hear enemy opposition weakening, and knows you will take advantage of this to push on rapidly. . . . take every advantage before you are forestalled." At the front, his commanders were getting into a hopeless tangle. Major General Frederick Hammersley of the Eleventh Division ordered one of his brigadiers, W. H. Sitwell, to support an attack on another of the objectives that had originally been labeled vital—Chocolate Hill—by Brigadier General Hill. Sitwell promptly began to dig in. Hill arrived and failed to get any support from Sitwell for his attack. After a dispute between the two brigadiers over Hammersley's orders, Hill began the weary trudge back through the sand to divisional headquarters in search of a ruling. When, at length, an attack was launched on Chocolate Hill, none of the three units involved was accompanied by its brigadier.
On the evening of August 7 Stopford wanted to press on but was told by his two divisional commanders that their men were exhausted and short of water and that any further movement was impossible for the time being. Accordingly, he postponed any further attack for twenty-four hours. His troops, far from being in a position to seize the hills surrounding the bay, were barely masters of the plain. Stopford lacked the resolution to push them forward. His first priority was the safety of the landing place, and he issued orders early the following morning to select and entrench the best possible covering positions; his intentions were first to consolidate his position and then to land much-needed stores and supplies. Later that same morning he urged his troops to "push on as far as possible" but not to launch frontal attacks on positions held in strength. As yet, no enemy position confronting him was held in any strength.
On the second day of the Suvla Bay landing, after first dispatching an unjustifiably optimistic congratulatory telegram to the Jonquil, Hamilton began to grow perturbed at the lack of progress and sent a staff officer—later to become the official historian of the campaign—to find out what was going on. The scene that met Colonel Aspinall's eyes was later summed up by Churchill thus:
the placid, prudent, elderly English gentleman with his 20,000 men spread around the beaches, the front lines sitting on the tops of shallow trenches, smoking and cooking, with here and there an occasional rifle shot, others bathing by hundreds in the bright blue bay where, disturbed hardly by a single shell, floated the great ships of war. . . .
Seeing Stopford still aboard the Jonquil and little happening on shore, Aspinall sent an urgent wireless message to GHQ: "Feel confident that golden opportunities are being lost and look upon the situation as serious." At last Hamilton decided to go and see for himself, but by one of the many malevolent twists of fate that seemed to scar the face of this battle, the ship the navy had allotted him had to put out her boilers to make repairs and was unable to take the commander in chief anywhere.
At 4:30 P.M., after a five-hour wait, Hamilton finally found a ship to take him to Stopford. Once there, he learned that Stopford planned to attack the following day but felt unable to get his troops moving any sooner due to a lack of water and of artillery. Pressed by Hamilton to attack that day, he demurred. Hamilton then went ashore—unaccompanied by Stopford, who excused himself on the grounds that he had a bad knee. Once there, Hamilton heard the divisional commander, Hammersley, report that no advance was possible until the next day; his troops were too scattered, the ground in front of them was unreconnoitered and bad, and orders could not be passed around in time for junior officers to be able to study them. "Hammersley's points," Hamilton recorded,
were made in a proper and soldierly manner. Every general of experience would be with him in each of them, but there was one huge danger rapidly approaching us . . . we might have the hills at the cost of walking up them today; the Lord only knew what would be the price of them tomorrow.
In a belated attempt to impose a sense of drive and purpose on a battle that had so far been conducted without either, Hamilton ordered Hammersley to attack the heights of Tekke Tepe that night with one of his brigades. No one told Stopford of this change of plan. In the event, it took the brigade selected for the task most of the night to sort itself out, and when it finally launched its assault on the hill early on the morning of August 9, it was too late; Kemal, reinforced by troops who had carried out an exhausting forced march, attacked first. Seizing the heights, he caught the advancing British troops spread out below him on the steepest part of the hillside. The British attack was easily broken, and with it went all hopes of levering the Turks off the commanding heights of the peninsula. A major attack at Suvla launched twelve days later in an attempt to redeem the situation proved totally fruitless. The "outstanding opportunity of the whole campaign," which had presented itself on August 7 and 8, had been wasted.
Shortage of Water
Both at the time and afterward the commanders actively involved in the Suvla Bay landings laid great stress on the shortage of water as a major cause—some tried to suggest the major cause—of the failure to take the heights before the Turks occupied them in force. An eyewitness recorded on the second day of the battle:
The water question is acute, the whole corps having to be supplied from lighters and the arrangements are at present hopelessly inadequate and it is most pathetic to see men down from the firing line having to wait in the sun for sometimes as long as four hours before they can get their water bottles filled. Everything has to be improvised and why it wasn't thought of before, I don't know.
The scenes that occurred at the beaches certainly suggest that lack of water was a major factor in determining the fate of the battle: Troops rushed into the sea and cut the hoses from the water lighters to the shore in order to slake their thirst, while further inland some units undoubtedly went very short of water. Stopford believed that want of adequate water supplies was severely restricting his troops' capacity to fight; on August 8, as has been seen, he accepted without demur his divisional commanders' reports that their men were too exhausted by fighting and thirst to push on that day, and afterward he claimed that the want of water was so bad that men were reduced to drinking their own urine.
After the campaign Hamilton held that shortage of water had not been a problem, and his view was backed up by evidence from Hammersley and his two brigade commanders, Sitwell and Haggard. Sitwell, who had lived in Rhodesia, pointed out that there were Turkish wells in the area and that with a little effort water could be found. However, no proper arrangements had been made to look for it. To some extent the shortage of water suffered by the troops was their own fault; it is unlikely that Australian or New Zealand troops would have allowed such conditions to develop without doing something. One of the witnesses to the Dardanelles Commission of Inquiry, Lieutenant Colonel A. J. A. Hore-Ruthven, V.C., put the contrast in attitudes between the two armies well:
if there is any water to be got anywhere they [the Anzacs] will get it. The English soldier, till he has had a bit of experience on active service rather waits till the water is brought to him, and if it is not he says "I have no water." It is just those little things that make the difference.
Behind the disagreements over the significance of the water shortage for the outcome of the battle lay a failure to exercise command responsibility adequately. Stopford assumed that his responsibility for water supply only began once water had been landed on the beach, as did Deputy Assistant Quartermaster General Major-General Poett. Until then, the two saw the problem as one to be solved jointly by Hamilton's headquarters and the navy. Delays in landing the mules that were to carry the water to the front line, an inadequate supply of water lighters, a lack of receptacles to receive water once it had been landed on the beach, and the absence of any alternative arrangements in case the mules failed to arrive all bespeak a failure of foresight and coordination. Hamilton and Stopford failed to sort out the issue in advance, and at the front Hammersley took no steps to secure or even to ascertain the source of his supply. A cavalier attitude and incompetence combined to make the water problem appear much more serious than it really was—with unhappy consequences.
The way Birdwood prepared for the Anzac landing on April 25 shows how differently things could have been managed. He began to make arrangements to secure his water supplies nearly two months before the attack, buying 2,000 kerosene tins and a number of donkeys to carry them. He also ensured that special parties of field engineers were detailed to search the gullies for water as soon as the landing had taken place; the result was that within forty-eight hours twenty wells had been sunk and were providing 2,000 gallons a day. In his general plan for the attack on Sari Bair in August, Birdwood made equally careful provision to secure his water supply. His example could easily have been followed and his experience utilized, but his advice was never sought. British generals preferred to rely on their own blinkered interpretations of administrative responsibility at different levels in the military hierarchy. As a result, a difficulty was magnified until it assumed the proportions of a major setback—and, later, an explanation for failure.
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Illinois Environmental Council 'solarbrates' new solar rooftop at Springfield office
Brenden Moore The State Journal-Register @brendenmoore13
Despite persistent rain, it was a "solarbration" at the Illinois Environmental Council's Springfield office, 520 E. Capitol Ave., Thursday afternoon as the advocacy group celebrated its new solar rooftop project.
The 9.72kW system is going to offset about eight tons of carbon emissions each year, more than 40 percent of the building's total consumption for the year, the organization said.
IEC President Jen Walling said the panels are part of the organization's way to walk the walk on energy efficiency, hoping that the space becomes "a sustainable community center" for Springfield. The organization bought the building last year for $198,000, according to Sangamon County tax records, and moved there from 230 Broadway.
Those in attendance for the ribbon-cutting were able to check out the rooftop panels, accessible by climbing up an attic ladder through a small opening in the building's headquarters.
Downtown Springfield Inc. executive director Lisa Clemmons Stott said the organization would like to encourage more "projects like this in the downtown area."
"Downtown is becoming a neighborhood where solar is becoming more common," Stott said. "And the more installations like this we can get on these older buildings make it even more sustainable to do a project downtown and will make long-term savings forever."
Mayor Jim Langfelder lauded the project while alluding to the upcoming integrated resource process, in which the city will try to "find that right balance" between coal and renewables like solar.
Though the vast majority of the capital city's energy is produced from City Water, Light and Power's coal-fired power plants, the utility opened a solar farm in late 2018. And the integrated resource plan commissioned by the city recommends that CWLP move away from coal and towards renewable energy sources and natural gas.
Contact Brenden Moore: 788-1526, bmoore@sj-r.com, twitter.com/brendenmoore13.


