Don't stress!! – If it doesn't get done, it doesn't get done. Remember it's only one day a year!!
Don't over indulge – The temptation to over eat this time of year is huge. Food really impacts on our moods, eating or drinking too much sugar, caffeine or alcohol can really cause or emotions to crash and burn.
Drink responsibly – It is a given that alcohol affects our moods hugely, so keep an eye on how much you do drink. Have a soft drink between your alcoholic drinks.
Keep active – It's so easy this time of year to just say what the heck; I'll start an exercise regime next year. Walking in nature really helps us to de-stress and supports the release of our happy hormones endorphins. Go for a walk with a friend to help you unwind. Boxing Day is fantastic for walking with the family, plus gets you away from the dreaded TV! Get your yoga mat out.
Rest – I know, easier said than done this time of year. Try and make time for yourself and make sure you get your quota of sleep, at least 7 hours a night. Get some Lavender oil and rub some into your palms and breathe deeply into your palms, it really helps to relax the mind and aids sleep. Read a good book, meditate.
Take a relaxing bath – Pour 1/3 cup of ginger and 1/3 cup of baking soda into your bath. Light a couple of tea lights and relax!!
Abhyanga – Self massage – This time of year stress can take its toll on skin and hair. There is a multitude of lovely body oils and creams out there. Choose one that suits your skin type, speak to a trusted therapist and get some advice. Really focus on massaging your feet, they don't tend to get much love so give them a little bit of attention, you will feel amazed at what a difference it makes. If you don't like massaging yourself, why not make some time to book in a massage!
Almond Milk – Drink a glass of warm almond milk before you go to bed, take a pinch of ginger, nutmeg and saffron and mix it in with your warm almond milk. It helps to balance out your vata, pitta and kapha doshas.
Great Site, Maintain the great work. Thank you so much.


What's Your Favorite Joni Mitchell Song?
If I had a heart, I'd cry.
What Is Your New Story Behind the Rainbow?
Recently, a friend posted a video of the song The Never Ending Story by Limahl. I had not heard that song in years, but have a vivid memory of singing to my 45-inch record.
How many times have I told a never ending story? Could there be a new way of telling a story – behind the clouds and upon the rainbow?
Just last week I was telling "the story" of how I started my company, Toning the OM™. I went right into the "never ending story" of how my mom passed away and I needed to find an outlet for my grief. For the past four years, I have told the story of my mom's death as the reason I started Toning the OM™. In reality, it was my mom's life that inspired me. It was her dedication to her faith, her friends, and her never-ending belief in me to do anything I put my mind to.
My new story is about how I created Toning the OM™ not because my mom died, but because she lived.
George Prochnik wrote an editorial in the New York Times entitled Now Don't Hear This. The editorial shared that last Wednesday was International Noise Awareness Day and that in New York a grass roots organization has been educating people about the harmful effects of noise for more than 15 years. The author said that perhaps it's not noise awareness we need, but silence awareness. We already know the consequences of constant noise to our health – physically, emotionally and psychologically.
Rather than just talk about the negative effects of noise, we can spend time educating people on the positive effects of silence. Many meditation practitioners have shared that silent meditation increases their ability to concentrate. The editorial reveals that teachers who introduce silence into their classrooms said it fosters learning. And even hospitals that have "quiet zones" received validation in recent studies linking silence and healing.
How do you want to create more silence in your life?


Kylie 4-pc. Twin Platform Bedroom Set This Kylie 4-piece twin platform bedroom set is the kind of cool and classy furniture your child will love for years! Besides being sleek and chic with a soft cream finish, it provides plenty of space for clothes. Plus, the dresser and nightstand feature felt-lined top drawers that are perfect for storing jewelry, collectibles or other special items.
This Kylie 4-piece twin platform bedroom set is the kind of cool and classy furniture your child will love for years! Besides being sleek and chic with a soft cream finish, it provides plenty of space for clothes. Plus, the dresser and nightstand feature felt-lined top drawers that are perfect for storing jewelry, collectibles or other special items.
Overall Set Weight: 411.5 lbs.
Love this set! Still looks brand new after a year!
I bought this set in white for my 6 year old daughter. The quality is amazing. Very sturdy and heavy which was honestly unexpected. She has had it for about a year now and everything still looks brand new. She even drew all over her nightstand with red crayon and we were able to wash it off very easily. I would highly recommend this set. We are looking at the darker set for my son in a few months.
What size of mattress does this bed use, regular twin or long?
BEST ANSWER: This bed would use a standard twin size mattress.
the description says it is a true platform bed that does not require a box spring but I see some of the Q&A say that it does?
Is this bedroom solid wood?
BEST ANSWER: The Kylie is made with poplar hardwoods and pine.
Is this available in full size?
BEST ANSWER: The Kylie Bed is available in full size.
Can you tell me the measurements for the full size headboard?
BEST ANSWER: The full headboard measures 61" X 2.25"X 52".
if you wanted to purchase a second twin, how much would that cost?
BEST ANSWER: Please call the Raymour & Flanigan online sales department to discuss pricing at 866-383-4484 option 3.
What are the measurements of the headboard?
BEST ANSWER: The headboard is 52" in height and 42" in length.
Thank you but is that the measurement for the full size headboard?
No they are for the twin.


