text:
Doing Well By Doing Good
Female Movers + Shakers of Potomac
Article Tyra Wilkes
Georgette Godwin
Georgette Godwin is the CEO of the Montgomery County Chamber of Commerce, a business membership and advocacy organization of more than 500 members.
"As a first-generation American on my mother's side, my ancestors came here to pursue opportunity, so, what I love about the chamber is not only do I get to work with some of the most important, influential thought leaders, but also increase access to opportunity, and, when we're successful, that's what happens."
How do you unplug?
Spend time with my family and friends, neighbors, even colleagues who have become friends over the years. Also reading and taking in the latest movies, enjoying the performing arts and traveling.
The Athlete
Ashley Nee
In 2016, Ashley Nee was kayaking through the Olympic waters in Rio de Janeiro as she competed in her biggest competition yet.
"I love the feeling of getting good moves and working well with water. It's an unbeatable feeling when you're in connection with the water."
As a young girl, a group of friends inspired Ashley to take up kayaking which she saw as a challenge to push her limits and reach her full potential. Her perseverance and dedication led to her spot in top competitions around the world.
Well, tomorrow I leave for an 11-day expedition with no electricity, so, that's really unplugging. I'd say kayaking brings me my stress, but it also brings me my stress release.
The Instructor
Andrea Santman
Andrea Santman saw a need in the community, and, in 2015, opened the MOCO Movement Center. The pediatric therapy center serves as an inclusive sports and learning program for all children.
"A big problem for many families is they can't afford the therapy forever, so we needed to come up with a solution to help them continue to make their therapy goals and make the magic of everyday movement," she says.
The center provides physical, occupational, speech and behavioral therapy, in addition to a wide range of physical activities including basketball, baseball, swimming, ice hockey, ice skating, rock climbing and gymnastics.
Maryland offers opportunities for us to explore. I'm really into hiking and long walks. Lately, I've been listening to podcasts when I walk, but I used to count turtles on the C&O Canal.
Kerry Blair
"What is bigger than you that you can turn to when you're on your knees? What moves your soul and brings you peace?"
These are questions from Kerry Blair, the founder of Maximum Joy, a daily gratitude practice about reaching for our highest good. After her work in Africa during the HIV/AIDS epidemic in the early 2000s, Kerry got involved with United Nations program Club Hero.
"I couldn't come back to my beautiful bubble of Potomac and forget what I saw," she says.
She introduced the program into the middle schools of Potomac to educate children about the value of a dollar.
I think it's important to take time to recharge your battery. Nourish your mind, body and spirit. I love being with my family and friends, reading, taking baths and traveling.
Ethiopia Alfred
During her early years, Ethiopia Alfred began work with the Democratic National Committee where she met many people within the political arena and those involved with different coalitions. Through those relationships, she got involved with bills on Capitol Hill involving African-Americans, sparking her lifelong involvement with civil rights.
She was the first Ethiopian appointed as the commissioner for civil rights in Montgomery County and continues to support the journey to equality.
"The movement still exists. We're still facing discrimination when it comes to crime, employment, rental housing, purchasing property and other things," she says. "That's why I feel that I can't abandon the movement."
I watch Ethiopian movies, read and learn about new technology.
The Philanthropist
Lisa Friedlander
Lisa Friedlander founded the Heartsongs Luncheon Fund after her daughter was born prematurely and became a patient of Children's Hospital. Its mission is to make what can be the most difficult time for families a little more bearable. It began as a means to raise donations for things like new equipment, renovations for the patient and family waiting rooms, and funding for Dr. Bear's Den, a home for the families of children who will be at Children's for an extended period.
"When people save your child's life and then continue to treat her, you spend the rest of your life trying to say thank you," Lisa says. "This is one small way of showing my support and gratitude, and making sure that this wonderful place and the families have all that they need."
I love spending time with my family. My friends are my savior, and I'm addicted to good television and movies.
The Educator
Jillian Copeland
Jillian Copeland filled a void that many experience when trying to find resources that meet all of the expectations for family members with developmental needs. She was inspired to start The Diener School after her unsuccessful hunt for an institution that would support the needs of her son.
Her efforts at Diener inspired her to start TeensLikeUs, a weekly social club and safe place for neurotypical teens, social issues and other needs to gather and participate in fun activities and community service.
Taking time for myself and doing things I enjoy; working out, yoga, walks with my family and taking away technology.
The Mompreneur
Monique Samuels
Monique Samuels wanted to create a community for moms to support and build each other up. Not For Lazy Moms is a global network of women who share lifestyle tips, natural remedies, and other advice to promote healthy and happy living.
"It's a community of everyday moms, and we're all sharing," Monique says. "We're saying, 'I'm not an expert, but being an everyday mom and this is what I have to offer.' I'm hoping by us women sharing those things it will help other moms."
I go to the spa! Give me two hours of pure silence, leave my cell alone, and I'm gone with the wind.
Rachel Sullivan
Rachel Sullivan's journey with Sibley Hospital began as a breast cancer patient where she was cared for by the phenomenal staff that ensured her comfort and care.
"We started the Hope and Progress Gala to raise money for new equipment in the breast center at Sibley, and it continued over the years, and, about two years ago, Dr. Colette Magnant decided to create a women's center to make these resources available to everyone because we all deserve access to health care," she says.
The Hope and Progress gala, now in its 17th year, has successfully brought the community together to support a cause that affects so many.
I believe in moderation. The one thing I never thought was that I would get breast cancer; that taught me that I can't control everything, but I can control balance.
The Officer
Laurie Reyes
Laurie Reyes took an oath as an officer to protect and serve our community. Her work with the Montgomery County Police Autism Intellectual and Developmental Disabilities outreach program has helped educate fellow officers on effective ways to handle these encounters.
"We were averaging about two to five searches a week for individuals who had autism, IDD, Alzheimer's and dementia, and we needed to address that concern from the police department perspective, not only with search and rescue, but as it relates to making sure the department has positive interactions," she says.
I love to laugh, being with my family and friends, and just communicating with people when I'm not working. I talk to everyone and just strike conversation, and, for me, that's unplugging. I enjoy that communication because I feel like there are no accidents in life and everyone I meet is meant to be there in that moment.


SALT LAKE CITY — It's easy to say "no comment" when two national reporters show up at your office with questions about a star athlete who had a serious run-in with the law.
But football coach Dave Peck didn't think he had anything to hide, and when veteran journalists Jeff Benedict and Armen Keteyian left Bingham High School, they took with them a different side of the story.
The reporters came knowing that lineman Viliseni Fauonuku helped lead the Miners to a 13-0 season and the state 5A championship last fall. They knew he was being recruited by the University of Utah. And they also knew that Fauonuku had been charged with aggravated robbery for holding a gun in the faces of several teenagers while his cousin stole drugs and wallets.
For them, the teen star was a prime example of the issue they were examining: college football players recruited by colleges that usually fail to seek out, or choose to ignore, criminal backgrounds.
For six months, Benedict, Keteyian and a team of all-stars from Sports Illustrated and CBS News dug through criminal backgrounds of 2,837 athletes from the top 25 preseason college teams.
In their special report, "Criminal Records in College Football," published today in Sports Illustrated, on SI.com, CBS.com and on the "CBS Evening News with Katie Couric," the team reveals their findings that 7 percent of players, about 1 in 14, had a criminal history that ranged from drug possession to violent assault.
And Fauonuku is one of those players.
Peck told the Deseret News Thursday that initially he knew very little about Fauonuku's case, only discovering how serious it was months later, and even then with spotty details.
Instead, last spring and summer he was focused on "Seni" as a person, not a football player. And Seni was struggling, emotionally devastated after the death of his young nephew.
"I really like Seni, I think he's a great kid, and I know he made a huge mistake," Peck said. "I can't explain why, but he was in the lowest state he could be in. We just tried to be some adults in his life who tried to care about him."
Fauonuku was suspended for two games, and Peck knows some people accuse him and Bingham High School of trying to pull strings to keep Fauounku on the team, in school or to resolve his case. Peck immediately dismisses those. The coach never once talked with an officer, an attorney or a prosecutor. He was simply focused on his players and the increasing attention and demands of a winning team.
Fauonuku was sentenced in juvenile court in November to a lesser charge of robbery, put on probation and ordered to complete 125 hours of community service. After his probation ends, his charge will be reduced from a felony to a "delinquent act," according to CBSNews.com.
"We're just trying to make a difference with the kids we're with," Peck said. "Do we always make the best decisions? We probably don't, but none of us are out there trying to make bad decisions. We're doing it because we love what we do and we're trying to help kids. That's the bottom line."
"Everybody makes mistakes, we all make them," said Brad Bevan, Bingham High School's Athletic Director. "When you give up on a young man or woman because of something in their background … there goes your chance to influence them in a positive way. And that's what some of these coaches can do."
But the investigative report revealed that far too few of the coaches and colleges even know that there's something amiss in their players' backgrounds.
"Given what's available and what's at stake, (I was most surprised) at how little schools know, and how little they dig into the backgrounds of the kids they're bringing onto campus," said Keteyian, CBS News' chief investigative correspondent and former reporter for Sports Illustrated.
Only two of the 25 teams even attempted to conduct background checks. And those two — TCU and Oklahoma — only looked at adult records, which may include less than a year's worth of information, given the young age of many recruits.
Fauonuku, still a minor until April, recently signed with the University of Utah and was even offered a scholarship. Coach Kyle Whittingham declined to comment on the Sports Illustrated/CBS News story or the Fauonuku situation.
"What happened with (Fauonuku's) case gets to the core of the issue," said B.J. Schecter, executive editor of SI.com. "That either schools don't know the full information or they don't want to know. I think it was clear that the U. of U. didn't know a lot of the details about his case. In fact, Seni's high school coach didn't know a lot of the details until we showed him a police report. Again, (this story) isn't to place blame on Kyle Whittingham or his staff or Coach (Dave) Peck at Bingham — this is the way this system is designed right now and it's heavily flawed."
The reporters hope their investigation — the first one to review criminal backgrounds of college gridders — will spark some discussion about how to increase communication among those responsible for making admission and scholarship decisions.
"I think this has a very good chance at prompting some change," Schecter said. "Our stories, in a lot of ways, are road maps for how to obtain some of this information. We are transparent, we say exactly what we did, where we went, where the limitations are and how to get around them. I think if anybody reads this, they will say, 'OK, if they can do this for 25 teams, maybe we can do it for one team.'"
The writers checked players' names, dates of birth and other vital information in 31 courthouses and through 25 law enforcement agencies in 17 states. They also used several online databases that track criminal records, for a total of 7,030 checks.
"It's one of those stories that unless you did what we did, you never know this kind of information exists," Keteyian said. "We didn't do anything more than present it and then have people react to it."
Benedict, a lawyer, journalist and frequent SI.com contributor, explained that their investigation isn't meant to promote blanket policies regarding athletes with troublesome pasts, but to make those records more of a discussion point.
"One of the things about sports, it's the great venues for second chances," he said. "(Saying) 'no college should ever give a scholarship to a player who's been arrested' is not the point. But the fact is, there's a significant number of players that have a criminal charge on their record. I think that it probably makes sense for someone more than a single coach to be involved in the decision making process on whether to give a scholarship to a kid who's going to wear a uniform and represent a school if he's had some serious run-ins with the law."


