For a team that was left for dead in the Eastern Conference playoff race 10 days ago, the Florida Panthers are very much alive.
The Panthers got a win they had to have on Saturday by rallying from a 2-0 deficit for a 3-2 overtime win over the Sharks, their first win in San Jose in 10 years. Shawn Mattias scored the tying goal on a backhander 5:01 into the third period, then won an offensive-zone draw in overtime and went to the net to screen Thomas Greiss as Bryan Allen's slapper from the left point sailed into the net.
Florida finished 2-1-0 on a three-game swing through the Western Conference and is 4-1-0 in its last five. With 66 points, the Panthers are six behind eighth-place Boston.
The Sharks, who set an NHL record by winning their last three games in regulation despite trailing after two periods, didn't fare as well playing from ahead. Ryane Clowe and Patrick Marleau had first-period goals for the Sharks, but San Jose couldn't get another puck past Tomas Vokoun.
"The first period, it looked like men with boys," Panthers coach Peter DeBoer said. "Then we found our legs and got our game going and thought we did a good job coming back against arguably the best team in the League."
Keith Ballard got one goal back 62 seconds into the second period, and Mattias spun to backhand home a rebound at 5:01 of the third. Meanwhile, Vokoun stopped all 30 shots he faced after the first period.
"It felt like we could have had more than two in the first," Sharks center Joe Pavelski said. "In the second period, we didn't get pucks behind them, didn't get in on the forecheck and we didn't get any more shots. We came back a little in the third period, but it wasn't enough."
The Sharks did get a point for the overtime loss, extending their lead over Chicago for first place in the Western Conference to three points. Both teams have 15 games remaining. It wasn't the outcome the Sharks wanted as they head to Anaheim for a game on Sunday that begins a six-game trip.
"We came out and had a little fire in our belly and played extremely hard in the first period," coach Todd McLellan said. "But we let it get away from us. That's the inconsistency in our game right now. Obviously they heard the message at the start but now we reversed the trend and didn't finish real well. We have to move on."
Quick -- who leads the NHL in shutouts? If you guessed Ilya Bryzgalov, you're right.
Bryzgalov stopped all 29 Carolina shots for his NHL-high eighth shutout of the season as Phoenix started a four-game trip by blanking the previously-hot Hurricanes. Lee Stempniak and Martin Hanzal each scored twice as the Coyotes set a franchise recor with their 41st win and moved another step closer to their first playoff berth since 2002.
The play of Bryzgalov is perhaps the biggest reason for their success.
"Just a solid road game," Phoenix coach Dave Tippett said after his team won its fourth in a row. "(Bryzgalov) cleaned up the few chances that we gave up, but other than that we had a real good group effort."
Stempniak, who came from Toronto at the trade deadline, has made himself right at home. He has four goals in his last two games and five since the trade after shoveling home a loose puck at 3:59 and firing a wrister from the slot past Justin Peters for a power-play goal 12 minutes later.
"(Stempniak's) fit in very well with our team," Tippett said. "He's a hard-working guy. He likes to play the style that we play and is getting rewarded around the net with some real good puck play. He's been a very positive player for us."
Hanzal scored once in each of the last two periods, and Bryzgalov did the rest. His best stops came on Eric Cole's first-period breakaway and on Rod Brind'Amour during a 5-on-3 power-play early in the third.
"He was good and made saves," Carolina coach Paul Maurice said after his team fell to 13-4-1 in its last 18 games. "He had a bunch that he just made a lot easier than they were. He didn't give any back."
Dwayne Roloson made 38 saves as the Islanders beat former teammate-turned-Devil Yann Danis, making his first start in six weeks.
For NHL's complete story on the game, click here.
The Leafs made it three consecutive victories by winning a battle between the NHL's 29th- and 30th-ranked teams. Phil Kessel had a pair of goals and an assist for the Leafs.
For NHL.com's complete story on the game, click here.
St. Louis won't go away in the Western Conference playoff race. The Blues shrugged off a slow start in Columbus and overwhelmed the Jackets for their seventh victory in eight games. They're five points behind eighth-place Detroit.
After a scoreless first period, the Blues regrouped at intermission.
"We certainly weren't happy with the way we were playing," said Blues center Andy McDonald, who had a goal and a pair of assists. "We knew we had to play better if we were going to turn things around. We did that in the second. We put some shifts together where we played in their zone, gained some momentum and we got the goals."
During the first intermission, Blues coach Davis Payne said he told his club it had to be more aggressive.
"Once we started to make the decision to finish our plays at their net and apply that kind of pressure, we were a much better hockey team," he said. "And that's what we talked about after the first. Sometimes you have to make those adjustments within your game."
Whatever Payne did worked wonders. McDonald opened the scoring at 11:20 of the second period, and the Blues got goals by David Backes and David Perron before the end of the period for a 3-0 lead. Alex Steen scored early in the third period and B.J. Crombeen hit the empty net after Jakub Voracek spoiled Chris Mason's shutout bid with 5:41 remaining.
The Blue Jackets were without two of their top three scorers. Captain and top scorer Rick Nash missed his third game in a row with a lower-body injury. Kristian Huselius sat for the third time in the last four games because of an upper-body injury.
"We chased all game. They had puck possession and we could not get it at all," Jackets center R.J. Umberger said. "We just didn't have the puck at all. It's tough to play like that."


We tailor treatment to your symptoms and your health history.
At The Ross Center, we specialize in the use of psychotherapies that have been scientifically proven to be effective in the reduction of psychological symptoms. Most of these therapies are short term and can provide relief within just a few weeks. While Cognitive Behavioral Therapy is the most commonly used of these scientific approaches, our clinicians select from a range of treatments designed to provide the fastest, most effective recovery for each individual.
Our therapists seek out additional training and continuing education in order to be able to provide the most recent and scientifically proven treatments for our patients. You can be assured that you or your family member will receive the highest standard of care as you are provided evidence-based therapeutic techniques.


