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Volume 51 | Issue 6 (Supplement)
Page Nos. 1-65
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"Welcome to the China Special Issues of IJC" p. 1
J Wenjie, K Prabhash, PM Parikh
DOI:10.4103/0019-509X.151982 PMID:25712832
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The minimally invasive thoracic surgery for lung cancer: A voice from China p. 2
W Jiao, T Qiu
Incidence, risk factors, and prognosis of acute kidney injury following transarterial chemoembolization in patients with hepatocellular carcinoma: A prospective cohort study p. 3
JF Hao, LW Zhang, JX Bai, YJ Li, JN Liu, XL Zhang, JM Han, X Li, H Jiang, N Cao
Background: Transcatheter arterial chemoembolization (TACE) is an effective first-line therapy for intermediate stage hepatocellular carcinoma (HCC). Acute renal injury may be induced after transarterial chemoembolization because of iodinated radiocontrast medium, but its incidence, risk factors, and prognosis remain unclear. Patients and Methods: This prospective study enrolled 166 HCC patients with a total of 316 TACE treatments. The incidence, risk factors, and prognosis of acute kidney injury (AKI) were examined. Results: The incidence of post-TACE AKI was 21.84% (69/316) according to Barrett and Parfrey criteria, whereas 7.59% (24/316) according to acute kidney injury network (AKIN) criteria. Multivariate logistic regression analysis showed that serum total bilirubin (TB) (>13.5 μmol/L; odds ratio [OR]: 1.871 95% confidence interval [CI]: 1.044-3.352; P = 0.035) and hemoglobin (HGB) level (<120 g/L; OR: 1.823, 95% CI: 1.019-3.264; P = 0.043) were associated with the development of AKI after TACE procedure in accordance to Barrett and Parfrey criteria. Meanwhile, age (>55 years; OR: 3.456, 95% CI: 1.107-10.790; P = 0.033), post-TACE AKI history (OR: 7.108, 95% CI: 1.387-36.434, P = 0.019), and serum aminotransferase level (>55 U/L; OR: 4.420, 95% CI: 1.792-10.906; P = 0.001) were associated with the development of AKI after TACE procedure in accordance to AKIN criteria. Total hospitalization cost was significantly higher (P = 0.034) in the patients with AKI after TACE procedure according to Barrett and Parfrey criteria. A post-TACE AKI diagnosis was associated with mortality in any definition used (P = 0.034 and P = 0.001 for Barrett and Parfrey and AKIN criteria, respectively). Conclusion: The present study showed that the incidence of post-TACE AKI was high in HCC patients (i.e., 7.59-21.84%) depending on criteria used. HGB (<120 g/L), serum TB (>13.5), and aminotransferase level (>55 U/L), age (>55 years) and post-TACE AKI history may be predictors of post-TACE AKI in HCC patients. The development of post-TACE AKI was associated with the risk of renal replacement treatment, prolonged renal insufficiency, or mortality according to AKIN criteria.
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Computed tomography-guided iodine-125 interstitial implantation as an alternative treatment option for lung cancer p. 9
G Jiang, Z Li, A Ding, F Zhou, W Jiao, D Tang, W Qiu, L Yue, W Xu
Purpose: The aim was to evaluate the safety, feasibility and efficacy of computed tomography (CT)-guided percutaneous interstitial brachytherapy using radioactive iodine-125 ( 125 I) seeds for the treatment of lung cancer. Materials and Methods: Included in this study were 45 male and 35 female patients aged 52-85 years (mean 72-year) who were diagnosed with lung cancer. Of the 80 cases of lung cancer, 38 were pathologically confirmed as squamous cell carcinoma, 29 as adenocarcinoma, 2 as small cell lung cancer, and 11 as metastatic lung cancer. Percutaneous interstitial implantation of radioactive 125 I seeds was performed under CT guidance. The treatment planning system was used to reconstruct three-dimensional images of the tumor to determine the quantity and distribution of 125 I seeds to be implanted. Under CT guidance, 125 I seeds were embedded into the tumor, with the matched peripheral dose set at 100-130 Gy. Follow-up CT scan was done in 2-month to explore the treatment efficacy. Results: The procedure was successful in all patients. No major procedure-associated death occurred. The duration of follow-up was 6-month. Complete response (CR) was seen in 38 cases (47.5%), partial response (PR) in 27 cases (33.75%), stable disease (SD) in 10 cases (12.5%), and progressive disease in 5 cases (6.25%), with a local control rate (CR + PR + SD) of 93.75%. The 2-, 4- and 6-month overall response rate (CR + PR) was 78%, 83% and 81%, respectively. Conclusion: Implantation of CT-guided 125 I seeds is a safe and effective alternative option for the treatment of lung cancer.
Is endoscopic sphincterotomy plus large-balloon dilation a better option than endoscopic large-balloon dilation alone in removal of large bile duct stones? A retrospective comparison study p. 13
QL Li, WD Gao, C Zhang, PH Zhou, YS Zhong, WF Chen, yQ Zhang, LQ Yao, MD Xu
Background: Several comparison studies have demonstrated that endoscopic sphincterotomy (EST) combined with large-balloon dilation (LBD) may be a better option than EST alone to manage large bile duct stones. However, limited data were available to compare this combination method with LBD alone in removal of large bile duct stones. Objective: To compare EST plus LBD and LBD alone for the management of large bile duct stones, and analyze the outcomes of each method. Patients and Methods: Sixty-one patients were included in the EST plus LBD group, and 48 patients were included in the LBD alone group retrospectively. The therapeutic success, clinical characteristics, procedure-related parameters and adverse events were compared. Results: Compared with EST plus LBD, LBD alone was more frequently performed in patients with potential bleeding diathesis or anatomical changes (P = 0.021). The procedure time from successful cannulating to complete stone removal was shorter in the LBD alone group significantly (21.5 vs. 17.3 min, P = 0.041). The EST plus LBD group and the LBD alone group had similar outcomes in terms of overall complete stone removal (90.2% vs. 91.7%, P = 1.000) and complete stone removal without the need for mechanical lithotripsy (78.7% vs. 83.3%, P = 0.542). Massive bleeding occurred in one patient of the EST plus LBD group, and successfully coagulated. Postoperative pancreatitis did not differ significantly between the EST plus LBD group and the LBD alone group (4.9% vs. 6.3%; P = 1.000). Conclusion: Endoscopic sphincterotomy combined with LBD offers no significant advantage over LBD alone for the removal of large bile duct stones. LBD can simplify the procedure compared with EST plus LBD in terms of shorten the procedure time.
Two-incision approach for video-assisted thoracoscopic sleeve lobectomy treating the central lung cancer p. 18
X Wang, W Jiao, Y Zhao, Y Xuan, Z Wang
Background: We review our experiences with video-assisted thoracoscopic surgery (VATS) sleeve lobectomy with bronchoplasty for nonsmall-cell lung cancer, using only two incisions. The aim of this study was to evaluate the technical feasibility and safety of surgical approach. Materials and Methods: From January 2013 to January 2014, we completed 15 cases of VATS sleeve lobectomy with bronchoplasty in our hospital. The patients underwent sleeve lobectomy with bronchoplasty at the following locations: right upper lobe (n = 4), right lower and middle lobes (n = 1), left lower lobe (n = 5), and left upper lobe (n = 6). The operation consisted of VATS anatomic sleeve lobectomy with bronchoplasty combined with systematic lymph node dissection, using only two incisions. Results: The patients underwent sleeve lobectomy with bronchoplasty were no postoperative complications. Median operative time was 183 min; median bronchial anastomosis time was 39 min; median blood loss was 170 ml. Pathological examination showed 12 squamous cell carcinomas and 3 adenocarcinoma. Median postoperative chest tube drainage duration was 4.5 days, and median hospital stay was 6.9 days. Conclusions: Video-assisted thoracoscopic surgery sleeve lobectomy with bronchoplasty is a feasible and safe surgical approach, using only two incisions. This way of operation can promote the development of surgical technology.
A meta-analysis of limb-salvage versus amputation in the treatment of patients with Enneking‡U pathologic fracture osteosarcoma p. 21
F Jiang, Y Shi, GJ Li, F Zhou
Introduction: The aim of this meta-analysis was to further explore whether the relapse, 5-year survival and metastasis the same or not between limb-salvage and amputation in the treatment of patients with limited stage Enneking‡U pathologic fracture osteosarcoma. Materials and Methods: An electronic search of the Medline, EMBASE and CNKI was done on October 2014. The clinical studies about amputation or limb-salvage surgery in the treatment of patients with limited stage Enneking‡U pathologic fracture osteosarcoma were searched and reviewed. The effect size of relapse, 5-year survival and metastasis between the amputation and limb-salvage surgery were pooled by stata11.0 software (Stata Corporation, College Station, TX, USA, http://www.stata.com;) using random or fixed effect model. The funnel plot and Egger's line regression test were used for evaluation of publication bias. Results: A total of 89 studies were identified and seven articles with 200 cases in the limb-salvage surgery group and 84 subjects in the amputation group were finally included in the meta-analysis. The pooled data indicated that no statistical different of risk for developing relapse between limb-salvage and amputation was found relative risk (RR) =1.40, 95% confidence interval (CI): 0.71-2.79, (P = 0.33). The 5-year survival rate of patients underwent limb-salvage surgery was smaller than patients received amputation RR = 1.86, 95%CI: 1.19-2.89, (P = 0.01); the metastasis rate of patients underwent limb-salvage surgery was significant decreased compared with patients received amputation RR = 0.56, 95% CI: 0.34-0.94, (P = 0.03). No publication bias was existed in this meta-analysis. Conclusion: Limb-salvage surgery does not increased the risk of relapse compared with amputation in the treatment of patients with limited stage Enneking‡U pathologic fracture osteosarcoma.
