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You are here: Home / legal / Is it negligent to use Cytotec (misoprostol) for labor induction without adequate patient consent?
Is it negligent to use Cytotec (misoprostol) for labor induction without adequate patient consent?
April 9, 2018 By Dr.Amos
Negligence is the "failure to take proper care of doing something". It is one of several parts constituting malpractice. To commit malpractice four legal elements must be proven: (1) a professional duty owed to the patient; (2) breach of such duty (eg negligence); (3) injury caused by the breach; and (4) resulting damages.
Items that can potentially constitute negligence on behalf of a hospital or doctor include:
Potentially dangerous drugs are given without first confirming that the mother was properly informed about all the risks (no informed consent).
There are no detailed protocols (instructions) in place for the drugs' proper use.
Physicians and nurses are not properly trained to recognize and treat complications (eg excessive uterine activity and fetal heart rate changes when inducing labor).
Cytotec or misoprostol is a medication approved for treating stomach ulcers. Though it is not FDA approved for that purpose, obstetricians and hospitals often use Cytotec for inducing labor. There are potentially serious problems associated with Cytotec during pregnancy. When given early in pregnancy, Cytotec could act as an "abortifacient", a drug to induce an abortion or termination of the pregnancy. Later in pregnancy Cytotec can induce contractions of the uterus and labor. Like with many other medications during pregnancy, all patients given Cytotec must be thoroughly informed about its benefits and risks (informed consent).
From the FDA: This Patient Information Sheet is for pregnant women who may receive misoprostol to soften their cervix or induce contractions to begin labor. Misoprostol is sometimes used to decrease blood loss after delivery of a baby. These uses are not approved by the FDA. No company has sent the FDA scientific proof that misoprostol is safe and effective for these uses. Read More….
From the FDA: Cytotec (misoprostol) Prescribing Information: "A major adverse effect of the obstetrical use of Cytotec is hyperstimulation of the uterus which may progress to uterine tetany with marked impairment of uteroplacental blood flow, uterine rupture (requiring surgical repair, hysterectomy, and/or salpingo-oophorectomy), or amniotic fluid embolism. Pelvic pain, retained placenta, severe genital bleeding, shock, fetal bradycardia, and fetal and maternal death have been reported." Read More….
From the NIH website: "The cost in terms of human life and the resulting permanent damage that Cytotec can do cannot be measured, although the number of deaths represented on the Safe Motherhood Quilt Project, coordinated by Ina May Gaskin (2008), continues to rise." Read More….
In Dec. 2001, Tatia Oden French entered a well-known and well-respected hospital to deliver her first child. She was 32 years old, in perfect health, and looking forward to a natural childbirth, without any interventions or drugs. There were no problems during the pregnancy. According to her doctor's calculations, she was a little under 2 weeks overdue. She was given the drug Cytotec to induce her labor. Cytotec, also known as Misoprostol, is a drug manufactured to treat ulcers. It is NOT approved by the FDA, or the drug company, to induce labor. Ten hours after being administered Cytotec, Tatia suffered hyper-stimulation of her uterus, an amniotic fluid embolism (AFE) was released, an emergency C-Section was performed because the baby was also in distress. Both Tatia and her baby Zorah died in the operating room. Read More….
Cytotec: Dangerous experiment or panacea? Read More….
"$9.566 Million for Improper use of Cytotec to Induce Labor Leads to Brain Injury." Read More….
"$70 million Birth Injury Case – Largest Arbitration Award in U.S. History (Cytotec Brain Injury)." Read More….
"Cerebral palsy after birth injury during VBAC." Read More….
Misoprostol (Cytotec) can cause birth injuries or maternal death. Read More.…
Malpractice suit for Cytotec. Read More….
"As a result of 9.5 hours of Cytotec-induced excessive contractions, the baby was born with severe hypoxic-ischemic encephalopathy and multiple brain bleeds, resulting in intellectual disability, cerebral palsy, and a need for 24-hour around-the-clock care.
Patients should be fully informed of the risks and benefits of any medications prescribed to them, as well as any treatment options they are offered. Patients can ask questions regarding the specific benefits and potential drawbacks of any interventions their medical staff suggest, but – ultimately – it is the doctor's responsibility to notify their patients about potential risks." Read More….
Adverse Events Following Misoprostol Induction of Labor (A list of 16 cases). Read More….
Klonaris-Robinson was 38 and a half weeks pregnant with her second child when she was given Cytotec, a medication used to induce labor. At first, everything seemed normal as she started to have contractions. About 10 hours later she was given a second dose. Her contractions were coming much faster and now she had a sharp pain in her left side. "It went on and on, and I just kept saying, 'Please, this pain doesn't feel right.'"
"Two hours later, they finally listened and it was too late," she said.
Her uterus had hyper-stimulated and tore top to bottom, front and the back. She was bleeding out and her daughter Meah was dead.
Read More…….
The death of Sofia Figus three days after she was born was caused by a lack of oxygen to the brain during a difficult birth. Her mother Anne Willicombe, 39, a university lecturer, was 12 days overdue when she was prescribed Misoprostol – a drug widely used in abortion clinics – to bring on contractions. Read More….
Are mothers properly informed? Read More…..
If there are "Cytotec attorneys" then there must be a market. Read More….
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About Dr.Amos
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Dr. Amos in the News
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The Journal of Neuropsychiatry and Clinical Neurosciences Referencing Guide
Citationsy › Style Guides › The Journal of Neuropsychiatry and Clinical Neurosciences
How to do citations in The Journal of Neuropsychiatry and Clinical Neurosciences style?
This is the Citationsy guide to The Journal of Neuropsychiatry and Clinical Neurosciences citations, reference lists, in-text citations, and bibliographies.
The complete, comprehensive guide shows you how easy citing any source can be. Referencing books, youtube videos, websites, articles, journals, podcasts, images, videos, or music in The Journal of Neuropsychiatry and Clinical Neurosciences.
How do you cite a book in the The Journal of Neuropsychiatry and Clinical Neurosciences referencing style?
One of the most cited mediums is of course books. Here's how to cite a book in The Journal of Neuropsychiatry and Clinical Neurosciences
Here's an example book citation in The Journal of Neuropsychiatry and Clinical Neurosciences using placeholders:
Last Name FN: Title, Edition., City, Publisher, 2000
The Journal of Neuropsychiatry and Clinical Neurosciences citation:
Angelou M: I Know Why the Caged Bird Sings, 1st ed., New York, Random House, 1969
And an in-text citation book citation in The Journal of Neuropsychiatry and Clinical Neurosciences looks like this: {1}
How to reference a journal article in the The Journal of Neuropsychiatry and Clinical Neurosciences citation style?
How do you cite scientific papers in The Journal of Neuropsychiatry and Clinical Neurosciences format?
Do you need help referencing or citing a research paper in The Journal of Neuropsychiatry and Clinical Neurosciences? Here's how
