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Home » Musicians » Redshark's P…Redshark's Philip Graves: "Now you turn off the internet and the people go crazy, I think that it's one of the worst drugs of the current world…"
Redshark's Philip Graves: "Now you turn off the internet and the people go crazy, I think that it's one of the worst drugs of the current world…"
Interview with Philip Graves from Redshark
by Lior "Steinmetal" Stein at 19 April 2022, 11:48 PM
It is no secret that we have turned as digital as possible, perhaps we haven't really tasted what to be digital really is. There is a chance that the incoming VR technology will take us to journeys that we wouldn't want to get back from, like an endless trip, for life. The Spanish old school Metal band, Redshark, share the same fears as many others from the total digital world, making us a kind of slaves in the process. Through their "Digital Race" album, they hold nothing back, and fire everything they have. Steinmetal had a good talk with founder Philip Graves about what is going on within the record and his perception of old school Metal.
Hello Phil, it is good to have you for this conversation with Metal Temple online Magazine, how have you been doing ace?
Hi! How are you? Yeah! I'm very good with a lot of work with this new release… Rehearsals, interviews, RRSS… I'm full!
Storming with menace, and Redshark became a reality for me, such great energies are hard to come by nowadays, and not just the energies, but with a sense of a blazing wildfire, an old school fire. The band has been running for a decade, yet it gradually made significant steps 6 years ago. How do you summarize this last decade up until the debut album?
In the beginning of the band, Redshark only was a one-member-band like Bathory and after Mark Striker and Javi Bono joined to the band as power trio lineup. After that, we released our first EP "Rain Of Destruction" and some years after Pau and Chris joined the band. With this line up we recorded our first EP "Evil Realm". After that, comes the pandemic and we composed and recorder "Digital Race". Currently we are working on our live version and we have a new drummer that we hope to present to you as soon as possible.
With you being part of the Spanish Metal scene, which is somewhat mixed in its Metal directions, correct me if I am wrong, how do you find the support of the local base to Redshark's musical direction?
The local base in Spain it's very good, the people have received this album with open arms and they like it so much. I know a lot of people in different parts of the country and this makes things easiest.
Going a little bit general here. You have been an old school Metal fan, I presume, for many years. What do you find in the essence of the old flame of Metal? What makes it burn bright for you?
Basically I like a lot of metal genres: Heavy Metal, Speed Metal, Power Metal, Death Metal, Black Thrash…I also like Hard Rock / AOR music, Rock n' Roll… And I like other genres like 80s Pop, Funk or Electronic Music. I think that it's all a mix of the 80s Heavy Metal (my favourite genre) and the other genres that I usually listen to.
Your sophomore EP, "Evil Realm" started something good for Redshark, with its reissue, as an extended version, under Bart Gabriel's new label, Iron Oxide Records. I believe that also that EP paved the road for your signing with the French label, Listenable Records. What can you share about the journey towards being signed to such a significant label as Listenable Records?
The original idea was to release the album with Iron Oxide Records. We sent the album to Iron Oxide but they told us that Listenable was interested in releasing the album. We were approached by Laurent via email because he liked the album and we liked the terms and conditions. I think that "Digital Race" is an album that deserves to go far and this is a good opportunity for us to get a better edition and album promotion.
It was probably the right time for a full length debut record, and in the course of 2021 you were able to complete it. I am going to take you back just a bit, the album was worked on through a phase of the pandemic that was quite tough. How was it mentally possible for you to be focused in order to come up with the songs? I know that this pandemic, along with its lockdowns, wasn't easy on anyone
You said it haha the pandemic ruined all the shows of "Evil Realm" and I thought that was the moment to make the best album possible. We hadn't a lot of problems for rehearsal because all the band members we live close to and we decided to continue working. We didn't want to be like other bands that they decided to stop during the pandemic.
Entitled "Digital Race", it appears that you raised one of the possible fears of a lot of people, a kind of fear that is also partially hidden, or being put to bed at times as well. In your view, are we striving to lose ourselves to the digital universe, which we created? Do we feel comfortable about it to the extent of letting it all go and simply live with it?