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Thoughts on the Future of Work and the part remote will play in it
The Rise of Remote-first
Office working is a relic. It's a reminder of a company's inability to embrace change. It's also no longer necessary. In fact, office working is a waste from almost every way you look at it.Tools like Slack and Notion are closing the gap to remote working. They're helping companies experiment or completely transition to a remote-first way of working. These are just some examples, of course, and there are plenty more available, but the point stands: such tools are at the forefront of the future of the workplace.
Read Now ☝
Companies Who Remain Office-First Will Be Replaced By Companies Who Go Remote-First
The days of heading to the office 9-5 are over. The pandemic has told us one thing: employees will never rush back to what they knew once lockdowns and restrictions are lifted. Companies have no choice but to go remote in response. In fact, employees are questioning why they had to go to the office in the first place.
Going Back to the Office Full-time will Kill your Company
9 in 10 workers never want to work in an office full-time again. 5 in 10 workers want to work remotely full-time going forward. 8 in 10 companies plan to hire more remotely going forward. $1 Trillion cut in office spend if WFH 50%/week US alone. The office will kill any company that goes back full-time.
The Fifth Industrial Revolution
A few years ago, Steve Case wrote what may turn out to be the most prescient overview of where the world was headed. The Third wave predicted and projected the end of the analog age. Replacing it would be a digital world. Not only has that happened in incredibly short order, but it's also going to continue to happen even more quickly over the coming years
65 Predictions About the Future of Life and Work
The 2020s are the Remote Work decade. Remote work has the potential to be the biggest quality of life upgrade in work history. A few predictions of what is likely to emerge
Giving Your Remote Team a Stipend for Set up at Home is Incredibly Dangerous
It seems like a good idea – and the decision to do it was made with the best intentions. You want your team to have the tools and equipment they need to do great work at home. So you give them a stipend that lets them purchase a few pieces of kit they choose and need. A chair, another monitor, maybe even a desk. It's easy. It's quick. A job well done.
Designing a Great Place to Work for Everyone
I don't care about creating another company which is the best place in the world for a select few. Nor do I have any desire to extend the adult kids club culture that has emerged from within other companies. Table tennis tables, restaurants, laundry, and every other unnecessary gimmick companies employ to lengthen the amount of time spent at the office.
The Tools and Equipment Remote Workers Need to do Great Work at Home
Table stakes for doing great work are the right tools and equipment. Everybody know this, it's the reason everything is provided for you in an office. Without those things, you won't be as safe, comfortable, or productive as you should be.
Every Office-First Company will be Replaced by a Remote-First Company
I thought the rise of remote work would happen on the backs of great talent leveraging their power to demand more flexible opportunities as a condition of employment. My rationale was that companies didn't know if remote work worked. They were reluctant to try something new which they had no experience with.
Companies That Go Back to the Office Full-Time Will Be Replaced by Every Company Who Doesn't
Companies That Go Back to the Office Full-Time Will Be Replaced by Every Company Who Doesn't. They will be economically uncompetitive rapidlySpending $20m a year more than your remote-first competitors is suicide. Every office-first company that doesn't have competitors today will have remote-first competitors tomorrow. Remote-first companies rise and replace every office-first company this decade.
How Remote Work will Save the World
Remote work will deliver the biggest quality of life gains of the 2020s. Millions of people will transition from organizing their lives around work to organizing work around their lives. This is inevitable and will happen rapidly. The benefits to workers and companies are so great that returning to the office full-time will destroy companies who decide to do this.
Remote Work isn't About the Future of Work It's about the Future of Living
Unshackling people from sitting in a pollution emitting metal box for 2 hours a day commuting to a distraction factory adult kids club where you waste your days not doing anything and padding out an 8 hour day before you go home and have no time left.The office is great because of reasons that have nothing to do with work.
Every Company Needs a Remote Work Strategy to Survive
Remote work is the most important workplace innovation in history. It will deliver the largest quality of life increase across the next decade and help companies become far more effective and efficient. Failing to adapt could destroy them.
Companies who Provide a Great Remote Work Experience will Beat Every Company who Doesn't
Companies who focussed on experience 10 years ago replaced every company that didn't. Companies that provide a great remote work experience will beat every company who doesn't in 10 years. The reason is incredibly simple: experience, culture, and human connection.
Remote Work Let me See my Kids's First Steps
I'm so passionate about remote work because of everything it has given me. Time, opportunity, happiness, and freedom. The chance to let my daughters know their father far better than they otherwise would have.
Every Company Needs a Disaster Continuity Plan that Includes Remote Work Now
Companies who can't operate remotely are in trouble. Covid-19 has highlighted the lack of capacity most companies have for remote work. This will be viewed as an existential threat to businesses and every board will push their companies towards developing a strategy to cope with any future situation immediately.
There will be 255 Million Remote Workers by 2030
There are 255 million desk jobs globallyAny of them could be done remotely. A majority of them will be by 2030That doesn't mean that every job will be remote, it means that any job that can be done remotely and isn't service-based or location-dependent, will be. Workers will be given the choice or at least work a part of their week remotely.
Every Office Worker Will Demand the Choice to Work From Home
The ongoing situation has accelerated remote work 10 years in 5 weeks. Now that workers have experienced the benefits of remote work it's going to be incredibly difficult to put the genie back in the bottle. They know they can operate more efficiently and effectively from home. Collaboration on Zoom has been great and very similar to in-office collaboration.
The Tools Every Company Needs to Develop a Great Remote Work Strategy
Remote Work has Accelerated 10 years in 10 days
The only thing that could pull people back to the office is the ego of bad middle managers scared of losing control. Millions of workers are experiencing the life-changing benefits of organizing work around your life rather than the other way around. This flexibility has come with certain caveats.
The 3 Tools Every Team Needs to do Great Remote Work at Home
Remote work has accelerated 10 years in 10 days. Companies are discovering they lack the capacity for remote work. Minimum table stakes for great remote work: messaging, video, and physical tools.
Remote Work is about the Future of Living
Remote work isn't a new way of working. Remote work is a new way of livingUnshackling people from sitting in a pollution emitting metal box for 2 hours a day commuting to a distraction factory adult kids club where you waste your days not doing anything and padding out an 8 hour day before you go home and have no time left.The office is great because of reasons that have nothing to do with work
Companies who go Remote First Will Beat Competitors Who Move Slowly
There's a first-mover advantage in going remote-first before anyone else. All the smartest people I know personally plan to work remotely this decade. All the best companies I know personally plan to hire remotely this decadeRemote-first companies will attract the most talented people from office-first companies.
How the Biggest Companies in the World are Thinking about Remote Work
Work for home capability isn't a nice to have, it could be the difference between life or death. Companies everywhere are waking up to this reality. The capacity for flexibility is one we hear from every company, big or small, we speak to. How can we transform and shift to meet the needs and expectations of tomorrow's job seekers? This has a direct impact on talent, innovation, and diversity.
Every Company Needs a Remote Work Strategy to Survive – This is What you Need
Remote work is the most important workplace innovation in history. It will deliver the largest quality of life increase across the next decade and help companies become far more effective and efficient. Failing to adapt could destroy themCurrent events have highlighted this and accelerated the need for companies to have a remote work strategy immediately.
Remote Work Will Be an Expectation of Every Office Worker Globally
