WASHINGTON — President-elect Barack Obama met late Thursday in Chicago with Senator Hillary Rodham Clinton to discuss what role she might play in his administration, advisers to both Democrats said on Friday.
Neither side disclosed details of the conversation, and it was unclear how seriously Mr. Obama was considering bringing Mrs. Clinton, his onetime rival for the Democratic presidential nomination, into his cabinet.
Speculation in recent days has focused on the possibility that Mr. Obama would ask Mrs. Clinton, a second term senator from New York, to be his secretary of state. Others mentioned for that post include Senator John Kerry, Democrat from Massachusetts and the party's presidential nominee in 2004, and former Senate Majority Leader Tom Daschle.
Appearing at a public transit conference in Albany on Friday, Mrs. Clinton said she would not address reports about whether she would be offered a position in the Obama administration.
"I have to start by saying I'm very happy there is so much press attention and interest in transit," she joked during her appearance at a conference hosted by the New York Public Transit Association, before a crowd of roughly 200 people and a couple dozen reporters and photographers.
She left without taking questions from reporters.
Two of Mrs. Clinton's friends said they believe she would take the secretary of state job if offered. "I think she'd do it," said one of them.
But the Clinton friends and other Democrats close to both the Clinton and Obama camps cautioned that Mr. Obama might simply be sounding out Mrs. Clinton about what, if anything, she would be interested in. The options, Democrats say, could include Mrs. Clinton's staying in the Senate and taking a lead there in helping Mr. Obama enact a program for universal health care, the issue that both senators emphasized — with some differences — in their respective campaigns.
The Obama transition team has clamped down on information and leaks about Mr. Obama's personnel efforts, with some success. The Clinton rumors flared late on Thursday, first after reports that she had been spotted boarding a flight for Chicago, and then when a small motorcade of black SUVs emerged from the garage of the downtown Chicago building where Mr. Obama has his transition office minutes before Mr. Obama's own motorcade left it at 6:45 p.m. Central time. Mrs. Clinton, as a former first lady, still has Secret Service protection and travels in a government SUV.
Despite rampant speculation when Mr. Obama clinched the nomination to end their long battle more than five months ago, he never seriously considered Mrs. Clinton as his vice-presidential running mate. That enraged some of her most ardent female supporters, opening a breach that Mr. Obama's Republican rival, Senator John McCain, sought to exploit in part by choosing Gov. Sarah Palin of Alaska as his running mate.
But Mrs. Clinton and her husband, former President Bill Clinton, campaigned for Mr. Obama in the fall, and election exit polls indicated that Mr. Obama drew support from most of her former voters.
Mr. Obama is scheduled to meet on Monday with Mr. McCain.
Meanwhile, the Obama transition team announced the makeup of the teams who will review departments, agencies and commissions throughout the government, so that President Obama and his advisers will be ready to make policy, budgetary and personnel decisions before the inauguration. The teams will begin their work immmediately.
The teams are assigned to review the Securities and Exchange Commission and the Departments of Homeland Security, Justice, Energy, Education, Labor, Health and Human Services, Veterans Affairs, Housing and Urban Development, Commerce and Agriculture. The complete list of members is online at change.gov/agencyreviewteams.
Helene Cooper, Danny Hakim and Jeff Zeleny contributed reporting.


A recent study shows that 19 per cent of the British shop just to counter boredom. As many as 10 per cent say that they shop to relax after a stressful day. As soon as I finished going through the article, I tore it and rushed to the kitchen to burn it so that this scientific study doesn't get into my wife's hands. My wife barged in and declared grandly, "I am feeling very listless and lethargic today. I must shop immediately to regain my energy". Since she had not gone through that UK study yet so I guess, to shop must be a kind of international female virus which empties the hubbies' bank balances.
I sat on internet to find some remedial measures for this illness. God is great. I soon came across a news item wherein it was mentioned that scientists are working on developing a pill that can curb the urge to splurge by more than 50 per cent.
This pill will kill the urge to buy impulsively. I am sure that if sufficient funds are created for research work, scientists will soon come out with instant sprays to kill your shopping enthusiasm. Imagine your wife getting ready for a hectic shopping session and you offer her the perfumed medicated spray. As soon as she applies the anti-shopping perfume, she suddenly declares, "Darling, can you help me get the suitcase out of the attic. I want to wear the sari you gave me on our anniversary 10 years ago. I have so many saris and I don't need to buy a new one for at least a year".
I am sure husbands all over the world will salute scientists who has made one of the greatest discoveries of the world, next probably only to the invention of fire and the wheel.


text:
Allysa Seely, Hailey Danz Finish Two-Three In ITU Paratriathlon World Championships
By Paul D. Bowker | Sept. 01, 2019, 12:33 p.m. (ET)
Aaron Scheidies and guide Ben Collins finish first place in the Male PTV1 division at the USA Paratriathlon National Championships on July 20, 2019 in Long Beach, California.
Paralympic gold medalist Allysa Seely was greeted by Great Britain's Fran Brown as she crossed the finish line Sunday in the ITU Paratriathlon World Championships in Lausanne, Switzerland.
The two embraced.
And then Seely waited as American teammate Hailey Danz reached the finish line to complete a two-three finish for the U.S. in the women's PTS2 championship race.
Seely, a three-time world champion who made history by winning a gold medal in paratriathlon's debut in the Paralympic Games Rio 2016 and dominated PTS2 since then, won a silver medal at the world championships for the second time in three years.
Brown was the first one to beat Seely since 2017. Brown, who finished runner-up to Seely in the 2018 world championship, won the race with a time of 1:24:23. Seely finished 56 seconds later.
Danz, a silver medalist in Rio, was third in the world championships for the second consecutive year.
Seely and Danz were among seven U.S. paratriathletes winning medals.
The paratriathlon course featured a 750-meter swim in Lake Geneva, a 20-kilometer bike event and 5K run.
Download the Team USA app today to keep up with paratriathlon and all your favorite sports, plus access to videos, Olympic and Paralympic team bios, and more.
Kelly Elmlinger, who has finished first or second in every race this year, won her first world medal with a second-place finish in women's PTS4. She finished fifth in her world championship debut last year and had a victory in the Tokyo test event in August.
Grace Norman, a two-time Paralympic medalist, won a bronze medal for the second consecutive year in women's PTS5.
Chris Hammer, a three-time world champion, was back on the podium in men's PTS5 with a third-place finish.
Aaron Scheidies, a seven-time world champion, captured a bronze medal in men's PTVI, along with guide Ben Collins.
The world championships also provided a stage for U.S. Paralympians who had reached the Paralympic Games podium in other sports.
Kendall Gretsch, a two-time Paralympic gold medalist in Nordic skiing, won a silver medal in women's PTWC. She finished second with a time of 1:21:30.
Brad Snyder, a five-time Paralympic gold medalist in swimming, finished sixth in men's PTVI, competing with guide Colin Riley. Joshua Sweeney, a 2014 Paralympic gold medalist in sled hockey, finished 12th in men's PTWC.
A pair of U.S. triathletes came close to podium finishes in men's PTS2. Allan Armstrong finished fourth and Adam Popp was fifth.
Jamie Brown, who had won a silver medal and two bronze medals this year, finished sixth in men's PTS4.
Elizabeth Baker, with guide Jillian Petersen, nearly made the podium in women's PTVI, finishing fourth. Amy Dixon, and guide Kirsten Sass, were sixth.
Paul D. Bowker has been writing about Olympic sports since 1996, when he was an assistant bureau chief in Atlanta. He is a freelance contributor to TeamUSA.org on behalf of Red Line Editorial, Inc.
Evan Medell Strikes Gold in Para Taekwondo As Sport Makes Its Parapan Debut Aug. 31, 2019
Two-Time Paralympic Powerlifter Ahmed Shafik Attributes Silver Medal To Commitment And Good Genes Aug. 31, 2019
How Embracing The Negatives Helped Prepare Wheelchair Basketball Player Steve Serio For The Lima Games Aug. 31, 2019
U.S. Mixed Coxed Four Opens Worlds With Silver Medal, 2020 Paralympic Quota Spot Aug. 31, 2019
Rose Hollermann Named U.S. Flag Bearer For Parapan American Games Closing Ceremony Aug. 31, 2019
Allysa Seely
Kelly Elmlinger
Grace Norman
Chris Hammer
Aaron Scheidies
Kendall Gretsch
Bradley Snyder
Jamie Brown
Elizabeth Baker

redpajama_set_name: RedPajamaCommonCrawl


text:
La Parigi-Tours 2022, centosedicesima edizione della corsa, valevole come quarantanovesima prova dell'UCI ProSeries 2022 categoria 1.Pro, si è svolta il 9 ottobre 2022 su un percorso di 213,5 km, con partenza da Chartres e arrivo a Tours, in Francia. La vittoria fu appannaggio del francese Arnaud Démare, il quale completò il percorso in 4h53'01", alla media di 43,718 km/h, precedendo il belga Edward Theuns e l'irlandese Sam Bennett.

Sul traguardo di Tours 128 ciclisti, dei 160 partiti da Chartres, portarono a termine la competizione.