Of course, one of the most important problems of 21st Century is the digitalization of the civilization. The people live by much through the computers and mobile phones, and this is a thing that we wanted re-vindicated. I'm not personally comfortable living with it, it's saturating and living glued to my phone, I don't like nothing, but if you have a band, nowadays internet it's necessary hahah
Through the artwork of the record, it looks that you are pissed off about this process humanity has been undergoing. What does your personal belief system say about that? In light of the album, is there a solution to this?
I think that it's difficult to find a solution. Now you turn off the internet and the people go crazy, I think that it's one of the worst drugs of the current world and all it's adapted to live with computers and social media.
Redshark walks the plank, the thin wooden board between what is traditional, and what is speed, and I might even mention a Thrashed up kind of form. I believe that being on that borderline makes "Digital Race" an enticing flavor of old school Metal. Even if we talk about a traditional kind of Metal subgenre, a lot can be done to make it fresh. How do you find the musical progress of the band over the course of "Digital Race"?
Thanks for your words! We appreciate it, of course! And in my personal opinion, I think that Redshark hasn't invented anything, our principal influences are Judas Priest, Exciter, Metal Church, Savatage, Death, Mercyful Fate… and simply we make the music that we would like to listen without barriers and being faithful to our essence. Our music it's the result of speaking with the heart.
The old school revival hasn't been a stranger in the last two decades or so, therefore, a lot of bands are taking on the old flame and making it real once again, whether just the music, or also fulfilling the imagery. In light of the release of "Digital Race", what makes Redshark special in a vast sea of bands? What makes it unique in a way?
It's possible that having a red shark as the band mascot makes it unique in the images of the covers. And as I told you before, I think that we haven't invented anything but we always tried to be as original as possible avoiding topics and typical lyrics.
The songwriting on "Digital Race" shows straightforwardness at its highest of orders, the stream of melodies, and high octane paces thunder from every direction. However, I believe that "Digital Race" is more than mainly the sense of speed and heaviness, what can you tell about how you arranged the songs? What were your inspirations that led you forward?
We always record rhythm guitar guides in our home studios before entering the studio, and this is the moment where we decide all the arrangements that we will record after. Nowadays it's easy working in your home before the studio, if you take advantage this, you can to get better results. My inspirations I think that are a lot of music that I listen every day, I'm very crazy about listening music, yesterday I listened Fleetwood Mac and today I listened Sabbat (UK).
For the sound engineering of "Digital Race", you hired the services of Gonzalo Vivero. I noticed that he mainly worked in the Spanish scene, but it didn't really matter who he worked with due to the reason that "Digital Race" got what it deserved, and that is its stellar sound. Other than the material, the attributed sound made the album an addictive listener. What can you tell about your vision of how the record should sound and the contrast to the end result?
Totally, Gonzalo and Jaume did a great job, without them, this wouldn't be possible, and for me it's important work with people that are friends of mine. Besides they are two great fans of Redshark music. I have clear that we wanted to get the better version of the second part of the 80s Heavy Metal made in the 21st Century.
"Digital Race" might be your debut full length, yet this isn't really new for you to experience songwriting, rehearsing new material and recording. Nevertheless, what did the process of "Digital Race" teach you as a songwriter and a musician? What are the lessons that you are taking onwards with you to the next Redshark album?
I think that won't be easy hahaha currently we haven't so much time like the pandemic but I don't mind to be 2-3 years to compose the next album. I want to maintain the level of "Digital Race" but as always, my objective it's making a different album but at the same time getting the 100% Redshark sound.
After the 80s keyboard driven intro of "Arrival", I was heavily struck from beyond the stars with the rapid emergence of "Mars Recall". Actually it's funny because I was watching "Total Recall" the other day, and it got connected for me. Such an energetic, and flamboyant, track, taking the band's greatest merits and putting them to work for the display of a juggernaut. What can you tell about the creation of this song?
This song is from Javi Bono, and the main idea is putting yourself in the shoes of the main character, who's backing alone from a special mission from Mars, but not too far nor inventing new planets or galaxies, being like a more realistic story than in other cases. And yes, it's inspired by "Total Recall" haha the keyboard intro was the key of this epic song!
At the current state of the pandemic, things are starting to get better on the live scene front, therefore, it is possible for bands to schedule shows. What is the status in the Redshark camp in that aspect?
