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What to do when you're hungry, but on a diet.
It's 8 PM. You're hungry and want a snack, but you have 10 more pounds to lose. You've told yourself that this time is going to be different, but your stomach isn't buying it. You want to eat, but you're on a diet.
What do you do? It's a tricky situation, I know.
If you're hungry but on a diet, do these three things: stop restricting food and start eating; figure out what kind of hunger you are experiencing; and practice getting comfortable with a little hunger.
Step 1. Stop Starving, Stop Restricting, and Start Eating
When it comes to losing weight, there's an odd paradox.
To eat less, you need willpower, but you also need to eat to have willpower.
You see, we only have so much willpower. Every choice you make during the day, from whether or not to eat a snack at work to what time you'll go to bed tonight, uses willpower. And nothing drains willpower faster than going through the day and making all those decisions with little or no food.
We all know that if you want to lose weight, you have to eat less than you eat now, but not eating for hours on end doesn't help. At first glance, skipping meals might seem like the fastest way to lose weight, but the truth is that it's not true at all.
Don't believe me? Okay, here's a simple test:
Do you think that if you're starving at dinner time, you'll have more or less self-control to eat what you want?
The fact of the matter is that if you go hungry all day, you're setting yourself up for failure at night. We don't get bonus points for using heroic willpower to struggle through the day, so why not make things easier on yourself?
My advice? The best way to avoid getting into a cycle of dieting and overeating is to never get into it. And the best way to stay away from it is to make sure you eat regularly.
If you think skipping meals can help you lose weight faster, you may be right. But, take it from someone who has coached thousands of clients since '07...
People who skip meals all day and hope they will be strong enough to make it through quickly find out that they've made a terrible mistake.
You need to eat to have willpower, so stop restricting yourself and start eating more regularly.
Before we get to Step 2, I wanted to say that you might want to check out this video of Haley and I sharing our best tips in "What To Do When You're Hungry, But On A Diet."
Step 2. Figure Out if You Are Hungry or Having a Craving
When you feel those familiar pangs in your stomach, ask yourself, "Am I really hungry, or am I just craving something?" And believe me, there is a difference.
Let's start with cravings.
A craving is a very intense and powerful feeling. One minute, you think you "might" like to have something to eat. And the next minute, you've opened the bag of chips and are downing handful after handful of the greasy crumbs--despite knowing they're not doing anything good for you.
When you have a craving, you feel like an outside force is controlling you and making you eat what it wants, not what you want.
So what is a craving? It's a strong desire for something specific.
Physical hunger, on the other hand, comes on slowly. Your stomach starts to grumble, you feel like you have no energy, and you might even get a slight headache. Physical hunger is that nagging feeling in the pit of your stomach that gets worse as time goes on.
Arguably, the biggest difference between physical hunger and a craving is that with physical hunger, you don't have an intense craving for a specific food; any food will do.
So here's the question:
Are you really hungry, or do you crave a particular food?
If you are really hungry, the answer is to eat something. But, if you say you have a craving, the solution is to figure out what is making you want to eat by breaking down what you are feeling at that moment. Is it boredom? Are you worried about something? Do you need some kind of reward for reaching a goal?
When you figure out why you have a craving, then you can do something about it.
And if you need help figuring out what to do about your cravings, you can join our daily one-on-one coaching program, where we help you every day until you beat the reasons driving you to eat.
Step 3. Realize That It's Okay to Feel Hungry
People usually think that hunger is either on or off. Either they are hungry, or they aren't. But hunger isn't on or off like a light switch. Think of it instead as a dimmer, where you can adjust your hunger to the level that makes you feel most comfortable.
What if I told you that the best way to lose weight is not to avoid feeling hungry but to learn to be at peace with it and make it work for you?
In reality, hunger is a natural part of life that we can easily learn to live with. Because even though we're physically dependent on food, it doesn't mean we have to be psychologically dependent on it.
By using some simple tips and tricks, we can learn how to live easily and comfortably while hungry. The Hunger Scale is a very helpful tool we use in our online program to help people lose weight.
Imagine a scale with the numbers 1 through 5. On the scale, 1 means that you are starving, and 5 means that you are full. When you use The Hunger Scale to quantify what you're feeling, "hunger" goes from being a feeling to a number you can actually measure.
And when you assign hunger a value, it's much easier to avoid being either too hungry (a 1) or too full (a 5). A happy place to be on the scale is at a 3. This is where you feel satisfied, light, and like you can easily go for a walk. And this is what we really want, right? We want to feel light and full of energy.
Don't avoid hunger. Measure it and learn to be at peace with a bit of hunger. And best of all, make it work for you.
When you're hungry and trying to stick to a diet, it can feel impossible to resist temptation. So, don't be hard on yourself for failing. Instead, I want you to change how you think and react to hunger. And you can do this by eating more often, figuring out if you're really hungry, and learning how to use hunger instead of trying to avoid it.


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azerbaijan and türkiye nudge turkmenistan westward
Author:Haley Nelson
Image source: Turkmenistan Ministry of Foreign Affairs
Having lost "its old comfort of selling Russian gas to Europe" after 2022, Turkmenistan has been confronted with the reality that it can no longer comfortably depend on Russia for its economic and security needs. In the wake of Europe's energy crisis, several countries are attempting to have a part in redefining Turkmenistan's foreign policy and interregional relationships so that it can look beyond Russia and establish new partnerships. As a means of undermining Turkish and European influence in Central Asia, the Kremlin has long capitalized on Turkmenistan's limited cooperation with the West. Therefore, the introduction of Western buyers and economic diversification are crucial to Turkmenistan's independence from Russia.
To further this objective, Türkiye's President Recep Tayyip Erdoğan, Azerbaijan's President Ilham Aliyev, and Turkmenistan's President Serdar Berdimuhamedov met in Turkmenbashi on December 14 to look for alternative solutions to Turkmenistan's stranded gas reserves challenge. They discussed the potential development of an energy transport system from Turkmenistan to Azerbaijan, and the states agreed to increase their cooperation by signing a series of documents on "Energy, transportation, trade, economy, customs, education, and culture." With Europe slowly reducing Russian energy imports, the struggle for influence over Turkmenistan has ramped up, with this summit serving as a fitting example of this geopolitical tug-of-war.
The trilateral summit was held against the backdrop of the global energy crisis and recent efforts to bring Turkmenistan into regional projects. The countries agreed to "create new opportunities for cooperation in the field of transport connectivity." With this, the countries further their goal of becoming a global energy hub, connecting the vast gas reserves of Turkmenistan to European markets through Azerbaijani and Turkish energy systems.
Erdoğan, prior to the summit, stated that the goals of the summit are to "increase the level of solidarity and reinforce our brotherhood to ensure that the 21st century is the century of the Turkic world...while taking steps to create a beltway of welfare, safety, and security." With energy security as the most pressing matter on the agenda, he added: "We should now begin the works for transmitting the Turkmen natural gas to the Western markets. We are ready to cooperate with our Turkmen and Azerbaijani brothers in the Friendship Field in the Caspian Sea."
To this end, the obstacle has always been Turkmenistan's policy of isolation and its historic unwillingness to agree to projects that do not promise an exclusive jurisdiction over decision-making and framework building. "Turkmenistan is signaling that it won't get out of bed for anything less than the decades-old idea of a 30 bcma pipeline. Building such a line, and more importantly arranging the onward transportation and sales in Turkey and EU, would be far more complicated than a simple connector," wrote John Roberts, a senior nonresident fellow at the Atlantic Council Global Energy Center and Julian Bowden, a former economist with BP.
It is likely Türkiye and Azerbaijan held this meeting with intentions to convince Turkmenistan of the merits of a more open and Western-leaning approach, through membership in the Organization of Turkic States (OTS), increased energy exports westward, and expanding infrastructure projects toward Europe. However, Turkmenistan still seems to be courting the Kremlin because it still refrained from OTS (Organization of Turkic States) membership, and little improvement was made on Turkmenistan's gas exports.
The three countries made vague agreements to increase energy exports from Turkmenistan across the Caspian Sea, however no concrete agreement, which promised the immediate shipment of Turkmen gas to Azerbaijan, was signed. This is likely because Erdoğan and Aliyev prefer the cheaper interconnector pipeline option over the construction of an entirely new pipeline to Türkiye.
Erdoğan commented that the Trans-Anatolian Natural Gas Pipeline (TANAP) and the Trans-Adriatic Pipeline (TAP) are both at full capacity, so, it has yet to be determined "whether to establish a new line or not." Either way, the export of Turkmenistan's gas through TANAP, or another pipeline, to Türkiye and Europe would be an "historic event."
With Azerbaijan's Shah Deniz oil field nearing full production, oil and gas outputs are up by 5-6% this year. However, Europe's simultaneous efforts to reduce Russian energy imports demand higher gas provision than Azerbaijan can currently provide. Azerbaijan's gas exports to Türkiye still remain lower than the 11.5 billion cubic meters (bcm) exported in 2020 as a result of only a partial renewal of the Shah Deniz Stage 1 contract. Next year, the EU has set forth plans to further reduce Russian gas imports, some predicting a potential shortfall of 30 billion cubic meters of gas in 2023. Therefore, the problem is still export capacity.
Turkmenistan's position along with Middle-Corridor has granted it a significant increase in geopolitical importance. However, although China's Belt and Road Initiative (BRI) and the Middle Corridor project are the primary infrastructure projects in the Caspian region, Turkmenistan's historical isolation has been a considerable obstacle to their development. Turkmenistan has maintained strict neutrality since gaining independence, preventing it from joining regional organizations, including the Russian-led Collective Security Treaty Organization (CSTO) or the OTS. However, dynamics have changed with Russia's invasion of Ukraine and the resulting energy crisis, and with Serdar Berdimuhamedov's taking his father Gurbanguly's place as President. In a new great game, Eastern and Western powers are vying for influence over Turkmenistan's energy-rich economy as they realize the potential of the Middle Corridor.
Erdoğan has promoted the idea of shipping Turkmenistan's natural gas through the Southern Gas Corridor (SGC) through the development of compression facilities, specialized tankers, and Floating Storage Regassification Units. However, this is an expensive process, costing about four-times as much as traditional pipeline usage. Moreover, Turkmenistan's gas exports to Iran via Iranian pipelines have shown that Azerbaijan can reach Turkmenistan's market through Iran, but this method comes with many political and economic ramifications partially stemming from the 3 bcma limit to Iranian pipeline capacity and growing tensions with Azerbaijan.
It is possible for Turkmenistan to reach European markets through the Tran-Caspian Connector Project, a 78-km pipeline linking the two countries' offshore facilities; however, Turkmenistan will not accept any project that does not guarantee at least 30 bcm of gas to Europe. Pipelines with Turkmenistan's preferred capacity require a long transport route over several borders, adding new complications, while connectors can provide immediate support for Europe's energy crisis at much lower costs.
Türkiye is poised to become a major energy player in the region as it adapts to Europe's rapid diversification efforts. However, it must diversify its own imports first before it can transition into an energy transit hub. Turkmenistan has enough supply to offset Europe's loss of Russian gas, so it's powerful enough to challenge Russia's energy dominance. But even with an estimated 13.6 trillion cubic meters of gas in its reserves, without efficient transit to the Western Caspian, Europe cannot reach Turkmenistan's gas fields. "Türkiye is an important hub in selling Turkmen gas to Europe," as Erdoğan stated, and considering the current infrastructure limitations, Turkmenistan must cooperate with Türkiye and Azerbaijan to help it realize its energy potential. However, the narrow window for Turkmenistan's political redefinition seems to be closing as the Kremlin's influence over Turkmenistan's gas is deeming it to be "fait accompli."
For the First Time, Turkmenistan Reduces the Power of its Executive
Former President of Turkmenistan Gurbanguly Berdimuhamedov is still holding a tight