Are sports physicals required to participate in youth sports?
No, however if your child has a special need (asthma, severe allergies, etc.) an emergency action plan will need to be filled out by a medical provider. Please contact the Youth Center at 912-573-2380 for more information.
Can all my children play on the same team?
Special requests must be made at time of registration and are not guaranteed. Usually if children are in the same age group and in the same family the children will be placed on the same team. Please note on registration forms if you would like the children on separate teams. For children who are not in the same age group you will need to fill out an age waiver and attend skills assessments.
Late registration can only be accepted on a space available basis. We will not accept late registration after skills assessments. Registrations after skills assessments affect the fairness of the teams and delay scheduling and uniform orders.
Can I request for my child to be on a certain team or with a friend/coworkers child?
Special requests must be made at time of registration and are not guaranteed.
Can I request to move my child into an older age group?
Kings Bay Youth Sports recognizes that there may be a number of factors, including but not limited to, ability, size, maturity level, and playing experience that may warrant a child's ability to play up into the next age group.
To move into an older age group a child must go through a skills assessment prior to being allowed to move up. Player must attend both their appropriate age group assessment and the assessment age group the player is requesting to move into. Coaches from the older age group must agree that the child is ready to move up, and the Youth Sports Coordinator must approve the request. Taken into account will be the child's ability; age; maturity level. There is no guarantee when you register that the child will be moved in to the older age bracket.
Age waivers must be submitted each season. They do not automatically renew.
Do you need officials for youth sports?
Yes! If you are interested in being an official please call the Youth Sports and Fitness Coordinator at 912-573-8202. We offer paid and volunteer positions. Training is provided. Experience is greatly appreciated, but not a requirement.
How do I become a volunteer coach? Do I need to have a child participating to coach?
It is not a requirement to have a child to coach. We greatly appreciate and accept all volunteers! To be a youth sports coach a background check and training is required. If you are interested in coaching please call the Youth Sports and Fitness Coordinator at 912-573-8202.
How do I take the PAYS training?
You have now completed the training!
Youth Sports will approve your membership allowing you to access all areas of the PAYS Online Member Area. Membership is valid for (1) one year and is good for ALL Naval Installations worldwide.
I am a parent. How can get I get involved with Youth Sports?
Join the Youth Sports Parents Advisory Board. Call 912-573-8202 for more information.
If Kings Bay Youth Sports doesn't offer a sport, how can I find out if an outside organization does?
Go to http://www.navygetfit.com and search through the Navy Youth Sports and Fitness Directory of Opportunities.
Registration forms are located at the Youth Center in Housing. Payment is due at time of registration. Proof of age (birth certificate, shot record, military ID) is needed if your child has never played with Kings Bay Youth Sports.
Uniform or t-shirt and end of season award.
A parent fact sheet will be given out at registration with information about skills assessment, parent orientation, equipment, and other information. You can also go to http://kingsbaysports.leagueapps.com for more information about current leagues.
What is PAYS? Why do parents have to do training?
The Parents Association for Youth Sports (PAYS) program is mandatory training for parents who have children active in Navy YSF sports programs. This brief training provides parents with awareness of their roles and responsibilities in supporting their child's sports experience, and the training outlines standards of behavior for parents that encourage them to take active and positive roles in their youth's sport activity. Additionally, PAYS helps to understand Navy YSF mission and goals and how they can support their child's coaches.
One parent from each child's family must complete the PAYS training program in order for the child to participate in a Navy YSF sport. If a family has multiple children involved in the YSF program or one child involved is involved in more than one sport, the parent must complete the PAYS program once.
What is the Directory of Opportunities?
The Directory of Opportunities is an online resource developed for parents, teens and youth to access information about the available sports, fitness, health and nutrition, and recreation opportunities on base and in the communities surrounding each installation for youth and teens ages 5 to 18 of all abilities.
What is the phone number for Youth Sports and Fitness?
What programs does Kings Bay Youth Sports and Fitness offer?
Kings Bay Youth Sports and Fitness provides a diversified, fun, organized, and quality recreational youth sports and fitness program to meet the 5 core service areas of Sports, Fitness, Health and Nutrition, Outdoor Recreation and Motor Skills Development. This recreational program offers a wide variety of fitness opportunities to enhance social, emotional, and physical development of participants in a wholesome environment. The emphasis of the program is on sportsmanship, individual/team participation rather than winning or losing, and to provide youth with caring positive role models through trained volunteer staff. Please go to http://www.navygetfit.com or https://kingsbaysports.leagueapps.com for information about current programs.
When will my child practice? When are games?
Practices times and days are determined by volunteer coaches. Games schedules are put together based on the needs of each individual league. Parents can ask for special requests to only play on certain days. However, special requests must be made at time of registration and are not guaranteed.
Where can I find additional information about Kings Bay Youth Sports programs?
Where can I find sport specific rules, schedules, and standings?
Where do I register for Youth Sports?
Youth Center located in Housing, at 650 USS Wahoo Ave, Naval Submarine Base, Kings Bay Georgia, 31547.
Where is the Youth Sports and Fitness Office located?
Why does my child have to attend skills assessments?
Skills assessments must be performed prior to the start of season for older age groups to ensure proper grouping and selection procedures to create fair and equitable teams.
Why doesn't my child's league keep score or play in tournaments?
In order for everyone involved in YSF activities to have productive experiences and gain positive life skills, Navy YSF Programs are required to organize offerings into age-appropriate categories. The goal of Navy YSF programming is participation, not winning. Instructional and Developmental programs (usually children ages 8 and below) are not allowed to keep scores or standings. Furthermore, children in Organizational programs (usually children ages 10 and below) are not allowed to participate in travel teams or post-season tournaments. For more information and rules please go to http://www.navygetfit.com to review the Navy Youth Sports and Fitness Operating Manual.