Squadre e corridori partecipanti

Ordine d'arrivo (Top 10)

Collegamenti esterni

Parigi-Tours
Ciclismo nel 2022

redpajama_set_name: RedPajamaWikipedia


Based on the closing price of 22.68 yuan in the afternoon of April 15th in Visual China, the stock will continue to face a daily limit.
The release date of the valuation reduction announcements of the four fund companies is shown as April 13th.
Specifically, the Bank of Communications Schroder Fund said in its announcement on the valuation adjustment of its stocks that the funds it manages (excluding ETFs) are holding 21.00 on April 12, 2019. Yuan for valuation.
The Bank of China Fund announced that since April 12, 2019, the valuation of the stock China China held by some of its funds (excluding ETF funds) has been adjusted, and the valuation price has been adjusted to 20.41 yuan.
Caitong Fund announced that since April 12, 2019, it has adjusted the valuation of the stock "Vision China" held by its securities investment fund. The adjusted valuation price is 20.41 yuan/share.
The valuation adjustment announcement issued by Bosera Fund shows that the valuation of "Vision China" held by the funds of Bosera Fund will be adjusted from April 12, and the valuation price will be adjusted to RMB 20.41. After the "Visual China" stock transaction reflects the characteristics of active market transactions, the valuation will be resumed at market prices and no further announcement will be made at that time.
From the shareholding of public funds, Wind statistics show that as of the end of 2018, 247 fund products of 68 fund companies held visual Chinese stocks at the end of 2018.
Specifically, as of the end of 2018, among the top 10 fund products of Vision China's stock holdings, Bank of Communications Schroder Fund occupied 7; in addition, 1 each of Boss Fund, Jude Fund and Southern Fund.
Ranked first and second, the Bank of China's new vitality and flexible configuration mix and Boss theme industry mixed holdings exceeded 10 million shares, respectively, 13.37.69 million shares and 12 million shares, accounting for 4.31% and 3.87% of the outstanding shares, accounting for The net ratio is 7.46% and 2.86%.
The Bank of Communications Select Mix, Jude Rich Mix A and Bank of Communications New Growth Mix also held 6,265,500 shares, 6,551,300 shares and 5,708,500 shares, accounting for 2.13%, 2.11% and 1.84% of the outstanding shares, accounting for net worth. The ratio is 4.63%, 6.22% and 5.19%.


text:
Elderly man evicted over medical marijuana hits another snag
By Carolyn Thompson
Issues continune for elderly man evicted over use of medical marijuana DARRYL DYCK / THE CANADIAN PRESS
NIAGARA FALLS, N.Y. — A 78-year-old New York man who was evicted from federally subsidized housing because he uses medical marijuana for pain said Tuesday that the conflicting state and federal pot laws that left him homeless are now threatening his medical care.
"The federal government has stepped in again and squashed it," said John Flickner, who uses a wheelchair and has a doctor's prescription for the drug.
After news reports detailed his eviction last week, Flickner, who is now staying at a homeless shelter, said the Niagara Falls program that co-ordinates his care suddenly dropped him, leaving him without access to doctors and transportation.
An attorney for the program, Complete Senior Care, said privacy laws prevent him from discussing individual patients. But generally speaking, attorney Jerry Solomon said that because medical marijuana is illegal under federal law, the federally funded program cannot help clients access it without risking its funding.
"Federal guidelines from (Centers for Medicare and Medicaid Services) ban them from prescribing that or allowing access or having anything to do with anyone having medical marijuana," Solomon said. "To do otherwise would jeopardize being able to service all the other patients that they have."
New York is among states that have legalized medical marijuana, but advocates say it's not uncommon for people to be evicted from federally subsidized housing for using the drug.
Last week in news reports, Flickner described steering his electric wheelchair in freezing temperatures to a centre after being evicted. On Sunday, his former landlord reversed course.
Flickner said he relies on medical marijuana for back pain dating to a skydiving mishap 50 years ago.
"The eviction of Mr. Flickner is not a reflection of who we are or our resident service values. We are rescinding our decision and revisiting our policy for this evolving issue," LHP Capital of Tennessee said in a statement Sunday.
Flickner had not decided Tuesday whether to return.
Niagara Towers is subsidized by the federal Department of Housing and Urban Development, which said it gives landlords discretion on whether to evict residents for using medical marijuana.
Solomon said Complete Senior Care has no such discretion. CMS did not immediately respond to a request for comment.


text:
The geology of Monaco is closely related to the end of the Western Alps, forming the small country's steep corniche coastline. During the last 2.5 million years of the Quaternary high sea levels between glaciations formed erosion terraces and left behind coastal sediment deposits. Beach sands are mixed with frost chippings and other cold-weather remnants of the glacial period and preserve large mammal remains and archaeological remains of early humans in the Gîte des Moulins Cave and the Jardin Exotique. Monaco hosts the International Hydrographic Organization.

References


Prawns, lobster, crayfish …… ummmmmmmm. Yummy!!!
What do they remind you of? A party? Christmas? Romance? Eroticism? Sunday lunch with friends?
Seafood invites us to enjoy special and unique experiences. We don't want this moment ruined by an overcooked prawn or lobster as hard as cardboard. Hence in this workshop we will get to know how to prepare, cook and present them in different ways without altering the quality of their meat.
All you need to make your special evening as special as it could be.


Todays recipe is something not so festive, yet utterly delicious. A few weeks ago I went over to a friends house, and he cooked me the most delicious pasta dish with sausages, cream, rocket and chorizo. I cannot even tell you how much I enjoyed it, so obviously me being me had to try it out for myself at home. I have probably now made this myself quite a lot, which I'm not too sure is such a great thing as it is by no means a healthy meal. I probably would not recommend eating this is you have bad cholesterol… seriously… so much fat! Nevertheless, I couldn't resist from sharing the recipe here on the blog, as it is a recipe that really should be shared and tried by everyone. I made a few adjustments to the recipe purely just adding a few things, and getting the measurements right for everyone to try at home. It is so good, and actually is so easy. It takes less than half an hour, and is so filling. It is very rich, so I would probably not be able to eat a huge amount no matter how much I like it.
Start by cooking the pasta to get it out the way. Bring a saucepan of hot water to the boil and season with salt. Add the pasta and cook until soft with a slight bite. Whilst the pasta is cooking you can start the sauce.
Prepare the ingredients. Dice the sausages, red onion and chorizo and set aside separately. Finely chop the chilli. Always remember to take the paper off the chorizo which is often not seen.
In a wok type frying pan, heat the garlic olive oil. Once hot, add the onions. Cook until soft and have lightened in colour. Season with salt and pepper.
Add the sausages and cook until browned, then add he chorizo. Keep stirring, then add the fresh chilli and sweet chilli sauce. Turn onto a power heat and stir all the ingredients together. Let it bubble away for about 5 minutes.
Turn the pasta sauce onto the lowest heat possible and add the double cream. Stir thoroughly, season and add the handful of rocket. Add the spaghetti or linguine and stir everything together.
Serve with a little parmesan and garnish of rocket on top.
This recipe was based on something cooked by a friend, who I am aware got it from an online source. He adapted it, and then I did also.


Regardless of the circumstances, disposing of a lifetime's worth of possessions is an enormous task. Take this quiz and see how much you know about estate sales.
What is another name for an estate sale?
How are estate sales different from garage sales?
Garage sales are for worthless items.
Estate sales are to liquidate an entire home.
Garage sales are for baby items.
What is the fee to use a company?
How can you locate an estate sale?
How does an estate sales professional show precious jewels?
The jewels will be shown by request only.
The jewels will be securely displayed.
Jewels are not sold at estate sales.
A liquidation is sale to raise cash for debt payments.
A liquidation sale is to move inventory.
A liquidation sale is for low end items.
Why should you hire a professional?
Organizing an estate sale is a huge task.
Professionals may save you time and money.
What should I require from an estate sale company?
Other than a death, why might someone hold an estate sale?
Who may attend an estate sale?
How will you know the price of an item?
A price list will be available.
You may ask the person in charge.
Is it an acceptable practice to offer a lower price for an item?
Do estate sales offer high end items?
What is an appraisal company?
How much does it cost to meet with an estate sales company and a professional look at the items you have to sell?
If I hire a company that charges a lower commission, why does this not guarantee I will make more money?
The lower commission company may spend less on advertising the sale.
The lower commission company may have less experience with presenting the sale.
What should you do with the leftover items?
Who cleans up after the estate sale?