Companies that embrace this will attract and retain the most talented people in the world. Companies who don't will lose their best people to their biggest competitors. The reason is incredibly simple: flexibility, balance and time
The Massive Advantages of Adopting Remote Work Before Your Competitors
I thought remote work would rise from talented individuals demanding it as a condition of employment and companies giving it to them to stop them from leaving for their biggest competitors. It's probably going to rise after this because companies realize they don't need offices to operate and they can be far more cost-efficient and effective operating remotely. Now that they have the data that tells them this nothing will hold them back making the transition.
How to Set your Remote Team up To Do Great Work at Home
The remote work genie is out of the bottle; it will be impossible to put it back in. Remote work has accelerated 10 years in 10 days and workers will now expect it. The future of work's already here, companies must catch up.
Successful Companies Will Use Remote Work to Dominate Competitors
Remote-first is the strategy every large enterprise must adopt immediately. During their next board meeting, how does any board of directors not force their companies to consider switching to remote-first after seeing that it works during the ongoing situation? Companies who ignore lessons they could be learning about remote now will no longer be competitive after this situation has passed. They won't be able to attract or keep the most talented people and they will be far lest capital efficient.
The Future of Work Isn't Remote
The future isn't remote. The present is. It's here.
Returning to the Office Full-time will Destroy Several Massive Companies
The office is dead. It used to be a sign that a company had made it. That they could afford an expensive bespoke design which was a destination used to impress prospective clients. The physical space a manifestation of everything the company stood for.Now it's an unnecessary cost making them uncompetitive. The most innovative, forward-thinking companies on the planet will reduce real-estate footprint in the next 3 years having had the opportunity to gain comfort with remote work during the current situation.
7 Reasons Why Companies Shouldn't Go Back to the Office After COVID-19
Offices were necessary before: the internet, portable electronics. They're now obsolete. The 2008 financial collapse killed the vanity office and marked the rise of co-working spaces. Real estate was so expensive companies could no longer justify having them. Co-working spaces work by stuffing more people into less space. The office was originally the optimum place to do deep focussed work. It survives as an open-plan adult kids club.
Back to the Future of Work: How to Dominate the Remote Work Revolution
I thought the future of work was a zero-sum game. It's not .Most companies will downsize office footprint by 50% and let everyone work from home 3-4 days a week. This will help them become more capital efficient while expanding the talent pool they can hire from.
10 Reasons Why Companies need to Go Remote-First Now
Remote work has accelerated by 10 years. Companies everywhere have experienced the benefits of remote work and shouldn't go back to the office full-time. Those who transition to remote-first will dominate the next decade. Those who don't will be replaced by companies who make the move first.
Remote Work is the Next Operating System for Living
Life has changed more in the last 10 weeks than in the last 10 years.Globally, people are experiencing a new way of living.The catalyst is a global pandemic and though some things will return to 'normal' once it has passed other things wont. People don't want to go back to certain things.
Companies that Don't Cut Real Estate are Committing Strategic Suicide
$22,000 / year / person, The saving companies make by adopting remote working full-time.$11,000 / year / person. The saving companies will make by adopting remote working 2 to 3 days per week.
How Offices Became Adults Kids Clubs
Remote work accelerated by 10 years in 10 days. Prior to COVID-19 there were projected to be 33m full-time remote workers in 2030, across the EU and the USA. That's how many there will be today after COVID-19 is over. Now, by 2030, there will be 72m full-time remote workers across the EU and the USA. The problem is that the catalyst has been a global pandemic.
3 Steps to Provide a Great Remote Work Experience to Your Team
Companies who adopted technology 10 years ago replaced every company that didn't.Companies that provide a great remote work experience will beat every company who doesn't in 10 years.The reason is incredibly simple: experience, culture and human connection.
The Remote Work Manifesto – How to Build a Culture & Dominate this Decade
Remote work is the biggest workplace revolution in history. It's the most important strategic decision companies will make this decade as it will allow them to become more efficient. The below are not a set of commandments. It's a starting point that will be improved as remote work grows.
Coronavirus will Make it Hard to Go Back to the Office after Experiencing the Benefits of Remote Work
Companies who adopted technology 20 years ago replaced every company who didn't
Companies who adopted technology 20 years ago replaced every company that didn't. Companies who adopt remote working will replace every company who doesn't in 20 years. The reason is incredibly simple: talent and efficiency.
The Cost of The Office vs. Remote
Remote work is everywhere. The smartest people I know all plan to work remotely this decade, while the most interesting startups I have discovered are all offering remote work. At the same time, there is a massive supply and demand problem.
Remote Work is Unbundling City Life
Remote work means the unbundling of city life. To understand 'why now?' it's not enough to reflect on the historical precedent of what's occurred previously. You need to inject modern technology and analyze what's possible now that wasn't before.
Remote Work is the next Operating System for Capitalism
7 Things Remote Work is a Reaction Against
The remote work movement is gathering pace. Everywhere you look, companies are considering their strategy while workers increasingly look to inject it as a condition of employment. The 2020s will be remembered as the remote work decade.
5 Reasons Why Your Company Will Never Let you Work Remotely & 2 Why They Might
The most important thing workers want today is remote working opportunities.Every single one of us wants, and increasingly expects, five things
Want to Work Remotely? 23 Companies Offering a Great Remote Work Experience
Remote work will be the most important workforce transition in history. Already, there are far more workers who want to work remotely than jobs to go round. That said, there are a number of awesome companies hiring remotely around the globe.
Why Remote Work is Rising now and What you Can do to Keep Up
Telecommuting existed 20-30 years ago and never truly broke through. Part of the skepticism against the remote work trend grows from this and persists because of it, giving non-believers are more credible voice than it probably should. Simply put, why will it be different this time? What has happened to make it better suited to now than it was previously?
The Full-Stack Solution your Team Needs to Go Remote Easily
From the moment I picked up Jason Fried's book ReWork I was hooked. Much like reading Satoshi Nakamoto's Bitcoin whitepaper, I felt like I was peering into the future and immediately understood the possibilities of the revolution we are about to experience.
What The Explosive Growth of Remote Works Means for Your Life
The Office is Dead – Long Live Remote Working
The office is dead. I realize that may not be immediately apparent but it's indisputable. The 2008 financial collapse killed the vanity office and marked the rise of co-working spaces. The why is as obvious as the when – real escape costs had risen to a point where companies could no longer justify paying them. In order to cope, companies shoehorned more people into less space.
Remote Work is Eating the World
Every day I hear another company is transitioning to offer remote work. From the world's largest enterprises to the earliest stage startups, companies of every size are awakening to the fact remote working isn't going away and are embracing it before they are pushed. Make no mistake, this is a revolution being driven by world-class people demanding more trust, control, flexibility and autonomy in their work lives.
Why the 2020s will be the Remote Work Decade
36 Predictions of the Trends That Will Emerge from the Rise of Remote Work Globally. Remote work is the biggest workplace revolution in history and nothing will deliver a higher quality of life increase in the next decade than this. Workers having more flexibility to decide their work schedule, able to operate when they are most productive rather than a fixed day, enables a far better future of work than the one we currently experience.
Why You'll Become a Remote Worker in the 2020s
Remote work is the biggest workplace revolution in history, and it's coming for almost every desk job globally in the next decade. Of the 255m desk jobs globally, a majority will be done remotely a majority of the time by 2030. That doesn't mean that 128m people will be operating remotely by the close of the decade but it does mean there will be 128m people working remotely 3 days+ a week by them.

