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Sealed proposals marked "Online Applicant Tracking Software" will be received by Hilda Mendez 204 E. 1st St Alice, Texas 78332. Proposals will be accepted until August 22, 2016. Proposals submitted after this date and time will not be reviewed. CACOST will require strict compliance with the sealing, marking and timely delivery of all submittals. CACOST is not responsible for delays caused by the U.S. Postal Service.
This RFP issue date is Friday August 22, 2016. All bid responses are due by Friday September 16, 2016.


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text:
Q: CakePHP 3.x and datetimepicker I am using https://github.com/xdan/datetimepicker to select a date in my add function. Works like a charm. Now when I want to edit it - it inputs a weird date.
Custom Changes:
bootstrap.php
date_default_timezone_set('Europe/Berlin');

edit.ctp
echo $this->Form->input('datetime', ['label' => __('Datum'), 'type'=>'text','id' => 'datetimepicker','selected' => '0000-00-00 00:00:00']);

datetimepicker
$('#datetimepicker').datetimepicker({
format:'Y-m-d H:i',
lang: 'de'
});

Output in my view:
<input type="text" name="datetime" id="datetimepicker" value="16.10.19 15:00">

debug Output from my edit view
'datetime' => object(Cake\I18n\FrozenTime) {

        'time' => '2019-10-16T15:00:00+02:00',
        'timezone' => 'Europe/Berlin',
        'fixedNowTime' => false

    }

Change the date_default_timezone_set already to UTC. But this doesn´t help. I wonder where my app gets the idea from putting this in my output. When I select it with my dtp again and choose a date it also works - but it takes a random date like 2019-10-10 and you have to go all the way back, which is quite inconvenient :/
Any ideas?
EDIT
I added this in my edit() function before I patched the Entity and it workd.
$adress['datetime'] = $adress['datetime']->i18nFormat('yyyy-MM-dd HH:mm');

A: You just set the server timezone using date_default_timezone_set('Europe/Berlin'); But JavaScript doesn't care about server timezone, if you doesn't set. JavaScript always try to use your PC time. So, You need to set datetimepicker timezone using JavaScript, if datetimepicker have the timezone option.
OR
Try to change your edit.ctp Code like below -
echo $this->Form->input(
 'datetime',
 [
  'label' => __('Datum'),
  'type'=>'text',
  'id' => 'datetimepicker',
  'default' => date('Y-m-d H:i') #Set time for today
 ]
);

A: I added this in my edit() function before I patched the Entity and it works now. Hope this will help others. If somebody knows a better way, please share! I think this is just a workaround.
$adress['datetime'] = $adress['datetime']->i18nFormat('yyyy-MM-dd HH:mm');

redpajama_set_name: RedPajamaStackExchange


With each circuit you'll go heavier and use lower reps to stimulate your fast-twitch muscle fibers and keep your body in fat-burning mode after the workout is over.
To keep your heart rate up, you'll perform five minutes of cardio between each circuit at 70-75% maximum heart rate (MHR).
Use an average tempo like 2/1/2 (two seconds to lower the weight, one second pause, and two seconds to lift it) to ensure you perform each exercise properly.
Perform 45-60 minutes of cardio on your cardio days, working at 75% of your MHR.
Stand with your feet shoulder width apart and bend forward at about a 45-degree angle.
Keeping your back stable and head up, pull the bar toward your body until it touches your belly button.
Squeeze your shoulder blades together and pause for a moment at the top of the movement.
Slowly return to the start position, making sure to stretch your lats fully at the bottom.
Lie faceup on a flat bench with your feet flat on the floor.
Grasp a barbell just outside shoulder width and lift the bar off the rack.
Slowly lower the bar toward your lower chest, keeping your elbows pointed out to the sides (not forward), until it's just an inch or two above your chest.
Press the bar back up forcefully in an arc so that it ends up over your neck.
Stop just short of locking out your elbows.
Sit on a bench that adjusts to 90 degrees.
Take an overhand grip slightly wider than shoulder width and start with the bar under your chin and just above your upper chest.
Press the bar straight up overhead until your arms are fully extended but not completely locked out.
Slowly lower the bar back to the start position and repeat.
Stand erect holding a barbell with a shoulder-width, overhand grip, and feet 6-8 inches apart.
Keeping your chest high, abs tight, and knees slightly bent, lean forward at the hips, letting the bar naturally track away from your body.
Pause when you feel a good stretch, then carefully reverse the motion by contracting your glutes and hamstrings, allowing the bar to come closer to your body as you approach the top position.
Squeeze your abs, back, and glutes at the top.
Sit squarely in a leg-press machine and place your feet on the platform, shoulder width apart.
Keeping your chest up and your lower back pressed into the backpad, lift the sled, and unlatch the safeties.
Bend your knees to lower the weight toward you, stopping before your lower back and glutes lift off the pad.
Pause for a moment, then extend your legs to press the weight up, stopping just short of locking out your knees.
Squeeze your thighs hard at the top and repeat.
You must eat fewer calories than your body is used to in order to drop body fat. When a calorie deficit is created, the body responds by collecting from fat reserves, and you get leaner. In this phase, you'll eat between 1,400 and 1,500 calories per day.
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text:
Patriots kicker Stephen Gostkowski needs surgery, headed to injured reserve
Jason Owens
October 2, 2019, 6:36 PM UTC
The longest-tenured New England Patriots player not named Tom Brady is headed for the sideline.
The Boston Globe reports that kicker Stephen Gostkowski will be placed on injured reserve. The Patriots confirmed the news Wednesday afternoon. ESPN's Adam Schefter reports that he'll require season-ending surgery on his left hip.
Earlier Wednesday, ESPN's Mike Reiss reported that the Patriots were working out kickers. Schefter reports that Kai Forbath and Mike Nugent are among those trying out.
Gostkowski's struggles
The 14-year Patriots veteran who's won three Super Bowls with New England has missed four extra point attempts through the first four games of the season. The Patriots are 4-0, but his miss on Sunday against the Buffalo loomed large in the game's final moments until the Bills' last drive ended with an interception in a 16-10 Patriots win.
Stephen Gostkowski has struggled with extra points this season. (Getty)
The kicker position has been a picture of stability in New England for decades. Adam Vinatieri held the job from 1996 to 2005 before Gostkowski took over in 2006 when the likely future Hall of Famer left for the Indianapolis Colts. Shayne Graham is the only other kicker to play for the Patriots in that time frame, filling in eight games for Gostkowski when he was injured in 2010.
Gostkowski is 11-of-15 on extra point attempts this season. Prior to this year, Gostkowski had missed six extra points out of 649 attempts.
Keyser: Soto delivers Nationals a playoff night to savor
Source: Brown hasn't interviewed with NFL investigators
Vikings QB Cousins apologizes to Thielen after loss
No Dest on USMNT roster for CONCACAF Nations League