Luckily we played two weeks ago in Taunus Metal Fest (Germany) and this year we have some shows here in Spain because with the pandemic and other situations like the overbooking of band tours it's difficult because we don't live from music, we have normal jobs and we need to be there all with time. I hope to play in European festivals or make dates in different European cities next year.
Phil, I wish to thank you for your time for this conversation, and of course for releasing such an album filled with conviction and admiration for the old flame of Metal. All the best
All the best for you! Good questions and killer interview! Thanks for the support my friend!


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Fun Games & Projects that Bring Family Together
By Staff Reports / December 13, 2019
This month, as you spend time with friends and family, try a few of these fun ways that are sure to bring young and old closer together.
Generations Guessing Game
Play this guessing game when family members are visiting. Players can form teams of two; for example, parent and child, or grandparent and grandchild.
One member of the team leaves the room. For example, all the mothers step outside. Children are then asked four or five questions about their mother's preferences. They write their answers down on sheets of paper and place the sheets face down in front of them, in the order the questions were asked.
The mothers then return to the room. They are asked the same questions. After a mother has stated her answer, her child reveals his/her answer. Do the mother and child have the same answers?
Switch places to see how well the mothers know their children. You can run several rounds of this game with different questions. You can choose to keep score or not.
Asking about "favorites" makes for a revealing game. Here are some examples: favorite color, season, animal, flower, holiday, sport, movie star, TV show, cartoon character, musical group, song, singer, musical instrument, fruit, vegetable, snack, cookie, candy bar, pizza topping, flavor of ice cream, hobby, talent.
Did You Ever…?
Saying "tell me about your life" is usually a little too broad to evoke memories. You have to focus on a specific topic. "Did you ever…?" is a great game for evoking memories.
Each person in a group tells a true story about one of the topics below. Tell a story in as much detail as you can. Remember the incident like a movie in your head, and explain what you see one step at a time—what happened, what you thought, and what you felt before, during, and after.
Here are some ideas: Did you ever…
Sleep in a cabin or tent
Go to a county fair
Go berry or vegetable picking
Act in a play
Get a bad grade
Win a prize
Have a good luck charm
Make something you were really proud of
Move to a new house
Travel overseas
Live in a foreign country
Stay in a fancy hotel
Drive in a convertible
Have a pet
Bake bread
Play an instrument
Go on a boat
Take a cruise
See a circus
Go to a beach
Visit an art gallery
Stay on a farm
Variation: If folks don't have a story to share, encourage them to make one up. Have them tell the story as if it really happened. After they've told their story, the group has to guess if the story was real or made up. How often can you guess accurately?
What was really "hot" and "with it" when folks were young? Reminisce or share and compare your "hot" list with children, grandchildren, or young friends as part of an intergenerational program.
Topics could include "hot" music, movies, TV shows, actors, actresses, video games, books, magazines, clothing, hairstyles, food, cars, and slang.
Let's Fix It!
Hoping for the future includes trying to fix the problems we see around us. Start by asking family members what they think is "wrong" with the world today. People often have strong opinions and appreciate the opportunity to voice them and have someone listen.
But don't stop with the problems. Pick one or two of the "problems" and decide how you can do something about them. Maybe everyone can participate in writing a letter to a government official on a current political issue. Maybe you can plant a tree or garden as a way to help the environment. Maybe folks can bake or chip in to buy cookies or other food items for local children who can't afford special treats. No matter what our age, we can still do things to make the world a better place.
The Ageless Self
The older you get, the more surprised you are when you catch a glimpse of yourself as you pass by a mirror. You're constantly amazed at the "old" person you see reflected back. The simple fact of aging always seems to surprise us — because inside we don't feel any different.
Many older people express a sense of self that is ageless—an identity that maintains continuity despite the physical changes that come with old age. Talk with family members and have them share three things that make them who they are. What hasn't changed since they were young?
If a person was determined when they were young, they're probably still determined. If the person liked music when they were young, they probably still like music. Maybe their favorite color has always been and still is blue. Maybe they have always loved strawberry ice cream. Perhaps they have a saying they've always used to guide them throughout their entire life. Find out what makes people themselves and unique, no matter what their age.
Poster Power
What You Need: Sheets of paper; markers, crayons, and pencils.
Get together to create posters with a positive view of aging. Talk about the advantages of being old, like getting tax benefits and no longer having child-rearing responsibilities. What can older people still do, even if they have some limitations? For example, they can still love, give a hug, and share life advice.
