text:
Photorefractive Keratectomy (PRK)
Photorefractive Keratectomy (PRK), like LASIK, is a form of laser refractive surgery.
This means that a laser is used to reshape the cornea, correcting refractive errors such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. PRK was the first laser refractive procedure performed in the United States and the first to gain final FDA approval. While LASIK is more commonly performed than PRK today, PRK still represents a great option for patients who may not be ideal LASIK candidates due to thin or irregularly shaped corneas.
Let's examine the steps in PRK and how they differ from LASIK. In LASIK, the first step is the creation of a thin flap of corneal tissue, either with a microkeratome blade in traditional LASIK or with a femtosecond laser in the modern blade-free LASIK procedure. That flap is then carefully folded back so that the excimer laser can reshape the central layer of the cornea, known as the stroma, correcting the patient's refractive error. The flap is then folded back into place. PRK is similar to LASIK in that an excimer laser is used to reshape the stroma. The primary difference between LASIK and PRK is that in PRK, there is no flap created.
FLAP IS MADE
Numbing drops are administered so that the surgeon can operate on the eye without the patient feeling any pain.
TREATMENT BEGINS
The surgeon removes the outermost layer of cells, the epithelium, using a diluted alcohol solution.
Once the epithelial cells are removed, the excimer laser treatment is performed in the same way as LASIK. For LASIK as well as PRK, Hoopes Vision uses the Wavelight EX500 excimer laser, the newest, fastest and most precise vision correction laser in the United States. We have owned and used seven different treatment lasers since 1995. The EX500 is nearly ten times faster than the most commonly used excimer laser in the U.S.
This means you'll receive laser vision correction with the highest caliber of safety and accuracy. Your eye's individual reshaping is pre-determined and carefully calculated by measurements taken at your pre-operative appointment. Laser treatment of the cornea takes only a few seconds.
After the excimer laser treatment, the surgeon places a clear, soft contact lens, called a bandage contact lens, on the eye. These special bandage contact lenses do not contain any prescription correction, but simply protect the eye and keep the patient comfortable while the epithelial cells grow back.
The epithelium regenerates in approximately 72 to 96 hours; the bandage contact lens is typically removed by the doctor at a postoperative visit approximately five days after PRK.
LASIK and PRK both have similarly excellent long-term results. For the patient, the primary differences between PRK and LASIK have to do with recovery time and comfort. The great majority of LASIK patients report little or no discomfort and are able to return to most normal activities, including driving, as quickly as the day after surgery.
Recovery from PRK surgery is a little longer. For the first few days, while the corneal epithelium regenerates, PRK patients usually report hazy vision, some soreness, and light sensitivity. This typically clears up after the first few days, and most PRK patients are able to drive and return to work four or five days after surgery. Vision continues to improve over the course of the first few weeks after surgery, and by approximately the fourth week, vision is similar between PRK and LASIK patients. One technique doesn't give better vision than the other.
BEFORE YOU GET LASIK
WHO IS A CANDIDATE FOR PRK?
Ideal candidates for PRK eye surgery are healthy and have realistic expectations of the results. Additionally, candidates must have a refractive error that is stable (has not changed for at least a year) and between +5.00 to -12.00 diopters. Patients with pre-existing conditions including collagen vascular disease, diabetes, rheumatoid arthritis, keratoconus, or glaucoma may not be good candidates for PRK. Patients should notify our surgeons of previous steroid use as this may also make them ineligible for PRK.
WHAT IS THE DIFFERENCE BETWEEN LASIK AND PRK?
PRK, the earliest form of laser refractive surgery, is similar to LASIK. The main difference between these treatments is that PRK eye surgery does not involve the use of a laser to create a flap in the top layer of corneal tissue. Instead, a section of the outer, top layer of the cornea – the epithelium – is gently removed during the procedure.
HOW IS PRK PERFORMED?
Numbing drops are administered so that the surgeon can operate on the eye without the patient feeling any pain. While LASIK surgery requires the surgeon to create a corneal flap and fold it back to access the inner cornea, PRK requires the surgeon to remove a section of the surface layer (one to two cells thick) of the cornea called the epithelium.
After the section of epithelium has been removed, the surgeon reshapes the cornea with an excimer laser to correct the anomaly that has been causing vision problems. Once the cornea has been reshaped, the area is "bandaged" with a special contact lens that helps the eye feel more comfortable and allows the epithelium to heal.
HOW SOON CAN I GO BACK TO WORK AFTER PRK SURGERY?
It is important to take it easy and get plenty of rest during the first few days after the procedure. You may return to work and/or drive when you are confident with your vision and your comfort allows.
WHAT IS THE RECOVERY PROCESS AFTER PRK SURGERY?
After surgery, the eye can feel as if it has experienced a scrape or abrasion. To minimize discomfort, a soft "bandage" contact lens is placed on the eye for four to five days to smooth and cover the surface until the epithelium has healed underneath. Vision is usually a little blurry at first but improves after the epithelium or surface has healed. Studies have shown that after three weeks, visual acuity of PRK patients generally matches that of LASIK patients.
WHY WOULD A DOCTOR RECOMMEND PRK VS LASIK?
PRK is primarily recommended for patients who have thin corneas, have irregularities show up on their topography scans (e.g. irregular astigmatism), or are in professions that are not allowed to have LASIK.
VIEW ALL LASIK FAQ'S
STEVE SPENCER
"My vision was very poor, and coupled with my astigmatism I did not think I would even be a candidate. The knowledgeable and friendly staff at Hoopes Vision put me through the most thorough exam I have ever experienced and determined that I would benefit best with the PRK procedure."


Keto COLLAGEN™ is the perfect collagen superfood powder for those following a ketogenic diet and lifestyle or anyone looking to experience the power of collagen peptides combined with medium-chain triglycerides (MCTs) from coconut.
The Keto Craze Is On!
KetoCOLLAGEN features the KetoCOLLAGEN Blend of hydrolyzed bovine hide collagen peptides and medium-chain triglycerides (MCTs) from coconut.
Do you know what keeps you from falling apart? Collagen. Why? Because collagen literally functions to hold you together, depending on the type or types of collagen consumed.
Beef collagen, also known as bovine collagen, is in KetoCOLLAGEN. In fact, it features hydrolyzed bovine hide collagen peptides.
Keto COLLAGEN also features fats called medium-chain triglycerides (MCTs) from coconut, and they're amazing fats.
Truth be told, MCTs are more popular than ever, and while there are four primary MCTs contained in coconut, Keto COLLAGEN focuses on caprylic acid, also known as C8.
So, try Keto COLLAGEN today—and take your performance to the next level!
Whether you've embraced the ketogenic diet and lifestyle, are seeking the power of grass-fed beef collagen combined with medium-chain triglycerides (MCTs), are a "super Mom or Dad" raising a family, a weekend warrior, student, or busy executive—Keto COLLAGEN is for you!


We assist restoration companies with putting their customers lives back together in their home or business by professionally restoring and cleaning their personal possessions back to their original condition.
We are equipped 6 days a week to handle your goods post water, smoke, or fire damage and restore them back to normal.
We can also deal with any post construction clean up request.
Our expert trained technicians will quickly evaluate the situation and determine the best possible methods to clean, sanitize, deodorize or restore your goods.
If you are in the Emergency Restoration business and experience a shortage of resources, you can call COIT and we will be able to provide you with the assistance you need to take care of your customer immediately.
Our guarantee is our word. During times of stress, COIT promises that we will do our utmost best to clean and restore your personal goods and valuables back to their original condition.
We are available to respond when you need us most. What's more, our experienced team works thoroughly and quickly to get the job done right, minimize damage, and get you back to normal faster.
Our certified expert technicians are the best in the industry - you can trust us in your home or business. We have the expertise to handle post restoration cleaning and construction of any size: from homes to large warehouses.
Our industry approved pricing ensures that during a time of need, our pricing is competitive and fair. We do what we say we will do, and we go out of our way to restore your valued possessions back to normal.


text:
Critics' Choice Awards 2019: The Best Skin, Hair and Makeup Looks on the Red Carpet
From Emmy Rossum to Olivia Munn.
Emmys 2017: The Best Skin, Hair and Makeup Looks on the Red Carpet
From Priyanka Chopra to Shailene Woodley.
Critics' Choice Awards 2017: The Best (And Worst) Celebrity Hair and Makeup Looks on the Red Carpet
From Janelle Monáe to Emma Stone.
Emmys 2016: The Best (And Worst) Celebrity Hair and Makeup Looks on the Red Carpet
From Emily Ratajkowski to Mandy Moore.
From Emmy Rossum to Zoë Kravitz.
Golden Globes 2016: The Best (And Worst) Celebrity Hair and Makeup Looks on the Red Carpet
From Olivia Wilde to Jennifer Lopez.
How to Apply Eyeshadow: The 9 Mistakes You're Probably Making
How to avoid the most common shadow snafus.
Celebrity Makeup Artist Gita Bass on How to Get Your Makeup to Look Natural, Her Favourite Products and More
She's known for fresh-faced looks with beautiful skin.
Independent Spirit Awards 2015: The Best (And Worst) Celebrity Hair and Makeup Looks on the Red Carpet
From Emmy Rossum to Emma Stone.
SAG Awards 2015: The Best (And Worst) Celebrity Hair and Makeup Looks on the Red Carpet
From Emma Stone to Keira Knightley.

redpajama_set_name: RedPajamaCommonCrawl


text:
Q: Emit attempted before Angular Webpack plugin initialization When I try to load the project, the following error is thrown
./src/main.ts - Error: Module build failed (from ./node_modules/@ngtools/webpack/src/ivy/index.js):
Error: Emit attempted before Angular Webpack plugin initialization.

./src/polyfills.ts - Error: Module build failed (from ./node_modules/@ngtools/webpack/src/ivy/index.js):
Error: Emit attempted before Angular Webpack plugin initialization

.