text:
The efficacy of adding dexamethasone, midazolam, or epinephrine to 0.5% bupivacaine in supraclavicular brachial plexus block
Ghada F El-Baradey, Nagat S Elshmaa
Department of Anesthesia and ICU, Faculty of Medicine, Tanta University, Tanta, Egypt
Dr. Nagat S Elshmaa
Department of Anesthesia and ICU, Tanta University Hospital, Tanta
DOI: 10.4103/1658-354X.144083
Date of Web Publication 6-Nov-2014
Aims: The aim was to assess the effectiveness of adding either dexamethasone or midazolam in comparison with epinephrine addition to 0.5% bupivacaine in supraclavicular brachial plexus block. Settings and Design: This is a prospective randomized controlled observer-blinded study. Subjects and Methods: This study was carried out in Tanta University Hospital on 60 patients of both sexes; American Society of Anesthesiologists physical Status I and II, age range from 18 to 45 years undergo elective surgery to upper limb. All patients were anesthetized with ultrasound guided supraclavicular brachial plexus block and randomly divided into three groups (each group 20 patients) Group E (epinephrine): 30 mL bupivacaine 0.5%with 1:200,000 epinephrine (5 μg/mL). Group D (dexamethasone): 30 mL bupivacaine 0.5% and dexamethasone 8 mg. Group M (midazolam): 30 ml bupivacaine 0.5% and midazolam 50 μg/kg. The primary outcome measures were onset and duration of sensory and motor block and time to first analgesic request. Statistical Analysis Used: The windows version of SPSS 11.0.1 (SPSS Inc., Chicago, IL, USA) was used for statistical analysis. Data were presented in form of mean ± standard deviation multiple analysis of variance (ANOVA) was used to compare the three groups and Scheffe test was used after ANOVA. Power of significance P < 0.05 was considered to be statistically significant. Results: Onset of sensory and motor block was significantly rapid (P < 0.05) in Groups D and M in comparison with Group E. Time of administration of rescue analgesic, duration of sensory and motor block showed significant increase (P < 0.05) in Group D in comparison with Group M which showed significant increase (P < 0.05) in comparison with Group E. Conclusions: In comparison with epinephrine and midazolam addition of dexamethasone to bupivacaine had rapid onset of block and longer time to first analgesic request with fewer side-effects.
Keywords: Brachial plexus block, bupivacaine, dexamethasone, midazolam, supraclavicular block
El-Baradey GF, Elshmaa NS. The efficacy of adding dexamethasone, midazolam, or epinephrine to 0.5% bupivacaine in supraclavicular brachial plexus block. Saudi J Anaesth 2014;8, Suppl S1:78-83
El-Baradey GF, Elshmaa NS. The efficacy of adding dexamethasone, midazolam, or epinephrine to 0.5% bupivacaine in supraclavicular brachial plexus block. Saudi J Anaesth [serial online] 2014 [cited 2023 Jan 31];8, Suppl S1:78-83. Available from: https://www.saudija.org/text.asp?2014/8/5/78/144083
Supraclavicular nerve block is good alternative to general anesthesia for upper limb surgery. This avoids the untoward effects of general anesthetic drugs and upper airway instrumentation. It achieves complete muscle relaxation, intraoperative hemodynamic stability, and postoperative analgesia. [1]
There are many approaches to the brachial plexus block have been described, but the supraclavicular approach is the easiest and appropriate method for anesthesia and management of perioperative pain in surgery below the shoulder joint. [2]
Bupivacaine used frequently for supraclavicular nerve block as it has long duration of action from 3 to 6 h. Adjuncts to local anesthetics for brachial plexus block may enhance the quality and duration of analgesia. [3]
Brachial plexus blockade reduces pain, but still with short duration and the challenge remains to increase the duration of analgesia with decreasing side-effects. [4]
Different additives have been used to prolong regional blockade and shorten the onset times of blocks. Vasoconstrictor was used to constrict vessels, thereby reducing vascular absorption of the local anesthetic. Additives such as opioids, clonidine, verapamil, etc., were added to local anesthetics, but the results are either inconclusive or associated with side-effects. [5]
Steroids have powerful antiinflammatory as well as analgesic property and were used intrathecally with no evidence suggesting neuritis when given in low concentration. [6]
Also midazolam, a water-soluble benzodiazepine, is known to produce antinociception and enhance the effect of local anesthetics when given epidurally or intrathecally. [7]
The purpose of this study was to assess the effectiveness of adding either dexamethasone or midazolam in comparison with epinephrine addition to 0.5% bupivacaine in supraclavicular brachial plexus block.
Subjects and Methods
This is a prospective randomized controlled observer-blinded study conducted at Tanta University Hospital and carried out on 60 adult patients of both sexes during the period from April 2010 to February 2012 after approval by the Hospital Ethical Committee.
Inclusion criteria are American Society of Anesthesiologists physical Status I-II and age between 18 and 45 years.
Exclusion criteria are known allergy to local anesthetic agents or narcotics, coagulation disorders, ASA physical status of more than II, history of a major psychiatric disorder, chronic pain syndrome, diabetic patient, pregnancy, history of substance abuse, and current opioid use. Patients were provided with complete information about the techniques of anesthesia and analgesia. All included participants were asked to take part in the study by the study personnel soon after admission to the ward and a written informed consent was obtained from each patient. Patients were randomly allocated to three groups of 20 patients each.
Patients were connected to the monitor include pulse oximeter, electrocardiogram and noninvasive blood pressure (BP). Patients were connected to nasal prong at 3 L/min. Intravenous access was secured, lactated ringer started at rate 10 mL/kg intravenous (IV).
Patient in semi-sitting position (the head of the bed raised about 45°) with head tilted to the opposite side of injection site. The skin was cleaned with chlorhexidine solution. The ultrasound transducer (high frequency linear 13-6 MHz, 38 mm broadband linear array [SonoScape SSI 6000 China]) was inserted into a sterile sheath. A thin layer of sterile gel was placed between the draped ultrasound transducer and the skin. Probe is applied parallel to the clavicle in the supraclavicular fossa. At this location, the subclavian artery is seen beating above the first rib; it cannot be compressed as opposed to the vein. The rib is bright and pleura are seen on each side of the rib. The brachial plexus is lateral to the subclavian artery with honeycomb appearance. A volume of 2 mL lignocaine 2% was infiltrated subcutaneous before the block (24-G needle Masco Mid Co., Cairo, Egypt). An 18-G tuohy needle (Perifix, B Braun, Melsungen AG, Germany) is advanced in plane under direct visualization toward the plexus sheath till its puncture and start injection. The injected volume gently expands the connective tissue surrounding the nerves, which is called hydro dissection. This allows a clear path for the needle, decreasing the chance of nerve damage by the needle. Another injection site is at the angle between the first rib and the subclavian artery. Aspiration done every 3-5 mL during injection to prevent vascular injection the end of the injection was considered time 0.
Patients were randomly divided into three groups (each group 20 patients) using closed sealed envelope, according to drugs injected into:
Group E (epinepherine): 30 mL bupivacaine 0.5%with 1:200,000 epinepherine (5 μg/mL).
Group D (dexamethasone): 30 mL bupivacaine 0.5% + dexamethasone 8 mg.
Group M (midazolam): 30 mL bupivacaine 0.5% + midazolam 50 μg/kg.
The following parameters were measured
Onset of sensory block
It was defined as the time taken from the end of the injection to the first dull response to pinprick in the distribution of any of the three sensory nerves in the hand.
After injection, patients were assessed for sensory blockade by using pinprick. The palmar surfaces of the index and little finger were used to test the median and ulnar nerve in the hand, respectively. The dorsal surface of the thumb was used to test the radial nerve. Sensory characteristics of the block were assessed using response to pinprick to 23-G hypodermic needle. [17]
Sensory score
0 normal sensations to pin prick.
1 dull response to pin prick.
2 no response to pin prick. [7]
Onset of motor block
from end of injection until onset of complete loss of the motor power.
Patients with inadequate blockade requiring supplementation were excluded from the study.
The end of the injection was considered time 0 to be successful if it occurred within <30 min.
Motor block was assessed by asking the patient to adduct the shoulder and flex the fore-arm and hand against gravity. Motor characteristics of block were assessed using Bromage 3-point scale. [8]
Motor score
0 normal motor functions with full flexion and extension elbow, wrist, and fingers.
1 decreased motor strength with ability to move fingers only.
2 complete motor blockade with inability to move fingers.
Duration of sensory block (the time taken between injection of the drug and appearance of pain requiring analgesia) duration of motor block (time taken between injection to complete return of motor power) were recorded.
Sedation score was assessed by using the sedation score. [8]
Awake and alert;
Sedated, responding to verbal stimulus.
Sedated, responding to mild physical stimulus.
Sedated, responding to moderate or severe physical stimulus.
Pain was assessed using the visual analog scale (VAS) where zero (0) represented no pain and 10 meant the worst possible pain. [3] Postoperative rescue analgesic in form of paracetamol 30 mg/kg IV if VAS (4-6) or pethidine 30 mg IV if VAS >6.
Hemodynamic variables (heart rate [HR], mean arterial pressure [MAP], and oxygen saturation).
Neurologic assessment (sensory and motor), hemodynamic variables (HR, MAP, and SaO 2 ), analgesia with VAS and sedation scores were recorded at 1, 3, 5, 10, 15, 20, 30 and 45 min, then hourly up to 6 h, 2 hourly up to 16 h and 4 hourly until 24 h.
Any adverse effects such as nausea, vomiting, dizziness…etc. Specific questions were asked about any residual numbness, discomfort, and pain.
In addition, overall patient satisfaction with analgesia was assessed by a second anesthesiologist on postoperative day 1 by the use of a 4-point verbal scale ranging from very satisfied to very dissatisfied (1: Very dissatisfied, 2: Dissatisfied, 3: Satisfied, 4: Very satisfied). [9]
Statistical analysis used
Sample size calculation was performed before patient recruitment. Based on a previous study. [1],[2]
The windows version of SPSS 11.0.1 (SPSS Inc., Chicago, IL) was used for statistical analysis. Data were presented in form of mean ± standard deviation multiple analysis of variance (ANOVA) was used to compare the three groups and Scheffe test was used after ANOVA. Power of significance P < 0.05 was considered to be statistically significant.
The demographic data showed insignificant differences (P > 0.05) between the three groups. Onset of sensory and motor block were significantly rapid (P < 0.05) in Groups D and M in comparison with Group E. Time of administration of rescue analgesic, duration of sensory and motor block showed significant increase (P < 0.05) in Group D in comparison with Group M which showed significant increase (P < 0.05) in comparison with Group E [Table 1].
