text:
You can't expect any one advertising campaign to prove that your brand is authentic: Cathy O'Dowd
Cathy O'Dowd, adventurer, author, and inspirational speaker was invited to talk on her expedition to Mt. Everest at the Pitch CMO Summit
At the Pitch CMO Summit held in Mumbai on Friday, Cathy O'Dowd, adventurer, author, and inspirational speaker was invited to talk on her expedition to Mt. Everest in a session called 'First ascent or fake ascent.' She happens to be the first South African to ascend one of the highest peaks in the world.
In the talk, she mentioned about how climbing Everest was never the ulterior motive in her life till she chanced upon the book 'Annapurna: A Woman's Place' by Arlene Blum, on the first female expedition up the world's tenth highest peak. She said, "It opens the eyes to possibilities. I wanted to go to the Himalayas."
Coincidentally, around the same time South African Sunday Times ran an advertisement on South African Everest Expedition and the newspaper decided to start a contest to find a woman to join the team. Dowd was one of the 200 women to apply and finally got through. She described her moment, "This was my opportunity to join professional, passionate mountain climbers who are all set for the Himalayas."
But what followed was drama and dispute leading to a fallout in the team. Finally, the rest of them arrived at the base camp. "We were at 8,000 metres on the top, 18 hours short of reaching the summit. It was expected to be a good weather. But then it started to snow."
Dowd's team decided not to climb into unknown ground in unstable weather and wait meanwhile the other three expeditions go ahead. Out of the three, one of them was led by a professional who had scaled Mt. Everest five times, she informed. The following afternoon, Dowd and her team got to know that others have climbed the summit and were on their way back. Then they were hit by a storm that turned out to be the worst storm in the history of Everest, which even killed the team leader. At that point in time, Dowd's moves were watched by not just South Africa but also the entire world. "They all wanted to know our next step. We had worked too hard to give up."
Around that moment when they were contemplating about their next step they received a satellite call from their president, Nelson Mandela, telling them how he is proud of them for trying to climb it. She recalled, "He said 'You can do this.'"
After an 18-hour climb into pitch darkness, facing obstacles in the form of knife-edge ridge, they succeeded in climbing the highest point. She exclaimed, "We have done it."
But Dowd informed that there were a handful of people who didn't like the fact that 'a young woman was the first South African to climb Mt. Everest.' She went on, "We got home and found that a couple of people were claiming that summit photograph is fake due to multiple reasons. After all that we have gone through to face the suspicions is not a good thing."
Dowd went back to the Everest two years later—failed—but went back the third time and scaled the summit. She was trying to capture this moment with the help of her tripod when it started sliding in China. Then it struck her, as she pointed out, "It's increasingly questionable how you prove what you have done on the mountains."
She cited an example with the photograph of the first British woman Rebecca Stephens to climb the Mt. Everest whose expedition was sponsored by DHL, at the summit. "It is a genuine photograph. It was just that she forgot to take the DHL flag on the summit. As a result, the flag had to be photoshopped into the image. That's a fake image to prove the truth. That's a slippery slope."
She mentioned how people came to realize what Dowd and Stephens have done and how Mt. Everest launches careers and opens opportunities. She said, "A lot of people wanted to use Mt. Everest to set up brands. Numbers have gone up exponentially."
Dowd also made it a point to mention how the mountains have been used in the wrong way to seize the same opportunities. She talked about a fake photograph of an Indian couple who claimed to be the first one to climb the Everest with a photograph. She added, "It was not just fake but it was taken from another Indian climber. Every time somebody makes this kind of fake claim, they reduce the belief in genuine achievements of people. Fakery is bad for every one of us."
Dowd also mentioned that sometimes even technology, which is the most helpful device to prove the truth can falter and she has witnessed it herself during her expedition to the highest point in Canada last spring. She advised, "There is no photograph, no message, no ad campaign to prove your truth."
People's belief in her comes from her honesty. She pointed out, "Every speech I give, every book I write and every mountain I climb has to be done with honesty and integrity. Reputations are built over time. There are no shortcuts. You can't take a helicopter to a summit. You can't expect any one advertising campaign to prove that your brand is authentic."
Tags marketing Internet advertising Internet advertising India Marketing Internet Marketing Marketing campaign Marketing ad internet Internet ad internet news marketing advertising India marketing India
Tags marketing


Prince Harry has revealed that his Colour Sergeant at Sandhurst helped him rebuild his confidence when he was "lacking in guidance" following the death of his mother.
He said his mentor gave him the "confidence to look forward" as he spoke at a youth mentor training event in Scotland, which was part of The Diana Award set up in memory of his mother.
Prince Harry was just 12 years old when Princess Diana died in a car crash in Paris in August 1997, and he said earlier this year that he regrets not opening up sooner about how his mother's death affected him.
He told a circle of mentors and trainees that he was at a difficult stage in his life when he first joined the Sandhurst Military Academy in 2005, but his Colour Sergeant helped him "push forward".
"I was at a stage in my life when I was probably lacking a bit in guidance," said Prince Harry, who turned 32 last week. "I lost my mum when I was very young and suddenly I was surrounded by a huge number of men in the army.
Prince Harry, who said he would not name the sergeant because "he would not want me to", met 60 young people who are currently training to become mentors at the event at Mackie Academy in Stonehaven, Aberdeenshire.
He also met a 17-year-old recipient of The Diana Award, Jamie McIntosh, from Edinburgh, who wrote a book to help teenagers deal with grief following the death of his mother, who died from breast cancer.
"That's what it's all about," Prince Harry told the teenager, who said he had written the book after struggling to find anything aimed at helping teenagers through loss. "It's trying to stop other kids in your position having to go through what you had to go through, and now your book is going to help everyone around you.
Prince Harry's trip also took him to a youth sports initiative at Robert Gordon University, where he played mini tennis, street hockey and form of one-on-one football known as Panna KO.
While there he learned about the Streetsport scheme, which sees volunteers take free weekly sports and art sessions into Aberdeen's communities in order to tackle anti-social behaviour.


Living Room — This living room, is one of the 21 designs published under the gallery: Awesome Queen Anne Living Room Furniture. In the next page, we have the a grand queen anne interior queen anne furniture style [ ... ]. While in	the previous page, we have the ... furniture medium size neutral flax living room shows contemporary brown seating area with queen anne couch ...queen anne living room chairs [ ... ].


text:
Katmandudalen är en dalgång i Nepal, landets största dal som innefattar huvudstaden Katmandu. Historiskt var den en mötesplats för antika civilisationer i Asien. Dalen, som är ett världsarv sedan 1979, har minst 130 viktiga monument, bland annat flera pilgrimsmål för hinduer och buddhister. Städerna Katmandu, Patan och Bhaktapur ligger i dalen och uppvisar stilfull nepalesisk konst och arkitektur.

2003 blev världsarvet uppsatt på listan över hotade världsarv. Anledningen var att världsarvskommittén anser att den enastående arkitekturen i städerna sakta men säkert håller på att försvinna på grund av okontrollerad stadsutveckling.

Världsarvet
Bauddhanath
Bhaktapur Durbar Square
Changu Narayan
Kathmandu Durbar Square (officiellt kallat Hanuman Dhoka)
Patan Durbar Square
Pashupsti
Swayambhu

Externa länkar
UNESCO World Heritage Centre - Kathmandu Valley
Fotos Kathmandudalen

Världsarv i Nepal
Nepals geografi
Storstadsområden i Nepal
Världsarv inskrivna 1979

redpajama_set_name: RedPajamaWikipedia


Do not use the bench grinder on aluminum as the aluminum flakes can trap heat in and cause the wheel to fracture.
Leave the space as clean as you found it. If you find it in a messy state, please send the coordinator an email describing the mess, date, and time, and then please be extra awesome and clean up after those before you.
Information on a wide variety of machining operations.
Please don't throw sheet metal, copper, or aluminum away. We recycle these.