redpajama_set_name: RedPajamaCommonCrawl


text:
Chris Hopson: NHS waiting times—the long and the short of it
Health secretary Jeremy Hunt's speech earlier this week, which called on NHS hospitals to clear their backlog of patients waiting more than a year for treatment, rightly pointed to the personal consequences of each individual case on the waiting list. While recognising that some delays are the result of patient choice or good clinical reasons, waiting for treatment if you are immobile, in discomfort, or in pain can be distressing and debilitating—the more so the longer the wait.
That's why the Foundation Trust Network (FTN) and its members strongly welcomed the government's pledge in June of £250m (€314m; $421m) to reduce waiting lists, and the £400m (€504m; $674m) announced at the same time to support the urgent and emergency care pathway this winter. The FTN has consistently called for extra funding to improve patient care and for any announcements to be made as far in advance as possible. We also recognise how difficult it is for health ministers to find such funding at the moment, given the need to reduce the overall budget deficit.
But we should also, at the same time, recognise that this approach has limitations.
Firstly, short term, non-recurrent injections of cash—while welcome—are never the most efficient way of funding care. A significant proportion of the waiting list money will, for example, have to be spent on agency staff and premium weekend rates because it has to be used within a set, short period of time over the summer months. Better that we allocate this money as part of mainstream NHS funding, so providers can ensure the best value is achieved.
Secondly, while it is understandable that governments will want to focus on bolstering performance against targets that attract media and political attention, there's a risk that using short term cash to reinforce crude targets distorts clinical priorities. Jeremy Hunt was right in his speech to point to the distorting effects of the waiting time target regime. The introduction of an 18 week referral to treatment target had to be followed by another target—for 90% of the waiting list to be less than 18 weeks—which mitigated the distortions of the original target. Then we had to have another target to address long term waiters. No one would dispute the need for a clear treatment standard for patients, but better that we allow providers to set clinical priorities, and hold them to account for their overall performance within that standard.
Thirdly, there's a real danger that ministers and arm's length bodies will insist that short term cash injections are accompanied by burdensome, dedicated extra reporting arrangements, even though the amounts involved may be tiny in comparison to the overall budget.
The FTN's members, for example, feel strongly that being required to submit reports and full elective waiting lists every week in effect for access to the £250 million funding is a return to unnecessary and excessive micromanagement. Better that providers account for their overall performance in a single consistent format, rather than waste energy accounting for—and being micromanaged against—individual penny packets.
Dispensing odd dollops of cash at short notice also brings challenges around consistency of delivery. In the end, it is providers who have to deliver improved levels of treatment for this extra investment. But too many of our members are telling us that they are not being properly involved in how the money is being spent, that the money taking too long to distribute, or that they do not seem to be receiving any funding at all.
It's also worth remembering that this approach prevents the transition to the long term models of care that we desperately need—for example, greater use of out of hospital care on the urgent and emergency care pathway—as short term cash injections almost always prop up existing patterns of delivery. So while we should welcome the UK government's extra investment in the service, we also need to recognise that there are better ways of using this money to improve patient care.
Chris Hopson is chief executive of the Foundation Trust Network (FTN), the membership organisation and trade association for NHS acute, ambulance, community, and mental health providers.
Competing interests: Chris Hopson is the chief executive of the Foundation Trust Network (FTN). The FTN is a membership organisation, which is funded through subscriptions from its members.
The BMJ Today: Boring can be beautiful
Pritpal S Tamber: Understanding what communities really value


On November 5, 2017, at approximately 10:45 p.m., the Hi Mart store located in the 3500 block of Simpson Stuart Road was robbed at knifepoint. The suspect threatened the employee working the store and took property. The employee was not injured during this offense.
The suspect is described as a Black male 5'08", 225 lbs., heavy-set, between 25-35 years old, last seen wearing a black leather coat, gray Adidas shirt and gray shorts. The suspect has medium length hair in a twist hairstyle.
Anyone that recognizes this suspect, or has information on this offense is asked to call Detective Woodburn at (214) 671-3666. If you wish to remain anonymous you may call Crime Stoppers at (214) 373-TIPS (8477).


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Sanook (สนุก) is a guiding principle of Thai life. It means fun and Thai's value sanook in all things. Sanook SCUBA is a local Phuket dive shop, family owned and run. We offer Phuket day trip dives, dive courses and overnight dive safaris (liveaboards) to the best dive sites in Thailand.
Expert advice (diving here since 2000).
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Phuket apres dive.On your non diving days there are plenty of other activities and attractions to keep you busy in Phuket. How about sea kayaking in Phang Nga bay, an ATV safari, or a cycling tour to Koh Yao Noi?
Why Thailand diving? Thailand is the most popular learn to dive destination in the world. And experienced divers come back year after year. A big part of that is the Thai people. Thai's are friendly and welcoming. Thailand is a very safe country to travel in. Thai food is amazing! Thailand has excellent infrastructure for transportation and hospitals. Thailand dive sites are accessible from the main tourist resorts. You don't need to trek for days to a remote location, you can have it all. Thailand has plenty to do for non divers and family members too.
Phuket International airport (HKT) is the airport of arrival for divers doing liveaboard safaris to the Similan Islands, Surin Islands, Koh Bon, Koh Tachai and Richelieu Rock. Most liveaboards depart from Khao Lak which is just 70 minutes taxi ride from Phuket. Phuket liveaboards also head into the south Andaman to dive the amazing Hin Daeng, Hin Muang, Koh Haa and Phi Phi Islands.
A multi day liveaboard safari is the best way to get the best diving at the best dive sites at the best times. A liveaboard maximizes your chances of seeing manta rays and whale sharks.
The Similan Island liveaboard season is from November to April. You can do a trip as short as 2 days 1 night although we would recommend 3 or 4 nights to get around all the best dive sites in the Similan and Surin archipelagos.
We've been living and diving in Phuket since 2000. We can advise you on all things diving but can also help with any other questions you may have. Such as where should I stay in Phuket if I'm diving? What will the weather be like when I'm in Phuket? How can I book an airport taxi from Phuket airport? Can I find vegetarian food in Phuket?
If you have a question please ask us., we probably know the answer, or can tell you who does.


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Hampshire News
Boy, 4, remains in hospital more than a month after flat fire in Farnborough
Fire crews tackled the blaze in Farnborough for more than an hour
The aftermath of the flat fire (Image: Surrey Live / Darren Pepe)
A four-year-old boy remains in hospital more than a month after sustaining "life-threatening" injuries in a flat fire.
Fire crews from Rushmoor, Yateley and Camberley attended the incident in Clayton Road, Farnborough, at around 1.25am on May 17. Firefighters were at the scene for more than an hour before the stop message was issued at 2.54am.
Four people were treated at the scene by paramedics from the South East Coast Ambulance Service, but the child had to be taken to hospital for further treatment in intensive care.
Hampshire Constabulary arrested a woman in her 20s on suspicion of neglect in connection with the incident a week later. However, the force is yet to provide an update on whether she has been charged or released.
Forensics at the scene on Friday (May 16) (Image: Surrey Live / Darren Pepe)
Hampshire Constabulary added on Wednesday (June 26), though, that the four-year-old remains in hospital following the fire.
Pictures taken later in the day on May 17 showed extensive damage to the property, with windows shattered and black marks on the exterior walls.
Vehicles from the Scientific Services Department and chief investigation officers from Hampshire Fire and Rescue Service could also be seen throughout the morning.
Hampshire Fire and Rescue Service


Ladies like me who don't have pierced ears but occasionally like to wear big sparkly earrings, I am about to share something I wish I'd known 20 years ago.
You might not need the jump rings, if the clip-backs you find have an open ring, like the one below. You need jump rings only if you're hooking together two solid rings, or if you need an extra ring to make the front side of the earring dangle in the right direction (think of how a chain's links alternate — straight, sideways, straight, sideways). But jump rings are cheap, so you might grab them anyway.
Next, attach the earring to the back. The metal is pretty easy to break with pliers, so be gentle. Here, all I had to do was hook the solid ring onto the open ring. Make sure the dangly part of your dime-store earring faces forward before you close the open ring with pliers.
You are done! Behold your new clip earrings.
Tools: Read about the different kinds of jewelry pliers here. If you're gonna make jewelry, you might need expensive ones or several kinds. But if all you're going to do is repair or alter a few earrings, I think a cheap pair of roundies will do you fine.
Real gold or silver: There is absolutely no reason why you can't do this with real gold and silver jewelry. (Except that, as you already know, clip earrings fall off your ears much more easily than pierced.) The same pliers will work fine, and the craft store might have gold-filled or sterling parts right there in the beading section. But clip-backs in precious metals are much harder to find than that, usually.
Try sources such as Monsterslayer.com (the name's a reference to a Navajo origin myth), Artbeads.com and Jewelrysupply.com. Shipping is often free. The parts will cost several dollars more — I find that a single sterling clip-back can cost $8 — and be careful when ordering because these expensive items are in fact sometimes sold singly, not in pairs. Ya don't want to eagerly rip open your package to find you only have one earring back.


