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Glaucoma Physician Video Channel
Glaucoma Video Library
Risk Management Issues in Glaucoma
Examining risk in diagnosis and treatment.
By Steven V.L. Brown, MD, FACS; Ryan Bucsi; and Nicole Kesten, MS
When reviewing Ophthalmic Mutual Insurance Company (OMIC) data from the past 35 years, glaucoma-related claims and lawsuits arise infrequently compared to other subspecialties, representing only 4.5% of total claims. By the numbers, 4.5% represents the 226 closed glaucoma claims compared to 4,956 closed claims across all ophthalmic subspecialties. This low percentage of glaucoma-related lawsuits compares favorably to the data collected by the Medical Professional Liability Association (MPL) whose member companies collectively insure more than 100,000 physicians nationwide. The purpose of this article is to provide an update on the nature of glaucoma related claims (previously described by E. Randy Craven, MD, in the OMIC Digest1). In addition to updated statistics, recently released guidelines to minimize the risks associated with glaucoma claims and lawsuits will be discussed.
Claims Frequency and Severity
Of the 226 claims that were glaucoma related, 23% (53 cases) were settled (Table 1). This is slightly higher when compared to OMIC's overall average across all subspecialties of 21%. Figure 1 shows claim frequency by subspecialty.
The average glaucoma settlement is approximately $177,000 and is essentially equal to the average indemnity payment in the history of the company of $177,000. The average settlements in glaucoma claims are in line with overall claims statistics. Approximately 23% of the glaucoma-related claims resulted in indemnity, whereas in cataract patients approximately 18% were closed with an indemnity payment. The average indemnity for cataract-related claims was $144,000. The vast majority settled without an indemnity or a low payment.
Table 1. Claim Frequency and Severity
Total Claims
Closed Claims
Closed With Indemnity
Average Indemnity
All Specialties (Medical Professional Liability Data) 316,000 316,000 91,000 $239,000
Ophthalmology Claims (OMIC) 5,384 4,922 1,031 $177,873
Glaucoma Claims (OMIC) 263 226 53 $177,511
Cataract Claims (OMIC) 1,526 1,387 246 $144,235
Figure 1. Total number of claims by subspecialty, as of March 1 2019.
Analysis of Glaucoma-Related Misadventures
Of the 226 closed glaucoma claims, there were 19 "companion files" in which the allegation was vicarious liability. Because there were no specific allegations, we omitted those 19 cases from the analysis of glaucoma-related misadventures. In this section, we will only analyze the 207 cases in which there was a specific allegation. The majority were medical (53.6%) as opposed to surgical (46.3%) misadventures. Of the 53 glaucoma settlements, only 28.3% were surgically related whereas the remainder of medical misadventures accounted for 71.7% of settlements. Tables 2 and 3 list the breakdown of settled glaucoma-related medical and surgical misadventures.
Table 2. Reason for Claim or Suit
Number of Claims or Suits
Number of Settlements
Amount Paid
Failure to Diagnose 44 13 Average $187,000; $30,000-$500,000 range
Failure to Treat 20 7 Average $159,000; $12,500-$250,000 range
Failure to Monitor on Steroids 9 3 Average $140,000; $10,000-$450,000 range
Delay in Referral or Treatment 5 5 Average $240,000; $30,000-$450,000 range
Inappropriate or Negligent Treatment 27 8 Average $221,000; $50,000-$350,000 range
Injury During Exam 4 1 $745.54
Negligent Phone Advice 2 1 $60,000
Companion Files 19 - -
Table 3. Glaucoma Surgery Settlements
Settlement Amount Paid
Negligent Trabeculectomy 31 6 Average $211,000; $50,000-$325,000 range
Unnecessary Surgery 4 1 $199,000
Combined Cataract Trabeculectomy 12 3 Average $148,000; $97,000-$200,000 range
Wrong Eye 3 1 $40,000
Failure of Surgery and Treatment Combined 10 1 0
Bleb Needling 2 1 $30,000
Anesthesia Related 3 2 Average $112,000; $75,000-$150,000 range
Complications of Surgery 31 - $26,000
The most frequent and most expensive misadventures are those involving delay in treatment, failure to diagnose, timing of referral, or inappropriate escalation of therapy. Similar results were found by Craven in 1994.1 Experts will explain to the jury that failure to perform timely, appropriate diagnostic testing (pachymetry, gonioscopy, visual field, optic nerve assessment) results in preventable loss of vision related to glaucoma. The plaintiff's attorney will show the relation between breach of duty (diagnostic error) and cause of damage (blindness or vision loss). Documentation of reasons for and omission of appropriate diagnostic testing is imperative, as well as documentation of the interpretation of testing results. Glaucoma settled claims are significantly more likely related to diagnostic and treatment errors as opposed to surgery (72% vs 28%). The 38 diagnostic and treatment-related claims and suits that resulted in a settlement totaled $7,275,865 with an average indemnity payment of $191,000. The 15 surgery claims and suits that resulted in a settlement totaled $2,135,249 with an average indemnity payment of $142,000. The most expensive settled claim ($500,000) involved a combination of failure to diagnose and treat, lack of timely referral, and "abandonment" in a case where the plaintiff was followed by both an optometrist and an ophthalmologist.
The diagnosis of glaucoma requires a complete ophthalmic evaluation, including IOP assessment, pachymetry, gonioscopy, optic nerve evaluation, visual field testing, documentation of all medications, and medical and pertinent family history. Commonly, the individual will require timely follow-up reassessment at varying times of day to determine possible IOP fluctuations. Glaucoma suspects should be seen for frequent examinations (1-2 times per year), compared to a non-glaucoma suspect of the same age, to monitor for changes. During the review of systems, it is important to document systemic factors that put patients at increased risk for developing glaucoma (eg, vasculopathic contributors). Educational materials should be offered and reviewed with the patient, and the ophthalmologist should document receipt of the materials and note all questions answered. An emphasis on regular checkups can assist in promoting long-term compliance if, and when, topical treatment is started. The patient should be told that failure to adhere to treatment guidelines can result in permanent vision loss. Of paramount importance, a glaucoma patient or suspect's record must have documentation of missed appointments, medication compliance, or adherence issues, because the ophthalmologist may be exposed to negligence or abandonment. In severe cases of noncompliance, refusal of treatment recommendations, and avoidance of recommendation for referral, releasing the patient from one's care should be considered. This not only protects the provider but emphasizes to the patient the importance of their care and hopefully will encourage patients to seek treatment elsewhere. The Ophthalmic Mutual Insurance Company provides templates for these correspondences; however, each letter should be tailored specifically to the patient and mailed with confirmation tracking.
Standardized Record Keeping
Despite adoption of electronic health records (EHRs), challenges remain for data acquisition and standardized record keeping in the glaucoma practice as well as other subspecialties. Prior to EHRs, once the diagnosis was established with paper charts, it was relatively easy to monitor the patient's progress with a single-page "flow chart" of glaucoma pertinent information that showed date, vision, IOP, gonioscopy findings, optic nerve assessment, and visual field. Depending on the EHR vendor, physicians may be required to click on multiple pages to see all of the information that was once present on a single page. Although EHR data acquisition and assimilation present challenges, monitoring progression has improved with increased technology (eg, glaucoma progression analysis). Within an examination, it is necessary to document interpretation of diagnostic tests, such as optical coherence tomography and visual field testing, as well as medication adjustments and their potential associated side effects. This not only protects clinicians from a billing audit but also maintains high standards for potential transference of care by providing a comprehensive assessment that is easy to follow.
Establish Treatment Goal
Although controversy surrounds documentation of the IOP goal, it is important nonetheless to set an initial "target range" of pressure based on the presenting stage of glaucoma. The target range should be continuously re-evaluated and documented during the patient's treatment plan. The patient's treatment goals must be discussed with the patient. Glaucoma progression is commonly insidious and moves at a glacial pace, so emphasizing the importance of monitoring the status of the optic nerve and corresponding visual field changes with patients increases their understanding of the disease. It also helps patients understand the importance of maintaining a "target range" pressure, with the caveat that it is the only treatable aspect. This documentation also complements measure 141 of the Merit-Based Incentive Payment System (MIPS), which describes a goal of reduction of IOP by 15% or documentation of a plan of care for primary open-angle glaucoma.2 For those using the IRIS Registry, this measure is completed automatically to document the percentage of patients aged 18 years or older whose glaucoma treatment reduced IOP by at least 15% when compared to preintervention IOP.
When Treatment Warrants Surgery
If surgery is recommended, emphasize that surgery is to maintain, not improve, a patient's vision. Delaying or deferring surgery will most likely contribute to further visual changes and should be documented in detail to demonstrate patient's deferral and their decision to delay treatment. Additionally, it is recommended that the following steps be taken when a patient is to proceed with surgery:
Provide educational material with regard to various surgical options.
Document surgical risks, potential complications, and postoperative care with educational handouts describing the various procedures.
Document that all questions are answered and obtain written consent. Both hospital-specific and glaucoma-specific consents are recommended. A plain-language glaucoma surgery consent can be found at www.omic.com/risk-management/consent-forms/ .
Physician-patient rapport requires keeping the patient apprised of the stage of the disease, its course to date, and what can be expected in the future. Omission of direct, honest appraisal of the patient's status can increase an ophthalmologist's risk of lawsuit. A potential legal instigator is when a patient feels betrayed if inadequately informed or finds out what should have been done.
Take-Home Points
In summary, here are recommendations all ophthalmologists should consider to mitigate risk:
Document everything. For example, avoid conflicts with common defaults and "load lasts" in EHR systems. If something was not documented correctly, in terms of risk, it essentially did not happen.
Provide educational materials to enhance patient understanding.
Provide plain-language consent documents to increase patients' understanding of their care plan.
Maintain honest dialogue and document patients' deferral of escalation of therapy.
Work with staff to create and consistently review office protocol regarding noncompliant and emergent patients. Specifically, review glaucoma "no-shows" and "cancels" with staff on a daily basis and ensure timely follow-up. GP
CLOSED CLAIM STUDY
Failure to Appropriately Monitor and Treat Open-Angle Glaucoma
Allegation: Plaintiff alleged that insured ophthalmologist failed to monitor and treat open-angle glaucoma appropriately.
Disposition: Claims titled with indemnity
Case Summary: The case begins with an 83-year-old female monitored as an open-angle glaucoma suspect for greater than 10 years, with history of elevated intraocular pressures (IOPs) in the mid-20s. She was subsequently treated for open-angle glaucoma for greater than 10 years, including topical and laser therapy. The plaintiff noted to have a history of difficulty with adherence to meds and appropriate follow-up with variable "emergent evaluations" unrelated to glaucoma and occasional "no shows." The insured noted the plaintiff to have missed appointments with subsequent poor follow-up as well as no documented follow-up noted. The patient called with complaints of "foggy vision" and was noted to be scheduled for 10 weeks later. When evaluated, the plaintiff's IOPs were 48 mmHg in the right eye and 42mmHg in the left eye with hand-motion vision in the right eye and a central island of 10-degree vision in the left eye. The plaintiff subsequently underwent emergent bilateral filtration procedures 1 week apart with resultant stabilization of IOPs at 10 to 12 mmHg.
Outcome: Although this case has credible defense due to patient documented "no shows" and adherence issues, the settlement was felt appropriate as the time interval from documented call of "foggy vision," though vague, was felt to be indefensible; that is, the plaintiff warranted appropriate timely follow-up assessment. As noted by the insured, there was failure of the staff to inform him of insured's call and follow-up. The insured is the "captain of the ship" and responsible for oversight of staff and patient interaction.
Craven ER. Risk management issues in glaucoma diagnosis and treatment. OMIC Digest. 1994. Available at: https://www.omic.com/risk-management-issues-in-glaucoma-diagnosis-and-treatment/ .
American Academy of Ophthalmology. Measure 141: Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15 Percent or Documentation of a Plan of Care. Available at: https://www.aao.org/medicare/quality-reporting-measure/141-primary-open-angle-glaucoma-pressure-reduction
Steven V.L. Brown, MD, FACS, is a board member for the Ophthalmic Mutual Insurance Company (OMIC), an associate professor at Rush University Medical Center Department of Ophthalmology, and founder and president of Chicago Glaucoma Consultants in Chicago, Illinois.
Ryan Bucsi is an OMIC claims manager.
Nicole Kesten, MS, is director of practice operations at Chicago Glaucoma Consultants and an American Academy of Ophthalmic Executives content committee member.
Ophthalmology Management, Volume: 23, Issue: Glaucoma Physician June 2019, page(s): 44-47
About Glaucoma Physician
Glaucoma Physician delivers timely information on the fast-evolving glaucoma space. Four times a year, Glaucoma Physician provides insight into the latest thinking in cutting-edge glaucoma care, including case studies, surgical techniques, research, and clinical discussions on glaucoma patient management.