redpajama_set_name: RedPajamaCommonCrawl


Elwin B. Portell, 90, of DeSoto entered into rest on January 23, 2013 at Jefferson Regional Medical Center. He was a machinist for Wagner Electric. He was caregiver for his mother for fifteen plus years. He served in the US Army during World War II. Born in Cadet, Missouri on January 23, 1923; he was the son of the late, Gillia F. and Pearl A. (Oster) Portell.
Mr. Portell was the brother of Paul (Juanita) Portell of DeSoto. He was preceded in death by his parents, a brother, Rondell Portell; five sisters, Adele Coleman, Sister Melanie Joseph, Virginia Hearst, Kathleen Welko and Rita Portell.
Fr. Alex Anderson will be officiating the Mass.
There will be a prayer service by Deacon Ed Boyer on Sunday at 7:00pm.


There's an old saying: Life is a comedy for those who think, a tragedy for those who feel. If you think about it, the mass migration crisis drowning Europe (and many refugees), could have been managed much, much better. Trouble is, nobody did think about it.
Acting without thinking and without discussion amongst the other European countries that would be impacted, Germany's Angela Merkel threw open the doors to Germany … but, for a start, the refugees were not on her border. They would have to get there. On foot. By train. Through several other countries. It was a welcome call heard across the Middle East but it was a gesture without the management attributes that could be expected of a very sensible, orderly country. A stampede was the result.
What Merkel should have done if she was so keen to make Germany a safe haven for unlimited numbers – and it doesn't take hindsight to see this – is gather her Euro colleagues for an urgent summit to establish a comprehensive process for receiving, screening and handling the masses. At that summit, she could have offered Germany to be the major supporter in financial and resource terms as well as intake numbers. The EU leaders should have invited relevant Arab nations in the region to also meet and rapidly draw up a plan to welcome the fleeing population of Syria, at least.
Ongoing discussions about short, medium and long term integration of asylum seekers, primarily those whose language skills and work qualifications are negligible – across social, legal and cultural aspects of life in the West, while lowering the expectations of those who expected to walk into apartments, jobs and cars on arrival….
These steps would have reduced – although not eliminated – the friction caused by populations in Europe feeling overwhelmed, against their will, by a flood of people whose cultural norms are at such odds with their at home that they stoke the fires of fear and xenophobia.
It is partly the global evidence of cultural conflict between some Muslim refugees and Judeao-Christian communities that drove the push-back against Merkel's idealistic but tragically thoughtless decision. Hungary, for example, would happily take any number of Poles or Greeks, say, and it is not useful nor really accurate to label Viktor Orban racist for closing Hungary's borders against the mass of refugees at the border. There was no plan to deal with the sudden influx. When a plan was finally emerging, it was not lost on many that imposing policies on member countries violated their sovereignty.
Hungary was the first to close borders – and much of the rest of Europe has since followed.
Not only did Germany's presumptive stand irritate many leaders in the EU, it defied common sense.
Writing on the then emerging crisis in May 2015, I feared that Europe had not asked – nor even considered – the right questions to deal with the issue: "Conflicting demands of democracy – conflict between the needs of the hosts and the refugees, for a start – are making this the greatest threat to democracies because there is no 'right' answer; there is not even an evident 'right'way to manage the issue, never mind resolve it, if resolve means to stop it happening.
In return for refuge and support, what responsibilities can the Western hosts ask of refugees to shoulder? Can the ongoing welfare support be maintained? Is it really the right thing to do morally? Whose rights are more equal?


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Home / Medical Specialties / Cardiology
The clinical leads for the cardiology workstream were appointed on 18th July 2017 and endorsed by the British Cardiovascular Society. Suzannah Davies ([email protected]) is the project manager for this workstream. You can read more about the appointment of clinical leads here.
Joint Clinical Lead: Dr Sarah Clarke
Consultant cardiologist and clinical director for strategic development, Papworth Hospital, Cambridge, past president of the British Cardiovascular Society, and clinical vice president of the Royal College of Physicians
Dr Clarke is an interventional cardiologist in Cambridge. She has a track record of leading internal and external service reviews and developing and delivering clinical pathways through her clinical director roles. She led the introduction of PPCI in the East of England and is the Chair of the elective care workstream for the Cambridge and Peterborough STP and now chairs the cardiology steering sroup and workstream of the STP, transforming cardiology pathways system-wide.
Dr Clarke said: "I am delighted to have been appointed to lead this important work with Professor Ray. We are committed to working with the professional societies, trusts and with colleagues to reduce unwarranted variation across pathways, ensuring highest quality and best outcomes for our patients."
Joint Clinical Lead: Professor Simon Ray
Consultant cardiologist, University Hospital of South Manchester, and Honorary Professor of Cardiology, University of Manchester Director, and President of the British Cardiovascular Society
Professor Ray was appointed consultant cardiologist at the University of South Manchester in 1995, and Honorary Professor of Cardiology at the University of Manchester in 2011. He has served as the president of the British Society of Echocardiography, vice president for clinical standards of the British Cardiovascular Society, and president of the British Heart Valve Society. He is currently president of the British Cardiovascular Society, and a member of the board of trustees of the British Heart Foundation.
Professor Ray said: "I am delighted to be appointed as the joint clinical lead. GIRFT is an opportunity to make a real impact in improving the quality of care in cardiology by supporting trusts and individual clinicians in analysing, understanding and removing unwarranted variations in practice and clinical performance."
Project Manager: Caroline Ager
Work Streams
Acute and General Medicine
Anaesthesia and perioperative medicine
Hospital dentistry
Mental Health – Rehabilitation
Mental Health – Adult Crisis and Acute Mental Health
Mental Health – Child and Adolescent Mental Health Services
Paediatric Critical Care