Abu Dhabi, Jan 26 : Both Qatar and hosts United Arab Emirates advanced to the AFC Asian Cup 2019 semifinals on Friday, beating South Korea and defending champion Australia 1-0 respectively in the quarters.
A superb second-half goal by Abdelaziz Hatim proved the difference as Qatar beat South Korea 1-0 to meet host nation the United Arab Emirates in the last four on Tuesday.
Hatim's thunderous effort from distance settled a tense yet absorbing affair, one which sees Qatar head into their first-ever AFC Asian Cup semifinal in the nation's 10th appearance in the tournament.
After a distinctly cautious start by both sides, South Korea slowly but surely began to gain a foothold and threatened first when Jung Woo-young fired well over from distance on 16 minutes.
Moments later, and in what proved to be the final genuine opportunity of the opening half, midfielder Hwang In-beom curled a shot narrowly wide from the edge of the area after Qatar had failed to adequately deal with Lee Yong's free-kick.
Qatar emerged for the second period clearly eager to take the game to their opponents, although it was South Korea who once again came closest to breaking the deadlock, this time Hwang Ui-jo controlling the ball superbly before bringing a fine save out of Qatar custodian Saad Al Sheeb.
With captain Son Heung-min a growing influence, South Korea continued to press, Lee Chung-yong missing a glorious chance at the far post after Al Sheeb had misjudged the flight of Kim Jin-su's deep cross.
Kim Jin-su then grazed the outside of an upright with a delightful free-kick, before Qatar took the lead in sensational fashion. Gathering possession some 25 yards from goal, Abdelaziz Hatim sent the ball rocketing past Kim Seung-gyu's despairing dive.
Within seconds Hwang Ui-Jo had a goal ruled out by the Video Assistant Referee (VAR) for offside, while Boualem Khoukhi's spectacular overhead kick was expertly repelled by Kim Seung-gyu.
Looking to avenge their semifinal defeat of four years ago, the UAE locked horns with the reigning champions in a lively encounter at Hazza Bin Zayed Stadium in Al Ain.
While both exuded positivity, converting chances was the greatest initial challenge.
Ismail Al Hamadi and Apostolos Giannou both tested their respective keepers before Ali Mabkhout headed over a great opportunity on the stroke of half-time.
Having brought the Socceroos to life in the last round, Mathew Leckie almost repeated the feat, slipping Giannou through to slot home, only for the former to be flagged offside.
No risk of that when UAE struck, however, with Mabkhout latching onto a rogue back-pass from Milos Degenek, with the hosts' No. 7 rounding Mathew Ryan to steer them onto the road to the semifinals.


For many decades, if you want to know what's going on in the world of philately, right now, the periodical to turn to is Linn's Stamp News. This is especially true for those who live in North America. Whether you want to catch up on the new issues or discoveries, find the latest dealer offerings, see what is attracting other collectors, or track the evolution of the postal administrations, pick up or click on Linn's.
Although they try to cater to all segments of the stamp collecting public, they have been, in my opinion, particularly friendly to bringing the message of topical collectors especially Scout stamp collecting to the philatelic community. From the first years of SOSSI's existence when whole Linn's issues were focused on our topic to coverage of the most recent Canadian and US Scout stamp new issue releases, Linn's has been there.
Linn's is owned by Amos Media Company, publishers of the Scott Standard Postage Stamp Catalogue. Linn's may be contacted online at www.linns.com, thorough email at linns@amosmedia.com or by mail, PO Box 4129 Sidney Ohio 45365.
In early 1967, with the World Scout Jamboree coming to Utah that summer, the Citizens Stamp Advisory Committee had refused to recommend a stamp for the occasion, even under heavy public pressure. Linn's editor, Carl P. Rueth solved the stalemate by suggesting that a commemorative postal card would be a possible alternative. The 6¢ Jamboree airmail postal card was designed and printed in two short months.
Presented here are excerpts from Linn's issues during the last 65 years which are of particular interest to collectors and researchers of Scout philately.
The front covers of the six volumes of the Scott 2007 Standard Postage Stamp Catalogue 163rd edition and the Scott 2007 Specialized Catalogue of United States Stamps & Covers 85th edition features images of Boy and Girl Scout stamps of the world on the occasion of the celebration of Scouting's 100th Anniversary. View these 7 front covers. For information regarding the newest Scott Catalogues, please visit Amos Advantage.
By 2010, Amos Publishing was printing the Scott Catalogues in full color. At SOSSI's request, a full set of the catalogues were made available to SOSSI for use at the 2010 & 2017 National Boy Scout Jamboree where SOSSI Staff members taught Scouts how to use them in the Stamp Collecting Merit Badge tents of the Merit Badge Midway. THANK YOU Scotts.


text:
Q: NHibernate QueryOver Multiple Order By with Aliases This is my scenario:
 public IEnumerable<ISuperMerc> getSuperMercTree(string IDLanguage)
 {

      SuperMercModel SMer = null;
      SuperMercDescriptionModel descrSMer = null;
      MercModel Merc = null;
      MercDescriptionModel descrMerc = null;

      var qOver = _HibSession.QueryOver<SuperMercModel>(() => SMer)
                .JoinAlias(() => SMer.DescriptionsSM, () => descrSMer,JoinType.LeftOuterJoin)
                    .Where(() => descrSMer.IDLanguage == IDLanguage)
                .JoinAlias(() => SMer.Merc, () => Merc,JoinType.LeftOuterJoin)
                    .JoinAlias(() => Merc.DescriptionsMer, () => descrMerc,JoinType.LeftOuterJoin)
                        .Where(() => descrMerc.IDLanguage == IDLanguage)
                .OrderByAlias(() => SMer.ID).Asc
                .ThenByAlias(() => descrMerc.Description).Asc
                .Future<SuperMercModel>();

      return qOver;

 }

I've encountered the following error

could not resolve property: Description of: SuperMercModel

It's strange, the Description field is in the MercDescriptionModel class not in the SuperMercModel class.
I'm using aliases to create a multiple-join and multiple-order-by query.

A: Your original code should work without using SQL if you change your OrderByAlias and ThenByAlias to regular OrderBy and ThenBy clauses.  I had this same issue and that resolved it for me.