Here's a The Journal of Neuropsychiatry and Clinical Neurosciences journal citation example using placeholders:
Author1 LastnameAF, Author3 LastnameAF: Title [Internet]. Container 2000; Volume:pages Used[cited 2022 Jan. 18] Available from: URL
So if we want to reference this scientific article: "Testing consumer preferences for iced-coffee: Does the drinking environment have any influence?" by C. Petit and J.M. Sieffermann in The Journal of Neuropsychiatry and Clinical Neurosciences:
Petit C, Sieffermann J: Testing consumer preferences for iced-coffee: Does the drinking environment have any influence? [Internet]2007; 18:161-172[cited 2022 Jan. 18] Available from: http://dx.doi.org/10.1016/j.foodqual.2006.05.008
And an in-text citation would look like this: {1}
How to cite a website in a paper in The Journal of Neuropsychiatry and Clinical Neurosciences style?
Have you come across a news article, blogpost or essay on the web and are not sure how to reference in The Journal of Neuropsychiatry and Clinical Neurosciences? Here's how to easily cite it
Here's an The Journal of Neuropsychiatry and Clinical Neurosciences example website reference:
Author1 LastnameAF, Author2 LastnameAF: Title [Internet]2000; [cited 2022 Jan. 18] Available from: https://www.example.com
Tran M: Barack Obama To Be America's First Black President [Internet]2008; [cited 2022 Jan. 18] Available from: https://www.theguardian.com/world/2008/nov/05/uselections20083
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How to cite a YouTube video The Journal of Neuropsychiatry and Clinical Neurosciences
Are you watching a YouTube video and found something worth sharing in your research paper? Here's how to cite a YouTube video in The Journal of Neuropsychiatry and Clinical Neurosciences
Here's a The Journal of Neuropsychiatry and Clinical Neurosciences citation YouTube video example:
ChannelName: Title [Internet]. YouTube 2000; [cited 2022 Jan. 18] Available from: https://www.youtube.com/watch?v=XXXXXX
So how to cite a video The Journal of Neuropsychiatry and Clinical Neurosciences?
Pixar: Pizza Clip — Inside Out [Internet]. YouTube 2015; [cited 2022 Jan. 18] Available from: https://www.youtube.com/watch?v=8W6rntBADUQ
And an in-text video citation would look like this: {1}
How to cite a podcast using The Journal of Neuropsychiatry and Clinical Neurosciences referencing style
To cite a podcast episode in The Journal of Neuropsychiatry and Clinical Neurosciences, all you need to do is the following
Here's how to reference a podcast it in The Journal of Neuropsychiatry and Clinical Neurosciences.
Lastname F: Title [Internet]2000; [cited 2022 Jan. 18] Available from: http://www.example.com
Podcast referencing example in The Journal of Neuropsychiatry and Clinical Neurosciences using "This American Life" episode 640:
This American Life: 640: Five Women [Internet]2018; [cited 2022 Jan. 18] Available from: https://thisamericanlife.org/640/five-women
How to cite a piece of music or a song using The Journal of Neuropsychiatry and Clinical Neurosciences referencing style?
Would you like to cite more songs in your essays and have no idea how to do it? No matter if you want to cite a record, lyrics to a song, or a whole song, here's how to easily do it in The Journal of Neuropsychiatry and Clinical Neurosciences
An example song citation in The Journal of Neuropsychiatry and Clinical Neurosciences.
Lastname F: Song Title [Internet], 2000[cited 2022 Jan. 18] Available from: http://www.example.com
Let's say we want to reference "Here Comes the Sun" off The Beatles "Abbey Road" album in The Journal of Neuropsychiatry and Clinical Neurosciences:
The Beatles: Here Comes the Sun [Internet], 1969[cited 2022 Jan. 18] Available from: https://itunes.apple.com/us/album/here-comes-the-sun/401186200?i=401187150
You can automate citing and referencing any source in The Journal of Neuropsychiatry and Clinical Neurosciences using Citationsy.
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Much of the current, unnecessary election campaign has been fairly boring, and for good reason. It's hard to drum up excitement when everyone already knows what the outcome will be in an election called as more of a personal war between political parties (whom I would love to see abolished someday, but that's for another discussion).
"I think when ordinary working people come home, turn on the TV and see a gala of a bunch of people at, you know, a rich gala all subsidized by taxpayers claiming their subsidies aren't high enough, when they know those subsidies have actually gone up – I'm not sure that's something that resonates with ordinary people," Harper said in Saskatoon, where he was campaigning for the Oct. 14 election.
Now, by ordinary does he mean people like you and me, or people living the high-life on the public fund in Ottawa? Hmmm, I wonder.
I consider myself ordinary, in a good way. I work full-time, have an incredible family and am blessed with great friends and a great church.
I am a drummer (yes, that counts as a musician) and have a great affinity for history and architecture. All three of these pastimes can be considered artistic, I guess, but I'm no Picasso.
There's plenty not to like about this quick rant from our PM. I admit to getting a kick out of the sentence referring to ordinary folks coming home to watch 'publicly subsidized' artists on TV.
It's not as easy to spout off about 'public subsidies' these days when the US is attempting to toss a pretty $700 billion subsidy at the richest people on planet earth.
Furthermore, I wonder how Mr. Harper assumes that all of these "ordinary people" got home from work? On a subsidized highway, perhaps? Or a subsidized transit system (albeit, not subsidized to nearly the same extent as the aforementioned highway)?
I didn't realize we still had politicians so willing to fudge words and phrases like this in order to paint an image in the public's mind. I mean, this is the same party that upped the annual oil industry subsidy from $1.5 billion to 2.4 billion when they first took office.
I guess some of the public are still easily swayed by such rhetoric, but I digress.
The real issue here is the arts. A wise man once said, "nobody goes to Paris and Rome to enjoy all the nicely paved highways and roads."
We spend thousands of dollars to travel to these world-class cities to enjoy their rich history, architecture, arts, entertainment and culture. If we were really going to these places to check out the fabulous highway infrastructure, we could save some money and take an exotic vacation in Amherst, NY or Mississuaga.
A recent study into Canada's arts community crunched some numbers and showed that for every dollar of government money pumped into the arts, it generated $3 in return. That sounds like an investment, not a subsidy.
I'm not sure if there is a more sinister motive behind the scenes. I get the impression that it's simply another case of a politician being completely removed from real society.
This is true of all of them (although Elizabeth May is earning some brownie points by taking VIA Rail across Canada).
Canada is woefully behind most other comparable nations when it comes to arts funding. In Hamilton, one only needs to wander up James North to see how vital the arts can be in our everyday life and society.
Real estate values are up, stores are renovated and occupied, crime is down and new businesses are moving into the area thanks to the recent influx of art ventures and artists.
It would seem to me that some well-planned government investment into an area like this would be much more preferable than spending that same government money on extra police and property standards officers in an empty, decaying urban neighbourhood.