Anastomosis in minimally invasive Ivor lewis esophagectomy via two ports provides equivalent perioperative outcomes to open p. 25
Y Zhao, W Jiao, J Zhao, X Wang, Y Luo, Y Wang
Objective: Minimally invasive esophagectomy (MIE) is becoming a selective treatment of esophageal cancer; however, it's a complex and technically demanding surgical operation. MIE can be performed in high volume centers in a variety of ways using different techniques. Transthoracic staplers have traditionally been used in open transthoracic Ivor Lewis Esophagectomy (ILE) with good success. An investigation of the safety and utility of transthoracic stapler via two ports on thorax for esophageal anastomosis in minimally invasive ILE is reviewed. Methods: Patients of esophageal cancer were selected between November 2012 and July 2014. All the patients received minimally invasive (MIE) or open transthoracic ILE. Transthoracic stapler for MIE anastomosis was performed through the major port located at subaxillary region. Patients' demographics, indications for esophagectomy, perioperative treatments, intraoperative data, postoperative complications, hospital length of stay, 7 and in-hospital mortality were evaluated. Results: Totally, 63 consecutive patients underwent MIE or ILE. All the patients were Han with a mean age of 60 years (52-74). The indication of surgery is esophageal cancer, and squamous cell carcinoma was defined by pathologist before operation. None of the patients had neoadjuvant chemotherapy or radiation. All the MIE patients were no conversions to open thoracotomy or laparotomy. Mean operative time was 4.5 h. One patient (3.03%) suffered postoperative pneumonia, no leak from the gastric conduit staple line or esophageal anastomoses, no postoperative complication required surgical intervention was observed. The median hospital length of stay was 13 days (range 7-18). There were no in-hospital mortalities. Conclusions: In our study, transthoracic stapler through the major port at subaxillary seems technically feasible and safe for minimally invasive ILE with comparable morbidity and oncologic data to open.
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Different limited resection of pulmonary lobe methods under the thoracoscopy in the treatment of early nonsmall cell lung cancer occurred in the old age p. 29
XC Li, W Wang, JQ Liu, F Wen, CY Yue
Objectives: The objective was to explore clinical effect of limited resection of lung lobe under the thoracoscopy in the treatment of early nonsmall cell lung cancer occurred in the old age. Methods: A total of 150 patients with nonsmall cell lung cancer in the old age is treated by limited resection of lung lobe under thoracoscope. It can be divided into segmental resection group and wedge resection group by surgical methods, to make a comparative analysis of operation time, intraoperative blood loss, hospital stays, and complications during the perioperative period. And there will be postoperation follow-up on survival, relapse and death situation etc., Results: 10 cases are changed to make other operation because of maladaptation to limited resection, and a total of 140 patients have undergone limited resection. Operation time and hospital stays of wedge resection group are shorter than those of segmental resection group (P < 0.05); compared with the bleeding and indwelling drainage tube time in two groups, differences have no statistical significance (P > 0.05). Compared with cases of complications, recurrence and death for groups of segmental resection and wedge resection group, the differences have no statistical significance (P > 0.05). Conclusion: Limited resection of lung lobe in the early treatment of nonsmall cell lung cancer occurred in the old age under the thoracoscopy is safe and feasible.
Outcome analysis of benign vocal cord tumors treated by laryngeal endoscopy under low temperature-controlled radiofrequency p. 33
ZY Wang, L Xu, KM Wu, Y Zhang, W Chen
Objective: This study aimed to evaluate the outcome of benign vocal cord tumors treated using a laryngeal endoscopy under low temperature-controlled radiofrequency and to elucidate the application of a dynamic laryngoendoscopy in the operation. Materials and Methods: 85 patients with benign vocal cord tumors were treated by laryngeal endoscopy under low temperature-controlled radiofrequency from September 2011 to October 2013. A XION electronic dynamic laryngoendoscopy (Germany) was used to observe curative effects 3 months after operation. Wave images were recorded with larynx-wave recording software to analyze tumor characteristics. Results: Among the 85 patients, 81 showed smooth surface of operation wounds without any residue. The mucosal wave was also basically normal. Sound was generally recovered after 1-3 months. Three cases presented improved pronunciation function after the operation, whereas 1 patient with residual tumor at the front of vocal chords underwent another operation after 6 months. Conclusion: Low temperature-controlled radiofrequency exhibited many advantages, including minimal trauma, minimal bleeding, high safety, and few complications. Moreover, treatment of benign vocal cord tumors with a laryngeal endoscopy presented satisfactory outcomes. Therefore, this technology has broad application prospects.
Short term curative effect of video assisted thoracoscopic lobectomy for early-stage lung cancer p. 37
HB Cai, YX Li, Z Li
Objective: To investigate the feasibility, safety and short term efficacy of video assisted thoracoscopic (VATS) lobectomy for patients with early-stage lung cancer. Methods: We reviewed clinical data of 138 consecutive patients with early stage lung cancer who underwent lobectomy in the First People's Hospital of Jining during the January 2010 to May 2012. Of them, 71 cases were performed complete VATS, male 39 cases, female 32 cases, age (57.9 ± 10.6) years old; 67 cases were performed thoracotomy, male 36 cases, female 31 cases, age (60.3 ± 8.2) years old. Clinical features were collected and compared. Results: Operations of two groups were successfully finished. Compared with thoracotomy group, the differences in intraoperative blood loss (147 ± 113 ml vs. 146 ± 91 ml), number of lymph node dissection group (3.1 ± 1.3 vs. 3.4 ± 1.3), the number of lymph node dissection (9.9 ± 3.6 vs. 10.0 ± 3.6), and vision analog score (VAS) of postoperative 1st and 3rd day in VATS group were not statistically significant (P > 0.05). Statistical differences were observed in operation time (119 ± 27 min vs. 135 ± 29 min), the thoracic drainage tube time (3.0 ± 0.9 d vs. 3.8 ± 1.2 d), postoperative hospital stay (8.0 ± 2.1 d vs. 10.2 ± 5.4 d), postoperative VAS of 30th day (2.6 ± 0.7 vs. 3.2 ± 1.1), and postoperative complications (8.5% vs. 19.4%) between the two groups (P < 0.05). Conclusion: Video assisted thoracoscopic lobectomy for early lung cancer is safe and effective, with fewer traumas, fewer complications, faster postoperative recovery, milder chronic chest pain, and other advantages. At the same time, the lymph node dissection of VATS lobectomy is similar to that of thoracotomy.
Risk of postoperative deep venous thrombosis in patients with colorectal cancer treated with open or laparoscopic colorectal surgery: A meta-analysis p. 42
YZ Xie, K Fang Fang, WL Ma, ZH Shi, XQ Ren
Introduction: Whether the incidence rate of deep venous thrombosis (DVT) between laparoscopic and open colorectal cancer surgery the same or not were under the debated without conclusion. The aim of this study was to compare the incidence of DVT after laparoscopic or open colorectal cancer surgery by meta-analysis. Materials and Methods: The open published articles comparing the incidence of DVT after laparoscopic or open colorectal cancer were collected in the data bases of Medline, the Cochrane central register of controlled trials and CNKI. The relative risk (RR) was pooled by using random or fixed effect mode to evaluate the incidence of DVT between laparoscopic or open colorectal cancer surgery.Results: After searching the databases, 9 randomized clinical studies with 2606 colorectal cancer cases were included in this meta-analysis. The mean operation time was 201.8 ± 17.28 min with its range of 180.0-224.4 min in the laparoscopic surgery group and 148.1 ± 18.8 min with its range of 135.0-184.0 min in the open surgery group. The operation time for laparoscopic surgery group were significant lower than in the open surgery group (P < 0.05). The RR of DVT between the laparoscopy and open surgery groups was 0.71 with its 95% confidence interval of 0.35-1.45 (P = 0.35). Conclusions: The operation time in laparoscopic colorectal cancer surgery was statistical longer than in the open colorectal cancer surgery, but the DVT risk of the two surgery approach was not different according to this meta-analysis.
A retrospective study of diaphragmatic motion, pulmonary function, and quality-of-life following video-assisted thoracoscopic lobectomy in patients with nonsmall cell lung cancer p. 45
W Jiao, Y Zhao, M Wang, Z Wang, R Yang, Y Wang, Y Luo, Y Shen
Background: Diaphragmatic dysfunction and its negative physiologic disadvantages are less commonly reported in patients with lung cancer video-assisted thoracoscopic lobectomy. The aim of this study was to investigate the outcomes of this complication on pulmonary function and quality-of-life in patients following video-assisted thoracoscopic lobectomy. Objectives: The aim of this study was to investigate potential benefits on pulmonary function and quality-of-life with normal diaphragmatic motion. Materials and Methods: A retrospective study was conducted in 64 patients with nonsmall cell lung cancer after video-assisted thoracoscopic lobectomy. The population were divided into groups 1 (with diaphragmatic paralysis, n = 32) and group 2 (without diaphragmatic paralysis, n = 32) according diaphragmatic motion after postoperatively 6 months. And then, we investigated the difference between the two groups on pulmonary function and quality-of-life. Results: (1) At 6 months after resection, the patients in group 1 had lost 25% of their preoperative forced expiratory volume in the 1 s (FEV 1 ) (P < 0.001), and the patients in group 2 had lost 15% of their preoperative FEV 1 (P < 0.001). And the other spirometric variables in group 1 were significantly worse than that of group 2 (P < 0.001). (2) The most frequently reported postoperative symptoms were fatigue, coughing, dyspnea, and thoracotomy pain in two groups. Of all the symptom scales, only the dyspnea scale showed a significant difference which subject has a higher proportion and scale compared to control. Conclusions: The present study indicates that unilateral diaphragmatic paralysis following video-assisted thoracoscopic lobectomy caused adverse effects on postoperative pulmonary function and quality-of-life.