A: I've solved it using HQL
Here the code
public IEnumerable<ISuperMerc> getSuperMercTree(string IDLanguage)
{
    string hql = string.Empty;

     hql = "select SM from SuperMercModel SM"
                + " left join fetch SM.DescriptionsSM DSM"
                + " left join fetch SM.Merc ME"
                + " left join fetch ME.DescriptionsMer DME"
                + " where DSM.IDLanguage = :IDLanguage "
                + " and DME.IDLanguage = :IDLanguage "
                + " order by SM.ID asc, DME.Description asc";

            IQuery query = _HibSession
                .CreateQuery(hql)
                .SetString("IDLanguage ", IDLanguage );

            IList<SuperMercModel> result = query.List<SuperMercModel>();

            return result;
}

I hope it's helpful for someone.


text:
Primary Cardiac Fibroma and Cardiac Conduction System Alterations in a Case of Sudden Death of a 4-month-old Infant
Donatella Mecchia*, Anna Maria Lavezzi , Luigi Matturri
"Lino Rossi" Research Center for the study and prevention of the unexpected perinatal death and the sudden infant death syndrome (SIDS), University of Milan, Milan, Italy
© Mecchia et al.; Licensee Bentham Open.
* Address correspondence to this author at the "Lino Rossi" Research Center for the study and prevention of the unexpected perinatal death and the sudden infant death syndrome (SIDS), University of Milan, Milan, Italy; Tel: +39-02-503.208.04; Fax: +39-02-503.208.23; E-mail: donatella.mecchia@unimi.it
A 4-month-old female infant considered to be in good health died suddenly and unexpectedly. Post- mortem examination was requested, with clinical diagnosis of sudden infant death syndrome. At autopsy the infant was described in good health. Histo- logical examination of the heart found a cardiac fibroma compressing the atrio-ventricular node and the examination of the cardiac conduction system showed an accessory fiber of Mahaim (nodo-ventricular) and cartilaginous metaplasia of the cardiac fibrous body. Probably the concomitant presence of cardiac conduction system abnormalities and a septal fibroma, compressing the atrio-ventricular node, could have an important role in causing the sudden death.
Keywords: SIDS, Primary cardiac fibroma, cardiac conduction system..


Creative Time presents video art At 44 1/2: MTV's outdoor, gilded, HD screen located in the heart of New York City's Times Square. The larger-than-life screen is located on Broadway between 44th and 45th Streets, directly across the street from MTV's offices and studio. This video program is part of Creative Time's long history of presenting public art in Times Square.


text:
Seismic Salons - Laurie R. King
The Beekeeper's Apprentice, The Murder of Mary Russell
Sheltering in place doesn't have to mean skipping A-list social events. In keeping with these times, Litquake presents its summer fundraiser: a series of online author salons for very intimate audiences often. Grab your adult beverage of choice, kick back in your comfy chair and ask the questions you've always wanted to ask of some of the Bay Area's most acclaimed authors, who between them have written a staggering 50+ New York Times bestsellers. Proceeds to help the Bay Area's premiere (and 85% free) literary festival. Join us!
For tonight's event, Laurie R. King (The Beekeeper's Apprentice, The Murder of Mary Russell) will answer your many questions, including her secret to cranking out so many bestselling books -- 27 at last count!
Limited to 10 participants. $100, or $500 for all six salons
Please check back soon!
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ABOUT Litquake Foundation
Words matter. Litquake sparks critical conversations, and inspires writers and readers to celebrate the written word.


Phyto Therapeutic Healing Center LLC is the combination of essential plant oils and somatic therapies. Sourcing Colorado's finest Cannabinoid Infused oils, lotions, and skilled therapeutic touch to bring you pain relief, and euphoric relaxation.
Based in Aurora, Colorado, we provide you therapeutic touch from our treatment center. We also answer to calls, making relief and relaxation available to your home, hotel, or place of business.


text:
Published in UK by Comma Press in 2013
WINNER of the Independent Foreign Fiction Prize, 2014. Read more here.
Read about the translator, Jonathan Wright, here.
A soldier with the ability to predict the future finds himself blackmailed by an insurgent into the ultimate act of terror…
Fleeing a robbery, a Baghdad shopkeeper falls into a deep hole, at the bottom of which sits a djinni and the corpse of a soldier from a completely different war…
From legends of the desert to horrors of the forest, Blasim's stories blend the fantastic with the everyday, the surreal with the all-too-real. Taking his cues from Kafka, his prose shines a dazzling light into the dark absurdities of Iraq's recent past and the torments of its countless refugees. The subject of this, his second collection, is primarily trauma and the curious strategies human beings adopt to process it (including, of course, fiction). The result is a masterclass in metaphor – a new kind of story-telling, forged in the crucible of war, and just as shocking.
The Independent Foreign Fiction Prize 2014:
'With minds, families, communities all shattered into ragged fragments by invasion, by lawless carnage and by the dictatorship that preceded them (which Blasim never forgets), these piecemeal tales both evoke a landscape of disintegration and try to rebuild meaning out of it.'
Read IFFP judge Boyd Tonkin's write up of The Iraqi Christ here.
Watch an interview with Hassan minutes after being announced the winner here
Hear Hassan on Thursday 22nd May's BBC Front Row (scroll to 16:10).
Read the Guardian coverage of Hassan's win.
'It is the first time in the prize's 24-year history that it has gone to an Arab writer and also the first time that a short story collection has been victorious.'
Coverage from The Bookseller.
Write up from The Irish Times. Read more here.
'In Arabic, the fearlessness of Blasim's stories has broken new ground, leading some to ignore his playfulness and sharp scene-setting.'
Coverage from Al Jazeera. Read more here.
Listen to Hassan on BBC Outlook, being interviewed about his experience as a refugee, here.
'Blasim's tone is a resilient blend of mordancy and broken lyricism.' – Intelligent Life
'It is not his identity but the quality of his writing that makes his voice striking. It is deeply troubling and complex, the metaphors arresting and violent.' – The Spectator
'Required reading for a real taste of life in Iraq.' – The National
'An arrestingly vivid picture of the privation and the terrors of life in Iraq.' – Herald Scotland
Foyles Staff Pick, Summer 2014
"A visceral collection with echoes of Gogol, Kafka and Greene, populated by the war-scarred, the exiled and the marginalised. Translated from the Arabic by Jonathan Wright and published by manchester's Comma Press (who are absolutely incredible), Blasim's stories explore the soul weathered, often deranged, by waves of violence. The emotional intensity of stories such as 'The Iraqi Christ' and 'Dear Beto' is staggering. A true master of the short story and one of the most important books of 2014."
– Gary Perry, Assistant Head of Fiction, Foyles.