The International College of Hotel Management (ICHM) is Accepting applications 2019 ICHM Entry Scholarships For Australian And International Students. Scholarships are available for undergraduate entry into the Bachelor of Business (Hospitality Management). Boost your application by been the first to apply for the scholarship. See below for more details on how to apply.
Scholarships for available for pursuing undergraduate programme.
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Must be a Non-resident New Zealand passport holders.


text:
Building a digital library to support remote learning during COVID-19
When colleges and universities closed their campuses in March in response to the global pandemic, students, faculty and staff increasingly turned to their academic libraries' digital collections of ebooks and audiobooks. Join three OverDrive staff librarians as they share best practices for responding to this increased demand for digital and provide an industry-wide view of ebook usage in academic libraries. These valuable data-driven insights and creative strategies will provide a useful path forward for colleges and universities of all shapes and sizes.
Oct 8, 2020 02:00 PM in Eastern Time (US and Canada)
Webinar is over, you cannot register now. If you have any questions, please contact Webinar host: Mark Derks.
Hi there, You are invited to a Zoom webinar. When: Oct 8, 2020 02:00 PM Eastern Time (US and Canada) Topic: Building a digital library to support remote learning during COVID-19 Register in advance for this webinar: https://zoom.us/webinar/register/WN_Ho1tOK3xRSeJtDoOzzJb4Q After registering, you will receive a confirmation email containing information about joining the webinar. ---------- Webinar Speakers Lindsey Levinsohn (Account Manager @OverDrive) Lindsey Levinsohn is an Account Manager at OverDrive, working with academic, corporate, and special libraries. Prior to joining the OverDrive team, she worked in public libraries as a collection development and technical services manager. Lindsey holds a master's in library and Information Science from Kent State University. Jill Grunenwald (Marketing Specialist @OverDrive) Jill Grunenwald is a Marketing and Communications Specialist at OverDrive and co-host of the Professional Book Nerds podcast. Prior to joining OverDrive in 2015, she worked in public, academic, and special libraries. She has a Master's degree in Library and Information Science from the University of Kentucky. Rachel Kray (Content Specialist @OverDrive) Rachel Kray joined OverDrive in 2012 after a decade of working in public libraries and museums. As a Content Specialist, she works with libraries across the globe helping to build and curate their digital collections. She holds an MLIS from Kent State University.

redpajama_set_name: RedPajamaCommonCrawl


There are probably thousands if not tens of thousands of useful or even more fantastically useful software packages on the internet. I just haven't had a chance to experience them all – yet. This is a non-comprehensive list of packages that i have happened to run across and had the time to document here.
The link is provided to help people get the actual software from the source. I cannot count the number of times that I have downloaded something and accidentally inherited a new task bar for my browser.
Description Description provides secure shell client for windows.
Description Source code editor supporting several languages.
Description Office productivity software supporting word processing, spreadsheet, presentations, database, formula editor and chart creation tool.
Description A graphic program to calculate MD5, SHA1, SHA256, SHA512 hash values.
Description Photo editing software. This software is sometimes compared to Adobe photoshop.


Accommodation for Nyungwe National Park is quite limited but fortunately spans across a range of budgets. One of Rwanda's best lodges, Nyungwe Forest Lodge has luxury facilities including an infinity pool and gym, with good views overlooking the forest canopy from a ridge to one side and a tea-plantation on the other. At the other end of the scale, the low-budget ORTPN Resthouse (also known as Gisakura Guesthouse), is also situated on the edge of the forest, with simple rooms but a friendly and helpful team.
***STOP PRESS*** Nyungwe Forest Lodge is due to close from February 2017 onwards while it is refurbished. There is currently no time line of when they plan to reopen. Nyungwe Forest Lodge lies on the edge of Rwanda's Nyungwe Rainforest National Park in the South-West of the country. It boasts an impressive view overlooking the forest canopy from a ridge on one side and a tea-plantation on the other. Although the country and its wildlife are still recovering from the civil war and genocide which ravaged them both in the mid 1990's, today there still exists an impressive array of 13 different species of primate living in Nyungwe Rainforest National Park including chimpanzees.The facilities at Nyungwe Forest Lodge are without doubt some of the best in Rwanda. The rooms are well designed and fitted out with all the mod-cons you may find in a hotel in a large city and despite its size Nyungwe manages to maintain a 'lodge feel'. The guided activities offered are varied and the mix of unique flora and fauna the National Park has to offer makes for some fantastic experiences. The contrast between the rainforest on one side and a tea plantation on the other also gives this lodge a little added something.
In the southwest of Rwanda, Nyungwe Forest National Park is an enormous tropical forest with a high canopy. Covering about 970km2, Nyungwe is the largest swathe of montane forest left in East or Central Africa, shown in the Map of Rwanda.
The accommodation at the ORTPH Resthouse is incredibly simple, and although accommodation rates are low, because you still need a private driver-guide with you for transport, the daily costs still end up being relatively high – and so we'd only recommend this with extreme caution for people who were looking for a very basic experience.
Nyungwe Top View Hill Hotel opened in February 2011 and easily has the most beautiful views in the Nyungwe Forest area. Located five minutes' drive off a main road, up a very rough and steep dirt track, it is set on top of a hill with views across numerous tea plantations, and close to the headquarters of Nyungwe National Park.
At first glance, Nyungwe Top View Hill Hotel looks quite smart, but on closer inspection it is a little scruffy. The furniture may be modern but it's a mish-mash of design, and is quite cheaply made. Yet regardless of the hotel's imperfections we thought the location was great and it is certainly comfortable enough, offering good value. Indeed, the slight scruffiness and the odd mix of styles is rather endearing. In addition, the staff try really hard and we'd expect the friendly atmosphere and welcoming service.


Blazemaster® pipe and fittings are designed specifically for fire sprinkler systems. They are made from a specialty thermoplastic known chemically as post-chlorinated polyvinyl chloride (CPVC). Blazemaster® pipe and fittings provide unique advantages in sprinkler installations include superior hydraulics in comparison to traditional metal systems, ease of jointing, increased hanger spacing in comparison to other thermoplastics and ease od assembly. They also are based on a technology with a continuous and proven service history of more than 30 years.
• Resistant to corrosion and scaling and foreign containment build even in salt air environment.
• Safe. Eliminated need for torched or complicated heat-fusion techniques.
• Ensure optimal flow rate and excellent hydraulic capabilities (C-Factor of 150) that will not diminish over time. Allows for pipe downsizing & Pump rate reduction.
• Greater resistance to seismic activity than copper or steel systems.
• Designed to 50 year Life expectancy.
• Lightweight. Allows greater ease of installation.
• Little to no maintenance required.


Our Dead stroke Darts are constructed of black painted 80% Tungsten barrels with proven knurling and ridging patterns and accented by black striped shafts and our exclusive Deadstroke flights. We've packaged these darts in their own Dead Stroke case which comes with extra shafts, flights, and 2ba tips. Available in 16 or 18 gram weights.


Jomashop is a merchant that sells luxury products at wholesale rates. It's but one of the best sellers on Amazon.com and continues to stay as such. Clients have long praised secure transactions Jomashop because of their reasonable prices and reliable and quick delivery.
International orders carry air shipping fees. The seller fully covers all items.
Items returned within 30 days of shipping with authorization in the original state might be refunded, minus recover shipping fees.
Visit Jomashop.com for luxury watches and accessories for cheap. Shipping is free on orders of 100 or more. Check the price of the afternoon for reductions up to 70%. Check the site for manufacturer vouchers and time flash sales.
Take some time and save money. JomaShop.com," where luxury prices less," is at which clients will come across the best brands in timepieces including Breitling, Casio, Chanel, Michael Kors, Gucci, and more.


Designed for media consumption and lighter gaming. The NoteMagix M17 features a 17.3" full HD display with LED backlighting, 8th gen Intel Core processor, and tons of upgrade options, making it the perfect option for even the most discerning tastes. At Velocity Micro, we use only premium parts assembled by hand to create a premium product, no matter the pricepoint.
The M17 is the perfect mobile PC, giving you a massive screen in a laptop that's just over an inch thick. This is the laptop you've been looking for. Learn more about the M17 below.
The M17 uses the latest generation Core i7 processors for maximum speed and battery life. Six processing cores make multitasking a snap.
Integrated Intel UHD Graphics 630 mean smoother video playback and higher framerates with lighter gaming while still providing maximum possible battery life.
Immerse yourself in an incredible auditory experience with this premium onboard amplifier.
There are hundreds of potential M17 configurations. Customize yours to be as powerful as your need it to be.
At just over an inch thick and weighing 6.8 LBS, the NoteMagix M17 is smaller than many competing 17" laptops.
When you get your M17, it will have your operating system installed and nothing else. Fill the hard drive with applications you want.
The M17's ultra sharp 17.3" Full HD LED-Backlit Display shows off your movies, projects and games in crystal-clear full 1080p so you get the best multimedia experience possible both at home and on the go.
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With this full sized 98-key white LED illumincated keyboard, you'll be more productive than ever. Includes number pad for quicker data input and full-sized Backspace, Enter, and Spacebar keys to give you that desktop feel without the hassle of an external keyboard. Great for watching movies or gaming in the dark!
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Since our first review in 2002, no PC manufacturer has won more awards from the press than has Velocity Micro. Featured in CNET, PC Magazine, PC Gamer, Maximum PC and many more, Velocity Micro PCs continue to be lauded by reviewers and customers alike for its performance, build quality, and stunning design. Learn more.
Before shipping, this laptop endures a grueling set of tests and quality control measures that would bring most systems to their knees. Stress tests, extensive reboots, an overnight burn in, and an exhaustive 200-point QA checklist ensure that every NoteMagix M17 meets our own lofty standards.