You are at:Home»Cruise Tips»What are the Best Cruise Ships for a First-Time Cruise?
What are the Best Cruise Ships for a First-Time Cruise?
Like children in a sweet shop, the wide range of different cruise lines and ships with an incredible selection of different features and amenities can make it slightly daunting to pick the perfect vessel for your first holiday on the seas. Here we explore some of the most suitable cruise ships for first time maritime holidaymakers, to help make the decision a little bit easier.
With last-minute 10 night cruises for less than £500, it is more affordable than ever to explore the beautiful cities of the Eastern Mediterranean in the lap of luxury. Launched in 2006, the ship received a refurbishment at the end of 2011, and was used as a floating hotel for the 2014 Winter Olympics in Sochi.
The Queen Mary is one of the most iconic ships on the seas, enduringly popular with children and adults alike. Unlike other cruise ships, the children's facilities are not condescending or pandering, allowing children to play and learn with other kids their age. The elegance and beauty of holidaying on the seas can be shared with the youngest members of the family with the unique Children's Tea served in the Chef's Galley – offering a wide range of children's culinary favourites.
So long the most difficult demographic to appease, teenagers can be enigmatic at their best and problematic at their worst. The Anthem of the Seas plays host to a wide range of facilities for teens to enjoy with the family or with their peers. From the iFly skydiving simulator to the surfing experiences; the upcoming Anthem of the Seas is perfectly placed to provide a fantastic setting for a holiday enjoyed by teen and parent alike.
Christened by the Duchess of Cambridge last year, the Royal Princess retains a regal romance throughout its decks and cabins. The ship also benefits Princess Cruises' unique Honeymoon Wishes registry, allowing friends and family of the happy couple to contribute towards experiences on their honeymoon – buying the honeymooners drinks packages, spa packages and shore excursions.
The adults-only P&O Arcadia is the perfect setting for a relaxing trip on the seas, without worrying about kids running underfoot or kicking up a fuss in a restaurant. The Arcadia specialises in long haul cruises, taking in every corner of the globe. A round-the-world cruise aboard the P&O Arcadia is one of the finest ways to celebrate retirement and explore the beautiful sites of the world.
The smallest member of the Celebrity Cruises fleet, the Xpedition can access smaller ports which larger ships are too large to approach. This allows the Xpedition to explore destinations off the beaten track. The ship is currently navigating the unique Galapagos Islands, made famous by Charles Darwin during his research into natural selection and evolution. Adventurers can explore the islands rich with unique wildlife and flora.
With an amazing 28 on-board restaurants and eateries, the Norwegian Getaway is one of the most comprehensive ships for food-lovers. From a Brazilian style Churrascaria to a Miami-themed supper club, there is the dining option to satiate every palate and mood. All-you-can-eat buffets are also present for when you wish to combine quality with quantity.
For a full range of cruises from Cruise1st, click the button below or call our dedicated team on 0808 274 6777.


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My students love this project each year! It really helps them wrap up all we've been studying for Unit 6: "What's Wild About Weather?".
about, and create an artwork of.
rough draft of their writing.
make an artwork of their wild weather.
Examples of the craft are included to help guide your students in their artwork if you would like!


Our flagship event. The format that started it all.
The gamesweekberlin is the leading cross-industry communication and networking platform for games business, development, and culture in Europe. Over seven days, the umbrella brand combines multiple events for industry representatives and game enthusiasts alike. More than 15,000 international and German game developers, publishers, investors, representatives of public institutions, the media industry, as well as gamers, families, and fans come to Berlin every April. With Opening Summit, Quo Vadis. create.game.business., A MAZE. / Berlin, Gamefest at the Computerspielemuseum, Matchmaking Dinner, and much more.
Coming back from April 8 to 14, 2019.