Create bright, eye-catching posters with positive slogans about being old. Some examples: Age is a Case of Mind Over Matter—If You Don't Mind, It Doesn't Matter; Age is Just a Number; Aging is Living; I'm Not Over the Hill—I'm On a Roll; It's Not How Old You Are, but How You Are Old; Older is Bolder; Youth is a Gift of Nature, Age is a Work of Art; The Best is Yet to Be.
Use watercolor paints and markers to decorate the posters. These can also be used as special gifts for family members or friends.
Weekly Memory Jar
What You Need: Slips of colored paper; pen/pencil; a jar.
Each day we make memories. Celebrate the special moments in your family. Involve friends and neighbors, too.
Everyone pays attention to anything warm, happy, fun, interesting, or moving that happens to them during the week. Write it down on a slip of paper (just a few words to remind you of the memory). Fold up the slip of paper and drop it in the Memory Jar. No one can peek inside the jar until the "official" weekly opening.
At the end of the week, everyone takes a turn pulling a memory out of the jar. The person who wrote the memory explains what it was.
A Bevy of Butterflies
What You Need: Round, paper coffee filters; watercolor paints and markers; paintbrushes; clothespins; colored paper; scissors; glue. Optional, glitter.
Brighten up a room with cheerful butterflies! These colorful, easy-to-make butterflies can be made by anyone with the help of family members or young friends.
Use watercolor paints and markers to decorate round, paper coffee filters with various patterns to look like butterfly wings. You can also use glitter to add some sparkle.
Once the filters are dry, pinch them one at a time in the middle like a bow tie. Clip the clothespin onto the middle and fan out each side to create the butterfly's wings.
Cut two thin strips of colored paper (about the thickness of a matchstick and about 3 inches long). Curl one end slightly with scissors and glue the other end onto the end of the clothespin that pinches together. Now the butterfly has antennae.
Talk to each other about your hopes and dreams. What did they want to do when they were younger? Have they done it? What are the things they would still like to do? Everyone has hopes and dreams, and having a chance to share them can be a very special gift.
The Links Extend a Helping Hand to Haiti
By Staff Reports / January 17, 2020
Ask Sista Girl – January 2020
Community Celebrates the Life of Centenarian Mrs. Flora Trapp-Little
YMCA News: January 2020
A Time for Hope
Events/Your Health
Council on Aging Offers Free Medicare Classes
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Asheville's 39th Annual Martin Luther King Jr. Prayer Breakfast
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Candlelight Service to Honor Community Leaders
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UNCA's 2020 Commemoration of Martin Luther King Jr.
New Year's Resolutions Should Include a Decent Place to Call Home
Appalachian Sustainable Agriculture Project (ASAP) – Employment Opportunity
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Background: The extent to which temporal increases in the use of prenatal ultrasonography reflect changes in maternal risk is unknown. In this population-based study, we examined the use of prenatal ultrasonography from 1996 to 2006 in Ontario.
Methods: With fiscal year 1996/97 as the baseline, we evaluated the relative risk (RR) and 95% confidence interval (CI) for the change in rates of ultrasonography for each subsequent year. The RR was adjusted for maternal age, income, rural residence, maternal comorbidities, receipt of genetics consultation or amniocentesis — all in the index pregnancy — and history of complications in a prior pregnancy.
Results: The study sample consisted of 1 399 389 singleton deliveries. The rate of prenatal ultrasonography increased from 2055 per 1000 pregnancies in 1996 to 3264 per 1000 in 2006 (adjusted RR 1.55, 95% CI 1.54–1.55). The rate increased among both women with low-risk pregnancies (adjusted RR 1.54, 95% CI 1.53–1.55) and those with high-risk pregnancies (adjusted RR 1.55, 95% CI 1.54–1.57). The proportion of pregnancies with at least four ultrasound examinations in the second or third trimesters rose from 6.4% in 1996 to 18.7% in 2006 (adjusted RR 2.68, 95% CI 2.61–2.74). Paradoxically, this increase was more pronounced among low-risk pregnancies (adjusted RR 2.92, 95% CI 2.83–3.01) than among high-risk pregnancies (adjusted RR 2.25, 95% CI 2.16–2.35).