A: I got that error after upgrading Angular, since I ended up with invalid tsconfig. Check your tsconfig.json and your tsconfig.app.json, check any paths set (in files/include/exclude) are actually matching your environment. Either update paths or move the config files.
"files": [
  "../src/main.ts", // added ../ to reflect current file structure
  "../src/polyfills.ts"
],

A: I had the same error, but required a different resolution. Turns out I was using an unsupported version of typescript (4.9.x) I had to downgrade it to the correct 4.8.x version to get the error to clear.

redpajama_set_name: RedPajamaStackExchange


I can vividly remember those early days and weeks at home after surviving a heart attack, especially that cold creeping anxiety around how I "should" be feeling. I had just survived what many do not: what doctors still call the "widow maker" heart attack. (By the way, note the gender semantics there, please: doctors are not calling this the "widower maker").
Shouldn't I be deliriously happy and thankful now because I was alive, because I was so lucky to live near world-class cardiac care, because I had such a strong social support network of family and friends around to fuss over me? Why was I so frighteningly tearful over every twinge I felt in my chest? Why was it becoming almost impossible to concentrate or to participate in conversations or to even drag my exhausted self out of bed every morning? Why had I simply stopped caring, day after day after day, about how I looked or how I smelled? Why was I no longer interested in, well . . . anything?
It turns out, however, that what I was experiencing is actually remarkably common among heart patients.
When I was at Mayo Clinic five months later, I was shocked to learn there that up to 65% of heart attack survivors experience depression, yet fewer than 10% are appropriately identified.
The type of depression that occurs so frequently after a serious health crisis like a heart attack is often known as "situational depression" or "stress response syndrome". It's what mental health professionals call an adjustment disorder that can strike within weeks following a traumatic life event as we struggle to make sense of something that makes no sense. The good news is that, unlike clinical depression, it typically tends to run its course over about a six-month period, and can often eventually fade even without treatment.
But before I was discharged from hospital after my heart attack, not one person in the CCU (the hospital's intensive care unit for heart patients) had warned me of the reality of these mental health statistics. Not one doctor, not one nurse, not one janitor had said even one word to me about this very common problem.
It's important for cardiologists to talk openly and early to their heart patients about this very common companion of heart disease if they expect these patients to be able to follow basic instructions, quit smoking, exercise, take their new cardiac meds as prescribed, eat a heart-healthy diet, manage a healthy weight, or make other lifestyle improvements to stay healthy. People who are depressed are often simply unable to follow any of those instructions.
The closest most cardiologists may come to identifying a bona fide mental health issue in their patients is through the common term "pump head". In February 2001, The New England Journal of Medicine documented the frequency and persistence of mental deterioration following coronary artery bypass surgery – dubbed pump head. This deterioration includes symptoms like mental sluggishness, personality changes and memory problems – not surprisingly, also the symptoms of clinical depression.
"The very nature of cardiologists is to embrace the concrete, the mechanistic, the object that can be analyzed, broken down into parts and assemblies, and held in the hand and examined, component by component.
Failing to take the known risk of depression seriously in these heart patients can have devastating consequences, as Dr. Fogoros warns. A 2007 study published in the European Journal of Cardiovascular Nursing on depression in women with coronary artery disease found that 74% of women diagnosed with post-cardiac event depression still had impaired physical and social functioning one year after their heart attack.* That impairment also meant that overall recovery, independence and quality of life was also impacted.
So wouldn't it just make sense for physicians to address these common depression symptoms instead of labelling such people "non-compliant" because they aren't following doctor's orders, taking their meds, eating healthy, exercising every day or bouncing back the way they should?
"When we're healthy, we tend to think of our bodies as intact.
But if signs of depression hit immediately after surgery, he warns that doctors suspect hidden complications, perhaps a problem with anesthesia, an infection, or some other underlying cause – especially in older patients whose post-op delirium symptoms can appear subdued – much like depression.
But depression in heart patients – whether they have experienced a surgical procedure or not – has "flown under the radar for far too long", concluded the study author, Dr. Colleen Norris. She added that doctors must look for symptoms of depression in all patients who are undergoing treatment for heart problems, but particularly in women.
Cardiologists at Cleveland Clinic (widely considered the #1 heart institute in North America) describe temporary feelings of sadness as "common" following a cardiac event. They also warn that this sadness should gradually go away within a few weeks as people slowly resume normal routine and activities.
Sometimes, however, a depressed mood can be severe and accompanied by other symptoms (including withdrawal from activities, not responding when visiting with family and friends, increased negative thoughts and tearfulness – pretty well the textbook description of my own symptoms!) that persist every day for more than two weeks running. That's when it's time for heart patients to seek immediate help.
On the seventh week of our 7-week Heart To Heart patient education classes, the guest speaker was the cardiac social worker at our local hospital, who talked openly about mental health issues common to those diagnosed with heart disease. I recall feeling a glimmer of relief that evening just to finally realize that I was not alone – but this was over two months past my hospital discharge.
Why, I asked her after the class, isn't this important topic right up front at the very beginning of their 7-week schedule of guest speakers addressing freshly diagnosed heart patients?
Might scare people off, she replied.
In effect, the stigma of a mental health diagnosis is so pervasive in our culture that not even our health care providers will warn us about what the statistics already clearly show.
NO! I replied. It was because I had just had a frickety-frackin' HEART ATTACK!
When I was asked to review the book Your Personal Guide: Angioplasty by cardiologist Dr. Allen Jeremias, I was dismayed to find virtually nothing on mental health issues. Despite the fact that one of the book's co-authors Dr. Susan Bartell is herself a psychologist, the psychosocial impact of being diagnosed with heart disease is virtually ignored here. How is that even possible?
** Susmita Mallik et al, "Depressive Symptoms After Acute Myocardial Infarction: Evidence for Highest Rates in Younger Women," Archives of Internal Medicine 2006; 166: 876-883.
After my heart attack, being a rational guy, i decided to try to kick back and process some of the fear and confusion that had gripped me. Life had other plans. A month after the physical attack on my heart, it would be figuratively ripped out of my chest when my wife of 40 yrs died suddenly. So much for processing anything… i became a sort of zombie who ran on fear and soul wrenching grief.
The point is that i did nothing…no therapy, support etc. I let this all fester until it erupted and almost killed me. I found myself in the ICU surrounded by doctors who were assuring me that i had been dead a half hour ago. ..that i was found on my living room floor not breathing and without a pulse by paramedics who had to resucitate me.
Naturally i received a million theories as to why the cardiac arrest and i'm sure there is truth in all of them, but. Im covinced it was my allowing this volcano of abject fear and soul wrenching grief to build and build until it erupted in the form of a cardiac arrest. I dont blame myself, i did the best i could. I'm simply responding to the point made that so little seems to be available that connects heart problems and grief.
Who knows what would have happened had i gotten some therapy and not buried my head (and heart) in the sand….
Oh, Tom. I'm so sorry about the tragic death of your wife. I don't know if there is any kind of therapy that could have helped to significantly lessen the profound sense of shock, grief and loss you experienced, especially during a relatively early point in your own recovery when you were most vulnerable and least able to process it.
It's impossible to separate the body-mind connection that's present in almost all health crises. A number of studies have explored the link between intense grief and heart disease. I wrote more about this link here. Boston researchers, for example, found that grief-related stress can indeed specifically affect the heart in several ways.
Physical damage can happen in the body following grief, but combined with that 'volcano' of psychological pain, as you describe it, means you had a double whammy of impossible burdens to cope with. No wonder you felt like a zombie at the time.
Thank you for sharing your important story here. I know it will help others who find themselves in similar circumstances.
I had my widow maker just before my 45 birthday. After, I was angry and in shock and felt a lot of guilt. Why did I live but my dad and two brothers hadn't? (all died of heart attacks ).
It's been a long 3 years of emotions. Ups and downs I've gone thru periods of depression were I just feel blah and really don't care. I've gone thru positive periods were I tried living life to the fullest, make every moment count. I've had a therapist for the past 3 years since it happened. Now I just had a second stent placed despite taking my meds, exercise, eating better, quitting smoking. I just don't understand. I'm feeling very blah, like what's the point? I definitely think Dr's should go over the mental toll heart attacks, heart disease, and all related issues so people know it's not just them. It's hard.
Hello Lesley – no wonder you are feeling "blah" (that's probably an understatement!) Needing to have another stent implanted is shocking – especially when you've been doing everything "right" and are so young. You've also suffered the tragic loss of your Dad and brothers. It's just not fair. One of the things we need to wrap our heads around, however, is this reality: there is no Fair Fairy in life. Bad things happen to good people. You're doing all the right things for your physical and mental health (meds, exercise, diet, quitting smoking, and seeing a therapist regularly). You will get through this with the help of that therapist and your own clearly demonstrated determination. Right now, it's completely understandable that you ask "what's the point?" Sometimes, it's just putting one foot in front of the other. Good luck to you and keep me posted, okay?
Oh my gosh. After 12 years, I finally don't feel like a freak and alone.
I was 44 when I had my first implant – stopped me dead in my tracks and I was used to going 140 miles an hour. I was discharged after 2 days with no idea what happened or what I should do. The "best" cardiologists didn't tell me about heart therapy or clinics. I kept waiting for the other shoe to drop and end my life. That happened in 2012, but my life didn't end, I had a v-fib episode in the hospital and had another implant. The depression just got deeper.
Thank you so much for sharing all of this. Unless you have personally gone through something like this, where your life totally changes and you can't go back to normal, you have no clue what it's like.
Thankfully I have a husband and family who are kind enough to care, if not totally understand.
Hello Brenda – you are neither a freak nor alone! Depression is widely recognized as a common – yet too often under-recognized – companion of heart disease. As cardiac psychologist Dr. Stephen Parker (himself a heart patient) likes to call cardiac diagnoses, they are "deeply wounding" events and can take a long time to recover from. And I think you are right: it's almost impossible for those who haven't experienced a catastrophic health crisis to really 'get' what we're going through (yes, even our closest family members who care about us!) Please tell me that, although it's long overdue, you are now seeking professional help through a therapist, pastor or some other trained professional to help you gain some perspective on this. You might also enjoy Dr. Wayne Sotile's wonderful book Thriving With Heart Disease; it's all about the psychosocial fallout following a cardiac event. Best of luck to you….
I am sorry to have to tell this, but I don't buy the depression story any longer. My son (34) 2 years ago had QUINTUPLE bypass surgery. I didn't even know there were that many arteries inside the chest. After a long operation on the heart lung machine (he did NOT have any heart attacks) very soon after convalescing at my home, I found that I had lost my son. He belongs to Mensa, is a very gifted person with a soft demeanour and yet I, his mom, became his target – nobody believes me. He sits all day in his room with the door closed and yet he says he's busy with work. It's a longer story than this, but to me personally I think the day I said good bye before they wheeled him in was the last day I saw my Michael. We have a disease called heterozygous familial hypercholesteroleamia and my younger son has the disease as well. I myself have given up on life altogether. I fully believe there's something else going on and that this pump head syndrome issue is a fact!