redpajama_set_name: RedPajamaCommonCrawl


"they internalize their parents' rules and values"
"society's values are passed on to us as children"
something believed; an opinion or conviction: a belief that the earth is flat. 2. confidence in the truth or existence of something not immediately susceptible to rigorous proof: a statement unworthy of belief.
The shock suffered by some people when they return home after a number of years overseas. This can result in unexpected difficulty in readjusting to the culture and values of the home country, now that the previously familiar has become unfamiliar.
"readers said the paper was biased toward the conservatives"
Loan Words in Languages (p. 49): Can you think of words in English that are not originally English?
Schadenfreude--[German] The pleasure one takes from someone else's misfortune.
Faux pas--[French] The violation of a commonly accepted social rule, a blunder like a gaffe.
Doppelgänger--[German] A double, or look-alike person, often with negative connotations since some people believe that seeing your own doppelgänger is an omen of impending death.
Prima donna--[Italian] Literally, 'first lady' as in the principal female singer in an opera, but usually used to refer to a spoiled, ill-tempered person.
Quid pro quo--[Latin] Literally, 'something for something'. Often used in place of 'you scratch my back and I'll scratch yours' or during negotiations to ask, 'what's in it for me?'.
Alter ego--[Latin] An 'other self'. Used to describe the other personality of a person who leads a double life.
What are reasons for learning a foreign language?
Unlocking the door to the rest of the world.
What constitutes good face-to-face communication?
symbols- a device purpose created for not verbal and verbal meaning.
signs- not created by humans could be more than one meanings.
pg 58. high context is situation and surroundings. low context culture uses more words.
presentations. how do you have to prepare a presentations for an american audience versus an Arabic-speaking audience?
bases of symbols and meanings. or glasses we have to see and how we proceive the world.
it is just one aspect of communication. meaning is arbitrary assigned to things.
is a spiritual, philosophical and religious tradition of Chinese origin that emphasizes living in harmony with the Tao (also romanized as Dao). The term Tao means "way", "path", or "principle", and can also be found in Chinese philosophies and religions other than Taoism. In Taoism, however, Tao denotes something that is both the source of, and the force behind, everything that exists.
Hofstede's cultural dimensions theory is a framework for cross-cultural communication, developed by Geert Hofstede. It describes the effects of a society's culture on the values of its members, and how these values relate to behavior, using a structure derived from factor analysis.
Hofstede developed his original model as a result of using factor analysis to examine the results of a world-wide survey of employee values by IBM between 1967 and 1973. It has been refined since.
vertical is a ranking system in the work place .
Denial of Difference Individuals experience their own culture as the only "real" one. Other cultures are either not noticed at all or are understood in an undifferentiated, simplistic manner. People at this position are generally uninterested in cultural difference, but when confronted with difference their seemingly benign acceptance may change to aggressive attempts to avoid or eliminate it. Most of the time, this is a result of physical or social isolation, where the person's views are never challenged and are at the center of their reality.
2.Defense against Difference One's own culture is experienced as the most "evolved" or best way to live. This position is characterized by dualistic us/them thinking and frequently accompanied by overt negative stereotyping. They will openly belittle the differences among their culture and another, denigrating race, gender or any other indicator of difference. People at this position are more openly threatened by cultural difference and more likely to be acting aggressively against it. A variation at this position is seen in reversal where one's own culture is devalued and another culture is romanticized as superior.
3.Minimization of Difference The experience of similarity outweighs the experience of difference. People recognize superficial cultural differences in food, customs, etc.,. but they emphasize human similarity in physical structure, psychological needs, and/or assumed adherence to universal values. People at this position are likely to assume that they are no longer ethnocentric, and they tend to overestimate their tolerance while underestimating the effect (e.g. "privilege") of their own culture. In other words, as explained by the Canadian Center for Intercultural Learning, "people who adopt this point of view generally approach intercultural situations with the assurance that a simple awareness of the fundamental patterns of human interaction will be sufficient to assure the success of the communication. Such a viewpoint is ethnocentric because it presupposes that the fundamental categories of behavior are absolute and that these categories are in fact our own."
4.Acceptance of Difference One's own culture is experienced as one of a number of equally complex worldviews. People at this position accept the existence of culturally different ways of organizing human existence, although they do not necessarily like or agree with every way. They can identify how culture affects a wide range of human experience and they have a framework for organizing observations of cultural difference. We recognize people from this stage through their eager questioning of others. This reflects a real desire to be informed, and not to confirm prejudices. The key words of this stage are "getting to know" or "learning."
5.Adaptation to Difference Individuals are able to expand their own worldviews to accurately understand other cultures and behave in a variety of culturally appropriate ways. Effective use of empathy, or frame of reference shifting, to understand and be understood across cultural boundaries. It is the ability to act properly outside of one's own culture. At this stage, one is able to "walk the talk."
What is characteristic of Chinese culture?
Explain the following terms: Face, network, membership.
Explain how knowing and learning can mean different things based on your cultural background.
What are the differences between Asian and Western logic?
What do you think: Are you a member of a doing or being culture?
Do you tend to do things sequentially or simultaneously?
The company of Fun Town Amusements takes a monochronic approach to time. This means that they have a linear time orientation where only one thing can be accomplished at a time.
To a monochronic-based company, time is a precious commodity that can be lost, saved, or wasted. Companies that embrace a monochronic time orientation view schedules and punctuality as an indispensable part of their workday. If executives of Fun Town were facing a delay in a presentation due to a speaker running late, they would be extremely upset and view the entire episode as unprofessional. Most monochronic time oriented companies are found in Western based cultures, such as the United States and Germany.
Pear Products is a high technology multinational company that embraces a polychronic, or cyclical, time orientation. They prefer to multi-task, or work on different activities at the same time. They do not stay on schedule, and in fact, will work while socializing in order to keep strong business relationships. For example, Pear Products' South American offices are known to have 3-hour business lunches where meetings are held, friendships are developed, and phone calls are answered.
How do Westerners think about time? Can you think about examples in the English language?
Explain the difference between individualism and collectivism.
How do Westerners feel about being indebted and about obligation? How do other cultures feel about it?
What role does age and gender play in Western society? In other cultures?
in other cultures age and wisdom is values and respected with proper ways of addressing him/her. while in the u.s. is it not accepted that way . we rid our society of old people.
Explain the concept of Face. How does it work?
The term face idiomatically refers to one's own sense of dignity or prestige in social contexts. In the English-speaking world, the expression "To save face" describes the lengths that an individual may go to in order to preserve their established position in society, taking action to ensure that one is not thought badly of by their peers. It is a fundamental concept in the fields of sociology, sociolinguistics, semantics, politeness theory, psychology, political science, communication, and face negotiation theory, and translates at least somewhat equivalently into many world languages, both Germanic and otherwise.
is a word used to describe a cognitive model that links together separate entities in our mind. "mental structures that shape the way we see the world and that are triggered by words."
Explain the difference between "high-context" and "low-context" cultures.
-Relationships depend on trust, build up slowly, are stable. One distinguishes between people inside and people outside one's circle.
-How things get done depends on relationships with people and attention to group process.
-One's identity is rooted in groups (family, culture, work).
-Social structure and authority are centralized; responsibility is at the top. Person at top works for the good of the group.
Interaction-High use of nonverbal elements; voice tone, facial expression, gestures, and eye movement carry significant parts of conversation.
•Verbal message is implicit; context (situation, people, nonverbal elements) is more important than words.
•Verbal message is indirect; one talks around the point and embellishes it.
•Communication is seen as an art form—a way of engaging someone.
Temporality • Everything has its own time. Time is not easily scheduled; needs of people may interfere with keeping to a set time. What is important is that activity gets done.
• Change is slow. Things are rooted in the past, slow to change, and stable.
• Time is a process; it belongs to others and to nature.
•Knowledge is embedded in the situation; things are connected, synthesized, and global. Multiple sources of information are used. Thinking is deductive, proceeds from general to specific.
•Learning occurs by first observing others as they model or demonstrate and then practicing.
•Groups are preferred for learning and problem solving.
Association •Relationships begin and end quickly. Many people can be inside one's circle; circle's boundary is not clear.
•Things get done by following procedures and paying attention to the goal.
•One's identity is rooted in oneself and one's accomplishments.
•Social structure is decentralized; responsibility goes further down (is not concentrated at the top).
Interaction •Low use of nonverbal elements. Message is carried more by words than by nonverbal means.
•Verbal message is explicit. Context is less important than words.
•Verbal message is direct; one spells things out exactly.
•Communication is seen as a way of exchanging information, ideas, and opinions.
• Disagreement is depersonalized. One withdraws from conflict with another and gets on with the task. Focus is on rational solutions, not personal ones. One can be explicit about another's bothersome behavior.
Territoriality •Space is compartmentalized and privately owned; privacy is important, so people are farther apart.
Temporality •Things are scheduled to be done at particular times, one thing at a time. What is important is that activity is done efficiently.
•Change is fast. One can make change and see immediate results.
Learning •Reality is fragmented and compartmentalized. One source of information is used to develop knowledge. Thinking is inductive, proceeds from specific to general. Focus is on detail.
•Learning occurs by following explicit directions and explanations of others.
•An individual orientation is preferred for learning and problem solving.
individuals are those who prefer to complete one task at a time. For them, task-oriented time is distinguished from socio-emotional time. In other words, there is a time to play and a time to work. These individuals value punctuality, completing tasks, and keeping to schedules. They view time as if it were linear, that is, one event happening at a time. Examples of monochronic cultures include the U.S., Israel, Germany, and Switzerland.
on the other hand, are more flexible about time schedules; they have no problem integrating task-oriented activities with socio-emotional ones. For them, maintaining relationships and socializing are more important than accomplishing tasks. These individuals usually see time in a more holistic manner; in other words, many events may happen at once. Latin America, the Middle East, and Africa are places where the polychronic orientation prevails.