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Father and son veterans pursue higher education together
Home » Father and son veterans pursue higher education together
Army combat medic Rick Velasco peered into the inky darkness that shrouded the Iraqi desert.
Suddenly, explosive rounds erupted from the AK-47s of enemy insurgents. Velasco and other soldiers in his company returned fire and then came an urgent shout: "MEDIC!" Velasco headed toward the voice and found the shouting soldier with an unresponsive platoon sergeant lying in a desert hollow.
"Initially, I thought he had a gunshot wound," Velasco said. But there was no blood so he pivoted to other possibilities, working in darkness because a light would have made them an easy target.
Velasco concluded the sergeant had collapsed from a cardiac-related issue. "He needed immediate intervention, and I didn't have a defibrillator to help stabilize his heart," Velasco said.
The sergeant required hospital treatment. So, Velasco radioed for a Blackhawk and did CPR to keep blood flowing to the man's brain as he waited for the transport. The whirling sound of helicopter rotors soon cut through the night. The Blackhawk arrived in time and the sergeant survived with no brain damage.
Velasco grows silent today when an interviewer observes that he saved a life that night in the desert. "Yes," he finally said quietly. No more words are necessary.
Velasco grew up in Tulare and joined the Army National Guard when he graduated from high school in 1992. He enlisted to follow in the footsteps of an older brother and, he said, finishing basic training at Fort Knox in Kentucky is one of his greatest accomplishments.
In 1994, Velasco went on active duty and over the next seven years was deployed to Egypt, Kuwait and Qatar, as well as twice to Iraq. In 2001, he returned to civilian life — not yet 30, proud to have served his nation but carrying with him the stress of that service. Velasco took a job with the California Department of Corrections and worked for the next 17 years as a correctional officer in five prisons.
In 2017, he left the department because of work-related injuries and soon made another life changing decision: Velasco, 48, joined the Veterans Education Program at Fresno State and encouraged his 26-year-old son, Tyler, to do the same.
Tyler joined the Army Reserve at 19 and three years later went on active duty. "I wanted to figure out what I was about and what I could do both physically and mentally. I feel the military is still one of the greatest things American society has to offer," he said.
Like his father, Tyler became a combat medic — a soldier trained to fight but also render medical aid in both combat and non combat situations.
"I was really proud to do the job my dad did in the Army," he said. "There was a time growing up when I was distant from him. But becoming a combat medic bridged a lot of those gaps."
Tyler was stationed in both the United States and Europe, and he left the Army early in 2020 with pride for having served but also emotionally exhausted. "To be frank, I didn't think I was going to do anything for a few years."
Then his father told him about the Veterans Education Program. "I decided if he was so set on moving in a healthy direction, I would follow. His excitement was infectious," Tyler said.
Velasco was excited to attend college with his son. "It was a once-in-a-lifetime chance to sit in a classroom with him and see how he thinks and tackles things," Velasco said. "It was a great opportunity for both of us."
The Velascos started the Veterans Education Program in the fall 2020 semester. Rick Velasco said he was "a little bit overwhelmed" having not been in school for more than 25 years. "But we have a lot of support in the program," he said.
Tyler praises the professors in the program. "They've helped me — and all of us — to reintegrate into school and build confidence. I've been able to jump back into school in a way I didn't think I'd be able to."
Father and son have gained greater understanding of one another. Rick Velasco realized he was too hard on Tyler about his grades when Tyler attended community college before joining the military. He has since apologized to his son.
"I didn't know all that college entails until I got into the Veterans Education Program," Rick Velasco said. "Now, I see it as a student. It's like, 'Man, I'm with you. I get it now.'"
For Tyler, he's seen his father's natural leadership play out in the program. "It's so cool to see his charisma and how he interacts with both the professors and the other students," Tyler said.
Father and son do homework together, which benefits each in different ways. "He helps ground me," Tyler said, "and I help push the limits of his analysis in our research papers."
Both Velascos plan to continue their education and study psychology. Rick Velasco said that he suffers from service-related post traumatic stress disorder and that he's experienced inadequate counseling over the years.
"I've had struggles with psychologists who have book smarts, but they have no experience with PTSD," Velasco said. "They don't know what it's like to be fired on and (to) shoot back. I'm hoping I can deliver a better support system for my fellow veterans." He wants to become a veterans counselor.
Tyler aims to work as a clinical psychologist. "I want to help people understand the demons that haunt them and make a difference in their lives."
Other students in the Veterans Education Program have made that difference in his life, helping with the stress he experienced after leaving the Army. "Being around other veterans has been so much more therapeutic than I thought possible," Tyler said.
The Velascos and fellow students have shared their stories with community members; Sandy Stubblefield, a new supporter, recently made a $75,000 gift to the Veterans Education Program, which is entirely donor-supported. Donors appreciate the students' stories of hard work and perseverance and as a result are "inspired to philanthropically support future students in the program" said Katie Bewarder, associate director of development in the Division of Continuing and Global Education.
The Velascos appreciate that support and say it changes lives. Rick Velasco didn't believe the program was real when he first heard about it. "It was like too good to be true," he said.
The Stubblefields said the same.
Adds Tyler, "I know this sounds like a cliché, but the program actually changed the direction of my life, and I'm so thankful at every turn."
(Written by Doug Hoagland, a freelance writer based in Fresno.)
By BoNhia Lee|November 9th, 2021|Categories: ACADEMICS, PRESS RELEASES|Tags: Division of Continuing and Global Education, veterans, veterans Education Program|Comments Off on Father and son veterans pursue higher education together