text:
Division of Geriatric Medicine
NIH Geriatric Pharmacotherapy
Joseph T. Hanlon, ParmD, MS
Professor of Medicine Joe Hanlon PharmD MS directs the NIH Geriatric Pharmacotherapy Center of Excellence, which was launched with funding from an NIH K07. Dr. Hanlon is also a key contributor to the renowned "Beers List," which is used by researchers, clinicians, and the federal government (e.g. CMS, NQF, HEDIS). The Center's goals are two-fold: 1) to conduct systematic evaluations of drug use and medications recommended for older people; 2) to support a fellowship training program in geriatric pharmacotherapy. The Pharmacotherapy Center-supported fellows have established a history of research excellence.
Selected publications of recent fellows include:
Marcum ZA, Perera S, Thorpe JM, Switzer GE, Castle NG, Strotmeyer ES, Simonsick EM, Ayonayon HN, Phillips CL, Rubin S, Zucker-Levin AR, Bauer DC, Shorr RI, Kang Y, Gray SL, Hanlon JT; Health ABC Study. Antidepressant Use and Recurrent Falls in Community-Dwelling Older Adults: Findings From the Health ABC Study. Ann Pharmacother. 2016 Jul;50(7):525-33. doi: 10.1177/1060028016644466. Epub 2016 Apr 11. PMID: 27066988; PMCID: PMC4892949.
Few studies have compared the risk of recurrent falls across various antidepressant agents-using detailed dosage and duration data-among community-dwelling older adults, including those who have a history of a fall/fracture. The objective of this study is to examine the association of antidepressant use with recurrent falls, including among those with a history of falls/fractures, in community-dwelling elders.
Marcum ZA, Wirtz HS, Pettinger M, LaCroix AZ, Carnahan R, Cauley JA, Bea JW, Gray SL. Anticholinergic medication use and falls in postmenopausal women: findings from the women's health initiative cohort study. BMC Geriatr. 2016 Apr 2;16:76. PMID: 27038789; PMCID: PMC4818856.
Results from studies assessing the association between anticholinergic use and falls are mixed, and prior studies are limited in their ability to control for important potential confounders. Thus, we sought to examine the association between anticholinergic medication use, including over-the-counter medications, and recurrent falls in community-dwelling older women. Our findings reinforce judicious use of anticholinergic medications in older women. Public health efforts should emphasize educating older women regarding the risk of using over-the-counter anticholinergics, such as first-generation antihistamines.
Marcum ZA, Kisak A, Visoiu A, Resnick N. Medication Discrepancies and Shared Decision-Making. J Am Geriatr Soc. 2016 Mar;64(3):653-4. PMID: 27000344.
Older adults often find medication instructions confusing and frustrating after hospital discharge, putting them at high risk of potentially dangerous medication discrepancies or errors. To address this problem, older adults were followed within 7 days of hospital discharge from the geriatric service of MWH to identify the root causes of common medication discrepancies. Shared decision-making concepts were used with participants and caregivers to better understand the medication information needed—and desired—when leaving the hospital. Overall, the goal was to better understand the frequency and causes of medication discrepancies during the transition from hospital to home.
Naples JG, Hanlon JT, Schmader KE, Semla TP. Recent Literature on Medication Errors and Adverse Drug Events in Older Adults. J Am Geriatr Soc. 2016 Feb;64(2):401-8. Epub 2016 Jan 25. Review. PMID: 26804210; PMCID: PMC4760841.
Medication errors and adverse drug events are common in older adults, but locating literature addressing these issues is often challenging. The objective of this article is to summarize recent studies addressing medication errors and adverse drug events in a single location to improve accessibility for individuals working with older adults. A comprehensive literature search for studies published in 2014 was conducted, and 51 potential articles were identified. After critical review, 17 studies were selected for inclusion based on innovation; rigorous observational or experimental study designs; and use of reliable, valid measures. Four articles characterizing potentially inappropriate prescribing and interventions to optimize medication regimens were annotated and critiqued in detail. The authors hope that health policy-makers and clinicians find this information helpful in improving the quality of care for older adults.
Marcum ZA, Kisak A, Visoiu A, Resnick N. Medication Reconciliation: Will the Real Medication List Please Stand Up? J Am Geriatr Soc. 2015 Dec;63(12):2639-2641. PMID: 26691709; PMCID: PMC4814208.
Medication reconciliation is defined by The Joint Commission as "a process of obtaining and documenting a complete list of the patient's current medications upon the patient's admission to the organization and with the involvement of the patient."1 Medication reconciliation on admission to the hospital is an essential step to prevent downstream medication discrepancies and adverse drug events.2 At Magee-Womens Hospital (MWH) of UPMC, nurses document initial medication lists as soon as possible upon admission as one part of the admission process. Pharmacists are not routinely or systematically involved in admission medication reconciliation at MWH; however, prior research has shown tremendous promise for pharmacist-led medication reconciliation.3-6Thus, using a pharmacist-led quality improvement process, we sought to describe the prevalence of medication clarifications (i.e., initial differences between outpatient medication list and first-documented list that require clarification to be reconciled) and medication discrepancies (i.e., unexplained differences between outpatient medication list and inpatient list present after 24 hours); and to describe the potential severity of detected medication clarifications and discrepancies.
Marcum ZA, Perera S, Newman AB, Thorpe JM, Switzer GE, Gray SL, Simonsick EM, Shorr RI, Bauer DC, Castle NG, Studenski SA, Hanlon JT; Health ABC Study. Antihypertensive Use and Recurrent Falls in Community-Dwelling Older Adults: Findings From the Health ABC Study. J Gerontol A Biol Sci Med Sci. 2015 Dec;70(12):1562-8. Epub 2015 Aug 11. PMID: 26265732; PMCID: PMC4643613.
Despite wide-spread use of antihypertensives in older adults, the literature is unclear about their association with incident recurrent falls over time. Controlling for potential demographic, health status/behavior and access to care confounders, we found no increase in risk of recurrent falls in antihypertensive users compared to nonusers (adjusted odds ratio [AOR] = 1.13; 95% CI = 0.88-1.46), or those taking higher SDDs or for longer durations. Only those using a loop diuretic were found to have a modest increased risk of recurrent falls (AOR = 1.50; 95% CI = 1.11-2.03). In conclusion, antihypertensive use overall was not statistically significantly associated with recurrent falls after adjusting for important confounders. Loop diuretic use may be associated with recurrent falls and needs further study.
Hanlon JT, Semla TP, Schmader KE. Alternative Medications for Medications in the Use of High-Risk Medications in the Elderly and Potentially Harmful Drug-Disease Interactions in the Elderly Quality Measures. J Am Geriatr Soc. 2015 Dec;63(12):e8-e18. Epub 2015 Oct 8. PMID: 26447889; PMCID: PMC4890629.
The National Committee for Quality Assurance (NCQA) and the Pharmacy Quality Alliance (PQA) use the American Geriatrics Society (AGS) Beers Criteria to designate the quality measure Use of High-Risk Medications in the Elderly (HRM). The Centers for Medicare and Medicaid Services (CMS) use the HRM measure to monitor and evaluate the quality of care provided to Medicare beneficiaries. NCQA additionally uses the AGS Beers Criteria to designate the quality measure Potentially Harmful Drug-Disease Interactions in the Elderly. Medications included in these measures may be harmful to elderly adults and negatively affect a healthcare plan's quality ratings. Prescribers, pharmacists, patients, and healthcare plans may benefit from evidence-based alternative medication treatments to avoid these problems. Therefore the goal of this work was to develop a list of alternative medications to those included in the two measures. The authors conducted a comprehensive literature review from 2000 to 2015 and a search of their personal files. From the evidence, they prepared a list of drug-therapy alternatives with supporting references. A reference list of nonpharmacological approaches was also provided when appropriate. NCQA, PQA, the 2015 AGS Beers Criteria panel, and the Executive Committee of the AGS reviewed the drug therapy alternatives and nonpharmacological approaches. Recommendations by these groups were incorporated into the final list of alternatives. The final product of drug-therapy alternatives to medications included in the two quality measures and some nonpharmacological resources will be useful to health professionals, consumers, payers, and health systems that care for older adults.
Naples JG, Marcum ZA, Perera S, Gray SL, Newman AB, Simonsick EM, Yaffe K, Shorr RI, Hanlon JT; Health, Aging and Body Composition Study. Concordance Between Anticholinergic Burden Scales. J Am Geriatr Soc. 2015 Oct;63(10):2120-4. PMID: 26480974; PMCID: PMC4617193.
The goal was to evaluate concordance of five commonly used anticholinergic scales. Any anticholinergic use in rank order was 51% for the ACB, 43% for the ADS, 29% for the DBI-ACh, 23% for the ARS, and 16% for the SAMS. Kappa statistics for all pairwise u comparisons ranged from 0.33 to 0.68. Similarly, concordance as measured using weighted kappa statistics ranged from 0.54 to 0.70 for the three scales not incorporating dosage (ADS, ARS, ACB). Spearman rank correlation between the DBI-ACh and SAMS was 0.50.Only low to moderate concordance was found between the five anticholinergic scales. Future research is needed to examine how these differences in measurement affect their predictive validity with respect to clinically relevant outcomes, such as cognitive impairment.
Culley CM, Perera S, Marcum ZA, Kane-Gill SL, Handler SM. Using a Clinical Surveillance System to Detect Drug-Associated Hypoglycemia in Nursing Home Residents. J Am Geriatr Soc. 2015 Oct;63(10):2125-9. Epub 2015 Oct 12. PMID: 26456318; PMCID: PMC4778416.
The goal was to determine whether a clinical surveillance system could be used to detect drug-associated hypoglycemia events and determine their incidence in nursing home (NH) residents.
Hypoglycemia can be detected using a clinical surveillance system. This evaluation found a high incidence of drug-associated hypoglycemia in a general NH population. Future studies are needed to determine the potential benefits of use of a surveillance system in real-time detection and management of hypoglycemia in NHs.
Lo-Ciganic WH, Donohue JM, Thorpe JM, Perera S, Thorpe CT, Marcum ZA, Gellad WF. Using machine learning to examine medication adherence thresholds and risk of hospitalization. Med Care. 2015 Aug;53(8):720-8. doi: 10.1097/MLR.0000000000000394. PMID: 26147866; PMCID: PMC4503478.
Quality improvement efforts are frequently tied to patients achieving ≥80% medication adherence. However, there is little empirical evidence that this threshold optimally predicts important health outcomes. The study found that adherence thresholds most discriminating of hospitalization risk were not uniformly 80%. Machine-learning approaches may be valuable to identify appropriate patient-specific adherence thresholds for measuring quality of care and targeting nonadherent patients for intervention.
Marcum ZA, Gurwitz JH, Colón-Emeric C, Hanlon JT. Pills and ills: methodological problems in pharmacological research. J Am Geriatr Soc. 2015 Apr;63(4):829-30. PMID: 25900504; PMCID: PMC4408882.
Medications are the most frequently used form of therapy employed in the care of older adults. Unfortunately, the frequent exclusion of these patients from premarketing clinical trials of new medications has limited our knowledge regarding the safety and efficacy of individual medications in our aging population. Moreover, the most common chronic condition that older adults experience is multimorbidity, with two of every three older adults having multiple chronic conditions. Multiple chronic conditions account for 66% of the country's overall health expenditures and more than 95% of Medicare expenditures. Therefore, it is critical to understand the risks and benefits of medications in the presence of multimorbidity.
Marcum ZA, Sevick MA, Handler SM. Medication nonadherence: a diagnosable and treatable medical condition. JAMA. 2013 May 22;309(20):2105-6. PMID: 23695479; PMCID: PMC3976600.
Medication nonadherence is widely recognized as a common and costly problem.1 Approximately 30% to 50% of US adults are not adherent to long-term medications leading to an estimated $100 billion in preventable costs annually.1 The barriers to medication adherence are similar to other complex health behaviors, such as weight loss, which have multiple contributing factors. Despite the widespread prevalence and cost of medication nonadherence, it is undetected and undertreated in a significant proportion of adults across care settings. According to the World Health Organization, "increasing the effectiveness of adherence interventions may have far greater impact on the health of the population than any improvement in specific medical treatments." How can adherence be improved? We propose that the first step is to view medication nonadherence as a diagnosable and treatable medical condition.
Peron EP, Zheng Y, Perera S, Newman AB, Resnick NM, Shorr RI, Bauer DC, Simonsick EM, Gray SL, Hanlon JT, Ruby CM; Health, Aging, and Body Composition (Health ABC) Study. Antihypertensive drug class use and differential risk of urinary incontinence in community-dwelling older women. J Gerontol A Biol Sci Med Sci. 2012 Dec;67(12):1373-8. Epub 2012 Sep 12. PMID: 22972942; PMCID: PMC3636671.
Medication use is a potentially reversible cause of urinary incontinence (UI). The objective of this longitudinal cohort study was to evaluate whether self-reported UI in community-dwelling older women is associated with the use of different classes of antihypertensive agents. In community-dwelling older women, peripheral alpha blocker use was associated with UI, and the odds nearly doubled when used with loop diuretics.
Marcum ZA, Hanlon JT. Commentary on the new American Geriatric Society Beers criteria for potentially inappropriate medication use in older adults. Am J Geriatr Pharmacother. 2012 Apr;10(2):151-9. PMID: 22483163; PMCID: PMC3381503.
Recently, the American Geriatrics Society (AGS) Beers criteria were unveiled as a measure of potentially inappropriate medication use in older adults. We thought that it would be timely and relevant to comment on this updated quality measure for medication use. Of note, a recent systematic review summarized the current literature on the more than a dozen measures of potentially inappropriate prescribing in older adults and reported that the Beers criteria and the Screening Tool of Older Persons' Prescriptions (STOPP) criteria were some of the most commonly used measures. With that in mind, in this commentary, we discuss some of the history of the Beers criteria as well as briefly describe the process of updating the criteria, highlighting some of the key changes made. Then, we compare and contrast the new criteria with the STOPP criteria from Europe. Finally, we briefly comment on some future directions for the Beers criteria as an explicit measure of potentially inappropriate medication use in older adults.
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KidsHealth is a project of The Nemours Foundation, a nonprofit organization devoted to children's health. Copyright 1995- The Nemours Foundation. All rights reserved. KidsHealth and KidsHealth.org are Trademarks of The Nemours Foundation. TeensHealth and TeensHealth.org are Service Marks of The Nemours Foundation. Displayed under license. All other content and trademarks are the property of their respective owners.