text:
Kapil Sharma makes feature film debut as lead of Y-Films' "BANK-CHOR"
Also signs a 3-Film Contract & Talent Management Deal with Yash Raj Films
Kapil Sharma, one of the biggest names on Television, has just signed a 3-film contract with Yash Raj Films. He debuts in a film titled "Bank-Chor" under their Youth Films Division, Y-Films which previously made the sleeper hit of last year, "Mere Dad Ki Maruti." Kapil has also signed on to YRF's Talent Management Wing that handles celebrity endorsements & films.
Quotes Kapil, "It's a privilege & a dream to be part of the YRF family and have my launch with their Youth Films Studio, Y-Films. The script is the most exciting part since it's the kind of role that's very unlike the stereotype of a comedian or what people could typecast me as. As an actor it's challenging & I'm so excited that I've already started working on the nuances of the character. I've always loved & watched thrillers and this is a thriller comedy so even better ;) I've done serious theatre for years before comedy. Finally with YRF's vision, I'll get to do this again after a 12-year break and this script has equal scope of comedy. It's sure to surprise my fans!"
Adds Ashish Patil, Business & Creative Head, Youth Films, Talent Management & Brand Partnerships at Yash Raj Films,"Kapil is one of the most exciting names in entertainment right now. He opens up a whole new space of films, brands & more for us. And audiences are going to get to see a whole new side of him in Bank-Chor. We're thrilled to welcome him into the YRF jungle!"
"Bank-Chor" is a comic-caper, that tells the story of 3 morons trying to rob a bank who pick the worst day possible when everything that can go wrong, goes wrong and how they're inadvertently caught in the crossfire of cops, industrialists and corrupt netas. "Bank-Chor" is directed by Bumpy and produced by Ashish Patil and goes on the floors in April this year.
Kapil currently hosts & produces India's No. 1 rated non-fiction show on TV 'Comedy Nights with Kapil.' He has consistently swept the No. 1 spot across all comedy shows. Recently he was awarded CNN-IBN's Indian of the Year in the entertainment category besides trophies for Best Anchor & more across shows. He joins the likes of Rani Mukerji, Anushka Sharma, Ranveer Singh, Parineeti Chopra, Arjun Kapoor, Ayushmann Khurrana, Sushant Singh Rajput, Saqib Saleem, Rhea Chakraborty, Vaani Kapoor, Saba Azad in the YRF Talent Wing.
Watch out for some more exciting announcements on this front soon!
Y-Films is the Youth Films Wing of Yash Raj Films. Our vision is to make films of the youth, by the youth, for the youth. And to be a platform for talent that's young, fresh & red hot. We're about 2 years & 3 films old and have already been the launch pad for over 30 new actors, writers, editors, DoPs, composers, directors, producers, designers & more.
YRF Talent is the Talent Management Division of Yash Raj Films. We represent some of the freshest and most talented artistes in the industry across touchpoints for an integrated approach to shaking & shaping perceptions, image management for our stars and delivering customized solutions efficiently in a smart, transparent manner for partners driven out of the creative powerhouse that is Yash Raj Films. The YRF track record of finding, grooming, launching and building some of the biggest names in the business is live testimony of our impact.
And yeah, and we're great fun to work with! Shout out for queries…
YouTube: http://www.youtube.com/ytube
Facebook: https://www.facebook.com/Bankchor
Twitter: https://twitter.com/BankChor
YRF & Kapil Sharma decide to part ways
This news is downloaded from yashrajfilms.com at 01-February-2023 04:42 https://www.yashrajfilms.com/news/detail/2016/06/21/kapil-sharma-makes-feature-film-debut-as-lead-of-y-films-bank-chor


text:
Q: How to solve this vector differential equation? I want to solve this differential equation:
\begin{equation}
\frac{d\mathbf{x}(t)}{dt} = \mathbf{f}(\mathbf{x}(t))
\end{equation}
where $x$ is an $n$-dimensional vector, and $\mathbf{f}$ is a non-linear vector-valued function (also of dimension $n$).
Can I write:
\begin{equation}
\int \frac{1}{\mathbf{f}(\mathbf{x})} {d\mathbf{x}} = \int dt \quad ?
\end{equation}
But I am not good at vector calculus and I don't know what is the exact meaning of such an integral.  Any elaboration of this would be helpful.  Thanks!
======== edit ========
Modifying the above idea:
$$ d\mathbf{x} = \mathbf{f}(\mathbf{x}) dt $$
Maybe I can create an $n \times n$ diagonal matrix $\Gamma$ such that:
$$ \Gamma \mathbf{f} = \mathbf{1}$$
In other words,
$$ \Gamma = \left[ \begin{array}{ccc}
1/{\mathbf{f}_1} & 0 & 0 \\
0 & \ddots & 0 \\
0 & 0 & 1/\mathbf{f}_i \end{array} \right] $$
Then:
\begin{eqnarray}
\Gamma d\mathbf{x} &=& \mathbf{1} dt \\
\int \Gamma d\mathbf{x} = \int \mathbf{1} dt &=& \mathbf{1} t \\
\int \frac{1}{\mathbf{f}_i} d\mathbf{x}_i &=& t \quad \quad (i = 1,..,n)
\end{eqnarray}
Is that viable?

A: You cannot write what you have...
If $f$ is linear, then you can easily solve the system using eigenvectors and eigenvalues.
If $f$ is non-linear, the best you can do is obtain local solutions around the critical points of the system. i.e. all $x_0$ such that $f( x_0) = 0$. If this is the case, and $f$ is nice enough, we have that
$$ f(x) \approx \underbrace{f(x_0)}_{= 0} + \text{Jacobian}_F(x_0) (x- x_0) + \ldots $$
Therefore you can easily find a local solution around $x_0$ by checking
$$ \dot z = J z $$
with $J$ begin the Jacobian at $x_0$
Edit. Still... your logic doesn't make sense. what is $dx$ here ? In coordinate representation, you have
$$ \dot x = f(x) \iff \frac{d x_i }{dt} =f_i(x_1,\ldots , x_n ) \quad \forall i \in \{ 1, \ldots, n\}$$
Thus dividing each component by $f_i$ gives
$$  \frac{1}{f_i(x_1, \ldots , x_n )} \frac{d x_i }{dt} =1 \quad \forall i \in \{ 1, \ldots, n\} $$
which isn't separable, so we're no where closer to solving the problem.

redpajama_set_name: RedPajamaStackExchange


This RADIOLA! smells like a rose by any other name.
RADIOLA! streams continuously through my Live365 station. (And many thanks to the listener who sent in a contribution this week to help keep it going!) Aromatic podcast here. This program is sent each week to subscribers on my mailing list.
This RADIOLA! is a total mystery.
RADIOLA! streams continuously from my Live365 station. Mysterious podcast here. This program is sent each week to subscribers on my email list.
The music goes 'round (and around) on this RADIOLA!
RADIOLA! streams continuously from my Live365 station. Dizzy podcast here. This show is sent each week subscribers on my email list.
This RADIOLA! just can't seem to relate.
RADIOLA! streams continuously from my Live365 station. Strange podcast here. This program is sent each week to those on my mailing list.


Executive Assistant starting in mid-July 2019.
The position is a part-time position (20-30 hrs per week) with the potential of being expanded to a full-time position in the future. Compensation is commensurate with experience, but entry level individuals will also be considered.
We will only respond to emails with resumes. Please do not call the office with questions.
Applicants should respond by June 14. Interviews will take place in the last half of June.
In conjunction with the General Director and the Board of Directors, the Executive Assistant will be responsible for the day to day operation of the Opera office. This will include managing monthly office expenses, preparing weekly income and expense reports for the General Director, assisting in the management of annual subscriptions and individual donations. S/he will also assist in the management of various fundraising and social events for the company.


Gaffes and one-liners - are they really that important?
I have an almost unequalled ability to say the wrong thing.
As someone who talks a lot, you can rest assured that sooner or later I'll say something completely inappropriate.
This often stems from the fact that little one-liners sound much funnier inside my head than they do actually coming out of my mouth.
The thing is, I'm a fairly affable guy so I usually get away with it.
Because people are so used to my gaffes and inopportune statements they now simply, for the most part, shrug it off.
One of my friends, Jonathan, for example, will shake his head, smile, and say: "oh Dylo…" at least three times per encounter.
Thankfully, I'm not the only person alive who suffers from gaffes. Former USA President George W Bush was famous for it.
In fact, his gaffes made him quite famous because the media simply did not leave that man alone. You could bet your bottom dollar on the fact that, if President Bush uttered something that was even vaguely 'dodgy', the media would replay it ad nauseum on the evening news.
However, some people seem to escape the same all-encompassing international glare when it comes to making gaffes. Even ones, it seems, which cause minor international grievances.
For example, current President of the United States, Barack Obama, during a ceremony to recognise a holocaust survivor, uttered the phrase "Polish Death Camps".
Now, any half reasonably-minded chap will immediately recognise this as a slip of the tongue. Of course he didn't mean to say that!
That didn't stop the Poles, even in the middle of the night, from raising a little hell and demanding the President apologise. After all, Nazi/Polish stuff is still a pretty damn sensitive issue.
The problem is, it's an election year. And you can't show weakness or admit mistakes in an election year!
Obama's team has refused to apologise, simply brushing it off as a slip of the tongue.
Secondly, this gaffe, while minor in the grand scheme of things2, has largely been glossed over by the world's media.
At first glance, it appears different standards are implemented for one President compared to another.
I reckon that this gaffe by Obama is hardly worth mentioning (although the reaction from Poland is something worth addressing).
However, if international media are not going to ridicule this slip of the tongue, they should think carefully about reporting George W Bush's next one-liner or Sarah Palin's next one-liner.
After all, everyone makes mistakes and has slips of the tongue.
1. Yes, I know I just made up that word. Sue me.