Fool for Love (1985): I've got some attachment to this script, having produced a production of Sam Shepard's original stage play some years back. Altman's film version (adapted by and starring Shepard) is a bit of a slow starter, with ten+ minutes before any actual dialogue; Altman uses that time (well) to set a palpable and particular mood. His visual additions are mostly successful—the additional, unexplained ghosts wandering through the background are effective, and there's a bit more of the Come Back to the Five and Dime mirror play, particularly in one magnificent shot where Shepard's Eddie is seen through a motel window, looking in at Kim Basinger's May, and the window reflects for us what he sees (her in the bathroom, watching him). In that shot, and in a remarkable scene where she merely pulls of a sweater, Basinger has never been sexier; she's also never been better. Shepard is, of course, brilliant; no one knows this character better than him, and he's incapable of a false note. Altman enhances and respects the text, but doesn't treat it as sacred. Instead, he distills the piece to its powerful essence.
REGULARS: Basinger returned for Pret-A-Porter (aka Ready to Wear).
Basements (1987): In what must have been his greatest sell job (and that's saying something), Altman convinced ABC to air this film adaptation of two Harold Pinter one-acts as a TV movie. The first, The Room, is the lesser of the two, a strange (though well-acted) chamber piece. More successful is The Dumb Waiter, featuring John Travolta and Tom Conti. Again, it's fun to play What Did It Influence, since Prism Entertainment released each half under its own title on VHS (with the woefully inaccurate cover art to the right—the title refers to the small freight elevator that plays a part in the tale, not a dumb person who is a waiter, as Travolta and Conti are drawn to wackily be). I can't imagine Tarantino didn't see the film, since it features Travolta as one half of a hit-man team, making idle conversation while waiting to do a job. It's a little jarring to hear a Cockney accent coming out of Travolta (and the accent itself is pretty dodgy), but he and Conti are both quite good. Both films are occasionally ponderous (as Pinter can be), but also fascinating (as Pinter can also be). Neither film looks or plays much like an Altman picture, but this seems to speak to a real respect for the text, and a desire to stick very close to it.
REGULARS: Conti reappears in Beyond Therapy (below).
ALTMAN'S AMERICA: Both stories take place in England.
Aria (1987): All right, you got me: due to the time constraints of The Altman Project ™, I did not watch Aria in its entirety. This omnibus film gathers ten directors—including Altman, Jean-Luc Godard, Ken Russell, and Nicolas Roeg—and gives them each an aria or scene from an opera to use as the basis of a short film. Several of them (I did jump around a little, and may have watched the segment where Bridget Fonda gets naked) use the music as accompaniment for a story. Altman, ingeniously, uses the opera as environmental music—his film takes place entirely in the audience of the Ranelagh Theater, an audience filled with inmates from an asylum. It runs seven minutes and is pretty clever, though clearly of no use for this project.
Beyond Therapy (1987): This adaptation of Christopher Durang's stage comedy is—with Quintet and O.C. and Stiggs—often brought up in discussions of Altman's worst film. I found it far better than either of those, but it has one major, gaping problem: his filmmaking style is a terrible fit for Durang's script. As in Fool For Love, he takes his sweet time getting to that famous opening duet (anyone who's done high school forensics can probably recite it, whether they ever performed it or not); as in the Shepard film, he's setting the table for the film. But his style is too casual and detached for the absurdity of Durang's scenario and dialogue. He clutters up that first duet with outside action and cutaways; he shoots the very funny therapy scenes literally through a window. His approach is just plain wrong for this material, or for anything resembling straight-forward comedy (to watch it is to better understand why O.C. didn't work either). There are some good things in it: Jeff Goldblum and Julie Haggerty are perfectly cast, Glenda Jackson's arid-dry line readings are exquisite ("Who's Bob?... I though you were someone else this whole session"), and Durang's dialogue—when it's just done—is often very funny. But, in contrast to most of his other mid-level pictures, the film works in spite of Altman rather than because of him.
REGULARS: Small roles in California Split and Nashville were among Goldblum's first credits. Haggerty is credited as appearing in Altman's Aria segment, but damned if I could spot her.
ALTMAN'S AMERICA: Not much, aside from the same kind of vague satire of Reagan-era economics and sociology that O.C. and Stiggs tried.
Vincent and Theo (1990): So this was kind of the comeback before the comeback—Altman's first film in years to get positive reviews and turn a profit in arthouses, leading to his real comeback two years later with The Player. He keeps his excesses in check here—it's a quiet, intimate, disciplined picture, gorgeously shot, well-acted (particularly by Tim Roth as van Gogh, complete with very period teeth). It's also dull as toast. It reminded me somewhat of Scoresese's Age of Innocence; when directors like these do this kind of period drama, I'm impressed by their versatility, and I respect their need to show it. But in making them, they end up suppressing what makes them such exciting filmmakers. I see why so many people like the film—it's just not my flavor of vodka.
Robert Altman's Jazz '34 (1996): Here's what happened: in 1996, Altman made Kansas City, a jazz-infused tale of small-time gangsters in Prohibition-era Kansas City (Altman's hometown). He used an extended jazz jam as counterpoint to the action, cutting away and underscoring with an all-star band of jazz musicians; it's clear, when watching the film and analyzing his technique, that he just shot a shitload of performance footage and then used it as needed. Jazz '34, which aired on PBS's Great Performances in 1997 and was released on VHS, is basically a compilation of those music scenes, uncut, with "rememberences of Kansas City swing" interspersed in voice-over in-between. It's a treat for jazz fans, and a lot of fun for everyone else, but there's not much to say about it.
I'm down to the wire—only two full-length films left, but I've also got the two iterations of the Tanner series to work through this week (and those, concerning a political candidate, should have plenty of fodder for The Altman Project ™).


Hospitality Industry has a lot to worry about, Sourcing & Procurement will no longer be one of them.
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Hospitality Industry has a lot to worry about, Sourcing & Procurement will no longer be one of them. For the size that the Indian Hospitality Industry is, the B2B infrastructure for supplies for the myriad hospitality consumables & capital equipments is at best fragmented, insufficient & inadequate.
HCX Global envisages to be a one-stop "HoReCa Procurement-&-Sourcing Platform" delivering exceptional value to both Customers and Suppliers alike. The platform aims at providing end-to-end strategic sourcing services leveraging IT & the collaborative power of the internet to provide the best products, at best prices & on time. Thus addressing the urgent & critical need of the Indian hospitality Industry to have dedicated, professional, reliable and cost-consistent suppliers, making purchases a well-organised process.
Efficient supply-chain management with order tracking status, etc.
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On 23 October, Philippine Secretary of Defense Delfin Lorenzana announced the end of the five-month battle for Marawi, after the Armed Forces of the Philippines defeated Islamic State–affiliated militants who had held the city since 23 May.
Philippine authorities discovered that IS central provided more than US$1.5 million (A$1.9 million) to finance the siege. Funds were sent via Indonesia through Western Union. Large amounts were also looted from local banks and private homes. Bundles of money were found in buildings around the city, including 800,000 pesos (A$20,000) stashed in one building and 300,000 pesos (A$7,800) and a bag of gold jewellery in another. In June, 52 million pesos (A$1.3 million) in cash was recovered from a house occupied by terrorist sympathisers.
These discoveries are a timely reminder of the importance of detecting, disrupting and denying terrorism financing, and the need for regional cooperation between Australia and Southeast Asian countries to help do so. Fortunately, regional counterterrorism financing (CTF) cooperation has been enhanced over the past two years. Australia is playing a leading role in these efforts.
Indeed, against the backdrop of the Marawi liberation, the third CTF Summit, co-hosted by AUSTRAC—Australia's financial intelligence unit—and its Indonesian and Malaysian counterparts, PPATK and Bank Negara Malaysia, was held in November in Kuala Lumpur (KL).
The third summit built on the success of the two previous summits, held in Sydney in 2015 and Bali last year. The event has grown—the KL summit attracted participants from 32 countries, compared to 26 in Bali and 19 in Sydney. It has also matured, thanks to relationships built over the past two years. That's not just from attendance at the annual summit, but also through three working groups—focusing on financial intelligence, technological innovation, and education and community outreach—that are doing important work in between summits. For example, the financial intelligence working group met face to face three times, and by phone monthly, between the Bali and KL summits. The group produced the world's first regional risk assessment (RRA) on terrorism financing last year, which is an important basis for intelligence-led CTF actions.
At KL, a new RRA on terrorism financing in the not-for-profit sector was released. The assessment downgraded the sector's risk from high to medium compared to the earlier RRA. That's because the deeper assessment, based partly on several national non-profit organisation (NPO) risk assessments (including Australia's), found fewer cases of terrorism financing through NPOs than expected. A clearer picture of the risk environment is a welcome development. However, as I've argued before, the risk downgrade doesn't mean we should be complacent.
At the summit, Justice Minister Michael Keenan announced the establishment of the South East Asia Counter Terrorism Financing Working Group (SEA CTFWG). This group will be co-led by AUSTRAC and the Philippines' Anti-Money Laundering Council and also involve financial intelligence units from Brunei, Indonesia, Malaysia, New Zealand, Singapore and Thailand. Keenan noted that this is the first of a series of initiatives to support AUSTRAC and its regional partners to block funding to IS and other terrorist groups in Southeast Asia. The Turnbull government provided a $4.6 million package over three years for these initiatives in September.
The SEA CTFWG should seek to improve intelligence sharing between regional countries to better detect funds transfers and map terrorist networks. It's well placed to do that thanks to relationships built up since the Sydney summit.
Between now and the fourth summit, to be held in Thailand in 2018, progress should be made in two key areas: better harnessing technology and building public–private partnerships.
Technologies such as blockchain, big data and artificial intelligence present opportunities to more effectively detect criminal activity among the flood of data available to government and business. However, this promise is yet to be met, as the successful deployment of these technologies to fight financial crime has been limited in practice. At the same time, financial technology is advancing rapidly, and new payment systems and virtual currencies are creating new opportunities for terrorist financiers and criminals.
To foster the better use of technology, the inaugural International Financial Intelligence Unit Codeathon was held before the summit. Sixty-nine participants from 11 countries sought to address a range of financial crime challenges through technological solutions. Following the success of this initiative, AUSTRAC announced that an ASEAN–Australia Codeathon will be held in Sydney in March 2018 in the run-up to the ASEAN–Australia Special Summit.
Public–private partnerships to counter terrorism financing and other financial crimes are in their infancy, but those countries yet to develop such initiatives should look to do so. Existing initiatives such as Australia's Fintel Alliance can provide examples, and ASPI will continue its focus on identifying ways to improve information sharing between the public and private sectors next year.
CTF efforts are an important policy tool to counter the growing terrorist threat in Southeast Asia. The CTF Summit, working groups, Codeathons, and new SEA CTFWG provide an excellent basis for this, but in the current environment there's much work to do.
Simon Norton is an analyst at ASPI. Image courtesy of Pixabay user BobCarner.


