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text:
Meet Barbara Vergetis Lundin
It can be challenging to recruit team members with a strong background in engineering and mastery of the skills necessary to write and edit. Still, it certainly is not impossible. In fact, we recently added someone new to our editorial team that meets those specifications: Barbara Vergetis Lundin, who possesses an impressive record for branding and refreshing energy-related products to attract new and unique audiences.
Barbara comes to us with two degrees from the University of Wisconsin Milwaukee: one in journalism and one in English. She brings to us over 20 years in the power industry, most recently spending four years as Content Director for Informa's Design News and one year as their Content Director for Battery Technology.
She Was Wisconsin Radio DJ
We found out that, during college, Barbara was a radio DJ for 99 WMYX, which happened to be the first radio station to use the moniker "The Mix." She claims they hired her not for her mixing skills but so that her mom would stop winning their contests.
We think she is just being modest and plan to verify that when we make her the DJ at the next office holiday party. And perhaps, more importantly, we want to know her mom's secret to winning those contests.
We also think it's cool that Barbara still lives in Wisconsin with her husband of 28 years and their two sons. They currently reside in Oshkosh, probably best known for the OshKosh B'Gosh brand of clothing and shoes and the world's largest airshow EAA AirVenture Oshkosh.
Lots of Energy
Barbara puts a significant amount of energy into her work, literally. She started in print journalism over 20 years ago in the energy industry when she was asked to launch an energy-specific publication.
She must have done an excellent job: from there, she was sought after to start an energy portal for Financial Times Energy, Fierce/Questex's Energy Group, and, subsequently and most recently, Informa's Battery Technology publication.
And now, having been attracted by our technology forward nature and close-knit work culture, Barbara is ready to put her powerful editing and writing skills to work for EETech.
Barbara + EETech = Powerful Combination
As we mentioned earlier, Barbara has spent 20 years in the power industry, so it's not shocking (pun most definitely intended) that we are delighted to channel the skills and experience she earned. She rounds out our already incredible editorial team and hopes to balance it with an additional technical editor and/or an engineering role. Then Barbara can focus a little more on a refresh for EEPower while telling the story of why engineers (like you, perhaps) should be reading it regularly.
And if you see Barbara around, welcome her to EETech and then help us find out how her mom won so many radio contests.

redpajama_set_name: RedPajamaCommonCrawl


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Give your fishing experience the extra touch of nature.
Sizing: Multiply your height by .73 and round to the nearest increment.


text:
Saipem and Curtiss-Wright sign a strategic partnership for a new technology for subsea pumps
édité le 17/07/2018 - Plus de news de "SAIPEM" - Voir la fiche entreprise de "SAIPEM"
Saipem and Curtiss-Wright Corporation have signed an Exclusive Cooperation Agreement for the development of a new technology for barrier fluid-less subsea pumps for water treatment and injection applications.
The development of the barrier fluid-less pump is a derivative technology application of Curtiss-Wright's internationally recognised commercial expertise in the nuclear sector. Its hallmarks are high reliability and maintenance-free equipment designs.
To qualify this new technology, Saipem and Curtiss Wright will develop, build and test a full-scale prototype of a barrier fluid-less pump. This represents a cornerstone of the all-electric strategy to replace conventional hydraulic umbilicals with power/control cables in subsea processing applications. This technology can be beneficial both for subsea desulfation technology co-owned by Saipem, Total and Veolia, known as SPRINGS®, and for all of Saipem's proprietary subsea processing technologies.
Stefano Porcari, COO of Saipem's E&C Offshore Division, commented: "The strategic partnership with Curtiss-Wright marks a fundamental milestone for the technology development program Saipem has commenced in order to become a point of reference in the Subsea Processing Market. Reliability, innovative design and a relentless focus on quality are the pillars of such a journey towards the next frontiers of subsea oil development. Today, we set the basis for the success of our product and service portfolio on the Subsea Processing Market."
"We are very excited that the agreement with Saipem will allow Curtiss-Wright to bring its advanced motor technology to the subsea oil and gas market with a world-class integrator," said David C. Adams, Chairman and CEO of Curtiss-Wright Corporation. "By leveraging decades of experience in supplying equipment for some of the most demanding applications, the fluid-less solution will provide significantly reduced support infrastructure needs and a step-change in subsea motor and pump reliability." Saipem is one of the world leaders in drilling services, as well as in the engineering, procurement, construction and installation of pipelines and complex projects, onshore and offshore, in the oil & gas market. The company has distinctive competences in operations in harsh environments, remote areas and deepwater. Saipem provides a full range of services with "EPC" and "EPCI" contracts (on a "turn-key" basis) and has distinctive capabilities and unique assets with a high technological content.
About Saipem
Saipem is one of the world leaders in drilling services, as well as in the engineering, procurement, construction and installation of pipelines and complex projects, onshore and offshore, in the oil & gas market. The company has distinctive competences in operations in harsh environments, remote areas and deepwater. Saipem provides a full range of services with "EPC" and "EPCI" contracts (on a "turn-key" basis) and has distinctive capabilities and unique assets with a high technological content.
About Curtiss-Wright Corporation
Curtiss-Wright Corporation (NYSE:CW) is a global innovative company that delivers highly engineered, critical function products and services to the commercial, industrial, defense and energy markets. Building on the heritage of Glenn Curtiss and the Wright brothers, Curtiss-Wright has a long tradition of providing reliable solutions through trusted customer relationships. The company employs approximately 8,600 people worldwide.
Origine : Communiqué SAIPEM
Voir la fiche entreprise de "SAIPEM"
Les dernières news de "SAIPEM"
27/12/2019 - Saipem: new contracts and extensions on existing contracts in Onshore Drilling and Offshore Drilling worth overall approximately 1.7 billion USD
14/11/2019 - Saipem: new subsea contract in Guyana and variation orders on ongoing offshore E&C contracts worth overall approximately 880 million USD
11/11/2019 - Saipem: Strategic Cooperation Agreement with Daewoo E&C Co. Ltd for onshore projects, with a focus on LNG
16/10/2019 - Saipem: new offshore E&C contracts awarded by BP in Azerbaijan worth around 145 million USD
12/09/2019 - Saipem S.p.A. in joint venture with Daewoo E&C Co. Ltd and Chiyoda Corporation signed a 'letter of intent' with respect to the EPC Contract of the Nigeria LNG Train 7
09/08/2019 - Saipem: new contracts in offshore drilling in Romania and Abu Dhabi worth over 160 million USD
02/08/2019 - Saipem joins the JV for the realization of the Arctic LNG2 project with a share worth approximately 2.2 billion Euro
10/07/2019 - Saipem: new Onshore E&C contracts worth over USD 3.5 billion
05/06/2019 - Saipem: new EPC contract for Anadarko Mozambique LNG project with Saipem share of about 6 Billion USD
25/04/2019 - Saipem: New onshore E&C contracts in Russia ans Serbia for an aggregate value of around 500 million Euro
19/04/2019 - South Stream Transport B.V. and Saipem announce the amicable settlement of mutual differences
05/04/2019 - Saipem awarded new offshore drilling contrats totalling over 200 millions USD
14/03/2019 - Saipem: New awards of onshore drilling contracts worth approximately 220 million USD in total
18/01/2019 - Saipem: awarded two new offshore contracts from Saudi Aramco for a total of approximately 1.3 BN USD
20/12/2018 - Saipem: Letter of intend for the award of new E&C offshore work order for the ramp up to plateau phase of the Zohr Field Development project, worth more than 1.2 billion USD
19/12/2018 - Saipem: New onshore E&C contract for the Arctic LNG 2 GBS design and build project worth approximately 2.2 billion euro. The Saipem share is about 1.1 billion euro
22/10/2018 - Saipem: New E&C onshore contract awarded by Thai Oil Public Limited Company (Thaioil) for the expansion of the Sriracha Refinery in Thailand worth approximately 4 Billion USD. The Saipem share is about 1.4 Billion USD
15/10/2018 - Saipem: new Offshore E&C contracts in Azerbaijan, the North Sea and the Republic of Congo worth approximately 400 million USD in total
21/08/2018 - Saipem awarded surf contracts for Liza Phase 2 development by ExxonMobil in Guyana and other offshore E&C contracts Worth approximately 700 million USD
26/07/2018 - Saipem: New onshore E&C contracts worth approximately 800 million USD in total
17/07/2018 - Saipem and Curtiss-Wright sign a strategic partnership for a new technology for subsea pumps
08/06/2018 - Saipem: new onshore E&C contract for the construction of the Nong Fab regazeification plant in Thailand for a value of approximately 500 Million USD
04/06/2018 - Saipem awarded e new E&C offshore contract in the Middle East worth approximately 1.3 Billion USD
23/04/2018 - Saipem awarded new contracts in offshore drilling and offshore E&C worth approximately 190 million USD in total
22/03/2018 - Saipem Buys the Lewek Constellation vessel
06/03/2018 - Saipem's technology behind launch of offset installation equipement
15/02/2018 - Saipem awarded a new Onshore E&C contract in Oman worth approximately 750 million USD
14/02/2018 - Sonatrach and Saipem announce the amicable settlement of mutual differences
01/12/2017 - Saipem: awarded new E&C Offshore contract in Saudi Arabia and additional works of existing contracts in West Africa for approximately 400 million USD
17/11/2017 - Saipem awarded new onshore E&C contracts in Saudi Arabia and Mexico and additional works of existing contracts in Saudi Arabia and Kazakhstan for a total value of approximately 1 billion USD
16/10/2017 - Saipem: introducing the division XSIGHT by Saipem
10/10/2017 - Saipem: new offshore E&C acquisition in Chile and Mexico worth approximately 350 million USD
31/08/2017 - Saipem: New awards in the offshore E&C sector worth approximately 370 Million USD
17/08/2017 - Saipem awarded a new onshore E&C contract in Kuwait worth approximately 850 million USD
28/07/2017 - Saipem awarded offshore contract variations worth 900 million USD for the optimises ramp up phase of the Zohr field developpment project
03/07/2017 - Saipem awarded new E&C offshore contract, an extension to an FPSO contract and change orders for a total value of $500 million
02/06/2017 - Saipem: new offshore drilling contracts in Mozambique, the méditerranean and the Black Sea for a total value of $230 million
10/05/2017 - Saipem: new EPCI contract awarded by ExxonMobil for development of the offshore field
23/03/2017 - Saipem and Siemens to cooperate on subsea control system technology
24/02/2017 - Saipem Board of Directors approves 2016 preliminary consolidated results
18/01/2017 - Saipem: new onshore drilling contracts awarded for a total value of $240 million
15/12/2016 - Saipem 7000 new award in the North Sea
10/11/2016 - Saipem secures new E&C offshore contracts for about 1 billion dollars
22/09/2016 - Saipem: USD430 million new offshore drilling contracts
28/07/2016 - Saipem awarded new onshore and offshore E&C contracts in indonesia
07/07/2016 - Saipem awarded new E&C contracts worth over 1.5 billion euros, including the Zohr Field Development Project
20/06/2016 - Saipem and Novatek sign strategic partnership and cooperation agreement focused on LNG facilities
10/06/2016 - Saipem signs co-ownership and exclusive commercialization agreement for springs - A subsea water treatment technology for deepwater application
03/05/2016 - Saipem awarded new USD1.3BN contract for Shah Deniz Stage 2
02/05/2016 - Saipem: New records established during installation of two free standing hybrid risers in Brazilian pre-salt region
Toutes les news de "SAIPEM"
20/01 - Gazprom Neft and Shell to expand their joint project to develop the Salym Group of fields in KhMAO (lue 94 fois)