Maguerita, I'm so sorry that both you and your son are being impacted like this. Feeling like you've "lost" your son is heartbreaking. Pump head has been a controversial subject even among cardiologists, but recent research does suggest that it is real, and can last a long time. Depression, however is very real, too, and can cause many of the same symptoms. No matter what we call it, something is happening that's causing you severe distress.
You may say that you don't "buy" the depression story, but anybody who says they have "given up on life altogether" is suffering terribly from something that is treatable with help. Your son is an adult and no matter how much you love him, you cannot on your own force him or will him to behave differently. But you can do something to help yourself. Please call your physician to ask for that help for both you and your son – good luck to you.
When I was on the table for my second stent surgery, doctor told me that the three stents he had placed six weeks earlier were already blocked. I asked if he could fix it and was assured that he could. I started to cry and was offered meds to relax me. I declined and said I would be OK. In my head though, I was thinking that maybe I was supposed to die. I am not suicidal, but can't get that thought out of my head.
I've had two years of hell with my health. Starting December 2014, renal failure and on peritoneal dialysis, diabetes, breast cancer, peritoneal infection and now cardiac problems.
I've always had a positive outlook and before my second stent surgery, my attitude was…get my heart fixed and all I need to worry about is dialysis, and that will be easy.
It's only been three days and I don't like my thoughts. I am planning to go to cardiac care for exercise and hopefully some counselling. I know this dark period I am going through will not last.
Oh, Sandra. You indeed have had two years of hell with your health. I'm so sorry you're going through this. No wonder you are feeling so bleak and overwhelmed by this most recent setback. I remember also feeling convinced that I would die in my sleep after being discharged from hospital (every night before bed, for example, I would clean my home so that if the paramedics -or worse, my grown children- had to come in and find my body the next morning, at least the place would look perfectly tidy).
The only encouraging aspect here is your attitude: "I know this dark period will not last" – that alone will help you every step of the way. Meanwhile, please do not wait for your cardiac rehab program to start before seeking professional counseling. Get a referral from your GP for talk therapy to help you through this. And order a copy of Dr. Wayne Sotile's excellent book Thriving With Heart Disease – it was a lifesaver for me. I've written many times about his Four Stages of Heart Illness here focused on the psychosocial fallout from a cardiac event. Best of luck to you….
I have experienced three major "Ventricular Tachycardia Storms" since June 2015, got an implanted defibrillator after the 1st, 3 months later went into all day VT storm getting shocked multiple times and then dying, to be brought back multiple times.
Since the first event where I had to get 2 shocks in the ER, I have experienced depression, withdrawal from normal social events, and a very foggy sluggish thought process. Has anyone experienced these things, especially the mental fog?
As an ICD/VTach survivor with multiple shocks and dying from 4 years ago, I too have experienced some of the mental fog you describe.
There are odd blank events, etc. that I have no recollection of – more in the first year than now but those blanks still exist. I try hard to remain positive, be thankful I am alive, and just chalk those moments up! One thing I do is exercise a lot at our local hospital's cardiac rehab which helps relieve all that stress. Take it all day by day and look for those blessings each and every day!
Yes I had my first heart attack in 2000, I was 32, defibrillator put in; in 2003 2 more heart attacks; 2005 another heart attack; 2007 put on blood thinner no more heart attacks but heart damage caused VT storm. I was in hospital when it happened; 2012 shocked 12 times in a row; yelled out kill me please then passed out; 5th shock since then; 2 ablation operations 9 hours – first one 6 hours, second I have not had any problems since but I am scared any time I feel any little thing inside or loud sudden noise outside.
I hope this helps; it helps keep my mind straight, its still hard every day prob still there the mental fog can wear you down; look forward not back; you lived thru it once; don't put yourself thru it ever day; the weight of the past can be to heavy.
I had several heart attacks a month befor my 43rd birthday. I'm a single mom with a 11 year old child. I went to hospital the night I was having chest pain and next thing I knew, I was hooked up, told I'm fine, would just need some meds and I'll be going home in the morning after some observation.
When the doctor came in, I start asking questions, his only answer your questions will be answered after we get things going. Next thing I know he tells me everything is fixed, you're going to be fine and leaves the room.
I never did get my questions answered. When I asked the nurses in recovery, they said my heart doctor back in my hometown would be able to answer all the questions as soon as they transfer me back in the morning.
I ended up having a stent put in the main left ventricle. I was on no prior medication at all and now I'm on cholesterol meds and blood thinners, and was recently put on blood sugar medicine for diabetes.
My cardiologist is an amazing doctor back home. I know I have been feeling depressed and withdrawn. Even my child has to beg me to play with him. I do go to cardiac rehab through the hospital, but everybody's 20 to 30 years older than myself and it makes it hard to integrate myself into the program and the discussion as I feel like an outcast being such a young female who suffered a heart attack in the last three months.
The hardest thing for me is that I've always been the pillar of strength for everyone around me. My friends and family would always call upon me to help them pick up the pieces. And now I can barely pick up my son's clothes on the floor.
I know I need to speak to someone. I'm just very frustrated that no one in the medical field has brought to my attention that I would be going through an emotional roller coaster after what it happened. I am back to work but really don't want to be there. I make every excuse to show up late or leave early and what I want to do is stay within my house. I don't want to go out; however I do have a few days a month where I'm feeling a lot stronger emotionally but I still live with pains across my shoulders and arms and sit for hours on end, moping and crying.
The one good thing that I did do when I left the hospital was Google and read up recovery rates on young women, what happens to women after heart attacks. I was aware that females in my age bracket are more likely to deal with depression after heart attack…but I'm stubborn and said it's not going to happen to me . I think that's the hardest part to swallow right now and that I do need more help than what I can do myself. I don't want any more pills but I do thank you for your article and the research that went in to your writings.
I do think every person who has a heart attack or heart surgery or heart issues should automatically be referred to a support group or counselor in their area to be monitored for depression. That's one thing I hope that once I get past my emotional issues that I'm going to start pushing for within the Canadian medical system.
Hi Michelle and thanks so much for sharing your own story here. What you're describing is unfortunately very common – and not only with us heart patients, but with those who have survived any life-altering health crisis – and especially people like you (and me!) who always considered ourselves "pillars of strength" before our diagnoses. I absolutely agree with your observation that routine monitoring of all heart attack survivors should be automatic.
It's wonderful that you're going to cardiac rehab! Keep it up and do NOT quit (try not to focus on the older participants – the exercise itself will help both your psychological and emotional recovery). Daily exercise (especially when you're feeling depressed) is the VERY BEST thing you can do for yourself at this time – even if it's just running up and down the stairs. The important thing is to put one foot in front of the other.
Also, make an appointment to talk to a counsellor, a pastor, a peer-counselling service or other mental health resource in your community immediately. Your cardiac rehab coordinator may also have some suggestions. You might also like an online support community like WomenHeart where you will find thousands of other women in the same boat. I found this site to be very valuable in the early months following my own heart attack.
Thank you for sharing your story and for being so honest about your feelings and situation. Your experience caught my attention because I agree with you that patients need to be prepared to handle these emotional changes and depression. I found this to be true when I brought my husband home from a mitral valve replacement and his mental state had been altered. I did not recognize him at times. I also did not know what to do.
Went through it too. Almost 2 years ago, I had two Heart Surgeries on the same day, back to back. First was non-invasive Mitral Valve Prolapse Repair with regurgitation. Surgeon finished, everything went well, he checked me over over many many times he told me later, and everything looked good before he closed me. Right after he closed, my blood pressure dropped. So he quickly opened my side stitches to see what was going on and saw bright red blood. What he found was that the sutures on my heart broke open.
They had to drain my lungs from filling up with blood. Also I had 2 mini stokes. I was in cardiac arrest, loaded up with all kinds of medications, and had several blood transfusions while back on the heart lung machine that I had just been taken off of. The surgeon later told my husband that he wasn't sure if I was going to be brain dead. Cardiac arrest happened 2-3 times over the 7-8 weeks I was in the hospital. I was in bad shape and at risk of dying for a long time.
I'm sorry this is so long but it was a long trail and a long journey to get to where I am now. It was your subject matter here that got my attention as you can guess by this story so far.
Today, I still have thick wires that stick out of my chest and if I bang any thing against them accidentally it hurts.
Even just yawning still hurts, and when I have to sneeze, I have to grab my chest and push.
Still hurting like this is a constant reminder and depressing. The thought that this should have healed by now and it seems others don't have that 2 years later, and I don't know if it will ever go away.
It didn't take long after my surgeries for depression and fear to set in, being in a completely helpless state – a great sadness and emotional pain that felt very overwhelming, depressing and hopeless and for awhile this happened to me everyday at different times and I cried and cried from the depths of my soul from the toll this all takes still on me every day.
Hospital staff never gave me a support person to come see me and help me. They knew I was depressed so they just put me on an antidepressant and that didn't stop my feelings of pain and suffering and fear or crying. The doctors and surgeons and head nurses should be watching the patients and not just drugging them up till they can send them home with no emotional/mental referrals for help. Why no referral for psychological help? I didn't know or even think on my own to ask for this help sadly.
I came home from 3 months in cardiac rehab in the end of Feb 2013 and was so happy to be home. Yet sometimes I curled up in a ball and slept and cried and took care of my cat who was my love. I rose up very slowly to go do things. I laid on my couch everyday, and my husband cooked. I was so weak that after a shower I needed to lay down to rest and sleep.
A couple weeks ago I found myself crying alone in my room 2 or 3 times a day and not wanting to talk to anyone about it anymore, because they think the same thing, it's over, and just move on with your life, and look how far you've come, you have a lot to be thankful for.
One of the worse things to say to someone going through this if they are sharing some emotional pain is something like: why don't you just forget it and move on. Or the worst one: I don't want to hear about it any more. That will shut the person down from letting you know when they're hurting. Maybe they just need to express it and then they will get it out and feel better. They aren't looking for you to have an answer to fix it because you can't.
If you do want to say anything, then just encourage them to try to do something they like to do to get their mind off it for even a while.
Mine was quite a journey and I did have to take an early medical retirement from my job and that worked out well and my finances worked out well through this whole medical time I was out of work from my job and after I came home too.
Well I hope something I shared here will help someone else going through this hard stuff because they don't offer or even tell patients they can request help even while they are in the hospital. When something unexpected and traumatic happens, the patient/family don't know to ask because they are dealing with a problem or trauma unexpectedly.
Well thanks for reading my story and sharing my trauma and resulting depression I have had to battle through too. Say a prayer for me to stay up and to maybe still find the right person to go see to help with the weakened parts of my life that I have a real battle with that I need to overcome to function better and be happier because there are some things I would love to do if I could function right to be able to them.
Thank you for your time and prayers sisters, you have mine.
God bless you all on your journey.