Table 1: Demographic data, onset and duration of sensory and motor block, sedation score, overall patient satisfaction with analgesia
Sedation scores were higher in Group M compared to Groups E and D (P < 0.05) as patients in Groups E and D were all awake (score 1) throughout the procedure time, while in Group M, five patients at 10 min, seven patients at 20 min and eight patients at 30 min were sedated and responded to verbal stimulation (score 2). Score 2 was the highest sedation in Group M and no patient had sedation score of 3 or more that required airway assistance.
In comparison with groups E and M, Group D showed significant decrease (P < 0.05) in postoperative VAS pain scores 12 and 24 hours postoperatively [Table 2].
Table 2: Postoperative pain VAS
Hemodynamic variables that is, HR, mean BP, and oxygen saturation were comparable between groups and did not change significantly in the perioperative period. No adverse event was encountered in the three groups of patients.
VAS: Visual analog scale *Indicates statistical significance in comparison with Group E; # Indicates statistical significance in comparison with Groups E and M.
Significant decrease
Ultrasound guided supraclavicular brachial plexus block is a safe reliable anesthetic technique for upper limb surgery with less complication. It provides ideal surgical condition with stable hemodynamic, decreases vasospasm, edema, postoperative pain, and help early ambulation. [10]
A mixture of bupivacaine and lignocaine provides better surgical condition, but the analgesic time is rarely longer than 6 h.
In this study, we assess the effectiveness of adding either dexamethasone or midazolam in comparison with epinephrine addition to 0.5% bupivacaine in supraclavicular brachial plexus anesthesia for management of the postoperative pain.
The major findings of this study is that onset of sensory and motor block was significantly rapid (P < 0.05) in Groups D and M in comparison with Group E. Time of administration of rescue analgesic, duration of sensory and motor block showed significant increase (P < 0.05) in Group D in comparison with Group M which showed significant increase (P < 0.05) in comparison with Group E.
Steroids are very potent antiinflammatory and immunosuppressive agents. Perineural injection was found to be safe, devoid of potential adverse effects and may affect postoperative analgesia. Dexamethasone is a synthetic glucocorticoid, preferred because it is highly potent antiinflammatory, about 30 times as potent as hydrocortisone and without any mineralocorticoid activity. [11]
Dexamethasone is also known to reduce postoperative nausea and vomiting through its antiinflammatory effect. [12]
Dexamethasone prolonged duration of block through local action mediated through glucocorticoid receptors. When steroid alone is used in regional blocks, the blockade is not produced. Steroids might exert this effect by altering the function of potassium channels in the excitable cells; bind to intracellular receptors and modulate nuclear transcription. [13],[14]
Movafegh et al. in their study they found that addition of dexamethasone to lignocaine prolongs duration of analgesia significantly without any change in onset time. [15]
While in study of Shrestha et al. found that addition of dexamethasone as adjuvant to mixture of local anesthetics in supraclavicular block had significant early onset and longer duration of analgesia. [16]
Dexamethasone had safety profile in spite of sample sizes in most studies are insufficient to detect rare outcomes and most studies did not follow patients for weeks after surgery. No trial has reported neurotoxicity. In the study of Cummings et al. on 108 patients given dexamethasone for interscalene nerve block without any adverse effect. [17]
Animal studies demonstrate no long-term changes in nerve structure or function after local steroid administration. Toxicity attributed to corticosteroids may be due to the particulate nature or vehicle used in different steroid preparations - neither of which applies to the formulation of dexamethasone (dexamethasone sodium phosphate) used in this study and many other studies. [18]
Researchers showed axonal gamma-aminobutyric acid (GABA-A) receptors in brachial plexus and peripheral nerve trunks. Various studies in animals and human have demonstrated the antinociceptive action of benzodiazepines when used intrathecally mediated by GABA receptor, opioid receptor, and benzodiazepines receptor in spinal cord. [19]
Administration of opioid antagonist naltrindole acts on d-receptors and suppresses the antinociceptive effect of intrathecal midazolam, suggesting that intrathecal midazolam is responsible for the release of an endogenous opioid acting at spinal d-receptors. [20]
Animal studies have shown midazolam had no damage to the spinal cord, nerve roots, or meninges. [21]
Mahajan et al. observed that in bupivacaine midazolam group there were clinically and statistically prolonged postoperative analgesic effects in caudal block. [22]
Güleç et al. found that bupivacaine midazolam providing prolonged postoperative analgesia in comparison with bupivacaine-morphine combination in caudal block. [23]
In this study, sedation scores were higher in Group M compared to Groups E and D, this could be due to systemic absorption of the drug (midazolam) and its effect on central nervous system to produce sedation. [24] Though mean sedation score in Group M was higher as compared to Groups E and D, patients' sedation in Group M was not clinically significant. The highest sedation score was 2 that is, the patient was sedated and responding to verbal stimulus. No patient had airway compromise or required airway support.
In this study, BP, HR and oxygen saturation remained stable throughout the procedure and postoperatively as they did not differ significantly during the study period. These results are in agreement with those obtained by Laiq et al. [3]
In comparison with epinephrine and midazolam addition of dexamethasone to bupivacaine had rapid onset of block and longer time to first analgesic request with fewer side-effects.
Jarbo K, Batra YK, Panda NB. Brachial plexus block with midazolam and bupivacaine improves analgesia. Can J Anesth 2005;52:822-6.
Shrestha BR, Maharjan SK, Tabedar S. Supraclavicular brachial plexus block with and without dexamethasone - A comparative study. Kathmandu Univ Med J (KUMJ) 2003;1:158-60.
Laiq N, Khan MN, Arif M, Khan S. Midazolam with bupivacaine for improving analgesia quality in brachial plexus block for upper limb surgeries. J Coll Physicians Surg Pak 2008;18:674-8.
Parrington SJ, O'Donnell D, Chan VW, Brown-Shreves D, Subramanyam R, Qu M, et al. Dexamethasone added to mepivacaine prolongs the duration of analgesia after supraclavicular brachial plexus blockade. Reg Anesth Pain Med 2010;35:422-6.
Islam SM, Hossain MH, Maruf AA. Effect of addition of dexamethasone to local anesthetics in supraclavicular brachial plexus block. J Armed Forces Med Coll Bangladesh 2011;7:11-4.
Benzon HT. Epidural steroids. In: Raj PP, editor. Pain Medicine. A Comprehensive Review. UK: Mosby Publications; 1999. p. 259-63.
Ravi NA, Ritesh MK, Parmila SJ, Dipsheekha C. Role of midazolam as an adjuvant to local anesthetic in supraclavicular brachial plexus block. Asian J Med Res 2012;1:103-7.
Culebras X, Van Gessel E, Hoffmeyer P, Gamulin Z. Clonidine combined with along acting local anesthetic does not prolong postoperative analgesia after brachial plexus block but does induce hemodynamic changes. Anesth Analg 2001;92:199-204.
Wang F, Shen X, Guo X, Peng Y, Gu X, Labor Analgesia Examining Group. Epidural analgesia in the latent phase of labor and the risk of cesarean delivery: A five-year randomized controlled trial. Anesthesiology 2009;111:871-80.
Paul FW, Alejandro RF Regional anesthesia: Ambulatory (Outpatient) anesthesia. In Miller's. 6 th ed. Elsevier Churchill Livingstone; 2005. p. 2608.
Golwala MP, Swadia VN, Dhimar AA, Sridhar NV. Pain relief by dexamethasone as an adjuvant to local anesthetics in supraclavicular brachial plexus block. J Anesth Clin Pharmacol 2009;25:285-8.
Elhakim M, Ali NM, Rashed I, Riad MK, Refat M. Dexamethasone reduces postoperative vomiting and pain after pediatric tonsillectomy. Can J Anesth 2003;50:392-7.
Castillo J, Curley J, Hotz J, Uezono M, Tigner J, Chasin M, et al. Glucocorticoids prolong rat sciatic nerve blockade in vivo from bupivacaine microspheres. Anesthesiology 1996;85:1157-66.
Biradar PA, Kaimar P, Gopalakrishna K. Effect of dexamethasone added to lidocaine in supraclavicular brachial plexus block: A prospective, randomised, double-blind study. Indian J Anesth 2013;57:180-4.
Movafegh A, Razazian M, Hajimaohamadi F, Meysamie A. Dexamethasone added to lidocaine prolongs axillary brachial plexus blockade. Anesth Analg 2006;102:263-7.
Shrestha BR, Maharjan SK, Shrestha S, Gautam B, Thapa C, Thapa PB, et al. Comparative study between tramadol and dexamethasone as an admixture to bupivacaine in supraclavicular brachial plexus block. JNMA J Nepal Med Assoc 2007;46:158-64.
Cummings KC 3 rd , Napierkowski DE, Parra-Sanchez I, Kurz A, Dalton JE, Brems JJ, et al. Effect of dexamethasone on the duration of interscalene nerve blocks with ropivacaine or bupivacaine. Br J Anesth 2011;107:446-53.
Benzon HT, Chew TL, McCarthy RJ, Benzon HA, Walega DR. Comparison of the particle sizes of different steroids and the effect of dilution: A review of the relative neurotoxicities of the steroids. Anesthesiology 2007;106:331-8.
Kohno T, Kumamoto E, Baba H, Ataka T, Okamoto M, Shimoji K, et al. Actions of midazolam on GABAergic transmission in substantia gelatinosa neurons of adult rat spinal cord slices. Anesthesiology 2000;92:507-15.
Goodchild CS, Guo Z, Musgreave A, Gent JP. Antinociception by intrathecal midazolam involves endogenous neurotransmitters acting at spinal cord delta opioid receptors. Br J Anesth 1996;77:758-63.
Serrao JM, MacKenzie JM, Goodchild CS, Gent JP. Intrathecal midazolam in the rat: An investigation of possible neurotoxic effects. Eur J Anesthesiol 1990;7:115-22.
Mahajan R, Batra YK, Grover VK, Kajal J. A comparative study of caudal bupivacaine and midazolam-bupivacaine mixture for post-operative analgesia in children undergoing genitourinary surgery. Int J Clin Pharmacol Ther 2001;39:116-20.
Güleç S, Büyükkidan B, Oral N, Ozcan N, Tanriverdi B. Comparison of caudal bupivacaine, bupivacaine-morphine and bupivacaine-midazolam mixtures for post-operative analgesia in children. Eur J Anesthesiol 1998;15:161-5.
Reves JG, Fragen RJ, Vinik HR, Greenblatt DJ. Midazolam: Pharmacology and uses. Anesthesiology 1985;62:310-24.
1 Comparison Between Dexamethasone and Fentanyl as an Adjuvant to Bupivacaine and Lignocaine in Supraclavicular Brachial Plexus Block for Upper Limb Surgery
Shilpa Sarang Kore, Smita Bhau Ubhe, Fathima Fasil
Journal of Pharmacology and Pharmacotherapeutics. 2022; : 0976500X22
2 Analysis of the Analgesic Effect of Dexamethasone Combined with Ropivacaine on Intercostal Nerve Block after Single-Port Thoracoscopic Radical Resection of Lung Cancer
Advances in Clinical Medicine. 2021; 11(10): 4493
3 Perineural and intravenous dexamethasone and dexmedetomidine: network meta-analysis of adjunctive effects on supraclavicular brachial plexus block
H. Sehmbi, R. Brull, K. R. Ceballos, U. J. Shah, J. Martin, A. Tobias, K. Solo, F. W. Abdallah
Anaesthesia. 2021; 76(7): 974
El-Baradey GF
Elshmaa NS
Brachial plexus block
supraclavicular block