text:
Exertional Rhabdomyolysis and Sickle Cell Trait Status in the U.S. Air Force, January 2009–December 2018
Exertional Rhabdomyolysis and Sickle Cell Trait Status in the U.S. Air Force, Jan. 2009–Dec. 2018
JOINT BASE SAN ANTONIO, Texas - Master Sgt. Daniel Bedford, Air Force Recruiting Service National Events program manager, prepares to pump up a gold medal lift in the bench press during the USPA (United States Powerlifting Association) 2020 Texas State Bench Press Championship. Senior Master Sgt. Michael Lear, AFRS Strategic Marketing Division superintendent, prepares to spot Bedford. Lear and Bedford are Total Force recruiting partners who train together and motivate one another at work and in the gym. (Courtesy photo)
(Photo By: babin.)
1/1/2021 By: Bryant J. Webber, MD, MPH (Lt Col, USAF, MC); Nathaniel S. Nye, MD (Maj, USAF, MC); Carlton J. Covey, MD, MEd (Lt Col, USAF, MC); Kimberly G. Harmon, MD; Stefani A. Ruiz, MHS; Francis G. O'Connor, MD, MPH (COL(ret), MC, USA)
Medical Surveillance Monthly Report
Between 2009 and 2018, 377 active component members of the U.S. Air Force developed exertional rhabdomyolysis, according to the Armed Forces Health Surveillance Division (AFHSD) case definition. Two hundred cases were available for chart review, most of which included a documented sickle ell trait (SCT) test result. Medical intervention requirements and sequelae were statistically similar between SCT-positive (n=11) and SCT-negative (n=174) airmen.
What Is the Impact on Readiness and Force Health Protection?
Exertional rhabdomyolysis is a potentially serious condition demanding a vigilant approach. For all suspected cases, regardless of SCT status, health care providers should thoroughly review potential contributing factors and pre-existing comorbidities and intervene to prevent complications. Although SCT is a risk factor for developing exertional rhabdomyolysis, it does not appear to influence its progression or severity.
Sickle cell trait (SCT) is associated with incident exertional rhabdomyolysis, but its effect on disease progression and severity is poorly understood. Of 377 exertional rhabdomyolysis cases diagnosed between 2009 and 2018 in the active component of the U.S. Air Force, 200 had records available for chart review, and 185 of these had known SCT status. Pre- and post-event data were stratified by SCT status, and serum chemistry changes among SCT-positive (n=11) and SCT-negative (n=174) airmen were compared using Wilcoxon-Mann-Whitney tests. Of the 200 cases with records available for chart review, 110 (55.0%) were hospitalized; 98 (56.3%) of the 174 who were SCT-negative were hospitalized. Also hospitalized were 4 (36.4%) of the 11 who were SCT-positive, and 8 (53.3%) of the 15 with unknown SCT status. Of the 7 airmen who were admitted to intensive care, 4 required hemodialysis, and 1 underwent a fasciotomy; all 7 were SCT-negative. Alterations in creatine kinase, potassium, creatinine, troponin I, and hemoglobin were statistically equivalent between those with and without SCT. Providers should maintain a high index of suspicion for exertional rhabdomyolysis, especially in warm climates and in the context of high-intensity activities, but should not presume that the presence of SCT portends a higher risk of complications or worse clinical outcomes.
Exertional rhabdomyolysis is pathological breakdown of skeletal muscle resulting from physical activity. Depending on the rate and severity of myonecrosis, patients may experience debilitating pain, renal failure, cardiac arrhythmia, compartment syndrome, and splenic infarction.1 The diagnosis of exertional rhabdomyolysis is clinical and should be made when severe muscle symptoms (e.g., pain and stiffness) and laboratory evidence of myonecrosis (usually defined as a serum creatine kinase [CK] level at least 5 times the upper limit of normal) follow a bout of physical activity.2 Across the U.S. Armed Forces, exertional rhabdomyolysis is more common among males, non-Hispanic blacks, Marines, recruits, members of major ground combat units, and those with sickle cell trait (SCT).3,4 In rare cases during exercise, individuals with SCT may develop a severe metabolic crisis known as exertional collapse associated with sickle cell trait (ECAST), which can be accompanied by exertional rhabdomyolysis and is frequently fatal.5
At an Oct. 2019 summit on ECAST, hosted by the Consortium for Health and Military Performance (CHAMP), military and civilian experts from across the U.S. shared best practices and enumerated several knowledge gaps. One key question from the summit drew interest from health policymakers in the U.S. Air Force: Is exertional rhabdomyolysis experienced differently in service members with and without SCT? The present study sought to answer this question through chart reviews of exertional rhabdomyolysis cases over a 10-year period, focusing on context, triggers, progression, and severity.
Air Force Personnel Center (AFPC) files were used to identify those who served in the active component of the U.S. Air Force for at least 1 day between 1 Jan. 2009 and 31 Dec. 2018. The Military Health System Data Mart (M2), which includes diagnoses made at military treatment facilities (direct care) and at outside facilities reimbursed by TRICARE (purchased care), was used to identify exertional rhabdomyolysis cases. Cases were assigned using the Armed Forces Health Surveillance Division (AFHSD) surveillance case definition, which requires a hospitalization or outpatient medical encounter with a case-defining ICD-9 or ICD-10 code in any diagnostic position, an associated condition code in any diagnostic position, and no exclusionary condition code in any diagnostic position.6 AFPC and M2 data were merged by social security number. Incident cases were retained in the final dataset, based on the first case-defining diagnosis during the surveillance period.
For all incident exertional rhabdomyolysis cases, charts were systematically reviewed by the principal investigator (BW) in the Armed Forces Health Longitudinal Technology Application (AHLTA) and the Health Artifact and Image Management Solution (HAIMS) to abstract the following information into Microsoft Excel 2013 (Microsoft Corporation, Redmond, WA): SCT status; location and activity at the time of the exertional rhabdomyolysis event (or the most recent precipitating activity documented in the chart); presence or absence of preexisting anemia or renal disease (considered absent if not mentioned in any clinical notes with an exertional rhabdomyolysis diagnosis); use of supplements, stimulants, statins, antipsychotics, and alcohol, as documented in any notes diagnosing exertional rhabdomyolysis (considered absent if not mentioned in these notes); presence or absence of hospitalization, intensive care unit admission, hemodialysis, fasciotomy, and splenic infarction; hemoglobin and hematocrit values prior to the event (considered baseline) and nadir values after the event; date and time of the initial and peak values of serum CK and serum potassium; and peak values of serum blood urea nitrogen, troponin I, and lactate dehydrogenase. Greater-than signs in CK values were dropped (e.g., "gt;2000" was recorded as "2000" to allow for statistical calculations. For CK and potassium, an hourly rate of change was calculated as Δv/Δt, where Δv = valuepeak – valueinitial and Δt = timepeak – timeinitial. The Aeromedical Services Information Management System was used to retrieve SCT status for airmen with no results documented in AHLTA or HAIMS.
Values of blood analytes were compared by SCT status. Shapiro-Wilk tests were used to determine that all variables were non-normally distributed. Therefore, the Wilcoxon-Mann-Whitney test was used to compare median differences between those with and without SCT. Significance was established at a 2-sided p value of .05. Given the small number of observations among those with SCT, exact p values were obtained using the Monte Carlo estimation. Clinical and laboratory data from the Microsoft Excel database were deidentified prior to analysis in SAS/STAT software, version 9.4 (2014, SAS Institute, Cary, NC). This study was commissioned by the Air Force Medical Readiness Agency to inform health care policy and was approved by the Air Force Research Laboratory Institutional Review Board.
A total of 377 airmen met the case definition of exertional rhabdomyolysis, with an annual range of 24–47 cases. Of the 333 cases with documented SCT status, 12 (3.6%) were positive for SCT (Figure). Their mean age was 27.3 years (range: 17–47 years), and males accounted for 348 (92.3%) cases (data not shown).
Electronic medical charts were available for 200 (53.1%) cases, of whom 174 (87.0%) were SCT-negative, 11 (5.5%) were SCT-positive, and 15 (7.5%) had unknown SCT status. Events occurred on or near 66 military installations around the world, led by Joint Base San Antonio, TX (n=20); Hurlburt Field, FL (n=19); Joint Base Pearl Harbor, HI (n=9); Sheppard Air Force Base, TX (n=8); Davis-Monthan Air Force Base, AZ (n=8); and Fort Bragg, NC (n=7) (data not shown). Antecedent activities were the Air Force Fitness Assessment (n=39); leisure-time exercise other than running, to include playing sports and hiking (n=36); running (n=35); ruck marching (n=24); other military training, to include land navigation, combative exercises, and drilling (n=24); weightlifting (n=12); and yardwork or housework (n=5). Sixteen cases were reported as occurring at rest, and 9 had no documented activity. Among airmen with SCT, 5 (45.5%) were participating in the Air Force Fitness Assessment (data not shown).
A variety of over-the-counter supplements were documented as having been used by the cases: pre-workout products (n=9); energy drinks and weight loss supplements (n=5); multivitamins (n=4); melatonin (n=3); fish oil (n=2); protein powder (n=2); medium-chain triglyceride powder (n=2); medium-chain triglyceride oil (n=1); vitamin D (n=1); and unspecified products (n=3) (data not shown). Brand names mentioned in charts included Jack3D, Nitraflex, C4, Hypershot, Monster, 5-hour Energy, Hydroxycut, and Ripped Fuel. One airman was taking prescribed dextroamphetamine-amphetamine, 6 were taking prescribed statins, and 12 reported alcohol use proximate to the event; none had documented use of antipsychotics (data not shown). Among airmen with SCT, 1 reported fish oil supplementation and 1 reported recent alcohol use (data not shown). oil (n=1); vitamin D (n=1); and unspecified products (n=3) (data not shown). Brand names mentioned in charts included Jack3D, Nitraflex, C4, Hypershot, Monster, 5-hour Energy, Hydroxycut, and Ripped Fuel. One airman was taking prescribed dextroamphetamine-amphetamine, 6 were taking prescribed statins, and 12 reported alcohol use proximate to the event; none had documented use of antipsychotics (data not shown). Among airmen with SCT, 1 reported fish oil supplementation and 1 reported recent alcohol use (data not shown).
Five cases had a past history of anemia and 3 had kidney disorders, including 2 with nephrolithiasis and 1 with renal dysplasia. None of the SCT-positive airmen had preexisting comorbidities (data not shown). A total of 110/200 (55.0%) airmen were hospitalized: 98/174 (56.3%) without SCT, 4/11 (36.4%) with SCT, and 8/15 (53.3%) with unknown SCT status (data not shown). Among those hospitalized, 7 were admitted to an intensive care unit; 4 required hemodialysis; and 1 underwent a fasciotomy. All intensive care unit cases were SCT-negative. No splenic infarctions were recorded among the cases (data not shown).
Serum chemistry results varied markedly (e.g., while the vast majority of cases had at least 1 CK result, only 5 had a lactate dehydrogenase result) (Table). The median initial and peak CK levels were 1,231 U/Land 1,811 U/L, respectively, with a median rise of 80.4 U/L/hr. Three airmen experienced a peak CK greater than 100,000 U/L, and 4 had a CK rise exceeding 2000 U/L/ hr. Among those with a pre-event (i.e., baseline) and lower post-event hemoglobin (n=96), the median decline was 11.8%, with a range of 0.6% to 41.0%. Airmen with and without SCT had serum chemistry values that were not statistically significantly different (Table).
During a recent 10-year surveillance period, 377 active component U.S. airmen met the case definition for exertional rhabdomyolysis. Those with SCT, who traditionally represent 1.0%7 to 1.2%8 of the Air Force population, comprised 3.6% of cases—supporting an association between SCT and incident exertional rhabdomyolysis that has been documented in other studies.9,10 This increased risk of disease incidence may not indicate increased risk of disease severity. In a cohort of black U.S. soldiers exposed to universal training precautions, Nelson and colleagues found a similar hazard of all-cause mortality for those with and without SCT (hazard rate=0.99; 95% confidence interval [CI]: 0.46–2.13), even though the former had a greater hazard of exertional rhabdomyolysis (hazard rate=1.54; 95% CI: 1.12–2.12).9 No SCT-positive airmen in the present study required intensive care unit admission, hemodialysis, or fasciotomy, and their serum chemistry findings were similar to their SCT-negative peers. This may reflect more intensive pre-hospital interventions among SCT-positive airmen, such as aggressive rehydration and supplemental oxygen use, or it may indicate that SCT status is more instrumental in the inception rather than the progression of exertional rhabdomyolysis.
Mitigating health risks among SCT-positive service members remains vital,11,12 but the results of this study (i.e., the predominance of cases and the prevalence of sequelae among SCT-negative airmen) underscore the importance of universal precaution strategies and health care system responses for all service members demonstrating signs and symptoms of exertional rhabdomyolysis. Population health policies should focus on the documented risk factors for exertional rhabdomyolysis: insufficient acclimatization to the environment and to the physical activity demand; strenuous exertion in hot and humid climates; and use of statins and over-the-counter supplements, especially stimulants.2 The findings of this study suggest that increased vigilance is required at training installations located in warm climates and during high-intensity activities such as running, ruck marching, and fitness testing.
Males accounted for 92.3% of exertional rhabdomyolysis cases, despite making up 79.8% of the active duty Air Force population at the conclusion of the surveillance period.13 This sex-based discrepancy in exertional rhabdomyolysis has been documented elsewhere. Across the active component of the U.S. Armed Forces in 2019, females had a 60% lower incidence rate of the condition,3 and in a cohort of black U.S. Army soldiers who served between 2011 and 2014, females had a 49% lower hazard rate than males.9 Although nonmodifiable, male sex is a risk factor for exertional rhabdomyolysis that clinicians should consider in their evaluations.