Arterial embolization of massive hepatocellular carcinoma with lipiodol and gelatin sponge p. 49
LL Xie, CJ Sun, XD Li, YH Wang, CE Wang
Background: Transarterial chemoembolization (TACE) has been used to treat unresectable massive hepatocellular carcinoma (HCC). Lots of embolic agents have been applied in embolization because of it can decrease patient discomfort and side-effects. Aim: The aim was to evaluate the clinical efficacy and safety of TACE with lipiodol and gelatin sponge. Materials and Methods: A total of 109 patients with massive HCC (the size of tumor >10 cm and unresectable) from January 2011 to August 2014 in our institution was divided into group A and group B based on the different embolitic agents. Before and about 1-month after each case of TACE, clinical and biological data such as tumor size, child-pugh stage, serum Alpha-fetoprotein (AFP), complications, were recorded at the same time. Results: In group A, the diameter of the tumor reduced from 12.57 ± 1.26 cm to 9.04 ± 0.89 cm. No patient was complete response (CR), partial response (PR) 36, stable disease (SD) 7 and PD 6; in group B, the diameter of tumor decreased from 12.08 ± 1.42 cm to 8.43 ± 1.05 cm, CR 0, but PR 27, SD 18 and PD 15. RR in group A was significantly higher than in group B (P < 0.05).The change of child-pugh stage and AFP pre- and post-operative in group A can be found significantly better than in group B. Conclusions: TACE with lipiodol and gelatin sponge is a highly effective for massive HCC.
Submucosal tunneling endoscopic resection for upper gastrointestinal multiple submucosal tumors originating from the muscular propria layer: A feasibility study p. 52
C Zhang, JW Hu, T Chen, PH Zhou, YS Zhong, YQ Zhang, WF Chen, QL Li, LQ Yao, MD Xu
Background and Aims: In recent years, submucosal tunneling endoscopic resection (STER) was applied more and more often for single gastrointestinal (GI) submucosal tumor (SMT). However, little is known about this technique for treating multiple SMTs in GI tract. In the present study, we investigated the feasibility and outcome of STER for upper GI multiple SMTs originating from the muscularis propria (MP) layer.Patients and Methods: A feasibility study was carried out including a consecutive cohort of 23 patients with multiple SMTs from MP layer in esophagus, cardia, and upper corpus who were treated by STER from June 2011 to June 2014. Clinicopathological, demographic, and endoscopic data were collected and analyzed. Results: All of the 49 SMTs were resected completely by STER technique. Furthermore, only one tunnel was built for multiple SMTs of each patient in this study. En bloc resection was achieved in all 49 tumors. The median size of all the resected tumors was 1.5 cm (range 0.8-3.5 cm). The pathological results showed that all the tumors were leiomyoma, and the margins of the resected specimens were negative. The median procedure time was 40 min (range: 20-75 min). Gas-related complications were of the main complications, the rates of subcutaneous emphysema and pneumomediastinum, pneumothorax, and pneumoperitoneum were 13.0%, 8.7% and 4.3%. Another common complication was thoracic effusion that occurred in 2 cases (8.7%), among which only 1 case (4.3%) with low-grade fever got the drainage. Delayed bleeding, esophageal fistula or hematocele, and infection in tunnel were not detected after the operation there were no treatment-related deaths. The median hospital stay was 4 days (range, 2-9 days). No residual or recurrent lesion was found during the follow-up period (median 18, ranging 3-36 months). Conclusion: Submucosal tunneling endoscopic resection is a safe and efficient technique for treating multiple esophageal SMTs originating from MP layer, which can avoid patients suffering repeated resections.
Transcatheter arterial embolization of acute gastrointestinal tumor hemorrhage with Onyx p. 56
CJ Sun, CE Wang, YH Wang, LL Xie, TH Liu, WC Ren
Background: Endovascular embolization has been used to control gastrointestinal tumor bleeding. Lots of embolic agents have been applied in embolization, but liquid embolic materials such as Onyx have been rarely used because of concerns about severe ischemic complications. Aim: To evaluate the clinical efficacy and safety of transcatheter arterial embolization (TAE) with Onyx for acute gastrointestinal tumor hemorrhage. Materials and Methods: Between September 2011 and July 2013, nine patients were diagnosed as acute gastrointestinal tumor hemorrhage by clinical feature and imaging examination. The angiographic findings were extravasation of contrast media in the five patients. The site of hemorrhage included upper gastrointestinal bleeding in seven cases and lower gastrointestinal bleeding in two cases. TAE was performed using Onyx in all the patients, and the blood pressure and heart rate were monitored, the angiographic and clinical success rate, recurrent bleeding rate, procedure related complications and clinical outcomes were evaluated after therapy. The clinical parameters and embolization data were studied retrospectively. Results: All the patients (100%) who underwent TAE with Onyx achieved complete hemostasis without rebleeding and the patients were discharged after clinical improvement without a second surgery. No one of the patients expired during the hospital course. All the patients were discharged after clinical improvement without a second surgery. Postembolization bowel ischemia or necrosis was not observed in any of the patients who received TAE with Onyx. Conclusions: TAE with Onyx is a highly effective and safe treatment modality for acute gastrointestinal tumor hemorrhage, even with pre-existing coagulopathy.
Feasibility and safety of early chest tube removal after complete video-assisted thoracic lobectomy p. 60
H Jiang, J Wang, DF Yuan, JW Fang, Z Li
Objective: The aim was to evaluate the feasibility and safety of early chest tube removal after complete video-assisted thoracic lobectomy (CVATL). Methods: Retrospective analysis was performed on effects of chest tube removal on patients with lung cancer after pulmonary lobectomy between November 2013 and October 2014. 154 eligible patients included 97 cases for CVATL and 57 cases for open thoracic lobectomy. Patients with CVATL were divided randomly into experimental group (EG) and control group (CG), in which 51 patients in EG had chest tube removal on the 2 nd day after operation; 46 patients in CG had the tube removal when the drainage volume <100 ml/day. Patients in open thoracic lobectomy group (OG) had the tubes removal as CG. The drainage volumes of the 1 st and 2 nd 24 h after operation, duration of chest tubes, cases of pain alleviation, and recurrent pleural effusions requiring reintervention were measured. Results: The average drainage volume of the 1 st 24 h after operation of CVATL group from EG and CG was significantly reduced than that in OG (260.41 ml vs. 353.16 ml, P < 0.001). The average drainage volume of the 2 nd 24 h after operation of CG was significantly reduced than that in OG (163.91 ml vs. 222.98 ml, P < 0.001). The average duration of chest tube of CG for 2.98 days showed significant different compared with OG for 3.81 days (P < 0.001). Chest tube removal in CVATL group increased more chest pain alleviation than OG (80.4% vs. 56.1%, P = 0.001). The frequencies of recurrent pleural effusions requiring reintervention were 5.88% (3/51), 4.35% (2/46) and 5.26% (3/57), respectively, which had no significant differences between three groups (P = 1.000). Conclusions: Complete video-assisted thoracic lobectomy brings less drainage volume after operation. Early removal of chest tube in CVATL shows feasible and safe and demonstrates that it may reduce postoperative pain and help fast recovery.
A modified method using a two-port approach for accessing the hilar vasculature without transferring an endostapler from camera port to utility port during thoracoscopic right upper lobectomy p. 63
W Jiao, Y Zhao, Y Xuan, M Wang
For thoracoscopic upper lobectomies, most cutting endostaplers must be inserted through the camera port when using a two-port approach. Access to the hilar vasculature through only the utility port remains a challenge. In this study, we describe a procedure to access the hilar vasculature without transferring the endostapler site during a thoracoscopic right upper lobectomy. A 2.5-cm utility anterior incision was made in the fourth intercostal space. The posterior mediastinal visceral pleura were dissected to expose the posterior portion of the right upper bronchus and the anterior trunk of the right pulmonary artery. The pleura over the right hilar vasculature were then peeled with an electrocoagulation hook. The anterior trunk of the right pulmonary artery was then transected with a cutting endostapler through the utility port firstly. This crucial maneuver allowed the endostapler access to the right upper lobe pulmonary vein. The hilar structures were then easily handled in turn. This novel technique was performed successfully in 32 patients, with no perioperative deaths. The average operation time was 120.6 min (range 75-180 min). This novel technique permits effective control of the hilar vessels through the utility port, enabling simple, safe, quick and effective resection.
A new technique for dissection of the vessels simultaneously p. 65
Y Xuan, Z Wang, M Wang, Y Luo, W Jiao