Interpretation: Substantial increases in the use of prenatal ultrasonography over the past decade do not appear to reflect changes in maternal risk. Nearly one in five women now undergo four or more ultrasound examinations during the second and third trimesters. Efforts to promote more appropriate use of prenatal ultrasonography for singleton pregnancies appear warranted.
In other areas of health care, interventions that are most beneficial to high-risk individuals are frequently directed to low-risk populations. 11–13 We hypothesized that increasing trends in the use of prenatal ultrasonography could not be explained solely by pregnancy risk and would be evident among low-risk pregnancies. Accordingly, we performed a population-based study to examine the annual rates of prenatal ultrasonography, adjusted for maternal risk profiles.
We conducted a repeated cross-sectional population-based study of all women with a singleton obstetric delivery during the period 1996/97 to 2006/07 in Ontario, Canada's most populous province (12 million people).
For the period Apr. 1, 1996, to Mar. 31, 2007, we identified all deliveries across all Ontario hospitals in each fiscal year. To do this, we used a main patient service code for obstetric delivery in the Discharge Abstract Database. 15 Participants were women with an admission to hospital for delivery of a liveborn or stillborn singleton infant after at least 20 weeks' gestation. We excluded women younger than 15 years or older than 54 years at the date of admission to hospital for delivery and women with deliveries associated with an abortive procedure. If a woman had more than one delivery in a given fiscal year, we included only the first eligible delivery. The hospital admission date was used to define the date of the index delivery.
We classified a pregnancy as "high-risk" if it was associated with a maternal comorbidity, genetics consultation, amniocentesis or history of complications in a prior pregnancy (see Appendix 1, available at www.cmaj.ca/cgi/content/full/cmaj.090979/DC1). We deemed all other index pregnancies to be "low-risk." We considered a maternal comorbidity to be present if any of the following diagnoses could be identified in the Ontario Health Insurance Plan database or the Discharge Abstract Database within the 12 months before (and during) the hospital stay for the index delivery: any diabetes mellitus (gestational or prepregnancy), any hypertension, thyroid disease, cardiac disease, rheumatologic disease, venous thromboembolism, renal disease or epilepsy; we also considered hospital admission for supervision of a high-risk pregnancy to represent maternal comorbidity. Similarly, we used the Ontario Health Insurance Plan database to identify claims for genetics consultation and amniocentesis during the 12 months before (and during) the hospital stay for the index delivery. Finally, we defined a history of a prior pregnancy with complications as any pregnancy in the preceding five years that had been associated with stillbirth or with a genetics consultation, amniocentesis or hospital admission for supervision of a high-risk pregnancy during the 12 months before delivery.
The main study outcome was the annual rate of utilization of prenatal ultrasonography. For each woman's index delivery in a given fiscal year, we considered all prenatal ultrasonography examinations performed during the 40-week period before her delivery date. We ascribed each examination to the fiscal year during which she delivered. Ultrasound examinations performed on an inpatient basis are not captured by the Ontario Health Insurance Plan database.
In secondary analyses, we used the same multivariate model to generate the RR for undergoing prenatal ultrasonography in 2006 relative to 1996, stratified by maternal age at delivery, neighbourhood income quintile, place of residence (urban v. rural), any maternal diabetes mellitus (yes v. no) and any maternal hypertension (yes v. no). To evaluate whether the number of ultrasound examinations performed during pregnancy changed over time, we categorized all index pregnancies in 1996 into approximate quartiles, according to the number of second- and third-trimester ultrasound examinations per pregnancy. First-trimester examinations were excluded from this particular analysis to remove the potential effect of the recent introduction of first-trimester ultrasound testing for nuchal translucency. We used the same regression models as above to estimate the adjusted RR for the proportion of women receiving the fixed categorized number of ultrasound examinations in each year relative to 1996, both for the entire cohort and stratified by low-risk versus high-risk status.
We captured data for 1 424 767 in-hospital deliveries over the 11-year study period. A total of 25 378 deliveries were excluded because of multiple-gestation pregnancies (n = 22 785), a second delivery within the same fiscal year (n = 1628), extremes of maternal age (n = 665) or delivery after 20 weeks' gestation in association with an abortive procedure (n = 300). The final study sample was 1 399 389 singleton deliveries (Table 1).