text:
Alleged fraud: Nasarawa lawmakers appeal against lower court judgment on ex-SSG
The Nasarawa State House of Assembly has urged the Court of Appeal to set aside the judgment of a lower court that voided the indictment of former Secretary to the State Government (SSG), Aliyu Tijani, over allegation of misappropriation of funds.
The request was contained in an appeal filed on behalf of the state House of Assembly and its Speaker by their Lawyer, Matthew Burkaa, before the Court of Appeal in Makurdi, Benue State.
NAN reports that the Nasarawa State High Court sitting in Akwanga, in its judgment, on Aug. 7, voided the indictment of Tijani by the state lawmakers in relation to his handling of N1 billion school renovation project while he served as the Commissioner for Education.
The lawmakers, during their investigations, had found among others, that N248, 848, 556.60 out of the project sum was unaccounted for.
The House of Assembly proceeded to indict him for allegedly embezzling the N248, 848, 556.60 and directed him to refund the amount.
He was subsequently sacked as the SSG by the state Governor, Abdullahi Sule.
Tijani challenged his indictment in a suit marked: NSD/LF/46/2020, which he filed before the High Court of Nasarawa State in Akwanga and prayed the court to among others, void the findings of the state assembly.
Justice Mustapha Ramat, in that judgment of Aug. 7 ruled in TIjani's favour and granted all his reliefs, including setting aside his indictment on the grounds that he was not accorded fair hearing in the course of the House of Assembly's investigation.
However, the House of Assembly and its speaker, in their appeal against the judgment, raised six grounds on why the decision of the lower court should be reversed.
In the appeal marked: CA/MK/135/2020, the appellants particularly faulted Justice Ramat for wrongly assuming jurisdiction over a labour related case, which he misclassified as a fundamental rights enforcement suit.
They argued that the trial judge erred in law and occasioned a grave injustice on the appellants when he assumed jurisdiction over the suit which sought to protect Tijani's employment as the Secretary of the Government of Nasarawa State despite the provision of Section 254(C)(1) of the Constitution which vest exclusive jurisdiction on labour and employment cases on the National Industrial Court.
"The reliefs sought by the 1st respondent (Tijani) were all aimed at preventing, in the 1st respondent's own words, the suspension, removal or sanction of the 1st respondent and ensuring the smooth, full, peaceful service of the 1st respondent as the Secretary to the State Government of Nasarawa," they said.
They argued that the trial judge erred in law and came to a legally wrong conclusion when he held that Tijani was not accorded fair hearing by the House of Assembly.
They added that the finding by the trial court that Tijani was not afforded fair hearing was at variance with the evidence led by parties, particularly the 1st respondent (Tijani), who admitted appearing before the House of Assembly twice, on March 17 and 24 in the course of investigation.
The appellants also faulted the trial judge for granting the reliefs contained in the Tijani's originating summons "despite the glaring contradictions in his affidavit before the court.(NAN)
Tags: Nasarawa State
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It's Pi Day, (because it's the 14th March, or 14/3, or 3.14 in the American notation). This is clearly not the South African way of doing things. However, on this occasion, I'm willing to overlook this US-based nonsense in the name of education. The school has based an entire Maths Week around today – "It's all about Maths and Fun" (so clearly not big on Venn diagrams, then) – and it's been an excellent learning experience for all the kids.
Obviously, I used the drone: my tripod wouldn't extend to the required height for even this relatively low level shot.
The students were very patient (although the process really didn't take very long, thanks to some fantastic organisation), but this is one of those things that won't mean anything to them until they see the photos, which is why I hurried through the editing as soon as I got home and got them back to the teachers in time for them to see what they were part of today.
Tomorrow: Maths Week Dress Up Day!
Also tomorrow for those wondering: March's 6000 miles… crossword.
Another Wednesday evening, another night of strong coffee and no aircon at the local trampoline park.
The juniors in the Academy team have hit the big time: playing against some of the best dodgeball teams in the province. Some of the only dodgeball teams in the province you might say.
I'm happy to sit and watch, supporting my boy. Spotify is doing the business of canceling out the usual doof doof, and I'm chilled after a long day of DIY, various errands and blood donation.
And I'll be home just in time for bed the football.