Today, Compassion helps more than 1.4 million children in 26 countries.
Compassion has 4 programs that provide aide to different groups. They are Complimentary Interventions, Child Survival, Child Sponsorship and Leadership Development.
The largest program and the program that Compassion was built around is the Child Development and Sponsorship Program. This is what we are known for. Sponsors from our 11 partner countries choose a child from one of our 26 sponsored countries between the ages of 3 and 18 to sponsor. Watch the video below to learn more about child sponsorship.


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Home > TV
Frasier looks set to return as Kelsey Grammer spotted with script
The doctor is in?
By Alan Martin
Fifteen years since the last episode of Frasier aired, and 35 years since Kelsey Grammer appeared as Dr Crane in Cheers, it looks like the psychiatrist may be finally ready to make a return.
Grammer was snapped walking around London with a script clearly marked "Frasier." So either one of the ideas for a reboot has produced something usable, or he's clinging onto a copy of the script for "Ski Lodge" for something to read on the Tube.
It's no secret that Grammer has been considering bringing Dr Frasier Crane back to life one last time. In an interview with The Guardian last year he mused that making something that lived up to the show's heritage was almost a too daunting challenge. "It would be be quite a breathtaking failure to try to do it and not do it better than the previous show – and I think that's almost impossible. To pick up that responsibility would be a very brave thing to do. And you know, maybe I don't have the courage."
Eight months later, it seems like he'd decided he did have the courage after all, telling Metro that work was well underway but "cheques haven't been written."
Frasier's life can't continue completely where it left of, of course. John Mahoney, who brilliantly played Frasier's father Martin Crane died last year. "We would need to deal with that within the storytelling, but I'd want everybody back, if they want to come back."
As for what might be in that script, we don't know. Neither does Metro: "Whether he's got six children and a wife in the islands somewhere, he needs to come back to probably resolve things with his son Frederick, which mirrors the show in the first place."
Whether this is the start of a new season or just a one-off reunion special remains to be seen. Hopefully all will be revealed soon.
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@chostett – Page 2 – A blog about design.
I'm back to give you a roundup of some of the videos of the best talks of Day One of interaction 16 in Helsinki, Finland. As before, these talks span the gamut from not just the field of interaction design but to interactive art, mathematics, and romantic comedies. I'll also mention that the lightning talks at IXDA were not recorded; I can only link you to the recorded ones here, but there were so many great speakers at the lightning talks.
To all interaction designers: please watch this talk. Matt's talk about defining interaction design principles within our field is not only something I believe can raise the bar on our own design, but his assertion that interactive artists are ones that are pushing the boundaries of what it means to be an interaction designer is a fascinating one. He includes examples of many Toronto-area artists who have created unique user experiences for the sake of art and emotion.
This is a showcase and explanation of design patterns within the UK government's huge redesign of gov.uk. Yes, the form factor is primarily a website, but it optimized so many government processes within the UK that were previously handled primarily via forms and fax, which constitutes a redesign of the way the government provides their services to their users. Their redesign work won them an award within the IXDA.
Antti Oulasvirta: Can computers design?
This was one of the more provocative talks at interaction 16. In it, Antti asserts that using a mathematical algorithm, computers can optimize the process of design for designers. It definitely touches at the idea of "can we be replaced by computers?" but I think it offers a more nuanced view into how to harness algorithms to iterate faster in design.
I included this because not only is it entertaining, it also carries with it an undercurrent of deriving inspiration from media that is not traditionally associated with design. If you're interested in learning more about how speculative fiction can inform design, you should check out the book she mentions called Make it So: Interaction Design Lessons from Science Fiction, which studies science fiction as an inspiration for interaction and visual design principles.
That's it for Day One; there are a lot of provocative questions brought up in a lot of these; I would love to hear your thoughts on them. What do you think about Matt's proposed interaction design principles? Do you think computers can design?
I just got back from an amazing trip which was kicked off by a phenomenal interaction 16 in Helsinki, Finland. A huge shout out to the Sensel Team and frog design for taking home not one, but TWO IXDA prizes — Best Concept Award and Disruptor Award. Congratulations, Sensel and frog folks!
interaction 16 was focused on the future of interaction design and had a bevy of incredible Keynotes that I attended: they range the gamut from thought-provoking to heart-wrenching, and they are excellent views. Each of these Keynotes are phenomenal in their own right. Even though the focus was on interaction design, these speakers ranged to design in general, the Internet of Things, and AI, to name a few. I'll give you the links each of the talks in order of relevance, with a short description for each. By the way, there was no good way to stack rank these; I highly recommend you watch all of them.
An inspiring orator, Cameron has worked extensively in third-world countries designing and working with local architects to create housing structures that compete with the U.N. He shares his principles on what it means to design for third-world countries and to empower others through design.
A compelling talk on how humans perceive robots and dispelling myths of the future of Artificial Intelligence. Dr. Kate Darling is a Research Specialist at the MIT Media Lab and a Fellow at the Harvard Berkman Center. Her interest is in how technology intersects with society.
Alexandra focuses on, well, the lack of design voices within the IoT network both locally and globally. She was co-founder and CEO of Tinker London, the first distributor of the Arduino platform in the UK, ran workshops around the world and offered design and consultancy services to global clients.
A teacher, entrepreneur and fellow at MIT Media Lab talks about how music affects our moods, behaviors, and how it can and has been used in design. He has a fascinating look into the new work that MIT Media Lab is doing as well as design work within Helsinki.
Tricia looks at what we mean by "big data" and suggests rather than "big" we consider what rich data may look like across nations, timelines, and perspectives. She traces the roots of perspective collision from 16th century Venice to the Oculus Rift, and shows that in the age of Big Data, designers have to break out from the single-perspective mindset to generate perspective rich contexts.
One of the co-writers of Lean UX, Joshua shares his insights on quick user research and prototyping, using men's lifestyle tips as the basis for a product he eventually developed. By launching services early and powering them with a mix of software and human "concierge" services, he was able to develop and test systems and ideas even as they were under construction.
As the videos get posted, I'll send you a roundup of four or five videos that were highlights from the days so that you can vicariously experience some of the best speakers at interaction 16. I hope you enjoy them as much as I did. Happy watching!