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Holiday in Kerala is one of a lifetime experience and is a must getaway for every couple across the globe. It is also an eminent hub for travellers holidaying in Kerala for various medical reasons. Medical tourism in Kerala is mainly because of various health and Ayurvedic treatments. Tybros Holidays as your personal Kerala holidaymaker organizes Kerala Ayurvedic tours along with other Kerala tour packages for leisure holiday, adventure holiday and honeymoon. Kerala holiday is also about a unique food hunt. From exotic seafood to Dosa Ghee Roast with Kerala Style Sambar, the flavor of Kerala is surely going to be a part of your Kerala travel diaries. The Oceanos in Kochi, Villa Maya in Trivandrum, Lulu in Thrissur, Clafouti in Varkala, Thaff in Alleppey, Sarvana Bhavan in Munnar and Grandma's Café in Thekkady are some best places to eat and dine in Kerala.


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BMW Dallas Marathon
December 21, 2019 December 29, 2019 Barefoot KenBMW Dallas Marathon, Intermittent fasting
In December 2018, I'd run the BMW Dallas 1/2 marathon without shoes. A year later, it was time to take on the full distance, which if successful would be my first barefoot marathon….
….This being a serious goal, the countdown started three weeks out with a taper in training volume and intensity. Ten days out, I started checking the forecast, sometimes twice a day, hoping for nice weather, since cold pavement feels extra prickly without shoes. The night before I skipped dinner so as to run the race in a fasted state, which is standard procedure for me, the goal being to train the body to burn fat efficiently (think of it as the opposite of "carb-loading"). The morning of race day I arrived 90 minutes early to make sure there wouldn't be a problem with parking. The temperature was a balmy 57 F, with the latest forecast calling for clear skies and a high in the 70s — perfect conditions for barefooting.
Like any runner, I'm always curious about what people have on their feet. While hanging out near the start, I conducted a casual survey of the prevalent footwear, interested in the proportion of runners wearing so-called "minimalist" shoes, that is, shoes without the padded heels, arch support, and cushion of traditional trainers. Chris MacDougall's 2009 bestseller, "Born to Run," sparked huge interest in minimalist footwear and barefoot running. For a brief time, sales of minimalist shoes surged, to perhaps 10% of the market. But people found the transition to minimalism took longer and was more painful than expected, and the enthusiasm for minimalism began to wane. The conventional minded clucked to themselves that minimalism was a fad, which now was fading. Meanwhile, sales of super-cushioned shoes (sometimes called "maximalist") were taking off. People were voting with their feet.
So what did my survey find at the 2019 BMW Dallas Marathon? Out of 100 runners who were randomly milling around me, I counted a total of 0 (zero) in minimalist shoes. This was surprising. In conducting surveys at other events, I'd typically found at least a handful of minimalists.
I didn't count myself, however, and I was wearing a pair of Fitkicks, which are basically slippers, and thus as minimalist as it gets. On this basis, the minimalist population could be estimated at approximately 1 out of 101 runners, or 0.99%.
It was time to walk over to the starting coral. Along the way I passed through Pioneer Plaza, which is home to a herd of forty-nine longhorn steers cast in bronze. At six feet tall, they're slightly larger than life, and the collection is thought to represent the largest bronze cow sculpture in the world. The steers were meant to cement Dallas' identity as a western metropolis with pioneer roots, although critics pointed out that cattle were big business in nearby Fort Worth, whereas Dallas' economy had centered historically on commerce (someone suggested a bronze herd of lawyers, bankers, and insurance men stampeding through town would have been more appropriate).
A few steps later, I encountered a young man advocating for the vegan diet. He held aloft a sign that said that you could save 100 animals a year by not eating meat. Another runner gave him a thumbs-up. I kept my opinions to myself. Veganism is controversial in certain circles: some object to what they perceive as non-scientific arguments made by vegan activists, while others worry that the diet isn't healthy. Since I avoid carbs, fat is my primary source of energy, and meat contains a lot of fat.
Five minutes until the start: someone walked up to me and asked how far I was going to run in "slippers" (referring to my Fitkicks). He was running a half-marathon for the first time, he explained, and he couldn't imagine running it without "good shoes." I admitted the slippers took some getting used to and wished him a successful race.
It was just about time to start. I removed my Fitkicks and tucked them into my waistband. A clock on a big video screen showed the 10-second countdown. The gun went off, a couple of fireworks were shot into the air, and the announcer exhorted us to "run like champions." Because of the large crowd, however, it took a minute or two before anyone could move. I stood in place, finding it hard to feel like a champion while stationary.
But then the crowd surged forward, and a little while later I was jogging across the start on pavement that was quite cracked and rough. This was just as I'd remembered it from last year, so after a few tentative steps, I hopped onto the painted yellow line and padded along slowly as crowds of runners passed me by.
The pavement smoothed out after a little while and I moved somewhat more quickly, passing a few people here and there. Up ahead a runner was wearing a red shirt which said "Beef-loving Texans." This seemed more representative of the typical Texas attitude than the lone vegan activist on Pioneer Plaza. Beef is a big deal in Dallas, as I'd discovered at a recent business dinner. The waiter told us this restaurant was one of a very small number of places in the U.S. serving authorized Kobe beef, at $75 per ounce. I resisted the temptation to order a $900 steak, although I toyed with the idea of sampling a single ounce just to see what made it so special — but decided this was a taste worth not developing.
By mile three, I realized I still hadn't seen a single runner in minimalist shoes of any kind. There were plenty of super-cushioned Hoka's as well as a handful of the new Nikes in hot pink or lime green, the ones with a special type of foam sandwiched between carbon plates. This technology is thought to create a spring-like effect, which experts estimate can improve running economy and speed by as much as 4%. And here I was, the only person around not wearing conventional shoes, or any shoes for that matter.
So you can imagine my surprise when another barefoot runner passed me by. He gave me a fist-bump in passing and then after a few steps came back to introduce himself: his name was Will Brand, he was a resident of Dallas, and also a pilot, and had been running barefoot for six years.
What an extraordinary ambassador for the sport! While I was taking short, cautious steps, he was dancing around from one side of the road to the other, giving people high-fives, explaining that barefoot running is a spiritual practice, and dismissing shoes as "so yesterday."
Someone asked him about rocks – didn't they hurt?
"You betcha they hurt" I interjected.
But Will said that he keeps his head up and trusts to the universe to guide his steps. Also, "I have strong feet," he explained.
Whereas I thought to myself that I don't particularly trust anything and therefore stay constantly vigilant with respect to rocks, always ready to take evasive action.
Will gave me another fist bump and disappeared into the distance.
After this excitement, the next few miles were pretty quiet. The course exited the downtown area and passed through an upscale neighborhood called Lakewood. Families were camped out on the sidewalk in front of large homes, cheering the runners, and sometimes handing out snacks and drinks. The people seemed very friendly. Someone noticed my hat and shouted "Go Yankee!"
I collected one or two more fist bumps from fellow runners who were impressed by my lack of footwear. A number of people shouted "did you forget your shoes?" One person said "respect!" I got called "insane," "hardcore," and "badass." An older man said, "I wish I could do that" — to which I replied, "why don't you give it a try!" Mostly people shouted "go barefoot runner!" and once I heard, "another barefoot runner!" as they must have seen Will go by.
The most important thing to do while running barefoot is to smile and wave at people when they cheer you on, otherwise they might think you were a demented crazy person or a masochist. So I smiled and waved, although the pavement continued to alternate between smooth and rough sections, and where it got cracked and pebbly this required some extra concentration.
At mile ten, the full marathon course separated from the ½ and headed out toward a lake. Two young ladies in front of me were wearing blue shirts which said "Dear legs: Shut up and keep running." Well, that's the right attitude, I reflected, as long as you don't take it too far, recalling how my determination to keep setting personal records even as I got older had led to a cycle of injuries that took a long time to heal. Meanwhile, my legs were starting to feel tired, possibly due to the 24-hour fast, or probably because I wasn't in the shape I used to be. "Dear legs," I said to myself, "please keep running."
The course took us to a large body of water called White Rock Lake, across which there were pleasant views under clear skies and a bright sun. But the paved trail we were running on began to deteriorate. I think this is what's called a "chip-and-seal" surface, which refers to crushed aggregate poured over liquid asphalt, resulting in a hard, pebbly surface. It was so bad it brought me to a walk in a couple of spots, and frankly, it hurt to walk. I hopped off the trail onto a grassy shoulder and trotted along more happily.
At one point I passed a runner wearing Vibram Five Fingers, the minimalist shoes with separate toe pockets. Counting myself, Will, and this individual, there were three minimalists out of a total crowd, including the full marathon, 1/2 marathon, and relay and ultra divisions, of approximately ten thousand. Therefore, we could draw a lower bound for the minimalist population at 0.03%.
The grass shoulders were narrowing. The chip-and -seal paved trail was now flanked by patches of gravel. My options were becoming limited.
My transition to barefoot running was partly meant to deemphasize speed and time goals, since my aging body was no longer handling the intensity of going all out the way it used to. Now it occurred to me that having gotten in the habit of dropping goals when they no longer made sense, I might as well abandon the goal of completing this race barefoot. At mile seventeen, I pulled out the Fitkicks from my waistband and put them on my feet.
The course wound around the lake and headed south towards the tall buildings of downtown Dallas. The Fitkicks neutralized the rough pavement, but they also seemed to take some of the bounce out of my stride. Maybe I was just getting tired.
Once off the chip-and-seal trail, it was back onto paved roads. With four miles left to go, I took off the Fitkicks, and gingerly trotted off along the pavement, which was smooth in places, and then rough again, all the while trying to keep up a decent pace and smile a little.
There were a few more shouts of "go barefoot runner!" An older lady commented, "I'd like to give that a try." At this point, with legs tired and feet starting to hurt, I made an effort to smile but kept my mouth shut.
The course passed into the grimy outskirts of downtown Dallas, replete with light industrial facilities, chain-linked fences, and signs advertising bail services. The pavement got rough again, and in some places there was a scattering of gravel. Once or twice I stepped on sharp little rocks which brought me to a halt.
I thought there was one mile to go, but there were still two miles. I hustled along at a slow pace, feeling spent. When the finish line was finally in sight, I made an extra effort to run tall and smile and look confident, although my pace remained quite slow. This act seemed to work: as I crossed the line, the announcer called out "Kenneth Posner from New York, running barefoot! He wanted to tell us that he found our roads were smooth and that shoes are for lightweights."
Damn right! I thought to myself, for a moment feeling morally superior to all those thousands of runners who were dependent on so much cushion and protection.
A glance at the clock showed that my finishing time was a few seconds under five hours. As someone who used to routinely break three hours, I felt a little rueful. Shoes aren't just for lightweights, I admitted to myself, but for those who run fast.
Later on, I'd check the results and find that Will had finished a half-hour in front of me. It cheered me to be in the same zip-code as him.
On the way out, as I was passing Pioneer Park once again and the herd of forty-nine larger-than-life bronze steers, I saw another runner wearing the red "Beef-loving Texans" shirt. I thought back to that lone vegan activist. Vegetarians make up 2% of the population, and vegans account for about one-quarter of vegetarians. That would put vegans at 0.5%. Suddenly I realized how big this population was, compared to the vanishingly small number of barefoot runners.
I wished that young activist success in promoting a cause that evidently he cares a lot about, and drove off in search of lunch and a cappuccino.
Here's a book review on "Running the Long Path" I just noticed…you can order the book on Amazon
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Knob Hills Trail Race →
3 thoughts on "BMW Dallas Marathon"
Chris Lovie-Tyler says:
Great story! And glad to find another true barefooter with an active site.
5,000 Miles Barefoot – The Long Brown Path says:
[…] 6-hour race, Thatcher Trail Festival Marathon, Batona Trail Runs 33-miler, Rockledge Rumble 50k, Dallas Marathon, and Knob Hills Trail Race 50k. The latter was my 83rd race of marathon distance or […]
[…] habits developed in shoes. Three months earlier I'd made it 16 miles barefoot during the Dallas Marathon before a rough spot forced me to pull on shoes. The Cowtown Marathon was a great experience […]