The wife and daughter of the late Othon Cortes, of Miami, are bringing suit against American Airlines as the result of Cortes' death. However, the cause of his death was not the result of a plane crash, as one may expect. According to Mr. Cortes' family, he died as a result of ingesting contaminated food that he was served in an on board meal. According to the wrongful death suit filed by Cortes' wife, Raquel, in the U.S. District Court in Miami, FL, Cortes died after being served an on board meal that contained contaminated chicken.
The incident that lead to Cortes' death occurred on May 18, as the 73 year old Cortes was traveling with his wife from Barcelona, Spain to New York. During the flight, Cortes consumed an inflight meal that contained chicken. CNN reports that according to the suit, after the plane landed at John F. Kennedy International Airport, and Cortes and his wife waited for their nest flight to Miami, Cortes began to experience "discomfort and pain that included sharp stomach cramps and sudden thirst and other clear outward manifestation of severe physical illness." During the flight to Miami, Cortes began to experience further symptoms, like nausea and shortness of breath. Subsequently, Cortes underwent a cardiac episode and became unresponsive. As a result, the plane he was aboard made an emergency landing in Norfolk, VA. Cortes was pronounced dead when the plane landed.
American Airlines is not the only party that the Cortes family alleges is responsible for the death of Othon Cortes. According to IBTraveler.com, Cortes' wife and daughter have also named Sky Chefs, an airline catering company, as a defendant in their suit. In their suit, the Cortes family is seeking one million dollars in damages as a result of Cortes' death, which the suit alleges was caused by contaminated food that American Airlines and Sky Chefs served aboard the international flight. As reported by CNN, the suit charges the companies with "failing to properly maintain or prepare the food" and alleges the companies allowed the food to become contaminated with Clostridium perfringens bacteria. According to the FDA, perfringens poising is one of the most commonly reported foodborne illnesses in the U.S. Although it is very rarely fatal, a few deaths have been reported as a result of dehydration and other complications.
According to IBTraveler.com and USA Today Travel, in addition to alleging that the two defendants were negligent in failing to properly maintain of prepare the food served aboard the flight, the Cortes' family lawsuit also charges the Airline with negligence for allowing Cortes to board the domestic flight, failing to give Cortes medical attention before boarding the second flight, and waiting too long to (opt for) an emergency landing.. Although American Airlines has yet to comment on this particular legal action, their co-defendant Sky Chefs has made a statement through its spokesperson, Josefine Corsten.
As a Georgia wrongful death attorney, it is my sincere desire, if these defendants are indeed liable, that they are held accountable, and are ordered to fully compensate this family for their loss.


Stamatiou, K. 2018. The impact of prostate artery embolization (PAE) on the the physical history and pathophysiology of benign prostatic hyperplasia (BPH). Archivio Italiano di Urologia e Andrologia. 90, 1 (Mar. 2018), 40-43. DOI:https://doi.org/10.4081/aiua.2018.1.40.