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Jeep Commander SUV to stop production after 2009 model year
Auto industry analysts are seeing a bleak future for the boxy Jeep Commander SUV. They say that production of the hulking Jeep Commander SUV is to stop after 2009 model year. The boxy three row Jeep SUV was introduced a little over a year ago and was built at Chrysler�s Jefferson North Assembly Plant in Detroit.
According to Jeff Schuster, forecasting analyst with California-based J.D. Power and Associates, �We removed the Commander from our forecast after the 2009 model year.� The same forecast was given another automotive analyst who didn�t want to speak on the record. J.D. Power and other auto forecasting firms gather information from suppliers and other industry sources privy to automakers� future production plans.
The stoppage of the Jeep SUV production was further confirmed when the United Auto Workers official, who spoke on the condition of anonymity, confirmed to The Detroit News that the union understands for the Commander to go out of production in 2008 after the 2009 model year.
Rick Deneau spokesman of DaimlerChrysler AG�s Chrysler Group said that the automaker does not discuss the product plans. Chrysler Group, maker and distributor of Plymouth vehicles and Plymouth parts, and includes brands like Dodge, Chrysler and Jeep have lost .5 billion in revenue last year and expected to outline an extensive restructuring plan comes February 14.
Another reason for the stoppage of the Commander production according to Schuster is the fact that the Commander is very much similar in size to the Grand Cherokee that was built on the same line at Jefferson North. Plus the fact that, "It didn't bring in different buyers."
Jeep sold 88,497 Commanders in 2006 by offering heavy discounts. The Edmunds web site which is a site for car shoppers has offered an average of ,000 in incentives on the Commander in the last four months of 2006. The price for the Commander starts around ,000 and can climb above ,000.
The Jeep Commander have also toppled the Grand Cherokee in terms of sales last year when it sold 139,148 while the Cherokee which was once one of America�s most popular vehicles was down by 75,000 units.
Erich Merkle, an analyst with IRN Inc. in Grand Rapids said, "It's a logical move to get rid of the Commander given the small incremental sales increases. The Commander has had a dramatic negative impact on the Grand Cherokee." The Commander same with other large SUVs have been affected by the ever changing gas prices and increasing concerns by consumers over gas mileage.
"The product is not moving with consumers and obviously that situation is exacerbated by the continued focus on where gas prices are going to be over the next few years," said Catherine Madden, an analyst with Waltham, Mass.-based Global Insight Inc.
The slow sales of the Commander have resulted to the discontinuing work at the Jefferson North plant for the last four months. And for this month production at Jefferson North is scheduled to be down for three weeks and expected to resume on January 29 as confirmed by union officials. And as for every seven Cherokees that will be produced, three Commanders will be taken off the line.
The Commander is powered by a 4.7 liter V-8 engine and get 15 mpg for city driving and 19mpg for highway driving, that is according to the EPA. According to Merkle, "If your fuel economy is going to be that bad, go for something that's larger and more interior space and a true third row.�
But according to dealers the Commander has been very successful at attracting buyers into showrooms with its roomy interior and third row seats which is considered a first for a Jeep. The only problem that Mike Rhiel of Mike Riehl�s Roseville Chrysler Jeep sees is timing. �That (SUV) was launched when fuel prices went up. It didn't have a fair launch because of fuel prices.� He also further stated that sales could rebound if gas prices are to stay near a gallon. Or "if fuel stays down that (SUV) could get some legs," he said.
About the Author: Corey Putton is a 28-year old bachelor from Pittsburgh, PA who has been around cars for the better part of his life. He now works online and writes all about his passion: cars. He is also a certified mechanic.

redpajama_set_name: RedPajamaCommonCrawl


This simulation demonstrates definite integration of the sine function by the simple algorithm of summing approximative rectangles. The red curve shows the sine function itself.
The definite integral is to be calculated between initial point x1 (blue) an end point x2 (magenta). A first slider defines x1 ; x2 can be drawn with the mouse.
The red curve is the analytic antiderivative for an initial value x1: y = cos(x) - cos (x1).
A second slider n defines the number n-1 of subinterval into which x2 - x1 is divided for the approximation. In each subinterval the approximative amplitude is assumed to be equal to its initial value. The sum of the area of all rectangles is shown by a green point at x2 .
Reset defines 1 < x < 4 and n-1 = 9.
E1: Start with the default setting: x1 = 0; n = 10.
Draw the magenta end point and observe the deviation of the rectangle sum (green point) from the analytic solution.
E2: Understand why the deviation is negative for x < π/2, and why it becomes zero at x = π . Reflect how summing mistakes can compensate for periodic functions.
E3: Increase the number of intervals with the slider and observe how the deviation changes and disappears in the limit.
E4: Change the initial point and consider why and how this shifts the analytic solution.
E5: Choose a large integration interval and consider why the rectangles lie below or above certain parts of the function.
Toggling the n slider will toggle the number of boxes used for approximation.
Drag the orange/magenta boxes to set the points/coordinates on the curve.


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Title I, Part D of the federal Elementary and Secondary Education Act, most recently reauthorized as the Every Student Succeeds Act (ESSA), offers federal funding to improve the quality of education in facilities for neglected and delinquent youth, promote smooth transitions into and out of institutions, prevent dropout, and provide young people returning from correctional facilities or institutions for neglected and delinquent children and youth with reentry support to ensure their continued education and involvement of their families and communities.
Title I, Part D provides federal funds to State Educational Agencies (SEAs) in two parts. Under Subpart 1, SEAs can subgrant to other state agencies serving neglected or delinquent children or youth. Under Subpart 2, SEAs award funds to Local Educational Agencies (LEAs) with high numbers of children and youth in locally-operated juvenile correctional facilities. States that accept funding through Title I, Part D have to submit a plan for meeting the educational needs of youth while in facilities and upon reentry, including goals and performance measures.
ESSA amended Title I, Part D, adding requirements related to educational assessments when students enter facilities, transfer of education records and academic credits for students moving between community schools and institution schools, reentry planning, timely re-enrollment in an appropriate school when a student leaves an institution, access to educational opportunities upon reentry, and access to a high school diploma.
What the "Every Student Succeeds Act" Means for Youth in and Returning from the Juvenile Justice System, Juvenile Law Center et al.