text:
LIKE IT SIDEWAYS: NASCAR fans discover new passion for dirt racing, look to World of Outlaws and DIRTcar
By Nick Graziano
The World of Outlaws Bristol Bash will be April 8-10 and the World of Outlaws Throwdown will be April 22-24
Brothers Joseph (6) and Andrew (16) Cochrane wanted one thing for their birthdays: to go to Bristol Motor Speedway for NASCAR's dirt race. On their way out of the event, they had one more request: to see the World of Outlaws at Bristol in April.
"We're actually trying to plan to see if we can make it work in our schedule next month to come here," said Jeff Cochrane, the brothers' father.
On April 8-10 the World of Outlaws Morton Buildings Late Models and DIRTcar UMP Modifieds will take their turn around the dirt half-mile for the World of Outlaws Bristol Bash. Then, on April 22-24, the World of Outlaws NOS Energy Drink Sprint Cars and Super DIRTcar Series will put on their own high-octane show during the World of Outlaws Bristol Throwdown.
The NASCAR Truck Series and Cup Series events on Monday brought dirt racing to a fan base unfamiliar with a brown track and terms like "tacky" or "cushion." However, for fans young and old, this new style of racing, to them, brought a new level of excitement.
Not only were Jeff Cochrane's sons impressed by the dirt racing action, he was too. They'd been to Bristol several times, but the NASCAR Truck Series and Cup Series events on Monday were their first trip to a dirt race. Jeff grew up near Volunteer Speedway in Bulls Gap, TN – where the World of Outlaws Morton Buildings Late Model Series will visit Sept. 4 – but never made it out to see a race. Now, he's hooked.
"It's awesome," Jeff Cochrane said. "We like watching the cars getting loose in the turns. This is amazing.
"It was pretty neat how [Matt Crafton] was trying to go up to the top side, the high line, just getting completely sideways outside the other cars. That was awesome."
The wide-eyed expression and head nodding from Andrew proved the love for dirt racing was contagious.
Patrick Hunter, from Greenville, SC, has been a Sprint Car fan throughout his life, following the likes of Lou Blaney – father of former NASCAR driver and 1995 World of Outlaws NOS Energy Drink Sprint Car Series champion Dave Blaney. That fandom led to his support of NASCAR Cup Series driver Ryan Blaney – Lou's grandson and Dave's son. That brought him to Bristol with his two daughters, Gia (10) and Lucy (12).
For the two girls, the events were their first time at a dirt race. And like the Cochranes, they couldn't get enough of it. While shy with words, Gia said she enjoyed the atmosphere of the event and Lucy said she'd like to attend more dirt races.
When their dad mentioned the World of Outlaws Sprint Cars would be at the track April 22-24 – for the World of Outlaws Throwdown with the Super DIRTcar Series – their eyes lit up.
"We might be coming back," Patrick Hunter said.
The drivers, even those with little to no experience on it, gained a new passion for the form of racing. Joey Logano, who became the first NASCAR winner on dirt in 50 years on Monday, ran a DIRTcar UMP Modified during the 50th DIRTcar Nationals at Volusia Speedway Park in February to prepare for Bristol. But what was meant to just be a warm-up, became a fun experience after racing from 19th to third in his first time out in the car. Logano credited that experience as being key to his Bristol dirt win.
"We've done a lot of work in the dirt department with my buddy Ryan Flores and my car chief Jerry Kelley doing a good job with the modified and just making laps and learning where I was going," Logano said. "A lot of that helped."
To Eric Shanz, from Cincinnati, OH, who's also been to Bristol before, nothing has compared to the dirt race.
"The hype is not enough. It should've been higher, man," Shanz said. "That was f***ing awesome. It's just crazy. Everyone going around the turns just going crazy. Every time I turned, I was like, 'Wreck! Wreck! Wreck! But they held on to it. It was nuts, man."
He too expressed his excitement to see drivers like Kyle Larson, Stewart Friesen and Matt Crafton take more laps around the half-mile track during the World of Outlaws Bristol Bash and World of Outlaws Throwdown.
"Dirt is awesome," he said.
For tickets to the World of Outlaws Bristol Bash and Bristol Throwdown, CLICK HERE.
If you can't make it to the track, you can watch all the action live on DIRTVision with the annual Platinum FAST PASS subscription for $299/year or the monthly FAST PASS subscription for $39/month.
For more information on the World of Outlaws Sprint Cars and World of Outlaws Late Models, go to WorldofOutlaws.com. Go to SuperDIRTcarSeries.com for more information on the Super DIRTcar Series. And go to DIRTcar.com for more information on the DIRTcar UMP Modifieds.
PrevPreviousFAIRGROUND SPECTACULAR: Super DIRTcar Series Invades Pennsylvania's Bloomsburg Fairgrounds Raceway Sept. 1 for Huge $10,000-to-win Event
NextBig Block Modified Legend 'Jumpin' Jack Johnson Passes AwayNext