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'Mitt Romney Is a Serial Killer'
AHHH!!!
Updated Apr. 21, 2017 5:42PM ET / Published Jan. 15, 2012 12:01PM ET
Do your duty to protect the lives of corporations, since they are people. "As head of Bain Capital he bought companies, carved them up, and got rid of what he couldn't use. If Mitt Romney really believes 'Corporations are people, my friend,' then Mitt Romney is a serial killer," says a new ad—the first released in South Carolina, in fact—by the super PAC founded by Stephen Colbert. Colbert handed over the super PAC to The Daily Show's Jon Stewart because Colbert can't "coordinate" and own a super PAC if he runs for president. Newt Gingrich must be relieved that he's no longer the harshest critic of the frontrunner—not by far.
Read it at Political Wire


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Centre for Urban Science and Progress London
ABOUT EDUCATION RESEARCH EVENTS ASSOCIATES CONTACT
The Centre for Urban Science and Progress London (CUSP London) is a joint initiative of King's College London and the University of Warwick. Its aim is to bring together researchers, businesses, local authorities and government agencies to apply urban science to improving citizen's lives, including their health and wellbeing. The creation of CUSP London follows the highly successful establishment of the Centre for Urban Science and Progress (CUSP) in New York, and it is intended that the two units will work closely together.
In its activities, CUSP London will:
Conduct fundamental and applied world leading research, in collaboration with its partners across its agreed technical scope
Promote the highest level of skill and expertise in urban science
Be multidisciplinary, transcending traditional discipline boundaries
Offer masters-level courses both separately and potentially as an integrated part of a PhD programme
Deliver research to the public through open access papers, open source code, and open data sets
Enter into agreements with business, government, public and third-sector organisations to facilitate research
Always act ethically and responsibly to benefit the common good
Deliver research that is aligned with industry and commerce
LOGO1 LOGO2 LOGO3


text:
Re-Imagining the Roof
Standard Industries is bringing a tech startup mentality to an industry that has long resisted change. They have a vision to turn every roof into a source of energy.
By Kevin Williams
Three Davids: Millstone, Winter and Kirkpatrick (Photo: Paul Sakuma)
A roof has had one primary purpose: to keep those under it dry. But Standard Industries co-CEOs, David Millstone and David Winter, have a vision to push roofing beyond the basics.
"This is re-imagining what a roof is, a roof is real estate, whether that is a garden, a roof deck, or a source of energy," Winter said. "It starts with waterproofing but we can go further."
Standard's roofing and waterproofing division, GAF, is the largest in North America, involved in one of three roofs. Millstone and Winter are injecting a tech startup mentality into an industry that has been largely untouched by digital transformation.
"This is an industry that has been deeply underpenetrated by technology," Millstone said. The sales process, for example, usually involves a salesperson visiting a homeowner with some shingle samples. But Winter described a future that uses drones and iPhone mapping capability to create a 3D roofing rendering for the homeowner, coupled with a seamless integration of solar panels.
"We are starting with waterproofing and then integrating solar more into the roof," Winter said.
Millstone and Winter then broadened their discussion beyond the roof to how they are moving Standard in the direction of progressive, imaginative sustainability that will trickle down to supply chains and underserved economies worldwide.
Winter described how SGI, Standard's rock building material division, for example, is studying how to repurpose waste from mines. In this case, the waste is the byproduct of the tiny granules used to coat and weatherproof shingles. These particles, which come from rock, are organic and can be used as fertilizer in underserved areas of the world.
"There has been an ongoing R&D effort to utilize these in agriculture, something we wouldn't have dreamed of 10 years ago," Winter said.
The co-CEOs said their company size can be an advantage in innovating and recruiting top talent. "We call it startup at scale," Millstone said.
"There is a lot of stifled innovation in the startup world. There tends to be a lot of capital to promote new ideas, but it has also caused people to make increasingly short-term decisions," he added.
Standard Industries, they said, have the time to invest in their push for a more sustainable, conscientious industrial ecosystem — and the company has the scale to make an immediate impact, one roof at a time.
Watch the conversation here:
Energy + Green Tech Manufacturing Standard Industries startups technology Techonomy Events
Kevin Williams is a journalist based in Ohio.
Williams started his career as a general assignment newspaper reporter and then moved into environmental and technological journalism. He first wrote about the online world in its nascent stages for the now defunct "Online Access" Magazine in the mid-90s. He then left his journalism behind and spent the next 15 years chronicling and studying Amish culture.
In 2013, he joined Al-Jazeera America. Since then Williams has written about everything from culture to politics for a variety of publications.
Williams returned to his technological roots earlier this year, writing a weekly cybersecurity column for Barracuda Networks.
Energy from Every Roof? This Company Thinks So


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Q: Site summary feed of Wikipedia excluding a single user There is a "Recent changes" feed available on the Wikipedia homepage.
The same is also available as an ATOM feed. It is also possible to watch a single user by going to their user_account and selecting the feed.
But is there any way to get to the feed excluding one (or two) users?

Update: Using xmllint I can extract the author names.
wget https://hunspell.s3.amazonaws.com/temp/out.txt

xmllint --xpath "//*[name() = 'feed']/*[name() = 'entry']/*[name() = 'author']/*[name() = 'name']" out.txt

But I want to exclude one or two authors from this feed. For example, Clarityfiend and Shortride.

Update:
When I tried xpath command, it worked very well with one parameter (english). But it failed with a Unicode parameter:
wget https://hunspell.s3.amazonaws.com/todel/out.txt

worked:
xpath -e "/feed/entry[author/name!='Aditya tamhankar' and author/name!='Sushant Madhale']" out.txt > a.txt

did not work:
xpath -e "/feed/entry[author/name!='Aditya tamhankar' and author/name!='संतोष गोरे']"  out.txt > filtered.txt

The entry by the second author is still there in filtered output.
grep 'संतोष गोरे' filtered.txt

The second command is OK with Unicode, but it does not display one  record correctly...
# (t1='Aditya tamhankar' ; t2='संतोष गोरे'; echo 'setns x=http://www.w3.org/2005/Atom'; echo "cat /x:feed/x:entry[not(x:author/x:name[.='$t1'] | x:author/x:name[.='$t2'])]/descendant::*[self::x:updated or self::x:title or descendant-or-self::x:name]/text()") | xmllint --shell out.txt  | tail -n +4 | gawk '{ if(NR % 6 == 0){ print $0 "¬"} else { print $0 }}' |gawk 'BEGIN{FS="\n -------\n" ; RS="\n -------¬\n"; OFS="||"} { print $2,$1,$3 }END{ print FNR}'

All records except this one are correct:
152.238.27.63
/ >
||2021-07-15T20:14:03Z||
19

A: You can install AbuseFilter and define a rule that will tag edits made by all but that one or two users (use the variable user_name in the filter.
Then you can filter recent changes with that tag. The URL of the Atom feed for recent changes tagged, e.g. "Android app edit", will look like this: https://en.wikipedia.org/w/api.php?tagfilter=android+app+edit&urlversion=1&action=feedrecentchanges&feedformat=atom.
This, of course, holds, if you don't literally mean Wikipedia but a wiki that you control.
OR
You can feed all recent changes (e.g. https://en.wikipedia.org/w/api.php?urlversion=1&action=feedrecentchanges&feedformat=atom) and filter them with an XPath like /feed/entry[author/name[text()!='Linason Blessing']] to exclude changes by Linason Blessing. See the saved XPath.

A: I suggest that you use xpath tool from your terminal (Ubuntu package libxml-xpath-perl). It supports XPath 2:
wget -O - https://hunspell.s3.amazonaws.com/temp/out.txt | xpath -e "/feed/entry[author/name!='Clarityfiend' and author/name!='Shortride']" > filtered.txt

UPD: If there is an out of memory error for input buffer, download the feed into a file rather than standard output:
wget https://hunspell.s3.amazonaws.com/temp/out.txt
xpath -e "/feed/entry[author/name!='Clarityfiend' and author/name!='Shortride']" out.txt > filtered.txt

The XPath query will list all entries with author's name not equal to Clarityfiend or Shortride. The entries will be saved in filtered.txt.

A: This Bash one-liner using xmllint will filter by author/name containing the 2 strings defined in t1 and t2 variables and output update||title||author values
(t1='संतोष गोरे' ; t2='ñandú'; echo 'setns x=http://www.w3.org/2005/Atom'; echo "cat /x:feed/x:entry[not(x:author/x:name[contains(text(),'$t1')] | x:author/x:name[contains(text(),'$t2')])]/descendant::*[self::x:updated or self::x:title or descendant-or-self::x:name]/text()") | xmllint --shell wiki.xml  | tail -n +3 | gawk '!/ -------/ { if(NR % 3 == 0){ $0=$0 "\n"}else{$0=$0} { print }}' | gawk 'BEGIN{FS="\n";RS="\n\n"; OFS="||"} { print $2,$1,$3 }END{ print FNR}'

Filtering expression type: x:author/x:name[not(contains(text(),'$t1'))]
Result:
2021-07-15T22:34:54Z||Fabiano Leismann||Simione001
2021-07-15T22:34:53Z||Arnold Henry Mason||4meter4
2021-07-15T22:34:53Z||User talk:MrOllie||152.168.57.106
...
...