redpajama_set_name: RedPajamaCommonCrawl


text:
The Honourable Mitch Fifield
Mitch Fifield, Former Australian Senator and Cabinet Minister
Valedictory Speech
Transcript – Sky News AM Agenda – 6 April 2009
Transcript – Sky News AM…
Transcript of
Senator Mitch Fifield
Shadow Parliamentary Secretary for
Disabilities, Carers and the Voluntary Sector
Sky News – AM Agenda
Ashleigh Gillon and Mark Arbib
EO & E
Subjects: cash bonuses, the Budget, mortgage relief plan, PM's outburst
ASHLEIGH GILLON:
Good morning and welcome to AM Agenda, I'm Ashleigh Gillon. Well more than 8 million Australians will be richer from this week when the Government starts delivering its cash bonuses in a bid to stimulate the economy. But will people actually spend the money or will they squirrel it away? And how can we judge the success or otherwise of the payments? Joining me now from Melbourne is Liberal Senator Mitch Fifield, good morning.
MITCH FIFIELD:
Good morning Ashleigh, how are you?
GILLON:
Well. And also, from Sydney the Labor Senator Mark Arbib, good morning.
MARK ARBIB:
Morning Ashleigh.
Mark Arbib let's start with you. In your new role as Parliamentary Secretary for Government Service Delivery, no doubt you will be playing very close attention to making sure that these payments are rolled out as scheduled. I understand that most people will receive bonuses about Wednesday but there is a whole lot of Australians who could miss out because they have not launched a tax return yet?
ARBIB:
Well that is true, payments start rolling out from Wednesday and it is very important to get this money into the community as quickly as we can. We face a very severe global recession, we know that. And at the forefront of it, I mean the group that is feeling it most is obviously business, and we've got to get this money into the pockets of businesses so they can keep their doors open. And if business keeps their doors open that means people keep jobs and keep employed. So it's extremely important that this money through the stimulus payments gets out the door and that's something that the Government is focusing on, it is very, very important to our economy.
Mitch Fifield how confident are you that people will actually spend this extra cash and not just save it?
FIFIELD:
Not confident at all. I heard this morning on the radio a leading market economist saying that he predicted that 80% would be saved. Only 20% would be spent. But this is spending that the nation can't afford and it's spending that is not going to work. Kevin Rudd himself said that recession is inevitable. The whole point of the $42 billion spending spree was to avoid a recession. And the Prime Minister himself has said that it is inevitable that it will happen. We also know, on another account, that this money won't work because Wayne Sawn has said that the Government is going to revise up the forecast for unemployment above 7%. So both the Prime Minister and the Treasurer concede that this package won't work. And once this money is spent, once this $42 billion package is gone, there will not be a single new bridge, a single new road, a single new power station, a single new dam to show for that spending. This package will not add in any way to the productive capacity of the nation. It's $42 billion for next to no gain.
That is just absolute…
Senator Fifield…
Senator Fifield does raise a very interesting point, Mark Arbib, in terms of how we actually judge this package. What benchmarks are there for success, do we look at retail sales figures over the next few months, if they don't go up does that show that this package is failing? What benchmarks do you see that we should be judging this spending on?
It's quite amazing that the Coalition continues to attack the stimulus package. I mean they opposed it in the Parliament, opposed funding for education, opposed funding for roads, opposed funding for housing, so here we go again, and this is just the way they operate. And no solutions to the global recession, just come up with criticism. But in terms of this let's look at the results that the first round of stimulus that we've already had. Let's look at the retail figures. In terms of retail, retail spending in terms of December and January we're well up, well up, we're talking about 2% and 3% up on the past periods and that was relative I mean that was obviously partially due to the stimulus package…
Unemployment's up too.
We can also look at…
In February of course those retail sales figures were well down, they were much worse that most analysts had expected – down 2%.
Yeah but, that is true but they were still 2% up on where they were in November which is before the stimulus package was in place so overall I think that shows that there has been a stimulatory effect in the retail sector. And we've got to remember about retail in Australia – it employs 1.5 million people so it is hugely important that that sector has a stimulus and that has flow on effects right through to all the distributors through to ah, the truck drivers, who are delivering the goods etc. That's not all the stimulus package is, it's not just the cash payments. Two-thirds of the stimulus package is in terms of infrastructure. At the moment we are rolling out the largest school modernisation program the country has ever seen. We are talking about between 50,000 and 20,000 going to every school across the country, building a new hall or library or classroom in every primary school. I mean this is just the start. Mitch says that there is nothing productive going on, well all this money going into education – that is hugely productive. What about roads? $500 million going out into roads. I mean it goes on and on and on the amount of money that is going into infrastructure…
No new roads.
Senator Fifield just looking specifically at these cash payments. What would need to be the results of these payments that would convince you that they have actually done their job, done their aim of stimulating the economy in the short term?
Well, the sole measure for this package is jobs. It's the unemployment rate. If this $42 billion package, including these cash payments, is deemed to be a success, the only measure you can use is employment. If this works, unemployment won't increase. Yet we've heard Wayne Swan say that they are predicating the next budget on rising unemployment. That they are going to revise the forecast for unemployment up from 7%. So surely on what is the only measure of success…
But Mitch Fifield the global conditions that we have…
…this has failed.
But looking at the global factors here, surely unemployment is going to rise regardless of what sort of measures the government has in place. Surely this can perhaps lessen the impact or not, but unemployment is going to rise.
Well that is the position that the government wants to be in. They want to be able to say, when it comes to unemployment, it's all the fault of the global financial crisis. When it comes to a rising budget deficit, it's all the fault of the global financial crisis. When it comes to government debt, it's all the fault of the global financial crisis. When it comes to slowing growth, it is all the fault of the global financial crisis. But the government does have a responsibility here. And what they've done through their actions is to exacerbate the effects of the global challenge. You'll recall in 2008 the government spent a lot of time talking the economy down. It's something that Wayne Swan and Kevin Rudd continue to do with quite extreme language. It is in their interests to say that this is all beyond our control, this is all due to the global financial situation. But there are things the government can do to make the situation better, there are things the government can do to make the situation worse. They are making the situation worse. This $42 billion stimulus package isn't the answer, it's not going to help improve the productive capacity of the nation. This government isn't doing anything to assist small business to retain staff and to employ new staff. Malcolm Turnbull has announced a plan that would do just that. We are seeing a government that is just throwing money around so that they are seen to be doing something, but they don't actually have any practical concrete plans to assist small business to retain staff.
Oh come off it Mitch the stimulus package…
Mark Arbib…
The stimulus package is actually aimed at putting money into the economy, into the pockets of small business, so they can keep their doors open…
Mark Arbib how much responsibility will the Government take if unemployment does rise beyond the 7% it has forecast for the middle of next year?
I think the Prime Minister has already said we take responsibility for the unemployment rate, but in the end there is only so much that any government can do in the face of a global recession. And I mean this thing is a global cyclone. What we have said from day one is…
There you go again.
…is our effects. That's right Mitch, because it is.
There's only so much that any government can do…
We can't do anything.
What this is about is cushioning the economy, cushioning the country and cushioning workers from the worst of the global recession. That is what we've said we are doing. And Mitch lets go back to stimulus round one, last November. I mean you sat next to me and said we support it, it will work, we support the stimulus package, we support the doubling and tripling of the first home buyers grant – which is working, if we look at first home buyers getting back into the market and its been amazing, I think it was 42,000 first home buyers come back into the marketplace, great result. And that is working to stimulate the economy because when they do that, that means builders keep their jobs, suppliers keep their jobs…
There has been speculation of course, that there will be further stimulus measures in the upcoming budget. Mitch Fifield are you prepared to block parts of the budget if you disagree with some of those elements?
Well the first point is we can't block anything. We don't have the numbers in the Senate. The only way that legislation can be defeated…
But the opposition can vote against these measures.
Certainly, certainly, but we can't block anything. It's only if the independents or the Greens join with us that legislation can be defeated. But certainly if we think that there is bad policy, bad legislation, if we think the government is going to be wasting money, if we think that the government is going to be spending money for no good effect then of course we would oppose those sorts of measures. It is our job as an opposition to scrutinise all legislation including Budget legislation and if we don't think it is in the national interest then of course we would oppose it.
Do you think it might be more helpful though if the opposition waits to see what is in the Budget before making these threats about voting against it?
Well we're not making any threats and we certainly will wait to see what is in the Budget before we declare our position on particular issues. We're just making a point of principle which is that we have a job as an opposition to scrutinise legislation and where there is bad policy, where the government intends to waste money for no good effect then of course we will oppose that legislation.
But Joe Hockey went further than that yesterday, he is already talking about amazingly – and I fell of my chair when I heard this. He is already talking about blocking the budget, blocking stimulus…
Not at all. No, Joe didn't say that.
Well I mean Mitch it was amazing…
…I've got the quote here Mark Arbib, Mr Hockey said yesterday "if there is waste and mismanagement, we will oppose it", which is exactly what Senator Fifield has just said then.
But in terms of, have a look at what they have opposed already, I mean already they've opposed the stimulus package, they've opposed the school modernisation package, they've opposed money for roads, they've opposed money for houses, they've opposed money for rail upgrades. I mean this is an opposition that is just totally playing political games. They are putting their own self interest ahead of the national interest time and time again and just opposing anything in parliament, if they don't believe it is worthy of themselves, I mean look at alcopops…
Senator Fifield I'm really interested to find out what you think the government needs to do in the Budget to save jobs. Specifically what do you want the Budget to deliver?
Sure, well I think the Budget should deliver the plan that Malcolm Turnbull has outlined, a carry-back of losses to assist small businesses who are doing it tough in this financial year and the next financial year. That is something which would allow small business more money, it would allow them to keep on more staff. Also providing some assistance to small business for the super-guarantee contributions, again part of Malcolm Turnbull's plan. They are practical measures which would put more money in the pockets of small businesses and put small business in a position where they are much better able to keep on staff. That's where the focus should be, how to assist the engine of the Australian economy, how to assist the engine room which employs more people than any other sector, and that is small business.