This study has additional clinical implications, highlighting issues with confirming the diagnosis of exertional rhabdomyolysis. Remarkably, 53 of the cases in this study had a peak serum CK less than 5 times the upper limit of normal, the diagnostic threshold for the condition, which was "designed for high sensitivity [despite] low specificity."2 An additional 16 cases were noted to have symptoms beginning at rest. Therefore, over one-third of cases in this sample did not meet the diagnostic criteria for exertional rhabdomyolysis established by a DOD Clinical Practice Guideline.2 A high index of suspicion for exertional rhabdomyolysis is encouraged, but health care providers should ensure that suspected cases have a history of recent exertion and meet all clinical and laboratory features of the condition before diagnosing it. This is especially important because the diagnosis carries implications for retention versus separation from military service. Finally, the vast majority of charts did not mention over-the-counter supplement use, which may indicate a simple lack of documentation or, more troubling, a lack of inquiry. Given the high prevalence of energy drinks14 and supplement use15 in the military, and the association between some over-the-counter products and exertional rhabdomyolysis,16 providers should assess, document, and counsel patients regarding these important details.
These public health and clinical considerations should be interpreted in light of the study's limitations. First, charts were available for just over half of all cases, mostly because charts from purchased care facilities had not been uploaded into HAIMS. While the unavailability of records reduced statistical power, any introduced bias was likely non-differential by SCT status. Second, if supplements were not documented in the medical chart, nonuse was assumed; it is likely that true use exceeded that reported in this study. Third, greater-than symbols, which were present in 12 CK values, had to be ignored in the analysis, resulting in an underestimate of the initial and peak CK values, and possibly an underestimate in the rate of CK rise. Fourth, the small number of cases among SCT-positive airmen limited the statistical power to detect a difference in outcomes based on SCT status. Fifth, case ascertainment relied on a diagnostic code-based definition6 that may not have captured all cases of exertional rhabdomyolysis in the population, just as the chart reviews suggested imperfect specificity in the case definition.
It is well-established that SCT-positive service members are at greater risk for exertional rhabdomyolysis. Results of this study suggest that SCT status may not modify the likelihood of complications thereof. These findings do not undermine the importance of SCT screening and education, which appear to mitigate the risk of death associated with SCT.17 Rather, this study highlights the importance of universal strategies to prevent, diagnose, and treat exertional rhabdomyolysis in all service members, regardless of SCT status. Moreover, this retrospective analysis reveals a pattern of misdiagnosis and weak documentation of exertional rhabdomyolysis, which may reflect inadequate training of health care providers. Further investigation is warranted, including on the impact of SCT on duty limitations and military attrition secondary to exertional rhabdomyolysis.
Author Affiliations: Public Health and Preventive Medicine Department, U.S. Air Force School of Aerospace Medicine, Wright-Patterson AFB, Ohio (Lt Col Webber, Ms. Ruiz); Military Sports Medicine Fellowship Program, Ft. Belvoir Community Hospital (Maj Nye); Travis Sports Medicine Fellowship Program, David Grant Medical Center, Travis AFB, California (Lt Col Covey); Department of Family Medicine, University of Washington School of Medicine, Seattle, Washington (Dr. Harmon); Solutions Through Innovative Technologies, Inc., Fairborn, Ohio (Ms. Ruiz); Department of Military and Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, Maryland (Dr. O'Connor).
Acknowledgements: The authors thank Dr. Alisa Simon and Mr. James Escobar, U.S. Air Force School of Aerospace Medicine, for assisting with data acquisition.
Disclaimer: The views expressed in this article are those of the authors and do not necessarily reflect the official policy or position of the Uniformed Services University of the Health Sciences, the Air Force, the Department of Defense, or the U.S. Government.
Eichner ER. Exertional rhabdomyolysis in civilian and military populations. Curr Sports Med Rep. 2020;19(3):99–100.
O'Connor FG, Deuster P, Leggit J, et al. Clinical practice guideline for the management of exertional rhabdomyolysis in warfighters 2020. Bethesda, MD, USU Consortium for Health and Military Performance, 2020. https://www.hprc-online.org/sites/default/files/document/Clinical_Practice_Guideline_for_Managing_ER_19May2020.pdf. Accessed 14 Aug. 2020.
Update: Exertional rhabdomyolysis, active component, U.S. Armed Forces, 2015–2019. MSMR. 2020;27(4):10–14.
Hill OT, Scofield DE, Usedom J, et al. Risk factors for rhabdomyolysis in the U.S. Army. Mil Med. 2017;182(7):e1836–e1841.
O'Connor FG, Bergeron MF, Cantrell J, et al: ACSM and CHAMP summit on sickle cell trait: mitigating risks for warfighters and athletes. Med Sci Sports Exerc. 2012;44(11): 2045–2056.
Armed Forces Health Surveillance Branch. Surveillance Case Definitions. Rhabdomyolysis; Exertional. //Reference-Center/Publications/2017/03/01/Rhabdomyolysis-Exertional. Accessed 14 Aug. 2020.
Webber BJ, Uptegraft CC, Nye NS, O'Connor FG. Association of sickle cell trait and hemoglobin S percentage with physical fitness. Med Sci Sports Exerc. 2018;50(12):2488–2493.
Niebuhr DW, Chen L, Shao S, Goldsmith J, Byrne C, Singer DE. Sickle cell trait prevalence among U.S. military service members: 1992–2012. Mil Med. 2017;182(3):e1819–e1824.
Nelson DA, Deuster PA, Carter R 3rd, Hill OT, Wolcott VL, Kurina LM. Sickle cell trait, rhabdomyolysis, and mortality among U.S. Army soldiers. N Engl J Med. 2016;375(5):435–442.
Naik RP, Smith-Whitley K, Hassell KL, et al. Clinical outcomes associated with sickle cell trait: a systematic review. Ann Intern Med. 2018;169(9):619–627.
Webber BJ, Casa DJ, Beutler AI, Nye NS, Trueblood WE, O'Connor FG. Preventing exertional death in military trainees: recommendations and treatment algorithms from a multidisciplinary working group. Mil Med. 2016;181(4):311–318.
Singer DE, Byrne C, Chen L, Shao S, Goldsmith J, Niebuhr DW. Risk of exertional heat illnesses associated with sickle cell trait in U.S. military. Mil Med. 2018;183(7–8):e310–e317.
Department of Defense, Office of the Deputy Assistant Secretary of Defense for Military Community and Family Policy. 2018 Demographics Report: Profile of the Military Community. https://download.militaryonesource.mil/12038/MOS/Reports/2018-demographics-report.pdf. Accessed 19 Jan. 2021.
Milazzo NA, Cao DX, Diwaker G, Thornton JA, Shah SA. A survey of energy drink consumption and associated adverse effects in Air Force personnel. Mil Med. 2020; online ahead of print.
Knapik JJ, Austin KG, Farina EK, Lieberman HR. Dietary supplement use in a large, representative sample of the US Armed Forces. J Acad Nutr Diet. 2018;118(8):1370–1388.
Keltz E, Khan FY, Mann G. Rhabdomyolysis. The role of diagnostic and prognostic factors. Muscles Ligaments Tendons J. 2014;3(4):303–312.
Buchanan BK, Siebert DM, Zigman Suchsland ML, et al. Sudden death associated with sickle cell trait before and after mandatory screening. Sports Health. 2020;12(3):241–245.
Exertional Heat Illness at Fort Benning, GA: Unique Insights from the Army Heat Center
Exertional heat illness (hereafter referred to as heat illness) spans a spectrum from relatively mild conditions such as heat cramps and heat exhaustion, to more serious and potentially life-threatening conditions such as heat injury and exertional heat stroke (hereafter heat stroke).
Exertional Hyponatremia, Active Component, U.S. Armed Forces, 2006–2021
Exertional (or exercise-associated) hyponatremia refers to a low serum, plasma, or blood sodium concentration (below 135 mEq/L) that develops during or up to 24 hours following prolonged physical activity. Acute hyponatremia creates an osmotic imbalance between fluids outside and inside of cells.
Exertional Rhabdomyolysis, Active Component, U.S. Armed Forces, 2017–2021
Exertional rhabdomyolysis is a potentially serious condition that requires a vigilant and aggressive approach. Some service members who experience exertional rhabdomyolysis may be at risk for recurrences, which may limit their military effectiveness and potentially predispose them to serious injury.
Heat Illness, Active Component, U.S. Armed Forces, 2021
From 2020 to 2021, the rate of incident heat stroke was relatively stable while the rate of heat exhaustion increased slightly
Brief report: Using syndromic surveillance to monitor MIS-C associated with COVID-19 in Military Health System beneficiaries
SARS CoV-2 and the illness it causes, COVID-19, have exacted a heavy toll on the global community. Most of the identified disease has been in the elderly and adults. The goal of this analysis was to ascertain if user-built ESSENCE queries applied to records of outpatient MHS health care encounters are capable of detecting MIS-C cases that have not been identified or reported by local public health departments.
Surveillance Snapshot: Medical Separation from Service Among Incident Cases of Osteoarthritis and Spondylosis, Active Component, U.S. Armed Forces, 2016–2020
Osteoarthritis (OA) is the most common adult joint disease and predominantly involves the weight-bearing joints. This condition, including spondylosis (OA of the spine), results in significant disability and resource utilization and is a leading cause of medical separation from military service.
Obesity prevalence among active component service members prior to and during the COVID-19 pandemic, January 2018–July 2021
This study examined monthly prevalence of obesity and exercise in active component U.S. military members prior to and during the COVID-19 pandemic. These results suggest that the COVID-19 pandemic had a small effect on the trend of obesity in the active component U.S. military and that obesity prevalence continues to increase.
Brief Report: Refractive Surgery Trends at Tri-Service Refractive Surgery Centers and the Impact of the COVID-19 Pandemic, Fiscal Years 2000–2020
Since the official introduction of laser refractive surgery into clinical practice throughout the Military Health System (MHS) in fiscal year 2000, these techniques have been heavily implemented in the tri-service community to better equip and improve the readiness of the U.S. military force.
Update: Malaria, U.S. Armed Forces, 2021
Malaria infection remains an important health threat to U.S. service members who are located in endemic areas because of long-term duty assignments, participation in shorter-term contingency operations, or personal travel. In 2021, a total of 20 service members were diagnosed with or reported to have malaria.
A new approach to categorization of ocular injury among U.S. Armed Forces
Ocular injuries present an ongoing threat to readiness and retention of service members. This report describes a new approach to categorizing ocular injury using Military Health System data, the application of an algorithm to a dataset, and the verification of the results using an audit of clinical data.
Diagnosis of hepatitis C infection and cascade of care in the active component, U.S. Armed Forces, 2020
Hepatitis C virus (HCV) infection rates are rising in the U.S. despite widely available tools to identify and effectively treat nearly all of these cases. This cross-sectional study aimed to use laboratory data to evaluate the prevalence of HCV diagnoses among active component U.S. military service members.
Surveillance snapshot: Health care burden attributable to osteoarthritis and spondylosis, active component, U.S. Armed Forces, 2016–2020
This snapshot summarizes the total numbers of inpatient and outpatient encounters with an OA or spondylosis diagnosis in the first diagnostic position and the total numbers of unique individuals affected by these conditions during the same 5-year surveillance period.
Description of a COVID-19 Beta Variant Outbreak, Joint Base Lewis-McChord, WA, Feb.–March 2021
This report describes an outbreak of SARS-CoV-2, the causative agent of COVID-19, that peaked during 21–26 Feb. 2021 and was tied to a single military training event. A total of 143 laboratory-confirmed cases were identified.
Surveillance Snapshot: Lengths of Hospital Stays for Service Members Diagnosed with Sepsis, Active Component, U.S. Armed Forces, 2011–2020
Sepsis is a serious and life-threatening organ dysfunction caused by a dysregulated host response to infection. In the U.S., sepsis is a leading cause of in-hospital mortality and 1 of the most expensive conditions treated in U.S. hospitals.
COVID-19 and Depressive Symptoms Among Active Component U.S. Service Members, January 2019–July 2021
This study examined the rates of depressive symptoms in active component U.S. service members prior to and during the COVID-19 pandemic and evaluated whether SARS-CoV-2 test results (positive or negative) were associated with self-reported depressive symptoms.
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* Pick a skill you NEED to work on and do it.
Tips on skill work practice. Prioritize the basics first over advanced technical skills when working on a "goat". Examples that come to mind would be having strict pull-ups (chest-to-bar preferred) and ring dips before thinking about muscle-ups, or a free standing handstand before handstand walking, single under before a double-under, etc. This is one of those rare times where we prescribe that you get to pick your skill but remember to focus on mastery of the building blocks to those skills. Today was great to see the variety of skills that everyone chose to work on. Everything from double-unders to pistols to handstands to planks to dips to rope climbs.
Please do NOT use your foot to flush the toilets. Use your hands, that is what they are for, then wash them. If you are a germ-a-phobe use a piece of toilet paper (not a paper towel since you can't flush those). Using your foot can result in breaking off the handle to the toilet (which is what happened in one of the classes today) and now I not only have to go get parts and fix the toilet; it means we are short a toilet (since I prefer to not have everyone reaching into the tank and pulling the flapper chain). I don't like being a plumber, and I didn't sleep in a Holiday Inn Express last night so if it's more than a handle switch I will be massively annoyed. Stuff breaks, but if you break it, own up to it and let us know so we are aware of it. Please respect the equipment, space, building etc. and treat things in the box as if it is your own. If you flush your own toilets at home with your foot, then I guess I would rather you NOT treat things in the box as your own. Instead treat it like mine and use your freaking HANDS!!!