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Amenities include Seperate meter, Carpet flooring, Ceramic tile flooring, In-suite storage, Public entry, Intercom, Electric stove, Balcony, Fridge, Non smoking and Pay-in-building laundry.


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Johnson City Kiwanis Club
Volunteer & Sponsor
Derby Gear Now Available!Shirts, hoodies, hats and more!" STEM Based Education Program CurriculumAvailable for purchase NOW! International Soap Box DerbyThe Soap Box Derby® is an international nonprofit organization whose mission is to build knowledge and character, and to create meaningful experiences through collaboration and fair and honest competition. Click HERE for Core Values and Drivers, Strategic Plan and Annual Report
Welcome to Johnson City Kiwanis Soap Box Derby
The Johnson City Kiwanis Club is proud to bring soap box derby gravity racing to the Tri-Cities. We hope to create exciting opportunities for children to experience the fun of racing in a family friendly environment. Contact us to find out how you can be a part of Johnson City's first soap box derby race!
All proceeds from the events will be used to provide much needed assistance and support to the children in our region. The Johnson City Kiwanis Club Foundation has obtained 501(c)3 status.
Upcoming Local Race Events
Free Fun Run held October 22, 2016
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Rally News
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FirstEnergy Extends Title Sponsorship with All-American Soap Box DerbyThe All-American Soap Box Derby announced today th…Read More
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A message from the All-American Soap Box Derby
The Soap Box Derby is a youth racing program which has run nationally since 1934. World Championship finals are held each July at Derby Downs in Akron, Ohio.
The idea of the Soap Box Derby grew out of a photographic assignment of Dayton, Ohio, newsman Myron Scott. He covered a race of boy-built cars in his home community and was so impressed with this event that he acquired a copyright for the idea and began development of a similar program on a national scale.
Johnson City Kiwanis Soap Box Derby Soap Box Derby