Free Shuttle from Brussels Midi Station upon request. For GPS users, enter "rue Lambert Crickx"
Free Shuttle from Brussels Midi Station upon request. For GPS users, enter "Rue Lambert Crickx".
The Be Manos has been selected amongst the 65 most luxurious and most trendy hotels in the world by Condé Nast Traveller, but was also elected by the CNBC Business Magazine to figure in the top 25 of Best Business Hotels in Europe.
The Hotel, with its Rooms and De Luxe Suites decorated in Black and White with natural black stone floors, metallic curtains, joyful photographs laid in aluminum, terraces with a panoramic view is a mixture of esthetics, luxury and timeless design.
Being a tourist or a businessman, it offers you a personalized welcome by trying to reinvent the art of the high class hotel service. A unique experience to live, to be part of and to come back to, as though it was your home.


text:
Andrew Dominik Reacts to the Ongoing 'Blonde' Backlash, Says "Americans Hated the Movie!"
Apryl Jones And Taye Diggs Have Gotten Married Secretly! They Show Off Their Wedding Rings On Instagram!
Mitzi Francis
Andrew Dominik has responded to the criticism that was made against his Marilyn Monroe biopic Blonde for Netflix, which caused a significant rift in public opinion after its global debut in Venice.
The director stated at the Red Sea International Picture Festival in Saudi Arabia that American spectators had the most negative reactions to the film – "they hated the movie!" — and argued that when it came to legendary Americans like Monroe, all they wanted was a celebration.
"Nowadays, it's necessary to portray women as powerful, and they want to remake Marilyn Monroe as an empowered woman." "That's what they're looking for," he explained. "And it irritates them if you don't show them that."
Instead, he said that Blonde, in which Ana de Armas played Monroe, was accused of exploiting her.'
"Which is odd, considering she's dead." "The film makes no impact in any manner," he remarked. "What they actually mean is that the film took advantage of their memories of her, their picture of her, which is understandable."
"But that's the entire point of the film. It's attempting to use her life's iconography to serve another purpose, to take things you're acquainted with and turn the meaning inside out. But it is not what they want to see."
Dominik, an Australian who grew up in the 1980s, said he was "really pleased" that Blonde had "outraged so many people."
He also said that American films were becoming "more conservative," as if they were bedtime stories in which everyone already knew every word and any change would elicit a reaction. "But I'm not interested in writing bedtime stories."
Despite the outcry, Dominik claims that "tens of millions" of viewers viewed Blonde on Netflix.
The Hollywood Reporter first broke the news!
Mitzi Francis is a content editor at The Landscape Insight. With a background in journalism and a passion for storytelling, Mitzi brings a unique perspective to his role at the publication. He is committed to delivering high-quality, informative content to his readers.
Fans Believe That Taylor Swift's Album "Midnights" Crashed Spotify
American singer Taylor Swift's tenth album returns to the dazzling synth-pop of…
Laurence Fishburne Says Matrix Resurrections Hasn't Met His Expectations!
The Matrix Resurrections, which was released earlier in 2021, is a sequel…
Two Sisters Of Carly Simon Passed Away This Week On Consecutive Days!
Legendary musician Carly Simon had a week to forget when cancer claimed…


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We support local businesses by purchasing the majority of our supplies and lumber from local companies.
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Roofs are vital to a building's integrity and longevity. Resident and business owners who want to enjoy their rooftops without fear of being exposed to the elements or high utility bills can get the peace of mind they want when they rely on Guardian Roofing & Exteriors.


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Pair of Modern Contemporary 2 storey townhouses featuring timber on the facade and hidden door on the garage with Linear feature bricks and render. A coastal palette exterior and interior. Each townhouse slightly different in colour palette and materials with high-quality finish.


text:
Tekija (izvirno ) je naselje v Srbiji, ki upravno spada pod Občino Kladovo; slednja pa je del Borskega upravnega okraja.

Demografija
V naselju živi 799 polnoletnih prebivalcev, pri čemer je njihova povprečna starost 42,3 let (39,8 pri moških in 45,0 pri ženskah). Naselje ima 325 gospodinjstev, pri čemer je povprečno število članov na gospodinjstvo 2,98.

To naselje je, glede na rezultate popisa iz leta 2002, večinoma srbsko.

Viri in opombe

Glej tudi
 seznam naselij v Srbiji

Naselja Borskega upravnega okraja

redpajama_set_name: RedPajamaWikipedia


text:
Book of the week: A Handbook For My Lover by Rosalyn D'Mello
An erotic ode to love, desire and language
By Team Elle February 16th, 2016
Cliffsnotes: A Handbook for My Lover by Rosalyn D'Mello is an erotic non-fiction memoir that chronicles six years of her love affair with a much older man that seems fated to end. Told in the form of long, lyrical letters to her lover (who does not read) – the author lays bare her desires, insecurities, sexual appetite and history. This archive is equally a love letter to food and language that often seem to be for her, as thrilling as sex.
Get a taste: D'Mello lays down her only law – excess. She wants every pleasure of the flesh and she won't apologise for it.
"I will not be moderate.
I want everything from life or nothing at all.
I want everything!
I want my garden of earthly delights with all the seven deadly sins for company.
No, I am not meek or humble, pure in heart or selfless. And I don't want paradise with its happy endings and countless beginnings.
I want a feast of sin and flesh.
I want this world, not the next."
Author 101: Thirty-year-old D'Mello, a reputed art journalist and columnist, has previously compiled and edited The Zubaan Anthology of Erotic Writing. The idea for the book came to her after a phone conversation with her lover just a few months into their long-distance relationship – when he jealously asks how many lovers she's had before him. D'Mello says she had to quit her job in the marketing and sales department of a publishing house and take up freelance work for the six years she spent writing her book because no publisher would give her an advance.
Fun fact: D'Mello wrote to legendary literary agent David Godwin on a whim after multiple Indian publishers politely turned down her book for its somewhat vague premise. Her proposal letter, she told Scroll, was "a formal mess". Not according to Godwin evidently, who got back immediately asking to know more about her and less than a week later, agreed to represent her.
Similar reads: The Private Life of Mrs Sharma by Ratika Kapur; Panty by Sangeeta Bandyopadhyay (translated by Arunava Sinha)
A Handbook for My Lover (HarperCollins India) is out now


The international super group, Il Divo, will include South Africa as part of their worldwide concert tour to celebrate their 15th anniversary in November. South Africa is the only country in Africa where this popular group will perform and concerts will be held in Pretoria and Cape Town.
Il Divo – which consists of Urs Buhler, Sebastien Izambard, Carlos Marin and David Miller – became world famous in 2003, after Simon Cowell of the popular reality talent show, X Factor, sought after four unique singers to bring a fresh sound to the world stage.
The guest performers at their SA performances include young Dutch star and Holland`s Got Talent winner, Amira, Zolani Mahola – the lead singer of Freshlyground – as well as Tarryn Lamb of the soapie Suidooster and former member of the Blackbyrd group. Touch of Class, top-selling duo, will also enchant audiences with their biggest hits.