text:
Q: Multiple Data Transfer Objects (DTO) for same entity I use multiple DTOs for a same Entity.
For example, my entity:
@Data
@AllArgsConstructor
@NoArgsConstructor
@Entity(name = "users")
public class User {
    @Id //(with uuid generator)
    private UUID id;
    private String firstName;
    private String lastName;
    private String password;
    private String phoneNumber;
    private Attachment photo;
}

The problem is that request and response are not the same. For example, to register, a user must enter a firstName, lastName, password, and phoneNumber. but not the id and photo (file). I wrote another API that works with attachments

I return the user as follows:
{
    "id": "c37f5b13-0698-41c8-a439-212484935567",
    "firstName": "John",
    "lastName": "Doe",
    "phoneNumber": "123456789",
    "photoUrl": "/api/attachment/3ac27460-1c60-11ec-9621-0242ac130002"
}

and my DTOs:
public class UserDto {
    @Data
    public static class SignUpParams {
        private String firstName;
        private String lastName;
        private String password;
        private String phoneNumber;
    }

    @Data
    public static class SignInParams {
        private String password;
        private String phoneNumber;
    }

    @Data
    public static class ResponseParams {
        private UUID id;
        private String firstName;
        private String lastName;
        private String phoneNumber;
        private String photoUrl;
    }

    @Data
    public static class BlaParams {
        // Just the fields I want
    }
}

I think this method does not return unnecessary null values and is not displayed in Swagger Api Docs.
Is it right and best practices to use a nested class for dtos? or is there another better option?