redpajama_set_name: RedPajamaCommonCrawl


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Home 2018 Colorado Governor's Race 2018 On the Issues 2018 Public Lands
2018 Public Lands
Our "On the Issues" pages draw from speeches, interviews, campaign websites, our candidate questionnaire and prior media coverage, including our own. These pages will continue to be updated.
Steve Barlock
On whether Colorado should have more control over federal lands within its border: "I fully support the actions of President Trump and Secretary Zinke relating to working with Utah regarding a more cooperative stance on the use of federal lands than the Obama administration had followed. Specifically, I would support working with our ranching and energy sector in utilizing our abundant natural resources. I am also hopeful that President Trump will renegotiate NAFTA to allow the Colorado timber industry to expand including the clearing and use of beetle kill to mitigate the impact of forest fires in our state." —The Colorado Independent candidate questionnaire
Cynthia Coffman
No publicly stated position at this time
Lew Gaiter
On whether Colorado should have more control over federal lands within its border: "While local control over federal lands would certainly be welcome. The additional costs both in terms of times and personnel would put a strain on higher priority options in the Colorado State budget." —The Colorado Independent candidate questionnaire
Noel Ginsburg
On whether Colorado should have more control over federal lands within its border: "The financial and human infrastructure to protect the federal lands within Colorado's borders are deeply integrated into our federal government and federal institutions. I wholeheartedly believe that we must protect all federal lands and open space within our borders, and fight against any attempt, federal or otherwise, to sell them off, open them up to development, or diminish their quality." —The Colorado Independent candidate questionnaire
Mike Johnston
"As governor, he will fight any effort to sell off our state's public lands." —Mike Johnston for Colorado
On whether Colorado should have more control over federal lands within its border: "As a lifelong Coloradan, I know first-hand the beauty and value of Colorado's public lands. I believe that our public lands should be safeguarded for the enjoyment of all Coloradans, not destroyed for the enrichment of private interests. As governor, I would oppose new drilling, coal mining, and oil and gas development on state public lands and would oppose the transfer of federal public lands to the state; Colorado does not have the infrastructure, capacity or resources to manage these lands." —The Colorado Independent candidate questionnaire
Cary Kennedy
"As governor, I will never let our public lands be sold to the highest bidder. We face constant threats from fringe groups and some Washington, DC politicians to transfer control of our public lands, weakening protections. I oppose any efforts to sell off, transfer management of, cut down, or commercialize our National Parks and National Monuments. Donald Trump's Executive Order to shrink Bears Ears National Monument by 85% and Grand Staircase-Escalante National Monument by nearly 900,000 acres is shocking and irresponsible. As governor, I will do everything I can to defend Colorado against similar threats to our public lands." —Cary Kennedy for Governor
On whether Colorado should have more control over federal lands within its border: "Our public lands belong to all Americans. I do not support returning federal public lands to the states. The state does not have the budget capacity to steward that amount of land and it would result in selling off our state's public lands to the highest bidder. Colorado must be a leader in protecting our open space and our water so our children and their children inherit the Colorado we love. Our lands, clean air and rivers also give us an economic advantage. Businesses want to be here, where we value public lands, our environment, and quality of life. That is why I have laid out a comprehensive plan to protect Colorado's open space. My goal as governor is for Coloradans to work together to conserve 1 million acres of land and 400,000 acre-feet of water by 2050, even as our State's population grows." —The Colorado Independent candidate questionnaire
Greg Lopez
On whether Colorado should have more control over federal lands within its border: "Yes, through an IGA, Intergovernmental Agreement. I believe that states should have more control over federal lands within its borders. Coloradans have a greater appreciation and understanding how best to utilize, enjoy and care for the land and its natural resources. States can also respond more quickly to emergencies and other natural disasters." —The Colorado Independent candidate questionnaire
Donna Lynne
On whether Colorado should have more control over federal lands within its border: "Coloradans cherish and value our public lands, and we owe it to future generations to continue protecting them in the years ahead. This is not just a good environmental policy, it makes increasing sense from an economic standpoint, as the recent relocation of the Outdoor Retailer show to Colorado from Utah shows. Not only will the trade show pump $100 million into our economy each year, it solidifies our spot as a leader in this industry, which can be an economic driver from Craig to Commerce City, from Pueblo to Poudre Valley." —The Colorado Independent candidate questionnaire
Victor Mitchell
"He said freeing up 1 percent of public lands could lead to the creation of jobs in the oil field." —The Durango Herald
In The Colorado Independent's candidate questionnaire, Mitchell said he does think Colorado should have more control over public lands in its borders.
Jared Polis
"Coloradans understand in our core that public lands have value far beyond industrial development. As governor, I will work to ensure that our public lands are protected from overzealous development and that every Coloradan has every opportunity to have their voices heard in these decisions that affect the future of these lands. Colorado deserves a strong seat at the table here and in D.C. when it comes to conversations about what happens to the land, wildlife, trails, and resources in our backyards." —Jared Polis for Colorado
On whether Colorado should have more control over federal lands within its border: "The federal government has an important role to play preserving federal lands — and the vital environmental and economic benefits they bring us — for future generations. I'm extremely troubled to see the Trump administration walking away from this important responsibility. I was proud to release a detailed plan to protect Colorado's outdoor to "Keep Colorado Wild." My plan has three key planks: Protecting our public lands and fighting back against any attempt to sell them off to the highest bidder; promoting Colorado's outdoor recreation economy and the 200,000+ jobs it sustains, and preserving Colorado's most important natural resource, water, in the face of climate change and population growth." —The Colorado Independent candidate questionnaire
On whether Colorado should have more control over federal lands within its border: "Being as that's more of a federal issue, I'll leave it to Mike Coffman to figure out. What we absolutely need is a governor who will advocate on behalf of Coloradans, working with the congressional delegation to get the federal government off the backs of Coloradans." —The Colorado Independent candidate questionnaire
Walker Stapleton
"The federal government owns roughly 47% of the land in the West, and the various federal laws that govern land management practices place an emphasis on the concept of multiple uses. Federal land management agencies should consult with the states where this land is located and involve them in the decision-making process for how these lands are managed. Furthermore, I support moving the Department of Interior to Colorado, where significant federal lands are located, so Washington bureaucrats can better understand the impact and consequences of their top-down mandates. …Together, we can safely develop our natural resources. We can have a booming energy sector, create thousands of well-paying jobs, and protect Colorado's environment for current and future generations." —Stapleton for Colorado
Erik Underwood
On whether Colorado should have more control over federal lands within its border: "I would work with our congressional delegation on a plan to work in partnership with our federal government to maintain eco friendly lands for all to enjoy." —The Colorado Independent candidate questionnaire
Photo credit: One Day Closer, Creative Commons, Flickr


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Ardistomis annona is een keversoort uit de familie van de loopkevers (Carabidae). De wetenschappelijke naam van de soort is voor het eerst geldig gepubliceerd in 1846 door Putzeys.

annona

redpajama_set_name: RedPajamaWikipedia


the role of naked Egyptian girl in elections!
How many people will find the ballot box tomorrow?
If the news of Wall Street stooge Barack Obama voicing his tepid "support" for Occupy Wall Street wasn't enough to make you blow your lunch, perhaps the news that the nationwide raids on Occupy Movement camps were coordinated by the Feds and Obama's DHS might induce a Technicolor Yawn.
So, next time you're at an Occupy protest and the pigs get squirrely and start pepper-spraying and clubbing people, just remember that these police riots were coordinated by Federal authorities under the administration of Barack Obama, and that it's just as if Obama himself were spraying and clubbing you.
Another dictator unjusticed?President of Yemen, SALEH, has transfered his powers to vicepresident HADI, in change of legal inmunity for his crimes. demonstration against this cheap treat has already paid with some victims in Yemen. Another "clean" dictator, like Pinochet (UK saved his arse) or Berlusconi? what is this, a fashion not to pay for crimes?all USA/E.U. approved, by the way.
Failed Jump for the Bund Auction, not so for the yields that continue to rise. (Unfortunately not transatable the pun for the Italian equivalent of "auction" and "pole").
Elections in Egypt, very controversial, but this is the beginning for new era.
As an anti-monarchist, I've never had much time for the Commonwealth (even though I know most members aren't actually under the Crown anymore). The inherently arbitrary nature of the alliance(?) seems to be a recipe for endless, unsolvable problems between the first and third world, which were recently highlighted at this year's Commonwealth heads of government summit.
Hard tests for the sixth dose. When Greeks will collapse?
(An updated and more realistic pitch.) The spread with the German rate kneels sovereign debt of the weaker economies of the Euro. Mrs. Merkel resists pressure to create a common tool of intervention, but what will be the effects on European unity?
The International Energy Agency says that the Earth is doomed to runaway global warming unless CO2 emissions are slashed within five years.
PitchElections in a new Egypt.
For a long time people in Egypt don't live an election party. Is it the Egypt time for free elections?
There is still a threat, that elections in Egypt will not be fair and regular. Army wants contol the elections.


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Join 1Goal
"...to ensure that all boys and girls complete primary schooling by 2015 and that girls have the opportunity for education at all levels by 2015."
It is estimated that 72 million children in the world are still not in school - 33 million in Africa alone.
The campaign, which is part of the 2010 FIFA World Cup, seeks to ensure that every child worldwide has the opportunity to go to school and learn, by canvassing support from the public, footballers and celebrities to make a united plea to all governments to meet their target on 'Education for All'.The public has been urged to SMS the word 'Goal' to 31970, to pledge their support. No donations required, just a show of support. The First Citizens are encouraged to pledge their support by sending an SMS to the dedicated number to join the campaign.
Morning Live has been promoting the campaign, urging the public to pledge their support. The campaign has also been carried by various SABC Radio stations and other television shows.
The President addressed leaders at a Summit in Pretoria on Sunday the 11th of July urging them to meet their goals. The Summit offered world leaders a chance to draw up a roadmap to ensure that every child is in school by the time the 2014 FIFA World Cup takes place in Brazil.
Everyone needs to join the 1Goal campaign and pledge their support of leaders as they make good on their promise to deliver education for all by 2012. The campaign is a legacy from the 2010 World Cup tournament, and will remain long after the World Cup is over.
Fly your flag for 'Education For All'. Join the campaign by SMSing the word 1GOAL to 31970. SMSs are charged at standard rates. Visit 1GOAL website atwww.join1goal.org/home.php.


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REPARATURANL. BMW-BOXER 2.GENERATION AB 04- 192S.


Developmental evaluation is an exciting, fast-growing area of evaluation practice. The following is an up-to-date curated list of developmental evaluation resources.
Cabaj, M. (2011). Developmental evaluation: The experience and reflections of early adopters. (Unpublished master's thesis). University of Waterloo, Waterloo, ON.
Dickson, R., & Saunders, M. (2014). Developmental evaluation: Lessons for evaluative practice from the SEARCH Program. Evaluation, 20(2), 176-194.
Dozois, E., Langlois, M., & Blanchet-Cohen, N. (2010). DE 201: A practitioner's guide to developmental evaluation. Retrieved from http://www.mcconnellfoundation.ca/assets/Media%20Library/Publications/DE%2 0201%20EN.pdf.
Lam, C. Y. (2011). A case study on the use of developmental evaluation for innovating: Navigating uncertainty and unpacking complexity. (Unpublished master's thesis). Queen's University, Kingston, ON.
Lam, C. Y. (2015). Exploring the leadership dimension of developmental evaluation: The evaluator as a servant leader. Canadian Journal of Program Evaluation, 30(1), 65-79.
Lam, C. Y., & Shulha, L. M. (2015). Insights on using developmental evaluation for innovating: A case study on the co-creation of an innovative program. American Journal of Evaluation, 36(3), 358-374.
Langlois, M., Blanchet-Cohen, N., & Beer, T. (2013). The art of the nudge: Five practices for developmental evaluators. Canadian Journal of Program Evaluation, 27(2), 39-59.
Patton, M. Q. (1994). Developmental evaluation. Evaluation Practice, 15, 311-20.
Patton, M. Q. (2005). Developmental evaluation. In S. Mathison (Ed.), Encyclopedia of evaluation (pp. 184-186). Thousand Oaks, CA: Sage.
Patton, M. Q. (2006), Evaluation for the way we work, The Nonprofit Quarterly, 13(1), 28-33.
Patton, M. Q. (2012). Essentials of utilization-focused evaluation. Thousand Oaks, CA: Sage.
Preskill, H., & Beer, T. (2012). Evaluating social innovation. Foundation Strategy Group.
Reynolds, M. (2014). Equity-focused developmental evaluation using critical systems thinking. Evaluation, 20(1), 75-95.
Do you have an idea about where developmental evaluation will have most influence (public education, business, international development, etc.)?
Hi Frank! Thanks for dropping by here. At the core of what developmental evaluation offers is a different 'approach' to conducting evaluation. Where it stands to make a huge contribution are sectors where change is fast-paced, where there are significant constraints imposed on the existing system, where and the imperative to innovate and to respond is high. In my work as an educator, I see DE having the potential to make a meaningful contribution to program development. We've used it to great success in teacher education. DE is a powerful approach because it allows us to be systematic in how we make sense of program situations, how we envision and conceptualize change, and find out the extent to which we are able to realize our intentions. International development is another area I would imagine. Where there are problems to be solved, DE can make a contribution. That being said, it's important to remember that DE isn't a 'fix' that can be applied on the surface. To do DE well, it requires some deep re-thinking on the role of program in solving social problems and how organizations view program development. It's something that needs to be embedded, instead. Michael Patton's 2011 book on DE is an excellent primer.