text:
Sex differences in risk factor management of coronary heart disease across three regions
Cardiac risk factors and prevention
Min Zhao1,
Ilonca Vaartjes2,3,
Ian Graham4,
Diederick Grobbee1,3,
Wilko Spiering5,
Kerstin Klipstein-Grobusch1,6,
Mark Woodward7,8,
Sanne AE Peters7
1 Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands
2 Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands
3 Global Geo and Health Data Center, Utrecht University, Utrecht, The Netherlands
4 Trinity College Dublin, Dublin, Ireland
5 Department of Vascular Medicine, University Medical Center Utrecht, Utrecht, The Netherlands
6 Division of Epidemiology & Biostatistics, School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
7 The George Institute for Global Health, University of Oxford, Oxford, United Kingdom
8 The George Institute for Global Health, University of New South Wales, Sydney, NSW, Australia
Correspondence to Min Zhao, Julius Global Health, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands; m.zhao{at}umcutrecht.nl, minzhao0208{at}gmail.com
Objective To investigate whether there are sex differences in risk factor management of patients with established coronary heart disease (CHD), and to assess demographic variations of any potential sex differences.
Methods Patients with CHD were recruited from Europe, Asia, and the Middle East between 2012-2013. Adherence to guideline-recommended treatment and lifestyle targets was assessed and summarised as a Cardiovascular Health Index Score (CHIS). Age-adjusted regression models were used to estimate odds ratios for women versus men in risk factor management.
Results 10 112 patients (29% women) were included. Compared with men, women were less likely to achieve targets for total cholesterol (OR 0.50, 95% CI 0.43 to 0.59), low-density lipoprotein cholesterol (OR 0.57, 95% CI 0.51 to 0.64), and glucose (OR 0.78, 95% CI 0.70 to 0.87), or to be physically active (OR 0.74, 95% CI 0.68 to 0.81) or non-obese (OR 0.82, 95% CI 0.74 to 0.90). In contrast, women had better control of blood pressure (OR 1.31, 95% CI 1.20 to 1.44) and were more likely to be a non-smoker (OR 1.93, 95% CI 1.67 to 2.22) than men. Overall, women were less likely than men to achieve all treatment targets (OR 0.75, 95% CI 0.60 to 0.93) or obtain an adequate CHIS (OR 0.81, 95% CI 0.73 to 0.91), but no significant differences were found for all lifestyle targets (OR 0.93, 95% CI 0.84 to 1.02). Sex disparities in reaching treatment targets were smaller in Europe than in Asia and the Middle East. Women in Asia were more likely than men to reach lifestyle targets, with opposing results in Europe and the Middle East.
Conclusions Risk factor management for the secondary prevention of CHD was generally worse in women than in men. The magnitude and direction of the sex differences varied by region.
This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
http://dx.doi.org/10.1136/heartjnl-2017-311429
Coronary heart disease (CHD) remains one of the leading causes of death and disability worldwide. In 2015, 16% of all deaths in both men and women were caused by CHD.1 Individuals with established CHD are at high risk of further events and require intensive risk factor management.2 Despite convincing evidence on the major benefits of the management of modifiable risk factors in subjects with established CHD, an unacceptably large proportion of affected individuals do not reach guideline recommended risk factor targets.3–5
Previous studies in Western populations have suggested that the control of cardiovascular risk factors among patients with established CHD is generally even lower in women than in men.6–8 For example, results from EUROASPIRE III indicated that, despite similar treatment rates, women were less likely than men to achieve medical target levels. EUROASPIRE IV largely confirmed these findings and also reported that sex differences were primarily seen among individuals with a lower education level or at older age, suggesting a double burden among women in these populations. Despite the growing burden of CHD in non-Western countries, such as those in Asia and the Middle East, it remains unknown whether sex differences in risk factor control for the secondary prevention of CHD also exist across geographically diverse regions.
We therefore used data from the SUrvey of Risk Factors (SURF) Phase I audit to investigate whether there are sex differences in the management of CHD risk factors among patients with established CHD from three diverse regions.
Study population
Details of the study protocol and methodology of SURF have been previously reported.4 5 Between 2012 and 2013, consecutive patients aged ≥18 years with established CHD (defined as a history of coronary artery bypass graft surgery (CABG), percutaneous coronary intervention (PCI), acute coronary syndromes (ACS), or stable angina) were recruited from routine outpatient cardiology clinics in 11 countries across three regions: Europe (Belgium, Croatia, Denmark, Ireland, Italy, Northern Ireland, Romania, and Russia); Asia (Taiwan and China); and the Middle East (Saudi Arabia). Data on demographics, self-reported smoking status, physical activity, attendance of cardiac rehabilitation, physical and laboratory measurements (ie, body anthropometry, blood pressure (BP), cholesterol, blood glucose, and glycated haemoglobin (HbA1c)), and prescription of medications were obtained by trained research staff using standardised procedures.
Risk factor targets
The Joint European Societies guidelines were used to assess whether recommended targets for risk factor management were met.2 9 The BP target was <140/90 mmHg for patients without diabetes and <140/80 mmHg for patients with diabetes. The targets for total cholesterol (TC), low-density lipoprotein (LDL) cholesterol, and blood glucose were <3 mmol/L, <1.8 mmol/L, and <7 mmol/L, respectively. HbA1c was only collected for patients with diabetes and its target was <7%. While the guideline does not define targets for high-density lipoprotein (HDL) cholesterol, values >1.0 mmol/L for men and >1.2 mmol/L for women were regarded as desirable. Obesity was defined as a body mass index (BMI) ≥30 kg/m2 and central obesity was defined as waist circumference ≥88 cm for women and ≥102 cm for men.10 Adequate physical activity was defined as moderate or vigorous physical activity for at least 30 min three or more times a week.
A Cardiovascular Health Index Score (CHIS), adapted from the ideal Cardiovascular Health Score,11 was used to summarise overall risk factor management. Since dietary information was not available, the CHIS included six risk factors: smoking status (current smoker vs non-smoker (never/ex-smoker)), BMI (obese vs not), physical activity (adequate vs not), BP (on target vs not), LDL cholesterol (on target vs not), and HbA1c/glucose (on target vs not).4 The number of risk factors on target could range from 0 to 6 and the risk factor profile was considered satisfactory if five or more risk factors were controlled. Additionally, risk factor control was assessed separately for therapeutic and lifestyle targets. 'All treatment targets' was defined as reaching targets for BP, LDL cholesterol, and HbA1c/glucose. 'All lifestyle targets' was defined as reaching targets for smoking status, BMI, and physical activity.
Patient characteristics were presented as means (SD) for continuous variables and as percentages for categorical variables, separately for men and women. Age-adjusted logistic regression analyses were used to obtain odds ratios (OR, 95% CI) of women versus men for sex associated with individual and combined risk factor targets. Men thus served as the reference group. Complete case analyses were conducted. Stratified analyses were performed by region (Europe, Asia, and the Middle East) and age group (≤65 years and >65 years). Effect modification was assessed by adding an interaction term to the model. In secondary analyses, we additionally adjusted for BP, smoking status, TC, HDL cholesterol, and glucose.
To assess the impact of medication use on therapeutic target achievements, the analyses on the target achievements of BP, TC and LDL cholesterol, glucose and HbA1c were stratified by the use of antihypertensive, lipid-lowering, and anti-diabetic medications, respectively. We also assessed whether the findings differed between defined CHD category (CABG, PCI, ACS, or stable angina). All analyses were performed with R version 3.2.2 and all tests were two tailed with statistical significance set at the 5% level.
A total of 10 112 patients, of whom 2958 (29%) were women, were included. On average, women were 4 years older than men; more women than men had stable angina but fewer had CABG. Women more frequently had a history of hypertension and diabetes (table 1). Prescriptions of antiplatelet and lipid lowering therapy were less frequent in women than men. The percentage of data not recorded was broadly similar between the sexes (supplementary eTable 1).
Supplementary file 2
[SP2.pdf]
Patient characteristics and cardiovascular risk factors, stratified by sex and region
Achievement of risk factor targets
Control of cardiovascular risk factors was suboptimal in both men and women for all risk factors examined (figure 1). BP levels were on target in 45% of women and 38% of men. The corresponding age-adjusted OR was 1.31 (95% CI 1.20 to 1.44), indicating that women had a 31% higher odds of meeting the BP target than men. Women were also more likely than men to be non-smokers; the OR for being a non-smoker was 1.93 (95% CI 1.67 to 2.22). Among those with diabetes, there was no significant difference between the sexes in achieving the HbA1c targets (41% of women vs 43% of men). In contrast, a smaller percentage of women than men reached the treatment targets for TC (8% vs 14%), LDL cholesterol (22% vs 33%), and glucose (71% vs. 76%), respectively. After adjustment for age, women had 50%, 43%, 22% lower odds than men of achieving TC, LDL cholesterol, and glucose targets (figure 1). Similarly, women had an 18% higher odds of being obese, a 26% lower odds of being physically active, and a 40% lower odds of attending cardiac rehabilitation than men. Overall, 6% of women and 8% of men reached all treatment targets and about one-third of men and women met all lifestyle targets; the ORs were 0.75 (95% CI 0.60 to 0.93) for all treatment targets and 0.93 (95% CI 0.84 to 1.02) for all lifestyle targets. Combined, 16% of women and 21% of men had an adequate CHIS, which corresponded to a 19% lower odds in women than in men (OR 0.81, 95% CI 0.73 to 0.91) (figure 2).
Age-adjusted sex differences in risk factor management. Target blood pressure (BP) was defined as BP <140/90 mmHg in those without diabetes or <140/80 mmHg in those with diabetes. The target for total cholesterol (TC), low-density lipoprotein (LDL) cholesterol and high-density lipoprotein (HDL) cholesterol levels were defined as <3 mmol/L, <1.8 mmol/L, and >1.0 mmol/L for men and >1.2 mmol/L for women, respectively. Target glucose was defined as <7 mmol/L. Information on glycated haemoglobin (HbA1c) was only collected from patients with diabetes and its target was defined as <7%. Achieving all three medical targets (BP on target, LDL on target, and glucose/HbA1c on target) was defined as 'All treatment targets'. Obesity was defined as a body mass index (BMI) ≥30 kg/m2 and central obesity was defined as waist circumference ≥88 cm for women and ≥102 cm for men. Smoking status was current smoker and non-smoker. Adequate physical activity level was defined as moderate or vigorous physical activity for at least 30 min three or more times a week. Reaching all three lifestyle targets (non-smoker, adequate physical activities, and non-obesity) was defined as 'All lifestyle targets'. Odds ratios (95% CI) presented as women versus men.
Age-adjusted sex differences in Cardiovascular Health Index Score (CHIS). The CHIS included six risk factors: smoking status (current smoker or non-smoker), body mass index (obese or not), physical activity (adequate or not), blood pressure (on target or not), low-density lipoprotein (LDL) cholesterol (on target or not), and HbA1c/glucose (on target or not). The number of controlled risk factors was summed, ranging from 0 to 6. A good CHIS was defined as five or more risk factors controlled (CHIS=5 or 6). Odds ratios (95% CI) presented as women versus men; p values are for interaction between subgroups.
Findings were similar in the analyses adjusted for major risk factors (supplementary eFigure 1). Stratification of our analyses by medication use or CHD disease category did not materially change the results (supplementary eTable 2).
[SP1.jpg]
Sex differences by region
There was some indication that sex differences in the target achievements differed between regions (table 1 and figure 3). In Europe, the odds of achieving treatment targets for TC, LDL cholesterol, and glucose, respectively, were 34%, 31%, and 14% lower in women than men, compared with a 70%, 47%, and 30% lower odds for women in Asia, and a 76%, 53%, and 47% lower odds for achieving these targets for women in the Middle East. Sex differences in achieving all treatment targets were smallest in Europe and largest in the Middle East. Women in Asia and the Middle East were considerably more likely than men to be non-smokers, whereas no significant differences in smoking rates were observed between sexes in Europe (Asia: OR 11.5, 95% CI 7.4 to 19.0; Middle East: OR 16.2, 95% CI 6.7 to 53.4; Europe: OR 1.1, 95% CI 0.9 to 1.3). In Asia, women were more likely to be physically active than men. In contrast, women in Europe and the Middle East were less physically active than their male counterparts (figure 3). In Asia, women were more likely than men to meet all lifestyle targets, but the reverse was seen in Europe and the Middle East.
Age-adjusted sex differences on treatment targets and lifestyle factor management, stratified by region. Conventions as in figure 1. Odds ratios (95% CI) presented as women versus men; p values are for interaction between subgroups.
In Asia, the odds of having an adequate CHIS was 33% higher in women than men, compared with a 29% and 49% lower odds in women than men in Europe and the Middle East, respectively.
Sex differences by age
The sex differences in achieving treatment targets differed between those aged ≤65 years and those >65 years for TC, LDL cholesterol, and glucose, but not for other risk factors (figure 4). Compared with younger men, younger women were 59% less likely to meet the TC target, 53% less likely to meet the LDL cholesterol target, and 28% less likely to meet the glucose target. Corresponding results in those aged >65 years were 42%, 34%, and 18%, respectively. There was no evidence that women's lower odds of meeting all treatment targets, all lifestyle targets, or having an adequate CHIS, compared with men, differed between those aged ≤65 versus >65 years.
Sex differences in treatment targets and lifestyle factor management, stratified by age. Conventions as in figure 1. Odds ratios (95% CI) presented as women versus men; p values are for interaction between subgroups.
Sex differences by age and region
Regional differences in achieving treatment and lifestyle targets varied between younger and older individuals (supplementary eTable 3). Due to higher smoking prevalence in younger men, in Asia and the Middle East, sex differences in smoking rates tended to be larger in those aged ≤65 years than in those aged >65 years in these regions. In Europe and the Middle East, sex differences in overall risk factor management, to women's disadvantage, were larger among younger than among older individuals. In Asia, the odds of adequate overall risk factor management (ie, a good CHIS) was higher among younger women than younger men, which was largely driven by better control of lifestyle factors in women. In older women in Asia, the odds of adequate risk factor management was lower than in their male counterparts.
The present study among over 10 000 individuals with CHD indicated that, overall, risk factor management for the secondary prevention of CHD is worse among women than men. However, the magnitude and direction of the sex differences in the likelihood of meeting guideline-recommended targets varied across component treatment and lifestyle targets. BP control was better in women than in men whereas women were less likely to reach target lipid and glucose levels. Sex differences in risk factor management also varied across regions, with contrasting patterns for treatment and lifestyle targets.
Previous studies on sex differences in risk factor management for the secondary prevention of CHD have also shown that women, in general, have a worse risk factor profile and are less likely to meet therapeutic targets than men. The EUROASPIRE III and IV, two large surveys on the control of cardiovascular risk factors among coronary patients across Europe, reported that women were less likely than men to achieve target lipid and HbA1c levels.6 7 Additionally, EUROASPIRE IV demonstrated that the largest sex differences were seen among elderly patients and among those with lower levels of education.6 EUROASPIRE III reported that BP control was also worse among women than men, whereas EUROASPIRE IV found similar rates between sexes.6 7 In the present study, we found that, although BP levels were higher among women than men, BP control was considerably better in women than in men. Lipid and glucose targets, however, were less likely to be achieved by women than men.
Sex differences in the availability of evidence-based medications may be responsible for women's lower likelihood of achieving treatment targets. While the EUROASPIRE surveys reported broadly similar treatment rates between sexes,6 7 our results are consistent with several other studies indicating lower rates of medication use in women than men.12–16 For instance, the CRUSADE study, a large national study involving 36 000 coronary patients in the USA, demonstrated that women were less likely than men to receive aspirin, ACE inhibitors, or statins at hospital discharge after a cardiac event, even after adjustment for women's worse cardiovascular risk profile at admission.17 Moreover, a study among 15 000 coronary patients in the Netherlands found persistent sex differences in the use of lipid-lowering and antithrombotic medications, particularly in younger patients.13 Others also reported that women were less likely than men to receive intensive lipid-lowering therapy in order to achieve their optimal lipid goals.14 16 However, our analyses stratified by medication use did not alter our main findings on sex differences of risk factor management; nevertheless, the prevalence of medication use differs between sexes.
Despite this, as shown in our findings that women with CHD tended to be older, women's older age at the diagnosis of CHD with more comorbidities might also explain their lower likelihood of receiving pharmacological therapy.18 19 This is also problematic for younger women when their CHD conditions are often considered less serious, compared with men.18 Consistent with previous evidence,13 the sex differences in achieving lipid targets in this study were larger among younger than among older patients, indicating that younger women are particularly disadvantaged. Furthermore, our findings revealed differential distribution of CHD category between women and men and fewer female CABG patients were recruited. As such, women may pay less attention to their CHD risk factor management, resulting in less cardiovascular medication being used and fewer targets being achieved by women. This is unfortunate as clinical guidelines recommend, based on evidence from large randomised controlled trials, the use of preventative medications and a strategy of CHD prevention for all CHD patients, irrespective of age, sex, or severity of disease.2 20
Most previous studies on sex differences in cardiovascular risk management have been conducted in Western populations. Our study not only showed that substantial sex differences in cardiovascular risk management exist in Europe, Asia and the Middle East, but also indicated that regional variations in the size and direction of these sex disparities are present. Sex differences in smoking habits varied most notably across regions; while the prevalence of smoking was similar between the sexes in Europe, women in Asia and the Middle East were considerably less likely to smoke than their male counterparts. In contrast, sex disparities in the achievement of treatment targets were smaller in Europe than in Asia and the Middle East, especially for lipid and glucose levels. Lack of knowledge among female patients about their disease or the necessity of adequate guideline-recommended treatment could contribute to these sex differences in risk factor management.19 21–24 A survey in the USA found that only 55% of women were aware that CHD is the leading cause of death in women and less than half of the women were familiar with optimal levels of CHD risk factors.22 Additionally, a 12-year follow-up survey in the USA showed that the majority of women did not adhere to appropriate secondary prevention and often used non-evidence-based therapies to prevent CHD.23 Comparative studies among men have not been conducted, and neither are there robust data on the awareness of CHD risk among women, and men, from non-Western populations. However, it is conceivable that women's awareness of CHD risk and the benefits of the management of major risk factors is particularly low in non-Western populations, where CHD rates are increasingly rising, risk factor profiles are different, and the uptake of preventive strategies remains lower than in the West. Greater knowledge and awareness of CHD in women, better understanding of regional differences, as well as more widespread use of women-specific clinical guidelines appropriate to local settings, could help to decrease the sex disparities in CHD risk factor management and could improve CHD outcomes in both men and women.
SURF, a pragmatic clinical audit, is undertaken as part of routine clinics at low cost and minimal increase in workload, aiming to document and investigate CHD risk factor management for secondary prevention. It is particularly suitable as an audit instrument for use in low-resource settings and facilitates multiple comparisons of risk factor management across different regions and, in future iterations, over time. Some limitations of SURF deserve to be mentioned. Unlike EUROASPIRE, SURF data are collected during outpatient visits and laboratory measurements are not performed with a standardised scientific methodology. Although the high frequency of missing data might reduce the reliability of prevalence estimates, the percentage of missing data within each region was broadly similar between sexes, and hence it is unlikely to alter our conclusions. Moreover, participating centres were identified through personal contact and may not be representative of healthcare facilities treating CHD patients in participating countries. Finally, more than 60% of patients were recruited from European centres. While these limitations may have affected the descriptive characteristics, the comparisons of sex differences in cardiovascular risk factor management are less likely to be affected. A new phase of SURF, SURF II, will increase representativeness both in terms of patient participation and by allowing the participation of a wide variety of centres, irrespective of size and resources.
We observed substantial differences between men and women in cardiovascular risk factor management for the secondary prevention of CHD, most often to the detriment of women. Sex disparities in risk factor management differed across regions, suggesting the need for tailored strategies to reduce these inequalities and to improve the uptake of guideline-recommended care for the secondary prevention of CHD in both men and women.
What is already known about this subject?
Prior studies in mostly Western populations have suggested a sex disparity in the management of cardiovascular risk factors among patients with established coronary heart disease (CHD).
What does this study add?
This study assessed sex differences in risk factor management for the secondary prevention of CHD across three geographically diverse regions; Europe, Asia, and the Middle East.
These data show that sex disparities in reaching treatment targets in Asia and the Middle East were greater than in Europe, to the detriment of women.
How might this impact on clinical practice?
A better understanding of sex disparities in CHD is needed to treat women with CHD more efficiently in all regions, especially in Asia and the Middle East.
The SURF study group is grateful to all participating centres and their staff for their participation and support.
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. National study of women's awareness, preventive action, and barriers to cardiovascular health. Circulation 2006;113:525–34.doi:10.1161/CIRCULATIONAHA.105.588103
Contributors MZ, SP, MW, KK, IV, RG, and IG conceived and designed the study. MZ, SP, and MW analyzed and interpreted the data. MZ drafted the manuscript and all authors contributed to critical revision of the manuscript.
Funding MZ is supported by a grant from the Netherlands Organization for Scientific Research (NWO; grant number: 0.22.005.021). NWO had no input to the design, execution, analysis, or writing up of the study. IV is supported by a grant from the Dutch Heart Foundation (grant DHF project 'Facts and Figures'). MW is supported by the National Health and Medical Research Foundation of Australia (1080206). SP is supported by the British Heart Foundation (PG/16/57/32256)
Competing interests MW is a consultant to Amgen on analyses of Medicare data in the USA. Amgen had no input to the design, execution, analysis, or writing up of the study
Provenance and peer review Not commissioned; externally peer reviewed.
© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted. This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Sex differences in coronary heart disease risk factors: rename it ischaemic heart disease!
Ahmed AlBadri Janet Wei Puja K Mehta Rashmee Shah Romana Herscovici Martha Gulati Chrisandra Shufelt Noel Bairey Merz
Heart 2017; 103 1567-1568 Published Online First: 20 Sep 2017. doi: 10.1136/heartjnl-2017-311921