True enough, religion has often been the breeding ground of convictions. But a belief doesn't have to be particularly religious in content, oriented on god, or rooted in a faith tradition to make the mind its prisoner. Human beings have a weakness for convictions. They make us feel better, at least about ourselves, even if they have the longer-term effect of damaging our soul and foreshortening the human future.
Before we dig into the genealogy of conviction, let's take a couple minutes to identify its salient features. By definition – although this is hardly ever commented upon – a conviction is a belief that holds our mind captive, just like a convict inside a prison cell. There was a time when the belief was a mere proposition, a narrative construct perhaps as simple as a single thought or elaborate as a story, floating like a cloud through our mind-sky.
In fact, this is going on for each of us all the time.
But then something happens: We believe the thought or story, and with this agreement we invest ourselves emotionally in its truth. At that point (and not before) the narrative construct in our mind engages an internal state of our body and we have an experience.
The thought becomes a feeling. This fusion of mind and body, of thought and experience, is the mentallurgy of conviction.
A common assumption of our top-down, logocentric, and essentially gnostic Western bias is that thoughts produce feelings. Thinking so makes it so. But what this head-heavy paradigm fails to properly understand and tragically underestimates is the part of us that gives agreement to whatever thoughts or stories are floating through.
"To believe" comes from the root meaning "to set one's heart," so it makes sense to call this part of us our heart.
So we can think something or listen to a story someone else is telling us, but it won't engage our experience until we set our heart and give agreement to the thought or story. And once fusion is achieved, that thought or story becomes our "truth" – which I have to put in scare quotes to remind us that just believing something doesn't make it so. In other words, we can give agreement to a narrative construct that has no basis in reality whatsoever; but we are convicted and it no longer matters.
Once a conviction is made, our mind closes around the belief. And in time, the belief closes around our mind, becoming the proverbial box we can't think outside of. Years go by, the world around us changes, and there may even be mounting counter-evidence and good logical reasons why we should let the belief go – but we can't.
Oddly enough, all of these factors can actually be used to justify and strengthen its hold on us. As an early architect of Christian orthodoxy put it, "I believe because it's absurd." It's so unlikely, it just has be true.
So, a conviction is a belief – which is our agreement with a thought or story – that has taken the mind hostage and doesn't permit us to think outside the box. This captivity can be so strong as to prevent our ability to consider or even see alternatives. There is no "other way" for this is the only way. Period.
Such are the distinctive features of a conviction. But how does it form? How do we get to the point where we are willing to give our agreement to something that is without empirical evidence, logical consistency, rational coherence, or even practical relevance?
My diagram offers a way of understanding how convictions form in us. Remember, they are not simply true beliefs but beliefs that must be true. What generates this compelling authority around them? Why does a conviction have to be true?
The answer is found deeper inside our ego structure and farther back in time, to when our earliest perspective on reality was just taking shape.
As newborns and young children, our brain was busy getting oriented and establishing what would soon become the "idle speed" or baseline state of its nervous system. Specifically it was watching out for and reacting to how provident the environment was to our basic needs to live, belong, and be loved.
A provident environment made us feel secure, allowing us to relax and be open to our surroundings. An improvident environment stimulated our brain to set its idle speed at a higher RPM – making our nervous system hypersensitive, vigilant, and reactive. This baseline adaptation wasn't a binary value (either-or, on or off) but rather an analog (more-or-less) setting regarding the basic question of security.
I've placed the term "insecurity" on the threshold between the external environment and our body's internal environment because it is both a fact about reality and a feeling registered in our nervous system. As a matter of fact, the reality around us is not perfectly secure. Any number of things could befall us at any moment, including critical failures and dysfunctions inside our own body.
For each one of us, the timing of delivery between our urgent needs and the supply of what we needed was not always punctual, reliable, or sufficient; sometimes it didn't come at all.
The early responsibility of our brain, then, was to match the nervous state of our internal environment (how secure we felt) to the physical conditions of our external environment (how secure we actually were). To the degree we felt insecure, we were motivated to manipulate our circumstances in order to find some relief, assurance, and certainty about the way things are.
Stepping up a level in my diagram, I have named this motivated quest for security "ambition," with its dual (ambi-) drives of craving for what we desperately need and fretting over not finding it, not getting enough of it, or losing it if we should ever manage to grasp an edge.
This exhausting cycle of craving and fear is what in Buddhism is called samsara, the Wheel of Suffering.
Ambition keeps us trapped in the Wheel for a reason that amounts to a serious bit of wisdom: We will never find anything outside ourselves that can entirely resolve our insecurity, which means that the harder we try, the deeper into captivity we put ourselves.
This is where conviction comes in. Earlier I said that a thought or story in the mind won't become an experience until we agree with it and accept it as truth. But a stronger process plays upward from below, in the body and its nervous system.
If we feel insecure, we will be motivated by ambition to find whatever will relieve our insecurity, either by latching onto some pacifier ("Calm me! Comfort me! Complete me!") or closing our mind down around a black-and-white judgment that resolves the ambiguity and gives us a sense of safe distance and control.
A conviction is therefore a reductionist simplification of something that is inherently ambiguous and complex – and what's more ambiguous and complex than reality?
We should by now have some appreciation for a conviction's therapeutic value in resolving ambiguity, simplifying complexity, and providing some measure of security in a reality which is surely provident but not all that secure.
If its therapeutic benefit were all that mattered, we would be wise to leave everyone alone with their convictions. But there is one more piece to the picture, which is how a conviction screens out reality and serves as a prejudgment (or prejudice) against anything that doesn't quite fit its box.
By buffering our exposure to what might otherwise confuse, challenge, upset, or harm us, we can feel secure inside our box, hiding from reality.
Once we have filtered out what makes another person uniquely human (just like us), our prejudice will justify any act of dismissal, discrimination, oppression, abuse, or violence – all in the name of our truth.
In my last post, I introduced the idea of body, ego, and soul as "standpoints in reality" – not as pieces of a human being, but rather as different mental locations where we can take a perspective on things. Body is organismic and biological, providing us a standpoint in the physical realm. Ego is tribal and personal, giving us a standpoint in the social realm. And soul is psychological (from the Greek psyche, soul) and spiritual, offering us a place in the presence of mystery, in the present mystery of reality.
Instead of breaking these aspects of the self into separate and warring opposites – ego against body, body versus soul – seeing them as distinct access points in our experience of reality can help us transcend the arguments over which one is "the real self" and contemplate instead human being in its wholeness. Rather than identifying ego with the soul, and then dissociating both from the body so "I" can elude the finality of death and live forever, we can appreciate how each contributes to the marvel of what it is to be human.
I reflected on how ego develops out of a simple identification with the internal state of the body. "I am happy" or "I am sad" are among the first ways a young child is taught how to declare him- or herself to the world. This affect (pronounced with the accent on the 'a') is where a child's experience of the world is registered: "The dark closet makes me afraid"; "You are making me angry." Behavior is then the output channel of this affect, in the way it motivates the youngster to run and hide, or push and pout.
Many people get stuck at this level of development. They remain in the I-am-angry-and-can't-help-but-push-you-down mode of life. A significant number of them seek out professional help because they are hostages to affect and can't stop doing things that are counterproductive to happiness. A truly helpful counselor will teach the client how to reflect on these powerful affect states. Instead of simply acting out the affect in behavior and only making things worse, the client can learn how to separate identity (ego) from emotion (affect→behavior) and use this freedom to choose more desirable outcomes.
The "liberated ego" can thus become a springboard into still higher experiences, which the wisdom traditions around the planet have named Love, Communion, Being, and Bliss (among others). It's important to understand that these are not merely synonyms for "happiness." The ego wants to be happy, but the soul seeks after something much higher than personal happiness. To get there, ego (I, me, mine) must be transcended, gone beyond. If it stays in charge, the personal self (ego) will be in the way.
As I suggested last time, a shift from the standpoint of ego to that of soul opens the self up to a much greater experience. Engagement with reality at this higher level is not impersonal (as it is for the body) or personal (as it is for the ego), but transpersonal – again, beyond the personal. This is where affect differentiates into feeling and thought. These are the Yin and Yang, respectively, of the soul's experience. Their "tension" is not combative but creative, like the tension in a string that produces a musical tone.
The wisdom traditions refer to these higher faculties of the soul as "heart" and "mind." Once liberated from the urgencies of the body and the self-interest of the ego, heart and mind are free to contemplate the present mystery of reality. If I were to describe in one word what each of these faculties of soul contributes to the experience I would say that mind/thought represents reality and heart/feeling participates in reality. Let's see how this plays out.
Insofar as mind is dependent on language to name and describe something (the present mystery) that is ineffable, it has offered up these two metaphors for contemplation. Ground is the generative source and deep support that stands underneath all things. Existence – which literally means "to stand out" – properly refers to everything above the ground, so to speak.
The ground itself, then, does not exist in this sense. It is pure being, the internal essence of all things, the be to their ing, the creative power of being-itself. No words can describe it, because language can only qualify what exists and the ground is beneath all qualities. Even the name "ground" must finally be released. In contemplating the mystery as the ground of being, the mystics advise us to stop talking.
As a representation in thought of the real presence of mystery, ground inspires the heart to a certain exquisite kind of feeling. This is not crude emotion, where affect drives behavior. Rather, this feeling registers our participation in the mystery that cannot be named but only surrendered to in complete self-abandonment. In letting go of qualities and attachments, the self can sink into the "solvent" of being itself. The feeling of participation gives way to the bliss of unqualified union or oneness.
Another worldwide representation of reality is universe. This is not to be confused with a term such as "cosmos," which is a more-or-less scientific name for the vast order of things (cosmos is Greek for order) that can be analyzed into galaxies, stars, planets, moons, minerals, elements, atoms and quarks. Universe is another metaphor, like ground, and not merely a designation of order. As metaphor, universe is a concept of pure thought, a representation by the mind of the mystery all around us.
Literally universe means "turned into one," which is precisely what this concept does for the soul. It provides a way of contemplating the comprehensive unity of all things – inclusive, interdependent, balanced, turning as one. The soul seeks after wholeness, and the representation of reality as universe offers a simple – though admittedly infinitely complex – image for contemplation.
Notice how "ground" and "universe" stand at opposite ends of a vertical continuum. Ground is in and down; universe is out and up. Ground is beneath us, whereas universe is all around us. Ground is unqualified being, while universe is qualified to an infinite degree. Finally, ground cannot be said to exist, but the universe is the totality of existence.
Contemplating reality in the representation of universe inspires a different sort of experience for the heart. Participation here does not lead to a feeling of dissolving into pure being or oneness, but rather of being elevated into an expansive community. Whereas the former experience is that of sinking into no-thing, the latter is realizing your connection to everything.
In thought, then, the soul represents the present mystery of reality as ground and universe, as the underlying oneness and overarching all-ness of existence. Depending on which representation is the focus of contemplation, the feeling of participation will be distinct and complementary. This interplay of feeling and thought, of heart and mind, of Yin and Yang, is how the soul touches the mystery and finds salvation.