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Mission Statement/Founding Principles
CMR Board of Advisors
About Elaine Donnelly
CMR Leadership in Military/Social Issues
Issues Research & Analysis
Gays in the Military/LGBT Law
Women in Combat
Sex Scandals
Conscience Rights and Religious Freedom
Ships & Submarines
Military Culture & Diversity
Training Standards & Health
Judiciary/Legal Matters
White House/Pentagon
SitRep Blog
News Releases & Media
CMR Notes
Holdover Transgender Mandates Impede Efforts to Strengthen Military
Secretary Mattis Should Restore Sound Priorities
Military Times recently reported that LGBT activists are pushing hard to get the Trump Administration to fully embrace President Barack Obama's orders to accommodate transgenders in the military.
At the same time, a new Conservative Action Project (CAP) "Memo for the Movement," signed by more than 85 distinguished organization leaders and individuals, pushed back against LGBT (lesbian, gay, bisexual transgender) activism aimed at the Department of Defense:
CAP: Restoring America's Military Strength: Military Readiness or Transgender Politics
The Memo appreciates efforts by President Donald J. Trump to strengthen military readiness and asks the administration to take three important steps toward the goal of eliminating political correctness in the military:
Discontinue "LGBT Pride" events in June in the White House and Pentagon
Review and revoke at least two Obama-era directives forcing military personnel to approve or participate in controversial sex-change "transition" treatments; and
Appoint officials for high-level Pentagon positions who assign highest priority to mission readiness and combat lethality, not political correctness in the military.
Aaron Belkin, who heads an LGBT activist group called the Michael D. Palm Center, expects the military medical system to provide specialized medical care, including surgery, to personnel who are confused about their sexual identity. Some sources estimate transgender medical procedures and hospitalization to cost between $125,000 and $150,000, but Belkin guesses that average costs within the military health system would be a mere $30,000.
The disingenuous low-ball estimate probably does not include commanding officers' time diverted to manage complex cases, the impact of displacing other patients, losses due to treatment-related non-deployability, and lifelong hormone therapy to sustain transgender delusions. Estimates aside, medical costs are the least of it.
Mandates from President Barack Obama and Secretary of Defense Ashton Carter are forcing the armed forces to assume the risks of retaining and recruiting a cohort of persons who are suffering from gender dysphoria, one of several psychological conditions that affect personal readiness. Gender dysphoria requires long-term medical treatments and sometimes surgery, with uncertain results and higher risks of depression and suicide.
Military Moral Dilemmas
CMR has analyzed the full array of Defense Department directives, instructions, guidebooks, training presentations, handbooks, roadmaps, and toolkits issued to make radical transgender policies "work." The set includes a 2016 Directive and subsequent mandates derived from it, which deliberately turned priorities upside down, from military necessity to political correctness.
Another Obama-Carter 2016 Instruction, which should be revoked, explicitly states that military commanders, doctors, and nurses must approve, participate in, or perform body-altering surgeries that many consider contrary to medical ethics or an affront to their own personal convictions or religious beliefs. The only way to avoid disobeying such orders is to leave the service.
All documents promote pure LGBT ideology with mandatory indoctrination that an official handbook describes as "an information briefing that is NOT intended to be a facilitated discussion."
The doctrinaire information presented, often provided by named LGBT activists groups, relentlessly promotes the unscientific notion that gender identity is "assigned" at birth and can be altered by changing a person's official "gender marker." Click the bureaucratic box and voila, a male member of military has "transitioned" to a woman or a woman to a man.
On the contrary, science says that gender is identified at birth, not assigned. Every person's unique DNA exists in every cell of their human body. A person's true gender markers, known as XX or XY chromosomes, cannot be altered with changes in hair and clothing, hormone treatments, or body-altering surgeries.
It must be difficult to live life with profound confusion about gender identity. This psychological condition, called gender dysphoria, requires compassion and competent medical treatment. The military medical system, however, is designed to serve purposes of national defense.
Properly understood, military medicine is a force multiplier. It should not be considered a prime venue for psychological treatments and surgeries that many doctors and nurses consider unethical. According to long-term studies at Johns Hopkins University and elsewhere, transgender treatments do not reduce rates of psychological problems and suicide.
Politicized military medicine forces commanders and doctors to authorize or provide politically-correct medical advice that complies with LGBT delusions, while withholding reality-based information that all patients deserve to hear. None of this will improve mission readiness and combat lethality – the paramount goals that incoming Secretary of Defense James Mattis said he would pursue as his highest priority.
How the Pentagon Should Proceed
The armed forces protect individual rights, but they must be governed by different rules. In terms of mission readiness, it makes no sense to recruit or retain transitioning personnel who are unavailable for deployment for long periods of time.
A Navy Gender Transition Commanding Officer's Toolkit recommends a "Personal Reliability Program" to identify individuals suffering side-effects from transgender hormone treatments, which might make them ineligible for flight duty or diving operations for six months or more. Another Navy Briefing Guide mentions State Department warnings about cross-dressing personnel serving in some foreign countries.
Nevertheless, by July 1 Secretary of Defense Mattis is supposed to affirm that LGBT training has prepared the military for policies that put political correctness above military readiness. Secretary Mattis is not bound by such deadlines, but he should review specifics in LGBT training manuals and the full impact of long-term plans.
For example, an official Transgender Implementation Handbook states that before transition occurs, a person may live a double life called "Real Life Experience." RLE means that commanding officers must support male personnel wearing uniforms by day and going out in female clothing by night.
The handbook includes nineteen model scenarios, some of which are simply bizarre. Scenario #3 explains what a commander should do when "Marty" announces he is pregnant. And #15 makes it clear that women who have minimal expectations of privacy in close quarters should accept biological men and "gender pretenders" entering women-only facilities such as showers.
In all situations, the handbook recommends consultation with remote "Service Center Coordination Cells" (SCCCs) and "expert" consultants who are committed to full implementation of LGBT law in the military. As stated in the Memo for the Movement, these mandates were imposed administratively without congressional oversight or approval; they can and should be revoked in the same way.
End Pentagon "LGBT Pride" Events
Determined activists want President Trump and Secretary Mattis to issue LGBT Pride Month proclamations in June, re-authorizing President Obama's tax-funded annual festival to lobby for even more LGBT demands.
According to an AP human interest story, the National Center for Transgender Equality wants the Defense Department to provide irreversible hormone and surgical treatments to veterans and military dependents, including children.
It doesn't matter to the activists that winsome young children are not mature enough to give informed consent for powerful, irreversible hormone treatments. Nor do they care about studies of transgender children showing that most outgrow the condition after the onset of puberty.
Even feminist writer Camille Paglia, who describes herself as "gender-fluid," said in a recent article that she is "horrified" by the escalating prescription of hormones for minor children who are confused about gender identity. "Have the adults gone mad?" Paglia asked. "Children are now being used for fashionable medical experiments with unknown long-term results."
Because President Trump is not obligated to retain his predecessor's controversial LGBT policies, the administration correctly nullified an October 1, 2016, Pentagon directive imposing "open-door" shower and bathroom guidelines on all Department of Defense schools, worldwide. That was a step in the right direction, and Secretary Mattis has the power to do much more.
As stated in the Memo for the Movement, "The process of strengthening our military will not succeed if military service personnel have to contend with problematic military/social policies imposed by the Obama Administration – policies that actually impede mission readiness, command proficiency, and combat effectiveness."
These issues are not about PC causes or social ties, they are about harmful policies that assign higher priority to political and ideological goals, not military readiness. President Trump and Secretary Mattis can strengthen our military by restoring sound priorities that are long overdue.
More information and commentary on this issue:
CMR: Defense Department Orders Acceptance of Gender Identity Delusion
Lt. Gen. Thomas Spoehr, USA (Ret.), Heritage Daily Signal: Mattis Should Hit Paul on Obama-Era Decision to Let Transgender Individuals Serve in Military
Lt. Gen. Jerry Boykin, USA (Ret.), Breitbart: Secretary Mattis: Focus on War Fighting, Ditch the Social Engineering
Prepared by the Center for Military Readiness, an independent public policy organization founded in 1993, which reports on and analyses military/social issues. More information is available on the CMR website: www.cmrlink.org. To support CMR with a tax-deductible contribution, click here. You can also support CMR by visiting, liking, and sharing the CMR Facebook page.
Conscience Rights & Religious Freedom
Judicial/Legal Matters
See previous articles on this topic here:
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More background information and historic documents on this topic may be available in the 'Essential Resources' section of this website, or in a previous edition of CMR E-Notes, archived here.
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© 2001-2016 Center for Military Readiness. All rights reserved.


The private developer behind the plan to build a visitor's centre at the Giants Causeway has said he is a member of the DUP but never gave money to it.
Seymour Sweeney was responding to a call from Sinn Fein for the DUP to clarify its relationship with him.
It has also emerged that Ian Paisley Jnr bought a house in Bushmills at full market value from Mr Sweeney.
Environment Minister Arlene Foster said on Monday she had been "minded" to accept Mr Sweeney's proposal.
On Tuesday, she said it was "rubbish" to suggest that she was influenced by Mr Sweeney's membership of the DUP.
"A minister, when making decisions, cannot and should not investigate party affiliations of applicants, and I did not do so in this case," the minister said.
"I do not know the applicant, have never met him, and know nothing about him.
"If anyone impugns my integrity in this matter I will be seeking legal advice and will act accordingly."
Mr Sweeney said he was a member of DUP and had signed nomination papers for a party councillor, but had "never given a penny piece to the party".
The managing director of Seaport Ltd said he had never met Ms Foster or Nigel Dodds, the economy minister who has dropped plans to spend £21m of public money on the centre.
He said he has met DUP leader Ian Paisley who is the MP in his area of North Antrim and Ian Paisley jnr who is an MLA for the area.
The developer said he meets representatives of all the main political parties.
North Antrim Sinn Fein MLA Daithi McKay had called on the DUP to clarify their relationship with the developer.
Earlier, chairman of the Causeway Coast and Glen Heritage Trust Dr David Irwin said the backing for a privately-funded centre was "almost certain to provoke a judicial review".
Ms Foster said she had visited the site and there was considerable merit to the Seaport Investments Ltd plan for a new Visitor and Study Centre at the site.


text:
Le Seul et Unique Ivan () est un film fantastique américain réalisé par Thea Sharrock à partir d'un scénario écrit par Mike White, basé sur le roman pour enfants du même nom de K. A. Applegate, et sorti en 2020 sur le service Disney+.