The annual number of ultrasound examinations increased linearly over the study period (p for trend < 0.001;Figure 1). The rate rose from 2055 per 1000 pregnancies in 1996 to 3264 per 1000 in 2006, which represents a crude 11-year RR (i.e., increase in utilization) of 1.59 (95% CI 1.58–1.60) and an adjusted RR of 1.55 (95% CI 1.54–1.55) (Table 2).
Figure 1: Relative risk (RR) of undergoing obstetric ultrasonography from fiscal year 1996/97 to fiscal year 2006/07. Increases in the annual rate of prenatal ultrasonography are expressed as relative risk, with fiscal year 1996/97 as the referent. Data were adjusted for maternal age, income quintile, rural versus urban place of residence, any diabetes mellitus, any hypertension, any other maternal comorbidity, genetics consultation and amniocentesis — all in the index pregnancy — and a history of complications in a prior pregnancy. For all trends, p < 0.001. CI = confidence interval.
The magnitude of the increase in ultrasonography rates over the 11-year study period was similar for women with low-risk pregnancies (adjusted RR 1.54, 95% CI 1.53–1.55, 2006 relative to 1996) and those with high-risk pregnancies (adjusted RR 1.55, 95% CI 1.54–1.57) (Figure 1, Table 2) and for examinations performed in the second and third trimesters (adjusted RR 1.45, 95% CI 1.44–1.46) (Figure 1). Although within-stratum interactions were statistically significant (p < 0.001), the magnitude of the adjusted RRs was comparable upon stratification by maternal characteristics (Figure 2). The relative increase in ultrasonography across the 11-year study period was evident in all trimesters, but was most pronounced for examinations performed in the first trimester (Figure 2).
Figure 2: Relative risk (RR) of undergoing obstetric ultrasonography in fiscal year 2006/07 relative to fiscal year 1996/97. Data were adjusted for maternal age, income quintile, rural versus urban place of residence, any diabetes mellitus, any hypertension, any other maternal comorbidity, genetics consultation and amniocentesis — all in the index pregnancy — and a history of complications in a prior pregnancy. For all within-stratum interaction terms, p < 0.001. CI = confidence interval.
In 1996, the quartiles for the number of ultrasound examinations performed in the second and third trimesters were zero or one, two, three, and four or more (Table 3). Among all women, the proportion of pregnancies with four or more fetal ultrasound examinations in the second or third trimester rose from 6.4% in 1996 to 18.7% in 2006, corresponding to an adjusted RR of 2.68 (95% CI 2.61–2.74) across the decade. This change was more pronounced among low-risk pregnancies (adjusted RR, 2.92, 95% CI 2.83–3.01) than among high-risk pregnancies (adjusted RR 2.25, 95% CI 2.16–2.35). By 2006, more than one-third (37.2%) of all women were receiving three or more ultrasound examinations during the second and third trimesters of pregnancy (Table 3).
In a health care system with universal access to prenatal services, we observed a 55% relative increase (adjusted) in the use of outpatient obstetric ultrasonography among singleton pregnancies over the decade from 1996/97 to 2006/07. This change was statistically significant and robust across subgroups, regardless of pregnancy risk, maternal demographic characteristics or maternal comorbidities. By 2006, over one-third of women with a singleton pregnancy were undergoing three or more outpatient ultrasound examinations during the second and third trimesters.
More than one-third of women now undergo three or more ultrasound examinations during the second and third trimesters of a singleton pregnancy, a rate that appears to be climbing for reasons unrelated to changes in maternal risk. As such, there is a need for patients, clinicians and policy-makers to carefully consider the optimal number of obstetric ultrasound examinations per pregnancy. Assuming an average cost of $64 per examination (based on the 2008 fee schedule in Ontario 33), we estimate that the cumulative amount in fees for additional prenatal ultrasound examinations performed since 1996 was $30 million. Given the high aggregate costs of prenatal ultrasonography (because pregnancy is so common) and the evidence of potential overuse in populations not at high risk, health policy-makers could make a legitimate argument that costs be contained in groups for whom there is no documented benefit. Indeed, after the first trimester, most current guidelines recommend only a single second-trimester anatomic ultrasound examination during a pregnancy without complications. 6,7 However, obstetricians function in the highest-risk medico-legal environment, where the implicit rules governing practice may differ from those in other domains of medicine, including the need to reassure patients through safe and relatively inexpensive tests like ultrasonography. 21,22 In publicly funded health systems, citizens are key stakeholders in this debate, and efforts to engage citizens in deliberations about setting health care priorities should be encouraged. 34 Various options for optimizing the use of obstetric ultrasonography, such as preauthorization of claims and changes to the fee schedule, will require debate and will necessarily demand a balance between policy pragmatism and an honest acknowledgement of defensive practice styles among individual providers.