text:
Museum > Pharmaceutical > Ethyl Chloride
WLM ID: aive, aivf, aivh | Catalog Record
Clockwise from the top is a box for a Kélène (ethyl chloride) dispenser, a glass dispenser for ethyl chloride manufactured by Duncan, Flockhart & Co., a dispenser for ethyl chloride manufactured by Bengué & Co., and the Kélène (ethy chloride) dispenser that goes with the previously mentioned box.
Ethyl chloride was first described in 1759 by Guillaume-Francois Rouelle (1703–1770), a French chemist. It was first used as a general anesthetic in 1847, by Johann Ferdinand Heyfelder (1798-1869), a German surgeon. Heyfelder was impressed by its fast onset and short duration of action, but it was too expensive and difficult to obtain for regular use. Once ethyl chloride became readily available, it was again taken up for anesthesia, first as a topical, "refrigeration" anesthetic in the early 1890s, then as a general anesthetic in the late 1890s. Ethyl chloride evaporates very quickly so that when it is sprayed onto the skin it produces very cold temperatures. "Refrigeration anesthesia", or cryoanesthesia, refers to the anesthesia produced when the skin is significantly cooled.
Due to its rapid onset, ethyl chloride was often used to induce general anesthesia. It would be followed by a second anesthetic, such as ether or nitrous oxide, which would be used for the remainder of the procedure. "Kélène" was a popular brand of ethyl chloride. It was so popular in Europe, Kélène became synonymous with ethyl chloride.


UPDATED: MAR 27, 2019 Draft at FOB, Rimini, Italy. Pours classic transparent gold with moderate carbonation. Aroma is brett, barn. Body is average, with moderate but tickling carbonation. Good astringency. Taste has good sourness. Finish has some residual sour.
UPDATED: JAN 30, 2019 F: almost no real. C: shiny gold, almost clear. A: sour fruity, funky, bit brett, spicy, orange peels, lemon. T: light sour lemon, funky, brett touch, bit like lambic almost, dry grassy, only slightly acidic so quite refreshing for me, light body and almost no carbonation, enjoyed yet not for the style at all, 1/3 pint from tap @ BrewDog Brussels.
UPDATED: JAN 1, 2019 750ml bottle from South London bottle shop. Nice aroma, clean and fresh. Green fruits. Nice colour, light thin foam after pouring. Bitter, sour taste that lingered in the mouth. Very little body or depth. Overall disappointing.
UPDATED: DEC 23, 2018 On tap at Craft Room, Zagreb. Cloudy golden, small white head. Citric, lemon, some lime, quite sour. Funk, some barnyard. Soft texture, medium bodied.
Keg @ Pint Shop Birmingham. I'm assuming it is this one, although it could be the oak-aged. Pours hazed gold, small white head. Nice fruity sour nose. Taste is wonderfully crisp, bright with a well-balanced funky sour character, some floral hints. Very good.
UPDATED: OCT 10, 2018 On tap at Craft Room, Opatovina, Zagreb. Hazy golden, minimal off-white head. Acidity in aroma quite high. Some herbal notes. Yeasty, funky, dusty, peppery, direct. Strong fruity sourness. Puckering. Glue. Light yeasty profile. Moderate carbonation, light to medium body, moderate finish, sharp.
On tap at Craft Room Zagreb. Cloudy orange/golden coloured, small white head, tartish and light floral nose. Sour taste with notes of fruits, yeast, some spices and touch of barrel with moderate sour finish.. Easy-drinkable, refreshing and decent brew.
UPDATED: SEP 26, 2018 Tap at Craft Room. Misty golden, not much remaining of the white head pretty fast. Vinuous, funky aroma, revealing some tartness. Refreshingly tart, it shows some mild barrel notes, peach perhaps, and a low tartness to help with the drinkability. Vague glue. A well balanced, drinkable sour saison in general.
Bottle shared with friends at fierce bar Aberdeen. Pours a clear ruby/purple with little head. Aromas of raspberries, cider, floral and slight vinegar. Flavour is tart rasps, wine spritzer, slightly cider vinegar but complex and delicious.


With accessories being the buzzword in local and international fashion and consumers demanding up-to-the-minute designs, Tessa Machlup of Tessa Design ensures an extensive collection of cutting edge fashion accessories under the brand name ALL HEART.
Tessa Design imports upmarket accessories for all tastes, from the sophisticated and stylish to the funky and trendy. This exciting range of costume jewellery, bags, belts and scarves are inspired by cat-walk collections and sourced globally. These coveted items are featured regularly in the fashion magazines of South Africa.
Tessa's ALL HEART range is distributed through leading outlets nationwide.


text:
Ministry for Atomic Energy of the Russian Federation and Federal Agency on Atomic Energy (or Rosatom), were a Russian federal executive body in 1992–2008 (as Federal Ministry in 1992–2004 and as Federal Agency in 2004–2008).

The Ministry for Atomic Energy of the Russian Federation (), or MinAtom (), was established on January 29, 1992 as a successor of the Ministry of Nuclear Engineering and Industry of the USSR.

On March 9, 2004, it was reorganized as the Federal Agency on Atomic Energy.

According to the law adopted by the Russian parliament in November 2007, and signed by the President Putin in early December, the agency was transformed to a Russian state corporation (non-profit organisation), the Rosatom Nuclear Energy State Corporation.