There are 2 Local Health Networks and a Primary Health Network in the Northern Territory.
The NT Department of Health established eHealthNT in 2008 as the business unit in NT Department of Health with responsibility for operation of the shared electronic health record service (My eHealth Record or MeHR) and other eHealth solutions and services such the Secure Electronic Messaging Service (SEMS).
In 2014, NT Health began a program to transition from the MeHR to the national PCEHR, known as M2N.


text:
Телласій Олібрій (Tellasius Olibrium)(*471—493) — син Одоакра короля Італії. У 490 році оголошений своїм батьком Цезарем. Брав участь у битві на річці Адда проти остготів на чолі із Теодорихом. У 493 році відправлено заручником до табору остготів напередодні перемовин Одоакра і Теодориха. Після вбивства батька відправлено до Галлії. Невдовзі при спробі втекти Теласія було вбито.

Джерела
 John M. O'Flynn: Generalissimos of the western Roman Empire. University of Alberta Press, Edmonton 1983, ISBN 0-888-64031-5.
 Herwig Wolfram: Gotische Studien. Volk und Herrschaft im Frühen Mittelalter. C. H. Beck, München 2005, ISBN 3-406-52957-7.

Скіри
Римські узурпатори
Народились 471
Померли 493

de:Thela


text:
LLNL's David Brow...
LLNL's David Brown named new director of CRD
Currently deputy associate director for Science and Technology in the Computation Directorate at Lawrence Livermore National Laboratory (LLNL), USA, David Brown has been named as the new director for the Computational Research Division (CRD) at Lawrence Berkeley National Laboratory, USA. In his new position, Brown will provide scientific leadership for CRD research and development programs in mathematics, computer science and computational science, and serve as chief spokesperson for CRD in interactions with external agencies, including the US Department of Energy (DOE).
Brown earned his Ph.D. in Applied Mathematics from the California Institute of Technology in 1982. He also holds a B.S. in Physics and an M.S. in Geophysics from Stanford University, where his father was a professor. Following 14 years as a research staff member and manager at Los Alamos National Laboratory, Brown joined LLNL's Computation Directorate in 1998. He was the first Computational Mathematics group leader in the Center for Applied Scientific Computing and later became the Deputy Department Head for Science & Technology in the Computing Applications and Research Department. He has been the Computation Directorate LDRD point of contact for six years and LLNL's principal point of contact for ASCR for the past four years.
Brown's research expertise and interests lie in the development and analysis of algorithms for the solution of partial differential equations (PDEs). In particular, his research has focused on adaptive composite overlapping grid techniques for solving PDEs in complex moving geometries and in the analysis of difference approximations for PDEs. At LLNL, he led the Overture project, which in 2001 was named one of the 100 'most important discoveries in the past 25 years' by the DOE Office of Science. Brown will join Berkeley Lab on 30 August 2011.