This will do the same but with exact match on author
(t1='संतोष गोरे' ; t2='ñandú'; echo 'setns x=http://www.w3.org/2005/Atom'; echo "cat /x:feed/x:entry[not(x:author/x:name[.='$t1'] | x:author/x:name[.='$t2'])]/descendant::*[self::x:updated or self::x:title or descendant-or-self::x:name]/text()") | xmllint --shell wiki.xml  | tail -n +3 | gawk '!/ -------/ { if(NR % 3 == 0){ $0=$0 "\n"}else{$0=$0} { print }}' | gawk 'BEGIN{FS="\n"; RS="\n\n"; OFS="||"} { print $2,$1,$3 }END{ print FNR}'

Filtering expression type: x:author/x:name[not(.='$t1')]
To filter only one author:
(t1='संतोष गोरे'; echo 'setns x=http://www.w3.org/2005/Atom'; echo "cat /x:feed/x:entry[not(x:author/x:name[.='$t1'])]/descendant::*[self::x:updated or self::x:title or descendant-or-self::x:name]/text()") | xmllint --shell wiki.xml  | tail -n +3 | gawk '!/ -------/ { if(NR % 3 == 0){ $0=$0 "\n"}else{$0=$0} { print }}' | gawk 'BEGIN{FS="\n"; RS="\n\n"; OFS="||"} { print $2,$1,$3 }END{ print FNR}'

Or generate a UUID and assigned it to t2 ;-)

redpajama_set_name: RedPajamaStackExchange


text:
Solomon Systech EPD Driver IC Honored at EE Awards Asia 2022
Dũng Vy — 27-12-2022, 01:01 —  Suggestion Box
TAIPEI, Dec. 27, 2022 /PRNewswire/ -- Solomon Systech Limited is a fabless company specializing in the design and development of IC products and system solutions that enable a wide range of display and touch applications for smartphones, tablets, TV and monitors, notebooks PCs, and other smart devices, including wearables, electronic shelf labels, healthcare devices, and smart home devices.
In particular, the company has been in the e-paper industry for over 20 years, working on display driver ICs for electronic shelf labels (ESL), among other forms of e-paper like e-signage and e-reader, etc. Apart from being environment-friendly, the company believes ESL has a great market potential as it also allows Internet of Things (IoT) applications such as inventory control, which can offer additional benefits such as improving efficiency for the end users.
Enhancing e-paper display with color
Developments in the e-paper and ESL markets are geared toward multicolor displays with fast response times—trends that Solomon Systech's IC drivers need to address, without compromising power consumption.
To support additional colors on the ESL, the company says it needs to have the right fab process to drive the FPL color.
According to the company, as its technology know-how was mature enough to develop a three-color driver IC version, they proceeded to work on it.
"We have successfully solved these challenges working hand in hand with our suppliers and customers," says Raymond Wang, Chief Executive Officer of Solomon Systech.
Compared to the old segment model, this display driver IC adapts to the active-matrix format, which allows the display content on ESLs to be altered freely—greatly increasing flexibility of ESLs' usage.
Driven by high voltage when the display content needs to be updated, this display module consumes no power at all when the ESL is in static state showcasing the content, thereby ensuring low-power consumption, and making the device an environment-friendly product. In terms of color, Solomon Systech's display driver IC has helped ESLs transform from black and white to tricolor—either black/white/red or black/white/yellow—providing more variety to the visuals.
Solomon Systech's active-matrix EPD driver has garnered an award under the Most Topical Product and Technology category at EE Awards Asia 2022.
EE Awards Asia, and future developments
For its active-matrix EPD driver with controller for color electrophoretic displays, Solomon Systech has garnered an award under the Most Topical Product and Technology category at EE Awards Asia 2022.
Now in its second year, EE Awards Asia celebrates the innovation, creativity, and contributions of Asia's engineering community that have made a difference in the way we work, live, communicate, and play over the past year.
"We feel privileged to receive the award as it is a recognition of our technological advancement in the industry. We shall continue to focus on our R&D to further improve our products," Wang notes.
According to the company, they will continue to focus on developing solutions for ESL and e-signage applications, which are widely popular in Europe and growing in the United States and Asia. It is also gearing up to launch its four-color ESL very soon.
Meanwhile, amid the growing popularity of the metaverse, the company is currently working on developing high speed interface IC for virtual and augmented reality (VR/AR) applications.
"Hopefully, they will be ready to be launched to the market very soon and bring superior immersive experience to the end users," Wang concludes.
Source: EE Times Taiwan
Tags : Solomon Systech EPD Driver IC Honored at EE Awards Asia 2022
Dũng Vy
Hisense Launches Laser TV White Paper with Economist Impact, Benefitting Society Through Laser Display Technology
LG Display Showcases Innovative OLED Technology at SID 2022
Omdia Releases White Paper on the Enduring Value of IP + Optical
SCALA TO DEMONSTRATE FULL RANGE OF DIGITAL SIGNAGE HARDWARE AND SOLUTIONS AT INFOCOMM 2022
2022 Vehicle Displays & Interfaces Symposium and Exhibition Features Head-Up Displays and Other Human/Machine Interface Advances
Goodix Pushes Boundaries in IoT Innovations with Next-Generation Sensing & Connectivity Solutions


Home improvement is a time-honoured way to spend your free weekends. And whether you've just taken proud possession of your first house or you're renovating the old family home to sell, there's doubtless plenty to be done.
Employing your DIY skills can save you serious coin, not to mention offer the satisfaction of a job well done. But should some jobs be left to the professionals? And how will you know which tasks to undertake? In some cases, especially if it's a gas or electrical job, there is legislation governing which things you can and cannot do yourself. In others, it's a matter of understanding what the task really involves.
We look at some of the most common tasks around the house and whether or not they're DIY suitable.
DIY if the job is simple and you're going to repaint the whole room.
Most people can fill in small holes where hooks have been removed, for example. Just fill, wait for them to dry and sand back to a smooth surface. Repainting the entire area is also a straightforward job, although you should always be careful to work in ventilated spaces to avoid fumes. This assumes that you're not trying to match an unknown colour, and instead are either happy with colour differences between rooms or you know the exact colour of adjoining walls.
Call in the professionals if the work is more substantial or involves colour matching.
Plugging larger holes in a wall can turn into a bigger job than anticipated. You might encounter substantial crumbling or dry rot which require professional patching. It's important, too, that the walls are patched with an appropriate material otherwise you'll end up having to redo the work anyway.
Colour matching is another specialist skill. If you are trying to paint an area in an open plan space and don't know the name of the colour the previous owners use, it's a great idea to get a professional in. They'll be able to come up with a blend that matches the rest of the house and is suitable for the room in question.
DIY if it's a simple repair job like replacing a washer or clearing a blocked sink drain. Much of the hardware needed is easily available at hardware stores, so if you have some basic knowhow it's very possible to go ahead and do it yourself.
Call in the professionals if the repair is more substantial or involves a braided hose. These latter are the flexible pipes found under kitchen sinks and a common cause of domestic flooding. If you notice rust, kinking or unravelling of the hose, don't try and fix it yourself but call a licensed plumber. The wire is extremely sharp when unravelled, and damage to the pipe can cause serious flooding problems.
DIY if you're replacing an old fan with a similar new one that doesn't include a light fitting, changing light bulbs or smoke detector batteries, testing safety switches or replacing a fuse. You may also connect and disconnect gas cylinders and portable equipment like patio heaters.
Call in the professionals if it's anything else. That includes all electrical appliances and wiring, including damage to wiring insulation, socket outlets or appliance cords. All gas work including flues and ducts, pipe work from the gas meter or cylinder, and gas appliances should be done by a licensed tradesperson.
Electrical and gas fitting work is heavily regulated, and undertaking these tasks without a licensed tradesperson means you risk a fine or even prosecution. Your tradesperson should issue you with a certificate of compliance after every job.
For peace of mind and the knowledge of a job well done, ask around for recommendations of trusted tradespeople and keep their names at hand. In the end, a job well done is the cheapest approach there is.


In plugins list, tagged as maybe not compatible. I have now gotten around to activating and testing. It seems to be working.
I add the compatibility for 2.4 in extension manager.
Et pour la version 2.0.5 de Piwigo ? apparemment le plugin n'est pas compatible, peut-on espérer une nouvelle version ? merci de votre attention.


Hamburg police shot dead a 38-year-old mentally disturbed man over the weekend after he attacked officers with a kitchen knife in his home after pepper spray failed to disable him.
On Sunday police confirmed that the man, identified as Dirk P., had been killed.
Neighbours called his mother on Saturday afternoon after they heard him screaming and smashing furniture in his apartment in the Ohlsdorf district of Hamburg. His mother called the police after she was unable to calm him.
The police first attempted to enter using his mother's key, but finding the door barricaded, the officers broke it down and entered. According to police spokeswoman Ulrike Sweden, they were then attacked by the knife-wielding man in the hallway.
When the use of pepper-spray failed to stop him, one of the officers drew his gun and shot Dirk P. three times, hitting him twice in the upper body and once in the arm. Although an ambulance was already on hand, emergency workers were unable to save his life.
According to a report in the Hamburger Morgenpost newspaper, Dirk P.'s mental illness was well-known. He had been undergoing treatment for several years and had a guardian.
The police have claimed that he was shot in self-defence, but a murder inquiry has been opened to clarify why the officers did not retreat once the pepper-spray had proven ineffective or attempt to disarm him another way.