I grew up playing ping-pong in my family's basement. And in the garage. And, on nice days, in the driveway. My father would roll the table out for picnic and grill parties and challenge anyone willing to take him on. He was good. I could talk about how my eye-hand coordination strengthened from playing often with my dad or how he fueled my competitive nature, but instead…let's talk about how my math skills developed thanks to that game.
Yes, my math skills were supported by playing ping-pong. More precisely, my math skills developed from keeping score while playing ping-pong.
The house rules were that we played to 21 and you had to win by 2 points. Serve switched every 5 points. Keeping score in ping-pong effectively became an exercise in number bonds, mental flexibility, and counting by 5's.
Numbers bonds are an early elementary tool for teaching kids how to put together and break apart numbers. They set the stage for adding and subtracting, but they also encourage mental flexibility and the ability to manipulate numbers. For example, think of all the different ways to get 10 from adding two other numbers together. 1 + 9, 2 + 8, 3 + 7, 4 + 6, 5 + 5.
Ping-pong scoring and deciding when to switch serve is just an applied exercise in number bonds!
Say my father serves to me first (after we PING for serve, of course…another family rule) and wins the point. It is 1 – 0. I win the next point and now it's 1 -1. Dad serves again, we hit a prolonged rally, then he misses the table and I win the third point. Now it's 1 -2. Do I get to serve yet?? No! Because 1 + 2 does not equal 5. And we switch serve every 5 points. So we play until the score is 1 – 4 or 2 – 3 or 3 – 2 because those are the combinations that will add to 5. Let's say it's 1 – 4 (because I am playing very well today), and now it's my serve. I will serve 5 consecutive points, or until our combined score adds to 10. Then serve switches to Dad, and he serves until our combined score adds to 15. And so on and so on. Along the way, we actively practice our awareness of number patterns that add to multiples of 5.
Recently, the 6-year-old and I have been having some truly competitive matches on our tiny ping-pong table. He has got a killer serve. He loves playing, we play often, and because of that he is immersed in the scoring system and surely developing a better connection to the math skills he is working on at school. Use a game that your child already likes – or introduce her to a new one – and keep score!


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Imaging science
Advanced processor technologies
Autonomy and verification
Human computer systems
Machine learning and robotics
Nano-engineering and spintronic technologies
Natural language processing and text mining
Tim Cootes (Area Lead)
Neil Thacker
Carole Twining
The imaging science group uses advanced techniques to extract useful information from images and videos from a range of domains.
We both develop new methodology and provide practical solutions to imaging problems. We work closely with partners from many disciplines including clinicians, biologists, physicists, mathematicians, engineers and psychologists.
Our research is focussed on the following specialist areas:
Biological image analysis
Manchester has one of the most advanced suites of microscopes in the UK. We work with biologists to automate the analysis of the resulting images. Challenges include detecting and tracking cells, extracting complex structures from large 3D images,finding and tracking cells as they grow.
Diagnosis of vertebral fragility fractures
We are working with the Manchester University NHS Foundation Trust and Optasia Medical Ltd. to launch ASPIRE™, the word's first machine learning based teleradiology service specifically designed to detect vertebral fractures caused by osteoporosis. By combining Manchester's expertise in shape and appearance models for clinical images with oversight from expert clinicians, ASPIRE™ can increase the accuracy and efficiency of diagnosis, ensuring that patients get the treatment they need to prevent future, more serious fractures.
Medical image analysis
Images are routinely used to diagnose disease and monitor treatment. We work closely with radiologists and clinicians in many different areas (including cancer, musculoskeletal, neuro, cardiac, ophthalmology), developing novel algorithms to locate and measure bones and organs, identify signs of disease and look for abnormalities.
Modelling shape and appearance
We have a world-wide reputation for our work on statistical shape modelling -representing the way the shape of objects varies across a population. Such models are used both as a way of understanding shape variations and to help locate the boundary of structures in new images. The technology we have developed underpins many of our medical and face analysis projects.
Studying faces
We develop advanced algorithms to represent the shape and appearance of faces, to track faces and understand behaviour. We work with psychologists to help understand how humans interpret faces.
Browse the range of degrees available in our Department.
Master's courses
Further your prospects with a taught master's MSc.
Find a master's
Find a postgraduate research project from our list.


I get this below mentioned error sometime.
The app starts work correctly after trying to use it 2 are 3 times.
This is not reproducible after that. Keeps coming up in different machines new app is released.
Please let me know if something has to be taken care.
We haven't really heard of that happening before. It sounds like the WPF resource resolver isn't able to find or load up the Ribbon assembly. Have you done anything odd like rename our assemblies or use a program like ILMerge?


As we discussed in a recent blog, many manufacturers are deciding now is the time to diversify. With a potential recession on the horizon, organizations are faced with a few different diversification options to pursue: develop new types of products, sell to new geographic areas or expand into new industries.
What is Value Added vs. Non-Value Added Work?
We tend to assume that every task we perform is essential in sustaining operations. But after analyzation from a Lean perspective, we might be surprised to discover that many of our activities are actually costing the organization time and money.
According to the Food & Drug Administration, every food processing facility is required to have a Preventive Controls Qualified Individual (PCQI) on staff to manage their food safety preventive controls program. Although not required, advanced training is encouraged to provide individuals with the skills needed to successfully navigate the complicated process of developing, writing and maintaining a Food Safety Plan.