What does it say about our society when we prefer a newspaper headline reading, "Government to invest $50 million into crime and policing improvements" instead of "Government investing $50 million into burgeoning, vibrant arts district downtown"?
It says a lot about our politicians, but it probably says even more about you and me.
"I didn't realize we still had politicians so willing to fudge words and phrases like this in order to paint an image in the public's mind."
You've totally nailed it. This little rant was dog whistle stuff for the base. If he came right out and said "elitists" or "Hollywood North liberals", everyone would know that he was taking a page right out of the Rove/Republican playbook so he uses weasel words instead. You have to remember this is the party that consulted with Republican strategists before the last election. Seems Harper learned his lessons well.
Wow, great article! Although I'm artistically challenged in every way myself, I can still appreciate Canadian culture and undertsand the need to help presrve our cultural heritage & help our current artists flourish.
You make great points, and I sincerely hope someone uses this article as a Town Hall type question during the Debates. Stop Harper in his tracks, or have him refer to people who enjoy the Arts as 'un-ordinary'.
If there is anyone who is out of touch with Canadians, or 'ordinary folks', it's not Stephane Dion or Jack Layton or Elizabeth May... it's Stephen Harper and his group of tight-lipped, off-the-wall extremists he has labeled as candidates.
That's it, David, what you said! He's trying to play the "elitism" card, but Harper actually insulted Canadians by talking to the "ordinary working person" as if they're not sophisticated enough to enjoy or appreciate the arts. I hope it backfires on him.
Most artists are losers who can't get real jobs and need to steal money from the honest taxpayer to keep from going hungry. You want to support the arts? Do it with money out of your own pocket. Don't take money out of mine.
I'm a capitalist (small business owner), and I support funding for the arts. It's a good investment, that pays for itself in new economic activity. Tell me capitalist, do you also think parents who send there kids to public school are losers who can't pay for real schools and need to steal money from the honest taxpayer to keep from being uneducated?
I'm against government funding not because I'm against the arts, but because I'm for small government. Let me keep my money in my pocket so that I can support the arts myself. I don't need a bureaucrat to decide what kind of art has value. I'll do that myself, thank you very much.
gullchasedship, would you also be ok if the government decided that certain freeways weren't worth their moey...say, the 401 or QEW?? Would it be fine for only users of those roads to pay for them and nobody else?? Careful what you wish for.
Jason, haven't you been advocating that people who use roads should pay for them through tolls? Like the Red Hill. So people who use roads should be paying for them, but we all have to pay for artists who can't sell their work in the private marketplace. Please let us what your priorities are and how you rank them because you appear to be all over the map.
no, I haven't been advocating anything. I'm merely reminding people of how society works. Too often we get stupid comments like the one above suggesting that artists are subsidized losers. Yet, the very people making those comments enjoy things everyday in their lives that are also subsidized. I realize human nature is absolutely selfish and greedy, but you can't have it both ways - no government investment for anything other than what you want. That's not how society works.
I disagree. Based on the evidence, people are generally able to regard the needs and interests of others in addition to their own needs and interests.
I recently read about an experiment in which a group of people were each given money and the choice to deposit it in either a private account or a group account (or a combination). Whatever they placed in the private account they would receive back, but whatever they placed in the public account would be multiplied by more than one and divided equally among everyone.
Neoliberal economic theory states that everyone should have put the money into their own private accounts, since people are supposed to follow rational self interest and anyone putting money into a public account might get burned if others freeloaded.
Of course, that's not what actually happened. On average, people put around half their money into a private account and half into the public - and that arrangement was the most common as well as the mean.
In fact, only one test group exhibited behaviour similar to neoliberal theory: a group of economics graduate students. Even they deviated from the model and placed around a quarter of their money into the public account.
Jason, so by your comments above can I assume that you DO NOT support tolls on the Red Hill and never have?
Considering what a High Saskatoon & Saskatchewan are on lately in T.V. & film production, I'm surprised that he would say that there.
Another thing..What kind of t.v. does Stephen Harper have? Magic Cable perhaps??
If people want a Canadian Film & T.V. Industry in Canada, it's NOT a particularly good idea to remove or cut Arts funding from Universities, Colleges & Applied Trade Schools that will give young people the tools to work in these fields. Maybe he'd rather just import the 'refined product', just as we import our own oil & gas from U.S. refineries?
Maybe journalists should ask him what 'rich galas' he's referring to that all these 'ordinary working people' are supposedly tuning into the moment they get home. If he's going to smear Canada's hard-working artists, he should be compelled to provide examples to justify his smears.
capitalist, I've been remarkably consistent in my stance re: tolls or no tolls. I can only assume that you're asking me this question to keep from discussing the real issues at hand. Regardless, for the last time - as long as transit users pay a fare to board, drivers should pay a toll to drive. No highway tolls are fine too....as long as we axe transit fares.
I'm not sure where the money would come from for all of that (maybe the government can bail everyone out) so it would seem logical to have tolls and transit fares. Cheers.
I think 'Capitalist' is confusing 'The Arts' with visual artists.
(The term starving artist came from somewhere & not from Gov. subsidies!) Visual artists & musicains work hard & are freequently underemployed to do their craft. If we were all as pragmatic & greedy as the Harper Set, there would be no original visual art, or music coming out of Canada. What exactly has Capitalist got against Art & Music?
The Arts as Harper refers to it is film, t.v. & all the hundreds of skilled & not so skilled people that are employed in both the actual production, post production, distribution, & marketing of the production. It also refers to the writers who create the stories, or adapt them to suit the production format.
You have everyone from costume designers & seamstresses, to carpenters, joiners, scene painters, computer effects tech's, musicians, truck drivers, caterers,& many more.
How can you tell these people that they are artsy-fartsy parasites?
Every single thing that is used by Stephen Harper & Capitalist from the secong they wake up in the morning to the time they go to sleep involves at least one Artist or industrial design artist. Sheets, towels, razor, comb, clothing, shoes, socks, car, bike, & everything in their work environment.
If these people have such contempt for 'The Arts', then they should stop wearing expensive suits, designer shoes, & stop driving elegant cars. They should immediately remove all the portrature from 21 Sussex Dr., & remove 21 Sussex Dr., too cuz somebody 'Designed' it.. An Architect!