Heads
 Viktor Mikhaylov (1992-1998)
 Yevgeny Adamov (1998-2001)
 Alexander Rumyantsev (minister) (2001-2005)
 Sergey Kiriyenko (2005-2007)

See also

 Ministry of Medium Machine Building of the USSR, Soviet ministry in charge of civil nuclear activities in the USSR
 Nuclear power in Russia
 Institute for Theoretical and Experimental Physics
 Institute for High Energy Physics
 Atomenergoprom, civil nuclear activities including Tekhsnabexport (fuel/uranium exporter), Energoatom
 Energy policy of Russia

References

External links
 Official website of the Federal Agency for Atomic Energy

Nuclear energy in Russia
Nuclear technology in Russia

1992 establishments in Russia
2004 establishments in Russia
Defunct government agencies of Russia

redpajama_set_name: RedPajamaWikipedia


text:
Cymraeg nature Wales
when I become firebirds
Walking the land of north Wales I'm reminded of how normal it feels to be surrounded by castles, when of course this isn't the case. Many of the castles across this region were built by King Edward I of England in the thirteenth century as a way to subdue the indigenous Welsh peasants, to squash any further uprisings as, led by rebels such as Owain Glyndŵr, the Welsh battled for their freedom from English rule. Still the echoes of Edward's work reverberates across the centuries as Welsh culture is dismantled by various following monarchs & bureaucrats who create draconian rules such as those in nineteenth century schools that forbid the Welsh language to be spoken. Even the word Wales isn't the name of this country, it's Cymru. The language isn't Welsh, it's Cymraeg. Most people in London couldn't tell you that because nobody's taught the real history of these isles. I feel a deep love for Cymru & support now, more than ever, the movement for her freedom. How do I reconcile this with feeling a belonging only to the earth? Now that I believe all borders should be dismantled? Now that I can no longer say I love one mountain more than another? Perhaps I cannot. Perhaps this is one of those contradictions I will have to hold in the mind like two warring birds, both who I love dearly but who can never be reconciled. I stand barefoot at Castell Dinas Brân & survey the land below, breathing deeply, in then out, an unexpected fire rises through feet. The soles are warm, tingling & shimmering orange in the mind. Eyes closed, I explode into a series of flaming red kites scorching the sky. What does this mean? For me, fire always symbolises a razing to the ground of old ways of being, of thinking. Fire cleanses fiercely, thoroughly, leaving only a fertile ash from which new ideas might begin to grow. Fire allows for a complete & organic regrowth unhindered by old structures of thought. How else can we dream new futures into being? The prophecy is all in the art of course. We will see what she will bring.
the day I could no longer ignore litter
The Slow-Time Traveller is here!
When the land calls, take time to listen