A: Overall if you follow OOP paradigm, inheritance is usually a bad choice. However because we're talking about DTOs which can barely be considered classes in the first (instead they are usually structures w/o logic), I'd relax the requirements. After all, we rarely write code that follows only one paradigm.
With that said, it's possible to replace the inheritance with a composition by using Jackson's @JsonUnwrapped:
class UserReqDto {...}

class UserResponseDto {
   @JsonUnwrapped
   UserReqDto submittedData;
   ...
}

@JsonUnwrapped will embed fields of the enclosed object into the outer JSON.
PS: You should almost never use @Data - it implements hashCode() & equals() and it uses all fields for that. Do you compare your DTOs in production code? If not, why do you need equals() implemented in the first place? Most devs use this annotation simply because they are lazy and are fine with mediocre code.

redpajama_set_name: RedPajamaStackExchange


The metamorphic geology group studies the metamorphic evolution of the crust via the combination of field petrologic and phase equilibria methods. Key areas of research include the investigation of metamorphic processes such as the production and evolution of fluid and melt in the crust, the derivation of quantitative P-T-t histories of metamorphic belts, the development of thermodynamic models for minerals and melt and the application of these to metamorphic rocks.
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The idea of the soulmate is that we all have one special someone in the world custom-chosen by the Universe for us. My own definition of "soulmate" is someone whose chart is so perfectly compatible with our own that the stars themselves dictate this person is the one for us. But how do you know if the one you're with is truly you soulmate?
Our birth charts are compromised of Sun, ascendant (or rising), and Moon signs, and each of these fall into a sign of the Zodiac. The Zodiac is broken into four main elemental groups: fire, earth, air and water, and the way these signs line up can have a very strong influence on whether a relationship will or won't work. My guess is that old saying about things being "in the stars" came from this concept.
I'm a firm believer in "it ain't broke, don't fix it," but if you have doubts or want to get a glimpse into a potential mate, compare your situation against this check list. Please have your chart and your potential mate's handy as we review some of the most auspicious pairings one can have.
1. Next Door Neighbors. Start with your Sun signs. Is the sign of your mate right next to yours? Example: Aries and Taurus or Capricorn and Aquarius. If so, this is a great start. My experience has been that same-signs usually don't get along, but for whatever reason when your sign is "chasing" the other on the wheel known as the Zodiac, it's usually domestic bliss.
2. Cross Compatibility. Check to see if your rising signs compliment. If your Sun sign compliments his ascendant and vice versa, this is a great omen. Example: my husband is a Taurus Sun with an Aquarius rising, and I'm a Gemini with Virgo rising. My earth ascendant compliments his Sun just as his compliments my air Sun sign.
If your Sun isn't in sync, see if your rising sign can compensate. Often times it can. If that doesn't work, go on to your Moon signs and see how that adds up. If you can draw "cross compatibility" across these three in any direction, chances are that you'll be in an excellent place.
3. Sun and Moon Match Up. This is the ideal Western astrology scenario. If your Sun and his Moon sign are the same, this is the cosmic jackpot. Our Moon sign signifies who we are at our core and, because of this, a pair of Sun & Moon will not only understand one another, they'll compliment each other as well. If other compatibility exists in your charts, that's gravy, but if the Sun and Moon are compatible, it's truly Kismet.
The Universe is always trying to guide us in the right direction, and our birth charts allow us to have a better idea of that plan. When you have the stars on your side, it makes life that much more enjoyable, so grab your chart and enjoy the ride!
I know of someone who has a double matching of sun and moon sign with me. My sun sign is taurus/ moon sign scorpio and his sun sign is scorpio / moon sign taurus. I hope we are a good match with not too much instability.
My current significant other and I are same signs. We don't always get along, but truly care deeply about each other. Have learned to respect and overlook differences because we Enjoy holding and hugging each other. We are more friends than romantic partners, but that does occur sometimes. It's a strange relationship but I can't imagine my life without him.
My soulmate left this world last Jan. 7 2013. It is now Dec. 20013 and I feel like it's time to be open to another soulmate. I learned so much from Brian and I am ready now to be open to receive from the Universe my next soulmate.
Article touches on the common aspects of soul compatibility, and hopefully more information about it will be provided in time to come. You should also check your article for grammatical mistakes, especially at the introduction. I understand that this isn't an English essay, but it would be good to avoid such mistakes. Cheers!
my husban of 39 years was a pic born March 1, a very careing man, my first husband of ten years born Feb 28, chase every woman he meet have 14 children, both Pic, differend men I am a Sagitt. what do the sign say????
I disagree with this article. Cancer and Capricorn make a great match. Opposing signs complement each other if they are in aspect. You left out moon to moon aspects and nodal contacts as soul bonds.
It strikes me as odd, today, that the Scriptures tell us to avoid mediums and witches and not rely on divination, yet the Bible itself, and other Scriptures are filled with astrological and numerological references. Something more for me to ponder.
Thank you for the insightful list. The truth is often very obvious even though people may choose to overlook it.


View our latest published timetables below. You can also view our online timetables for the latest sailings.
Download a pdf of Orkney Ferries' Conditions of Carriage.
Sailings in connection with the above event are availble on the link below.
Click the links below to view pdfs of our current Winter / Spring timetables.
Click the links below to view pdfs of our Summer timetables.


On this week's episode we welcome Andy Kirk to the show to discuss the topic: Are there any absolute rules in data viz. the conversation started over Twitter about Stephanie Evergreen's blogpost, which you can read here. http://stephanieevergreen.com/down-is-good We also talk about the red/green issue which Matt described as fantagulous, which you can read about here. http://www.wannabeawesomeme.com/1/post/2015/08/seeallthedata.html We loved chatting with Andy, who is definitely in our top 3 Andys of all time.


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"Practicing alternative veterinary medicine gives me the greatest chance to help our animal friends while doing the least harm. "
100% alternative veterinary medicine for small animal patients.
I graduated from the veterinary school at Ohio State University in 1979 and have been involved with many aspects of animal medicine over the 30+ years that I have been a vet (large animal, small animal, exotics and birds, wildlife rehabilitation work and holistic medicine). But I feel most excited about the alternative veterinary medicine I have been practicing for the last 15+ years, because I feel that it gives me the greatest chance to help our animal friends while doing the least harm.
How did I get started with alternative veterinary medicine?
By 1995, I was frustrated with many problems in daily practice that continually recurred and which caused so much suffering for my patients; skin disease, chronic ear infections, chronic GI problems. And there always seemed to be some cases we couldn't help; paralysis, chronic pain, cancer.
After I had to euthanize a lovely but tragically paralyzed 8 year old yellow lab because she could not tolerate steroids and her humans could not afford to pay for disc surgery, I began to search for other options for treatment. That year I began to study acupuncture and chinese medicine in Houston, Texas and was certified in veterinary acupuncture by the International Veterinary Acupuncture Society in 1996.
In 1996 and 1997 I attended the veterinary chiropractic course and was certified in animal adjusting (animal chiropractic) by the American Veterinary Chiropractic Association. Many years of studying herbal medicine have followed and still continue today. Recently I have attended courses in Food Therapy and advanced acupuncture at the Chi Institute for TCVM in Florida.
In January 2000, I sold the regular veterinary practice I had started in 1985, the Kutztown Animal Hospital, and opened my 100% alternative veterinary medical practice, Healing Options for Animals.
In addition to my work, my passions include bird watching, wildlife and the environment, traveling, gardening and cooking.
With the launch of my website in January 2011, I am also celebrating 11 years of practicing 100% alternative veterinary medicine! Time sure flies when you are having fun . . .
How did I learn to practice acupuncture and chinese medicine?
I travelled to Houston, Texas five different times in 1995 and 1996 to attend acupuncture classes given by the International Veterinary Acupuncture Society. I became certified as a veterinary acupuncturist in 1996 and have used the therapy ever since. I first studied herbal medicine in Albuquerque over numerous years and have continued to take classes at the Chi Institute in Florida and at many other meetings.