"I think when ordinary working people come home, turn on the TV ..."
From that little tid-bit we know something of the audience Harper's addressing. He is not in the company of "ordinary working people," and it is most likely that the audience is composed of many of those who orchestrate the 5ymPhony of 5Lime which 00zes out of a TV when it's turned on and mucks up our homes.
"I recently read about an experiment in which a group of people were each given money ..."
Ordinary working people are not "given money," they usually toil for it and wouldn't be spending it in the same way as a gift. The contestants in that experiment weren't all revealed to us in Ryan's post but enough information was given to assume a university pole was used to advertise the event. It is also safe to say that economic graduate students are pretty much just plain ordinary, the working part hasn't fully set in yet.
Harper is letting us know that the arts funding is being wasted at the top, and that the ordinary working people are not getting back what they're putting in. Their kids are tagging properties instead of painting Picasso's because of what they saw on TV and didn't learn in school. That's pretty general I know, but you'll get the picture, lest thou art amok and all soul in the muck.
What sort of country do we want to live in? What sort of country do we already live in? What do we like? Who are we?
But we've just been sent a signal by Prime Minister Stephen Harper that he gives not a toss for these facts. Tuesday, he told us that some group called "ordinary people" didn't care about something called "the arts." His idea of "the arts" is a bunch of rich people gathering at galas whining about their grants. Well, I can count the number of moderately rich writers who live in Canada on the fingers of one hand: I'm one of them, and I'm no Warren Buffett.
I don't whine about my grants because I don't get any grants. I whine about other grants - grants for young people, that may help them to turn into me, and thus pay to the federal and provincial governments the kinds of taxes I pay, and cover off the salaries of such as Mr. Harper.
In fact, less than 10 per cent of writers actually make a living by their writing, however modest that living may be. They have other jobs. But people write, and want to write, and pack into creative writing classes, because they love this activity – not because they think they'll be millionaires.
Every single one of those people is an "ordinary person." Mr. Harper's idea of an ordinary person is that of an envious hater without a scrap of artistic talent or creativity or curiosity, and no appreciation for anything that's attractive or beautiful. My idea of an ordinary person is quite different. Human beings are creative by nature. For millenniums we have been putting our creativity into our cultures - cultures with unique languages, architecture, religious ceremonies, dances, music, furnishings, textiles, clothing and special cuisines.
"Ordinary people" pack into the cheap seats at concerts and fill theatres where operas are brought to them live. The total attendance for "the arts" in Canada in fact exceeds that for sports events. "The arts" are not a "niche interest." They are part of being human.
Moreover, "ordinary people" are participants. They form book clubs and join classes of all kinds - painting, dancing, drawing, pottery, photography - for the sheer joy of it. They sing in choirs, church and other, and play in marching bands. Kids start garage bands and make their own videos and web art, and put their music on the Net, and draw their own graphic novels.
"Ordinary people" have other outlets for their creativity, as well: Knitting and quilting have made comebacks; gardening is taken very seriously; the home woodworking shop is active. Add origami, costume design, egg decorating, flower arranging, and on and on ... Canadians, it seems, like making things, and they like appreciating things that are made.
They show their appreciation by contributing. Canadians of all ages volunteer in vast numbers for local and city museums, for their art galleries and for countless cultural festivals - I think immediately of the Chinese New Year and the Caribana festival in Toronto, but there are so many others. Literary festivals have sprung up all over the country - volunteers set them up and provide the food, and "ordinary people" will drag their lawn chairs into a field - as in Nova Scotia's Read by the Sea - in order to listen to writers both local and national read and discuss their work. Mr. Harper has signalled that as far as he is concerned, those millions of hours of volunteer activity are a waste of time. He holds them in contempt.
I suggest that considering the huge amount of energy we spend on creative activity, to be creative is "ordinary." It is an age-long and normal human characteristic: All children are born creative. It's the lack of any appreciation of these activities that is not ordinary. Mr. Harper has demonstrated that he has no knowledge of, or respect for, the capacities and interests of "ordinary people." He's the "niche interest." Not us.
It's been suggested that Mr. Harper's disdain for the arts is not merely a result of ignorance or a tin ear - that it is "ideologically motivated." Now, I wonder what could be meant by that? Mr. Harper has said quite rightly that people understand we ought to keep within a budget. But his own contribution to that budget has been to heave the Liberal-generated surplus overboard so we have nothing left for a rainy day, and now, in addition, he wants to jeopardize those 600,000 arts jobs and those billions of dollars they generate for Canadians.
What's the idea here? That arts jobs should not exist because artists are naughty and might not vote for Mr. Harper? That Canadians ought not to make money from the wicked arts, but only from virtuous oil? That artists don't all live in one constituency, so who cares? Or is it that the majority of those arts jobs are located in Ontario and Quebec, and Mr. Harper is peeved at those provinces, and wants to increase his ongoing gutting of Ontario - $20-billion a year of Ontario taxpayers' money going out, a dribble grudgingly allowed back in - and spank Quebec for being so disobedient as not to appreciate his magnificence? He likes punishing, so maybe the arts-squashing is part of that: Whack the Heartland.
Or is it even worse? Every budding dictatorship begins by muzzling the artists, because they're a mouthy lot and they don't line up and salute very easily. Of course, you can always get some tame artists to design the uniforms and flags and the documentary about you, and so forth - the only kind of art you might need - but individual voices must be silenced, because there shall be only One Voice: Our Master's Voice. Maybe that's why Mr. Harper began by shutting down funding for our artists abroad. He didn't like the competition for media space.
The Conservative caucus has already learned that lesson. Rumour has it that Mr. Harper's idea of what sort of art you should hang on your wall was signalled by his removal of all pictures of previous Conservative prime ministers from their lobby room - including John A. and Dief the Chief - and their replacement by pictures of none other than Mr. Harper himself. History, it seems, is to begin with him. In communist countries, this used to be called the Cult of Personality.
Mr. Harper is a guy who - rumour has it, again - tried to disband the student union in high school and then tried the same thing in college. Destiny is calling him, the way it called Qin Shi Huang, the Chinese emperor who burnt all records of the rulers before himself. It's an impulse that's been repeated many times since, the list is very long. Tear it down and level it flat, is the common motto. Then build a big statue of yourself.
Now that would be Art!