I'm sorry your experience wasn't the same as mine. Take it Dr Fitzgerald was not the presenter? She made it very interesting - and added a lot to the book outline. Our hotel was fantastic - and not one I could afford to stay at otherwise (Boston Back Bay area). I don't think you can access the online review until after you complete the live review - and if you don't stay for it ... not sure you can access it? I'd call Fitzgerald Health Education Associates - and tell them about your experience.
Something I forgot - with your Fitzgerald review - there are a bunch of online resources you should look through that aren't directly accessible from your online learning modules. Look for the tab marked Resources on the side under the NPxpert tab. Lots of information she doesn't directly touch on in depth but you will run into on boards. Do all the extra's she provides -- people that fail boards after using her live or online review usually haven't completed extra materials. Good luck!!!
I used Fitz live review and her blue book. Glanced through Leik - some good quick facts there. Tried the APEA q-bank but found the majority of those questions are in Hollier's FNP certification review book - so not worth the money for me. Only online question bank I did was BoardVitals - and they are brutal! I reviewed a body system a day - using Fitzgerald, Leik. Went to BoardVitals and answered questions on that system. If I found I was missing quite a bit - back to review using other sources, mainly my Bates book from school. Derm - the Habif book was my bible. Also have it on my Ipad ... so I could pop on and review different derm presentations. Ortho - my kryptonite!! Used Bates, Fitzgerald, and Hoppenfeld (I think is the author - old book, but is the bible for ortho) - it's green and I believe first published in the 1970's! Peds/pregnancy/women's and men's health - all from Fitzgerald and reviewing class notes and texts. All the leadership information I used came from Fitzgerald, Leik and on BoardVitals. Know the hierarchy of clinical research!!! You will do fine - just listen to what Dr. Fitzgerald talks about. Several questions on the exam were pretty much word-for-word from her live lecture!
Congratulations! I passed the ANCC FNP exam today! My study guides were the Fitz blue book, and her live review. Glanced through Leik and did a few questions. Did not like the Hollier APEA book - but did use it to study for the predictor exam I had to take in school. Did questions on BoardVitals -- if you can answer them, the ANCC exam is a walk in the park!!!!
I passed the ANCC FNP exam today! Really didn't find it that difficult - but I have been studying for the past 2 years in preparation for today!! Have to say that Dr Fitzgerald's review and her other book were the keys to my passing. Lots of leadership questions - know research, policy, culture, ethical principals. Majority of questions were very straight forward - a couple I had to read several times to try and figure out just what question was being asked. Hopefully those questions were part of the non-graded section because they were very poorly written. Done is about 2 hours - but I have always been a fast test taker. Use the cross out function, very helpful in trying to zero in on the correct answer when unsure.
Any recent grads from Fronteir FNP program?
You are going to devote a minimum of 33 hours of study time per week no matter what school you attend! Not a Frontier grad - but a friend of mine graduated from there. She worked prn, but did not need to work full time (lucky girl!). I worked full time, attended my program on a part time basis, and just graduated in May. Difficult, but it can be done.
Congratulations on your graduation!! 1. I suggest you look at each test blueprint - available on the AANP and the ANCC test sites. Which test do you believe your course of study prepared you for? 2. I took the live Fitzgerald review - and I liked it. I am also using BoardVitals for questions - they divide their questions geared toward each specific exam. 3. Some of the information from Fitzgerald live review can be found in her book, but the live review material is more extensive. She also has a lot of online resources that are part of the live review course. 4. I am using the live review, Fitzgerald book and Leik. Also doing BoardVitals questions for ANCC exam. 5. There are several books tailored to ANCC exam - their horribly expensive ANCC FNP review books (not worth the money, information can be found elsewhere). Not sure about the AANP exam - although I think Hollier and the APEA q-bank questions are more closely aligned with AANP vs ANCC I tend to try and over-prepare for anything - but don't pick so many different resources that you are bouncing all over the place trying to study. Review the books, answer the questions. Consult other source material when you aren't clear on rationales. Go back, and review again. Then start answering test bank questions. If you find there are specific questions you are answering wrong - go back and review that section again. Good luck to both of us!!
I was also at the Boston review - and it got chilly at times. Sweater is a must.
Can I ask to work exclusively day shifts?
I spent 17 years as a Respiratory Therapist .. and worked nights, weekends, holidays and had night call when working day shift.


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I smirked on overhearing this statement following an intense discussion on viewability at the Digital Brand Forum in New York City recently. For an ad tech reporter, the verification battles were boon times – there were plenty of digital inches available to sop up the endless vitriol and accusations spewing forth from all corners of the industry. A little viewability brouhaha could be just the kick in the pants digital advertising needs to get its mojo back!
Certainly, the aforementioned viewability panel seemed on the verge of all-out fracas, bringing an appropriately climatic close to one of the liveliest industry events I have ever attended. The Digital Brand Forum – which doubly served as a commemoration of the four-year partnership between Legolas Media and Neustar AdAdvisor (pre-acuqisition name: TARGUSinfo) as well as a debutante ball for new Legolas CEO Jonathon Shaevitz, who previously manned the helm at Maxifier – hosted a feisty crowd of digital strategists that also added insight and debate to panels on data partnerships (moderated by AdExchanger's John Ebbert) and programmatic premium (moderated by moí).
But the viewability panel had to be the most contentious session of the day. For AdMonsters, it's been a real bear to get publishers to open up on the topic, though we're happy to have Wendy Mazzoni, VP of Ad Ops at Glam Media leading a breakout session on viewability at our Publisher Forum in Sonoma this March (oh, to be a fly on the wall in that room – it's a closed-door affair). This is a topic that the supply side is generally staying mum on – and considering the lack of progress in finding consensus on measurement tactics, maybe that's the right call.
No, viewability is not a repeat of the verification saga, even if many of the players and issues (e.g., inconsistent practices) seem familiar. Emotions may actually be higher around this subject, and definitely more varied – not just intense irritation, but a fair deal of fear.
While the IAB issued the much-desired guidelines for verification, viewability is being handled by an industry advocacy supergroup made up of the IAB, the 4A's and the ANA, cleverly called Making Measurement Make Sense or 3MS. And 3MS' first goal is to switch the digital advertising industry from an impression-based standard to a viewability-based standard. Bit more drastic than guidelines.
Long before a new standard can set off shockwaves throughout the industry, there must be a consensus on measurement – which doesn't even appear to be close. Yieldex Cofounder/CSO and noted viewability disparager Tom Shields pointed out that the tech companies currently pushing viewability all have very different approaches to measurement – and have had wildly varying results.
"It's easy to get behind – viewability has a lot of momentum right now," Shields said. "But the technology does not currently exist to measure viewability consistently. In addition, none of the solutions agree with each other." However, he cautioned, this doesn't mean viewability technology won't work in the future.
One publisher's experience echoed Shields: in trials, none of the solutions were impressive, but they all were incredibly expensive.
We're at the very beginning of the conversation, argued Barry Lowenthal, President at The Media Kitchen. Much of the push for viewability is coming from the demand side as agencies – he and other agencies would be happy to pay more for a viewed impression. "I'm tired of cookie-bombing. I just want people who see my ads," he said.
"How many more brand dollars are going to enter the space because of viewability?" Shields asked. He suggested we're simply creating more fear and confusion by adding another metric to the most measured industry.
One attendee asked, aren't ads that can't be viewed already priced into CPMs? Speaking of CPM, wouldn't a viewability standard give an unfair advantage to bigger publishers who can afford such technology? Should we even use CPM as a pricing unit anymore?
Another audience member used an apt grocery store analogy: you can buy the whole fish for $5, or just the filet for $10. In the latter case, the labor is priced in. Tech can work the same way.
Carl Fremont, EVP and Media Director at Digitas and panelist #3, agreed that viewability is still in its infancy, and imagined that success a year from now would mainly be around composing a better definition. He commented that he felt like he sat in the middle of the issue because he saw viewability as a quality metric.
"Viewability is one metric in an arsenal, not the be-all end-all," Fremont said.
Indeed, why? In that epic I wrote on programmatic premium a few months ago, I tried to suggest that the endgame of programmatic premium is likely the death of the term premium. As I've opined before, I see a future in which 75%-80% of standardized inventory is bought on an automated basis – via exchanges, private marketplaces and programmatic guaranteed. Direct sales will be dedicated to highly customized, integrated products, for many of which the creative will be developed in tandem with the advertiser or agency (hence the "native" revolution).
Ideally, standardized inventory will be valued via a series of line items, each with their own value – a checklist, basically. An audience line (based on the value of the segment), a positioning line, maybe a context line (but as The Weather Company's Vikram Somaya suggested, that's a hurdle that still needs to be overcome) and others… Including a viewability line. One that's optional.
So the question then is if viewability is a quality metric, do we need a viewability standard? Should impressions be measured on a viewability basis rather than served? Can multiple viewability models/technologies exist – with every publisher choosing their preferred provider or none at all. If the pub chooses the latter, it will have to assume advertisers will pay less for that inventory – line item not included.
Doesn't that sound a bit more democratic?