Dear Deserted – as you can see, I have significantly edited your comments yet it is still very long! The depression and anxiety you describe is not a surprise after what you have gone through. Your experience in feeling dismissed or ignored while trying to share your story with others is sadly very common for many of us. See: "Why We Keep Telling – and Re-Telling – Our Heart Attack Stories" The secret is to be very careful in choosing who you decide to disclose to: often our closest family members/friends are simply NOT the most appropriate audience – because they want and need us to be "normal" again. That's where we need instead a trained psychological counselor, pastor or mental health professional.
My 40-year old husband biked his way through a heart attack involving 100% blockage of the LAD on Jan. 2. We're both in this weird "how did this happen?" questioning stage, and we're definitely both sad at what could have happened, the life we had that now has to change, and the thought of what is more likely to happen now that he's experienced one heart attack.
I'm not sure exactly why I'm posting this as I have no real point. I can tell you that I find it incredibly difficult to fall asleep. I keep checking to make sure he's breathing, as if he might expire quietly in the night as a result of said attack. And I'm deathly afraid of preparing a meal that'll kill him because of the salt or bad fats.
Might I inquire if you have any good cookbooks to recommend? We've already ordered a big AHA cookbook. Best wishes to you. We're still working our way through this.
Hi Christie – I'm so sorry to hear of your husband's shocking experience. Welcome to the very exclusive club that nobody ever wanted to join.
Your feelings of "hyper-vigilance" around him are very common. I wrote about that recently here. These feelings WILL wear off in time, but right now can feel overwhelming and exhausting. You might want to also read "How To Cope When Your Hubby Is The Heart Patient" which also has some links to some helpful recommended books for women in your shoes, as well as some good advice on "Self-Care for the Caregiver". Good luck to you and your husband.
2. Christie's comment sharing her struggles with quality-of-life concerns since her husband's cardiac event just nine days earlier?
Take care of your second life.
When my father had a heart attack and then quadruple bypass surgery his heart surgeon (one of the best) did not care about his mental health. It wasn't "his job" and that was made very clear.
It's like that in today's medical care too. My Internist always refers me to "Specialists"; she stays within the narrow confines of her sinus infections and strep throat. The cardiologist and the cardiac surgeon viewed my dad as a number even though it was many years ago and it was a very risky procedure. When my father got severely depressed, he went to see a psychiatrist. I don't think it ever occurred to him to broach his heart team.
I think your Dad's experience is not unusual! It's an example of how fragmented each specialty can become (not involved in the "whole" person at all). Our family doctors can serve as the traffic cop here, but – given the known poor outcomes of depressed heart patients – cardiologists MUST be both aware of and pro-active in asking their patients about mental health issues.
This is so very true..and more often than not, it can result in the patients themselves feeling fragmented. How can we, as women especially, truly feel mentally/emotionally healthy after not only experiencing a total loss of control over our bodies..but also in the aftermath, to be consistently treated as if we are no longer "whole people"?
Good question, Joanne. This fragmentation of care does indeed contribute to the associated fragmentation we can also feel as we try desperately to make sense out of what doesn't make any sense. This is the "new normal" in which our doctors' focus is now on our numbers, not on us a a whole person.
"Normal" is merely a setting on the washing machine, I think.
But it does raise the question of just how much this impersonal, fragmented delivery of care actually contributes to post-event depression and subsequent follow-up care. Are we being systematically conditioned to focus on our physical well-being, one body-part at a time?
Joanne, I like how you think. There are so many theories on our post-event depression! Consider the lost practice of convalescence, for example. Or length of stay in hospital: decades ago, heart patients were kept in hospital for several days during which time they interacted with the dietician, the occupational therapist, the social worker and many physicians and nurses. By the time they were discharged, they'd actually started to get their brains wrapped around what the heck had just hit them. Not so anymore . . .
I also like the way you think, Carolyn. I'm so impressed with your blog/site. I have never seen such a comprehensive patient-oriented addressing of issues…and I've been looking for a long time. Kudos to you!
I began trying several medications without any good results until we hit on Lexapro 10mg and the results were amazing. Plus my PCP assured me this depression was common after a heart attack.
My Cardiologist, to this day even after my second recent heart attack, has never asked me a thing about depression. My spouse to this day does not know I take Lexapro for "mood".
Hi Annie – sadly, your cardiologist's response is all too common. Mental health issues are under-appreciated (not only by docs, but often by our family members, as in your case). Before my own experience with depression post-heart attack, I didn't "get" it either. Not at all.
I too share many of the other women's experiences of depression after my heart attack.
Though I tried to keep it to myself, thinking it would just go away in time, it really never did. Then, seven months after my heart attack, my husband died suddenly, so of course my depression became major.
Thankfully, with the aid of medication, exercising, eating healthy, and support from friends and family has lessened my depression, but it never has completely healed me.
Sometimes the depression is more painful than having a heart attack. I do feel that depression should be addressed to heart patients before discharge, and also would recommend it to the cardiac rehab nurses to address in their rehab classes.
"Sometimes the depression is more painful than having a heart attack". Most people who haven't experienced depression after a cardiac event might find this statement hard to understand. True for me, too, Sherrie. Thank you for taking the time to share your experience here, and my condolences to you on the sudden loss of your husband.
I think depression and anxiety are under treated. I have taken Wellbutrin and celexa for years with great results.
Don't tolerate your symptoms another day. See your primary care provider for assessment. Take care of all aspects of your life. It will make a big difference. Exercise, eat well, sleep 7 hours. Have supportive relationships. Don't get overtired. Pay attention to your thoughts, they influence your mood and behavior. Be mindful of your blessings.
Good advice, Wanda – I particularly appreciated "Don't tolerate your symptoms another day!" Being reluctant to seek professional help just makes the status quo seem more normalized – not good for heart patients.
There is so much food for discussion here, but I will keep my reply as brief as possible. You are, as usual, 1,000% right. But there is more. Depression is anger or sadness turned inward, layered with different forms of the self protection called denial.
Whether it is an "actual" heart attack, or just daily chest pain that is recurrent and constant, treated or untreated, depression is a virtual given. I don't know anybody who goes through this who isn't profoundly distressed.
Ultimately, this type of experience is a mortality threat, just as cancer is. All doctors have to do is take the playbook on cancer depression, and apply that to heart issues.
But yes, there are differences. Those with heart issues may not be able to exercise, no matter how good it is for you. There may or may not be "a cure". Life may not return to normal. But the center of this experience is that it is a deeply wounding mortality crisis.
By definition, one's body experience and one's mortality awareness are now deeply linked, and it becomes a constant companion, because we are watchful for "signs" that things are not right with our heart. And, they aren't ~ it is the new normal.
We have written volumes about midlife crisis, mortality crises because we know it is psychologically unsettling. Aside from other daily living issues, any questions must be opened up and addressed that lie at the core of the distress: How do I feel about mortality? Am I ready for it? Do I believe/not believe in God? Why have these bad things happened to good people (me!)? And more, yet….
It takes a deep therapist to recognize and travel on mortality journey with the respect it deserves. I used a therapy called EMDR, which was a good choice for me. It takes a deep therapist to accompany their patient on this very personal journey. The visit to this foreign and sometimes very feared place may pave the way back to living life with new and deeper eyes, new and unpredictable terms and renewed enthusiasm.
* The film, The Way, highly recommended as a metaphorical experience ~ Buon Camino, pilgrims.
Oh, Mary. You have raised many interesting points here. Thanks for reminding all of us that mental health problems are associated with many cardiac issues – not just heart attack. Many patients living with heart failure, or with an implanted device like an ICD, or with serious arrhythmia diagnoses, or with a number of other cardiac conditions also report depression and anxiety. It's the HEART we are talking about here, that is why! Even the most benign symptom can lurch us into an "Is this something? Is it nothing? Should I call 911?" frozen panic. Thanks also for your helpful recommendations to address this issue.
Yes Yes Yes! I have had multiple conversations with providers since my quadruple bypass, and none of them has been willing to acknowledge the huge emotional toll of a cardiac event and the barbaric invasion of the body that is cardiac surgery. And when I have queried about support groups, I have been uniformly told that they don't pay so they aren't run. Or the current culture doesn't support them. Or nobody wants to run them. Etc.
When I was lying in my bed the first day out of intensive care, the cardiothoracic surgery fellow asked me how I was. I told him that I had just spent the worst night of my life. He tsked and said, "Oh, we'll pull your Foley and your chest tube, that should make things better" and breezed out of the room. Little wonder I was in tears after that.
I could go on and on. This is a really important topic that needs to be addressed by cardiothoracic services everywhere.
Hooo boy, your story of your first day out of the CCU is maddeningly common – and tragically representative of the inability/unwillingness of some health care professionals to address the psychosocial impact of a cardiac event. Thanks a lot, Dr. Anne.
I really enjoy your essays. In November I had open-heart surgery to replace my mitral valve and repair my tricuspid valve. I've had quite painful, debilitating depression since about three weeks post-op.
Also, because I chose the mechanical valve due to being 42 years old, I am and will be on coumadin for the rest of my life. It's affected my menstrual cycle quite a bit, and I am afraid of having dental work done, cutting myself et cetera, not to mention the weekly blood tests, and I had better never go without health insurance! This wasn't discussed with me before the surgery or after. Really, I wish I had done more research pre-op.
I've heard that the heart-lung machine and the anesthesia together somehow cause the post-op depression; of course I don't know the exact cause, I just know that I am depressed. If it doesn't go away soon with the positive lifestyle changes I've made, I'm definitely going to see a mental health professional. I talked with my cardiac surgeon (very nice man) and he didn't quite know what to say.
Rachel, thank you for telling your story to us here. Please do not wait to see if your depression goes away: call today for an appointment to see a mental health professional. If nothing else, the very act of talking to a trained therapist who knows better than to tell you he doesn't "quite know what to say" should feel better. Meanwhile, for some practical help, read "10 Non-Drug Ways To Treat Depression in Heart Patients".
Earlier studies have looked at depression in patients who suffered a heart attack or underwent open heart surgery as you did, but recent research also suggests serious depression is common in other heart patients, too. For example, a Danish study last March examined what effect depression might have on mortality in patients who had coronary stents implanted and found that patients who are depressed after stenting had significantly worse prognoses compared to patients who were not depressed. The heart-lung machine's "pump head" is not the only culprit!
Wow, you just described me to a tee. After three years my depression is no better. I still feel the same today as the moment my cardiologist said, "you had a heart attack".
I push myself everyday to keep going for my family but deep down inside I could care less about anything. I just want someone to understand how I feel instead of thinking I should be Miss Happy Happy and still do the things I use to do before the heart attack.
Physically I am not the same person and don't think I ever will be. Everyday life details are not important to me anymore. I see myself stepping further and further behind and no one understands. Even the nurses at rehab, which I have been to three times, don't understand it. They don't think depression is a part of it at all.
I feel like I'm standing in the middle of a foggy field and no one can see me. I pray everyday I don't have another heart attack because I will give up completely. I'm going to copy and send this article to my cardiologist, family doctor, rehab nurses, and director of my hospital and see if it opens any eyes.
Thank you for writing this and letting these people know where I am at in my life.
Thanks so much for taking the time to share your own experience, Sandy. It's so important that our doctors (and rehab nurses, and hospital administrators!) learn what it can actually be like for so many of us. Good luck to you.