text:
Nutrition Issues In Gastroenterology, Series #167
Seeking Enteral Autonomy with Teduglutide
September 2017 • Volume XLI, Issue 9
Andrew P. Copland,
Brian Behm,
Carol Rees Parrish
Patients with short bowel syndrome (SBS) often struggle to maintain nutrition and hydration status. Using a combination of diet and pharmacotherapies, partial or full enteral autonomy may be achievable over time as the bowel adapts. There are select groups that cannot achieve autonomy with conventional therapy, but with augmentation of the absorptive capacity of their existing small bowel, autonomy may be feasible and quality of life significantly improved. With the approval of the GLP-2 analog intestinotrophic agent teduglutide, adaptation and intestinal absorption enhancement is possible. This article describes the course of 7 patients on maximal conventional SBS therapy who achieved either enteral autonomy or significant improvements in nutritional status, stool and urine output, and quality of life after initiation of teduglutide.
Andrew P. Copland MD, Assistant Professor of Medicine, Division of Gastroenterology and Hepatology, Brian Behm MD, MS, Associate Professor of Medicine, Division of Gastroenterology and Hepatology, Carol Rees Parrish MS, RD, Nutrition Support Specialist, University of Virginia Health System, Digestive Health Center, Charlottesville, VA
Short bowel syndrome (SBS) causes severe malabsorption most often due to significant resection or defunctionalized segments of the small intestine. It presents an extremely difficult challenge for clinicians and is a life altering condition for patients. Despite aggressive management of SBS with dietary modification and gut slowing agents, the use of parenteral nutrition (PN) is often required to maintain adequate nutrition and hydration. Resource utilization and healthcare costs for the necessary care of short bowel patients are high and our current healthcare system does not lend itself to the time needed in caring for these patients.
The goal of autonomy from PN facilitates avoiding both complications of SBS as well as those of PN such as line infections and vascular thrombosis. Successful enteral autonomy is achieved by enlisting a multifaceted approach including: dietary modification to initiate and stimulate intestinal adaptation, fluid management, and pharmacotherapy. The goal of this approach is to gradually decrease (or eliminate) a patient's dependence on intravenous fluids and PN. The introduction of intestinal mucosal trophic agents such as the glucagon- like peptide 2 (GLP-2) analog, teduglutide, has added another facet to this approach. Incorporating the strategic use of trophic agents such as teduglutide may reduce or eliminate PN requirements in previously PN- dependent patients.
Endogenous GLP-2 is a locally active hormone secreted from the terminal ileum/proximal colon promoting crypt cell growth and reducing enterocyte apoptosis, while also stimulating intestinal blood flow. Early research demonstrated that exogenous GLP-2 stimulated growth of the intestinal mucosa, which led to enhanced fluid and nutrient absorption. Clinical trials of the GLP-2 analog, teduglutide, demonstrated improved intestinal function in short bowel patients. The first randomized control trial performed to evaluate the efficacy of teduglutide in SBS showed a significant decrease in dependence on parenteral support over a 24- week period.1 The 28-week extension of this trial (52 total weeks of treatment) demonstrated that over 50% of patients had a 20% or more decrease in PN dependence.2 In a subsequent 2 year open-label extension trial, an even more significant reduction in total PN volume was described in patients treated with teduglutide with 15% (13/88) patients enrolled achieving full enteral autonomy.3
The following illustrates our institution's experience with 7 cases where strategic use of teduglutide was utilized for short bowel patients on otherwise maximal therapy. Patient initials have been changed to protect patient confidentiality.
WS is a 66 y/o female with a history of SBS as a result of mesenteric ischemia. Her GI anatomy consists of 105cm of normal proximal small bowel terminating in an end jejunostomy. She was unable to maintain adequate hydration status 18 months post-op from bowel resection with significant ostomy output making enteral feeding quite difficult. She was initiated on teduglutide after maximizing the use of high dose codeine. She was long past the hypersecretory phase. Over the initial 3 months of teduglutide therapy, she successfully transitioned from nightly IV hydration fluids to nocturnal oral rehydration therapy infused via a gastrostomy tube. Her urine output increased significantly during this time indicating improved hydration and her stool output became much more manageable. Over the first year of therapy with teduglutide, WS was able to gradually reduce nightly hydration via gastrostomy; 13 months after initiating teduglutide she was succeeding with oral nutrition and hydration alone. She now has enteral autonomy, her gastrostomy is removed, and she relies on careful management of her PO diet in addition to gut slowing agents, which we were also able to wean. She now volunteers at the hospital and exercises at the gym 3 times a week.
WS stands as an example for the potential for using intestinal growth factors such as teduglutide to free patients from the use of PN, IV fluids, and augmentation of nutrient absorption via gastrostomy. She also highlights the usefulness of gastrostomy tubes in this patient population. With careful management, many patients with significant malabsorption can be managed quite well by a combination of enteral feedings (or oral rehydration) instilled slowly through a nasogastric or gastrostomy tube via a pump. This can be a very effective tool in patients who are unable to wean from PN or IV fluids, and/or tolerate sufficient PO intake. See Box 1.
LP is a 31 y/o gentleman with a history of SBS as a result of necrotizing enterocolitis as a child. His GI anatomy consists of 30cm of normal proximal small bowel anastomosed to 50cm of distal colon. Prior to starting teduglutide, he was transitioned from PN to a regimen of nocturnal enteral feeding via PEG in addition to nightly IV fluids. This was sufficient for him to maintain a marginal weight and urine output. Escalation of gut slowing agents was somewhat limited by a history of bowel obstruction. After initiation of teduglutide at a standard dose, he had a significant improvement in his weight over the initial 6 months of therapy. While his weight stabilized at his goal, he was able to decrease the amount of tube feeding required to maintain this weight in addition to oral intake. His urine output gradually improved to over 1L daily with a decreased IV fluid requirement. He has been maintained on teduglutide for 3 years and continues on a stable regimen at or around his goal weight. As his strength increased, he began working longer hours and started an exercise program. We had to increase his enteral feedings overnight to compensate for his higher energy expenditure.
LP experienced no significant side effects from initiation of teduglutide. Three years into therapy, he was admitted for 7 days for symptomatic small bowel obstruction. This was managed conservatively and required no surgical intervention. He was subsequently restarted on ? dose teduglutide 2 weeks after discharge, which he tolerated well and then progressed back to full dose. During this brief period, he experienced increased stool output and mild weight loss, so his nutrition support was adjusted as needed. See Box 2.
JF is a 48 y/o female with a distant history of Roux-en-Y gastric bypass now with SBS as a result of a volvulus followed by significant bowel ischemia. Her GI anatomy consists of Roux-en-Y gastric bypass anatomy to small bowel to colon via an ileocolic anastomosis. She had been on PN for 7 years. However, because of a history of multiple line infections, it was decided to hold her PN, optimize gut slowing, and enlist intense diet and hydration instruction. She did well at first, but difficulty with adherence ultimately resulted in precipitous weight loss and significant fat-soluble vitamin deficiency. We then admitted her for a nocturnal enteral feeding trial with concurrent 72 hour fecal fat collection to determine if she had sufficient absorptive capacity. However her fecal fat wasting was profound so further enteral feeding was abandoned. She was restarted on PN and gradually made improvements in both her weight and hydration status. She was then started on teduglutide. She had a history of lower extremity edema prior to teduglutide initiation, but did not require titration of her diuretics during the first few months of therapy. She currently has manageable stool output and is on chronic narcotics for pain, but no additional gut slowing agents.
Initiation of teduglutide has resulted in improved weight gain and hydration status over the first 5 months of therapy and resolution of her lower extremity edema. This case is significantly complicated by the pre- existing Roux-en-Y gastric bypass anatomy, which requires particular attention to the risks of vitamin deficiency. Non-adherence played a partial role as well. Fluid retention is a known risk of teduglutide and may require careful observation for rapid weight gain and/or edema during the initiation weeks to months after starting therapy in those who are sensitive to fluid overload. As of this writing, she has reached her goal weight, and we are planning to decrease PN from 7 to 6 days, giving her a night off PN every week. See Box 3.
MS is a 47 y/o gentleman with a history of SBS as a result of mesenteric ischemia secondary to thrombosis. His GI anatomy consists of approximately 200cm of small bowel terminating in an end-ileostomy. There is a suggestion of dilated, defunctionalized bowel on small bowel imaging. Although he has a significant amount of colon, it is not in continuity. Prior to starting teduglutide, he attempted discontinuation of his PN with dramatic weight loss and high ostomy output with attempts at increased PO. He was admitted for a combination SBS diet and nocturnal enteral feeding trial using a nasogastric tube concurrent with a 72-hour fecal fat collection and demonstrated significant malabsorption with high ostomy output despite high dose gut slowing agents. He had also experienced stomal stenosis, which required dilation. He was initiated on a half- dose of teduglutide because of the stomal stenosis and demonstrated a robust response while on a combination of PO intake with no change in his PN solution. His weight improved over 3 months nearing his goal weight and his ostomy output required decreasing doses of gut slowing agents. Over the subsequent few months, he experienced more discomfort around the stenosis of his end ileostomy altering his oral intake and worsening his ostomy output due to outflow diarrhea. A decision was made to revise this site with plan for placement of the colon back in continuity with the small bowel in an effort to facilitate improved enteral absorption and fluid management and possibly permit weaning of PN. See Box 4.
CR is a 50 y/o female with a history of SBS as a result of surgery and radiation therapy for cervical cancer. Multiple surgeries for mechanical bowel obstruction resulted in her GI anatomy consisting of 45cm of viable small bowel and an additional 35cm of irradiated, defunctionalized bowel anastomosed to the colon with the sigmoid colon terminating in an end ostomy. Prior to starting teduglutide, CR was unable to reach her goal weight or control her stool output despite PN for nutrition support and attempts at gut slowing. CR has had a great deal of difficulty adhering to medication/ nutrition regimens and tracking her urine and stool outputs. Her clinical course has also been complicated by line infection. After initiation of teduglutide, her weight has remained relatively stable and she has tolerated a gradual tapering of her PN from 4 days/ week to 1L of IV fluids plus electrolytes and vitamins 3 days weekly. While she has not reached her goal weight, her current nutrition support strategy with IV fluids is lower risk relative to PN, and the current regimen, in combination with gut slowing and SBS diet, has been sufficient to maintain hydration and meets her preferences. See Box 5.
KJ is a 57 y/o male with longstanding Crohn's disease with prior small bowel resections in 1991 and 2001 with approximately 50% of the small bowel remaining. The patient also underwent liver transplantation in 2008 due to nodular regenerative hyperplasia. In 2012, he developed increasing GI symptoms in the setting of colonic pneumatosis. While the etiology of pneumatosis was never identified, and despite resolution on subsequent imaging, his GI symptoms did not return to baseline. PN and IV fluids were required to maintain hydration and adequate urine output. Attempts at tapering IV fluids led to reduced urine output and worsening renal function and 2 episodes of nephrolithiasis. The patient was started on teduglutide in June 2013. The patient had a significant reduction in stool volume after initiation; slower improvement in weight and urine output followed, and IV fluids were reduced 4 months later. By month 16 the patient was off IV fluids and was maintaining adequate hydration with oral intake alone. No changes in post-transplant medications were necessary, and he has enjoyed traveling both nationally and internationally without incident. See Box 6.
NN is a 54 y/o male with SBS related to Crohn's disease with multiple prior small bowel and colon resections with resultant transverse colostomy. His last surgery was in March 2016 at which time he underwent an ileocolic resection due to anastomotic stricturing. Postoperatively he struggled with high ostomy output, weight loss, and difficulty with hydration. Small bowel imaging showed approximately 100cm of small bowel remaining, and stool testing showed significant malabsorption with 97g of fat per 24 hours (normal 2-7g). He was initiated on PN in December 2016, but developed a line-related infection shortly after initiation. Teduglutide was initiated in February 2017; weight increased significantly after initiation and he was able to wean off parenteral support in July 2017. See Box 7.
Living with SBS is extremely challenging for patients, not only as a result of the short bowel and associated diarhea in particular,4 but also from the labor-intensive regimens that include careful meal planning, medication adherence, coordination of PN/IV fluids and enteral feedings from preparation to delivery to administration. All of these factors have a great impact on quality of life for patients with SBS. Anything clinicians can do to ease this burden is a worthy goal. This requires focusing on issues that are most important to patients. Interventions that decrease side effects of SBS are extraordinarily meaningful to patients-for example, one of our patients reported the following after initiating codeine for gut slowing instead of the loperamide he was previously using:
"I awoke at 4:30am and went fishing with the TPN hanging on my back. Bathroom once on the way there and once again at 2:30! That's incredible!" and later, "with the decrease in my diarrhea on the codeine, I was able to take 2 hours off my usual 9 hour trip up to Virginia as I did not have to find a bathroom nearly as often!!"
The use of intestinotrophic agents such as teduglutide can play a vital role in improving patient quality of life by helping to manage core issues in SBS to include improving nutritional status, limiting stool/ostomy output, and decreasing dependence on parenteral support.
Careful patient selection is essential to maximizing the benefits of trophic agents while minimizing the risks. Gastrointestinal dysplasia and cancer are contraindications to teduglutide therapy given concern for the trophic effects on a potential malignancy. A history of biliary disease or pancreatitis is another. It should be clear that patients should maximize other potential therapies5-8 before initiating teduglutide given the significant cost. Following this, a careful discussion with the patient regarding the risks and potential benefits should be undertaken and reasonable goals set. It may not be possible for a short bowel patient to discontinue PN due to teduglutide therapy, but it may be reasonable to hope for fewer days of PN each week or significantly shorter infusion times, less diarrhea, and an increase in overall well-being.
Finally, it is crucial to keep in mind (and express to patients) that trophic agents such as teduglutide are not a substitute for a comprehensive SBS program, but rather an adjunct to this program.
Weaning from PN
The weaning of parenteral support can be a daunting task for short bowel patients, particularly those who have struggled in the past to maintain weight and hydration. We typically begin this process once a patient has stabilized at or near their goal weight, unless clinical course accelerates our decision (multiple septic episodes, unwieldy stool output on maximum anti-diarrheal/anti-secretory agents, etc.). For patients on PN, we make stepwise decreases in total fluid volume and macronutrient content (Table 1). Weekly labs are followed closely as are patient's weights, stool output, and urine output, particularly in patients who attempt to increase their PO intake to compensate for decreased PN support, which may make stool output increasingly difficult to manage. This frequently requires the escalation or addition of anti-diarrheal agents such as loperamide or codeine.8 A subset of patients is unable to increase their PO intake successfully without uncontrolled stool output. Our experience has suggested that many of these patients can still work toward enteral autonomy through the use of a gastrostomy tube using a pump for nightly feedings at a decreased, but continuous rate for 8-12 hours. However, prior to placing permanent access, a nasogastric nocturnal feeding trial with concurrent 72- hour fecal fat collection is undertaken to ensure we do not drive stool output higher than manageable and to ensure absorption is adequate. Similarly, some patients succeed with an enteral backpack for daytime use to infuse enteral feeding or oral rehydration solutions. The portability of the enteral backpack is often a key to success and quality of life in these patients. A small subset of patients is unable to achieve enteral autonomy. This is most commonly the case in patients with severely foreshortened bowel, defunctionalized remaining bowel, or short bowel in the context of bariatric surgeries. Rather than a change in the above process, these patients often require a change in goals of weaning. For many patients, even one or two nights off of PN per week is very meaningful for their quality of life and often helps facilitate vacations and social functions. A similarly worthwhile alternative goal might be attempting to reduce total weekly PN in favor of IV fluids to support hydration, which has a more favorable risk profile particularly with regards to line infection.
Successful management of the challenges SBS patients face requires systematic and strategic intervention. It is important to avoid "throwing the kitchen sink" at patients to prevent overtreatment (which can act to drive stool output further), but also result in unnecessary healthcare costs. This article demonstrates how diet, hydration, and medication selection, including the judicious use of intestinotrophic agents, all play an integral role in the complex management of SBS. See Table 2 for additional resources for clinicians. References
Download Tables, Images & References
A Case Report, Nutrition IssuesEndogenous, Short Bowel Syndrome
Metabolic Diseases of The Liver – A Review
Endoscopic Management of Esophagorespiratory Fistulas