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Hrabstwo Lee – hrabstwo w USA, w stanie Illinois, według spisu z 2000 roku liczba ludności wynosiła 36 062. Siedzibą hrabstwa jest Dixon.

Geografia
Według spisu hrabstwo zajmuje powierzchnię 1889 km², z czego 1879 km² stanowią lądy, a 10 km² (0,54%) stanowią wody.

Sąsiednie hrabstwa
 Hrabstwo Ogle – północ
 Hrabstwo DeKalb – wschód
 Hrabstwo La Salle – południowy wschód
 Hrabstwo Bureau – południowy zachód
 Hrabstwo Whiteside – zachód

Historia
Hrabstwo zostało założone w 1839 roku z hrabstwa Ogle. Zostało nazwane na cześć Lighthorse'a Harry'ego Lee.

Demografia
Według spisu z 2000 roku hrabstwo zamieszkuje 36 062 osób, które tworzą 13 253 gospodarstw domowych oraz 9144 rodzin. Gęstość zaludnienia wynosi 19 osób/km2. Na terenie hrabstwa jest 14 310 budynków mieszkalnych o częstości występowania wynoszącej 8 budynków/km2. Hrabstwo zamieszkuje 92,68% ludności białej, 4,91% ludności czarnej, 0,11% rdzennych mieszkańców Ameryki, 0,56% Azjatów, 0,02% mieszkańców Pacyfiku, 0,77% ludności innej rasy oraz 0,94% ludności wywodzącej się z dwóch lub więcej ras, 3,18% ludności to Hiszpanie, Latynosi lub inni.

W hrabstwie znajduje się 13 253 gospodarstw domowych, w których 32,20% stanowią dzieci poniżej 18 roku życia mieszkający z rodzicami, 55,90% małżeństwa mieszkające wspólnie, 9,30% stanowią samotne matki oraz 31,00% to osoby nie posiadające rodziny. 26,50% wszystkich gospodarstw domowych składa się z jednej osoby oraz 12,10% żyje samotnie i ma powyżej 65 roku życia. Średnia wielkość gospodarstwa domowego wynosi 2,49 osoby, a rodziny wynosi 3,01 osoby.

Przedział wiekowy populacji hrabstwa kształtuje się następująco: 24,20% osób poniżej 18 roku życia, 7,80% pomiędzy 18 a 24 rokiem życia, 30,30% pomiędzy 25 a 44 rokiem życia, 23,10% pomiędzy 45 a 64 rokiem życia oraz 14,70% osób powyżej 65 roku życia. Średni wiek populacji wynosi 38 lat. Na każde 100 kobiet przypada 105,20 mężczyzn. Na każde 100 kobiet powyżej 18 roku życia przypada 104,80 mężczyzn.

Średni dochód dla gospodarstwa domowego wynosi 40 967 dolarów, a średni dochód dla rodziny wynosi 48 730 dolarów. Mężczyźni osiągają średni dochód w wysokości 35 754 dolarów, a kobiety 22 305 dolarów. Średni dochód na osobę w hrabstwie wynosi 18 650 dolarów. Około 4,90% rodzin oraz 7,70% ludności żyje poniżej minimum socjalnego, z tego 8,40% poniżej 18 roku życia oraz 8,90% powyżej 65 roku życia.