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Instagram | @theroyalfamily
10+ Times Royal Weddings Couldn't Escape Scandal
Sarah Kester
Royal weddings are the crème de la crème of the royal family.
They're watched and adored by millions all over the world, and remembered for many decades to come.
But that's not to say that royal weddings go on without a hitch. There have been plenty of cases of scandal ruining a special day.
Here are 10+ royal weddings that couldn't escape scandal.
1. When Meghan Markle's dad missed her royal wedding to Prince Harry.
Before his daughter's wedding, Thomas Markle was caught doing a number of bizarre things. This included staging photos with the paparazzi to make money and help his reputation.
This came after the palace had asked the paparazzi to stop harassing Mr. Markle.
Instagram | @sussexroyal
It was then reported that he wouldn't be walking Meghan down the aisle following an alleged heart attack.
There is still speculation that he faked this too.
2. When the Queen skipped Prince Charles and Camilla's wedding.
Since the couple had a civil wedding, the Queen was forced to skip her son's wedding ceremony.
The Telegraph reported that she had to put her duties ahead of her family feelings.
As head of the Church of England, she didn't feeling she could attend a civil wedding ceremony.
https://www.instagram.com/p/CCrJD9qnRDE/
She didn't "want to set a precedent that could damage the Church of England," per The Telegraph.
She was, however, able to attend the Guildhall at Windsor Castle for the Service of Prayer and Dedication afterward.
3. When Prince William and Kate Middleton had one angry guest at their wedding.
Their big day was pretty much perfect... except for flower girl Grace van Cutsem who went viral for looking unimpressed when Kate and William shared a kiss on the balcony.
4. When Princess Diana said Prince Charles's name wrong in their vows.
Yep, she pulled a Ross Gellar from Friends! According to CBS, she said I "take thee Philip Charles Arthur George," therefore switching Charles's first and middle names.
5. When King Edward VIII abdicated just to marry Wallis Simpson.
Since this marriage was so scandalous, it was covered by The Crown.
Simpson was still married when she got involved with the King. She later divorced her husband (divorce is also frowned upon by the royal family) to marry Edward.
6. When Prince Harry invited two of his exes to his wedding to Meghan Markle.
Can you say awkward? This was Cressida Bonas and Chelsy Davy, two exes he's on good terms with.
What's even more surprising is that Meghan must have signed off on it!
7. When Fergie made a big deal out of not getting invited to Prince William and Kate Middleton's wedding.
Instagram | @sarahfergusen15
No, not the Black-Eyed Peas Fergie. We're talking about Sarah Ferguson, Duchess of York.
Her daughter, Princess Eugenie, married Jack Brooksbank in 2018.
But since she's no longer married to Prince Andrew, the royal family had no obligation to invite her to the wedding.
Fergie called the snub "so difficult" while on The Oprah Winfrey Show. "Because I wanted to be there with my girls … to be getting them dressed and to go as a family."
8. When major secrets came out before Princess Charlene of Monaco's wedding to Prince Albert II.
Footage showed her crying all throughout her wedding.
But instead of tears of joy, they were tears of sadness over learning that Albert had fathered a third love child.
9. When the BBC reportedly refused to air Princess Eugenie's wedding.
We're certain Fergie wasn't too happy about this... Her wedding was shown on ITV instead since the BBC was reportedly worried that not enough people would tune in.
10. When Princess Diana was extremely upset to see Camilla at her wedding to Prince Charles.
This stems from the fact that Charles and Camilla had feelings for each other at the time.
They would later start an affair in 1986, according to Charles's authorized biography.
So when Diana saw Camilla, the moment ruined her special day.
"I knew she was in there, of course. I looked for her. ... So walking down the aisle, I spotted Camilla, pale gray, veiled pillbox hat, saw it all, her son Tom standing on a chair. To this day you know—vivid memory," she told biographer Andrew Morton.
11. When Queen Elizabeth II's diamond tiara broke in two on her wedding day to Prince Philip.
Every bride's nightmare, amirite?!
Thankfully, a royal jewelry house was on standby. They were able to weld it back together just in time for the wedding.
12. When only one family member attended Meghan Markle's wedding to Prince Harry.
After all the drama with her father, only Meghan's mother, Doria Ragland, attended.
To put that into perspective, 600 people attended the royal wedding!
13. The date of Prince William and Kate Middleton's wedding.
Although most likely a coincidence, it's certainly awkward that they share a wedding date with Adolf Hilter and Eva Braun.
They were married on April 29, 1945.
14. When Kate Middleton made Meghan Markle cry before her wedding to Prince Harry.
CBC via YouTube
This wasn't revealed until Meghan's sitdown interview with Oprah.
Meghan set the record straight on the reports that Meghan had made Kate cry.
This all had to do with a disagreement involving bridesmaids dresses.
"And I don't say that to be disparaging to anyone, because it was a really hard week of the wedding, and she was upset about something," Meghan told Oprah.
"But she owned it, and she apologized and she brought me flowers and a note apologizing."


The Square Blue frame in wide glasses is stylish comfort in acetate. The body is light weight, with a key hole nose bridge and wider arms that are flexible for a comfortable wear. This pair is a classic pick for its durable yet elegant nature. The hint of green gradient is subtle quirk to your persona!


48 x 10/100/1000 PoE+ ports with 382W power budget + 4 x 10 Gigabit Ethernet (2 x 10GBase-T/SFP+ combo + 2 x SFP+).
Performance: Switching capacity 176 Gbps, Forwarding rate 130.94 mpps wire-speed performance.
PoE: Power Dedicated to PoE: 382 W, Number of Ports That Support PoE+ and PoE: 32, Number of Ports That Support 60W PoE, PoE+ and PoE: 16.


Starboy Wizkid's relationship has always generated controversy, from his on and off relationship with several girls, including notable celebrities.
Even when the above fact still made it clear that Wizkid is a player, female fans are never stopping to get a chance with the starboy.
A female fan who is crushing on wizkid took to her twitter page to reveal that it will be a privilege if she get her heart broken by wizkid.
Wizkid noticing the tweet reply her with a warning.


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Q: String Manipultation - Get String between two other Strings? I have a large piece of text in which there is something simular to this:
!#__KT__#!COMMANDHERE!#__KT__#!
I want, in VB.Net, to get the 'COMMANDHERE' part of the string, how would I go about doing this? I have this so far:
Dim temp As String = WebBrowser1.Document.Body.ToString
Dim startIndex As Integer = temp.IndexOf("!#__KT__#!") + 1
Dim endIndex As Integer = temp.IndexOf("!#__KT__#!", startIndex)
Dim extraction As String = temp.Substring(startIndex, endIndex - startIndex).Trim

TextBox1.Text = extraction

However this only removes the LAST string eg: #__KT__#! COMMAND.
Any help is appreciated!

A: IndexOf returns the position of the first character of the pattern in the host string. You add 1 to your startIndex, which is why the first "!" is not included. Change "+ 1" to "+ 10" (the length of your pattern) and it should work as expected.

A: I've done something similar to this when breaking out email addresses separated by a semicolon.  I've adapted my code to fit your requirement here:
Dim temp As String = WebBrowser1.Document.Body.ToString
Dim stringArray() As String = Split(temp, "!")
TextBox1.Text = stringArray(2)

In this code, your text !#KT#!COMMANDHERE!#KT#! is broken up into the following array:
stringArray(0) 'is equal to nothing
stringArray(1) 'is equal to #_KT_#
stringArray(2) 'is equal to COMMANDHERE
stringArray(3) 'is equal to #_KT_#

I hope that helps!

A: startIndex is pointing to the start of your first delimiters string, you need to add its length.
Instead of adding one, try adding "!#__KT__#!".Length;

A: Well, just add the length of the "#KT#!" prefix to the startIndex when extracting substring:
Dim temp As String = WebBrowser1.Document.Body.ToString
Dim startIndex As Integer = temp.IndexOf("!#__KT__#!") + 1
Dim endIndex As Integer = temp.IndexOf("!#__KT__#!", startIndex)
Dim extraction As String = temp.Substring(startIndex + 9, endIndex - startIndex - 9).Trim

TextBox1.Text = extraction

A: Regular expressions can do the trick and looks readable (to me at least ;-):
string command = null;
Regex regex = new Regex (@"!#__KT__#!(?<command>.+)!#__KT__#!");
Match match = regex.Match(commandText);
if (match.Success)
{
    command = match.Groups["command"].Value;
}

A: Extract Substring from the Middle of a String
here is the link
http://www.example-code.com/vb/mid.asp

redpajama_set_name: RedPajamaStackExchange


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Red Lobster Sponsors 'Younger'
Wednesday, May 20, 2015 @ 2:42 PM
Monica Cole Dir. One Million Moms MORE
Urge Red Lobster to No Longer Sponsor 'Younger'
Keep up the great work! IHOP, the sponsor One Million Moms previously contacted, is no longer supporting the program "Younger." Their ads were not present during the last two episodes.
It is almost impossible to describe the depth of depravity found in the new TV Land sitcom "Younger." It airs on Tuesday nights at 10:00 p.m. ET/9:00 CT, but the previews air much earlier in the evening. This new program is disgusting. "Younger" is a new version of "S-x in the City." (A dash '-' is used to bypass internet filters.)
TV Land network describes the show in these words: "Younger" follows 40-year-old Liza, a suddenly single mother who tries to get back into the working world, only to find out it's nearly impossible to start at the bottom at her age. When a chance encounter with a 20-something guy at a bar convinces her she looks younger than she is, Liza tries to pass herself off as 26 not only to land her dream job but also to date a much younger guy.
Every scene is filled with s-xual innuendos, implications, or encounters. It is impossible to list all the examples of inappropriate content from this TV-14 rated show.
Please use the information we have provided to contact Red Lobster and ask that they pull their financial support from "Younger."
Click on link to Take Action!
http://onemillionmoms.com/current-campaigns/urge-red-lobster-to-no-longer-sponsor-younger/
Monica Cole
Director, OneMillionMoms.com
Sign the Petition to Thank the President	Tim Wildmon
Who's to Blame?	Dr. Ray Rooney, Jr.
Urge NFL Commissioner to Keep Super Bowl Clean!	Monica Cole
In Defense of Christian Nationalism	Bryan Fischer
Solving Homelessness Without Government	Bryan Fischer


The height adjustable SpaceSaver Change Table has been designed in Australia as an alternative to traditional wall mounted units. This freestanding unit removes the need for specialised installation and makes shifting and cleaning easy. It compacts to less than 30cm off the wall when not in use which is ideal where space is already compromised. Patient transfer and changing is simplified with the 45 – 85cm height range.
With interchangeable tops, the table size can be increased as the user grows and optional padded cot sides can be easily added or removed at any stage. The SpaceSaver Change Table is manufactured in Australia.
700mm wide with a choice of 120cm, 150cm or 180cm. [The tops are interchangeable].
150kg lifting capacity centrally loaded, with automatic cut out to prevent overloading.
Choice of foot control, hand set or cordless remote control.
Upholstery – highest quality medical grade fabric over 32mm foam.
Genuine Linak Motors and controllers.