Our study has some limitations. First, we had to estimate the trimester in which ultrasonography had been performed. Therefore, for preterm deliveries, some examinations actually completed in the first or second trimester would have been ascribed to a later period in the pregnancy, which would have led us to underestimate the number of first-trimester examinations. To counter this effect, we excluded multifetal pregnancies and adjusted for maternal risk, each of which is more likely to result in preterm delivery. Second, we excluded women who aborted before 20 weeks' gestation, some of whom might have been considered to be at high risk. The remaining women in our study cohort whose pregnancies were defined as "high-risk" might have had a lower disease burden than the entire population of women with high-risk pregnancies, which might have limited somewhat the generalizability of our findings to pregnancies extending beyond 20 weeks' gestation. Third, we did not have data about trends in the locations where the prenatal ultrasound examinations were performed, such as private physicians' offices versus hospital-based facilities. Future studies will be needed to examine potential system-level reasons for the trends we observed. Finally, since the Ontario Health Insurance Plan database does not provide the indications for prenatal ultrasonography, we could not directly assess the appropriateness of the patterns of use that we observed. A detailed chart review, combined with surveys or interviews of mothers and their pregnancy caregivers, might better elucidate the underlying reasons for the rising use of prenatal ultrasonography.
In conclusion, there has been a substantial increase in the use of prenatal ultrasonography in the past decade, and more than one-third of women with a singleton pregnancy now receive three or more ultrasound examinations during the second and third trimesters. Efforts to promote more appropriate use of prenatal ultrasonography in low-risk groups appear warranted, but careful debate will be required to determine the most effective and acceptable approaches to achieve this goal.
Contributors: All authors contributed to the concept and design of the study. Drs. You and Ray drafted the manuscript. All authors contributed to the analysis and interpretation of data, critically revised the manuscript for important intellectual content and approved the final version.
Funding: John You is supported by a Career Scientist Award from the Ontario Ministry of Health and Long-Term Care. Joel Ray is supported by a New Investigator Award from the Canadian Institutes of Health Research. The Institute for Clinical Evaluative Sciences receives core operating funding in the form of an annual grant from the Ontario Ministry of Health and Long-Term Care. This study was funded by an operating grant from the Canadian Institutes of Health Research and was supported by the Institute for Clinical Evaluative Sciences. None of the funding sources had a role in the design and conduct of the study; the collection, management, analysis or interpretation of the data; or the preparation, review or approval of the manuscript. The opinions, results and conclusions reported in this paper are those of the authors and are independent from the funding sources. No endorsement by the Institute for Clinical Evaluative Sciences or the Ontario Ministry of Health and Long-Term Care is intended or should be inferred.
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Iglehart JK. Health insurers and medical-imaging policy — a work in progress. N Engl J Med 2009;360:1030–7.
Redberg RF, Walsh J. Pay now, benefits may follow — the case of cardiac computed tomographic angiography. N Engl J Med 2008;359:2309–11.
Canadian Institute for Health Information. Medical imaging in Canada, 2007. Ottawa (ON): The Institute; 2008. Available: http://secure.cihi.ca/cihiweb/dispPage.jsp?cw_page=PG_877_E&cw_topic=877&cw_rel=AR_1043_E#full (accessed 2009 Nov. 5).
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Q: Compiler option for missing include file on Linux It's been a while since I've dealt with C/C++, so forgive me if this is a ridiculously easy to answer question - I just don't quite know how to "Google" it.
I have a file, "MyFile.h" that includes file "includedFile.h". However, the compiler cannot find the file. Please see below picture:

What I'm doing is moving the project from an old Solaris box to a Linux box. The weird thing is that it worked on the Solaris box as-is but Linux is a little confused.
The makefile that I use for the project hasn't changed either which makes me think that it may be a compiler option...