text:
爱上海,上海419论坛,上海龙凤419 – Powered by Karis Donavan!
Powell, McLeod, VCB win in Atlanta
Competing for the first time since he failed to finish at a meet in Hungary in early July, national 110m hurdles champion Omar McLeod clocked 13.28 (-0.1) to win ahead of fellow Jamaican Andrew Riley, 13.39, and American Ronnie Ash, 13.46. Campbell-Brown was busy, winning the women's 200m in 22.82 (-0.1) ahead of the United States' Charonda Williams, 23.25, and Semoy Hackett, 23.37, from Trinidad and Tobago. Earlier, Campbell-Brown was also fastest in the 100m, winning in 11.22 (-0.1), with Trinidad and Tobago's Michelle Lee- Ahye, 11.29, crossing the line in second place and another Jamaican, Simone Facey, 11.30, finishing third. Shevon Stoddart, 56.40, and Samantha Elliott, 56.49, were second and third, respectively behind Leah Nugent (USA), who clocked 55.63 to win the women's 400m hurdles. Natoya Goule, 2:02.16, was third in the women's 800m, which was won by American Maggie Vessey, 2:00.30, ahead of Canada's Melissa Bishop, 2:00.43. Competing at the Dutch Championships, Olympic and World Championships medallist Warren Weir was second in the men's 200m with a time of 20.68, running behind Liemarvin Bonevacia, 20.62, with Solomon Bockarie, 20.81, finishing third. Mcleod comes back Jamaicans Asafa Powell, Veronica Campbell-Brown and Omar McLeod were among the winners at Saturday evening's American Track League meeting in Atlanta, Georgia, while Warren Weir was second, competing in The Netherlands. Powell stopped the clock at 10.01 seconds (+0.1 metres per second wind) to win ahead of St Kitts and Nevis' Jason Rodgers, 10.23, with American Walter Dix taking third place in 10.25. It was Powell's first clocking over 10.00 seconds since the semi-finals of the National Senior championships in late June and his 12th win in 13 starts this season. Powell is not expected to compete again until this month's World Championships in Beijing, China (August 22-30), where he will be looking to improve on his two bronze medals won at the 2007 and 2009 World Championships. read more
'Shelly' keen to provide helping hand – to assist Namibian sprinters
Schedule for Jamaicans ZURICH: SHELLY-ANN Fraser-Pryce says being able to inspire others is what will keep her motivated in the run-up to the Olympic Games in Rio next year. Having won everything there is to win on multiple occasions, the diminutive sprinter would be forgiven for feeling like she has done all there is to do in the sport. However, the 28 year-old told The Gleaner that remembering where she comes from and being able to inspire others from her community is what keeps her going. "I get to inspire so many young girls and boys. I get to inspire the community where I am from and I get to do a million things that I can only do because of where I am and what I have done. "Those are the things that keep me motivated. To be able to help and give back; to be able to show the girls in my community that no matter where you are from, what matters is what you believe in and how hard you work for it. To be able to show them that you should always have faith in what you want to do." Having achieved all of the goals set for this year, Fraser-Pryce is looking forward to taking her first-ever vacation as an athlete by heading to Africa. Rather than stepping away from athletics totally, however, the Olympian will be assisting Namibian sprinters in their quest to emulate the feats of the Jamaicans. "Two years ago, we started a programme with Namibian athletes who came to Jamaica as part of an exchange programme. "So I had always said to them that one day I would come and visit where they are from. You can really get them to try anything in Jamaica, and I really want to go and see where they are from and take in their culture." She added: "There are two ladies with us training and things are a bit different for them. Our programme is very different from what they are used to in Namibia. So now they have been a part of our camp they see the things that we go through, especially when it comes to our facilities. It's not the greatest, but it works for us. "I am hoping that after two years with us they will be able to send one of their sprinters to an Olympic Games, and who knows, maybe this will spark some great things for Namibians moving forward." – J.C. 10:55 a.m: Men's discus Jason Morgan 12:10 p.m: Women's 100m B race Kerron Stewart, Elaine Thompson, Sherone Simpson 1:05 p.m: Women's 400m hurdles Kaliese Spencer, Janieve Russell 1:29 p.m: Women's 100m Shelly-Ann Fraser-Pryce, Veronica Campbell-Brown, Natasha Morrison 1:56 p.m: Men's 200m Nickel Ashmeade, Rasheed Dwyer 2:36 p.m: Men's 400m hurdles Annsert White 2:55 p.m: Women's 4x100m read more
Thompson, Richards eager to improve after Brussels efforts
BRUSSELS, Belgium:Not even the motivated pair of Elaine Thompson and Allyson Felix could stop the bustling locomotive that is Dafne Schippers from running away with their high-profile 200m clash – not yesterday, not in front of a pro-Schippers crowd.Still, the fast-rising Jamaican, fresh from her silver medal won at the recent IAAF World Championships in Beijing, left the series -closing AG Memorial Van Damme IAAF Diamond League in Brussels, Belgium, as encouraged as ever and eager to start working again towards a season that promises more for the MVP charge, with the Olympic Games ever nearer on the horizon.Schippers, the world champion, showed that her Beijing gold medal was no fluke – and perhaps made it clear that Felix or not, nothing was going to stop her in China – producing a frightening burst in the last 50m to frankly overpower the others, stopping the clock at 22.12 in still wind.Felix, who was consoled by the glistening Diamond Race trophy and the accompanying US$40,000, was second in 22.22, with Thompson crossing the line in 22.26. Sherone Simpson was sixth in 23.12."I'm not disappointed. I was looking forward to competing with these ladies," said Thompson. "I knew it would be a challenge, and it will only push and motivate me to work harder."Gatlin's Diamond streakSpeaking of working hard, American Justin Gatlin – the Diamond winner – was made to dig deep for his win in the 100m as he protected his unbeaten run on the circuit, which dates back to 2014 with a laboured 9.98 win. Femi Ogunode (Qatar), who also came in at 9.98, was second, with Frenchman Jimmy Vicaut, 9.99, closing out an almost inseparable top three.It was a bad day for Jamaican pair Nesta Carter, who looked for an early advantage and was ejected after a false start, and Asafa Powell, who finished fifth in 10.04.In the men's shot put, World Championships bronze medallist O'Dayne Richards registered a 21.37m mark for second place, but his real target was 22m, leaving the ever-improving Jamaican slightly disappointed.The event was won by New Zealand's Tom Walsh, 21.39, with Diamond Race winner and world champion American Joe Kovacs (21.35) finishing third.Richards, who fouled on his last three attempts says, he will be going all out to meet his target at his last meet for the season in Berlin on Sunday."I have to give God thanks even when I lose. I have to learn that is part of the sport. Assessment-wise, I wanted to hit 22m today. I have one more chance. I kept missing the shot, not applying all the force on the shot, so it kept slipping and didn't go as far as I wanted it to go, but (it is) my best performance outside of a championships, so I'm happy for that," Richards told The Gleaner after his event.Kimberly Williams got off to a good start but slipped to fourth in the women's triple jump, taking advantage of world champion Caterine Ibarg¸en's (Colombia) slow start, with her second effort 14.22m keeping her in the top two for much of the competition.The Jamaican would eventually improve to 14.28m, but by then, she was already out of the top three, with Ibarg¸en taking her third straight win in Brussels and ensuring she won all but one of the six Diamond League competitions with a 14.60m mark. World Champs silver medallist Hanna Knyazheva-Minenko (Israel), 14.42m, was second, with Russian Ekaterina Koneva, 14.37m finishing third.Stephenie-Ann McPherson, 51.00, was third in the women's 400m behind winner Shaunae Miller (Bahamas), 50.48, and Diamond Race winner Francena McCorory, 50.59. Christine Day, 51.96, was sixth, with Novlene Williams-Mills, 52.04 finishing seventh.In the male equivalent, national record holder Rusheen McDonald seems to still be suffering from his 43.93 run in Beijing, finishing ninth here in 47.89, while Peter Matthews took third place in 45.74. The event was won by Renny Quow (T&T), 45.29, ahead of Belgian Kevin BorlÈe, 45.43.Rasheed Dwyer, 20.27, was third in the 200m, with Antiguan Miguel Francis, 20.22, finishing second to the winner, Qatar's Femi Ogunode, who clocked a personal best and area record 19.97. Nickel Ashmeade was fifth in 20.59. read more
McCarthy slams big hundred in trial match
Top-order batsman AndrÈ McCarthy, highlighted the opening day of the fifth and penultimate Jamaica Scorpions regional four-day trial match between John Campbell XI and Paul Palmer XI at Sabina Park yesterday.The 28-year-old, who had a lukewarm season last year and was in and out of the team, hit an unbeaten 159 as John Campbell XI, sent to bat, closed on a healthy first innings total 346 for nine.McCarthy, a former West Indies Under-19 representative, stroked 13 fours and five sixes during his knock, which has so far accounted for 203 balls.Wicketkeeper Carlton Baugh Jr, who made an unbeaten 54 in the previous trial match, almost scored a century as he provided strong support with 96.Part-time off-spinner Tamar Lambert took two for 19; left-arm spinner Coi Thompson, two for 44; Rovman Powell, two for 50; and leg-spinner Damion Jacobs, two for 104, led the way with wickets."I know I needed a good score after getting starts in the other games and today it came off. I am excited about it," said McCarthy."I have been training hard before the start of the season and been putting in the work and am now glad to see it coming together."I just hope to continue in the remainder of the trials and hopefully impress the selectors to be a part of the squad for the opening game," he expressed.McCarthy, prior to the hundred, had made scores of 53, 42, 37, 14 not out and 16. read more
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WCD sea defence works halted
…shortage of material citedTemporary works being carried out by the Civil Defence Commission (CDC) on four sections of the West Demerara (WCD) sea defence structure which were destroyed by recent high spring tides have been halted due to shortage of materials.In an interview with Guyana Times, Chairman of the Neighbourhood Democratic Council (NDC) of Uitvlugt/Tuschen, Vishal Ambedkar, explained that the CDC, in collaboration with the Public Infrastructure Ministry, has effected temporary repairsA section of the seawall that was repaired using bouldersalong the seawall by placing boulders to fill the gaps."What we've been told is that rap-facing protecting has been done; that is actually boulder face protection," Ambedkar noted.Two construction companies were hired to mend the seawalls and construct drainage along the area. The chairman said members of the CDC were present at the site during the repairing of the sea defence, but he cannot definitively say whether they had physically participated in the works being done.The equipment used to repair the breakages was removed on Monday, and works have been halted due to shortage of materials, Ambedkar explained."What we've been told is that the machinery that were working there have been removed. They are awaiting new materials, and as soon as those materials are available to them, they will be going back on site," the chairman explained during a visit by Guyana Times.Asked when the sea defence structures would be permanently fixed, he noted,Massive waves hit the Uitvlugt sea defence with blinding force"The Minister of State, Joseph Harmon, has indicated to us that they will be sending a team from the respective agency (to look) at the sea defence, to do an assessment of what needs to be done."Residents of the area are presently still engaged in cleaning-up activities, and damages are still being assessed.Ambedkar said that residents were informed that another high tide will occur around Easter. He added, "With climate change, it's evident that the situation that occurred here will definitely happen again. Our task here at the NDC will be trying to minimize the effects of flooding in the future."The NDC of Uitvlugt/Tuschen has always assisted with the cleaning of drains and the removal of garbage along the coast. Ambedkar noted that the Minister of State had also informed last week that compensation will be given to the residents, but it is not known whether all damages would attract compensation."There will be need for financial assistance based on our assessment, so that persons can have their livelihoods restored," he told this publication.PPP MP Irfaan Ali also stated that a letter which provided an update on the flooding, together with a list of emergency actions which should be taken to assist residents at the earliest opportunity, was sent to Minister Patterson.Guyana Times saw a copy of the letter, which highlighted that the Tuschen-Uitvlugt area had received immense damage, and that many other villages in the area had suffered enormously from the flooding, thus damages should be assessed there as well. The villages mentioned included Hague, Cornelia Ida, Anna Catherina, Leonora and Stewartville. (Rupadai Seenaraine) read more