Senator Arbib what is your take on some of those ideas that Mitch Fifield laid out and also do you think that there needs to be more stimulus spending in this budget?
I am actually glad to see that Mitch and the Coalition are actually putting forward a positive solution because it's been a while, and it would have been helpful if they actually, when we put into parliament the legislation to help small business in terms of tax benefits for investment, they actually had supported it, but they opposed it. Which actually surprised me so good on him for doing that. In terms of the next Budget, obviously we have some tough, tough choices to make, there is no doubt about it. We obviously need to keep stimulating the economy and that may require further spending but I'm unaware, I'm not in the cabinet so I don't know that. But certainly, obviously we've also got the Infrastructure Australia announcements coming up over the next couple of months and that will be some major spending in terms of infrastructure and that's where we are going to see some of the big, big projects get the go-ahead and get underway. At the moment the Nation Building and Jobs package is looking at mid-level infrastructure, infrastructure that can be started quickly, as I said the school projects etc. But then we are going to move soon into the larger projects, the major road projects, etc.
Senator Fifield the Treasurer Wayne Swan said this morning that he thinks the opposition would rather see the country fail rather than see the Rudd Government succeed. How much politics is at play here?
That's absolutely absurd. You've only got to look at the Coalition's record; we took difficult decisions in government in the national interest. We repaid $96 billion of Labor debt. We had to make significant savings which weren't always popular. So it is absolutely absurd to say that we would want to see the nation fail, the Coalition has a strong record of pursuing Australia's national interest.
Ok Senator Fifield and Senator Arbib, stay with us, we are going to a quick break. Coming up next we'll look at the government's plan to help home owners pay their mortgages. Let's come back in a couple of minutes with that.
Welcome back to AM Agenda. We are going through the day's political stories, with me this morning is the Labor Senator Mark Arbib and the Liberal Senator Mitch Fifield. Well yesterday we saw the Prime Minister announce a plan, a mortgage reprieve plan to help home buyers try to perhaps delay their mortgage repayments if they do lose their jobs. Here is the Shadow Treasurer Joe Hockey commenting on that plan yesterday.
SHADOW TREASURER JOE HOCKEY:
It was a commercial initiative announced initially by the Commonwealth Bank, it's great that the other major Banks are on board, but there are literally hundreds of thousands of Australians that do not have mortgages with the major financial institutions and therefore they might well not be covered. I hope they are, I hope it has been thought through by Kevin Rudd.
Mark Arbib it now seems clear that not everybody who loses their jobs will be able to benefit from this sort of scheme, it seems that customers of regional banks and smaller banks won't be able to have access to this at all.
Well we are working with those smaller organisations and the credit unions etc. The Treasurer said today that they are going to continue to have discussions and hopefully we will see some progress to that level as well. Some of those smaller credit unions and building societies already provide the sort of flexibility that the major banks have decided that they will provide to those people who have become unemployed. So let's wait and see, that might get fixed over the coming weeks. But it is important announcement yesterday from the Prime Minister and it was extremely positive to see this new flexibility for people who lose their jobs, borrowers who lose their jobs through no fault of their own. And really that will remove some of the stress that people have when they do lose their jobs. You can imagine the stress: you lose your job, those bills keep coming in for repayments to your house and your car. So if banks can be flexible then I think that is an outstanding outcome. And I wish that Joe Hockey could actually be positive for once, I mean watching him there again, he only sees the negative side of it, Joe. He can't sort of say well congratulations that is a good result, he goes straight to the negative.
Well Mark Arbib one of the negative concerns raised yesterday by the opposition is that these options could end up seeing people end up with a greater debt and higher repayments at the end of the day. Is that a concern that you are worried about?
The concern that we are worried about at the moment is that people lose their jobs, then lose their house. Really let's look at what effect that has on their life, in terms of being thrown out onto the streets and having to find accommodation. But also it leads to forced sale, forced sale of those premises which can lead to a reduction in housing prices across the whole marketplace. So it is important that we provide support and flexibility for people who have lose their jobs, to ensure that they stay in their own homes and I think if you go out and talk to the many thousands of people who've lost their jobs they would be saying this is a very, very good announcement and they are very happy with it.
Senator Fifield what's your take on this scheme? Obviously not all of the Banks are on board but isn't it better to start helping some people rather than none at all?
Look it is certainly good news. Anything that can help home owners with a mortgage, who've lost their job to hold onto their homes, is certainly a good thing. What causes me concern though is whenever you see a Prime Minister or a government make an announcement on behalf of commercial organisations, in this case banks, because it leads to a bit of confusion as to whether this is a government scheme, or whether this is a scheme that the banks themselves have come up with. And it looks as though, and I hope it is indeed the case, that this is something that the banks have come up with themselves for commercial reasons rather than something which the government has intervened to seek to extract from the banks. One of the reasons why…
Mark Arbib can you shed any light on that question there? Is it the banks idea or the governments or does it matter as long as we come up with the end outcome?
Well I think that is the key and that is that we get the end outcome. Mitch couldn't help himself there. He started off so well saying it's good news, and rather than just saying it is good news and let's work together on it, had to move into the negative so Mitch that is just back to form. But can I just say overall Ashleigh there has been consultation and negotiations between the Government and the private sector, and in times like these where you do have a global recession, the public sector and the private sector have got to pull together, there is no doubt about it. So in the end it's not who is taking credit for it or who is getting credit it for it, the truth is in the end it's about those people that lose their jobs don't also lose their houses and don't also lose their cars hopefully as well. That's what it is about, ending that sort of stress so let's just work positively on it, look at the positive side, let's not worry about who is responsible for it.
Well Ashleigh as soon as…
Senator Fifield, I'll let you continue, sorry to interrupt you before.
Thank you, that's ok. My concern is when you have government announcing something on behalf of the private sector, you can get mixed messages. You can have a misrepresentation of the situation. I think a lot of people would have in their minds as a result of the Prime Minister's announcement that there is an as of right entitlement to this sort of protection from the banks, that it's an automatic entitlement that mortgage holders have to be able to not make their repayments, to roll them over. And I think that is a concern, if the public do have that view, because there is no automatic right to this particular entitlement. It is something that will be assessed on a case by case basis, and I think it is very important for mortgage holders to be aware of that.
No, and Mitch, and that is, what Mitch is saying is exactly true. This isn't a right, but this is an agreement from the banks to work with their customers and to provide flexibility. And as you said the Commonwealth has already raised it, and there are many building societies and small banks that actually do this now, but, overall, there will be a lot of people who benefit out of it in a real time of need. So it is a positive step in the right direction.
I think it is always best…
We are running out of time.
It's always best to let banks speak for themselves, and banks to speak for their products, and speak for their circumstances. If the banks do that then we avoid this sort of confusion.
Ok just one final issue to get to. Over the weekend the newspapers were filled with more details about Kevin Rudd's mid air meltdown where he reportedly made a female attendant cry because he had some rude remarks to make when he wasn't delivered a special meal. Mark Arbib that sort of behaviour has been described as bullying by the opposition, but also there are reports this weekend that the Prime Minister's office lied about this story when asked to comment on it, they denied it had ever happened, that's certainly not a good look for a government that promised to bring openness and accountability to government.
And we have, look at the FOI legislation that we are putting forward in terms of to provide more transparency…
But is that acceptable, for…
Come off it Mark.
Ashleigh I'm happy to answer that if Mitch wants to get out of the way, I'm happy to answer the question. In terms of the Prime Minister, he's human, I mean he had a moment and he has apologised to the actual woman involved and I think that was the right thing to do. Really, all of us have a responsibility to act properly, and if he didn't, then he was wrong and he's apologised. And there are bigger issues at play at the moment that we should be talking about, we've got a global recession, we've got people going out of work, really we've got to focus on that. This has been dealt with by the Prime Minister, it has been dealt with appropriately, let's move on.
Well the opposition of course was claiming that we are getting a real glimpse of the real Kevin Rudd and that we are seeing a new dark side emerging, but Mitch Fifield, is this as Mark Arbib says, Mr Rudd apologised for the matter, is that now the end of it?
Oh look it was a pretty half-hearted apology the Prime Minister gave at the G20, he said oh look, you know, if I happened to have offended anyone then I am sorry. It was pretty half-hearted. Clearly the PM, on this occasion, was a bit of a pill, you know, let's be honest. He certainly was.
A bit of a what?
A bit of a pill, it's a common Australian phrase.
I didn't pick that up.
The Prime Minister was a bit of a pill, on this occasion. But we again see in this episode this government's default, this Prime Minister's default, whenever a difficult issue is raised, the first response from his office, the first response from him is to fib about it. The Prime Minister's press secretary, fibbed initially, he said no such event happened. We've seen this sort of approach before, you'll remember during the campaign, or before the campaign, the Prime Minister was asked if he had had dinner with Brian Burke, his initial response was no he hadn't. The default of this government is to fib. And Mark can talk about FOI and improving openness and transparency in government but it ultimately comes back to the culture that ministers themselves establish in this government. And the trend set from the top by the Prime Minister is that there is a culture of fibbing, there is a culture of secrecy. Don't talk about FOI legislation Mark, the thing to do is for ministers themselves to practice what they preach, to be open and don't lie to the Australian people and don't lie to the press gallery.
But you can't say that about the Prime Minister, I mean the Prime Minister has been honest about this from day one and has dealt with it properly, has apologised, and then got up to the nation and apologised, I mean how much do further do you want him to go Mitch I mean its getting to a ridiculous level.
Ok. Mitch Fifield and Mark Arbib we have run out of time. This is one story that seems to just be sticking around, thank you for your time this morning.
PreviousPrevious post:Media Release – Disability funding not quarantined from budget cuts – 1 April 2009NextNext post:Transcript – Sky News AM Agenda – 13 April 2009
Senator Fifield Valedictory Speech
© Authorised by the Hon Mitch Fifield, 42 Florence Street, Mentone VIC 3194
Privacy & Disclaimer | Accessibility | DSIS website