So how do I tell the compiler on Linux where that include file is, or how do I specify it in "MyFile.h?"

A: With gcc and clang, you specify the include path using -I:
g++ -o myprogram main.cc extra.cc -I/usr/include/boost -I/my/extra/include/files
You can specify full paths in your files, as in #include "/path/to/my/includedfile.h", but I strongly discourage this as it forces everyone who wants to compile your code to comply with that directory layout.
Also relevant: Read the following link for the difference between #include <file> and #include "file"  in gcc: http://gcc.gnu.org/onlinedocs/cpp/Include-Syntax.html

A: Assuming you are using g++, you pass a path with the -I flag.
g++ ..... -I<a path to your includes> -I<another path to includes>

redpajama_set_name: RedPajamaStackExchange


bring wine up to a simmer over medium-low heat in a small saucepan + allow it to reduce by about half, about 10 - 15 minutes.
stir in the chocolate until completely smooth + melted, then stir in milk.
pour into popsicle mold, pop in some wooden sticks + freeze overnight.
like what you see here? oh there's more where that came from. stay tuned for a sneak peek of our upcoming 6-week program for exclusive access to more wine pops like this + a whole bunch of other healthy recipes + workouts. in the meantime, when you really just need to wine(d) down from a long, hard day, enjoy this hearty (spiked) pop!


Great goofball comedy and more importantly, what a fantastic house.
I was in the house during the 90's when a client of mine was leaving it for a smaller home. It was mostly empty save for the furniture Mr Wright had designed for the house. At 10k sq feet it was Wrights largest. It was akin to walking into an enormous sculpture. It was hard to comprehend this majestic place as a home. It was an experience I'll never forget.
How come Bob has a beautiful house?


text:
China's Nio tops electric cars in quality
According to US market research agency J.D. Power, Shanghai-based Nio ranked first, followed by BMW
by DM Chan August 12, 2019 February 18, 2020
Nio's power unit is on track to operate 1,100 charging stations and 1,200 power delivery vans by 2020 in cities across mainland China. Wire photo.
New energy vehicle startup Nio has the best quality among all electric auto brands, outperforming its counterparts by established luxury car makers, the findings of a new study show.
Yicai Global reported that Shanghai-based Nio ranked first for quality with a score of 67 PP100, or the number of problems experienced per 100 vehicles, followed by BMW, which scored 82 PP100, according to a study by US market research agency J.D. Power released today.
Nio and WM Motor were the only two Chinese NEV startups included in the research, the report said.
The industry average was 89 problems per 100 vehicles, with Chinese NEV brands by traditional car manufacturers having the most at 90 PP100. Luxury brands scored best with 69 PP100.
The top four complaints by green car owners were insufficient engine power (2.7 PP100), slow charging speed (1.9 PP100), abnormal reduction of endurance mileage (1.8 PP100) and abnormal powertrain noises (1.4 PP100).
In general, though, NEV owners were satisfied with their overall user experience, such as performance, operation and design, the report said.
The research, covering 41 models from 21 brands, is based on feedback from 2,770 car owners who bought their vehicles between last September and March this year.
It focuses on the quality issues encountered by NEV owners within the first two to six months of ownership.
Nio represents the class of EV startups that could shake up the Chinese auto industry by building brands with an image premium enough to appeal to China's rich customers, who have always looked to German, Japanese, and American brands.
Meanwhile, after laying off 70 workers and closing an office in the US, Chinese automaker Nio is searching its cupboards for cash, GreenCarReports reported.
EV sales have foundered in China this year after generous subsidies expired. and several companies have delayed or abandoned expansion plans. Nio seems to be no exception, except that it has other resources it can look to cash in.
Nio is reportedly seeking a buyer for its power systems in China, including its charging stations and battery swap station, mobile power delivery vans, charging technology integration services, and charging station maps, the report said.
The company said it has invested US$290 million in the operations. Nio's power unit is on track to operate 1,100 charging stations and 1,200 power delivery vans by 2020 in cities across mainland China, and it aims for the launch of an independent app for Nio Power in the next two months.
The company also operates a US$1.5 billion venture investment fund in the US and is seeking new opportunities to invest in new electric car technologies.
Tagged: Business, China, China Digest