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text:
Lincoln Knights' Trail sculptures coming to life before shoppers' eyes
Jamie Waller
Artist Mel Langton bringing her knight to life
The artists bringing the Lincoln Knights' Trail sculptures to life are hard at work, with some sculptures nearly halfway done.
Several are being painted publicly around the city, including at the Waterside Shopping Centre and Daisy Made Farm. The entire trail will be unveiled on May 30.
Mel Langton, a Lincoln-based designer and illustrator, is painting three knights including Inspiring a New Generation.
The knights are being painted in the Watershed Shopping Centre
Mel Langton works on the Inspiring a New Generation Knight
Mel Langton paints the Inspiring a New Generation Knight
A knight and his unfinished horse
A knight decorated in the Lincolnshire flag
Putting detail on the Inspiring a New Generation Knight
Knights waiting to be finished
She said: "This one is particularly tricky because there are so many tools and objects that I'm not used to painting on it. It's a real challenge! It's definitely the most complicated knight I've designed."
The Inspiring a New Generation Knight is sponsored by the Gelder Group and represents the journey of young apprentice into the construction industry through various stages of his life.
Mel said: "I've completed the main blocks of colour and I'm focusing on the details now.
"It's going to take at least 100 hours, so I've still got at least to do four or five days work on it."
The front of the knight shows the boy as a child in a nature reserve with a lake.
The most intricate part is the back which has the apprentice in front of the castle with various people from Lincoln history, including King John and a woman painting the first tank.
If you want to see the knights being painted, make sure to visit one of the following locations before March 3:
Waterside Shopping Centre
St Marks Shopping Centre
Ruddocks of Lincoln
Daisy Made in Skellingthorpe.
Video: Adorable pair of otters spotted swimming through Lincoln
Friends and family raise over £3.7k in memory of Lincoln student killed in crash
Main Road, Little Steeping


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TFO Rep John Stacey fishing the 11-foot surf rod in Montag.
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TFO's surf rods are designed to tackle all of the extremes the world's oceans have to offer and come in an 8'6, 9'0, 10'6 and 11-foot models.
The 11-foot model retails for $229 and features TFO's Limited Lifetime warranty.
New full-rubber grip handles have been added to the 9-foot, 10-foot, 6-inch and 11-foot rods.


text:
X-ray photoelectron spectroscopy analysis for a reaction on the surface of tin metal in a continuous mercury analyzer
Masaki Takaoka, Yutaka Shimaoka, Nobuo Takeda, Takeshi Fujiwara
In order to understand the reaction in a continuous mercury analyzer with the dry-type reduction process, the surface of granular tin metal in a dry-type reduction process was characterized by X-ray photoelectron spectroscopy (XPS). First, the method for chlorinating the surface of tin metal was investigated. It was found that the surface of tin metal was more deeply chlorinated by impregnating with 1 mol/1 hydrochloric acid for 2 hours than by passing 600 ppm hydrochloric acid gas through the reactor for the number of same hours. Subsequently, the change on the surface of granular tin metal by impregnating with 1 mol/1 hydrochloric acid was observed in the case of passing air with mercury(II) chloride gas and moisture through the reactor. Tin (II) chloride on tin metal changed into tin (II, IV) oxide upon exposure to air or moisture. Depth profiles indicated that a tin(IV) oxide layer was formed on a tin(II) oxide layer. These results suggested that the reducibility of tin metal depended on the ratio of the chlorinated surface. As for the reaction on the surface of tin metal pre-coated with 1 mol/1 hydrochloric acid, the resulting X-ray photoelectron spectra were in good agreement with the reaction estimated from the mass balance in the actual experiment.
Bunseki Kagaku
https://doi.org/10.2116/bunsekikagaku.50.501
Tin oxides
Photoelectrons
Continuous mercury analyzer
Dry-type reduction process
Tin metal
Tin(II) chloride
X-ray photoelectron spectroscopy
Takaoka, M., Shimaoka, Y., Takeda, N., & Fujiwara, T. (2001). X-ray photoelectron spectroscopy analysis for a reaction on the surface of tin metal in a continuous mercury analyzer. Bunseki Kagaku, 50(7), 501-507. https://doi.org/10.2116/bunsekikagaku.50.501
X-ray photoelectron spectroscopy analysis for a reaction on the surface of tin metal in a continuous mercury analyzer. / Takaoka, Masaki; Shimaoka, Yutaka; Takeda, Nobuo; Fujiwara, Takeshi.
In: Bunseki Kagaku, Vol. 50, No. 7, 01.01.2001, p. 501-507.
Takaoka, M, Shimaoka, Y, Takeda, N & Fujiwara, T 2001, 'X-ray photoelectron spectroscopy analysis for a reaction on the surface of tin metal in a continuous mercury analyzer', Bunseki Kagaku, vol. 50, no. 7, pp. 501-507. https://doi.org/10.2116/bunsekikagaku.50.501
Takaoka M, Shimaoka Y, Takeda N, Fujiwara T. X-ray photoelectron spectroscopy analysis for a reaction on the surface of tin metal in a continuous mercury analyzer. Bunseki Kagaku. 2001 Jan 1;50(7):501-507. https://doi.org/10.2116/bunsekikagaku.50.501
Takaoka, Masaki ; Shimaoka, Yutaka ; Takeda, Nobuo ; Fujiwara, Takeshi. / X-ray photoelectron spectroscopy analysis for a reaction on the surface of tin metal in a continuous mercury analyzer. In: Bunseki Kagaku. 2001 ; Vol. 50, No. 7. pp. 501-507.
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title = "X-ray photoelectron spectroscopy analysis for a reaction on the surface of tin metal in a continuous mercury analyzer",
abstract = "In order to understand the reaction in a continuous mercury analyzer with the dry-type reduction process, the surface of granular tin metal in a dry-type reduction process was characterized by X-ray photoelectron spectroscopy (XPS). First, the method for chlorinating the surface of tin metal was investigated. It was found that the surface of tin metal was more deeply chlorinated by impregnating with 1 mol/1 hydrochloric acid for 2 hours than by passing 600 ppm hydrochloric acid gas through the reactor for the number of same hours. Subsequently, the change on the surface of granular tin metal by impregnating with 1 mol/1 hydrochloric acid was observed in the case of passing air with mercury(II) chloride gas and moisture through the reactor. Tin (II) chloride on tin metal changed into tin (II, IV) oxide upon exposure to air or moisture. Depth profiles indicated that a tin(IV) oxide layer was formed on a tin(II) oxide layer. These results suggested that the reducibility of tin metal depended on the ratio of the chlorinated surface. As for the reaction on the surface of tin metal pre-coated with 1 mol/1 hydrochloric acid, the resulting X-ray photoelectron spectra were in good agreement with the reaction estimated from the mass balance in the actual experiment.",
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AB - In order to understand the reaction in a continuous mercury analyzer with the dry-type reduction process, the surface of granular tin metal in a dry-type reduction process was characterized by X-ray photoelectron spectroscopy (XPS). First, the method for chlorinating the surface of tin metal was investigated. It was found that the surface of tin metal was more deeply chlorinated by impregnating with 1 mol/1 hydrochloric acid for 2 hours than by passing 600 ppm hydrochloric acid gas through the reactor for the number of same hours. Subsequently, the change on the surface of granular tin metal by impregnating with 1 mol/1 hydrochloric acid was observed in the case of passing air with mercury(II) chloride gas and moisture through the reactor. Tin (II) chloride on tin metal changed into tin (II, IV) oxide upon exposure to air or moisture. Depth profiles indicated that a tin(IV) oxide layer was formed on a tin(II) oxide layer. These results suggested that the reducibility of tin metal depended on the ratio of the chlorinated surface. As for the reaction on the surface of tin metal pre-coated with 1 mol/1 hydrochloric acid, the resulting X-ray photoelectron spectra were in good agreement with the reaction estimated from the mass balance in the actual experiment.
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10.2116/bunsekikagaku.50.501