2213 W Florida Street is a $79,900, 1,014 square foot, 3 bedroom, 1.5 bath home on a 0.22 acre lot located in Greensboro, NC.
Updated mid-century ranch with original touches! Original Marsh cabinets, updated flooring and counter tops, updated flooring in hall bath but original post WW2 plastic tile remains! Large deck, eat-in kitchen, fenced yard, storage building, partial basement with storage, alarm system. Move in ready!
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The seasons change and with them the availability of fresh, local produce. Crisp fall apples, tart cranberries, juicy summer strawberries, fresh figs — would they be so special if we could eat them all year round?
Reinventing a recipe keeps it fresh and enjoyable. For example, you can make Apple Blackberry Pie in fall, Pumpkin Pecan Pie in winter, Lemon Tart in spring, and Blueberry Crumb Pie in summer. For variation, use the same pie crust and change the filling. Create a new variation to the pumpkin pie filling by adding sweet potatoes, or substituting butternut, or kuri squash. Use more cinnamon or cloves. Change the pie crust, too by switching the flour, oil, or sweetener.
Likewise, keep your basic minestrone new and inspiring all through the winter by swapping vegetables. Use butternut squash instead of carrots, leeks for onions for example. Other times change the beans from pinto to kidney to other beans. Cook the beans from scratch with a sea vegetable, like kelp. Another time, switch the sea vegetable to dulse, or skip the seaweed, and just use spices. And of course, you can vary the herbs, too. Finally, flavored oils can take the place of some herbs and spices.
My enthusiasm for creating new recipes and menus comes from the local harvest. For instance, in June the markets near my western Massachusetts home yield strawberries, spinach, baby red kale, arugula, radishes, lettuce, mustard greens, and mizuna (an Asian green leafy vegetable that you can eat like spinach). Perennial herbs like chives, oregano, garlic chives, sage, and sorrel abound. Simultaneously harvested, they become the natural choices to mix and match into savory salads, dressings, quiche, scrambled tofu, sushi rice rolls, and pasta dishes. During summer, crunchy fresh string beans, cherry tomatoes, and sweet baby carrots are wonderful in salads dressed with aromatic basil. The first zucchini and eggplant inspires me to fire up the grill. Come fall, collards, red peppers, and cilantro, revitalize the tofu scramble. The vibrant cool weather leafy kale, moist to the touch seduces me in winter when spinach is out of season. Kale becomes the green to use in quiche, soups and stews. When we take our cues from Mother Nature, she gives us plenty of guidance.
The weather affects our cooking methods, too. In hot weather, you may want to stay away from the stove. Quick grilled vegetables and tofu, refreshing smoothies, marinated salads with corn, berries, and chevre cool you off. To beat the heat, cook beans, pasta, or grains in the early morning or the night before when the house is cool. Cold winter days are ideal for long simmering soups, garlicky roasted vegetables and spicy stews made with the vegetables of the season: potatoes, carrots, winter squash, and yams. An attractive garnish can enliven any dish. For example, decorate summer pasta salads with yellow calendula flowers and bright red bee balm for a splash of color. Toasted nuts and seeds on top of green salads add a contrasting texture. Chopped herbs on cooked rice give a delicate fragrance. These simple pleasures charm the heart.
Recipes are not etched in stone in my kitchen, nor should they be in yours. The more you cook, the easier it becomes to improvise. Calm and confident, you can focus; choose ingredients, rinse and chop, mix and taste. Your inner wisdom will tell you when to follow pure intuition and when to stop and think it out.
This entry was posted in Articles and tagged Cooking with Herbs, Gourmet Foods, leslie cerier, local, Organic, seasonal cooking, vegetarian, whole foods on 10/08/2014 by Leslie Cerier.