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Naloxone Effectiveness Compared by Route of Administration
November 30, 2017 2:10 PM | Deleted user
HealthDay News — For reversal of opioid overdose, higher-concentration intranasal naloxone has similar efficacy to that of intramuscular naloxone administered at the same dose, according to a review published online November 27 in the Annals of Internal Medicine.
Roger Chou, MD, from the Oregon Health & Science University in Portland, and colleagues conducted a systematic review to synthesize evidence on the effects of naloxone route of administration and dosing for suspected overdose in out-of-hospital settings, and the need for transport to a health care facility after reversal of overdose with naloxone. Data were included from 13 eligible studies.
The researchers found that 1 trial demonstrated similar efficacy between higher-concentration intranasal naloxone and intramuscular naloxone administered at the same dose (2mg/mL). One trial found that lower-concentration intranasal naloxone was less effective than intramuscular naloxone, but the risk for agitation was reduced (low strength of evidence). There was insufficient evidence to assess other comparisons for administration route. Low rates of death and serious adverse events were reported in 6 uncontrolled studies in non-transported patients after successful naloxone treatment.
"Higher-concentration intranasal naloxone (2mg/mL) seems to have efficacy similar to that of intramuscular naloxone for reversal of opioid overdose, with no difference in adverse events," the authors write. "Non-transport after reversal of overdose with naloxone seems to be associated with a low rate of serious harms, but no study evaluated risks of transport versus non-transport."
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20 more Wisconsin counties sue opioid drugmakers
November 29, 2017 10:04 AM | Deleted user
More than half of Wisconsin counties have sued opioid manufacturers, as 20 more counties announced Tuesday that they are filing lawsuits.
The counties are led by the Milwaukee-based law firm Crueger Dickinson and Simmons Hanly Conroy, which has offices throughout the country and has filed similar suits in five other states.
The counties allege that the drug manufacturers' business strategies helped create the opioid epidemic.
There are now 48 Wisconsin counties that are seeking damages. Purdue Pharma, one of the companies named in the lawsuit, has denied the allegations.
Milwaukee County highlights $2.6 million to fight addiction
Milwaukee County officials highlighted $2.6 million in grants that will help them expand addiction treatment programs at a press conference Monday.
County Executive Chris Abele said that the funding is "a huge step forward" and will support local efforts to fight the opioid epidemic.
"As a country, we need to use every dime we've got," he said. "We need to focus on an issue that is growing faster and killing more people than just about anything you can imagine."
Milwaukee County Family Drug Treatment Court is receiving $2.1 million over the next five years from the Substance Abuse Mental Health Services Administration.
"We are transforming these families," said Milwaukee County Court Judge Joe Donald.
Robyn Ellis, who participated in the county's family drug treatment court, started using alcohol as a child and illegal drugs as a teenager.
In 2013, she lost custody of her daughter. Then family drug treatment court got involved.
"It's hard for me to stand up here and share all of this because I'm in such a different place today," she said.
The court helped her get and stay sober, and she regained custody of her daughter in 2014.
An additional $506,000 grant from the Wisconsin Department of Health Services will allow the county's Behavioral Health Administration to expand its alcohol and other drug addiction treatment and recovery services to 75 more people.
Those services include medication-assisted treatment, residential treatment, recovery housing and counseling.
"We really want the community to know that addiction is a disease," said Mike Lappen, division administrator. "It can be prevented. It can be treated."
Workers Compensation Call to Action
The legislature is considering legislation based on proposals from the Workers Compensation Advisory Council. The proposals were developed Labor and Management representatives on the Council. But not all of the proposals share the support of the Council's health care representatives, including a recommended fee schedule. Health care organizations will need to be even more active this session than last to again defeat the fee schedule proposal.
It is important to note that works compensation premiums have dropped – without a government mandated fee schedule. This year alone, employers received an 8.46 percent reduction in their worker's compensation insurance premiums, saving employers an estimated $170 million. At the same time, Wisconsin's health care system continues to lead the nation in outcomes with injured employees returning to work a full three weeks earlier than the national average. And health care costs per worker's comp claim lower than the national average.
Your calls are needed to both the State Assembly and State Senate to explain why the proposed health care fee schedule could harm Wisconsin's model worker's compensation system. You can find your legislators contact information on the state legislature's website.
Let your State Representative and State Senator know you are a physician in their district, serving patients who are also constituents and that you are opposed to an artificial fee schedule for a worker's compensation system that provides the nation's best care at a below-average worker's compensation cost. Thank you for your time and action on this important issue.
Wisconsin Supreme Court to review case on medical malpractice caps
November 27, Wisconsin Health News
The state's Supreme Court agreed last week to review a lower court's decision striking down a cap on how much patients can receive for some malpractice claims.
An appeals court ruled in July that a state law capping awards for noneconomic damages at $750,000 was unconstitutional. Noneconomic damages seek to compensate patients for pain and suffering. The Wisconsin Hospital Association and the Wisconsin Medical Society have raised concerns about the court's decision and its potential ramifications for providers and accessibility to healthcare. In her opinion striking down the decision, Judge Joan Kessler said the law placed an "unfair and illogical burden only on catastrophically injured patients, thus denying them the equal protection of the laws."
The case involves Ascaris Mayo, who lost her limbs after providers at a Milwaukee-area emergency room failed to notify her she had an infection. A jury awarded Mayo and her husband $16.5 million for noneconomic damages, which the state sought to reduce.
OPIOID CRISIS HITTING BOOMERS, MILLENNIALS HARDEST
By Amy Norton
TUESDAY, Nov. 21, 2017 (HealthDay News) -- The U.S. opioid epidemic seems to be taking its biggest toll on the baby boomer and millennial generations, a new study suggests.
Researchers found that since 2010, boomers -- born between 1946 and 1964 -- have had heightened rates of death from prescription opioids and heroin. Meanwhile, millennials -- people in their 20s and 30s -- also have been hard hit by heroin overdoses.
"The opioid epidemic has affected everyone," said senior researcher Dr. Guohua Li. "But what we're seeing is that these two generations are at highest risk," said Li, a professor of epidemiology at Columbia University.
Li said he could only speculate on the reasons.
But the findings on boomers were not surprising, he noted. That generation is known to have a relatively high rate of drug abuse, versus other generations. Plus, Li said, they were middle-aged when prescriptions for opioids were taking off in the 1990s -- which means they were a "primary target" for the medications.
According to the U.S. National Institute on Drug Abuse, more than 2 million Americans were abusing opioids in 2015. That included heroin and prescription opioids, such as painkillers like Vicodin (hydrocodone), OxyContin (oxycodone) and codeine.
Recent research has found that Americans' prescription opioid abuse has leveled off. But overdose deaths are still climbing.
Earlier this year, a U.S government study highlighted the toll that heroin alone is taking. Between 2002 and 2016, deaths from the drug soared by 533 percent nationwide -- from just under 2,100 deaths to more than 13,200.
So while efforts to curtail opioid prescriptions have worked, opioid deaths overall have not yet declined, said Robert Heimer, a professor of epidemiology at Yale School of Public Health.
Unfortunately, some people addicted to prescription opioids switch to heroin or, more recently, illicitly made "synthetic" opioids such as fentanyl.
"Often, people on heroin started with prescription opioids," Heimer said. However, he added, these are typically illegally sold prescription drugs.
Heimer, who was not involved in the new study, said the findings are "useful."
"It really suggests it's the older and younger generations that are being most affected by this epidemic," he said.
The study analyzed national vital statistics for the years 1999 to 2014.
Li's team found that compared with people born in the late-1970s, boomers were up to 27 percent more likely to die of a prescription opioid overdose. And they were up to one-third more likely to die of a heroin overdose.
Meanwhile, the rate of heroin overdose death accelerated most among millennials -- people born in the 1980s to early '90s. For example, those born in 1989 and 1990 were 23 percent more likely to die of a heroin overdose compared with Americans born in the late 1970s.
According to Li, it's not clear why millennials face a higher risk than their "Generation X" predecessors. But he speculated that they have had relatively less economic security than Gen Xers.
On the prevention side, various medical groups have changed guidelines to rein in opioid prescriptions.
Also, U.S. states have launched drug monitoring programs, which electronically track prescriptions for controlled substances. Doctors can check them before prescribing opioids, to help catch "doctor shoppers" -- people who go from one provider to the next, seeking a new opioid prescription.
But those efforts only go so far, Heimer pointed out.
To cut down overdose rates, access to addiction treatment is vital, Heimer and Li agreed.