Merck announced yesterday that it is to cut a further 8,500 jobs. This move is an attempt to cut $2.5bn from its costs by 2015.
In 2011 and 2012, 7,500 job cuts were announced, these latest cuts will mean the company has reduced its workforce by 20%.
Following the announcement, Merck's shares rose 2.35% to $48.73 in New York trading.


text:
International Wheelchair Rugby Federation to auction custom made chair at Sydney World Championships
By James Diamond
The International Wheelchair Rugby Federation (IWRF) will auction off a custom made VESCO competition standard chair after the gold medal match at the 2018 Wheelchair Rugby World Championships in Sydney, the organisation has announced.
The auction will be held between the match ending and the medal presentation on August 10, with all proceeds raised going towards the IWRF Hall of Fame.
Anyone wishing to bid at the auction must sign up in advance at the Quaycentre competition venue.
If you cannot be there in person but would still like to bid, you can assign someone who will be at the event to bid on your behalf.
Hosts Australia are the current world champions and so will be looking to defend their title in Sydney ©Getty Images
The chair, which is being provided by the official sponsors of the competition VESCO, has a value of almost $9,000 (£6,856/€7,697) and will be custom built to the exact specifications of the highest bidder.
Optional extras, including a removable ball holder and custom footplate, will also be on offer for an extra cost.
The IWRF World Championships will run from August 5 to 10 featuring the world's top 12 teams.
Hosts Australia are the current world champions and will therefore be defending their title.
July 2018: Hosts Australia select squad for Wheelchair Rugby World Championship
July 2018: IWRF reverts back to previous ball holder rule for 2018 World Championship
July 2018: Olympic sevens champion Pelite named as ambassador of Wheelchair Rugby World Championship
July 2018: Irish wheelchair rugby player star handed two-year ban for intentional misrepresentation
June 2018: Campbell becomes first member of IWRF Hall of Fame
James Diamond
Follow @@JamesDiamond0
Prior to joining insidethegames.biz in June 2018, James worked as a broadcast journalist at Celador Radio in Bristol, where he read the drivetime news across seven stations in the South West of England. He graduated from the University of Exeter in 2016 with a 2:1 in History, before completing a Masters in Broadcast Journalism at Salford University. James' passion lies in sport. He has a golf handicap of nine, is a qualified windsurfing instructor, regularly plays hockey and tennis and has previously competed in the long jump at a national level. His first trip with insidethegames.biz was to cover IOC Executive Board meetings in Lausanne, while he has since covered the 2018 Asian Games in Jakarta and Palembang.
Read more of James' articles
Follow @@JamesDiamond0 on Twitter
Olympic hockey qualifiers for Paris 2024 to be played in home and away format


text:
Page 1 2 . . . 103 104 105 106 107 108 109 110 111 . . . 148 149
Browsing page 107 of "C" words
cover (one's) ass
to do something in order to have plausible deniability in case something goes wrong.
Citation from "Killer App", Lie To Me (TV), Season 3 Episode 12 (2010) censored in hope of resolving Google's penalty against this site.
Last edited on Feb 01 2011. Submitted by Walter Rader (Editor) from Sacramento, CA, USA on Feb 01 2011.
an unpleasant woman; "bitch".
Citation from "Episode 1", Little Britain (TV, 2004), Season 2 Episode 1 censored in hope of resolving Google's penalty against this site.
Citation from "I Never Met the Dead Man", Family Guy (TV), Season 1 Episode 2 (1999) censored in hope of resolving Google's penalty against this site.
See more words with the same meaning: uncool person, jerk, asshole (general insults - list of).
See more words with the same meaning: woman, women, female.
Last edited on Oct 28 2011. Submitted by Walter Rader (Editor) from Sacramento, CA, USA on Aug 26 2009.
an overweight person.
See more words with the same meaning: overweight, obese, fat person.
Last edited on Nov 14 2010. Submitted by Walter Rader (Editor) from Sacramento, CA, USA on Sep 02 2009.
verb - transitive
to intimidate.
See more words with the same meaning: to intimidate, scare, confront.
an employee who frequently operates in an unauthorized fashion.
cowboy killer
a very strong cigarette. For example, Marlboro Reds.
I need a smoke and all you got is cowboy killas?
Last edited on May 13 2011. Submitted by Kevin I. from Cherry Hill, NJ, USA on Mar 11 2003.
to face a daunting task, as a brave cowboy would.
Citation from "Charged", Reaper (TV, 2007), Season 1 Episode 2 censored in hope of resolving Google's penalty against this site.
See more words with the same meaning: brave.
Last edited on Apr 29 2011. Submitted by Mary K. from Lockport, IL, USA on Feb 25 2003.
"own up to it". Also see "mount up", "saddle up".
Last edited on Apr 09 2018. Submitted by Anonymous on Apr 09 2018.
"to ride (or, to "eat out") one's partner" - extreme sexual connotation - as in "the task set before you", generally referring to a female. Similar to "cowgirl up", having the roles reversed.
cow chip
cow feces.
See more words with the same meaning: feces.
the sexual position in which a man lies down and his sexual partner rides on top, facing towards the man's head.
I got me some cowgirl last night, man.
See more words with the same meaning: sex activities, practices, moves.
See more words with the same meaning: sex, sexual intercourse.
Last edited on Apr 24 2011. Submitted by Walter Rader (Editor) from Sacramento, CA, USA on Aug 11 2009.
cowinkidink
alternate spelling of coinkydink.
Citation from Warner Brothers cartoons censored in hope of resolving Google's penalty against this site.
Last edited on Jun 18 2011. Submitted by fourwinds on Jun 17 2011.
cow juice
cow orker
"co-worker".
Me and the cow orkers are going to get a drink after work.
See more words with the same meaning: business (related to).
Last edited on Sep 10 2011. Submitted by Walter Rader (Editor) from Sacramento, CA, USA on Sep 21 2009.


Ivy Barkakati is an American DJ, producer and presenter of a monthly show on the Barcelona-based dublab.es radio, Casa da Crega, where she currently resides.
She released her first solo debut in 2014 on Hospital Productions, followed two years later by another track "Mango Sheen" on Modern Obscure Music. She has since collaborated with Phran ("Impulse") on Rhythm Control Barcelona in 2017, with whom she released another track "Manipulate Me" under the alias IVAN on the australian label Best Effort .
Barkakati's music style is eclectic. Her DJ sets tend more towards the American house and disco that she started out with, and in the studio, she produces more experimental music with synths, ranging from light ambient to dark industrial sounds. In ITHAKA Series_#3, she'll be gracing us with one of her feel-good DJ sets so get ready for some bangers!