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Home — Essay Samples — Sports — Adventure Sports — Development Of The Sports League Culture In India
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Development of the Sports League Culture in India
Category: Sports, World
Subcategory: Asia
Topic: Adventure Sports, India
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The league culture in India has been evolving this past decade. As with most things to do with leagues, the initiative will have to be taken by the IPL and, to a lesser extent, the PKL and ISL for it to percolate down to the other leagues. The leagues have put quite a few sports on the broadcast and awareness map, but too often without the requisite development at the grassroots or junior level. Now is the right time to add value to the league verticals by empowering and enhancing the role of the franchises, and giving representation and rights to the players and personnel. If things evolve as they should, this next decade will go a long way towards creating a bespoke sports culture in India that also results in a broader based sports ecosystem framework and consistently good performances across a full boutique of disciplines. The IPL has shown it can be done. Now it is for the others to replicate it in a viable manner.
Growth of a Sunrise Industryby Joy Bhattacharjya
To set things in context on Indian sport, I usually like to relate an incident from late 2014, when my Chilean colleague Javier Ceppi and I went to meet the sports ministry about the FIFA U-17 World Cup to be held in 2017. The mid-level official we met yawned, scratched himself and then told us that since we were the hosts, India should definitely have two teams playing, India 'A' and India 'B. ' Fortunately Javier's understanding of Hindi was not as good as it later got, so I could quickly hustle him out of the room before he understood. An official with fifteen odd years in sport thought that a football World Cup could have two Indian teams playing. That is probably a good indication of the quality of personnel currently in the sports industry. And a great reason why we need the best minds we can find for Indian sport. This piece does not attempt to present an exhaustive list of all the possible career options in Indian sport but, rather, provides a fairly personal snapshot of how the opportunities and needs have changed dramatically and a sense of the kind of talent that we'll probably need moving forward. My first real brush with the sporting profession was in 1996. After a stint in software, writing interminably long COBOL programmes to generate payrolls for coal plants in distant lands, I had decided that media and sport were careers more suited to me. It was in 1996, when I was working for the now defunct Business India Television, that I first heard of Transworld International (TWI), which had their office just above ours. I was introduced to a producer there through a colleague, and found out that they were planning a cricket quiz show for Home TV.
They had appointed a statistician to set the questions, but I managed to meet the producer and tried to explain that interesting quiz questions were usually not just about numbers. They went ahead with the statistician, but came right back after their first few episodes. And from being a freelance question setter, I slowly worked my way into becoming the producer of the show. My path was hardly unique. In those days, the internet had not even hit India, and there were absolutely no search agencies to hire for sports professionals. In the TWI office, all of the staff were literally either walk-ins or recommendations. There was even one staff member whom the head of TWI production had found crying at the foyer of a corporate office as she had not managed to clear a job interview. He hired her on the spot, and for good measure, hired her sister as well a few months later!In those early days, it was a heady feeling working with sport, specifically Indian cricket and football, but the one question that I would inevitably be asked was, 'Why does a country with a billion people win so little?' And, sadly, the only part of the question that really changed over the next decade or so was that the figure in question changed from a billion people to 1. 2 billion people.
If one has to look at an inflexion point in Indian sport, it would have to be 2008. Abhinav Bindra's Olympic gold medal was a massive breakthrough. While Leander's amazing bronze in 1996 got us into medal contention after heartbreakingly close calls from Milkha Singh and PT Usha, Bindra was the one to reach the pinnacle. And it made a huge difference. Being a medal winner was great; being the best in the world took it a huge step further. The other revolution in Indian sport came with the start of the IPL in the same year. The event had less to do with the cricket, which was already at a fairly high level, and more with the way it was organised and delivered. I remember dealing with a member of the Indian cricket board on a routine matter in the mid 2000s, and my mail was duly downloaded by a secretary, printed out and placed on the gentleman's table. He then dictated an answer, which was typed out, printed and mailed back to us, reaching after a week.
In the first week of the IPL, with new challenges every day, I sent a mail to the same organization at 7 PM on a clarification regarding player eligibility. I received an acknowledgement within a minute and a detailed note which outlined all possible exceptions to the rule and their interpretation, marked to all the competing franchises within the hour. The IPL brought a professionalism to the way Indian sport was run, which was otherwise rarely seen on a concerted basis. And we probably needed that just as much as we need our future stars. Exactly how important is it to cover sport well? In 2000, we commenced our first session of the ESPN School Quiz Olympiad, with Harsha Bhogle as the host. It was an absolute revelation; we were blown away with how much the IXth and Xth standard kids in the competition knew about international sport. Their knowledge of any sport regularly telecast on cable television was absolutely brilliant. But anything on India beyond cricket, especially women's sport, was an absolute black hole. I remember a particular sequence where a visual of Leeds United footballer Harry Kewell was answered in a flash, with the other two teams distraught at not pressing their buzzer on time. In the same episode, a picture of Shiny Abraham, one of India's finest athletes, was shown.
The first team tried PT Usha; the other two did not even have a name to guess. If there was one reason for that, it was the absolutely appalling coverage of Indian sport on television. The real revolution started there in 1993, when Jagmohan Dalmiya and the Board of Control for Cricket in India (BCCI), tired of being pushed around by Doordarshan, sold the rights for Indian cricket to IMG, with the telecast being produced by TWI, IMG's television arm. TWI was the first full-fledged sports production company in India, and its initial productions were almost completely crewed by international talent. But, in a year, domestic matches also had to be covered according to the contract, and Indian talent slowly started seeping into the system. The first jobs were in operations and logistics. Indian production managers proved more than capable of actually running the day-to-day operations like cash flow, transport, catering and other support functions, and had a far better sense of reasonable pricing. The next big input was in two hard-core technical areas, namely cameras and EVS (Broadcast Equipment). Sports cameramen need very different skills from the kind of cameramen who work on serials or even documentaries. Instead of a great sense of light and framing, what is required is a good reading of the game and extremely high levels of concentration. A cameraman covering a cricket match, whose job is following the ball, has to get it right every time.
The standard joke was that unlike a film crew, we couldn't go out there, tap Sachin (Tendulkar) on the back and ask him to hit another six as the first one didn't look great on shot. What was interesting was that most of the best Indian cameramen who first came into sports television were from Doordarshan, which only goes to show that the talent was always there, it was just a matter of guidance and opportunity. The other large bunch were – surprisingly enough – from the Indian Space Research Organisation (ISRO). They had an extremely capable audio-visual team, most of whom became the core of the early TWI productions. There were a couple of other vital technical functions which needed Indian talent. The first was the EVS operations. A game like cricket is really a game of replays. After the actual delivery and action is covered, we tend to look at the replays from different angles. The EVS operator's job is to record the action on various recorders and offer it up to the director when he needed it. In the pre-digital area, they were actually recording and ready to replay off tape on their recorders after every delivery. An amazing skill, and early on, the Indians from Doordarshan were absolute naturals at it. EVS operators now have the advantage of recording on digital, but the very same skills of being totally tuned to the game and having really quick decision-making abilities remain essential.
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text:
train to the clouds
5 Best Train Journeys in South America
3 years ago Rosie TobinArgentina, Brazil, Cusco, Ecuador, Machu Picchu, Peru, Salta, TransportAndean Explorer, Hiram Bingham, Machu Picchu train, rail, the Devil's Nose, train, train to Lake Titicaca, train to the clouds, Tren Crucero, Vistadome
It's a BIG continent, much bigger than people initially think, so when we're asked – "Can't we just catch a bus from Rio to Iguazu Falls?" – the answer is...
Vertigo-Inducing Adventures in South America
3 years ago 2 weeks ago Rosie TobinArgentina, Bolivia, Brazil, Ecuador, Machu Picchu, Peru, Rio, Saltadeath road, inca trail, skylodge, Sugarloaf Mountain, swing at the end of the world, train to the clouds, vertigo
With some of the highest altitudes in the world, it's no surprise that there are so many vertigo-inducing adventures in South America! From sleeping in a glass pod halfway up...
Train to the Clouds Is Back on Track
4 years ago 1 year ago Dan ClarkeArgentina, Salta, Transporttrain to the clouds, train travel, trains, tren a las nubes
One of the quite literal highlights of our Argentina holidays has been a trip on Salta's Tren a las Nubes (Train to the Clouds). This iconic rail journey whisked you...


text:
'The Naked Stun's first sell out of the Edinburgh Fringe Festival 2014
The Festival officially opens tomorrow but the Naked Stun has already had it's first sell-out on a preview day. When the sell-out was confirmed Alfie said "I'm absolutely chuffed, and I really appreciate the support from everyone who's bought tickets. It's a fabulous performance space (even air-conditioned – a rare and very welcome thing in Edinburgh). Alfie is playing at the Assembly George Square (studio 4) at 4pm every afternoon until 25th August. BOOK YOUR TICKETS before the shows all sell out………….
« 'It's a Fair Cop' is BBC Radio 4 Comedy Podcast of the week
Extra Edinburgh shows added for 'The Naked Stun' »


・Added dynamic sprite memory allocation.
・Added VRAM to VRAM DMA.
・Rewrote the VRAM write so it's a bit faster.
・Dynamic limits to how much you can scroll in unscaled mode (Atomic Robokid).
・Some fixes to the border, it was gone after showing the menu.
"Benkei Gaiden" works and "Atomic Robokid" looks correct.
・Tweaked the sprite following abit.