text:
Types of Medical Malpractice Cases
Choosing your lawyer and working with him effectively
When Do I need a Lawyer for My Medical Malpractice Case?
How Do I Choose My Lawyer?
What Questions Do I Ask When Choosing a Lawyer?
Meeting With Your Lawyer
How Do Lawyers Determine the Value of My Case?
How Do I Effectively Work With My Lawyer?
What is the Attorney Client Privilege?
What are the Ethical Rules for Lawyers?
When and How Do I Fire My Lawyer?
Screening the case
Documenting the Events
Getting the Medical Records
Retaining a Consulting Medical Expert
Retaining a Testifying Medical Expert
Recoverable Damages in Medical Malpractice Cases
Louisiana's Cap on Damages
Death Cases
Past and Future Medical Expenses
Are Small Damage Cases Worth Pursuing?
Fees and Costs in Medical Malpractice Cases
The Attorney's Fee Contingency Fee
Other Case Costs
Medical Expert Costs
Medical Review Panels
What is a Medical Review Panel?
What Evidence is Submitted to the Medical Review Panel?
Filing the Request For Review
Choosing the Attorney Chairman and the Medical Review Panel
The Decision of the Medical Review Panel and Filing a Lawsuit
Medical Review Panel Case Studies
Litigation, Trial and Appeal of Medical Malpractice Cases
How Does My Case Proceed?
The Anatomy of a Lawsuit
Who Has the Burden of Proof in a Lawsuit?
Will My Case Go Before a Judge or a Jury and Which is Better?
Why Does My Case Take so Long to Get to Trial?
What is Discovery
What is Discovery?
Preparing For your Deposition
What is Evidence?
Evidence in General
What is Authentication?
What is Hearsay?
When is Evidence Relevant?
Evidence in a Medical Malpractice Case
What Motions Are Filed in My Case?
What is a Motion for Summary Judgment?
What is a Motion In Limine?
The Value and Settlement of My Case
Will my Case Likely Settle?
Do these Cases Often Settle?
Settlement Evaluations
Physician's Consent to Settle the Case
Reporting of Physician to National Databank
How Do Insurance Adjusters Settle Cases?
How Do I Know If I Have a Good Settlement Offer?
The Trial Of My Case
Why Does it Take so Long to Litigate These Cases?
How Does My Case Proceed At Trial?
How Does My Lawyer Pick a Jury?
Getting Your Medical Expert Witness to Trial
Presenting Your Evidence at Trial
The Law the Jury Must Apply in Medical Malpractice Cases
Do Patients Often Win These Cases At Trial?
How Does The Appeals Process Work?
What are Post Trial Motions?
What are Appeals and When are They Filed?
How Does the Court of Appeals Decide My Case?
Does the Supreme Court Get to Hear My Case?
Contact Us I Free Case Review
Privacy Policy - Need to enter more information?
Birth Injury Errors
Brain Damage/Brain Injury
Defective Medical Products
Dialysis Mistakes
Eye Cases
Heart Function And Attack
Infections & Infectious Diseases
Internal Medicine/Primary Care
Pulmonary/Respiratory Diseases
Radiology/Diagnostic Testing
Retained Instrument/Sponge Cases
Skeletal Injuries
What is a Stroke and How is it Treated?
Strokes and Transient Ischemic Attacks (TIA's)
Legal Malpractice Arising From Medical Malpractice
Vascular Injuries and Diseases
Military Medical Malpractice Claims
Prison Medical Malpractice Claims
Private Hospital/Physician Claims
Public Hospital/Physician Claims
Veterans Administration Medical Malpractice
Stroke is a term used to denote cessation of a portion of brain function due to acute or sub-acute injury. A more common name steeped in Medical jargon is CVA or Cerebral Vascular Accident. Injury to brain tissues, denoting a CVA, occurs when the blood supply to any part of the brain is interfered with or disturbed. This interference is caused primarily by either blockage of the blood vessel, which supplies blood to the brain, or by acute hemorrhage into the brain substance, directly, by rupture of the vessel.
SUMMARY: A STROKE or CEREBRAL VASCULAR ACCIDENT is the result of loss of blood flow to any portion of the brain, either by a blood clot that develops within the blood vessels or from a clot or fragment of a Cholesterol plaque, which breaks off, distally, and travels to one of those blood vessels, which supply the brain tissue with blood. Depending on which portion of the brain is deprived of blood will determine the clinical presentation, from slurred speech to coma to paralysis of one side of the body.
Risk factors of Strokes include Hypertension, Obesity, Inactivity, Smoking, Hardening of the Arteries, Cardiac arrhythmias, etc. Changes in life styles and treatment of reversible disease processes are the best approach to preventing and ameliorating Strokes. Diagnosis at onset must differentiate between a Blood Clot and Hemorrhage. If a blood clot is implicated and the patient presents within 3 hrs. of the onset of symptoms, then thrombolytic therapy can be tried. If it's greater than 3 hours, treatment is directed towards preventing further blood clots from forming, and aggressive rehabilitation. Hemorrhage as a cause of brain damage (Hemorrhagic Stroke) may require surgical evacuation of the blood clot.
Interference with blood flow is caused by the formation of a blood clot in one of the vessels supplying the brain with blood. This is referred to as a thrombus. If the blood clot, piece of cholesterol plaque, or piece of heart valvular growth, travels from a distant vessel or chamber to block the blood vessel, then it is referred to as an embolus. Thrombi occur in the blood vessels when the lining of those vessels become disrupted, causing fatty and other material to migrate into the lining resulting in plaque formation. These changes are referred to as Atherosclerosis, better known as Hardening of the Arteries. As we age the arteries in our body, become longer and more torturous, resulting in blood flow turbulence, which irritates the vessel lining and predisposes it to Atherosclerosis. Other factors, listed below, can accelerate this process. This Atherosclerotic plaque eventuates into narrowing the arterial passageway and, because of numerous factors, when it ruptures, there occurs a cascade of clotting mechanisms resulting in the formation of a blood clot (Thrombus), which usually completes the blockage of the blood vessel.
Occcasionally, the thrombus may not completely occlude the vessel passageway, but a piece of the clot or even of the plaque may break off and travel downstream and block off one of the arteries, more proximal to and supplying the brain with blood. This embolus will therefore result in a STROKE. Emboli can occur from other sources besides from arterial thrombi. A bacterial or fungal growth or a blood clot on a defective or a prosthetic heart valve may fracture off and travel to the brain. In cases of an irregular heart rhythm, blood clots formed in the cardiac chambers do to eddy currents around the turbulence, may dislodge and travel to the brain. Even venous blood clots from the legs or pelvis may travel to the right side of the heart and exit into the left side of the heart through a congenital opening in the intraartrial wall and travel to the brain (Paradoxical embolus). Therefore, the two categories of blood deprivation or ISCHEMIC STROKES are Thrombotic Strokes and Embolic Strokes.
Rarely, Hemorrhage, due to acquired or congenital weakness of the blood vessel wall may occur, into the surrounding brain tissue, causing serious death of brain cells, resulting in a STROKE.
The blood vessels most frequently involved are The Carotid Arteries, the Basilar-vertebral Arteries, and the Intracranial Arteries.
Strokes (CVAs) have been found to be the third leading cause of death in the United States. Even of the patients, who survive (approximately 2/3rds.), 50% of them will retain neurological deficits.
Beside Aging, other risks of Stroke are Hypertension, Diabetes, Hypercholesteremia, Smoking, Inactivity, Abnormal Blood Clotting Disorders, Gout, and Cardiac Arrhythmias.
The signs and symptoms of a CVA will vary depending on what portion of the brain has been injured by deprivation of its blood supply. In right handed persons (dominant right side), who sustain an injury in the left Broca's speech area, there will be serious interference with their speech. They will present as Aphasic, that is, have jibberous speech. The connection between the vocal cords, etc. and the brain are cut. If the right sided speech area is injured in predominant left handed people, they will experience Aphasia. Since the opposite side of the brain controls the opposite of the body, right handed individuals will be paralyzed on the right side in left sided STOKES. The converse will be true in left handed persons with right sided STROKES.
Other symptoms and signs are Alterations in consciousness such as coma, confusion, inability to understand questions and commands, seizures, incooridination, awkward gait, partial loss of field of vision, facial weakness or asymmetry, dizziness, nausea, vertigo, vomiting, decreased sensation, loss of urinary or bowel control, etc. Any of the normal brain activities can be disrupted, depending on which vessel is blocked and what portion of the brain it supplied with blood.
A Neurological examination attempts to test all of these modalities,i.e., Cranial nerve function (I thru XII), sensory and motor activity, and reflexes.
DEGREES OF STROKE
Not all deprivation of blood flow to the brain culminates in brain death. Sometimes the blood flow is only transiently interfered with and the "stunned" brain tissue is allowed to recover, if the blood flow is reestablished quickly enough. This type of transient injury is termed:
T.I.A. (Transient cerebral Ischemic Attack)-This episode usually lasts 5 mins. or less, and the neurological signs and symptoms, such as a droopy mouth and slurred speech, will completely disappear within 24 hrs. A T.I.A. must not be ignored, even when the symptoms disappear, because it is often the harbinger of an impending Stroke.
R.I.N.D. (Reversible Ischemic Neurological Deficit)- This episode lasts greater than 24 hours, but resolves within 32 weeks without anly neurological residual. This too, is critical as a warning regarding a future impending permanent Stroke.
Stroke in evolution- This situation occurs when the neurological deficit becomes gradually more severe, spreading to other brain functions and intensifying the deficit of those already showing damage. This Stroke in Evolution will evolve over 2 hrs. and may continue for up to 2 days, and may progress to further damage later on.
The stable or completed Stroke is one that occurs acutely and becomes stabilized very quickly without further progression. It may, in fact, improve over the first week, as the inflammatory process receeds, and recovery may progress, especially under therapy, for the next 8 to 12 months.
The diagnosis of Stroke is based on the history of a sudden or recurring neurological deficit correlated by a Neurological examination which demonstrates the presence of unimpeachable neurological defects. The imperative action for the Physician, once a Stroke is suspected, is to order a Cat Scan of the Brain. This is done, even though in the first 24 hrs. it may be normal, in the presence of a thrombus or embolus, to rule out a hemorrhage. If there is no hemorrhage, which does show up almost immediately on CT scan, then the possibility of interventional therapy can be contemplated. The presence of Hemorrhage rules out the possibility of Thrombolytic therapy utilization.
Later, an MRI or MRA, Ultrasound of the Carotid Artery and heart, EKG, cardiac rhythm monitoring, or angiogram can be done to ascertain the origin of the thromboembolis and/or the severity of the patient's Atherosclerosis.
If it is ascertained that the individual has suffered a Stroke and that Stroke is secondary to a Thromboembolis, rather than a Hemorrhage, then the possibility of breaking down that clot to re-establish the blood flow and reverse the brain damage is a definite possibility.
However, the patient must have arrived at the Emergency Room and had the correct diagnosis of a Thromboembolic Stroke within the first 3 hrs. of the onset of symptoms of the Stroke. Then he may be given t-PA (tissue plasminogen activator) which serves to try and lyse the clot.
Some authorities have used Heparin as an anticoagulant in this situation to prevent the clot from enlarging and causing more damage. The jury is still out on this approach.
Reversal and treatment of the underlying thrombembolic potentiating risk factor is then attacked, in order to prevent more Stroke episodes. An irregular heart rhythm patient (one with atrial fibrillation) is anticoagulated and later, if possible, converted to a normal heart rhythm. Patients with large thrombi in their Carotid arteries under go surgery at a later date after a period of anticoagulation and cooling off, to have the thrombus removed or bypassed. Then rehabilitation is done with great intensity.
Surgical treatment of hemorrhagic strokes is recommended in some cases, with varying results.
Since we are able to identify many of the risk factors in those who are most susceptible to STROKES, the most prudent approach is to enact lifestyles and medicine to prevent Strokes. Monitoring and treating Hypertension and Diabetes will diminished the chance of Strokes.
Loss of excess weight, exercise, cessation of smoking is very helpful. Medications to prevent formation of blood clots by interfering with the normal stickiness of platelets, by the use of anti-platelet therapy has been the cornerstone in preventative treatment.
ASA-because of it's effect in inhibiting the production of prostaglandin, it has effected the release of clot activating substances from platelets. This has been shown to reduce the risk of recurrent strokes and progression of T.I.A.'s to strokes. There is some small increased risk for hemorrhagic stroke and gastrointestinal bleeding. 81 mg appears, at present, to be the ideal dose, daily.
Ticlopidine (Ticlid)- inhibits platelet aggregation. It reduces the risk of recurrent stroke, even better than ASA.
Clopidogrel (:Plavix)- prevents fibringogen at the site of the clot which decreases platelet binding.
Warfarin (Coumadin)- is an anticoagulant and is useful in patients with cardiac arrhythmias, artificial heart valves, previous strokes, myocardial infarctions, clotting abnormalities.
Chronic Care Solutions, Marymount University Arlington, Virginia, USA
SukSH, SaccoRL, et al. The Northern Manhattan Stroke Study: Stroke 2003 May 29 ( epub ahead of Print).
Stroke risk factors and stroke prevention: Semin Neurol 1998; 18(4):429-40
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Taki, S Lymer, S Ong, K.L. Campbell, K.J. Russell, C.G. Laws, R. Denney-Wilson, E.
Mobile health (mHealth) interventions have great potential to promote health (Denney-Wilson, 2015). To date, mHealth studies using apps have focused on intervention outcomes and have neglected to understand participants' interactions with apps including how much, when and with which parts of apps participants engage. This is important in helping to determine the dose of the intervention they receive. We adapted an Engagement Index from the discipline of marketing to assess the levels at which mothers in a healthy infant feeding mHealth intervention (Growing healthy) interacted with the Growing healthy app.
The Engagement Index (EI) tool developed by Web analytics Demystified (Peterson & Carrabis, 2008) was adapted and used to measure how participants engaged with the Growing healthy app. The EI tool comprises five sub-indices designed to capture a range of participant behaviours: Click-Depth Index (Ci) describes the number of pages accessed each time participants visit the app (Ci= Sessions having at least 'n' page views / All Sessions); Recency Index (Ri) measures the days elapsed since the participant last accessed the app (Ri= 1/Number of days elapsed since the most recent session); Loyalty Index (Li) measures the frequency of app access over the program (Li= 1 - (1 / Number of visitor sessions during the timeframe); Interaction Index (Ii) measures the number of push notifications opened from those sent (Ii= Sessions where visitor completes an action / All Sessions); and Feedback Index (Fi) is a subjective indicator of the participant's satisfaction with the app (Fi= number of positive responses/number of survey questions completed). Participants' subjective satisfaction with the app was assessed from a quantitative survey (questions included: ease of navigation, readability, quality and usefulness of the content on the app) this score comprised the Fi. The total participant EI score was then calculated as the average across the five sub-indices, thus providing a scale ranging from disengaged through to highly engaged. Modelling will be done to establish the strength of the relationship between the EI and intervention outcomes, whilst controlling for co-variates such as parental age. Secondary analysis will be undertaken to consider the strength of associations between each sub-index and study outcomes.
MHealth interventions delivered by apps provide the opportunity to investigate participants' engagement with the intervention and its constituent parts. The use of an Engagement Index may help researchers to understand how participants engage with such an intervention, the trends in engagement over the course of the program, and whether the levels of engagement affect intervention outcomes.