Data from two research firms reveal sharp declines in worldwide PC sales in the second quarter of 2015. According to Gartner, PC shipments fell 9.5 percent, year on year, to 68.4 million units. IDC reports an 11.8 percent drop to 66.1 million shipments during the quarter. The reports do not include tablets in their tallies. The world's top PC vendor is still Lenovo, which enjoys a 20.3 percent share, notes IDC, followed by HP at 18.5 percent and Dell at 14.55 percent. Most hard hit by the decline are smaller PC manufacturers.
According to TechCrunch, however, "Apple sales continue to gain steam," with its market share rising to 7.8 percent worldwide, nearly a two-point growth from the previous year's 5.9 percent. Apple also grew unit sales, the only one of all the major PC manufacturers.
PC sales began declining in favor of tablets beginning in 2012 with a 2.6 percent drop, reports The Wall Street Journal, but took a steep slump the following year with a 11.1 percent decline. The ongoing fall slowed in 2014, to 0.8 percent, according to Gartner. That company's principal analyst Mikako Kitagawa expects 2015 sales to be down by nearly 4 percent compared to 2014.
Slowing PC sales have also had an impact on chipmakers. WSJ reports that share of Advanced Micro Devices (AMD) dropped 13 percent. AMD anticipated a 3 percent sequential decline for its period, ended in June, but revenue dropped 8 percent.
Mercury Research analyst Dean McCarron notes that, "since the downturn in 2008, there's been a lengthening of the PC lifecycle." Most analysts expect to see some improvement from the Windows 10 launch but not much more than a bump.