text:
Q: How to choose Jupyter syntax highlighting language I regularly read and edit .cu files (cuda) in Jupyter. Is there a way to get Jupyter to use C++ syntax highlighting for .cu files? (They are basically C++ files)

A: You can create a JupyterLab extension (guide, tutorial), there are some examples out there like  jupyterlab_robotmode (this and this part) and this comment. You will want to reuse CodeMirror's clike mode, probably incorporating these c++ bits. It would roughly look like this:
import { JupyterFrontEnd, JupyterFrontEndPlugin } from '@jupyterlab/application';
import { ICodeMirror } from '@jupyterlab/codemirror';

const extension: JupyterFrontEndPlugin<void> = {
  id: 'jupyterlab-cuda-mode',
  autoStart: true,
  requires: [ICodeMirror],
  activate: (app: JupyterFrontEnd, codeMirrorToken: ICodeMirror) => {
    const cm = codeMirrorToken.CodeMirror as any;
    cm.defineMIME(
      "text/x-cuda",
      {
        name: "clike",
        // add more configuration below
        namespaceSeparator: "::",
        modeProps: {fold: ["brace", "include"]}
      }
    );
    // add more keywords
    cm.registerHelper('hintWords', 'text/x-cuda', {'__global__': true});
    cm.modeInfo.push({
      ext: ["cu"],
      mime: "text/x-cuda",
      mode: "clike",
      name: "cuda"
    });
  }
};