The 2019 NWRPCA/CHAMPS Fall Primary Care Conference, in partnership with WCN, to be held in Seattle, WA, October 5- 8, 2019, provides education and training, information and resource sharing, coalition building, and program and policy development for like-minded community health professionals and their partners.
We invite you to submit an abstract for consideration to present at the 2019 NWRPCA/CHAMPS Fall Primary Care Conference. Submissions are due Friday, June 28, 2019.
Last year's Conference included the following tracks. Check back regularly for 2019's tracks, topics, and the Conference brochure.
Check back regularly for Conference agenda including track sessions, networking events, and CHC tour.
Sponsor and advertise at the 2019 Fall Primary Care Conference and connect with CHC leadership nationwide. All sponsors are featured in the printed conference program, social media and signage throughout the event.
Please contact NWRPCA Development Specialist Janeane Harwell for more information about sponsorship opportunities. Prospectus coming soon!
This year's Conference takes place at in Downtown Seattle.
We are pleased to offer a discount off all published fares to Seattle from any Alaska Airlines U.S. city via Alaska Airlines. If you are traveling to Seattle by air from October 1, 2019 - October 13, 2019, we encourage you to book with Alaska Airlines and to receive a 7% discount. To participate, go to the Alaska Airlines website and click "Use discount or companion fare code" and enter ECMC544 in the discount code field.
The specific 2019 Fall Primary Care Conference CEUs will be announced.
We are currently seeking volunteers for the Fall Primary Care Conference! Contact Marleen Arenivar, NWRPCA's Event Planner, for any questions.
Rates after Thursday, September 19, 2019 increase by $100 for full conference, $50 for two-day, and $25 for individual days.
If you are registering a group of four or more NWRPCA/CHAMPS/WCN members, please use the 2019FallGroup discount code on the payment screen to receive 10% off your group's registration.
Please note the registration cancellation deadline is Saturday, September 21, 2019. Cancellations must be in writing (email is fine). Registration will be refunded less a $50 processing fee. Cancellations made after the deadline are not refundable. For any questions, complaints/grievances, please email registration@nwrpca.org.