text:
How Audi shifted gears from being a quiet niche brand to a progressive challenger
Everything from Marvel Studios tie-ups to app integrations with Major League Soccer have helped the luxury carmaker catch up to larger rivals like Mercedes-Benz and BMW in key brand metrics.
Auidusa.com
Volkswagen Group's Audi brand might be a household name in the luxury category today, but the path to achieving that status hasn't always been smooth in the U.S., especially in the face of larger automotive competitors.
"We were the brand for the very few, the very limited, the creative class — that was not a successful space for a premium product," Loren Angelo, VP of marketing at Audi of America, said during a talk at the 4A's Decisions 20/20 conference in Oxon Hill, Maryland, last week.
"Going back 11 years now, we were a brand that was basically traded on price," he added. "That is the worst possible place you want to be as a luxury brand: to be the value choice when you couldn't afford the Mercedes Benz [or] you couldn't afford the BMW."
Being smaller, however, sometimes necessitates a more tailored approach that can help marketers eventually emerge as true challengers in their category. For Audi, a combination of more carefully picking its partners and media channels, all while putting a bigger spotlight on its progressive messaging and car technology, has helped to better distinguish its business, boosting brand awareness to 83% among U.S. consumers last year, according to slides Angelo shared.
Audi successfully grew key brand metrics in the U.S. last year.
As the car industry weathers growing disruption brought on by the rise of mobility services, autonomous vehicles and the demand for more electric offerings, the German automaker feels confident that it's laid the groundwork to thrive in those areas and, in doing so, will continue to win over drivers in the country.
"This idea of the progressive luxury choice is something that we started to carve out, and not just by talking about our great engineering, because everybody's got their new piece of technology," Angelo said. "It was by starting to tell those substantive stories about how our brand was different, starting to use a little charm in advertising and to do it in a way that actually gives people a point of view."
Picking the right partners
Despite other gains Audi has made in creating a stronger U.S. footprint, such as boosting purchase consideration to 78% among drivers in 2018, the brand must continue to innovate to restore momentum in key areas, namely sales. A 16-month growth streak finally faltered last October, and the marketer has experienced five consecutive months of declines since then, Bloomberg reported in March. A difficult aspect of Audi's operations from a marketing standpoint is making sure every media dollar counts and makes an impact on channels like social and PR.
"We're outspent two to one by Mercedes-Benz and Lexus in the marketplace," Angelo said at his talk. "For us to stand out as a brand we have to make sure that every marketing dollar that we put in is delivering a three-to-one return … [competitors] get two to three more chances to hit the consumer than we do."
One area that's remained resilient is Audi's partnerships, which touch across disruptor brands in sectors like sports, entertainment and retail. The automaker worked on product integrations with Marvel Studios long before the superhero behemoth took over Hollywood, with the R8 being the model of choice for Tony Stark in the earliest entries in the "Iron Man" movies that helped to build the franchise.
"Marvel was coming about on its own at the same time [as Audi], and gave us a position to start to build the Audi brand in America," Angelo said.
Audi has also leveraged tie-ups to show off its technology offerings, including through a deal with Major League Soccer (MLS). Together with Opta Media, the automaker created the Audi Player Index in the official MLS app, helping fans stay informed on statistics that can otherwise be hard to find in a centralized location.
"[Soccer] is one of the fastest-growing sports in America. We, as a progressive brand, recognize the opportunity ... but we didn't want to be a step-and-repeat brand," Angelo said. "We actually bring sports and statistics to the game."
Forging a 'progressive' luxury brand
Amid a growing consumer demand for purpose-led marketing, Audi has also taken some risks in what's often a conservative automotive space. The brand continues to sponsor a two-year female director grant from the American Film Institute as a response to the low number of women represented in the Hollywood film industry, according to Angelo.
Audi has also attempted to translate those values internally to its organization, and experienced some backlash for addressing them in its own advertising. The brand's 2017 Super Bowl campaign tackled the issue of equal work for equal pay and women's empowerment, drawing negative comments on social media but also praise, including from fellow marketers, The Wall Street Journal reported.
"This was well before the #MeToo movement that's grown in the last two years, but it's something that we believed in," Angelo said.
Carmakers are also facing challenges in dealing with emissions and calls to deal with their contributions to the current climate crisis. Tesla helped to pave the way for electric vehicle adoption and proved a "fantastic disruptor," per Angelo, but Audi sees its own lane quickly emerging in the space. The brand plans to debut its first fully-electric model, the E-tron, in the coming months and, at Decisions 20/20, previewed new video creative promoting the SUV.
"We're on the precipice of the next wave, which is electric ... We're very bullish."
Loren Angelo
VP of marketing, Audi of America
The ad challenges misconceptions associated with electric vehicles, like the technology's low battery power and inability to deal with inclement weather or terrain. The launch builds on Audi's partnership with the charging network Electrify America and connected car capabilities through Amazon Alexa, which notifies drivers on issues like when their car can be picked up for service.
"We're on the precipice of the next wave, which is electric [and] the things that we're doing in the connected space and autonomous [vehicles]," Angelo said.
"It's going to be a new way to drive," he added. "We're very bullish."
Filed Under: Mobile, Creative, Ad Tech


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Ashland Elks Celebrate Flag Day With 99th Annual Ceremony
ASHLAND, OH- Ashland Elks Lodge 1360 held their 99th annual Flag Day Ceremony under clear skies in Brookside Park on Saturday afternoon.
The ceremony gave the history of the United States flags and honored local businesses that fly the flag with pride. Exalted Ruler of the Ashland Elks Lodge 1360, Tom Mansperger said that the ceremony is just one way that the Elks show their patriotism.
The National Elks organization was instrumental in the creation of flag day according to Mansperger.
"We're a very patriotic organization, so they would show the flag, but felt that there needed to be something done on a yearly basis to honor the flag," Mansperger said.
The Elks Lodge gave out awards to local businesses and organizations including Downtown Ashland and the Ashland Area YMCA to recognize their dedication to flying the flag with honor.
"I think it was a nice opportunity to bring to light that it is important that businesses support their country and are patriotic and display the flag correctly," Mansperger said.
Ashland does a good job of showing it's American pride according to Mansperger. "If you go downtown, there's flags up on every pole," Mansperger said.


1. Peel and cut the mangoes into bite-sized cubes, reserving their juice. Mix the juicy with the brandy and marinate the mango in it for about 15mins.
2. Put two tablespoons of water in a large saucepan, add the water without stirring, then add the garlic, chilli and ginger.
3. Strain the mango, reserving the marinade, and add the fruit and red wine vinegar to the sugary water. Cover and warm over a low heat until the sugar dissolves. Do not stir.
4. Heat the white wine, add to the mango mixture and simmer to reduce the liquid by a third. The mango cubes should retain their shape. Add 250ml of water and the soy sauce and, if necessary, adjust the sweet-sour flavor with the balsamic vinegar.
5. Mix the cornflour into the reserved mango marinade, pour into the mango mixture and stir around gently. Simmer until the liquid thickens slightly.
6. Slice up the duck, transfer to individual plates and pour some hot mango sauce over each portion. Garnish with coriander and fennel fronds.


An Art lover and a designer who's been in the feild for over 10 years.
I've been working as a Graphic and Layout designer for well-known retail and marketing companies such as Canadian Tire, The Hudson's Bay & Black's photo, and through my work experience, I've been exposed to number of aspects of the marketing, design and the retail world combined.
I also have an extensive knowledge background on photoshoots, digital publishing, web design, front end developments, HTML/CSS coding and recently I've been going through UX Design certification courses.