Inedia, Breatharianism, Non-Eating, Living on Light, Fasting. :: View topic - A "New" Breatharian ??
Posted: Tue Feb 15, 2005 7:33 pm Post subject: A "New" Breatharian ??
yet he is in perfect health.
from notes taken during the conference call.
Quoting. Mony Vital on immortality.
birth certificate and a death certificate.
born, you start to die.
have no future, no vision.
and the people around me. I love myself.
I am totally into myself.
?You are being controlled-mind controlled.
anywhere, unless you accept yourself 100%.
?Our bodies are 90% water, sacs of water.
At this point, Mony was interrupted by Dr.
what they wanted me to do.?
He resumed back to where he left off before.
fist. You should 1/3 less than you do.
is cleaning it. Cleaning it is balancing it.
only raw fruit, or all juices. ?
will not be hungry anymore.
?I never do anything to harm me.
?Who is ready for this change of lifestyle?
Everything about this world is about eating.
see 20 years into the future.
Pope. It is not about youth, or being happy.
Matrix. Go see it, if you haven?t seen it.
You are living in a matrix, inside the box.
are living in a box they control.
cadavers, on dead bodies, not on live bodies.
Michael asked Mony how to do this.
anyone else?s permission to do this.
have. Do not condemn or criticize yourself.
?Accept and love the parts of your body.
Detox the body and allow it to heal itself.
it, you will have a misconnection.
culture that has nothing to do with you.
healthy, get a vision of being healthy.
?Hospitals only have a 33% survival rate.
It?s not about life force.
?Change your life style. Do your own healing.
sick because you choose to be sick.
Mony was asked about soy.
poison. Both cause pain and misery.
least. It?s good for your eyesight.?
thinking. Pay attention to what you eat.
Consider how long it will take it to digest.
waste of time and nutrition.
they don?t know what life is about.
worse than drinking coffee in the morning.
and would not be around to answer his phone.
room retreat. When asked what that was.
Name of a book was given. ?Living on Light.?
When asked about gazing into the sun. Reply.
not do it in the middle of the day.?
as possible from the weekly conference calls.


Embark on this adventure by flying to Muscat, Oman's ancient capital nestled on the Arabian Peninsula. Once firmly rooted in age-old incense trade, today the city is also a beacon of modern Arab culture where elegant mosques sit alongside elaborate shopping centres. You'll be met by a member of our team on arrival for a private transfer to your hotel. As a new day dawns over Muscat, take time to explore every corner of this captivating port city where old-world tradition meets the new. Don't miss the resplendent Sultan Qaboos Grand Mosque and the chance to explore the Bait Al Zubair Museum, with its remarkable collection of Omani antiques. Take a stroll along the panoramic waterfront Corniche, lined with international restaurants and traditional cafes. Then visit the hubbub of the Muttrah Souq for a spot of haggling before making the most of your free time later in the day. On your third day here, head out of the city and into the Jabal Shams Mountains to visit the impressive Jabrin Castle, built in 1675 by Imam Bil-arab bin Sultan. Afterwards, you'll drive to Oman's Grand Canyon and stop along the way at Wadi Ghul and Wadi Nakher – abandoned farming villages built into the mountainside. The journey will then take you on to your luxury€commodation with panoramic views of the region. This morning, drive through the mountainous landscape to explore the historic fort in the village of Nizwa. Here you'll see the souq workshops where old handicrafts are created and – if you're there on a Friday – the astonishing must-see local livestock market. Then travel off-road through the red dunes of Sharqiya Sands until you reach the 1000 Nights Camp – your home for the night. Spend your morning taking part in your choice of desert€tivities such as sand boarding or trekking. You'll then continue to Sur's fish jetty and dhow factory. Later, you'll stop at Fins Beach for a swim, before continuing your journey on to the incredible Bimah Sinkhole – a waterfilled limestone crater. The final stop is the oasis at Wadi Arbayeen. Your holiday draws to a close today with an airport transfer for your flight home. Alternatively, you can choose to extend your stay and explore more of Oman's sights. Details and departure dates of this trip can be tailor-made to meet your specific requirements.


Lance Sorenson is currently the Olin-Darling Fellow at Stanford Law School.. He has a law degree from Pepperdine University and is a PhD candidate in Legal History at the University of Nevada Las Vegas. He is interested in legal systems and structures, particularly in the American West. His dissertation analyzes iterations of United States' federalism as part of westward expansion.


text:
Home » IndyCar » News
GM supports IRL engine rule change.
GM racing director Doug Duchardt has voiced GM's strong support for revisions in the Indy Racing League IndyCar Series engine rules announced this week.
Effective at the 2004 Indianapolis 500, maximum engine displacement will be reduced from 3.5 litres to 3.0 litres. In the three IRL events preceding the Indianapolis 500, the engine air scoops will be vented to reduce performance. The move from 3.5-litre (214 cubic-inch) to 3.0-litre (183ci) engines is expected to reduce output by approximately 10 percent.
"GM Racing strongly supports the IRL's decision to revise the engine regulations to control speeds," said Duchardt. "The safety of drivers, teams, officials and spectators is paramount, and we fully endorse the IRL's initiatives. IRL officials discussed the proposed rule change with us, and we appreciate being involved in the process."
GM is the only manufacturer that has supplied engines to IRL teams since the series introduced its naturally aspirated engine formula in January 1997. GM Racing has produced IRL engines in two displacements (4.0 litres and 3.5 litres) and development of a new 3.0-litre version of the Chevy Indy V-8 is now underway. Since 1997, maximum engine speed, which is regulated by a programmable rev limiter, has been adjusted four times, ranging between 10,700 and 10,000 rpm.
"When GM entered the IRL as an engine manufacturer, we clearly understood that periodic revisions in the engine regulations would play a key role in controlling speeds," Duchardt noted. "The previous changes in maximum rpm and engine displacement have proven to be cost-effective, and we expect the new 2004 regulations to produce positive results as well. The decision to implement the new rules in May provides adequate time for us to manage our parts inventory and ensures that we will have a supply of 3.0-litre Chevy Indy V-8 engines ready for the Indy 500."
GM Racing has a dedicated safety research programme that actively seeks to improve safety in all motorsports series. GM personnel and facilities have been instrumental in the testing and validation of safety enhancements such as crash data recorders, head and neck protection, rear impact attentuators, seats and seat belts, and wheel restraints.
Ecclestone puts in revised bid for Saab
Ecclestone to buy Saab?
"GM is committed to improving motorsports safety, and we support the efforts of all the sanctioning bodies," Duchardt said. "It's the right thing to do."
Childress denies GM lawsuit
GM to cut support for Nationwide, truck teams
Fence improvement under way at Texas.
Fernandez honoured at Fox Sports awards.
Petty's anniversary car a monument to better times
No off season for Team Chevy.
GM name new director of racing.


text:
Q: How do you change the date of an existing Sonar Snapshot? I recently was building history using the sonar.projectDate property.  However, i made a mistake with the date and set it into the future (2913-05-29).  Now I can't run any new analysis against the project.  Since this is the latest analysis, I don't have the "Delete snapshot" button on the history page.
So, I thought to simply change the date of the analysis, since it is valid and is the latest.  I've made changes to the following tables which seem to have had the "bad" date: snapshots, events, issues.
update snapshots set
  created_at = to_timestamp('05/29/2013', 'MM/dd/yyyy'),
  period2_date = to_timestamp('05/24/2013', 'MM/dd/yyyy'),
  period3_date = to_timestamp('04/29/2013', 'MM/dd/yyyy')
where id = ${snapshotId};

update snapshots set
  created_at = to_timestamp('05/29/2013', 'MM/dd/yyyy')
where root_snapshot_id = ${snapshotId};

update events set
  event_date = to_timestamp('05/29/2013', 'MM/dd/yyyy')
where snapshot_id = ${snapshotId};