Rogue waves are large, unexpected surface waves that appear suddenly and can be extremely dangerous, even to ships as large as ocean liners. Despite their fear factor, these waves are powerful and extremely beautiful. In Peacock Swell, there is a vibrancy and strength of movement. The smooth white focal point (in oils), catches the eye, whilst the acrylic 3D textured areas of peacock blue and green create energy and a sense of power not contained. This original oversized modern artwork is perfect for double volume walls and will add strength and depth to the interior.
Since most of Rina's work is done on commission, she does not follow a particular theme or concept. Instead, she finds inspiration all around her. Rina's love of snorkelling is a good example of where nature contributes. The movement of the water and the reflection of the sun create awesome colours, light, and energy.
This piece is a completely unique and original abstract oil and acrylic painting on hand-crafted artist's canvas, using 100% pure cotton, kiln-dried certified selected timber frame and hand primed with acrylic-based primer. A thin layer of varnish protects the artwork against UV light and dust.
This artwork is sold and shipped to you by Rina Ritzi, and will be packaged in a wooden crate. Artworks are dispatched within 4 working days from South Africa.


Dr. Ralph DaCosta received his PhD from the Department of Medical Biophysics, University of Toronto. His graduate research focused on the development and pioneering clinical application of advanced optical molecular imaging technologies for endoscopic diagnosis of early gastrointestinal cancers.
This work contributed to major improvements in the accuracy of conventional diagnostic endoscopy. These continue to directly benefit endoscopic cancer screening strategies around the world. Dr. DaCosta is a Scientist, Princess Margaret Cancer Centre, University Health Network (UHN). He is developing a comprehensive research program at UHN that focuses on accelerating the translation of these "bioimaging" capabilities directly into clinical practice. He also is a member of the Radiation Medicine Program (Princess Margaret Cancer Centre) and the Spatio-Temporal Targeted and Amplification of Radiation Response (STTARR) Innovation Center at UHN.
Dr. DaCosta is one of Canada's leading experts in the area of biophotonics. His ongoing contribution to the field of cancer imaging has been recognized by numerous awards and invited presentations at international meetings.


text:
Brandy Nickels (Credit: Spalding County Sheriff's Office)
Griffin teacher accused of molesting student resigned during investigation
Raisa Habersham, The Atlanta Journal-Constitution
A Griffin High School teacher was arrested Thursday after an investigation revealed she sexually assaulted a student, officials said.
MORE: Ex-Life University coach faces new child sex charges in Cobb County
Brandy Nickels, 41, resigned from the Griffin-Spalding School System during the investigation, Griffin police said. The school district had placed her on administrative leave and did not allow her in the classroom.
District officials and police received tips "regarding inappropriate actions by a teacher with students" on May 16, district spokeswoman Judy Parker said. The investigation led police to file six charges against Nickels, including child molestation, sodomy and statutory rape.
She was taken to the Spalding County jail.
Superintendent Jim Smith called the case a "sad event" for the school district and the students and families involved.
"Our highest priority is the safety and welfare of our students," he said in a statement. "We are thankful that information was given to us that allowed a swift resolution to a bad situation. In truth, it takes a person who notices something that doesn't seem right to bring that information and suspicion to someone who can act on it."
The Griffin Police Department said they are investigating if Nickels sexually abused other students.
Nickels was a first-year ninth-grade teacher. She had taught in other school systems in Georgia, officials said.
"We have to be a community that doesn't turn a blind eye to situations that appear suspicious," Smith said. "That's how we protect our children."
Anyone with information is asked to call Griffin police at 770-229-6452.
In other news:
[Summary]


text:
Q: Google sheet adding Serial number and calculation With respect to
Google Sheet: Fetch earliest date and average of value of month from the list
Raw data:
02/06/2000 15:30:00 5.12
05/06/2000 15:30:00 5.2
06/06/2000 15:30:00 5.28
07/06/2000 15:30:00 5.26
08/06/2000 15:30:00 5.33
09/06/2000 15:30:00 5.36
12/06/2000 15:30:00 5.24
13/06/2000 15:30:00 5.33
14/06/2000 15:30:00 5.39
15/06/2000 15:30:00 5.3
16/06/2000 15:30:00 5.29
19/06/2000 15:30:00 5.27
20/06/2000 15:30:00 5.26
21/06/2000 15:30:00 5.33
22/06/2000 15:30:00 5.25
23/06/2000 15:30:00 5.15
26/06/2000 15:30:00 5.21
27/06/2000 15:30:00 5.15
28/06/2000 15:30:00 5.09
29/06/2000 15:30:00 5.11
30/06/2000 15:30:00 4.82
03/07/2000 15:30:00 4.87
04/07/2000 15:30:00 4.92
05/07/2000 15:30:00 4.87
06/07/2000 15:30:00 4.93
07/07/2000 15:30:00 4.85
10/07/2000 15:30:00 5.2
11/07/2000 15:30:00 5.43
12/07/2000 15:30:00 5.54
13/07/2000 15:30:00 5.29
14/07/2000 15:30:00 5.17
17/07/2000 15:30:00 5.29
18/07/2000 15:30:00 5.07
19/07/2000 15:30:00 5.05
20/07/2000 15:30:00 4.92
21/07/2000 15:30:00 5.04
24/07/2000 15:30:00 4.77
25/07/2000 15:30:00 4.91
26/07/2000 15:30:00 4.62
27/07/2000 15:30:00 4.8
28/07/2000 15:30:00 4.59