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Get ready! Weather forecasters say snow WILL hit all Lincolnshire towns
Some areas could have snow for several hours
Holly O'Flinn
Temperatures have already plummeted this weekend with freezing conditions battering the county.
But the question on everybody's mind is, will it snow? The answer is, yes, it is more than likely going to happen according to forecasters.
The Met Office has issued an amber warning for snow for Lincolnshire tomorrow, Sunday December 10 between 4am and 6pm.
A yellow warning is then in place from 6pm and 11.55pm but this is not expected to affect Lincoln.
And people in the city can expect to wake up to snow, according to The Weather Channel.
The final day of Lincoln Christmas Market has been cancelled due to fears the weather will pose a safety risk.
Forecasters are predicting a 100 per cent chance of snow at 9am, with it slightly easing fro 10am and the rest of the morning.
The forecast is predicting there will still be a high chance of snow continuing in the afternoon, with 70 per cent predicted from 3pm.
In Spalding there is a 100 per cent chance of snow from 10am with it lasting well into the afternoon, although it will ease off through the day.
In Louth, people will most probably wake up with snow from 6am with it hitting its peak around 11am-12noon.
In Grantham, there is a 100 per cent chance of snow from 7am with it continuing heavy right up to lunch time.
While in Boston, forecasters are predicting a 100 per cent chance of snow from 8am, again lasting well into the morning.
In Sleaford, there is a 50 per cent chance of snow from 6am and it will fastly increase with forecasters stating a 100 per cent chance of snow from 8am.
In Skegness, there could be a little covering from 7am with a definite chance of snow for the coastal town from 10am.
The outlook is the same for Mablethorpe, with a small covering first thing with a 100 per cent chance of snow from 10am.
Forecaster Amy Hodgson, of The Weather Channel, said: "Scattered wintry showers will continue through Saturday in northern Scotland, Northern Ireland and the Irish Sea into Wales and the north-western Midlands. Totals from this will be moderate, but further heavy snow is on the way.
"Overnight tonight, an area of low pressure with the associated fronts, will bring heavy snow across central and Northern Ireland, Wales, central England and parts of northern England. Falling as rain across southern England.
"This is because the front is a boundary between much warmer air pushing into much colder air from the Arctic. The large temperature divide leads to instability and heavy precipitation falling as rain in the south, whereas central Ireland, Wales and the Midlands will see snow.
Last day of Lincoln Christmas Market CANCELLED over snow fears
"The next area of low pressure will arrive across the south on Monday, bringing further snow and heavy rain."
Gritters will be on-call around the clock and have been gearing up for the busy weekend of cold, wintry weather.
Darrell Redford, network resilience manager for Lincolnshire County Council, said: "We'll be doing everything we can to keep local roads safe for people.
"We're going to have some wintry weather over the next few days, and there is the potential for rain or even snow on Sunday.
"Our gritters will be making multiple runs, but people need to recognise that although salt is a big help, even gritted routes can be treacherous, so please do take extra care when out on the roads.
Best of Lincolnshire Live
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"People should also be aware that we do not routinely grit footpaths, so these could be particularly slippery.
"You can find advice on how to safely clear snow and ice from outside your property and public spaces on our website.
"We'll be monitoring the situation around the clock, and posting regular updates on our Twitter account, @LincsCC_Roads."
The gritters treat almost 2,000 miles of the county's network, including all A and B roads. They also ensure there is treated link to all the main villages, schools and hospitals where possible.
Hundreds of local jobs available today on Fish4Jobs
City of Lincoln CouncilLincoln MP Karl McCartney issues statement on 3,200-home schemeThe Government said it would not be 'calling in' the decision


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The Public Utility Commission has a secret: Regulator quietly dissolves its enforcement division
Chairman throws a fit in a public meeting, and soon after, the division that chases violators is shut down.
Public Utility Commission Chairman DeAnn Walker made angry comments about her staff at a July 2020 public meeting and scolded them in public. Several days later, the 10-person Oversight & Enforcement division was permanently shut down. (Public Utility Commission)
By Dave Lieber
1:06 PM on Jul 31, 2020 CDT
Note: Before I begin, I invite you to my free online video event on Wednesday, Aug. 5, at 3 p.m. You'll learn my tactics to become a super-consumer and a full-fledged citizen of Watchdog Nation. I'll show you five basic principles you can use to protect you and your family from bad companies and scammers. Sign up at http://dmndownloadvirtual.dallasnews.com/.
The Public Utility Commission of Texas sends out news releases about its activities. But there's one announcement the PUC's public relations staff did not send out.
The Watchdog will do it for them:
PUC ELIMINATES DIVISION CHASING VIOLATORS.
13-YEAR-OLD OVERSIGHT & ENFORCEMENT SHUT DOWN PERMANENTLY.
LIGHTS OFF. DIRECTOR DEPARTS. STAFF MOVED ELSEWHERE.
ACTION COMES DAYS AFTER PUC CHAIRMAN DeANN WALKER THROWS FIT AT PUBLIC MEETING
If I were a Texas electricity seller, I'd be cheering.
For consumers, that's one more reason to know this commission doesn't care about you. That's why, a couple of years ago, I took away their "P" for public and prefer to call them the UC.
The three-member board, including Shelly Botkin and Arthur C. D'Andrea, is appointed by the governor. Technically, though, disbanding the enforcement unit is a call made by the UC's executive director, John Paul Urban.
What this action does, essentially, is defund the policing arm of the UC.
Speaking for the UC, spokeman Andrew P. Barlow says oversight and enforcement will continue. But from now on, that will come out of the UC's legal division, rather than O&E.
Sure, give more work to a batch of government legal beagles and see how well that works.
The cause?
How did this happen? Like all things UC, it's difficult to put the pieces together. Our biggest clue is what my late father used to call a hissy fit thrown by chairman Walker at the July 16 public meeting. She didn't shout and toss papers in the air. But she did pummel UC staff in front of everyone.
The subject was how the commission handles compensation for temporary managers of water systems. Staff members took one position that Walker believed didn't respect the trio's power. Walker said she "strongly" disagreed with staff and insisted the UC does have authority to issue an emergency rate order.
"I'm angry would be the right word," she scolded. "Disappointed. How about that?"
She called staff's position "absolutely wrong and offensive."
She added, "And so I spent the morning spinning out of control over this, and I'm being as nice as I can be right now because other people have heard me say much stronger things this morning than what I just said, and I won't say that publicly.
"It's not working," she concluded. "There's going to be better oversight over this."
Four days later, 10 affected employees in the enforcement division were notified of the restructuring, effective Aug. 1, the UC spokesman told The Watchdog.
Mick Long, a 12-year veteran and director of oversight and enforcement, is leaving the UC. His last day is Oct. 8. Investigators and lawyers who worked for him have joined the legal division.
Barlow said the UC will continue its monitoring and enforcement of utilities. O&E may not be a division anymore, "but its functions remain intact and unchanged," he said.
The real motivation for the change, Barlow said, is because the UC is looking at eight rate increases coming up. That's a heavy load, he said, and the legal division needs extra firepower to handle them.
He added, "The assertion that we've done anything to diminish our commitment to customer protection is fully erroneous."
OK, color me erroneous. The UC already fails — by design — to properly police the gamesmanship of many retail electricity providers. Some companies' marketing techniques confuse customers on purpose. Take away the enforcement division, and won't it get worse?
Lock out experts
I checked with University of Texas School of Law professor David B. Spence, an expert on regulation.
He made clear that he was not familiar with this situation (remember, I'm reporting the secret here first), but he had general comments.
Enforcement generally requires more than just legal knowledge, he said. "It's a team effort. The lawyers know what the law requires and can apply the law. But public utility regulation is a complicated thing. So you want other forms of expertise at the table when you make enforcement decisions.
"It sounds like they're trying to lock out that kind of person with expertise. So if that is indeed the case, it's probably going to make enforcement less effective."
More, not less
Texas utilities, especially electricity companies, but also water, sewer and telecoms regulated by the UC, need more enforcement, not less. This is a duh.
Texans constantly complain to me about problems with the basics. They do a Web search for the UC's PowerToChoose.org neutral online shopping site and get bombarded instead with electricity companies using the "Power to Choose" phrase to steer them to offers rather than the government site. Where is the UC?
Texans also complain that they sign up for electricity contracts, but when the bill comes, the prices don't match what they agreed to. Where is the UC?
And let's not forget all the marketing gimmicks electricity companies toy with: come-ons that hide true numbers in small print and excess charges and penalties for talking to a human, for not using auto-pay, and even under-use of electricity in a month's time. Where is the UC?
The fact that the UC hasn't announced this change is revealing. The UC spokesman is more than happy to bend your ear with happy-talk about how hard it has worked to help Texans in financial need with their electricity bills (a good thing). But tell Texans that you've moved some of our tougher employees into a legal division? Nah.
To quote the chief perpetrator of this government trick — the queen who rules the hive — chairman Walker: "Angry would be the right word. Disappointed. How about that?"
Yeah, how about it?
The three members of the Public Utility Commission are appointed by the governor.(Courtesy of PUC website)
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Read his winning columns:
* Helping the widow of Officer J.D. Tippit, the Dallas police officer killed by Lee Harvey Oswald, get buried beside her late husband
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Dave Lieber's Watchdog Nation(Michael Hogue)
Dave Lieber, The Watchdog investigative columnist. Dave has written a hard-hitting newspaper column in Dallas/Fort Worth since 1993. His work appears twice a week. His goal is to save readers time, money and aggravation. In 2019, Dave won top prize in America's largest column-writing contest. The contest judge called his winning entries "models of suspenseful storytelling and public service."
davelieber@dallasnews.com /dave.lieber @DaveLieber