export default extension;

Now  if you also want to have nice icon in the lanucher you would need to register it with the DocumentRegistry like the builtin file types are here
Of note, JupyterLab 4.0 and Jupyter Notebook 7.0 will use CodeMirror 6 which has a reworked parser. The old modes will still be supported via a legacy shim, but if you are thinking about developing a new mode, you might want to target lazer parser from CodeMirror 6.

A: An easy way without any extension can be using Markdown in Jupyter Notebook and Markdown Syntax Highlighting. You can use it for most of the languages but a drawback of this, you cannot see highlighting while you are editing code, just you can see after run. If your purpose is to see highlighted code between other blocks then it is useful. An example usage:
```c++

// your code goes here

```

Then, run markdown block.

redpajama_set_name: RedPajamaStackExchange


text:
Tim Hudson Injury: Wife Thanks Opposing Team After Husband Suffers Broken Ankle
Dan Evon
Forget the Ryan Braun scandal. Forget about A-Rod's impending lifetime ban. Forget about performance enhancement drugs and let's talk a little bit about sportsmanship and class. Atlanta Braves pitcher Tim Hudson suffered a season (and possibly career) ending injury on Wednesday night and everyone involved, especially his wife Kim, is setting an example for the MLB.
Hudson broke his ankle on Wednesday night while racing to first base. New York Mets left fielder Eric Young Jr. accidentally stepped on the pitcher's ankle and, well, Hudson had to be carted off the field.
The 38-year-old pitcher is done for the season and Wednesday night may have been the last game of his career. Which means that the Hudson family could be faced with some decisions that they didn't plan on making right now. It would be understandable for Hudson and his wife to be a little upset with Young Jr.
But they aren't. Kim even wrote to Young after the accident and thanked him for playing the game the right way..
Kim wrote on Twitter: "Thank you for playing the game the right way. You're obviously one of the good guys. We appreciate you."
Young definitely appreciated the kind words. The baseball player was visibly upset when he realized that he caused Hudson's injury.
After the game Young said: "I knew I didn't get any of the base. I got all of his foot… I pretty much knew it was broke right when I did it. That's why I ran back to him and tried to console him as much as I could and to apologize."
Now, Tim Hudson's injury really doesn't have anything to do with PED's or substance abuse. But the MLB is in need of a little good will. Hudson's wife Kim and Eric Young Jr. have provided that.
Can't say enough great things about the @Mets organization and the way they handled Tim's injury: players, medical team, security #grateful
— Kim Hudson (@kimberlybhudson) July 25, 2013
Thankyou all for the kind words. I sincerely appreciate it. Continued prayers for a speedy recovery for Tim. Thankyou again. #praying4Tim
— Eric Young Jr (@EYJr) July 25, 2013
So thankful to the @Braves trainers, doctors, players, coaches & staff for their hard work & compassion with Tim's injury. #family