This originally was posted on Inside Climate News and can be read in it's entirety here and can also be read on our Facebook page – Renewable Energy Tax Credits.
By rejecting that approach, Republicans sent a message that they won't back attempts to kneecap ongoing growth in renewables, despite pressure from the oil and gas industry to scale back incentives for clean energy. The credits have stoked growth in wind and solar, which for the first time this year provided 10 percent of the country's electricity, while jobs in clean energy are among the fastest growing in the country.
"I think it's fair to say they weren't included in the final Senate bill because wind and solar energy enjoys strong bipartisan support, particularly in rural areas, due to their important role as a jobs and economic driver," said Gil Jenkins, a spokesman for the American Council on Renewable Energy.
While the Senate version of the bill was largely favorable to clean energy, it included a provision called the Base Erosion Anti-Abuse Tax (BEAT) that's intended to prevent corporations from making payments to overseas subsidiaries in an effort to reduce their tax liability. The provision would ultimately discourage some companies from using wind and solar tax credits to cut their tax bills, which could, in turn, discourage banks from financing renewable projects. The industry said the provision threatened up to $12 billion in financing.


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Categorized | News
Tags | Casting Choices, New Zealand, Peter Jackson, Pre-Production, The Hobbit, the noob news
Peter Jackson Makes First Hobbit Casting Choices
Posted on 06 October 2010 by Christian
Deadline is reporting that Peter Jackson has begun to decide on the actors he's interested in for The Hobbit.
Deadine reports that it has been confirmed that actor Martin Freeman will be playing Bilbo Baggins, "the adventurous Hobbit whose adventures and discovery of the One Ring leads the story up to The Lord of the Rings. Freeman has appeared in films ranging from The Hitchhiker's Guide to the Galaxy and Hot Fuzz to Love Actually."
Richard Armitage from MI-5 and Captain America: The First Avenger will play Thorin Oakenshield, leader of the dwarves who join Bilbo.
"Despite the various rumours and speculation surround this role, there has only ever been one Bilbo Baggins for us," Peter Jackson said. "There are a few times in your career when you come across an actor who you know was born to play a role, but that was the case as soon as I met Martin. He is intelligent, funny, surprising and brave — exactly like Bilbo and I feel incredibly proud to be able to announce that he is our Hobbit.
"Richard is one of the most exciting and dynamic actors working on screen today and we know he is going to make an amazing Thorin Oakenshield. We cannot wait to start this adventure with him and feel very lucky that one of the most beloved characters in Middle Earth is in such good hands."
Aidan Turner (the vampire Mitchell in the BBC's Being Human) as the dwarf Kili
Peter Jackson: "Aidan is a wonderfully gifted young actor who hails from Ireland. I'm sure he will bring enormous heart and humor to the role of Kili."
Rob Kazinsky from EastEnders as Fili
Peter Jackson: "Rob is an extremely talented young actor with a huge career in front of him. I'm thrilled that he has agreed to take on the role of Fili. Besides his talent as an actor, Rob is also a champion sword fighter and I'm looking forward to seeing the damage he can do to a horde of marauding Goblins …"
Graham McTavish of Secretariat will be Dwalin
Peter Jackson: "Graham is a terrific actor, with a great depth of experience, which I know he will bring to the role of Dwalin."
Mark Hadlow from King Kong is cast as Dori
Peter Jackson: "I have worked with Mark Hadlow on many projects, he is a fantastic actor."
John Callen of Power Rangers Jungle Fury is Oin
Stephen Hunter from All Saints is Bombur
Peter Hambleton of The Strip will play Gloin
Peter Jackson: "I am also proud to annouce the casting of New Zealand actors as Peter Hambleton, John Callen and Stephen Hunter. Fran and I know that they will bring great depth and talent to our Company of Dwarves."
Says Deadline, "The casting is just beginning, and there will be many more opportunities for the kind of career-changing roles that went in the original trilogy to the likes of Orlando Bloom, Liv Tyler, Viggo Mortensen, Elijah Wood and Sean Astin. None of this is set, but I've heard that James Nesbitt and David Tennant are up for roles, and that Ian McKellan and Andy Serkis are expected to reprise Gandalf and Gollum, though I don't believe they have made deals. Stephen Fry, Saoirse Ronan and Bill Nighy (as the voice of the dragon Smaug) are possible participants, and Aiden Turner is in contention for the Elf King [which conflicts with what was reported above]."
[deadline]


The Commercial Broadcasters Association has warned MPs to avoid a Brexit cliff edge as Parliament debates Theresa May's deal.
The organisation said in the weeks prior to the UK hitting a cliff edge, the UK's £1 billion international broadcasting sector will have "no choice" but to implement contingency plans in order to be able to still comply with EU law post Brexit.
It warns that hundreds of UK-based channels that are received in EU countries will be forced to find alternative arrangements, including securing broadcast licences from regulators in the remaining EU Member States before the end of March, so that they will have legally valid EU broadcast licences once the UK is no longer part of the single market.
Adam Minns, COBA's executive director, said: "International broadcasters have faced huge uncertainty ever since the Referendum in 2016. The UK is Europe's leading international broadcasting hub for good reason, and no broadcaster wants to restructure their operations. Some broadcasters have been forced to do so already, but many have waited until now before taking this immensely complex and difficult decision.


Acupuncture can be used in conjunction with many of our other treatments here at The Putney Clinic of Physical Therapy. Our highly qualified medical professionals will be able to advise whether acupuncture is right for you as part of your treatment with us.
Acupuncture is a proven therapy practiced throughout the modern world. Its foundation is the theory and philosophy of Traditional Chinese Medicine (TCM), an ancient system of natural healing which was also a way of life in China and Japan dating back several thousand years.
Fine hair-like needles are placed in strategic points on the body and will remain in situ for approximately 25 to 30 minutes. Acupuncture is holistic in its approach and addresses the whole person, body and mind, and the problem/concern presented. Diet and lifestyle are also taken into account. This is a "root and branch" approach, treating the cause and symptoms respectively. It can be highly effective in maintaining a balanced state of well-being and optimum health by helping the body and mind recover its physiological balance.
Please do contact us to discuss your requirements and to book an initial consultation with one of our medical acupuncturists. You can consult our acupuncture treatment fees here. For appointments, you can book online or by calling us on 020 8789 3881.


Organic matter is a good way to improve garden soil as it improves a heavy soil by bettering tilth, aeration and how quickly the soil absorbs water. However, organic matter added in the spring should be well decomposed and finely shredded/ground. Manures and compost should have a good earthy smell without a hint of ammonia. Add a 2-inch layer of organic matter to the surface of the soil and work the materials into the soil thoroughly. Be sure soils are dry enough to work before tilling as wet soils will produce clods.


"Growing Pains" - A Whiteboard Success Story - MT Works, LLC.
Growing Pains, is a whiteboard animation success story we created using VideoScribe, a whiteboard animation tool, to tell the story of Bob, an operations manager for a fast growing company.
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The new Care Research & Technology Centre at Imperial College London joins six national discovery science centres that collectively make up the UK Dementia Research Institute (UK DRI). This unique new centre will use a range of approaches – from artificial intelligence and robotics to sleep monitoring – to enable people with dementia to live safely and independently in their own homes.
Sensors placed around the house or on a patient's body to track vital signs such as heart rate, blood pressure and body temperature. The hope is these sensors – some of which are small enough to be worn as a small earpiece – will also provide key information such as gait, brain activity, and sleep that have previously been hard to measure in the home.
Technology that allows researchers and medical teams to that tracks a patient's memory and cognitive function. The centre's goal is to be able to monitor behaviour in the home with technology that doesn't interfere with their everyday life – and then use this information to predict when patients might run into problems, such as if they begin to become agitated or distressed, and intervene early to assist them.
"As a founding funder of the UK Dementia Research Institute, we are delighted that the new Care Research and Technology Centre will further the vital work of this world-leading institute. The centre will add to the UK DRI's broad research programme, boosting its impact by driving technological advances that will help people with dementia.
"Research to understand and tackle diseases that cause dementia, and efforts to find new ways to support those living with the condition, is only possible thanks to volunteers who take part in research. The new UK DRI centre will develop technologies that will allow people living with dementia to get involved in research studies as they go about their day-to-day lives.
Scientists at the centre have already developed safe and robust data storage technologies, to ensure all personal data is secure. The new centre will be part of the national UK DRI, which was launched in 2016 to find scientific solutions to one of society's biggest health challenges: over 1 million people are expected to have dementia in the UK by 2025.