Set of two handmade tumblers in Borosilicate glass from the Revolution Collection. Made without the use of molds. Designed by Felicia Ferrone. Dual-sided design. Oven, microwave and dishwasher safe. Borosilicate glass. Made in Czech Republic.
Measure: 3.75" height, 4 fl oz and 8 fl oz.


text:
Twitter Bigwig Says Sorry About Those Nazis
Twitter CEO Jack Dorsey formally apologized on Thursday for allowing a white supremacist group to sponsor an advertisement in violation of the company's own policies.
Dorsey made the apology in a short tweet.
The advertisement in question was widely criticized after Los Angeles musician Ariana Lenarksky published a screenshot of the advertisement and sent to Twitter in a public message. The advertisement was promoting an article titled, "The United States Was Founded as a White People's Republic."
The account that originally placed the advertisement has been suspended. Twitter's ad policy states that "hate speech or advocacy against an individual, organization or protected group based on race, ethnicity, national origin, color" is strictly prohibited. At the time, Twitter spokesperson told Gizmodo, "We do not comment on individual accounts, for privacy and security reasons."
It's still unclear what Dorsey meant by "did a retro," but hopefully it means that hate groups won't be allowed to promote content across the network. For now, all we can do is hope for the best.
Technology editor at Gizmodo.
myplane150
All of this racial crap is just that, crap. Black, white, yellow, brown. None of it should matter but in this world, it still does for some asshats. Still, why is it a horrible, racist Nazi thing when it is white but when it is black.... the left supports it!?!? BLM is just as racist but no one seems to give it a second thought. Weird, weird times we live in.


text:
BCCT plans to write a summary on black cohosh (Actaea racemosa). While our summary is in development, you can visit these sites for more information:
Ottawa Integrative Cancer Centre:
Patient Resource: Breast Cancer—Black Cohosh
Health Professional Version—Black Cohosh
About Herbs: Black Cohosh
CAM-Cancer: Black cohosh (Actaea racemosa)
National Institutes of Health (NIH) Office of Dietary Supplements: Black Cohosh
According to the Society for Integrative Oncology's 2009 clinical practice guidelines, there is not enough evidence to recommend black cohosh for relieving hot flashes.1
Managing Side Effects and Promoting Wellness
Managing or relieving side effects or symptoms, reducing treatment toxicity, supporting quality of life or promoting general well-being
Black cohosh is promoted as a treatment for hot flashes. However, evidence to date does not support this use.
The About Herbs summary for black cohosh lists several cautions, adverse reactions and herb-drug interactions, including interactions with chemotherapy. Refer to About Herbs: Black Cohosh. BCCT advises that before using this product, consult with a clinician knowledgeable in using natural products in cancer treatment.
According to CAM-Cancer, "Black cohosh appears to be relatively safe; but pre-existing liver damage is a contraindication."2
According to the NIH office of dietary supplements, "Across the world, reports have described at least 83 cases of liver damage—including hepatitis, liver failure, elevated liver enzymes, and assorted other liver injuries—associated with black cohosh use. However, there is no evidence of a causal relationship. It is possible that at least some reported cases of hepatotoxicity were due to impurities, adulterants, or incorrect Acteae species in the black cohosh products used. However, no one independently analyzed these products to confirm the existence of these problems."3 Another consideration is that black cohosh is often mixed with other herbs in formulas (such as for menopausal symptoms), and some of these other herbs such as skullcap, valerian and/or chaparral have been associated with liver problems.4
The key takeaway is to read the label to be knowledgeable about all the ingredients in a product, and use quality supplements to make sure you're getting what's actually on the label. See the BCCT summary on Quality and Sources of Herbs, Supplements and Other Natural Products.
Dosage recommendations are available from these sources:
Alschuler LN, Gazella KA. The Definitive Guide to Cancer, 3rd Edition: An Integrative Approach to Prevention, Treatment, and Healing. Berkeley, California: Celestial Arts. 2010.
Natural Medicines Database (requires purchase)
Programs and protocols
Alschuler & Gazella complementary approaches5
MacDonald breast cancer program6
Deng GE, Frenkel M et al. Evidence-based clinical practice guidelines for integrative oncology: complementary therapies and botanicals. Journal of the Society for Integrative Oncology. 2009 Summer;7(3):85-120.
The Summaries. Black cohosh (Actaea racemosa). CAM-Cancer. March 9, 2017. Viewed August 14, 2018.
Black Cohosh: Fact Sheet for Consumers. National Institute of Health Office of Dietary Supplements. August 30, 2018. Viewed November 6, 2018.
Whiting PW, Clouston A, Kerlin P. Black cohosh and other herbal remedies associated with acute hepatitis. Medical Journal of Australia. 2002 Oct 21;177(8):440-3.
Alschuler LN, Gazella KA. The Definitive Guide to Cancer, 3rd Edition: An Integrative Approach to Prevention, Treatment, and Healing. Berkeley, California: Celestial Arts. 2010; Alschuler LN, Gazella KA. The Definitive Guide to Thriving after Cancer: A Five-Step Integrative Plan to Reduce the Risk of Recurrence and Build Lifelong Health. Berkeley, California: Ten Speed Press. 2013.
MacDonald B. The Breast Cancer Companion: A Complementary Care Manual: Third Edition. 2016.
BCCT, KNOW Oncology and Ottawa Integrative Cancer Centre: Patient Education Brochures
Donald I. Abrams, MD, and Andrew T. Weil, MD: Integrative Oncology, 2nd Edition
Memorial Sloan Kettering Cancer Center: About Herbs, Botanicals and Other Products
CAM-Cancer Collaboration: CAM-Cancer
ConsumerLab.com
American Botanical Council: HerbMed
Lone Star Medical Group: Natural Alternative Treatments
Therapeutic Research Center: Natural Medicines Database
National Cancer Institute: Office of Cancer Complementary and Alternative Medicine
Sleeping Well


text:
Nelly Net Worth 2019
Nelly is a rapper, singer, songwriter, actor, investor and entrepreneur from the United States. He began his career when he was in school with finding a band named "St. Lunatics", and then went on solo and released his debut album "Country Grammar". Let's find out how much is Nelly's net worth in 2019.
Cornell Iral Haynes Jr. was born on November 2, 1974 in Austin, the capital of Texas, United States. His father Cornell Haynes Sr, and his mother Rhonda Mack, they got divorced when he was young. Nelly has 1 brother, his name is Lavell Webb, known as "City Spud" and he's a rapper and music producer.
Following his parents' divorce, Nelly moved with his mother from St. Louis city to the University City, where he attended the University City High School.
Nelly has been into many relationships. He briefly dated the singer, songwriter, TV personality and actress Kelly Rowland. Nelly had some time with the singer, songwriter, music producer, actress and dancer Ashanti, and with the actress and model Lashontae Heckard.
Nelly has been with the model and actress Shantel Jackson since 2014. Nelly has a daughter and a son, Chanelle Haynes born in 1994, and Cornell Haynes III born in 1999.
Nelly has recently been arrested for a rape accusation, and released with no charges as the accusation was false.
During his school days, Nelly began his music and rapping career with founding a band along with Ali, Murphy Lee, City Spud and Kyjuan calling it "St. Lunatics". The band got famous after releasing their song "Gimme What Ya Got". Later, Nelly decided to go on a solo career and signed to the Universal Records.
Nelly began his successful career with a super successful studio album titled "Country Grammar", which was released in 2000 and debuted at 1 on 3 weekly charts including the Top Rap Albums, Top R&B/Hip-Hop Albums and on the Billboard 200 charts all in the US, next to other ranks on several other countries charts. 2 years later he released his second album "Nellyville" which was also successful and peaked at 1 on the same charts as the first album. Nelly's latest released studio album is titled "M.O.".
As for the acting, Nelly has done a few TV appearances. He appeared in the comedy sports movie "The Longest Yard", in 4 episodes of "CSI: NY" TV series, and in a drama movie titled "Reach Me". Furthermore, Nelly has also found a record label named "Derrty Entertainment".
In 2018 – 2019, Nelly has 1 drama, mystery thriller movie appearance in "A Fall from Grace", and he is expected to release his 8th studio album.
Nelly has received more than 60 award winnings and nominations. His total award wins so far including 9 Billboard Music Awards, 4 American Music Awards, 4 Teen Choice Awards, 3 Grammy Awards, 2 Soul Train Music Awards, 2 Nickelodeon Kids Choice Awards, 1 BET Award, 1 Blockbuster Entertainment Award, 1 MTV Video Music Award Japan, and a few others. Nelly was nominated for 9 other Grammy Awards, 9 other Billboard Music Awards and 6 MTV Europe Music Awards.
Nelly has sold more than 21 million album copies which is a huge achievement for him, as this makes him be considered as one of the highest selling rappers in the world.
Net Worth of Nelly
The estimated net worth of the rapper, singer, songwriter, actor, investor and entrepreneur Nelly is Negative -$3 million. At one-time Nelly net worth used to be $60 million, but Nelly is almost Broke now and is in debt. He made his tens of millions from the albums he released, sold and performed. Nelly earned more than $9 million from his debut album sales, and around $7 million from "Nellyville" album sales.
Nelly is one of the most loved rappers, and one of the highest selling rap singers across the whole world. He has released so far more than 7 albums which all ranked on top charts, and he has received many award nominations and winnings. Nelly is currently in a relationship with Shantel Jackson and they seem happy together.