I just purchased all three of the Norwegian Kveik produced by Omega Yeast Labs. I am interested is hearing about other brewers experiences with this yeast, what styles have you brewed with the yeast, what you like and dislike about the yeast. I would like to also know if any brewer has experimented with brewing a traditional Norwegian recipe. I found a couple of articles and videos where you steep Juniper branches in the mash water as it heats and remove them when the temp has been reached. I am looking at brewing a traditional Norwegian recipe for my mothers birthday, she is 100% Norwegian and I think she would enjoy a nice session brew.
I have used the Voss Kveik yeast a few times. I have brewed a cream ale type, session IPA and a double IPA with it. I like the orange character it imparts in the beer. It works well with citrusy and tropical fruity hops. I have not brewed a traditional Norwegian recipe. Although, it sounds like it could be fun & interesting.
I brewed a 5 gallon batch of a peach ale with Imperial Loki. I'm not sure though if this kveik is the same as any of yours. Mine was a CLIMBER. Lots of krausen, even with just a starter. It also took extremely warm ferment temps without producing anything hot. I pitched at 70°F and ramped to 80°F.
I overbuilt my starter to harvest and store some. Contemplating what to brew next.
Pictured here is the starter compared to a German ale strain. You can see where the krausen touched. Also, the peach ale made with Maris Otter, oats and some 10L crystal. Fruit additions 10lbs of peaches and 3 lbs apricot puree.
Drinking it now. Very tasty.
I've used it several times, and found the esters work well with hops. I'm trying to brew something slightly more traditional and less hoppy, and I'm planning on brewing with spruce tips later in the spring. I've definitely noticed that kveik takes off hard. I split a batch the other day (Fermenting at 65F and 93 F), both were at ~1.020 within two days, and they're sitting at 1.017 (75% attenuation now). Lost about a liter of beer through my blowoff tube.
Wilber, I will be very interested how the spruce tips work out for you. I am also planning to brew this in the spring. I am in Montana and it is a little to cold to brew outdoors right now. I am going to continue researching a recipe for a traditional Norwegian brew and hopefully come up with something worth drinking.
Some of my club members went up to NHC and brought back some fresh spruce beers and really opened up my eyes. I think the only one I've had before than was from Rogue, and probably wasn't the freshest as I'm in Central IL. There was a herbal/pine kind of flavor, but also a delightful blueberry/fruity kind of undertone.
Was going to brew a Bier de garde but at the last minute, used Kveik Voss in the recipe . Taste great while bottling. Citrusy & malty. Needs 2,3 weeks to carbonate. Fermented at about 20 C.
I found a couple of articles and videos where you steep Juniper branches in the mash water as it heats and remove them when the temp has been reached.
Here in Norway we traditionally steep the juniper before mashing. The juniper tea is called einelaag. There are as many opinions as there are brewers. Some uses tips only. Some uses branches. Some uses the thicker stems. Some prefere branches with berries. Some steeps just a short while. Others overnight. Some uses juniper as filtration media in the mashing tun.
So go ahead and find your own favorite. In general, a short steep gives a lighter fruityer einelaag. A longer steep brings out more pungent flavors. If you go above 165 farenheit, it may produce overly bitter einelaag.
Ronnal, Thanks for the input on the juniper branches. I'm in Montana and it's a little to cold for my brew setup right now, but using this down time to research this type of beer so when the spring thaw hits, I'll be ready. My mother is 100% Norwegian and I am looking forward to introducing this beer to her. I hope to make it to Norway one of these days. We still have distant relatives in the northern region of the country and would love to explore my families heritage.
Thats cool! I grew up in the north. Where I grew up there was not a great deal of time old traditions brewing beer. Propably as grains (or hops) dont grow in the region.
Where I currently live its traditions to brew raw ale.
I recommend Lars Marius Garshols blog about brewing. Lots of good stuff there. Here is a couple of links.
I would love to sample some of your raw ales.
I spent about three weeks on a Norwegian air base in 1968 near the fjord above Trondheim (perhaps Vaernes) but I don't remember. I was a flight crew member on a P3A Orion patrol aircraft. Some of our crew took the hydrofoil ferry down the fjord to Trondheim. It is a very beautiful city as is the countryside along the fjord. I admire your citizens and your beautiful country.
Here where I live in the south western part of Norway (on an island named Karmøy). There are a tradition for brewing Raw beers (unboiled beers). The trick (for us modern brewers) is to heat the wort to a temperature above pasteurization temp and below temperatures that converts smm into dms. That is heat the wort to a temp between 72-80°C. Keep it there for 10-15 min and then chill to pitching temp e.g. 35°C and pitch your kveik.
(on an island named Karmøy). There are a tradition for brewing Raw beers (unboiled beers).
That is very interresting, I was not aware that there is traditions for raw ale south of jostedalsbreen. I am intrigued to ask, do you use a kveik from tge yeast registry, or do you have your own personal jesus, I mean kveik? And is the raw ale brewing wide spread on Karmøy and the area around?
I myself mash in at 72 (162) degrees, thus pasterurising the wort, spargewater is over 65 (150). I just let it cool naturally to pitching temp.


The Federal Reserve should promptly end its easy monetary policy and press ahead with an interest rate hike, followed by a set of gradual moves higher, the head of the Dallas Fed said on Monday in his final speech as a policymaker.
Richard Fisher, president of the Dallas Federal Reserve Bank, shrugged off stagnate wage growth, calling it a lagging indicator, and said inflation will bounce back once energy prices stabilize.
Fisher, an outspoken former banker and U.S. Treasury official who has repeatedly called for the Fed to move faster with a rate hike, is stepping down this month after 10 years at the U.S. central bank.
Despite the views from Fisher and other policy hawks, the Fed has kept rates at near zero since December 2008.
The Fed has signaled that it is prepared to hike rates later this year, with June to September the expected time frame.
"The idea that we can substitute a steeper future funds-rate path for an early liftoff seems risky to me," Fisher said in remarks prepared for delivery at Rice University in Houston. "I would rather the FOMC raise rates early and gradually than late and steeply."
The Federal Open Market Committee is the Fed's policy-setting body.
Fisher said that if the economy keeps growing at its current pace, the jobless rate will be around 4.5 percent at year-end. At that rate, it would be the lowest unemployment level since May 2007.


text:
Q: Trouble with unordered_map pair index I have the following code:
#include <unordered_map>
#include <utility>

typedef std::pair<int, int> rc;
std::unordered_map<rc, int> all_cells;

but the compiler is complaining:
/usr/include/c++/7.1.1/bits/hashtable_policy.h:87:34: error:
no match for call to '(const std::hash<std::pair<int, int> >)
(const std::pair<int, int>&)'
noexcept(declval<const _Hash&>()(declval<const _Key&>()))>

What gives?


text:
Q: Simplify an algebraic sum involving $\frac{1}{x^n}$ I am trying to simplify the following expression:
$$
A=\frac{1}{x} + \frac{1}{x^2}+ \frac{1}{x^3}+...+\frac{1}{x^n}
$$
I believe the answer is
$$A=\frac{1-\frac{1}{(1+x)^n}}{x},$$
but I am not sure how to get to this answer.