Online ad released by NRA mocks Hillary Clinton for her positions on gun control.
The National Rifle Association's lobbying arm released an online ad on New Year's Eve mocking Hillary Clinton for her positions on gun control.
The ad then shows Clinton drawing an x over the resolutions, crumpling up the paper, and laughing. The ad then asks viewers to help the NRA achieve its New Year's resolutions by donating to the group.
"What difference does it make?" quoting Hillary.


text:
Electoral College map shows Trump still has work to do
Bob Fredericks
Social Links for Bob Fredericks
November 2, 2016 10:32pm
Getty Images; AP
More On: 2016 presidential election
Kremlin insider facing US fraud charges may have info on 2016 DNC hack: reports
Hillary Clinton reveals part of victory speech she planned to give in 2016
Michael Cohen released from home confinement, vows continued cooperation
Trump again slams FBI probe of his 2016 White House campaign as 'hoax'
Donald Trump has closed the gap with Hillary Clinton in many national polls — with some putting him in the lead — but he faces a far tougher challenge in the Electoral College, analysts said Wednesday.
According to the RealClearPolitics average of national polls, Clinton was ahead of the GOP nominee by a scant 1.7 percentage points, 47 to 45.3 percent, down from a 7.1 point lead on Oct. 18 before FBI Director James Comey's email bombshell on Friday.
But when it comes to the Electoral College, the former first lady maintains a larger advantage — with the University of Virginia's Center for Politics projecting 293 votes for her and 173 for Trump. It takes 270 to win.
"We still see Clinton winning. You can reasonably argue about the size of the victory — and there are many contrary indications — but she's still the clear favorite," Professor Larry Sabato, the center's director, told The Post.
The RealClearPolitics projection showed a narrower race, with Clinton carrying 226 electoral votes to Trump's 180 and 132 toss-ups.
The electoral vote is far more important than the popular vote, as proven in 2000, when Al Gore got more individual votes, but lost the presidency, with help from the Supreme Court, to George W. Bush.
Once Florida was declared in Bush's column, he ended up with 271 electoral votes — but only 47.9 percent of the popular vote to Gore's 48.4 percent.
The Electoral College has 538 "electors," and the number from each state equals the number of members in its congressional delegation, with one for each member of the House plus two for the two US senators. The District of Columbia has three electoral votes.
Matt Hale, a professor of political science at Seton Hall University, described different winning scenarios for each candidate.
Trump urges people with 'buyers' remorse' to switch early votes
"Clinton has a much easier path to get to 270 electoral votes than Trump does. Based on some models, Hillary wins if she wins Florida or Ohio or North Carolina or Georgia," he said.
"Trump wins if he wins Florida and Ohio and North Carolina and Georgia and Wisconsin and Michigan and New Hampshire and Arizona and Nevada" — runs the table in those key states. In other words, a much tougher task, he added.
Meanwhile, Moody's Analytics presidential election model, which has correctly predicted the outcome of every presidential election since 1980, was updated for the final time before Tuesday's election, and it shows Clinton winning with 332 electoral votes.
Read Next Hillary won't survive another WikiLeaks dump
Now on	Decider
Joss Whedon's Apology Tour Goes Quickly Off The Rails After Questioning Gal Gadot's English-Language Fluency


text:
package org.lockss.plugin.minerva;

import java.io.IOException;
import java.util.*;

import org.lockss.crawler.*;
import org.lockss.daemon.*;
import org.lockss.daemon.Crawler.CrawlerFacade;
import org.lockss.plugin.ArchivalUnit.ConfigurationException;

/**
 * <p>
 * Volume 18 ({@code volume_name} = {@code "Vol18"}) has a start URLending in
 * {@code "/index.htm"} instead of {@code "/index.html"}; override the default
 * only in that case.
 * </p>
 *
 * @author Thib Guicherd-Callin
 * @since Minerva2020Plugin 2
 */
public class Minerva2020CrawlSeedFactory implements CrawlSeedFactory {

  /**
   * @since Minerva2020Plugin 2
   */
  private static final String VOLUME_NAME_18 = "Vol18";

  @Override
  public CrawlSeed createCrawlSeed(CrawlerFacade crawlFacade) {
    return new BaseCrawlSeed(crawlFacade) {
      @Override
      public Collection<String> doGetStartUrls() throws ConfigurationException, PluginException, IOException {
        if (VOLUME_NAME_18.equals(au.getConfiguration().get(ConfigParamDescr.VOLUME_NAME.getKey()))) {
          return Arrays.asList(au.getConfiguration().get(ConfigParamDescr.BASE_URL.getKey()) + VOLUME_NAME_18 + "/index.htm");
        }
        else {
          return super.doGetStartUrls();
        }
      }
    };
  }

}

redpajama_set_name: RedPajamaGithub


Published on 06.29.2016 When you first come to Japan, you may feel a tad bit overwhelmed by the sheer number of historical and beautiful sightseeing spots there are to choose from. One of the hardest thing for first-timers is deciding which temples and shrines to see and which ones to miss or skip. There are simply far too many temples and shrines to realisticly visit. And while most temples and shrines are quite similar and have pretty similar layouts and structures, there are a few that stand out above the rest. Heisenji Hakusan Shrine is one of those special few.
Heisenji Hakusan Shrine is one of Japan's most famous "kokedera" or moss temples. The entire grounds are covered in beautiful moss creating a very unique and beautiful atmosphere. While it's not the largest temple out there, it's seclusion from the big cities and hustle and bustle give it a serene atmosphere that most Kyoto and Nara temples can't provide. Located near Mt Hakusan (hence the name) in Fukui Prefecture which is near the western coast of Japan, Heisenji has a long history. However, like most old temples and shrines it has been destroyed, rebuilt, destroyed, rebuilt.
There is also a beautiful lake nearby that supposedly is home to the spirits of Mt Hakusan.
If you are in the western Japan area and want to visit a kokedera that doesn't require reservations 3 months in advance (I'm looking at you Saihoji in Kyoto), then come check out Fukui's secluded and tranquil kokedera, Heisenji Hakusan Shrine.


text:
You are here: Home / Fires/Accidents/Disasters / Pilot killed in plane crash
Pilot killed in plane crash
September 6, 2011 By WRN Contributor
The pilot of a single engine, multi-seat airplane was killed Monday evening when the aircraft went down in a Village of Mount Pleasant field, west of Racine. Initial information had the pilot attempting to get to Mitchell International Airport with some kind of mechanical problem, according to Police Captain Brian Smith, who pointed out the crash site is near a heavily populated area, so it could have been much worse. "With all the homes here, it could have been disastrous," he said.
Flight For Life was canceled within minutes of first responders reaching the plane, from which a good deal of fuel was spilled, prompting the need for foam to be sprayed on the wreckage. Law enforcement agencies also had some initial crowd control issues. The FAA was on-scene last night, while the NTSB will be working there today as the investigation starts into what exactly happened.
Tom Karkow, WRJN


Spiral drum evaporator — each model is supplied standard with the proven Spiral Drum Heat Exchanger.
Horizon™ circuited air-cooled condenser — is supplied standard with the Horizon circuited condensers. The finned receiver and sub-cooling circuits deliver one of the most efficient condensers available.
Stainless steel glycol pumps — system is supplied standard with an internal Chiller Evaporator Pump and a Dedicated Glycol Process Pump for the plate heat exchanger.
Total Cooling Control (TCC) — an optional micro-processor controller that can be installed on all semi-hermatic chiller packages. The independent control cards provide superior compressor, condenser, evaporator and pump control.
Base units can be installed indoors; the remote air-cooled condensers must be installed outdoors.
NOTE: Refrigerant must be ordered locally.
Pre-charged and pre-run at the factor – ready to perform!
NOTE: Supplied with circulation pump but contains no glycol tank.


It is nice that we can talk!
Dear customer, We treat all of our customers as we would treat our friends so we would like you to feel the same way! Since you are reading this message, it might mean that, you have seen or tasted some of our self-indulgent products.
My name is Rena and I am your Liaison Manager.
I would be delighted to contact you at your earliest convinience. My job is answer any of your queries and be your host.
Please feel free to contact me without any hesitation, at the address below.
After all...... talking is life's elixir!


text:
Aguilera (стилизовано AGUILERA) — девятый студийный и второй испаноязычный альбом американской певицы Кристины Агилеры, выпущенный 31 мая 2022 года на лейбле Sony Music Latin. Это первый испаноязычный альбом певицы за 22 года, с момента выхода альбома Mi Reflejo в 2000-м году.

По задумке, до выхода альбома должны были выйти три мини-альбома, которые вместе должны были составить полный альбом. Первый мини-альбом, La Fuerza, был выпущен 21 января 2022 года и состоял из шести песен, включая синглы «Pa Mis Muchachas», «Somos Nada» и «Santo». Второй мини-альбом, La Tormenta, был выпущен 30 мая 2022 года, одновременно с синглом «Suéltame». На следующий день оба мини-альбома были объединены и Aguilera был выпущен на цифровых площадках. 30 сентября 2022 года альбом был дополнен третьим и последним мини-альбомом La Luz. Он включает в себя сингл «No Es Que Te Extrañe».

Альбом получил в целом положительные отзывы от музыкальных критиков. Альбом и песни с него получили семь номинаций на «Латинскую Грэмми» в 2022 году, включая номинации «Альбом года», «Запись года» и «Песня года». Aguilera одержал победу в категории «Лучший традиционный вокальный поп-альбом». Альбом также получил две номинации на 65-я церемонию «Грэмми» — «Лучшие латиноамериканский поп-альбом» и «Лучший иммерсивный аудиоальбом».

Предпосылки

В 2000 году Агилера выпустила свой первый испаноязычный альбом Mi Reflejo. Альбом занял десятое место в списке «Топ 20 Латино-Альбомов всех времён» журнала Billboard, а также стал самым продаваемым латино-поп-альбомом 2000-х.