Strictly speaking, I don't think I needed to do this because it wasn't associated with a snapshot, but I thought it would help line up the issues.
update issues set
  issue_creation_date = to_timestamp('05/29/2013', 'MM/dd/yyyy'),
  issue_update_date = to_timestamp('05/29/2013', 'MM/dd/yyyy'),
  created_at = to_timestamp('05/29/2013', 'MM/dd/yyyy'),
  updated_at = to_timestamp('05/29/2013', 'MM/dd/yyyy')
where root_component_id = ${projectId}
  and created_at > to_timestamp('01/01/2014', 'MM/dd/yyyy');

After updating the snapshots table, the GUI loads with the correct information, but I still can't start a new analysis.
[ERROR] Failed to execute goal org.codehaus.mojo:sonar-maven-plugin:2.0:sonar (default-cli) on project rc-parent:
Can not execute Sonar: 'sonar.projectDate' property cannot be older than the date of the last known quality snapshot on this project. Value: '2013-06-29'. Latest quality snapshot: '2913-05-29'. This property may only be used to rebuild the past in a chronological order. -> [Help 1]

I am now running Sonar 3.6, but was running 3.4.1 during the "bad" analysis run.
I'm looking for options.  Either the proper approach to changing the date or a manual analysis deletion procedure.

A: For MySQL DB, execute:

*

*Get project id
select * from projects where name='foo';

*Get current snapshot of project:
select * from events where resource_id = ${project_id};

*First, check if build_date has valid datetime
select * from snapshots where id=${snapshot_id};
If Yes, (does same for events) run:
update snapshots set created_at=build_date where id=${snapshot_id};
update events set event_date=created_date where snapshot_id=${snapshot_id};
If Not, run:
update snapshots set created_at=CURDATE() where id=${snapshot_id};
update events set event_date=CURDATE() where snapshot_id=${snapshot_id};

A: Ultimately, the two sql updates to the snapshots table did the trick.  It is not elegant, but I was able to start a new Sonar analysis and have everything recorded properly.


text:
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The Connection Between Virgin River and Britney Spears
When Virgin River premiered on Netflix in 2019, it didn't take long for the series to make it into the streaming platform's top 10. With a storyline that combines the best of love, starting over, and wholesome small-town energy, Virgin River is one of those shows you can't stop watching once you turn it on. After completing its third season with a major cliffhanger, lots of people are looking forward to seeing what the fourth season has in store. But while the show's biggest fans probably feel like they know everything there is to know about Virgin River, most of them probably don't know about the show's connection to Britney Spears. Apparently, Britney's reach is even further than a lot of people realized. Keep reading to learn how Britney Spears and Virgin River are connected.
How Britney And Virgin River Are Connected
Britney Spears is arguably one of the biggest pop stars of all time. She has been a fixture in the music industry for more than 20 years and she has accomplished a lot of great things along the way. Even though her journey hasn't always been easy, Britney has always managed to find ways to keep moving forward. While all of that is well and good, you're probably wondering what the heck she has to do with Virgin River. After all, Britney hasn't made a guest appearance in the show and as far as we know they've never used her music.
Britney's connection to the show is actually through one of the cast members. Martin Henderson who plays the beloved Jack Sheridan, was one of the stars of the music video for Britney's hit song, "Toxic". Martin appeared in some of the video's final scenes as one of Spears' conquests. Unfortunately for Martin, that encounter results in him being poisoned by Spears' toxic potion. Martin's role in "Toxic" remains his only music video credit. The video currently has nearly 530 million views on YouTube. Even more than a decade after its release, the video's views are still climbing and they probably won't stop any time soon.
Virgin River Isn't The Only Show Britney Is Connected To
For someone who has never actually been in a Netflix show, Britney Spears is closely connected to a couple of them. In addition to Virgin River, she also shares an interesting link to the series Sweet Magnolias which debuted in the spring of 2020. Although the plot of Sweet Magnolias is very different from Virgin River, both shows appeal to similar audiences. That makes the fact that Britney is connected to both of them even more ironic.
So, what does Sweet Magnolias have to do with Britney Spears? Britney's younger sister, Jamie Lynn Spears, is one of the show's main characters. Jamie's character, Noreen, is a young woman who falls in love with a small-town doctor while working at his practice. That may sound cute on the surface, but the problem is that the doctor is a married man. He decides to leave his family to be with Noreen which results in lots of drama and tension.
The show marked Jamie's first acting role since her show, Zoey 101, was canceled in 2008 after she became pregnant. Like her older sister, Zoey also made her way into the spotlight at an early age. Unfortunately, though, has also had to deal with her fair share of issues but she's also proven to be the kind of person who can get through anything.
Since we already know how wide Britney's reach can be, it wouldn't be surprising if she ends up being connected to more Netflix shows in the future.
What The Future Has In Store For Virgin River
With the way season three of Virgin River ended, everyone is expecting another season. A good cliffhanger tends to have that effect on people. Surprisingly, however, the show hasn't officially been renewed for a fourth season. That doesn't mean that there's any cause to worry, though. It seems very likely that the show will return. If the show does get renewed, there's a chance it won't air until the end of 2022. There's even a possibility that it could be as late as early 2023, but nothing is set in stone at the moment.
It'll be interesting to see what direction the writers decide to go in when it comes to the cliffhanger, but there are quite a few possibilities that could be cool to see. If you haven't watched Virgin River yet, it's definitely worth adding to your list of things to binge-watch.
What We Hope to See in the Upcoming Seasons of 'Virgin River'
Michelle Siy September 29, 2021


The Gemar team certainly love a party which is why we are so excited to be joining our partners at Funny Balloons for an incredible balloon convention,Vegas style.
From July 23rd - 27th July we will be lifting the moment at the incredible Golden Nugget, Las Vegas and we will be ready to celebrate.
Come and join us and meet incredibly skillful balloon artists. People like Gergő, the Hungarian economist who has transformed himself into one of the world's most talented balloon artists. It's not just about the big names though, it's about every single attendee. Bling Bling Jam gives you the chance to get involved and get practical (while having huge amounts of fun of course)!
Get yourself into balloon twisting, join balloon decoration classes, learn about marketing, get your hands on amazing deals and check out the exclusive 24 hour jam room! There is so much to do, there won't be a moment spare.
Are you ready to Party All The Time?


This content is paid for by an advertiser and published by WP BrandStudio. The Washington Post newsroom was not involved in the creation of this content. Learn more about WP BrandStudio.
Feel like you have a cold, or the blues and want to learn more? Or maybe you just want to keep better track of your calories or find out whether you're really working out hard enough to get back in shape. It turns out there's an app for that. All of that, actually, and much more. It's currently estimated that there are 40,000 mobile health applications that are providing wireless users with unequalled access to information and capabilities, and are dramatically changing how we control our personal health and our lives.
Much of the innovation in the mhealth application world is being put to use in highly developed countries, where smartphone usage is higher than in middle- or low-income nations. A key reason for that is wireless carriers have significantly invested in their network infrastructures, making them more advanced and better able to transmit high-speed, wireless data. In fact, this past year U.S. carriers alone sank more than $30 billion into network investments.
State-of-the-art wireless technology permits a panoply of data-intensive services, such as real-time video conferencing between surgeons, chronic disease management and monitoring, or diagnostic evaluation of medical tests, such as MRI's or CT scans. It's also spawned incredible growth in consumer facing mhealth applications, largely geared toward health and fitness usage.
The U.S. Food and Drug Administration is working on final regulatory guidelines that will have a substantial impact on mobile health applications. It is determining which kinds of devices and functions will be regulated by the federal government. The FDA claims it is striking a 'balanced approach' to the issue, saying that fitness, wellness, and medical resource applications will not be regulated. On the other hand, it is likely that mobile apps that control devices critical to a patient's health or measure factors, such as vital signs, will be subjected to federal oversight.
Congress has also expressed a greater interest in mobile health applications, and the process by which they will be evaluated by the FDA. The sooner the FDA issues its final guidelines, the better. Clarity in this area will be beneficial to consumers wanting to use the various applications, and to the developers working to make them available.
Another vital factor in expanding the benefits of mhealth to millions of Americans is the reimbursement and qualification side of the equation. Healthcare coverage providers need to expand their thinking about the benefits and services they cover to include in this rapidly growing world of mobile health. They need to recognize that arcane models are no longer applicable and that mhealth has fantastic potential to put each of us in the driver's seat of our personal well-being. Wireless technology means lower healthcare costs, better diagnoses and treatment, and more informed consumers. That's just what the doctor ordered.
Watch more segments highlighting the benefits of wireless communication, on topics such as urban parking, environmental monitoring, smart water management and more.