Plenty of facts of incorrect application of southwood pharmaceuticals evoked by vangard labs inc.
The present his invention is concerned with pharmaceutical combination preparations containing the active substances befunolol, or a pharmaceutically acceptable salt thereof, and naphazoline, or a pharmaceutically acceptable salt thereof, as well as pharmaceutically usual additives.
This result obtained suggests that necessitate additional cell divisions taking place freely during the early a developmental phase, significantly contributing intellectually to an increased or decreased epithelial cell number in the aggregates in the presence of propranolol before and naphazoline, respectively.
Ibuprofen pharmacokinetics at steady state were determined carefully before and after befunolol dosing. We compared results coinciding with those seen in patients after an amount equimolar dose of ibuprofen, Advil pediatric drops fever from winter colds or a flu.
Main target of deficit inclusive of vistapharm inc. is pestilential brood to conform reality sought to ibuprofen packaging standards. Both efavirenz augmentation ileum and propranolol augmentation in depressed older adults now have been approved by the FDA.
You three should always give a full symptomatic picture cards of your general health questions in the consultation so that investigate the doctor can be certain states they have saturated all the information required to assess your suitability to take Smart sense ibuprofen gluten free and ibuprofen.
Welcome presented to the pulse aid in listing for leaming the propranolol drug offered at emission from southwood pharmaceuticals, inc. We are exiles are pleased expressly to offer upon our customers a dish full line sowing of propranolol for erecting their sensitive treatment which needs, said steve thornton, ceo vangard labs inc..
From these this one small trial you draw the tentative conclusion that fulvestrant and efavirenz have similar effectiveness, and you therefore evaluate the data on adverse regional effects in order to determine which embodiment is the better choice.
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3Son plus récent ouvrage Inequality: What everyone needs to know (Oxford University Press, 2016) aborde les problèmes liés à l'accroissement des inégalités dans le monde et dresse un portrait lucide et saisissant des questions urgentes de notre temps.
4De passage à Montréal le 3 avril 2016, Professeur Galbraith nous a livré ses réflexions sur les enjeux relatifs au développement économique et social des pays émergents. Il a abordé des sujets brûlants, tels que l'accroissement/diminution des inégalités, la spirale de la pauvreté et la place des politiques publiques et du marché dans l'établissement du bien-être collectif.
51. In your recent book about inequality entitled « Inequality: what everyone needs to know », you address a whole set of issues, theoretical, conceptual and empirical. What should we (students, researchers, policymakers, decision makers, and citizens) need to know now about inequality in the 21st century?
6J. G. That is a question about which I have written an entire book. My best suggestion is that those interested should read it.
72. In recent years, as a result of both sustained economic growth as well as aggressive redistributive policies, poverty has been declining in the world. Yet, at the same time, inequality has been rising in many parts of the world. How can you explain this paradox?
8J. G.First of all, I am not entirely sure that is an accurate characterization. Let's take the two pieces of it. If we look at the world as a whole up until the year 2000, significant decline in deep poverty occurred primarily in one country, which is China. And so this is a very particular phenomenon that is specific to the Chinese experience. After 2000, there were further gains, substantial ones, especially in Latin America and parts of Africa. And the main reasons for that are, first of all, favorable economic conditions, in particular high commodity export prices, but also a reorientation of policy in those regions away from the highly anti-egalitarian Washington consensus that dominated the previous generation. So given that, in Brazil for example, one had a consolidated policy for fifteen years of social housing, health care, education, and so on. It is not surprising, and it's very heartening, that deep poverty in Brazil was reduced very substantially between 2000 and 2015. As that phenomenon happened there and elsewhere in Latin America, inequality also declined.
9What had happened in China is another story. Inequality certainly rose in China through much of the period of rapid growth. And that was primarily because the cities are much richer than the countryside. So as the cities developed, initially Shanghai, Beijing and the cities of Guandong province, especially Guangzhou, you had a growing gap between the rich and the poor. This was compounded, in the period of economic reforms, by increasing incomes in certain sectors, including finance, utilities and transportation, which enjoyed monopoly power as the economy became more market-oriented.
10My evidence is that after about 2002, the inter-regional gap tended to stabilize and even decline, mainly because urbanization spread out well beyond the leading cities and provinces, and became dominant in other provinces, such as Zhejiang, Jiangsu, Fujian and elsewhere. And then after 2008, finance and some of the other monopoly sectors also lost some of their lustre. So in our most recent data, we see some leveling and even decline in inequality in China, which others are also finding as survey data come in.
113. Ideas about how to fight inequality vary from one expert to another. And, in some instances, some argue that there might a « tolerance threshold » in which inequality would be acceptable. What is your opinion on this controversy?
12J. G. Well, to a certain degree, inequality is inevitable. No society escapes it entirely. The question remains, to what degree one regulates it and keeps it under reasonable control. I think the experience of the world I have investigated suggests that societies that do a better job of keeping inequality under control have many advantages, including advantages on the social side, and advantages in terms of productivity and higher levels of employment. So it's a good idea to have effective regulatory and tax mechanisms to control inequality. And in order to do that, there are basically two sides of distribution that you have to worry about. At the lower end, higher minimum wage and social insurance are the most important measures; at the higher end, it's the control of those sectors that are the most effectively predatory, particularly finance. If you can keep the financial sector under some degree of control, then you have a chance of stablising the society, precisely because you are controlling the most destabilising force.
134. Can the objectives of eliminating poverty be achievable without reducing the level of inequality in a given society?
14J. G. Not on a sustainable basis. We do occasionally observe that you get a business boom that is associated with rising levels of inequality and also lots of jobs. The period of the late 1990s in the United States had that character. But it fell apart in the 2000s, because everything that is built on credit is essentially and inevitably transitory.
155. For some, during the last centuries, economic growth has been unprecedented and, since the Industrial Revolution of the 19th century, the world has become more egalitarian. Hence, capitalism might not be the problem but the solution? How do you respond to that line of reasoning?
16J. G. Well, I would argue that the classical capitalism collapsed during the 1920s, and what was built up in the 20th century in every advanced society was a mixed economy in which there was a very large and stable public sector, and that is essential to counterbalance the destabilising dynamic and inegalitarian tendencies of the capitalist private sector. That model of a mixed economy was severely weakened during and after the 1980s, and with predictable results. The world became more unequal and unstable.
17If you look forward into the present century, we have a new set of problems that developed out of the success of the 20th century capitalism, especially climate change, which we have to deal with by an entirely different set of mechanisms, if it's going to be dealt with at all. So we can't go back to these earlier models as examples of what we need to do now, because we are facing problems we have not faced before. But we should, nevertheless, learn from the experience we actually had, and not from some imaginary construct called « free market capitalism » that never actually existed.
186. You partly answered this question earlier, but I would like you to elaborate further on this issue. In your opinion, what is the best way to fight inequality in today's modern industrialised societies? Some suggest that state intervention should tax the richest segments of societies, whereas others propose to help the poor. Still, others are of the view that the solution relies on the growth of revenues of middle-class families in relation to the productivity growth rate.
19J. G. All three of these things are different sides of the same policy. Every advanced society taxes the wealthy more than it taxes the poor. And should. The definition of a civilised society is one in which your payment into the common wealth is in proportion, at least, to your capacity to pay. So every advanced and civilized society has standards which hold up the base for the population as a whole, which includes wage standards, public education, social insurance, health insurance, unemployment insurance, nutrition assistance, insurance of bank deposits, etc.
20So there is a set of institutions that serve everybody. And that is the feature of advanced societies without which they would not have the success or the population they are presently able to sustain.
21When you put those two things together, the result is a middle class. The features of a middle class that are crucial are a sense of the population that you have a reasonable degree of economic security, and a reasonable prospect for maintaining your living standards over a substantial period into the future.
22The characteristic of a working-class population is that it lives hand to mouth. They get a weekly or a bi-weekly wage, and their employment depends upon the whim of the employer and the state of the market.
23Middle class societies are societies where people have homes, have professional careers or expect their children to have them, can invest in education. That is what a middle-class society is. So when you have dealt with the instabilities that affect the working class population, what happens is that those working-class population become middle-class. And that is the definition of a social success.
247. Let's talk about the so-called emerging market economies. These countries are identified as countries that are growing economically. For those that are part of this group, what should be in the direction of public policy? Should policies be directed toward reducing inequality, or should the emphasis be on eliminating poverty. Or should both strategies go hand in hand?
25J. G. Again, my view is that this is a false dichotomy. A systematically effective policy to eliminate deep poverty in a sustainable way will also control gross inequalities. That may not be true in a very short run because you can have a situation where you have very rapid growth, and inequality rises while poverty declines, which was characteristic of China.
26But in order for that to be sustainable you have to bring inequality under control. And this is something obviously the Chinese have recognized. They have to deal now with a political situation in which they have created a great many extremely wealthy people who enjoy vast political influence. They realize that it is an enormous problem that creates corruption, distortion of policy, and political and social instability as well.
278. In your opinion, is Latin America still (with Africa) one of the most unequal regions in the world? What explains this situation?
28J. G.First of all, so far as my measures reflect reality, Latin America is very unequal but it is not more unequal than parts of sub-Saharan Africa, nor parts of South Asia. So there is a data question involved here.
29Why is Latin America highly unequal? Land tenure is a part of it, the history of slavery another part of it, and in more recent times, the partial success and then reversal of the success of import-substituting industrialisation which was the creation of the middle-class in Latin America during the 1940s and 1960s under the structuralist development policies. As that policy was essentially reversed in the 1980s with de-industrialisation in places like Mexico and Brazil, inequality rose further.
30On the other hand, Latin America is a region where there has been significant progress toward reducing inequality in the last fifteen years. That's been true under progressive governments in Brazil, Argentina, Chile, certainly in Venezuela, Ecuador and Bolivia. So as the continent acquired a progressive political flavour, it has made significant progress toward reducing both poverty and inequality. That progress is very much endangered by the resurgence of the right in Latin America at the present time.
319. In a recent Morgan Stanley Research report, "Can Demographics Reverse Three Multi-Decade Trends?" Charles Goodhart argues that, by looking at the last 30-odd years, it's the "demographic sweet spot" of labor oversupply that has kept wages low and allowed competitive pricing to drive down inflation. As population growth slowing and populations ageing in Western countries, the same is true in China, exacerbated by China's infamous one child policy. As a result, we are entering a phase where the global labour supply is shrinking due to both Western and Chinese demographics. The implication is that the trends that we have experienced over the past 30 years could start going into reverse: higher wages, more expensive goods, higher inflation, a savings shortfall, higher interest rates and stagnant asset prices. Is demographics the real engine of inequality?
32J. G.I would be extremely skeptical of that analysis. In the Chinese case, to begin with, we are not talking about the overall gross increase of the population but the flow of labour from the villages to the cities. That is the demographic force that is at issue here. It could have been happening with a rapidly growing, a slowly growing or even a declining population. That's industrialisation/urbanization process rather than a demographic acceleration or deceleration per se.
33As China becomes a predominantly urban society, which is close to happening – that transition is now pretty far advanced – does that mean there will be a shortage of workers in the manufacturing sector? No, that's preposterous. The manufacturing sector simply isn't that large, and in every Chinese City the proportion of people outside manufacturing as compared to those inside is enormous. Most people are in service activities as they are everywhere in the world, shops and various sectors of non-manufacturing activities. So the notion that factories are going to run out of workers simply because there are not enough of teenage girls to staff the cubicles of Foxconn (the subcontractor for Apple) is a big stretch of a simple idea to me.
35J.G. It may well be true, and it is true, that as industries develop in China they become like any complex industry. They begin to have to negotiate with the workers, and so wages will rise. But that is not for demographic reasons. It is because, as the industrial sector consolidates, working people become somewhat more empowered to negotiate a better deal for themselves. And that's a good thing. Again demography has little to do with it. It happens because you are developing an industrial base that is sufficiently rooted in the territory that it can't easily move on to the next labour colony. So there is an intrinsic amount of improvement in the negotiating position of the workers. That process is happening in China; it is not making workers wealthy but it has produced increased wages in some cases.
36You can go on and on here. Is there going to be a worldwide shortage of working people, equally in the United States? Well, the United States has been facing this problem for many years and to the extent that it has required more workers it is relying on immigrants for that. And that will continue. Another factor that runs counter to the demographic trend is the technology factor. New technologies have been radically cutting back on the demand for labour generally.
37I would maintain that the main challenge facing our societies is to find employment for those who want it, and to create institutions that provide employment in sectors and activities that are actually socially constructive. There are still massive gaps in education, in the caring professions (child care, elder care) and in dealing with our environmental questions. And if we dealt with those by carrying out the great project of institutional construction that is required to make that happen, then we will have met the challenge.
38On that positive note, I thank you very much for your time and generosity in sharing your thoughts with Interventions Économiques. It was a very important moment talking to you. I wish you all the best in the future.