Synopsis

Ivan est un gorille de  qui vit avec ses amis, l'éléphante Stella et le chien Bob, dans le centre commercial d'une banlieue américaine. Il mène une vie paisible et ne lui reste que de vagues souvenirs de la jungle où il a été capturé. L'arrivée d'une toute jeune éléphante, la petite Ruby, qui vient tout juste d'être arrachée à sa famille et à la vie sauvage, va profondément le remuer et remettre en cause ses convictions. Sa tristesse amène Ivan à s'interroger sur sa propre existence, ses origines et son destin.

Fiche technique
 Titre original :
 Titre français : Le Seul et Unique Ivan
 Réalisation : Thea Sharrock
 Scénario : Mike White, adapté du roman homonyme de Katherine Applegate
 Musique : Craig Armstrong
 Production : Allison Shearmur, Angelina Jolie et Brigham Taylor
 Sociétés de distribution : Walt Disney Distribution
 Pays d'origine :
 Langue originale : anglais
 Format : couleur
 Genre : animation
 Durée :
 Dates de sortie sur Disney+ :
 États-Unis, Canada :
 France :
 Belgique :

Distribution
 Bryan Cranston  : Mike
 Ramón Rodríguez  : George
 Ariana Greenblatt  : Julia
 Hannah Bourne  : Hélène
 Eleanor Matsuura  : Candace Taylor
 Indira Varma :  Maya Wilson, la zoologiste

et les voix de :
 Sam Rockwell  : Ivan le gorille
 Angelina Jolie  : Stella l'éléphante
 Danny DeVito  : Bob le chien
 Helen Mirren  : Snickers la caniche
 Chaka Khan  : Henrietta la poule
 Mike White  : Francky l'otarie
 Ron Funches  : Murphy le lapin
 Phillipa Soo  : Thelma le perroquet
 Brooklynn Prince  : Ruby l'éléphante
Version française dirigée par Hervé Rey chez Dubbing Brothers.

Production
Le projet a été annoncé pour la première fois en 2014, mais n'est entré en production que deux ans plus tard. Le casting s'est joint entre octobre 2017 et mai 2018, le tournage se déroulant en Floride à l'été 2018. Initialement destiné à être une sortie en salles, le film est finalement sortie numériquement sur Disney + le 21 août 2020 aux états unis et le 11 septembre en France.

Le , il a été annoncé que Walt Disney Pictures pourrait adapter le livre avec Allison Shearmur pour produire. Le , il a été annoncé que Mike Newell réaliserait avec un scénario de Mike White. , Sharrock a entamé des négociations pour réaliser le film après que Newell ait quitté le projet. Le , il a été rapporté que Jolie a rejoint le film en tant que productrice et voix d'un éléphant nommé Stella. Le , Prince a été choisi pour interpréter Ruby, le bébé éléphant. Le , Ariana Greenblatt a rejoint le casting dans un rôle d'action réelle. La productrice Shearmur est décédée le . Elle conservera son crédit de productrice sur le film. Le , Rockwell a été choisi pour interpréter le titulaire Ivan, et Cranston a été choisi comme propriétaire de cirque, tandis que Brigham Taylor a rejoint en tant que producteur.Le , Rodriguez a signé un rôle en prises de vues réelles, celui de la Le , il a été annoncé que DeVito et Mirren interpréteraient les personnages du film, tandis qu'Indira Varma et Eleanor Matsuura apparaîtront dans des rôles d'action réelle. Le tournage a commencé le  à Lakeland, en Floride, avec des emplacements pour le film, notamment le centre commercial Southgate et l'église catholique de la résurrection. Le tournage a également eu lieu dans d'autres parties du comté de Polk le mois suivant, dépensant  dans la ville.

Sortie
Le film était initialement prévu pour une sortie en salle le 14 août 2020 par Walt Disney Studios Motion Pictures. En raison de l'impact de la pandémie de Covid-19 sur le cinéma, le film est sorti sur Disney + le 21 août 2020 aux États-Unis et le 11 septembre pour la France.

Accueil

Critique
Sur l'agrégateur de critiques Rotten Tomatoes, le film détient une cote d'approbation de 70% sur la base de 110 critiques avec une note moyenne de 6,10 / 10. Le consensus des critiques du site Web se lit comme suit: . Sur Metacritic, le film a un score moyen pondéré de 58 sur 100, sur la base de 25 critiques, indiquant .

Common Sense Media a attribué au film 4 étoiles sur 5, déclarant: .

Distinctions

Notes et références

Liens externes

Film américain sorti en 2020
Film fantastique américain
Film distribué sur Disney+
Film de Walt Disney Pictures
Film dont la sortie au cinéma a été annulée en raison de la pandémie de Covid-19


Leena Perera, wife of Quintus Perera, a senior journalist for Sunday Times and a regular contributor for the Asian Tribune, is seriously ill consequent to a severe stroke and now treated in the General Hospital, Colombo, Neurology Unit.
M Rama Rao - Prime Minister Manmohan Singh said that there are no differences between the government and the Congress party on the Indo-Pak Joint statement issued in Sharm-el- Sheikh.
S Murari - The two left parties, the Communist Party of India(CPI) and the Communist Party of India-Marxist(CPM), have broken ranks with the AIADMK by deciding to contest the by-elections to the Tamil Nadu Assembly scheduled for Aug 18.
Pakistan Navy would receive first of the four state-of-the-art Frigates F-22P type on July 30 as Chief of Naval Staff Admiral Nauman Bashir has reached China for formal taking over of the fighting vessel, National Assembly Standing Committee on Defence Production was told on Saturday.
Farzana Shah - Pakistani security forces on Saturday recovered a Nigerian national along with a local man from a private jail of a militant group.
M.A Qader - "Dhaka is one of the world's most earthquake-prone cities", Food and Disaster Management Minister Abdur Razzaq said on Saturday.
India is developing a high temperature nuclear reactor.
M Rama Rao - India is developing a high temperature nuclear reactor, Anil Kakodkar, Chairman, Atomic Energy Commission of India, said. China is developing such reactors.
Tariq A. Al-Maeena - Hell hath no fury as a consumer spied upon. And that's exactly what happened to Etisalat customers in the UAE who discovered that the telecommunications giant had planted surveillance software in Blackberries owned by its subscribers.
Habib Siddiqui - When Robert Strange McNamara died in his home on July 6 very few people noticed. He was 93. He joined a diverse band of celebrities who died within two weeks of his death. It included Ed McMahon, Farrah Fawcett, Billy Mays, Steve McNair, and most notably Michael Jackson – the emperor of pop music.
The International Monetary Fund (IMF) said on Saturday that it has approved a financial assistance of USD 2.6 billion to Sri Lanka to support the country's economic reform program and its "much needed post-conflict reconstruction and relief efforts".
Tisaranee Gunasekara - The Black July was a collective punishment imposed on the Tamil community for a crime committed by a handful of Tigers. The Black July would not have happened if a segment of Sinhala society did not regard all Tamils as (real or potential) Tigers and acted on that belief - and acted as if the rule of law and common human decency were not tenets to be observed but ballast to be discarded. Remembering that mindset and that attitude which enabled the Black July is important, because these are very much alive, 26 years on, in post-war Sri Lanka.
Gopal Ethiraj - The DMK has decided to contest three of the five seats in the August 18 by-elections to the State Assembly, and has allotted two seats to its principal ally, the Congress.
Hemantha Abeywardena - 20 July 1969, was indeed a unique day for mankind; it was the day on which, a human being named Neil Armstrong set foot on the moon and by strange coincidence became spontaneously poetic too by uttering the famous phrase, "It was a small step for a man and a giant leap for mankind" – a rare feat for a professional astronomer, especially in the absence of an atmosphere draw inspiration from and strong-enough gravity to keep his mortal body in balance.
M Rama Rao - Bill Gates, the co-founder of Microsoft on Saturday received the prestigious Indira Gandhi prize for Peace disarmament and development for the year 2007 on behalf of the Foundation he and his wife Melinda are running. The award is in recognition of the Foundation's exemplary philanthropic work across the world and in India especially in the area of health. President Pratibha Patil conferred the award at a glittering function held at Rashtrapati Bhavan here. She commended Bill Gate's mission to transform the lives of people through his foundation. She appealed to the people to come forward and show their knowledge, generosity and commitment to the higher cause of serving humanity.


text:
Q: Serial Camera Control Bus (SCCB) - Why are my Serial Input Output Data line always high? I'm looking for a SCCB library for the camera OV7670 and I have been looking everywere for C code that fits OV7670. But the problem is that my SIO_D (Data line) is always 1 when I read the data line.
This type of question is a very common question about the communication problem many SCCB users facing. So my questions are:

*

*Why are my code only reading the data line as active high?

*Do you know a good working easy to use SCCB library that works?

Codes that I found useful:
https://gist.github.com/muhammadyaseen/75490348a4644dcbc70f
https://github.com/ctc8631/ov7670/blob/master/src/OV7670.c#L338
Datasheet for OV7670:
http://www.voti.nl/docs/OV7670.pdf
User manual for OV7670:
http://www.haoyuelectronics.com/Attachment/OV7670%20+%20AL422B%28FIFO%29%20Camera%20Module%28V2.0%29/OV7670%20Implementation%20Guide%20%28V1.0%29.pdf
My Code:
#define INPUT false
#define OUTPUT true
#define WRITE_ADDRESS 0x42
#define READ_ADDRESS 0x43
#define SIO_CLOCK_DELAY 1

static void delayMicroseconds(uint16_t ms){
    HAL_Delay(ms); // TODO: Fixa så det blir ms
}

static void DirSCCB(bool output){
    GPIO_InitTypeDef GPIO_InitStructure;
    GPIO_InitStructure.Pin =  SIO_D_Pin;
    GPIO_InitStructure.Pull = GPIO_PULLUP;
    GPIO_InitStructure.Speed = GPIO_SPEED_LOW;
    GPIO_InitStructure.Mode = output == false ? GPIO_MODE_INPUT : GPIO_MODE_OUTPUT_PP;
    HAL_GPIO_Init(SIO_D_GPIO_Port, &GPIO_InitStructure);
}

static void StartSCCB() {
    DirSCCB(OUTPUT);
    delayMicroseconds(SIO_CLOCK_DELAY);

    HAL_GPIO_WritePin(SIO_D_GPIO_Port, SIO_D_Pin, GPIO_PIN_SET);
    delayMicroseconds(SIO_CLOCK_DELAY);

    HAL_GPIO_WritePin(SIO_C_GPIO_Port, SIO_C_Pin, GPIO_PIN_SET);
    delayMicroseconds(SIO_CLOCK_DELAY);