MINNEOLA - Timothy E. Smith, 80, died Nov. 27, 2009 at his home in Minneola. He was born on Jan. 18, 1929 in Wewoka, Okla., to Timothy A. and Nellie J. Wheat Smith. He was a longtime Minneola resident.
He was a retired owner and operator of Tim's Diner, Minneola. He was also a farmer and rancher.
He was a member of Minneola United Methodist Church, William Houser Post #222 of Minneola, and VFW Post #1714 of Dodge City.
On April 21, 1952 he married Hattie Garrett at Huntsville, Ark. Survivors include: his wife; a son Timothy A. Smith, Midland, Texas; two daughters, Sherry Bryant, Cincinnati, Ohio, Janet Smith, Minneola; eight grandchildren; and 10 great-grandchildren.
Funeral service will be 11 a.m. Monday at United Methodist Church, Minneola, with Rev. Kip Ryherd officiating. Visitation will be from noon to 7 p.m. Sunday at Minnis Mortuary, Minneola. Burial will be in Appleton Township Cemetery, near Minneola, with military graveside rites.
Memorials may be made to Minneola United Methodist Church in care of the funeral home.


text:
Inmarsat Looks to Capitalize on Growing Chinese IFC Market
By Juliet Van Wagenen | June 2, 2016
Inmarsat is looking to enter the Chinese in-flight connectivity market through cockpit upgrades that enable compliance with regional flight tracking mandates. Photo: Inmarsat
[Via Satellite 06-02-2016] Inmarsat Aviation's Vice President of Strategy Frederik van Essen sees the Asia-Pacific region as a huge growth point for the satellite-based In-Flight Connectivity (IFC) market. Aviation mandates for flight tracking are pushing satellite-enabled IFC safety and cockpit services forward in China, making flight tracking capabilities a necessity for aircraft operating in China's airspace. But while a recent Euroconsult study found that 22 airlines in the Asia Pacific are looking to install connectivity systems in the near future to enable passenger Wi-Fi, regulation and Internet censorship are slowing commercial penetration for connectivity
"Language is a barrier in itself. Culture is different; regulation is different," van Essen told Via Satellite. "In general, China is a market that is not an easy market for Western companies to enter, which is why we have always worked with local partners."
According to a recent market survey conducted by Inmarsat, nearly 92 percent of surveyed passengers worldwide would prefer to have connectivity on a flight, and more than half prefer it to In-Flight Entertainment (IFE) or in-flight meals; only 3 percent of the aircraft operating today in the Asia-Pacific offer Wi-Fi. Van Essen believes that with such a low rate of IFC equipage and a high rate of interest from passengers, connectivity can be a way for commercial operators to differentiate themselves in the growing commercial air transport industry.
"Certainly when it comes to network planning we are looking at China. China is clearly on the radar; it is one of the fastest growing aviation markets," van Essen said.
Inmarsat, alongside Honeywell, equipped China's first passenger Wi-Fi system on an Air China Airbus A330 in 2014. To further penetrate the region, the satellite operator recently signed a Head of Terms (HoT) agreement with China's Beijing Marine Communication and Navigation Company (MCN) to establish a joint venture for aircraft cabin and cockpit connectivity solutions in China.
"A lot of what we are trying to do with this joint venture is to pool the specific knowledge on aviation in the global market that we have acquired with [MCN's] local knowledge so we can speed up introducing new developments and new innovations in IFC into the Chinese market."
Through the joint venture, for which the final agreement is expected later this year, Inmarsat would provide services, including its Ka-band broadband network service Global Xpress (GX) Aviation and SwiftBroadband-Safety (SB-S). SB-S is a flight deck communication platform that combines L-band satellite connectivity with advanced avionics to provide cockpit communications such as Automatic Dependent Surveillance-Broadcast (ADS-B) and Electronic Flight Bag (EFB) updates. The platform supports flight-tracking services that can satisfy the International Civil Aviation Organization (ICAO) mandate for sub-15 minute tracking of all aircraft as well as the Civil Aviation Authority of China (CAAC)'s more ambitious national mandate.
"In China there are specific regulations driving products in the local market. E.g. around safety, there is a four-minute voice mandate for all the Chinese airlines where they are required to equip with technology that will allow them to be in contact with their aircraft within four minutes, independent of what the local circumstances are. Those are really specific regulations that are driving airlines in China to look for specific solutions, and being close allows you to create products, such as our SwiftBroadband-Safety product, that actually meet those needs," said van Essen.
Several of the airlines in the region are signaling that they would like to equip with passenger Wi-Fi in parallel with the required cockpit installations. Many, van Essen says, are looking for an all-inclusive solution, one that will allow an airline to comply with the flight-tracking mandate and upgrade cockpit communications as well as enable passenger Wi-Fi. With this, he believes airlines are getting "more serious" about exploring different business models for IFC. Air China, for instance, which has been trialing the technology for several years, has been indicating that they may want to begin trials on long-haul flights and eventually on narrow-body aircraft. Still, airlines are cautious.
"In general, what we see with airlines — and Chinese airlines are no different — is that when making major fleet decisions the process is very, very thorough. Air China wants to be at the forefront of in-flight connectivity but is taking a thorough approach with their trial by equipping a few aircraft and seeing how well the capabilities actually perform. I think that is a great approach because there are, in this industry, a lot of claims going around and I think the best way to see what you will actually get is to trial it for your own needs," said van Essen.
No Chinese airlines have signed on for full scale implementation as of yet, but as companies such as Inmarsat and regional IFC companies, such as Aircom, begin to enter the region and navigate the regulatory landscape van Essen believes companies will soon learn to navigate the regulatory landscape in the Asia-Pacific, as with the U.S. and Europe.
"This is in general a very high-barrier industry; launching satellites and Complementary Ground Component (CGC) networks is very capital intensive, you need a lot of regulatory approvals … and that applies to the U.S., it applies to Europe and it applies to China," he said.
'); // $(this).remove(); // } // } // }); // } // }); // }); //New Comment Plus Implementation: $unit.find('.btn-commentplus').click(function(){ var id = $(this).data('id'); //If already opened, collapse it: if($(this).hasClass('active')){ $(this).removeClass('active'); //$('.commentplus').html(''); $('.commentplus-'+id).hide(); return; } $('.btn-commentplus.active').removeClass('active'); $(this).addClass('active'); $('.commentplus-'+id).show(); var disqus_config = function () { this.page.url = 'https://www.satellitetoday.com/telecom/2016/06/02/inmarsat-looks-to-capitalize-on-growing-chinese-ifc-market/'; // Replace PAGE_URL with your page's canonical URL variable this.page.identifier = '233217'; // Replace PAGE_IDENTIFIER with your page's unique identifier variable }; (function() { // DON'T EDIT BELOW THIS LINE var d = document, s = d.createElement('script'); s.src = 'https://satellitetoday.disqus.com/embed.js'; s.setAttribute('data-timestamp', +new Date()); (d.head || d.body).appendChild(s); })(); /* var id = $(this).data('id'); $('.commentplus-'+id).html('


text:
Safer Stronger
Project places youth workers in Greater Manchester A&E departments to support young victims
Greater Manchester police precept consultation launched amidst improvements to GMP
First report into drug taking trends in Greater Manchester published
Mayor Andy Burnham launches new campaign to tackle gender-based violence
Mayor and Deputy Mayor visit Manchester community alliance formed by Greater Manchester's Violence Reduction Unit
A new project will see youth workers embedded in Accident and Emergency departments across hospitals in Greater Manchester to engage with people who have been affected by violence.
'GM Navigator' is a youth-focused project which launched at four Greater Manchester hospitals in May.
It sees a team of Navigator youth workers based in hospitals alongside dedicated clinical leads to support vulnerable young people aged 10 to 25 who are admitted to Emergency Departments because of violence. They will work with the young person for up to six weeks, helping them to access local support networks and prevent further violence.
The project has been commissioned by the Greater Manchester Violence Reduction Unit (VRU) and is being delivered by the national charity, Oasis. Royal Bolton Hospital, Salford Royal Hospital, Manchester Royal Infirmary and Royal Manchester Children's Hospital are involved in the 12-month pilot and researchers at Manchester Metropolitan University will evaluate the service.
Dr Rachel Jenner, Consultant in Paediatric Emergency Medicine at Royal Manchester Children's Hospital and Clinical Lead for Greater Manchester's VRU said: "Having the skill and expertise of the GM Navigators working directly in the hospital setting to engage with, support and mentor young people who have been victims of violence is a fantastic opportunity to make a difference to the outcomes for these vulnerable individuals.
"The doctors and nurses working in A&E are skilled at dealing with the injuries that can occur, but we welcome the expertise of youth workers in addressing the causes of violence to build a better future for everyone in Greater Manchester."
Greater Manchester's Serious Violence Action Plan, which launched in June 2020, highlighted that from 2015 to 2018, knife crime in the city-region almost doubled and admissions to Greater Manchester hospitals with injuries caused by weapons involved in incidents of violent crime also increased during the same period.
However, the most recent available data suggests a decrease of 16% for all age knife-related hospital admissions between April 2018 and March 2020. In addition, there were nearly 1,000 attendances at Greater Manchester A&E departments from under 18s as a result of assault, including nearly 90 as a result of assault with a knife for the same period.
In 2020, there were nearly 9,500 victims of violence or robbery aged under 18 reported to Greater Manchester Police (GMP).
The Oasis charity was chosen to deliver the GM Navigator project based on its wide experience of youth work and violence reduction in London and Bristol.
Hannah Barton, Manager of the Navigator Team said: "We have found that if an NHS doctor refers a young victim of violence to a youth worker while still in A&E, a strong bond can be formed.
"Our youth workers then take a holistic approach, working with the whole family to offer practical help around schooling, relationships, careers, housing, finances and mental health. It's vital to build up a network of local support."
Bev Hughes, Greater Manchester's Deputy Mayor for Policing Crime, Criminal Justice and Fire, said: "Violent crime causes serious harm to those involved, victims and their families. The launch of the GM Navigator project is another example of how we are committed to reducing crimes of this nature across the city-region.
"The Violence Reduction Unit takes a community-led, place-based and public health approach to address the root causes of violent crime. By forming partnerships and working with families and communities in this way we can tackle how and why young people become involved in violence. The GM Navigator project has the potential to help change the lives of young people through this early support."
The GM Navigator project is part of a series of initiatives being delivered by the VRU – to find out more about the unit visit: https://www.greatermanchester-ca.gov.uk/what-we-do/police-and-fire/violence-reduction-unit/


text:
Q: Scons - How Can I Detect When a File is Pulled from Cache? I have an issue in which I need some code to run as a result of a command builder:
node = env.Command (target, dependencies, function)
In this case, function will run if the target is out of date, which is what I want, but if the target is in the cache, function doesn't run.  What I'd like is to run a different function if the target is pulled from cache.
I tried:
env.AddPostAction(node, function2)
but that function doesn't get called either.
Any ideas?  Thanks.