Работая над своим восьмым альбомом, Агилера отправилась в Эквадор в сентябре 2015 года, в качестве амбассадора World Food Programme. Имея эквадорские корни, Агилера призналась, что поездка вдохновила её на запись испаноязычного альбома. На шоу Watch What Happens Live! with Andy Cohen в январе 2019, Агилеру спросили о её испаноязычном альбоме, на что она ответила: «Это определённо возвращение к моим истокам [..] следующий испаноязычный альбом всегда будет в моём списке дел».

Агилера начала намекать на релиз своего второго испаноязычного альбома 20 лет спустя, в 2020 году. В интервью журналу Health в апреле 2021 года она отметила: «Через несколько месяцев я кое-что анонсирую […] Я вновь вдохновлена и восстановила связь с самой собой. Я снова влюблена в музыку, и это действительно важно, учитывая, что всю свою карьеру я посвятила музыке».

Агилера воспользовалась локдауном в связи с пандемией COVID-19 и переехала в Майами, в писательском лагере, защищённом от COVID, с намерением записать испаноязычную музыка и отдать дань уважения ее эквадорскому наследию. Сессии проводились в студиях звукозаписи Criteria и Art House, начиная с февраля 2021 года, и продолжались до апреля 2021. Агилера привлекла продюсеров Федерико Виндвера, Рафу Аркаута и DallasK для работы над альбомом.Первой записанной песней для альбома является «Pa' Mis Muchachas». Агилера задумала идею многосерийного альбома после того, как первая часть альбома, La Fuerza, была завершена через четыре недели после начала записи.

Певица намекнула на релиз альбома в интервью Insider, в сентябре 2021 года. Агилера рассказала, что планирует выпускать альбом «в течение следующего года, по шесть песен каждые несколько месяцев». В интервью Los Angeles Times, Агилера сообщила, что альбом будет выпущен в трёх частях, анонсировав название первого мини-альбома.

Музыка и лирика
Тематика первой главы альбома, La Fuerza, включает в себя силу, феминизм и независимость. Альбом открывается треком «Ya Llegué», который был охарактеризован как «знойный футуристичный трек», который «постепенно переходит в жёсткий реггетон». В песне Агилера делает отсылку к своему дебютному синглу «Genie In a Bottle». Дальше идёт композиция «Pa Mis Muchachas», записанная при участии Бекки Джи и аргентинских певиц Нати Пелусо и Ники Николь. Агилера заявила, что песня «является данью уважения женщинам», добавив, что певицы «хотели убедиться, что эа песня характеризует латиноамериканских женщин, которые являются силой семьи [...] Нати, Бекки и Ники [были выбраны] из-за силы, которую они излучают». Песню сравнивала с хитом Агилеры «Lady Marmalade» 2001 года.

«Somos Nada» — «минималистическая фортепианная балада, выдвигающая на первый план сильный голос певицы». Песня была названа «знаковой» для Агилеры, поскольку в ней представлено «жёсткое эмоциональное исполнение». «Santo» повествует о «двух людях, запавших друг на друга». Песня записана при участии пуэрто-риканского певца Осуны, чей «чёткий, приторный вокал и вокальный диапазон [Агилеры] создают идеальное перрео, перерастающее в танцевальную кумбию». «Como Yo» демонстрирует экспериментальное латино-звучание. Это «клубный данс-поп-трек с громкими басами, показывающими иную музыкальную сторону X-тины». Следующий трек, «La Reina», был прозван «гимном альбома». Песня воспринимается ответом на песню Висенте Фернандеса «El Rey» и Агилера демонстрирует «мощный, особенный вокал, создавая мощную ранчеру, которая идеально играет с фразой "Что такое король, без своей королевы?"».

Вторая глава, La Tormenta, повествует о теме слабости, и начинается с песни «Suéltame», записанной совместно с аргентинской певицей Тини. Песня была описана как «знойная коллаборация, в которой переплелись танго и урбан, где женщины взяли ситуацию в свои руки» журналом Billboard, и была отмечена за использование элементов босса новы. Дальше идут треки «Brujería» «Traguito», последняя из которых охарактеризована как ортодоксальный поп-трек. «Cuando Me De la Gana» — ранчера. Дуэтная версия с Кристианом Нодалем включена в альбом в качестве последней песни. Глава заканчивается треком «Te Deseo Lo Mejor», описанным как тропический трек.

Главными темами последней главы альбома, La Luz, является излечение и завершение. Она начинается с разговорного вступления, которое, по словам певицы в интервью Billboard, повествует «о том, как найти завершение и понять, что у каждого своя история, из-за которой всё происходит и нам не суждено это понять». Далее следует песня «No Es Que Te Extrañe», в которой певица поёт о нахождении спокойствия, завершении и прощении своего отчуждённого отца.

Выпуск и продвижение
Альбом был впервые анонсирован на веб сайте Агилеры 4 октября 2021 года, на котором была надпись «Redescubriendo raices. Nos vemos pronto!» () и тизер к клипу на лид-сингл «Pa Mis Muchachas». После выпуска первых двух синглов, певица посетила 22-ю церемонию вручения «Латинской Грэмми» в Лас-Вегасе, 18 ноября 2021 года, где она исполнила оба сингла с пианистом Хулио Рейес Копелло и певицами Бекки Джи, Нати Пелусо и Ники Николь. «Somos Nada» также была исполнена на 47-й церемонии вручения премии People's Choice Awards в том же году, где она получила специальную награду Music Icon.

Первая часть альбома, La Fuerza, была выпущена 21 января 2022 года в качестве мини-альбома. La Tormenta изначально должен был выйти 27 мая того же года, но релиз был отложен из-за массового убийства в начальной школе «Робб» в Техасе. В итоге проект был выпущен 30 мая, без предварительного анонса. Агилера написала в своём Инстаграме:Я отложу выход своей музыки, из-за скорби по жертвам в Увальде. Моё сердце разбивается из-за семей, любимых детей и учителей, пострадавших от этой трагедии. Я призываю наших правителей немедленно внести изменения в законы о хранении оружия.Aguilera изначально был выпущен в формате двойного альбома 31 мая, во вторник. Альбом включал в себя La Fuerza и La Tormenta на двух отдельных дисках. На следующий день Агилера анонсировала, что последняя часть трилогии будет называться La Luz. В рамках продвижения пластинки Агилера организовала EU/UK Summer Series — концертный тур, состоящий из пяти выступлений на фестивалях и трёх самостоятельных шоу в Великобритании.

Агилера организовала «Премьерную вечеринку с Кристиной Агилерой» в рамках недели латиноамериканской музыки от Billboard, 27 сентября 2022 года, где она исполнила новую песню «No Es Que Te Extrañe». 29 сентября, «La Reina» была впервые исполнена на премии Billboard Latin Music Awards. На следующий день, La Luz был выпущен в формате сингла, состоящего из «No Es Que Te Extrañe» и разговорного вступления, который был включён в стандартное издание Aguilera на третьем диске.

Синглы
19 октября 2021 года, Агилера начала выкладывать отрывки лид-сингла и видеоклипа на него. «Pa Mis Muchachas» был выпущен 22 октября 2021 года вместе с видеоклипом. В записи песни приняли участие Бекки Джи, Никки Николь и Нати Пелусо. Агилера отметила, что видеоклип является «первым эпизодом долгой истории […] Это праздник индивидуальности. Это история о силе, о том, как распустить волосы. О том, чтобы заново открыть себя на этом пути».

Второй сингл, фортепианная баллада «Somos Nada», была выпущена 18 ноября 2021 года вместе с видеоклипом. Песня была написана Агилерой, Марио Доммом, Шарлин Тауле и Федерико Виндвером. Агилера исполнила первые два сингла на 22-й Латинской премии Грэмми, вместе с Джи, Николь и Пелусо.

«Santo», записанный дуэтом с пуэрто-риканским музыкантом Осуной был выпущен третьим синглом 20 января 2022 года.

«Suéltame», записанный совместно с аргентинской певицей Тини, был выпущен четвёртым синглом 30 мая 2022 года.

30 сентября песня «No Es Que Te Extrañe» была выпущена в качестве пятого сингла из альбома.

Критический приём
В своем обзоре для Latina Лукас Вилла похвалил альбом, заявив, что «Xtina действительно выкладывается полностью на этом альбоме, который отдаёт дань уважения её латиноамериканским корням». Он особенно похвалил песню «Cuando Me Dé la Guna», записанную с Кристианом Нодалом, отметив, что «Агилера снова звучит невероятно, обращаясь к жанру ранчера своим могучим голосом».

Награды и номинации

Список композиций
Продюсерами всех песен выступили Рафа Аркаут и Федерико Виндвер. В списке ниже представлены лишь дополнительные продюсеры.

Примечания

 Все песни спродюсированы совместно с Афо Верде.
 Вокальным продюсером всех песен выступил Жан Родригес.

Чарты

История релиза

Примечания

Альбомы 2022 года
Альбомы Кристины Агилеры
Альбомы на испанском языке
Альбомы Sony Music Latin
Латиноамериканские альбомы

redpajama_set_name: RedPajamaWikipedia