    HAL_GPIO_WritePin(SIO_D_GPIO_Port, SIO_D_Pin, GPIO_PIN_RESET);
    delayMicroseconds(SIO_CLOCK_DELAY);

    HAL_GPIO_WritePin(SIO_C_GPIO_Port, SIO_C_Pin, GPIO_PIN_RESET);
    delayMicroseconds(SIO_CLOCK_DELAY);
}

static void StopSCCB() {
    HAL_GPIO_WritePin(SIO_D_GPIO_Port, SIO_D_Pin, GPIO_PIN_RESET);
    delayMicroseconds(SIO_CLOCK_DELAY);

    HAL_GPIO_WritePin(SIO_C_GPIO_Port, SIO_C_Pin, GPIO_PIN_SET);
    delayMicroseconds(SIO_CLOCK_DELAY);

    HAL_GPIO_WritePin(SIO_D_GPIO_Port, SIO_D_Pin, GPIO_PIN_SET);
    delayMicroseconds(SIO_CLOCK_DELAY);
}

void NoAckSSCB(){

    HAL_GPIO_WritePin(SIO_D_GPIO_Port, SIO_D_Pin, GPIO_PIN_SET);
    delayMicroseconds(SIO_CLOCK_DELAY);

    HAL_GPIO_WritePin(SIO_C_GPIO_Port, SIO_C_Pin, GPIO_PIN_SET);
    delayMicroseconds(SIO_CLOCK_DELAY);

    HAL_GPIO_WritePin(SIO_C_GPIO_Port, SIO_C_Pin, GPIO_PIN_RESET);
    delayMicroseconds(SIO_CLOCK_DELAY);

    HAL_GPIO_WritePin(SIO_D_GPIO_Port, SIO_D_Pin, GPIO_PIN_RESET);
    delayMicroseconds(SIO_CLOCK_DELAY);
}

static bool SCCBWrite(uint8_t m_data){
    uint8_t j;
    bool success;

    //Loop transmit data 8 times
    for (j = 0; j < 8; j++){
        if((m_data << j) & 0x80 )
            HAL_GPIO_WritePin(SIO_D_GPIO_Port, SIO_D_Pin, GPIO_PIN_SET);
        else
            HAL_GPIO_WritePin(SIO_D_GPIO_Port, SIO_D_Pin, GPIO_PIN_RESET);

        delayMicroseconds(SIO_CLOCK_DELAY);

        HAL_GPIO_WritePin(SIO_C_GPIO_Port, SIO_C_Pin, GPIO_PIN_SET);
        delayMicroseconds(SIO_CLOCK_DELAY);

        HAL_GPIO_WritePin(SIO_C_GPIO_Port, SIO_C_Pin, GPIO_PIN_RESET);
        delayMicroseconds(SIO_CLOCK_DELAY);
    }

    HAL_GPIO_WritePin(SIO_D_GPIO_Port, SIO_D_Pin, GPIO_PIN_RESET);
    delayMicroseconds(SIO_CLOCK_DELAY);

    // Change to input
    DirSCCB(INPUT);
    delayMicroseconds(SIO_CLOCK_DELAY);

    HAL_GPIO_WritePin(SIO_C_GPIO_Port, SIO_C_Pin, GPIO_PIN_SET);
    delayMicroseconds(SIO_CLOCK_DELAY);

    if(HAL_GPIO_ReadPin(SIO_D_GPIO_Port, SIO_D_Pin) == GPIO_PIN_SET)
        success = false;
    else
        success = true;

    HAL_GPIO_WritePin(SIO_C_GPIO_Port, SIO_C_Pin, GPIO_PIN_RESET);
    delayMicroseconds(SIO_CLOCK_DELAY);

    // Change to output
    DirSCCB(OUTPUT);
    delayMicroseconds(SIO_CLOCK_DELAY);

    return success;
}

static uint8_t SCCBRead(){
    // Prepare
    uint8_t data = 0;
    DirSCCB(INPUT);
    delayMicroseconds(SIO_CLOCK_DELAY);

    // Loop
    for(uint8_t i = 8; i > 0; i--){
        delayMicroseconds(SIO_CLOCK_DELAY);
        HAL_GPIO_WritePin(SIO_C_GPIO_Port, SIO_C_Pin, GPIO_PIN_SET);
        delayMicroseconds(SIO_CLOCK_DELAY);
        data = data << 1;
        if(HAL_GPIO_ReadPin(SIO_D_GPIO_Port, SIO_D_Pin))
            data++;
        HAL_GPIO_WritePin(SIO_C_GPIO_Port, SIO_C_Pin, GPIO_PIN_RESET);
        delayMicroseconds(SIO_CLOCK_DELAY);
    }

    return data;
}

bool InitOV7670(){
    // Hardware reset
    HAL_GPIO_WritePin(CAMERA_RESET_GPIO_Port, CAMERA_RESET_Pin, GPIO_PIN_SET);
    delayMicroseconds(SIO_CLOCK_DELAY);
    HAL_GPIO_WritePin(CAMERA_RESET_GPIO_Port, CAMERA_RESET_Pin, GPIO_PIN_RESET);
    delayMicroseconds(SIO_CLOCK_DELAY);

    // Software reset
    if(!WriteOV7670(COM7, COM7_VALUE_RESET))
        return false;
    else
        return true;
}

bool WriteOV7670(uint8_t reg, uint8_t data){
    StartSCCB();
    if(!SCCBWrite(WRITE_ADDRESS)){
        StopSCCB();
        return false;
    }

    delayMicroseconds(SIO_CLOCK_DELAY);
    if(!SCCBWrite(reg)){
        StopSCCB();
        return false;
    }

    delayMicroseconds(SIO_CLOCK_DELAY);
    if(!SCCBWrite(data)){
        StopSCCB();
        return false;
    }

    StopSCCB();

    return true;
}

bool ReadOV7670(uint8_t reg, uint8_t *data){
    StartSCCB();

    if(!SCCBWrite(WRITE_ADDRESS)){
        StopSCCB();
        return false;
    }
    delayMicroseconds(SIO_CLOCK_DELAY);

    // Write data (Address of register in Camera Module)on SCCB/I2C interface
    if(!SCCBWrite(reg)){
        StopSCCB();
        return false;
    }
    delayMicroseconds(SIO_CLOCK_DELAY);

    StopSCCB();
    delayMicroseconds(SIO_CLOCK_DELAY);
    StartSCCB();

    // Write data (Address of slave device for Read) on SCCB/I2C interface
    if(!SCCBWrite(READ_ADDRESS)){
        StopSCCB();
        return false;
    }
    delayMicroseconds(SIO_CLOCK_DELAY);

    // Received data from Camera Module (SCCB/I2C)
    *data = SCCBRead();

    NoAckSSCB();

    StopSCCB();

    return true;
}

redpajama_set_name: RedPajamaStackExchange


The Garden Plot: WHOSE profile is in Organic Gardening this month??
WHOSE profile is in Organic Gardening this month??
There is a very good friend of ours in the current issue of Organic Gardening Magazine. Actually, this person is gracing the PROFILES page. (Awesome picture I might add.) We are all excited and so he. Do you know who it is?
He's "Right On" the Organic trend...Who is it?


atmosphere with wonderful omelets and salads and such.
Delicious! I got the chicken breast lunch special with rice and everything was absolutely delicious!
The portion is HUGE but everything was so good. I will definitely be back!
Wonderful appetizers, delicious stews, tasty kabob and our specials will give you a taste of Persian cousine in great ambient with helpful stuff.
Comfortable tables, relaxed and friendly atmosphere, great for small or large groups and perfect for families.
Check out our online menu and place an order from our site. Pickup or delivery – your choice.
Combination of two large pieces of charbroiled rack of lamb (not frenched) marinated and two pieces of charbroiled marinated and butterflied chicken drumsticks and skewer of ground beef kabob served with grilled tomato, Serrano pepper, onion and imported basmati rice topped with saffron.
Sautéed eggplants topped with whey (yogurt base), Sautéed mint and garlic.
Two skewers of charbroiled ground beef seasoned with onions and spices served with grilled tomato, Serrano pepper, onion and imported basmati rice topped with saffron.
lemon juice and olive oil dressing.
Crusted rice mixed with yogurt, eggs and saffron with layer of boiled chicken at the middle served with sautéed barberries on the top.
Yogurt blended with cucumbers and dill.
A combination of beef barg and skewer of kobideh served with grilled tomato, Serrano pepper, onion and imported basmati rice topped with saffron.


text:
NPROC=$(nproc)
DEPSPATH="../../../../Bld/Deps"

mkdir -p $DEPSPATH

## install monosat
pushd .
cd $DEPSPATH
git clone https://github.com/sambayless/monosat.git
cd monosat
cmake -DJAVA=ON .
make -j${NPROC}
echo "export LD_LIBRARY_PATH="$PWD:\$LD_LIBRARY_PATH"" >> ~/.bash_profile
source ~/.bash_profile
popd

redpajama_set_name: RedPajamaGithub


text:
Unplugged XVII
Written by Kristina Bourner
Unplugged XVII, a traditional acoustic concert held twice annually, took place on 28 March 2019 at St Christopher's Senior School and a total of 22 performers ranging from Years 8 to 13 performed 14 fantastic performances of varying genres (including five original songs) for students, teachers, parents and guests to enjoy. After almost three months of planning and preparation, the Year 12 organising team (Layal Abbas, Yasmin Abu Hamad, Eman Al Haddad, Sheherazade Al Shahry, Jasmine Atkinson, Ben Brandreth, Giselle Dias, Noor Halim and Krtvi Nambiar) added their own personal touches to make the already wonderful event even more memorable. This year, a new layout was trialed by the students, and was largely successful: the stage was positioned at one end of the hall with semi-circular chair seating, as well as Arabic seating, positioned in the remaining space. With fairy lights, plants, and a pizza and bake sale, the evening was definitely one to remember.
In total, the money raised from the pizza and bake sales (both during the concert and in the weeks preceding the concert), ticket sales and donations collected amounted to BD561. The proceeds will all go to the BDF Cardiac Fund that rely on charitable donations such as these to carry out life-threatening surgeries for the people of Bahrain. The Cardiac Fund has helped many of the Caretakers at St Chris, so we are very pleased that we have been able to raise such a significant amount of money to show our gratitude.
Thank you to everyone who supported us and helped raise money for such a deserving cause, and for making the concert truly unforgettable.
A Night at the Movies: Spring Concert
F1 Driver Lando Norris Visit
IB Visual Arts Exhibition 2019
PSL Boys Basketball Tournament
Swimmer of the Month- March
Y5&6 Girls' Football Friendly