"Medication-assisted treatment" -- with the drugs methadone, buprenorphine or naltrexone -- is considered the most effective therapy for opioid dependence. The medications act on the same brain targets as opioids do, and help suppress withdrawal symptoms and cravings.
But there are big barriers to receiving that kind of treatment. Only a small number of U.S. doctors prescribe them, and lack of training is one reason, according to Heimer.
"Stigma" is a wider, underlying issue, he said. The drugs used to treat opioid addiction are sometimes seen as nothing more than a substitution, and there is still a belief that total abstinence should be the goal.
"The biggest problem is that medication-based therapy is stigmatized," Heimer said. "We don't do that with any other chronic disease, and addiction is a chronic disease."
The findings were published online Nov. 21 in the American Journal of Public Health.
The U.S. National Institute on Drug Abuse has more on treating opioid addiction.
SOURCES: Guohua Li, M.D., Dr.PH., professor, epidemiology, Columbia University Mailman School of Public Health, New York City; Robert Heimer, Ph.D., professor, epidemiology, Yale School of Public Health, New Haven, Conn.; Nov. 21, 2017, American Journal of Public Health, online
THE TRUE COST OF OPIOID EPIDEMIC TOPS $500 BILLION, WHITE HOUSE SAYS
The White House says the true cost of the opioid drug epidemic in 2015 was $504 billion, or roughly half a trillion dollars.
In an analysis to be released Monday, the Council of Economic Advisers says the figure is more than six times larger than the most recent estimate.
The council said a 2016 private study estimated that prescription opioid overdoes, abuse and dependence in the U.S. in 2013 cost $78.5 billion.
Published 5 Hours AgoThe Associated Press Jim Watson | AFP | Getty Images
President Donald Trump delivers remarks on combatting drug demand and the opioid crisis on October 26, 2017 in the East Room of the White House in Washington, DC.
In an analysis to be released Monday, the Council of Economic Advisers says the figure is more than six times larger than the most recent estimate. The council said a 2016 private study estimated that prescription opioid overdoes, abuse and dependence in the U.S. in 2013 cost $78.5 billion. Most of that was attributed to health care and criminal justice spending, along with lost productivity.
The council said its estimate is significantly larger because the epidemic has worsened, with overdose deaths doubling in the past decade, and that some previous studies didn't reflect the number of fatalities blamed on opioids, a powerful but addictive category of painkillers.
The council also said previous studies focused exclusively on prescription opioids, while its study also factors in illicit opioids, including heroin.
"Previous estimates of the economic cost of the opioid crisis greatly underestimate it by undervaluing the most important component of the loss — fatalities resulting from overdoses," said the report, which the White House released Sunday night.
Last month at the White House, President Donald Trump declared opioid abuse a national public health emergency. Trump announced an advertising campaign to combat what he said is the worst drug crisis in the nation's history, but he did not direct any new federal funding toward the effort.
Trump's declaration stopped short of the emergency declaration that had been sought by a federal commission the president created to study the problem. An interim report by the commission argued for an emergency declaration, saying it would free additional money and resources.
But in its final report earlier this month, the panel called only for more drug courts, more training for doctors and penalties for insurers that dodge covering addiction treatment. It did not call for new money to address the epidemic.
More than 64,000 Americans died from drug overdoses last year, most involving a prescription painkiller or an illicit opioid like heroin.
Society Selects New CEO
November 20, 2017 8:15 AM | Deleted user
November 3, WMS Medigram
The Wisconsin Medical Society Board of Directors has named Clyde "Bud" Chumbley, MD, MBA, chief executive officer of the Wisconsin Medical Society.
"I'm excited to have the opportunity to serve as the next CEO of the Wisconsin Medical Society; I consider it a tremendous honor," said Dr. Chumbley, who will begin on November 27. "Having been a Society member for 37 years, I'm a firm believer in its mission to advance the health of the people of Wisconsin by ensuring access to high-quality, cost-efficient care. And I look forward to drawing on my experience to further strengthen the Society so we can continue to make a difference for our patients and our profession."
In addition to caring for patients as a board-certified obstetrician/gynecologist throughout his 36-year medical career, Dr. Chumbley has held numerous leadership and management positions, including serving nearly 20 years as president and CEO of a large, independent multi-specialty medical group practice. He currently serves as chief medical adviser for Wisconsin Medical Society Holdings and as chief medical officer for the Wisconsin Medical Society Holdings Association Health Plan.
Past leadership roles in Wisconsin include serving as chief medical officer/chief clinical integration officer for Aspirus Health and president of Aspirus Clinics, and as president and CEO of ProHealth Care Medical Associates. He also has served on the board of directors and as past chair and treasurer for the Wisconsin Collaborative for Healthcare Quality. In Texas, he served as chief medical officer for Scott & White Healthcare in the Austin region.
Doctor Chumbley is a graduate of the University of Missouri School of Medicine and the Kellogg School of Management at Northwestern University and holds medical licenses in Wisconsin and Texas.
"We were fortunate to have a number of highly qualified candidates interested in this position," said Jerry Halverson, MD, chair of the Society's Board of Directors and co-chair of the search committee. "Doctor Chumbley is an excellent advocate for physicians and the patients we serve, and with his extensive administrative experience and medical expertise, we believe he is an outstanding choice to lead the Society. We look forward to all we can accomplish under his leadership."
Doctor Chumbley is the eighth Society CEO in its 176-year history. Susan L. Turney, MD, MS, FACMPE, FACP, was the first physician to hold the position from 2004 to 2011.
FDA Approves First Device to Treat Opioid Withdrawal —Electrical neurostimulator was previously cleared for use in acupuncture
by Alexandria Bachert MPH, Staff Writer, MedPage Today November 15, 2017
WASHINGTON -- A first-in-class neurostimulation device to relieve symptoms of opioid withdrawal is approved for marketing, the FDA announced Wednesday.
The NSS-2 Bridge device is a small, battery-powered electrical nerve stimulator that is placed behind a patient's ear and emits electrical pulses to stimulate branches of certain cranial nerves. Patients can use the device for up to 5 days during the acute physical withdrawal phase.
The device, made by Innovative Health Solutions, was previously cleared by the FDA in 2014 for use in acupuncture.
"Given the scope of the epidemic of opioid addiction, we need to find innovative new ways to help those currently addicted live lives of sobriety with the assistance of medically assisted treatment," said FDA Commissioner Scott Gottlieb, MD, in an agency press release. "While we continue to pursue better medicines for the treatment of opioid use disorder, we also need to look to devices that can assist in this therapy."
Device approval was based on a study that evaluated the clinical opiate withdrawal scale (COWS) score -- measuring symptoms on a scale of 0 to more than 36 (0 being the least severe) -- in 73 patients undergoing opioid physical withdrawal. Study results showed that all patients had a reduction in COWS of at least 31% within 30 minutes of using the device and that 88% of patients transitioned to medication-assisted therapy after 5 days.
The device is available only by prescription and is contraindicated for patients with hemophilia, cardiac pacemakers, and psoriasis vulgaris.
PRIMARY CARE-BASED MODELS EFFECTIVE FOR OPIOID ADDICTION
Lagisetty P, et al. PLOS One. 2017;doi:10.1371/journal.pone.0186315.
Multidisciplinary and coordinated care delivery models effectively provide opioid use disorder treatment and increase access to medication-assisted treatment in primary care, according to data published in PLOS One.
"It's hard to convince primary care physicians to do this work when they're already busy and they don't have additional addiction-related training or experience," Pooja Lagisetty, MD, from the division of general internal medicine and the Institute for Health Policy and Innovation at the University of Michigan, Ann Arbor, and VA Ann Arbor Healthcare System, said in a press release. "But, if we can learn from others and find a way to offer physicians logistical support, then maybe it's possible. There is a major need to do this."
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People who need addiction care outnumber the physicians willing to provide medication-assisted treatments (MATs) like buprenorphine and methadone in primary care, despite prior research showing that MAT can reduce mortality for patients with opioid use disorder. Researchers compiled data on evidence-based, primary care MAT interventions and program structures and processes that were associated with improved patient outcomes using clinical databases. They reviewed randomized controlled trials and observational studies that assessed MAT for adult patients with opioid use disorder to determine what kinds of primary care-based models may help guide future policy and implementation in primary care settings.
Lagisetty and colleagues included 35 interventions that tested MAT in primary care settings across eight countries in their systematic review. Analysis showed that patients were more likely to have successful opioid addiction treatment when their PCP worked with teams of nurses, medical assistants, social workers and pharmacists to deliver MAT. The successful interventions featured joint multidisciplinary and coordinated care by physician and nonphysician provider delivery models to offer MAT. Seven studies showed that 60% or more of patients continued their MAT regimen for 3 months or longer. Not all successful programs were the same in reported patient outcomes, processes and tools used, but they used similar key design factors, such as:
integrated clinical teams with support staff — usually advanced practice nurses and pharmacists — as clinical care managers;
patient agreements with providers that outlined consequences for continued drug misuse; and
home inductions of buprenorphine to make treatment more convenient.
Lagisetty noted that it makes sense to provide MAT in primary care because the results are similar to providing it in specialty care. In addition, patients may be more likely to seek help from their PCP because of the lack of stigma and their ability to address other health concerns as well, according to the release.
"I don't think that many primary care physicians went into medicine with a desire to focus on treating addiction. However, opioid addiction is increasingly becoming common in our practices and our patients are struggling to find help," Lagisetty said. "Primary care doctors don't need to all be treating 100 patients. It can just be five. We should just have the medication in our tool box and be able to screen and potentially treat patients in our own setting." – by Savannah Demko
Disclosures: The authors report no relevant financial disclosures.
Wisconsin Society of Addiction Medicine
E: WISAM@badgerbay.co
About WISAM
The Wisconsin Society of Addiction Medicine (WISAM) is headquartered in Kimberly, WI.
Contact us today for more information about our organization!


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