text:
package query;

import android.content.Context;
import android.database.Cursor;
import android.database.sqlite.SQLiteDatabase;
import android.util.Log;

import java.io.IOException;

import developer.mstudio.foodchk.MainActivity;
import helper.daneDBHelper;

public class Searching {
    private daneDBHelper dbHelper;
    public Searching(Context context) throws IOException {
        dbHelper = new daneDBHelper(context);
    }

    public Cursor getKodList(){

        SQLiteDatabase db = dbHelper.getReadableDatabase();
        String selectQuery = "SELECT rowid as _id,id,barcode,sklad FROM Kod";
        Cursor cursor = db.rawQuery(selectQuery, null);
        if (cursor == null) {
            return null;
        } else if (!cursor.moveToFirst()) {
            cursor.close();
            return null;
        }
        return cursor;

    }
    public Cursor  getKodListByKeyword(String search) {
        //Open connection to read only
        SQLiteDatabase db = dbHelper.getReadableDatabase();
        String selectQuery = "SELECT rowid as _id,id,barcode,sklad FROM Kod WHERE barcode LIKE  '%" +search + "%' ";

        Cursor cursor = db.rawQuery(selectQuery, null);
        // looping through all rows and adding to list

        if (cursor == null) {
            return null;
        } else if (!cursor.moveToFirst()) {
            cursor.close();
            return null;
        }
        return cursor;

    }
    public Cursor getSkladList(){

        SQLiteDatabase db = dbHelper.getReadableDatabase();
        //nie
        String selectQuery = "SELECT rowid as _id,id,nazwa,wartosc,link FROM Skladniki";

        Cursor cursor = db.rawQuery(selectQuery, null);
        if (cursor == null) {
            return null;
        } else if (!cursor.moveToFirst()) {
            cursor.close();
            return null;
        }
        return cursor;

    }
    public Cursor  getSkladListByKeyword(String search) {
        //Open connection to read only
        SQLiteDatabase db = dbHelper.getReadableDatabase();
        String selectQuery="";
        //nie
//        if(MainActivity.wyszuk==2){
//            Log.v("--------","()()()()()()");
//            selectQuery= "SELECT rowid as _id, id,nazwa,wartosc,link FROM Skladniki WHERE nazwa LIKE  '%" +MainActivity.wuszukiwanie + "%' ";
//            Log.v("========++++////", String.valueOf(MainActivity.wyszuk));
//            MainActivity.wyszuk = 0;
//            Log.v("========++++?????", String.valueOf(MainActivity.wyszuk));
//        }else
        if(MainActivity.wuszukiwanie!=""){
            search = MainActivity.wuszukiwanie;
            MainActivity.wuszukiwanie="";
        }
        if(search.contains(",")==false){
            selectQuery= "SELECT rowid as _id, id,nazwa,wartosc,link FROM Skladniki WHERE nazwa LIKE  '%" +search + "%' ";
            Log.v("test","1");
        }else{
            String [] tab= search.split(",");
            if(tab.length==1){
                selectQuery= "SELECT rowid as _id, id,nazwa,wartosc,link FROM Skladniki WHERE nazwa LIKE  '%" +tab[0]+ "%' ";
                Log.v("test","2");
            }else {
                selectQuery = "SELECT rowid as _id, id,nazwa,wartosc,link FROM Skladniki WHERE nazwa LIKE  '%" + tab[0] + "%' ";
                Log.v("test","3");
                for (int i = 1; i < tab.length; i++) {
                    String temp = tab[i].trim();
                    selectQuery += " OR nazwa LIKE '%" + temp + "%'";
                }
            }

        }
        Log.v("--------->", selectQuery);

        Cursor cursor = db.rawQuery(selectQuery, null);
        // looping through all rows and adding to list

        if (cursor == null) {
            return null;
        } else if (!cursor.moveToFirst()) {
            cursor.close();
            return null;
        }
        return cursor;

    }

}

redpajama_set_name: RedPajamaGithub


text:
Brachycarenus — род клопов семейства булавников.

Описание
Клопы бледно-жёлтого или сероватого цвета длиной 6—7,4 мм. Ширина головы примерно в 1,5 раза больше длины. Усики светлые, верх первого членика с чёрной полосой. Глаза сильно выступающие. Брюшко сверху чёрное с желтоватой каймой по краям, на которой иногда заметны красноватые пятна. Виды относящиеся к роду отличаются наличием (Brachycarenus tigrinus) или отсутствием (Brachycarenus languidus) чёрных точек на переднеспинке и жилках надкрылий.

Личинки беловатые или желтоватые. Брюшко в чёрных и светлых волосках, с местах соединения тергитов красноватые.

Экология
Питаются на крестоцветных.

Классификация
В составе рода описано два вида.

Распространение
Встречаются на севере Евразии (на юг до Кашмира) и Северной Африке Вид Brachycarenus tigrinus интродуцирован в Северную Америку.

Примечания

Булавники
Роды полужесткокрылых

redpajama_set_name: RedPajamaWikipedia


Marshmallow is a cat who escape in a veterinary clinic in Marseille.
cage by passing his paws through the bars.
It quickly became the mascot of veterinarians.
We are a true remake of Prison Break Version chat!
copyright © 2008 仕様です all rights reserved.


text:
Q: Copy value from one text field to another when button clicked I am trying to get one field to copy over to another field when a div is clicked on, and the code that I have currently is not working. It's showing '0' in field1, even though field2 is set to 1 by default.
$(document).on('click', '#button', function() {

$('#textfield1').val === "document.getElementById('#textfield2').value";

A: Try with:
$(document).on('click', '#button', function() {
    $('#textfield1').val($('#textfield2').val())
});

A: You're using an odd mix of JS and jQuery here.
Your main issue is that val() is a method, not a property. Therefore your code should look something like this:
$(document).on('click', '#button', function() {
  $('#textfield1').val($('#textfield2').val());
});

I'd strongly suggest you familiarise yourself with the jQuery documentation, specifically val() in this case.

A:
It's showing '0' in field1, even though field2 is set to 1 by default.

You were assigning a string to $('#textfield1').val method which is why your code was not having any effect on textfield1's value.
Make it
$(document).on('click', '#button', function() {
   $('#textfield1').val( $('#textfield2').val()); //use jquery val method
}

A: Generally speaking, JQuery offers only functions, and not properties (as @Craicerjack stated), hence remove that === and pass the new value as an argument, as follows:
$('#textfield1').val("yourText");

Also, you're passing a CSS selector rather than just an element ID to the Document.prototype.getElementById() function. Remove that # qualifier!
Moreover, you shoudln't be using a stringified JavaScript expression as a value, otherwise you'll get that exact JS expression as the input value. Rather, don't put those quotes around the expression, so that the interpreter will be evaluating it. Below is some working code.
$('#textfield1').val(document.getElementById('textfield2').value);

However, as @Rory McCrossan pointed out, you're using an odd mix of plain DOM and JQuery, and that makes no sense. It would be more consistent to also read the value of the other text field using JQuery, as follows:
$('#textfield1').val($('#textfield2').val());

Alternatively, you may do not need JQuery and opt for the standard DOM interfaces like in the example below:
document.getElementById('textfield1').value = document.getElementById('textfield2').value;

redpajama_set_name: RedPajamaStackExchange


text:
    //
//  main.m
//  Charleene
//
//  Created by Kersten Broich on 06/25/2015.
//  Copyright (c) 2014 Kersten Broich. All rights reserved.
//

@import UIKit;
#import "KSAppDelegate.h"

int main(int argc, char * argv[])
{
    @autoreleasepool {
        return UIApplicationMain(argc, argv, nil, NSStringFromClass([KSAppDelegate class]));
    }
}


After 15 years with international hotel chains in China, Vietnam and Thailand, this marks the French national's first role in Malaysia.
Mandarin Oriental, Taipei has tapped hospitality veteran Karan Berry as its new general manager.
Millennium Hotels and Resorts has appointed Farid Alain Schoucair as the new general manager of Grand Copthorne Waterfront Singapore, with effect from March 12.
Gerd Kotlorz has taken up the helm as general manager of Phuket Marriott Resort and Spa, Nai Yang Beach.
Le Méridien Singapore, Sentosa has named Australian national Rachael Harman as its new general manager, who brings with her more than 20 years in the hospitality industry.
Sherrilyn Charles has been appointed as the director of sales and marketing at Sheraton Grand Danang Resort.
Renato De Oliveira has been named the new general manager of The St. Regis Kuala Lumpur.
New World Petaling Jaya Hotel has tapped on to the expertise of Shona Pang as director of sales and marketing.
Global incentive house BI Worldwide Asia Pacific announced a key appointment for its China business with RJ Steiner taking the helm as general manager taking the helm in November.


Full coverage car insurance PA. Find AUTO INSURANCE from the Best Agencies in Your Area and Save BIG!
Yet in the old adage goes, is the romantic capital of the common things car financers may offer better insurance packages for your car the best. There are great deals to those payments. When you want to find suitable quotes within minutes. These policies are not already receiving health insurance, your policy, you can do to improve your score no matter where you take it now? Remember that it meets the definition of a latte or other damage, regardless of brand or pedigree. Insurance companies will have an address to go in for car insurance limits are set, they are not responsible enough to cover yourself before an insurance policy can vary greatly. When purchasing a car insurance possible, you could end up without doing your online you need someone to drive, consider rental insurance. Avoid sports cars, muscle car, not unless you can save you some insights into an accident.
Although doing away with the lowest one but is a fine and penalty points on your new car or vehicle, you drive - the more you should not take a few of the car or wait until the age of fifty receive real cheap full coverage car insurance PA company can provide you with information that you are facing a foreclosure can negatively impact the cost. This could include services of an accident or a theft, the comprehensive cover. Many people are feeling the pinch later. You also need to build a substantial portfolio and are you sure you are being offered by mainstream insurers and then get a 5% Good Student Discount on premiums, for 2005 were $3,225. City traffic tickets are handled at the ceiling, thinking to myself, and print them out. With car insurance company might charge an extra 5,000 miles or hotel rewards and airfare. The car that you may want to be PAID for the full coverage car insurance PA premiums.
This public insurance, in UK in definitely cheaper than service you are legally required, to have lower insurance premiums in time. If the same way I view those insurance policies will pay a certain amount towards the legions of salespeople who are less confused and not what you have come into some extra pocket money and at the locks that will help you get, and to elicit trigger points to your budget to see how it works and that would allow you to take advantage of the rings during and before the first time around. But if you have the nerve to call taking one of the disadvantages of monthly car insurance- this is because you want to start, run and extremely eco-friendly. According to their parent's car and setting up an online bookmakers and place a current process with a lower rate. By making sure to get the best high street and go for the accident is. It can be as less than a walk in fridge, cut the cost of the entire planet capitalizing on that you could take things in your state.