A: Afaik, scons will not know how it will satisfy the demand while executing your code. It makes that decision after completing the 1st pass. So, even if you could tell, I don't believe you could act on it within your code.
An easy, obvious way is to parse the scons output for 'Retrieved ... File name'.
And of course, the problem suggests the dependencies are set up badly, and it looks like you fixed that.


text:
The Avengers: Earth's Mightiest Heroes the-avengers-earths-mightiest-heroes-season-2 Secret Invasion
Secret Invasion Series Won't Have an Endgame-Sized Cast Like the Comic, Says Feige
Don't expect all the Avengers to assemble for this Marvel series.
Secret Invasion is one of many Marvel series in the works at Disney+. But if you're confused why Marvel Studios would opt for the small-screen treatment rather than tackling Secret Invasion as a blockbuster movie, don't be. Kevin Feige hints the series will be a much more intimate story than its comic book inspiration.
In an interview with ComicBook.com, Feige said the Secret Invasion series won't have a massive ensemble cast a la Avengers: Endgame, but will instead highlight Samuel L. Jackson's Nick Fury and Ben Mendelsohn's Talos as the two characters investigate a cosmic conspiracy.
"Well, there were more characters in the Secret Invasion comic series than there were in Endgame so, no," Feige said. "It's not that but it very much is a showcase for Sam Jackson and Ben Mendelsohn and tapping into the paranoia elements of the Secret Invasion comic series that was great with the twists and turns that that took. So, that's certainly our focus more than, 'Can we cram in more characters than Endgame like publishing?'"
The original Secret Invasion comic was published in 2008 and dealt with a vast conspiracy involving Skrull double agents using their shape-shifting powers to impersonate various heroes and villains and pave the way for the Skrull Empire to take over the planet. By the end of the series, nearly every active Avenger and X-Man - along with a great many villains - join forces to beat back the Skrull invaders. Clearly, the live-action series won't be following that same road map.
It also makes sense the Disney Plus series would carve its own path, given that the MCU's Skrulls have thus far been painted in a more heroic light than their comic book counterparts. 2019's Captain Marvel revealed Fury has been working directly with the Skrulls to defend Earth, with the fruits of those labors being revealed in a post-credits scene in Spider-Man: Far From Home. It remains to be seen if the Skrulls are even meant to be the antagonists of Secret Invasion, or if the MCU will flip the script by having the Kree or another alien race attempt a hostile takeover of Earth instead.
Feige officially confirmed the Secret Invasion series in December 2020 as part of Disney's Investors Day press event, alongside numerous other MCU announcements. That news included confirmation that Doctor Strange in the Multiverse of Madness will connect to Spider-Man 3, The Falcon and the Winter Solder's release date, and Ms. Marvel and Monica Rambeau joining the cast of Captain Marvel 2.
Jesse is a mild-mannered staff writer for IGN. Allow him to lend a machete to your intellectual thicket by following @jschedeen on Twitter.
10 hours Comments


text:
Legislative Actions
RPEN Meetings/Convention
You are here: Home / News / Leon Borden is New RPEN Vice-President
Leon Borden is New RPEN Vice-President
December 19, 2019 by Terri Laird
Leon Borden
Leon RPEN's next State Vice-President was selected during a special teleconference meeting of our Executive Committee Thursday morning, December 19, 2019. The vote was unanimous in favor of Leon Borden, current President of the Fernley Chapter of RPEN. Leon who joined RPEN in September 2002 after retiring from the State of Nevada's Department of Motor Vehicles where he worked in their IT Department. Leon ran for State Vice-President earlier this year against Ruth Kilmer from Las Vegas and Kilmer won that election. The VP typically serves a two year term, however the former VP who was elected two years ago resigned the post in July which meant that the newly elected VP, according to RPEN's Bylaws and Procedures, immediately moved into the State Presidency as of October 1. This special meeting of the Executive Committee was necessary because again, per our Bylaws and Procedures, the Committee was tasked with filling the VP vacancy. Leon announced his interest in the VP vacancy at the end of RPEN's Annual Convention, and there was one other candidate who expressed an interest in the post, Lonnie Strait, Vice-President of the Summerlin Chapter.
RPEN congratulates Leon Borden and we look forward to seeing him at our next Executive Committee meeting scheduled to be held at our State Office in Carson City January 21-22.
RPEN, P.O. Box 2211,
777 E. William St., Ste. 200
Email: info@rpen.org
© Copyright 2010 - 2020 Retired Public Employees of Nevada, Inc. · All Rights Reserved


text:
"The FTAAP Dilemma", a Commentary by Malcolm Cook
2016/75, 24 November 2016
Donald Trump's victory has made APEC's Free Trade Area of the Asia-Pacific (FTAAP) aspiration more important and more difficult. Trump's promise to withdraw the United States from the Trans-Pacific Partnership (TPP) agreement immediately raises interest in alternatives like the ASEAN-led Regional Comprehensive Economic Partnership (RCEP) process and FTAAP. China's decision to make the FTAAP aspiration the focus of its APEC year in 2014 bolsters FTAAP's credibility. The Lima Declaration on FTAAP released at the end of this year's summit predicts that "efforts in support of the realization of the FTAAP will serve as a driving force to further advance regional economic integration."
Yet, APEC, a lightly institutionalised consensus body, faces three new challenges in its role supporting FTAAP and its newfound salience:
Since embracing the FTAAP aspiration in 2006, APEC leaders have identified the TPP as one of two pathways to the TPP. The other was the then nascent ASEAN-led efforts that have since coalesced into the RCEP process. (Source: APEC) The TPP is the most advanced pathway and the only one that includes states from both sides of the Pacific. The alternate RCEP pathway is still only a work with much progress still required. APEC's FTAAP aspiration may have to detach itself from these pathways and stand alone to take advantage of this new interest.
The United States is APEC largest, most advanced and most powerful economy. An APEC-linked trade agreement that excludes the United States would be akin to a European Union agreement excluding Germany or an ASEAN one excluding Indonesia. The United States under a Trump administration is unlikely to leave APEC but could well complicate any APEC "efforts in support of the realization of the FTAAP." FTAAP may have to wean itself from APEC incubation.
The TPP's travails have unleashed proposals for totally new agreements. The host of the APEC Summit, Peru President Pedro Pablo Kuczynski, has talked about a TPP alternative that excludes the United States and includes both China and Russia (Source: Reuters.Com). Indonesia's Vice President, at the APEC Summit, floated the idea of an ASEAN-Pacific Alliance agreement without the United States or China (Source: JakartaPost.Com).
Trump's victory and likely trade policy has raised interest in APEC's FTAAP aspiration while making it more difficult to turn this aspiration into reality. Future Asia-Pacific economic integration could well be led by China with a lesser role for APEC.
Dr Malcolm Cook is Senior Fellow at the Regional Strategic and Political Studies Programme at ISEAS-Yusof Ishak Institute.
The facts and views expressed are solely that of the author/authors and do not necessarily reflect that of ISEAS – Yusof Ishak Institute. No part of this publication may be reproduced in any form without permission.


text:
The Perspective of a Transwoman
Stephanie Skora, a transwoman activist, opened up about her life experiences as a transgender woman with a biological family that rejected her, on Monday night in Hanson. Skora's talk was called "Help! Help! Get Me Out of Queer!" and it focused on family, fear, and fortitude.
Skora is an avid scholar and activist for the transgender community. She attended University of Illinois, where she started a group for the transgender community. Her activism focuses on achieving transgender equality.
Skora focused on her road to finding her identity, along with the way she chose her own family after being rejected by her biological family. As a young boy Skora was emotionally abused by her mother. According to Skora, her mother expected her to be a "perfect, little Jewish boy." It wasn't until college that Skora began to realize who she really was.
"I failed them, because I am not a man, and I was never a man in the 17 years that I tried to be" says Skora
Skora's mother and biological family were the last people she came out to. Skora had to come to terms with the fact that she did not have their support. According to Skora, family is not biological.
"Never let yourself feel like you can't choose your family, because you can choose your comunnitiy" says Skora
Skora saw a poster for the GSA, called Q, in her residence hall. The word transgender was foreign to her, so she decided to look it up on Wikipedia.
"It made me understand what I was" says Skora
After coming to terms with her own transgender identity, Skora wanted to find others like her.
According to Skora, this prompted her to form the group for the transgender community at UOI. Skora found her family in these people. She stresses the idea that these people became her family because they all had something in common. They had been rejected by their biological families.
"A wonderful family had sprung together all at once" says Skora
Skora wants people to understand the queer familial unit. She discusses that people often hear about transgender issues and hardships, but never from transgender people themselves. Skora opened herself up for people to ask questions and understand.
"I was uncomfortable in the beginning because it was a new experience. I have never encountered a transgender person. But as it went on, and the more personal it got, I felt more accepting and understanding" says sophomore in attendance, Emma Slattery
Skora really focuses on the distance and hopelessness that transgender people feel when their biological families reject them. According to Skora, she was never a man. Her gender identity is female and her gender expression is very feminine.
Skora is a non-transitioning transgender woman. According to Skora, she affirms her gender by making herself feeling pretty.
"It is the first time I've heard the entire story start to finish. She is the first person that I've met that is an adult, not someone my age" says sophomore Ethan Conley-Keck
Taking back the night at Augie
Augustana introduces new peer support group for LGBTQ+ Students
Augustana Students take the role of diplomats at the Model United Nations in Chicago
Town hall ignites the spark of an Augustana labor movement
Augustana promotes international perspectives


In this video we discuss the "one shot zero" and how to save time and money at the range getting a rifle on paper and properly sighting in. Chad discusses a few different points to consider with various rifles but the basic concept is the same. Stay tuned, much more on the way.
次の記事 New FNH 509 Tactical, is it worth it?


text:
Connor Hughes (born October 4, 1983) is a former American football placekicker. He was signed by the New Orleans Saints as an undrafted free agent in 2006. He played college football at Virginia.