Tremolo is a great effect that can be used to add tension and weight or a shimmering texture. Tremolo is a fast oscillation of the bow, unmeasured by default. Tremolo, like harmonics and pizzicato, is a technique where the use of samples in composition has given composers a false sense of reality. For some reason, just like sampled timpani rolls, sampled tremolo is performed way faster than I have ever heard it in the real world. In reality, the speed is related to the dynamic, just like it is in normal bowing, but always slower than the tremolo samples on the market.
Tremolo is most often performed at the tip of the bow. It is much easier to play rapidly and with a subtle attack where the weight of the bow is the lightest. There is never any need to mark 'at the tip' for any tremolo, it is the default. See here for a discussion of fingered/keyed tremolo.
Unmeasured tremolo is notated by marking the duration as thirty-second notes, meaning three slashes. As the durations get shorter, fewer lines are used. This is the same theory we use for notating drum rolls. Note in the example that there is no tie between bar one and two. None is needed; there will be no gap or re-articulation. This will sound like nine beats of tremolo. You would need to put a tenuto or an accent on the second C to force a re-articulation. Due to the way we now work with sequencers, MIDI files, and notation programs, many people now use ties on tremolos. This is redundant and historically incorrect, but seems to be the norm these days.
You will notice I did tie the last F. This is to indicate that I want it 'off on 3'. I do not want the players to articulate beat 3 at all, just 'touch it' with the end of the tremolo.
Even though I state that thirty-second notes always mean an unmeasured tremolo, there is one place where I have found the players cannot help themselves and will play measured. This is a mainly a physical issue, as the players are human not computers.
When a pattern such as the above has to be played fast, the players will all go to a measured tremolo and perform two bows per note.
Recently I was listening to a mock up and the composer had played in a tremolo chord a bit like a harp arpeggio. Writing out different start times for each note would lead to a messy performance at first, and then they would probably all end up playing together by the third take. Here is what I did and it sounded very cool, without being a mess.
If you need to break the default and want a measured tremolo, there are two common ways to do it.
There are lots of advantages to this notation. For one, it takes less space, so you can fit more measures on each system. Secondly, if you need to change the notes, it is easier as there are fewer to change. It also has a cleaner, less cluttered look. A single slash gets you 8th notes.
The physics of the tremolo need to be considered.
In this example there are a few things that will happen that will affect the sound. The players have to cross from the E string to the D string. This would be an issue even without the tremolo. This happens all the time and is not really noticeable in the real world. The players will finish the C a little early in order to leave time to raise the bow and cross to the D string. As an orchestrator, I know this will happen, so if I am fine with the gap, I will leave it written like this. If this is with other instruments, I might write in the rest so I can give it to the others and keep the end of the phrase together. However, the bigger issue with this is that it is impossible to go right from an unmeasured bow to a perfectly measured one. It will take the players a couple of beats to get in tempo and lock together. You may not be bothered by this in the concert hall, but it will be obvious in the studio. In the studio we can cheat and pick up the second bar, playing the first to the end, stopping, then restarting. If this were loud and I needed everyone to play, this is how I would do it. If it is not important that the C go right to the bar line, I might bring them 'off on four'. Note that it is still extremely hard to go to the metric rhythm with a short gap, but easier than with none. If this was not loud, I could use the firsts for the C, then have the seconds or violas play the rhythm.
This actually came up in a cue recently. You can see I used the firsts on the tremolo and saved the seconds for the rhythmic pattern. The violas are OK to play, they will have a slight gap, but they are covered by the brass here. The firsts are not covered and so have to play to the bar line.
Here are some orchestration examples.
For wind and brass instruments, tremolo is performed by flutter tonguing. The notation is exactly the same as tremolo for strings and percussion. It is common to label the part as 'flutter' as well as the tremolo articulation, but I feel this is redundant. The notation is sometimes used for a valve tremolo (same notes played rapidly by alternate fingerings), but one would go out of their way to label this if it were what you were asking for as it is not used very often. Flutter tongue is the default.
A tremolo is performed as a roll. On all pitched instruments and the bass drum it is performed by rapid singles strokes. On the snare drum each stroke has multiples, two or more depending on the style of the music.
I was wondering abaout the necessity of ties: consider the case where you have to the players to change the notes in different time points, some in the downbeat, others in a eight note offbeat, others in the 3rd note of a quarter note triplet, for example. Maybe the use of ties could be justifiable, as for indicating where the player must change the pitch, while carrying the tremolo notes. I've seen this on a Kaija Saariaho Score, for example.
The Z does make sense, but as it has not become standard, one has to wonder which method would get more questions. The rule is that 3 lines is unmeasured. There is no clause that states in slow tempos it is different. However, I know some people seem to think it may. In those cases it is fine to clarify if you want. I am not convinced though that just adding the word 'trem' clears up unmeasured or not. They are both types of trem. That is why I would say that is a waste of toner!
I am never against clarifying if there is ambiguity. What I think is silly is adding text when there is no ambiguity.
Some questions on the last example: div a3 means that only 3 of the first violins play(2 the tremolo and 1 the high c)?
How do you keep the dynamic balance when 3 players play over the whole violas section? is that important or not?
The div a3 means the whole first violin section divides into 3 groups, not3 players, so balance is not an issue. If I were doing those few bars in isolation, then I would do it a little differently. However, in this case, I am preserving the seconds for the rhythm. If I had them playing there would be issues of range/string and going from unmeasured to measured bowing.
the 'z' notation is not my invention: I've found it from other scores. It's advantage: 'z' looks similar to the three slashes, but it is different enough to avoid stopping rehearsals in order to explain whether the tremolo is measured or unmeasured.
String players used to hate tremoli because it is often a signal of bad orchestration. In such cases, the score makes extensive use of tremoli, making the piece unnecessarily tiring. Not all pieces are badly orchestrated, but remember how tiring are the Bruckner's symphonies for example, among MANY others.
When tremolo is a must, I've found that "z" is the contemporary notation better suited to indicate it instead of the ambiguous three slashes. Even if the player is not used to this notation, a simple and direct answer (maybe a bula, although players may not read it) is enough to make the playing clear.
You are right about too much tremolo. I am working on an orchestration right now that has too much in and I am talking a lot of it out. I think some people have a false belief that tremolo is louder, but I don't think it is. Not sure about the 'z' notation. The only place I have seen or used it is in percussion parts as a single buzz or drop stroke. I have no problem with the current system of notation. Curious as to why you want to change it?


text:
The Touryst
About The Touryst
The Touryst is an action-adventure puzzle game developed and published by Shin'en Multimedia for Nintendo Switch, Xbox One, Microsoft Windows and Xbox Series X/S. It was announced during Nintendo's Indie World stream on August 19, 2019 and was released on November 21, 2019 for Nintendo Switch and July 30, 2020 for Xbox One and Microsoft Windows. An enhanced version of the game released for Xbox Series X/S as a launch title on November 10, 2020. The art style is blocky and makes use of voxel art techniques. The game uses a custom engine developed by Shin'en, which allows the game to deliver high-fidelity graphical effects while still maintaining a smooth framerate. The game was voted as one of the four most loved eShop games of 2019.
Shin'en Multimedia


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Wisconsin's part in Hurricane Harvey relief
Wisconsin's part in Hurricane Harvey relief
Red Cross sent 47 volunteers, could train more
The devastation in Texas is expected to continue as more rain is in the forecast for the next few days.
With so many in peril, the American Red Cross Wisconsin Chapter is providing relief.
Tom Mooney, head of the Wisconsin chapter says the response has been more challenging than in the past.
"with the roads and infrastructure so compromised because of the high waters, we're not able to get in like we normally would be able to get in after a hurricane," Mooney said.
Mooney's chapter has sent 47 volunteers to assist and could be looking to send more soon.
They will offer boot camp-like training, "in order for them to go down and do certain jobs that we feel they could do without a lot of training," he said.
Mooney says the best way you can help right now is by donating funds to the Red Cross that will be used in the relief effort.
Related Topics:climate changefloodflood damagefloodingglobal warminghurricanestorm damage
Born in Decorah Iowa. I've been a news reporter for the last 10 years, starting right out of college in Fort Dodge, Iowa. Other professional opportunities led me to Marshalltown, Iowa and Antigo Wisconsin, before I finally was afforded the opportunity here in La Crosse. I've been here since 2016. I also act as the voice of local sports, doing play by play of high school and college football and basketball. When not working I enjoy golfing.
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