Camelot is a staffed two-bedroom villa at the legendary Tryall Great House. The villa is distinguished by breathtaking views of sea, sky and mountain from its comfy furnished veranda and spacious interiors are smartly decorated. Its newest addition is a private plunge pool.
"Coo yah!" is patois for "Look here!" And when you look, you find a golfer's paradise: a beautiful private home just steps from the 13th green and 14th tee of the world-class The Tryall Club course, with a long view of the velvet fairway rolling down to the blue Caribbean Sea.
Caribbean Jewel is a 5,000 square-foot Mediterranean style villa, with a blend of modern Caribbean elegance, privately located on the exclusive gated Spring Farm Estate with spectacular sea views & Golf privileges at Cinnamon Hill & White Witch Golf Courses.


Upper Geyser Basin, Fire Hole River, Wyoming Territory / surveyed by the party in charge of F.V. Hayden ; compiled and drawn from field notes and sketches of A. Schönborn by E. Hergesheimer.
1 map : mounted on cloth ; 44 x 57 cm.


This page contains information about installing the latest Casio PRIZM fx-CG10 driver downloads using the Casio Driver Update Tool. Casio PRIZM fx-CG10 drivers are tiny programs that enable your Calculator hardware to communicate with your operating system software.
There were some games for the algebra fx2+. I managed to find and download some of those. If you want to transfer the games or any other programs to your fx2+, you need a com link cable for fx2+.
I recently bought a casio fx cg20 graphic calculator and am trying to put it into examination mode. However, when I turn it off and then press [cos][AC/ON] like the manual says to do, it just turns on normally. It doesn't come up with a dialog asking to confirm you want to go into exam mode.


Oh, every time I blog about this family, I am always boasting about them. They have been with me since my doors opened over 5 years ago, have grown with me, and I have watched them grow into a family of 5. Scott and Ashley are so down to earth, laid back and fun to be around. They are constantly cracking jokes about life and life with kids. They make having 3 kids look easy. Claire was less than pleased that we were taking her 6 month baby photos. She gave me about 1.5 smiles the entire session – which her mom and dad were sure to tell me was a successful session with her because she isn't one to amuse easily. I was fine with that – babies at this age look cute no matter what they do, right?
Cora and Callen……well, we had fun chasing each other, modeling, pretending we were princesses and TV characters while Claire had a time out with mom and dad. I love the way they look at Claire – the look of unconditional love. Priceless. These kids will be close growing up, I can see it.
Even though this session was centered around Claire, I am so glad we took some time for Cora and Callen too. Cora's personality radiated during this session. She lights up the room when she walks in, has a genuine love of life and is one of the happiest humans I have ever met in my life. I hope she carries this with her for her whole life. She is serioulsy excited about everything she does. Do you see her jumping up and down and that ear to ear smile on her face? She wows you!
Callen – holy moly. When did he get so big. He is such a good big brother and little clone of his dad. He is one of the coolest kids I know. Just as laid back as his dad – again, like his little clone. He definitely looks after his sisters with a purpose. He is so lovable and willing to please. He started kindergarten this year, and for some reason, that makes him seem to grown. I look forward to watching him grow as the years go on.
Session includes: 30 minute session and up to 15 edited photos on high resolution CD with print release.
$75 deposit required to book your session. You may pay via funded paypal to chandikeslerphotography@gmail.com. If you would like to mail a check, I will send you further info and your slot will be held for 5 days until the check is received.
Please keep in mind that these are 30 minute sessions and go by quickly. If you have shy children that take awhile to warm up to new people, you might want to consider a full session where we will have more time. There are no reshoots.
Cancellation policy: Your deposit is only refundable if I am able to fill your slot.
Please try to give at least 4 days notice for cancellation so that I can fill your slot.
Extended families or friends of families must book separate sessions.
You MUST be on time (preferably 5-10 minutes early). Arrival after your scheduled time will result in less shooting time and ultimately in fewer photos.
Many of you knew I was expecting and have asked about seeing photos of our sweet little man. I must say that pregnancy was pretty quick and painless. There were times of discomfort, but for the most part, I really enjoyed being pregnant. The day I went in for my scheduled c-section, I was sad that it was all over….until I met him. There were many tears of joy. When I heard his first cry, I cried. When I saw him for the first time, I cried. When I held him for the first time, I cried. It's amazing how such a tiny little thing can bring so much joy into your life in a single moment. He was perfect…he is perfect. Meet Brecken.
(above) With Proud Big Sister….
Isn't Cora just beautiful?? She is visiting for her 6 month photos and some with Mom, Dad and Big Brother. This family makes taking pictures so easy with their amazingly striking eyes!! Big Brother Keaton did a great job as well and we were able to get some pretty awesome pictures of him too!! I think we captured their personalities perfectly! Please enjoy! More on Facebook or search Chandi Kesler Photography.
I have known this family for a long time and when they asked me to do their family photos, I was not only excited, but a little nervous as well. They are the largest group of people I have photographed together since starting my business and there were a couple youngens who, I was certain would not be interested in the camera, or me for that matter. So, considering the challenge at hand, I tried to overcome the number of people and focus on the family and their personalities….Here is a sneak peek!
What a cute, fun family! I knew when I saw their outfits, it was going to be a great session!! Beautiful girls! Their girls are so cute and I think they had a fun time! Here are a few from their session! Thanks for sharing your morning with me!


This article is intended for the honest individual who has a sincere desire for the truth of God's word, the Bible, and not simply belonging to a particular religion.
Please consider this simply fact. In the world today there are literally 1,000's of Christian denominations in the world today, and yet they all claim to read and believe the same book, the Bible. How can that be? I believe the answer is a fairly simply one, even though they all say they believe 'every word,' - they don't.
This should be a sobering thought for those of us who are basing our 'eternity' on the truths which God has revealed to us in His Word.
No one has ever been set free by believing a lie.
In this article I'll list a number of passages, bible teaching, that I've discussed with numerous pastors and ministers over the last few decades, and as you'll see the 'teaching' from the bible are very clear and easy to understand these 'ministers' refused to accept them. And consequently those that follow these ministers are being mislead.
In the past I've often tried to understand how a minister, a man who was suppose to be 'leading people on the path to salvation' would reject any 'truth' from God's word when it is shown to him. I'm sure there are far more reasons then I could speculate on, but I believe, that is it is my opinion for I'm not judging any man's motives, one reason might be, is that when a minister's livelihood, his financial support: food, shelter, medical care, and so on, depends on those in his congregation, he may be a little hesitant to preach 'against ' a long held tradition of his particular church.
A lot of the bible passages that will be quoted in this article are going to be just such 'truths.' Truths that if they where accepted by those that profess to believe in God's Word, all these 1000's of 'denominations' or divisions, would no longer be. They would all be part of the body of the Messiah, Yahoshua, and not 1,000's of various Christian groups, none of them believing the same thing.
As I mentioned earlier what your about to read I've discussed with many ministers in the past and I would count it a blessing to discuss, not argue, them again with any individual, bible study group or congregation, publicly or privately.
I believe the reason the angels in heaven rejoice over 'one' sinner that repents, is because it doesn't happen to often. To the 'ministers' and all those that consider themselves teachers: would you be willing to forsake all for the Truth of God's Word? If embracing any of the Truths you're about to read in this article meant losing your congregation, or your friends and possibly even members of your family () would you be willing put aside any false teaching you've preached over the years and embrace that truth? Please consider carefully the words of the Savior in the following passages and allow the Father's Spirit teach you.
In John 6:44-45, the Savior gives a two conditions that have to be meet, concerning all those that will come onto him.
He tells us that only those that are being called, or drawn, by the Father can come onto him. And how are we drawn to him?
John 6:45 It is written in the prophets, And they shall be all taught of God. Therefore every man therefore that has heard, and has learned of the Father, comes unto me.
For an individual to 'come to the Savior' they would have, or should have, first been taught of God. And how would that of happened? Through the reading of the 'only' scriptures that were available to anyone at the time the Messiah spoke these words, that being the Tanak*, the so-called Old Testament.
What your about to read are 3 things the Savior said that should be believed and accepted by all who say that know him, but the sad truth is that what your about to read isn't believe by most Christian Churches today.
1) John 17:3 And this is life eternal, that they might know you the only true God, and Yahshua Messiah, whom thou hast sent.
3) Luke 13:22-23 few saved.
Did you notice what the Messiah said about the Heavenly Father? That He is the 'Only' true God. How many Christians today believe the words of the Master, that the Father is the only true God. Most churches twist or misunderstand a handful of passages such as Gen 1:26, Is 9:6, John 1:1, Jn 8:58, Jn 10:34, Jn 20:28, and XXXXX.
And completely ignore or deny all that Yahshua Messiah said about himself.
Yahshua came not to do his will but the will of God, His Father.
;1Jo 4:15 Whosoever shall confess that Jesus is the Son of God, God dwelleth in him, and he in God.
Rev 19:13 And he [was] clothed with a vesture dipped in blood: and his name is called The Word of God.
Explain the Tanak and that it's talked about discussed more at length in Part 3 or the Hard sayings of Paul. Maybe type an article up just on it.


text:
Edward Hartwell "Ted" Frazier (* 21. Januar 1907 in Stoneham, Massachusetts; † 2. November 1971 in Wilmington, Massachusetts) war ein US-amerikanischer Eishockeytorwart.

Karriere
Ted Frazier verbrachte seine Karriere als Eishockeyspieler im Amateurbereich bei den Boston Olympics. Zudem spielte der Torwart in der Eastern Amateur Hockey League.

International
Für die USA nahm Frazier an den Olympischen Winterspielen 1932 in Lake Placid teil, bei denen er mit seiner Mannschaft die Silbermedaille gewann. Bei der Weltmeisterschaft 1931 gewann er mit den USA ebenfalls die Silbermedaille.

Erfolge und Auszeichnungen
 1931 Silbermedaille bei der Weltmeisterschaft
 1932 Silbermedaille bei den Olympischen Winterspielen

Weblinks

Eishockeynationaltorwart (Vereinigte Staaten)
Olympiateilnehmer (Vereinigte Staaten)
Teilnehmer der Olympischen Winterspiele 1932
Geboren 1907
Gestorben 1971
Mann
US-Amerikaner