Hughes has also been a member of the Pittsburgh Steelers, Philadelphia Soul, and Dallas Cowboys.

References

1983 births
Living people
Sportspeople from Newport News, Virginia
Players of American football from Virginia
American football placekickers
Virginia Cavaliers football players
New Orleans Saints players
Pittsburgh Steelers players
Rhein Fire players
Philadelphia Soul players
Dallas Cowboys players

redpajama_set_name: RedPajamaWikipedia


In keep with the mission of this website, helping you to make money online here is a great option for those who love to write. Do you like writing? What if I told you that there are quite a few ways to get paid to write? Oh yes! Writing is big money… you only need to think of the best selling authors, the magazine editors, the journalists… Those are the conventional ways to get paid to write though. With the advent of the INTERNET many new possibilities opened up. You may have heard of persons who write blogs that earn them thousands each month. This is one way to get paid to write which will have to be covered in a separate blog post all by itself because it is so vast. There are persons who are paid by bloggers to write articles for their blogs. This too I will cover in another post. For now I want to share with you a service I came across recently which is willing to pay you USD100 yes you saw write, not 10, but $100 if you submit n article to them which they consider good enough to post on the site. What they want is a list of at least 10 things, with a total of 1500 words. They are looking interesting things, like "Top 10 least known beaches in Jamaica" or "Ten things you may not know can be done with vinegar". The article must be your original work. You simply submit your article, and wait for them to review it, once they decide to post it to their blog, they will pay you $100 via paypal. So how many lists of 10 do you think you can write each week so that you ca get paid to write? Here's your chance to get your creative juices flowing and get some cash in your hand. Ready to get paid to write? Here is the site where you can get more info and submit your first article. GET PAID TO WRITE. To submit your article you scroll down to the end of the site and you will see a link there to do that. Now go and bear fruit because we are here to fulfill our mission of helping you to make money online. Cheers.


Lloret de Mar, Costa Brava, Spain - august 23, 2018: Panoramic view of Santa Cristina beach, Costa Brava, Spain. Sea on Santa Cristina platja in Lloret de Mar. Spanish beach on sunny summer day.
Barceloneta Beach in Barcelona during morning blue hour, Catalonia, Spain.


Discussion in 'Buying Tips and Advice' started by jcbhammond, Jun 26, 2011.
Hello everybody, this is my first time posting to the forums but I have been following the site and the forums for a number of years.
I have been wanting to purchase a Mac now for about 1 1/2 years but every time something has stopped me. I've been borrowing a family members several times and really like it, but I can't figure out which one I really want. Finally, I think I've narrowed it down to either a Mac Mini with dual Dell displays or the base line 27" iMac.
With the Mac Mini I seem to spend a little less money for more stuff. I also have the added benefit of portability if I ever needed to take it anywhere(not a huge issue I don't think).
With the iMac I get a lot more computing power and the price step up is very minimal and I can add on more as I get more money(ram, etc). However there seem to be some issues like the glossy screen, my desk is situated right over a diffused skylight, and I was playing with it it seemed that the back got really warm under even light loads. This really bothers me because the last time I put a large screen in my room, it raised the temperature considerably.
I'm not a real power user all your basic stuff, web, photos, email, docs. I would like to get into IOS Development as well.
iMac's enclosure is made out of aluminum which is a conductor. That means it will feel hot even thought the innards are within safe temperatures. The only way to determine the temperatures is to use for example iStat, touching the iMac is subjective and very inaccurate. I wouldn't worry about the heating, iMac has been designed to handle it.
iMac gives you more bang for the buck IMO. Unless the glossy is a big issue, I would go with the iMac. Remember that you have 14 days to return it so I would give the iMac a try anyway.
Sounds like you're in for a Mini. iMacs are great, but if you have all the peripherals (keyboard, mouse, ..) then the Mini is a better price. It's also portable, of course, if you mention you'd like that. Unfortunately there are no matte options for the iMac so glossiness could be an issue depending on where you are going to place it at.
If you're not a power user, the Mini once again trumps the iMac, you'll have more than enough.
If you are to buy a Mini though, I'd wait till August for the refresh. The current one is outdated specs-speaking, and we could very well see a Sandy Bridge i processor on it.
Mac Mini is great. I absolutely love mine. I got the previous generation last year and it has been a great experience. It's quiet, small, runs everything I need it to run without choking (had the guts of the then base MBP!). I have had zero issues.
Thanks for all the suggestions. I don't really have a nice keyboard or mouse, but I do have the wireless keyboard for using with my iPad. Probably would use that.
Two additional questions, does the heat from the back of the aluminum iMac cause the temperature of a room to increase, I have seen some forum topics on this but it seems as there is no real definitive answer, and doesn't Apples return policy have a restocking fee?
I'm really quite wary of choosing Mini when it seems like only a couple hundred more dollars, but I don't want to spend more money on something I will not get the use out of.
Forgot to mention. I have an older HP 15" notebook that I bought last summer for school. Eventually within a year or two, I'll be looking at an Apple notebook to replace it, which I would be able to plug into my iMac screen were I to go that route. I suppose it really makes no difference seeing as I could just plug it into one of my external screens for the Mini.
I guess the biggest question is, is the iMac worth the extra couple hundred dollars?
The iMac doesn't do a whole lot in the way of warming up the room. It feels physically hot, but it doesn't actually put off a lot of heat. The mini puts off even less due to its lower wattage components, but the noticeable difference would be small.
I believe apple got rid of the restocking fee, but don't quote me on that.
My iMac certainly does not add any appreciable level of heat to the room. In fact the iMac is basically never more than warm to the touch.
Apple removed the restocking fee.
You'll be paying for a screen and (from what I see) higher spec'd internals AND you're getting a keyboard and mouse with it. If you don't need to move it around (I guess you could move the Mini if you had another place with a keyboard/monitor) the iMac would be "better" seeing as you have to buy the peripherals and a monitor to use it with.


text:
Written by Dan Fischer on April 14, 2021
Former Funeral Director Michael Tomaszewski appeared before a judge and admitted he bilked Batavia area families out of more than a half-million dollars.
He pleaded guilty to several felony counts that he miss used funeral pre-payments funds that should have been deposited in trust accounts.
Prosecutors say over 200 local families were impacted by the scam.
Most recently, Tomaszewski was charged with keeping a body in his West Main Street funeral home for two years.
Tomaszewski struck a plea deal and could get up to seven years in prison when he is sentenced July 13th.
Genesee County reports 19 new cases of COVID-19. Six of the current positive individuals are hospitalized. One of the new positive individuals in an inmate at the Genesee County Jail. Orleans County reports 14 new cases. Wyoming County confirms just four additional cases.
Governor Cuomo says the state will start using Johnson and Johnson's COVID-19 vaccine again once the federal government lifts a pause on its use.
There are concerns surrounding the one-dose shot after a few people who received it had issues with blood clots. The governor says there's enough Moderna and Pfizer vaccine available at state-run clinics to make sure everyone who has already signed up for an appointment can still get their shot.
The pause on the Johnson and Johnson vaccine is expected to last a few days.
High school football later today on WBTA.
The Oakfield-Alabama-Elba Aggies host York-Pavilion this evening.
Our John Vazquez and Jim Ernst call the action life from Oakfield. Kick-off is 6pm.
Evening News Brief


text:
Q: Is it good to use multiple HttpServer listeners in dart I am trying to build fast performance HTTP server for handling APIs so the question is:
Is using multiple HttpServer(s) and multiple isolates make performance better?
Example:
If I run 3 isolates inside everyone I started listening to 5 HttpServer(s). Is it make any performance better than one isolate having one HttpServer listener.


What is Fractional Non-Ablative Skin Resurfacing?
Fountain of Youth Medi Spas uses state of the art laser equipment for your procedures. The pulses of laser light coagulate tissue, without ablating (removing by vaporization) the epidermis and trigger healthy new tissue. The advanced contact cooling technology of our laser treatment protects your skin's epidermis which translates into a more comfortable treatment for you.
Our fractional non-ablative skin resurfacing laser delivers penetrating uniform microbeams in a simple treatment approach, without the need for time-consuming, costly preparation and clean-up.
Fractional non-ablative skin resurfacing requires little to no downtime, providing efficacious results for "on the go" patients.
Every person is a unique expression of beauty.
Contact us today to set up a complimentary appointment to discuss how we can help bring out your inner self.
Fountain Of Youth Medi Spa's fractional non-ablative skin resurfacing uses an array of hundreds of high-precision microbeams to create narrow, deep columns of tissue coagulation in the epidermis and dermis, while leaving the stratum corneum in place and tissue surrounding the coagulated columns unaffected.
These columns of coagulation stimulate the body's natural healing response, causing new, healthy tissue to form in the epidermis and dermis. With PMR's fractional non-ablative skin treatments, there is minimal redness and discomfort, allowing the patient to return to their daily activities immediately.
Please refresh your page if you do not see this image as an animation.
Stretch marks are replaced with smoother, better-looking skin that has improved tone and texture.
Laser treatment triggers a wound-healing process that replaces the disorganized, compacted scar tissue with new healthy tissue; greatly diminishing the appearance of the scar tissue.
It's as simple as this—if your skin is showing signs of aging, then you are a candidate for laser treatment. Your doctor or practitioner can help you determine your specific needs.
Are there any side effects to treatment?
Anti-aging treatment should cause only minimal discomfort. Any redness, swelling or puffiness that occurs can be gone within a few days, if not a few hours.
Results vary with each case. Patients may require anywhere from 2 – 6 treatments to achieve desired results. Each session will last from 15 to 30 minutes.
Just like the aging process itself, this varies from person to person. However, if you take steps to protect and preserve your freshly rejuvenated skin—such as using SPF sunscreen, facial cleansers and creams—the results will last longer.
Cosmetic laser treatments reverse the signs of aging and sun-damaged skin by stimulating collagen production and promoting tissue tightening through tissue coagulation.