David Fideler's background is in philosophy and history of science, but he is also a musician sensitive to the wonders and beauty of nature, and he lyrically describes a number of his own experiences in this book. In this respect, he quotes the Greek philosopher Anaxagoras who, when asked why anyone should wish to have been born replied 'in order to contemplate the heavens and the structure of the world-order as a whole.' Fideler's starting point is that, although we have the most advanced technology, we have forgotten what it means to be alive in a living universe. Our mechanistic outlook and focus on objective ways of knowing cut us off from Nature and therefore from a deeper sense of meaning derived from this connection.
The author moves on to the themes of mediaeval alchemy where we also find an engagement with living Nature, which Jung defines as transformation itself. Creative decay gives rise to new forms, death leads to rebirth. He contrasts the austere spirit of the desert with the lushness of Earth and quotes the theologian Lactanius who begins to develop the idea of a designer removed from creation. At this point he could have added that this austerity applies to attitudes towards women and the body, and more especially sexuality. There is then some reawakening in 12th century Chartres with an alignment between the World Soul and the Holy Spirit. Thomas Aquinas mentions that beauty requires, wholeness, harmony and radiance. This leads on to Renaissance Florence with the insights of Bruno, Ficino and, subsequently, Paracelsus.
At this point the mechanical philosophy arrives, as developed by Galileo and Descartes leading on to Francis Bacon then Newton. Fideler realises that Newton had an alchemical side to him, but he had to hide his Hermetic interests and expressions of belief in living Nature. Bacon's philosophy also encourages a spirit of power over and exploitation of Nature, even though he too had esoteric Rosicrucian interests as documented in the work of Peter Dawkins. The next chapter discusses the development of thinking about the unconscious and the importance of the imagination in the work of Goethe, Blake, Schelling and Coleridge. They saw underlying reality of the world not as matter but nonmaterial patterns of relationship and had a keen sense of reciprocity between humans and Nature. Freud was more mechanistic in his understanding but Jung brought back a gnostic and alchemical understanding and a sense of inner connection to the processes of life. More recently, we have the emergence of ecopsychology.
This new vision of a living universe can help underpin a revolution on our attitudes to Nature. We also now have the picture of the Earth from space and the mystical experiences of astronauts like Edgar Mitchell. Fideler thinks that three things are needed to live consciously in a Cosmopolis as understood by ancient philosophers: 'a real, felt sense of our bond with the transcendent order of which we are part; a vision of living Nature and an appreciation of Nature's intelligence; and an ethical concern for society based on our intrinsic kinship with others.' (p. 223) In the final part, Fideler describes the contribution of biomimicry towards working with Nature. He discusses the work of John Todd in ecological design and argues, rightly in my view, that sustainability is not enough. We need regeneration. In this context, he could also have mentioned the work of Viktor Schauberger on water and agriculture. At the end, he offers the metaphor of gardening as a constructive human engagement with nature. Work like this is going on, but it is small-scale compared with the overall destructive impact of human activity. As Bede Griffiths also maintained, we do need a new vision of reality to inform our thinking and corresponding action. This book not only provides the necessary background but also the substance of such a vision that now needs to be communicated and acted upon more widely. This in turn implies new thinking about wellbeing that goes beyond the imperative of economic growth, as I discuss below in my review of Love, Fear and the Destiny of Nations.


Hello all! So, by now you've either been in school for months or are right about to get started. Either way, you're probably not getting much sleep which means not much time for getting ready in the morning. So whether you're already preparing for midterms or just moving into your dorm, here's five easy steps you can take for a quick but put-together and Fresh Face look to get you out the door! This look uses minimal tools and puts products to work double-duty in order to cut down on time. Let's get started!
For a quick base, I used the Smashbox Photofinish Water Primer to get things started. Just a few sprays and it only takes a few seconds, it's the perfect product to get things done fast. Then, with a Beauty Blender, I applied Maybelline Fit Me foundation. This already has SPF 15 in the formula, so you don't have to apply separate sun protection and the Beauty Blender I find is the quickest way to blend foundation.
Concealing, highlighting, and priming the lids is next. First, I take the Maybelline Dream Lumi Touch concealing pen and make a triangle shape under the eyes and apply all over the lid up to the brow, then blend it all in with your fingers. This highlights and conceals under the eyes, evens out the color on the eyelid and sculpts and highlights under the brows. Over the top, I use my finger to blend the Maybelline Color Tattoo in Barely Branded. This light shimmery white gold color brings a little light to the eyes and the cream texture acts as an eye primer. This only should take a minute or two since blending with your fingers and not using tools.
Fill in the brows and apply mascara to frame the face and eyes. Adding this bit of darkness adds contrast and definition to the face. Since this is not a heavy eye look, I tend to fill in the brows more naturally so they aren't too striking on the face. Here, I go for more of a rounded arch instead of an angular one to keep the brows soft, using my Pixi Natural Brow Duo. With my Maybelline The Rocket Mascara, I add a coat or two of mascara just to add some darkness and contrast to the eyes.
With NARS Laguna Bronzer, I sculpt out the cheekbones and add warmth around the forehead and temples with a fluffy angled face brush. The shape is perfect for adding definition, but the soft bristles make blending easy and fast. Then, with an eyeshadow blending brush I ran some of the bronzer in the crease of the eye to add subtle definition. By using one product of a dual purpose, this easily cuts down on time getting ready.
We're doing double duty again with Jaclyn Hill + Becca Champagne Pop Highlighter. I run this over the tops of the cheekbones to really add a glow to the face and give the face a fresh look. I also take this over the Color Tattoo to set the cream base into place. To finish it off, use the Smashbox Photofinish Primer Water again to set the face.
That's it! This takes about 10 minutes in total and you should be good to go. I use minimal products and tools and try to double duty products to make this as efficient as possible. However, if you have a little extra time, here's a few quick tips to really complete the look.
6. If you have an extra second, swipe a tinted chapstick over the lips to add a bit of color and moisture. This is the Burt's Bees Pomegranate chapstick. It you have another extra minute, powder the face to make sure the makeup stays in place all day and add a bit of blush to the cheeks to add some color to the face. If you want to double duty your products, you can use a lip and cheek stain to make things faster.
That's it for this week! It's a short and quick post just like this tutorial! I hope you found this tutorial helpful for getting ready as quickly as possible. It's a great everyday look and super simple, making it easy for beginners as well! Leave me a comment below telling me your favorite product for getting ready quickly in the mornings.
Such a good tutorial! I've wanted to try the primer water! How is it?!?
It's not the perfect primer, but it's great for everyday and quick moments like this. It doesn't control oil perfectly, but it's very hydrating!
Oh hydrating sounds good to me with the winter coming!
Yes, it can be great for that. I recommend this small size, it actually lasts quite a while!


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text:
Q: Dictionary as a generic element of Array I have an extension for an Array:
extension Array where Element == [String:Double] {
    func values (keyOrder : [String]) -> [[Double]] {
        return self.map { element in
            return (0..<keyOrder.count).compactMap {element[keyOrder[$0]]}
        }
    }
}

It works pretty well, but only if Dictionary Key is String and Value is Double. I can imagine this function could work exactly same way for Dictionary of any types, like [AnyHashable:Any] but I have no clue how to define header, is it possible?

A: One useful trick you can use in situations like this is to move the where clause from the extension declaration to the method declaration. This allows you to introduce new generic placeholders for the nested dictionary's Key and Value placeholder types:
extension Array {
  func nestedValues<Key, Value>(orderedBy keys: [Key]) -> [[Value]] where Element == [Key: Value] {
    return map { element in
      return keys.compactMap { element[$0] }
    }
  }
}

A: Use can use value of dictionary double as an Any Type. You can try below code.
extension Array where Element == [String: Any] {
    func values (keyOrder : [String]) -> [[Any]] {
        return self.map { element in
            return (0..<keyOrder.count).compactMap {element[keyOrder[$0]]}
        }
    }
}


5G wireless is finally coming, but before it's even arrived, there are already multiple battles brewing over the tech, naming rights, and it's ability to live up to the hype.
I think it's important to know that 5G is, in part, a very different technology than previous cellular standards. Part of the 5G spec does involve the typical application of new technology and methodologies to get more speed out of the same spectrum. 4G LTE used wavelengths between 700 MHz and 2600 MHz. 5G radios will expand that to a range between 600 MHz and 4700 MHz, and should get both 15-20% more speed and at lower latencies than 4G LTE. That evolution is nice, but the exciting part of 5G is that it also includes a spec for a second frequency range between 24 GHz and 40 GHz (sometimes referred to a millimeter wave), allowing theoretical speeds of up to 20 Gbit/s at very low latencies.
5G phones will likely be announced by the dozen during WMC at the end of this month, but it won't really matter yet since the infrastructure isn't really there yet. Verizon put out Home 5G in a few cities, but their tech wasn't based on the final 5G standard, and won't be rolling out anywhere else. AT&T did something similar, rolling out very tiny bits of 5G coverage, and they've been getting pretty good speeds, but it's unclear when they'll have real 5G available.
In the meantime, AT&T has decided to just lie about the availability of 5G by updating 4G phones (including iPhones) to say "5Ge" instead of 4G. The same thing happened with 4G, but this time other carriers aren't following along, Sprint is suing AT&T for false advertising.
5G's availability is also running into some significant roadblocks, especially in more rural places in the country. Part of the problem is that the 5G equipment is expensive, and the really high speeds require a lot more of the high frequency antennas to cover a similar area. Huawei makes slightly cheaper equipment, but there are significant security concerns that might block their adoption. Then there are questions as to if our fiber infrastructure is capable of handling the promised speeds of 5G even if it is deployed widely.
5G is the most exciting leap in wireless since 3G, and even has the potential to supplant wired internet for some homes and businesses, for the time being it's a minefield questionable promises, shady practices, and outright lies. I think it's safe to say that you can ignore 5G branding (especially from AT&T) for now, but hopefully we'll start seeing real 5G trickle out this year.
Even once it's rolled out more significantly it's going to amount to a lot of hype. Fallback to LTE is part of the 5G spec. And the density of microcells required for millimeter wave service means that it's just not going to be everywhere.
The hype also conflates the use of 5G for fixed-location internet service with mobile 5G. You might spend a significant amount of time on 5G microcells in a place like Manhattan as a knock-on effect of the density of fixed location service but otherwise you're really not going to experience it outside of places like sports stadiums.
Wouldn't T-Mobile be more ready to launch with 5G as their infrastructure is the newest?
Thanks for this. Very interesting. I follow TMobile's CTO on Twitter as I am a customer and he has been harping on the AT&T false 5G for a while now.


We've set our sights on the future, and with your help, we are heading in that direction. Madison Audubon's newest strategic plan outlines on the work we will do in 2019-2024, building upon our organization's long history and our previous strategic plan. These plans are more than just documents that sit on the shelf, getting dusty. They help establish the values that influence our goals, determine the projects we take on or pass to another, and prioritize the opportunities we seek out.
We invite you to explore Madison Audubon's 2019-2024 Strategic Plan and join us in making these goals a reality!