I want following with serial number in reverse order:
3. 06/2000 5.225
2. 07/2000 4.98  10.205 (*addition of value 1 and 2)
1. 08/2000 4.44  5.765  (substration of output of 2 and value of 3)

Series should follow: +,-,-,- and so on..
Please suggest with Googlefinance() function
Thanks in advance.
Best Regards,

A: use:
=ARRAYFORMULA({SUM(QUERY(
 GOOGLEFINANCE("NASDAQ:GOOG", "price", DATE(2020,1,1), TODAY(), "DAILY"),
 "select Col2 limit 2 offset 1", )); SUM(QUERY(
 GOOGLEFINANCE("NASDAQ:GOOG", "price", DATE(2020,1,1), TODAY(), "DAILY"),
 "select Col2 limit 2 offset 1", ))-MMULT(TRANSPOSE((SEQUENCE(ROWS(
 GOOGLEFINANCE("NASDAQ:GOOG", "price", DATE(2020,1,1), TODAY(), "DAILY"))-3) <=SEQUENCE(1, ROWS(
 GOOGLEFINANCE("NASDAQ:GOOG", "price", DATE(2020,1,1), TODAY(), "DAILY"))-3))*QUERY(
 GOOGLEFINANCE("NASDAQ:GOOG", "price", DATE(2020,1,1), TODAY(), "DAILY"),
 "select Col2 offset 3", )), SEQUENCE(ROWS(
 GOOGLEFINANCE("NASDAQ:GOOG", "price", DATE(2020,1,1), TODAY(), "DAILY"))-3, 1, 1, ))})

note a limitation of LTE to be < 10M cells so in your case the GOOGLEFINANCE formula can output a maximum of 3162 rows. more on this in answers over here. to work with more rows you can't hardcode GOOGLEFINANCE into ARRAYFORMULA

A: To get the difference between two consecutive rows, use MMULT as follows
=ARRAYFORMULA(if(B2:B="",,mmult(-1*(ROW(B2:B)=TRANSPOSE(ROW(B2:B)+1))+1*(ROW(B2:B)=TRANSPOSE(ROW(B2:B))),if(B2:B="",0,B2:B))))

Limit the number of rows to prevent long calculation
MMULT

MMULT builds an array as follows

redpajama_set_name: RedPajamaStackExchange


Glenn Howerton as Jack Griffin loses out on his dream job and returns to his home town of Toledo, Ohio in disgrace from Harvard where he had been a philosophy scholar. He gets a job as a high school teacher at Whitlock High School teaching Advanced Placement biology. Jack refuses to teach biology. He realizes that he's got a room full of students to help him with his own plans.
Patton Oswalt as Principal Durbin struggles to keep control of the school, but Jack's personality is force to be reckoned with.
A.P. Bio is written and executive produced by Mike O'Brien. Seth Meyers, Mike Shoemaker, Andrew Singer and Lorne Michaels also serve as executive producers. "A.P. Bio" is produced by Universal Television, Broadway Video and Sethmaker Shoemeyers Productions.
Watch on Sunday, Feb. 25th, 2018, at 10:30 p.m., immediately following the Winter Olympics closing ceremony. Official series premiere on Thursday, March 1st, 2018, on NBC at 9:30pm The following day, two additional episodes will be available on digital platforms, including the NBC app and Hulu.
Tagged A.P. Bio, NBC, Patton Oswalt. Bookmark the permalink.


text:
Gunners and Toffees
September 14, 2017 James Gregory Europa League 0
Everton and Arsenal start their Europa League campaigns with the first Thursday of this group stage.
The latter will have some adjustment to do, having spent 20 years in the Champions League. Now they share Europa League football with the likes of FC Koln, Lugano and Skenderbeu.
Can both English sides get their challenge up and running?
Arsenal vs FC Koln (8:05pm)
Arsene Wenger intends to rest several stars ahead of Sunday's London derby against Chelsea.
Jack Wilshire could be in line for his first Arsenal start since the 2015-16 season. He could well be passing the ball up to Oliver Giroud, who is in line for first start, having been an impact sub so far this season.
This fixture has only been played twice before, back in the 1970-71 Fairs Cup. Arsenal won the tie overall but both sides won their home match.
With this being the Gunner's first Thursday night game in Europe for years, it's difficult to say how things will go. They however won a home match vs West Brom during the 2015-16 Premier League season that had to be played on a Thursday night.
Ultimately, given the Gunners' squad depth, I expect them to comfortably win this.
Prediction: Arsenal 2-0 FC Koln
Result: Arsenal 3-1 FC Koln
Atalanta vs Everton (6:00pm)
Everton are a changed team from the one that reached the 2014-15 quarter final stage, before blowing a first leg lead to Dynamo Kiev and exiting the competition.
Atalanta are however a strong side featuring ex Middlesbrough star, Marten de Roon.
Toffees boss, Ronald Koeman is taking this competition seriously despite missing five players, including Ross Barkley.
Aaron Lennon hasn't travelled with the team for an unknown reason.
This match is being played at Sassuolo's Stadio Atleti Azzurri d'Itaali, which neutralises things.
Everton are travelling to Italy off the back of Saturday's thrashing by Tottenham Hotspur, making a strong performance all the more important.
Both teams haven't met before now but I think the visitors have enough quality in them to edge this.
Prediction: Atalanta 0-1 Everton
Singapore Grand Prix weekend preview
Red vs Blue clubs: Round One


text:
using System;
using System.Collections.Generic;
using System.Text;

namespace fyiReporting.RDL
{
    class ImageQualityManager
    {
        public static long CustomImageQuality = 100L;
        public static long ChartImageQuality = 90L;
        public static long EmbeddedImageQuality = 100L;
    }
}