A: We can simplify as follows: $$\frac{1}{x} + \frac{1}{x^2}+ \frac{1}{x^3}+...+\frac{1}{x^n}=\frac{x^{n-1}}{x^n} + \frac{x^{n-2}}{x^n}+ \frac{x^{n-3}}{x^n}+...+\frac{1}{x^n}=\frac{\overbrace{1+x+x^2+...+x^{n-1}}^{\text{geometric series}}}{x^n}$$
Recall the partial sum of a geometric series is $$\sum _{k=i}^{n}z^{k}={\frac {z^{i}-z^{n+1}}{1-z}}$$
You should be able to proceed.

Answer below.

 $$A=\frac{x^n-1}{x^n(x-1)}$$

A: A is a geometric series, use the summation formula.


Possible to change some words of this translation.
it looks like you're going to get your wish the synopsis for the seson finale is out if you want to avoid spoilers don't read it.
I just wanna say THANKS for one of the most adorable Twily faces I had ever seen, fan girl Twi is best Twi... along with the stressful kind.
It's a pleausure for us if you like it!
I read only this page. I like it. It's funny.
I came in on a later page. But as soon as I saw Star Swirl and Twilight in a frame I knew there was a part where she had a fan-girl moment. So I go back, and here it is! I knew it!
Wow Twilight is acting like Rainbowdash in Daring Don't!
Twilight, you just pulled a Rainbow Dash & a Pinkie Pie @ the same time. Yep, I'd say "She's lost it." Is just about right.
Twilight is my inner fangirl.
Princess of friendship or not, Twilight is still Twilight.
Somepony get Twilight some Adderall.
Starswirl's face is the best. like, "Dafaq"
Aaargh ! Catched up, can't wait for the sequel ! Really awesome.
Weeeeeeell, at least she's not going "Yes!Yes!Yes!Yes!Yes!Yes!Yes!Yes!Yes!Yes!Yes!Yes!"
Twilight, you are leaving a very bad impression on your hero.
You'd better shriek "ohmygosh" more shrilly and jump higher. I can see that right now he thinks you're not properly appreciating his presence.
I would react the same way in the presence of The Fourth Doctor.
As stalwartly against the whole Princess Twilight gimmick I am, I can't deny that's one of the cutest things I've ever seen her do with those wings. Flapping frantically like an excited parakeet.
I'm a little curious since Time is unraveling will it just be this timeline or will we see other timelines make sort appearances?
Movie characters like Sunset or the Sirens?
other popular OC ponies from other comics or MLP Reviewers that have created there own pony persona's(Like Fiery Joker and Silver-Quill).
Starswirl seems surprisingly straight faced and serious with them. Isn't he supposed to be the eccentric intellectual type?
Great comic, looking forwards for more soon.
Starswirl became a time travel anomaly to escape the fangirls.
lol twilight is so exited to meet her one and only idol and inspiration in the flesh. the effects and the background loos amazing. I wish they made this into a movie. your work is the exact look alike as the show! its awesome!


SoftBank's humanoid robot named Pepper has been gaining experience at a variety of job worldwide. But its current prestigious job at the Smithsonian is making headlines! SoftBank announced that visitors can interact with the humanoid Pepper at six Smithsonian locations.
Be it to enquire about museum information, play games or even ask for a selfie, Pepper is up for it all. Moreover, Pepper has its own security badge as well. It's an era of IoT devices and SoftBank announced that it plans to deploy more Pepper robots in additional Smithsonian locations over the summer.
However, here's the curious part. The Smithsonian isn't actually paying for the Pepper robots as SoftBank has donated these humanoids as part of an experimental program. Unlike other commercial locations, Pepper is working for the Smithsonian without a pay!
SoftBank aims to attract more visitors to under-attended galleries with Pepper. The company hopes to multiply visitor's engagement with artwork. So far, reviews and the track records about Pepper have a little bit of good and bad. Let's wait and see how Pepper does its job at the Smithsonian.


text:
from Python_API import siddhi_manager_api_inst
from Python_API.ExecutionPlanRuntime import ExecutionPlanRuntime

class SiddhiManager:
    def __init__(self):
        '''
        ''Initialize a new SiddhiManager
        '''
        self._siddhi_manager_proxy =  siddhi_manager_api_inst.initSiddhiManager()
    def createExecutionPlanRuntime(self,executionPlan):
        '''
        Create an Execution Plan Runtime
        :param executionPlan: SiddhiQuery (string) defining execution plan
        :return: ExecutionPlanRuntime
        '''
        execution_plan_runtime_proxy = self._siddhi_manager_proxy.createExecutionPlanRuntime(executionPlan)
        return ExecutionPlanRuntime._fromExecutionPlanRuntimeProxy(execution_plan_runtime_proxy)

    def shutdown(self):
        '''
        Shutdown SiddhiManager
        :return:
        '''
        self._siddhi_manager_proxy.shutdown()
        del self._siddhi_manager_proxy

redpajama_set_name: RedPajamaGithub