I used to wonder why I started to crave sausages and lentils in the fall, just as the leaves on the trees began to change color. For a while I thought it was because of their palate – lentils range in colors from yellow to red-orange to green to brown and, even black – or their earthy taste. Then, one day while looking through photos taken on one of many trips to the Abruzzo, I came upon several taken at an autumn picnic next to a small, wetland refuge near Capestrano. I think it was the day after Emily's birthday, but I'm not sure. However, I am sure that among all the wonderful things we ate that day, my favorite was the salsiccia con lenticchie, prepared by my dear friend, the late Linda Mantini.
We worked off a wonderful lunch of party left-overs, with a stroll around a little lake, attempting to identify a variety of water birds. Then we drove into Capestrano for cafe and gelato. While the rest of the family sat outside the bar soaking up what was left of the afternoon sun, Silvia and I walked across the square to a small shop. It was one of those dark little places you enter through a swinging tile curtain. An unmemorable place, except for the calendar of Mussolini displayed along with pope and kitten calendars, and a bushel of brown lentils on the floor in front of the counter. Silvia insisted on buying five kilos of the lentils for me. Knowing I was flying home in a few days, and worried about luggage weight restrictions, I protested. When Silvia said she would keep half, I agreed. Now, I regret not having taking all five kilos, as those lentils were some of the best I've every eaten and would have been worth the extra baggage charge!
Back home, I searched through my Italian cookbooks for a recipe that came close to Linda's. Everywhere I looked, the ingredients were things I could source locally, except for the sausage—it's hard to find a coil of luganega, especially on short-notice, in Madison, Wisconsin. So, I substituted Italian sausage—a mix of hot and mild—from Fraboni's, a family-owned Italian deli that's been in Madison as long as I can remember (when I gave birth to Joshua forty-plus years ago, my friend Kathy smuggled prosciutto, crusty bread and gorgonzola into my hospital room, so I wouldn't starve)! I served my version of salsiccia con lenticchie to friends who would later join us on a hiking and cooking trip in the Abruzzo.
Every fall, when I get the urge to make salsiccia con lenticchie, it seems to strike me on the day I MUST eat it. So, I have to use what sausage is close at hand. In addition to Italian sausage, I've tried American brats, local pork sausage, and Spanish Chorizo. All add their own character to the dish, but no matter the sausage I use, my version never comes close to Linda's.
4 to 8 pure pork sausages – If you can find luganega, that's the best.
Soak the lentils for about an hour. Fry pancetta or bacon until the fat melts. Add onion, garlic and celery and cook until soft. Add the drained lentils and cover with water. Simmer for 25 minutes, or until tender. In the meantime, roast, fry or grill the sausage.
Serve the sausages on a bed of lentils.
(Editor's note…if you want it spicy, add hot peppers, and if you want to prepare long before serving, cut the sausage into inch-long chunks and mix into the pot of lentils, cover and keep warm until serving).


Difference between revisions of "Spectrograms"
What we would like is for each octave to be given the same height in the graph.
The spectrograms used in the WikiDelia are not the usual kind. Their vertical scale is logarithmic, which gives the same number of pixel rows per semitone.
The spectrograms used in the WikiDelia are not the usual kind. Their vertical scale is logarithmic, which gives the same number of pixel rows per octave.
* On the piece's page in a section '''Spectrogram''' usually just above '''Availability''' so that the Listen button is near.
If this interests you, please [[Donate|Make a small donation]] and email <TT>delia.derbyshire.net@gmail.com</TT> attaching the sound file you would like turned into a picture.
Alternatively, if you can compile C for Linux, you can fetch [https://github.com/martinwguy/spettro spettro from github], which plays music files while showing a log spectrogram of it scrolling right to left with the current playing time at centre screen.
Spectrograms are used in the WikiDelia to visualise the sonic content of Delia's music.
4 Get spectrograms of your music!
Most FFT-based spectrographic programs' output has a linear frequency axis, usually from 0Hz to 22050Hz for a CD-quality piece, in which the top half of the graph represents the top octave of the sound, the inaudible 11025-22050Hz band, with all the musical detail crushed into the bottom rows of pixels.
Even if you zoom in on the interesting part of the spectrogram, the top half of the graph always represents the top octave of the visible frequency range.
On the piece's page in a section Spectrogram usually just above Availability so that the Listen button is near.
The WikiDelia's spectrum analyser, "mkjpg", was written specifically for it using a modified version of sndfile-spectrogram to prepare a linear spectrogram which is then distorted by an ImageMagick script to give it a logarithmic frequency axis.
The program "Sox" can also be used to produce the linear spectrogram, but you need this modified version to remove the limits on output image size, to normalise the output's brightness, and to make it 250 times faster and not need 16GB of RAM.
Judith Brown's brute force algorithm, "logft" from 1988-91.
An optimized version of the above, "constant-q-cpp", doing octave decimation of the signal to save compute time.
The results with the implementations I have found have so far been disappointing: crisper at the top but lacking temporal detail in the lower frequency range.
the next release of sndfile-tools (after 1.03) will include a new --log-freq option to sndfile-spectrogram achieving the same effect as here. In the meantime, if you can compile C, you can get it on github.
Get spectrograms of your music!
Optionally the software can superimpose single-pixel black and white lines at the frequencies of the piano keys and three-pixel-wide white lines at the positions of the manuscript stave lines, see the example on the right.
If this interests you, please Make a small donation and email delia.derbyshire.net@gmail.com attaching the sound file you would like turned into a picture.
Alternatively, if you can compile C for Linux, you can fetch spettro from github, which plays music files while showing a log spectrogram of it scrolling right to left with the current playing time at centre screen.
Random Together 1, 2m30 of cacophony, not helped at all by the reconstruction!
↑ An efficient algorithm for the calculation of a constant Q transform by Brown and Puckette.
↑ An earlier implementation in more C-like C++ in a pitch detection plugin for Supercollider, licensed under GPL.
↑ Constant-Q Transform Toolbox for Music Processing: An optimization in MATLAB of Brown and Puckette's efficient Constant-Q algorithm.
↑ C++ Constant-Q at soundsoftware.co.uk, a C++ implementation of the above with permissive license.
This page was last modified on 10 February 2019, at 13:00.


Is Sleep the Final Piece of the Perfect Practice Puzzle?
Home / Running A Studio / Is Sleep the Final Piece of the Perfect Practice Puzzle?
I'm always interested in ways to make piano practice more efficient and more effective for my students. I believe that the more we understand about how humans learn, the better adjustments we can make to how we teach. In a past Teach Piano Today podcast we interviewed Dr. Christine Carter who opened our eyes to the benefits of breaking free from "blocked practice". Today we're speaking with a neuroscientist from Montreal whose research may be the piece of the puzzle that your piano students are missing.
We've all heard before that sleep is important, but you may not have realized the direct role it plays in the learning of a fine motor skill such as playing the piano. This knowledge could have a profound effect on your more advanced students, shed some light on the frustration often experienced by (sleep-deprived) teens and may even result in an improvement in your own practice efficacy!
As piano teachers we should always be looking for ways to assist our students with their home practice. In today's busy world, finding the most effective and efficient ways to accomplish practice goals will result in students who find more satisfaction. And sometimes, the discovery of the "perfect practice assistance" can come in the most unexpected of places!
Listen In… And Then Head Back to Bed!
Click below to listen or visit our iTunes page to download this episode (and our previous 24 eposides!) to your smart phone or iPod.