redpajama_set_name: RedPajamaGithub


The King of the Sky thought that he must have the biggest and the most magnificent palace in the world. Sucking the life's blood of the poor, he achieved a Jade palace that was higher than the clouds. He also made a huge garden for his everyday parties. He ordered his people to dig up a lake and fill the lake with the highest quality of wine. He also hung uncountable pieces of meat on the trees of his garden. In his every day and night parties, men and women made love whenever they wanted listening to salacious music, drinking wine of the lake and eating meat of the forest. His garden still appears in north eastern Asia a lot as a quotation when people depict authorities' decadent entertainments. People call his garden the Wine-Lake and the Meat-Forest.
The king Zhou had a mistress, Dal-gi who successfully kept encouraging her husband to be more perverted. She had a really interesting vulgar hobby of watching the killing and torturing of people. She liked to see the poor people screaming, weeping, and begging for her mercy. Her favorite reality shows were people walking on a heated copper column and people sitting in boiling water. She laughed with happiness, watching the distorted body of truly loyal subjects who she hated a lot.
The garden of Zhou, the Wine-Lake and the Meat Forest is Heaven. Love and Death coexist in the garden. Every desire can be fulfilled here. The desire of love, revenge, and gluttony encounter and join together. Here in the Wine-Lake and the Meat-Forest, I can eat whatever I want, love whoever I want to love, kill whenever I encounter a person whom I hate. I eagerly desire to go to a place like Zhou made. I believe everybody wants it. By all means, I will make my own Wine-Lake and the Meat-Forest and invite people who I love.


text:
Starover Blue: New Found Sound
In Music August 19, 2015 by Nick Veronin Tweet
Blue Evolution: Starover Blue, formerly Cartoon Bar Fight, have a new sound and new album on the way.
After playing together for eight years, switching majors, and changing their band's name in order to prevent their YouTube clips from showing up next to Donald Duck cartoons, the founding members of the San Jose-based band, Starover Blue, are finally starting to feel like they are making headway.
Kendall Sallay and Dirk Milotz founded what would ultimately become Starover Blue in 2007. Both were in the music department at San Jose State University at the time—Sallay was studying opera, Milotz was pursuing a degree in composition. They bonded over Arcade Fire, Neutral Milk Hotel and other bands at the dividing line of "alternative" and "indie."
Back then they called themselves Cartoon Bar Fight, and they played a bouncy brand of indie-folk—not unlike many of their contemporaries. "I don't know how it happens," Sallay says, reflecting on the style of music that she, Milotz, and the rest of her band hit upon in the late aughts. "That sort of became the sound of that time."
Eventually, both Sallay and Milotz would leave the music department. She went into gender studies and he went into engineering and computer science. Both had similar reasons for giving up on music as a major, Sallay says. "It was making the music too mathematical. When you analyze pieces of music in the same way that you would look at a math problem, you inevitably strip the music away."
Spacegeist by Starover Blue
It would seem, however, that neither Sallay nor Milotz were able to shake their interest in the technical side of composition. Their forthcoming LP, Spacegeist, finds the band with a new name—taken from a character in a Nabokov novel—and a new sound. Where the group once favored folky instrumentation, acoustic arrangements and 4/4 time signatures, they are now incorporating synthesizers, looking to the Romantic composer Frederic Chopin for guidance on chord progressions and incorporating tricky rhythms.
Now that they have this new spacey sound and a little bit of buzz in the local blogosphere, they are making plans to push their band forward in a city with an appropriately progressive music scene—San Jose.
"We will not be moving to San Francisco," Sallay says. "I just think it would be really impractical. A lot of musicians are having to move out of the city already."
Plus, Sallay adds, she's excited about "being a band coming from an area that's trying so hard to make something happen."
"We're really interested to see how these new clubs opening up in San Jose impact the scene here," she says. "We want to be a part of that."
Starover Blue open for The Velvet Teen at Cafe Stritch on Aug. 20. More info.
Tags: Cafe Stritch, Starover Blue


NPL took on Galeton first, beating them 6-1.
In first singles, Jonathon Nelson beat Joel Brelo 6-1 and 6-2. In second singles Zach Fetzer beat Kyle Burrous in two sets 6-2 and 6-0. In third singles, Zach Roupp beat Tanner Hall in two sets 6-0 and 6-3. NPL took the victory in fourth and fifth singles by default.
In first doubles, Galeton's Joel Brelo and Kyle Burrous beat Casey Amaral and River Hicks-Lee 6-2 and 6-1. NPL won in second doubles by default.
In their second match, NPL took on CV, beating them 5-2.
In first singles, Jonathon Nelson beat Sterling Jolly in two sets by a score of 6-1 in both. In second singles, Zach Fetzer beat Logan Dibble in two sets, 6-1 and 6-2. In third singles, CV's Arch Ackley beat Zach Roupp 6-2 and 6-3. In fourth singles, Casey Amaral beat Kenny Watterson in two sets by a score of 6-0 in both. In the final singles match, River Hicks-Lee defeated Jackson Pritchard in two sets, 6-0 and 6-2.
Horseheads' Cameron McGary defeated ND's Jack Kaffenbarger in three sets 6-2, 4-6, and 6-1. In second singles, Horseheads' Kevin Reasons defeated Derek Tsang in three sets, 6-7 (6-8), 6-2, and 10-3. In third singles, ND's Pat Finnerty beat Christian McGary 3-6, 7-5, and 7-5. In fourth singles, ND's Mitch Vargas beat Ronald Harshbarger 6-2 and 6-4.
In first doubles, Horseheads' Ian Aepelbacher and Evan Zhou beat Victor John Booth in two sets, by a score of 6-3 in both. In second doubles, ND's Andrew Finnerty and Yoseph Tavakoli beat Andrew Sovik and Alexander Coble in three sets 6-4, 4-6, and 6-1. ND claimed a team win in the final doubles match as Brandon Sun and Zack Tavakoli beat Jonathan Lee and Jacob Guillemette 6-3 and 7-6 (7-2).