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CapitalismCustomer SovereigntyEmpathyEntrepreneurs
The Driving Force Of Free Markets Is Empathy. Only The Entrepreneur Who Prioritizes Other People's Needs Can Be Successful.
October 1, 2019 / by Dr. Rainer Zitelmann via fee.org
Both capitalists and anti-capitalists frequently accuse capitalism of being a system driven by selfishness and greed. Capitalism's defenders sometimes say: "By nature, man is selfish, which is why socialism will never work. Capitalism better reflects the fundamental characteristics of human nature." Anti-capitalists claim that capitalism promotes the worst characteristics in man, especially greed.
But are greed and unbridled selfishness really the driving forces of capitalism? Human self-interest is one—not the only—driving force of all human action. But this has nothing to do with a particular economic system. Rather, it is an anthropological constant. In capitalism, however, this self-interest is curbed by the fact that only the entrepreneur who prioritizes other people's needs can be successful.
Successful Entrepreneurs Are Empathetic
There is overwhelming evidence to suggest that empathy, rather than greed, is the true driving force of capitalism. Empathy is the ability to recognize and understand another person's feelings and motives, and this is the most important characteristic of successful entrepreneurs.
Take Steve Jobs as an example. He came up with the iPhone and other products because he understood modern consumers' needs and desires better than anyone else. Under capitalism, consumers can (and do) punish companies that behave selfishly and lose sight of the needs of their customers.
The same applies to Mark Zuckerberg, today one of the world's richest people. He created Facebook because he knew better than other entrepreneurs what people wanted. Like all successful entrepreneurs, it was consumers who made Steve Jobs and Mark Zuckerberg so rich. For many years, the Albrecht brothers were the richest people in Germany. They earned their fortunes from the food discounter Aldi, which was founded on the principle of offering good quality products at very reasonable prices. This was the same recipe for success followed by Sam Walton, the founder of Walmart, who was consistently one of the richest people in the United States.
Consumers' purchasing decisions confirm that Jobs, Zuckerberg, the Albrecht brothers, and Sam Walton had correctly understood their customers' desires, needs, and emotions.
The Market Punishes Self-Centered Entrepreneurs
Of course, under the capitalist system, there are also examples of companies that have acted selfishly and lost sight of the wants and needs of consumers.
One example is Deutsche Bank, which has faced thousands of lawsuits. Such companies are punished under capitalism, not only by the law but far more so by the market. Deutsche Bank lost its position as one of the world's leading banks because it put the interests of its investment bankers above those of its customers and shareholders.
Even companies that appear omnipotent today, such as Google or Facebook, will not retain their power forever.
A company's most important asset is its image, and companies that behave like Deutsche Bank end up incurring massive damage to their images and reputations; their customers lose confidence and flock to their competitors.
In socialist systems, on the other hand, consumers are powerless and at the mercy of state-owned companies. If a state enterprise acts with no regard for the needs of consumers, they have no alternative under socialism because there is no competition.
Under capitalism, consumers can (and do) punish companies that behave selfishly and lose sight of the needs of their customers. Every day, customers vote on the company with their wallets—by buying its products or not.
What About Monopolies?
Monopolies under capitalism are a temporary phenomenon. Even companies that appear omnipotent will eventually be ousted by new competitors as soon as they overreach their power and lose sight of their customers' needs.
Ever since capitalism has existed, anti-capitalists have criticized the system's inherent tendency to create monopolies. Lenin wrote over 100 years ago that imperialism and monopoly capitalism are the last stages of capitalism. But the monopolies he criticized at the time no longer exist. Even companies that appear omnipotent today, such as Google or Facebook, will not retain their power forever. Other companies and ambitious young entrepreneurs will seize the opportunity as soon as Google or Facebook starts to act too selfishly.
What is strange is that socialists who criticize capitalism for its tendency to form monopolies are in favor of state-owned companies. After all, the state is the most powerful monopolist of all, with the ability to brutally trample on the needs and wishes of its citizens through its means of coercion and because there are no alternatives for the customer.
The fact that people and companies pursue their own interests is the same in every society. This is not a specific feature of capitalism.
Under capitalism, though, only those entrepreneurs and companies who prioritize their customers' interests rather than their own self-interest will achieve success in the long-term. Companies that fail to understand and respect what consumers want will lose market share and may even disappear entirely as they are driven out by other companies that better meet their customers' needs.
Empathy, the ability to recognize the desires and needs of others, is the true basis of capitalism—not unbridled greed and selfishness.
Dr. Rainer Zitelmann is a historian and sociologist. He is also a world-renowned author, successful businessman and real estate investor. His most recent book, The Power of Capitalism, was released in 2019.
Tags: Capitalism, Customer Sovereignty, Empathy, Entrepreneurs
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text:
Fees & FAQs
Meet Margaret van Keppel
I have had more than 30 years' experience as a clinical psychologist, which includes having worked in the government, university, health and non-government sectors, as an employee and also as a consultant. I have been in private practice, as a sole practitioner, for the past 25 years.
I am deeply committed to promoting the well-being of individuals and their meaningful relationships, and to do so in ways that are respectful, effective, positive and creative.
My special interests include:
The psychology of women
Health and reproductive/fertility issues
Post adoption issues, including the experiences of women who relinquished children for adoption
Qualifications, memberships and associations include:
Bachelor of Psychology (UWA), Master of Psychology (clinical) (UWA)
Registration with Australian Health Practitioners Regulation Authority;
Psychologists Board of Australia; endorsement of "clinical" specialisation.
Approved Counsellor, WA Reproductive Technology Council, as per the requirements of the Human Reproductive Technology Act 1991
Registered provider, Medicare Australia & all private health insurance funds.
"Working with Children Check", Department of Communities
Member of Australian Clinical Psychology Association
Member of Fertility Society of Australia
Member of Australian and New Zealand Infertility Counsellors Association
I also participate in excess of 30 hours of "continuing professional development" annually.
Clinical Psychologists have all had 6 years (4 years undergraduate and 2 years postgraduate) of university-based training, followed by a further 2 years of supervised practice.
Awards and Publications
I was awarded a a WA Women's Fellowship in 1986 (to study post-adoption services, including services to birth parents, in the UK, USA and Victoria)
My work in the adoption area has been published in a number of formats, including:
* Winkler R.C. and van Keppel M. (1984), Relinquishing mothers in adoption- their long term adjustment. Melbourne, Australian Institute of Family Studies, Monograph No 3.
* Winkler R.C., Brown D., van Keppel M. and Blanchard A. (1988), Clinical Practice in Adoption. Oxford, Pergamon Press Inc.
I have also presented at a large number of conferences and workshops, on a wide variety of topics. More information is available on request.
To make an appointment, phone 0410655845
Home | About | Services | Fees & FAQs | Contact
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Sturgill Simpson's A Sailor's Guide to Earth is the rare album that traverses the entire world, both musically and lyrically. It's dizzyingly diverse, jumping from one style to the next, with ports of call in Motor City and Music Row, Harlem and Stax, Berlin and London, yet it never leaves Simpson's very specific point of view. Read more.


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Right Route
Neuroscientist Aims to Discover the Link Between Brain Inflammation and Behavior
By Judy Gelman Myers
By creating novel maps of the brain that connect inflammation with behavior, FAU neuroscientists can better understand diseases like Parkinson's, arthritis and mood disorders, according to Ning Quan, Ph.D., and director of the Program in Neuroimmunology and Glial Biology (PNGB).
If you have an immunological problem like arthritis, you may not necessarily need to treat the white blood cells of immune system, but rather your autonomic nervous system, he said. "Conversely, if you have depression or anxiety issues, maybe the more effective treatment is not to change your neurotransmitter, but to dampen down inflammation in your brain."
This research is at the heart of a mapping project where Quan and other FAU collaborators will study areas of the brain that control learning, memory and mood and document how specific receptors, called cytokine interleukin-1 (IL-1) invite — rather than suppress — inflammation, said Quan, adding that the mapping project is part of a $1.7 million grant from the National Institutes of Health.
Previous studies have shown that elevated levels of IL-1 receptors are the link between brain inflammation and mental disorders, but not how, said Quan, co-investigator on the grant and professor of biomedical science in the Charles E. Schmidt College of Science. So, that's the goal for Quan and his team — to figure out how those receptors affect neurons and how the receptor signals to induce the changes related to these psychopathologies.
To investigate that question, the team will first map out where the receptors occur in the brain, which has never been done before, Quan said. Then, by examining inflammation's role in changing behavior in mouse models, they can examine the cellular and molecular mechanisms by which this happens.
The PNGB builds on recent developments in psychoneuroimmunology, a multidisciplinary field that explores how the immune system activates the nervous system and produces psychological disease states and changes in behavior, he said. It also encompasses the study of brain cancer, brain trauma and fundamental brain mechanisms that do not involve psychiatric disease, as well as basic research into glial cells, which modulate neural signals.
The ultimate goal, Quan said, is to find unexpected ways to treat both immunological problems and psychopathological disorders.