Miasta
 Amboy
 Dixon

Wioski

Lee

redpajama_set_name: RedPajamaWikipedia


The Halloween and Fall seasons have become synonymous with horror movies. Something about the cooling weather and the leaves changing color makes people want to snoodle up in a blanket and get the crap scared out of them.
Audiences first found their love for being scared by what they saw on screen as early as the late 1800's. Georges Méliès provided early filmgoers with short silent films with the first depictions of the supernatural. Clearly, this struck a chord with audiences.
F.W. Murnau directed one of the most ominous and expressive films of the genre – Nosferatu (1922). This unauthorized adaptation of Stocker's Dracula is highly stylized, providing the audience with haunting images silently played across the screen. Nosferatu, which emerged from the expressionist movement, substantially impacted all the horror to come. Vampires certainly were never the same. Nosferatu was the masterpiece which added the sun as a major vampire fighting weapon to the mainstream lore.
Horror films continued to grow throughout the 1930's, despite the genre being viewed as lower class entertainment. Universal Pictures, a minor studio at the time, produced Hollywood's three great horror classics of the time, Dracula (1931), Frankenstein (1931), and the Mummy (1932). Silence still reigned over film and directors heavily depended on lighting and creating silent suspense to provide the terror. Karl Freund directed several films during this period, including Dracula, weaving German Expressionism permanently into the tapestry of horror films.
The integration of sound into films provided momentum for the popularity of horror, culminating in an explosion in the 1950's. The sub-genre of science fiction horror movies like Invasion of the Body Snatchers (1956) came onto the scene and gained popularity. Starting in the 1950's teenagers had become a major factor in consumer culture. They had money, and they spent it on cars and movies. The rise of the teenage marketplace was a huge boon for the horror genre. Films catered to this newly spendy teens market, which was a major contributor in the creation of drive-in theaters. The American Internation Picture company was the first to tap into this new teen market with films such as I Was a Teenage Werewolf (1957). The science fiction sub-genre of horror continued to grow, and defined itself in the 1970's through the 1980's with films like They Came From Within (1975) and Scanners (1979).
Horror films have melded themselves to the fears and insecurities of their audiences, continuously, since their beginning. We have moved from vampires to zombies to deraigned serial killers picking off teenagers to ghosts and all of the above multiple times throughout the decades. When historians go review the horror movies we see today, what will they see as the culturally significant and impactful films of the genre? Personally, I am a huge wimp when it comes to scary movies. I do find it extremely fascinating to see how this genre, more than any other, can provide a reflection of our true fears as a society.
What are your favorite scary movies to watch this time of year? Let me know in the comments!
You can't go wrong with Dracula!! I've been enjoying some of those new scary movies on Netlix as well. I am looking forward to watch "The Haunting of Hill House" which some people call it dark drama, others might consider it scary.


This is a great, large family home with a 40 x 60 heated shop. Immaculate is the only way to describe this 4 bedroom home 10 min. from New Norway. When you enter you will immediately fall in love with the large open plan to the house and the dark hardwood floor in the huge living room. The kitchen and dining room are also very spacious with lots and lots of cupboards. The main floor is complete with 3 bedrooms and a 4 pce. bath. The basement is a walk out basement with a huge family room. a bedroom, and office and a 3 pce. bath. There is also an extra large laundry room. Out the door of the dining room there is a nice maintenance free deck with metal railings. The 40x 60 shop is excellant with concrete floor, natural gas heating, a washroom and 220 wiring. There is also an older wooden quanset and numerous older out buildings.If you are looking for a super immaculate home with a large heated shop, this property is definitely worth a look.


text:
We Interrupt These Current Events . . . for a little Humor!
I write this while following the "safer at home" order here in Los Angeles. So much has changed in our world. I see friends who are working in essential jobs, particularly in health care, where I know so many. I also see tragedy among them as well as in our broader human community, both in our country and abroad. I am grateful to have access to the necessities of life as well as work that I am able to do from home. So many aren't as blessed.
During these challenging times, humor gives some respite for those of us who are in a position to enjoy it. Humorous memes abound, and many satirical songs about the current pandemic were created on the fly. Since FolkWorks is an online publication, I suspect that anyone reading this has seen many of these already.
So, for this column, I decided to revisit some of the artists who made us laugh in days before COVID-19 became a household word. The first of them is no longer performing but his legacy lives on thanks to YouTube.
I was introduced to Tom Lehrer in the early seventies, around the time he gave his last public performance. Lehrer received his BA and MA in mathematics from Harvard University and was working toward his PhD when he began writing the satirical music for which he is most remembered, despite his other achievements which include being drafted into the US Army and working for the National Security Agency. He finally gave up on the PhD in 1965 but continued to teach at Harvard, MIT, and UC Santa Cruz after which he retired from academia. Tom Lehrer does not presently have a website, but you can find out more about him on Wikipedia.
Lehrer recorded Songs by Tom Lehrer and sold the record on campus, becoming a success by word of mouth; radio stations refused to play it because they found it to be too controversial. He went on to perform publicly and recorded more albums: More of Tom Lehrer and An Evening Wasted with Tom Lehrer. One of his best known works is The Vatican Rag, to which I was introduced by a Catholic friend who found it absolutely hysterical, though opinions were certainly mixed:
(https://www.youtube.com/watch?v=pvhYqeGp_Do)
Despite (or perhaps because of) his time in the Army, where he was drafted in 1955, many of his songs skewered the military and war in general such as So Long, Mom and Send the Marines:
(https://www.youtube.com/watch?v=pklr0UD9eSo)
(https://www.youtube.com/watch?v=eFvxqQTh3m4)
One musical humorist who is currently performing and creating new content is Lisa Koch in Seattle. She is as adept with her guitar and vocals as she is with her feminist/woman-centered comedy, demonstrated here in Waiting Womb and Midlife Medley:
(https://www.youtube.com/watch?v=UAdQzI9eVu0)
(https://www.youtube.com/watch?v=trWXms_N7aw)
Each year around the Christmas holidays, she presents a popular live show called Ham for the Holidays. Here's a quick teaser of Lisa with her late musical partner Peggy Platt (their duo called Dos Fallopia) and others who performed in the 2015 Ham for the Holidays show:
(https://www.youtube.com/watch?v=ihv6bSvmkvE)
Unfortunately for those of us in Southern California, Ham for the Holidays is presented only in Seattle. I was lucky enough to be in Seattle to see the live show several years ago and it was absolutely wonderful! But, make no mistake, Lisa has a serious side that you can see here in her Christmas Medley from one of her annual "Ham" shows:
(https://www.youtube.com/watch?v=unepRkfgJ10)
Of course, you can also find out more on her website.
Another artist with a very entertaining and humorous repertoire is Roy Zimmerman who tours Southern California once or twice a year. A proud and unabashed liberal, much of his humor centers around politics. But, one of his popular apolitical songs is this one --- What if the Beatles were Irish?
(https://www.youtube.com/watch?v=MOGHPl4gvIQ)
Of course, he is best known for his political satire, so I leave you with these examples: I Want a Marriage Like They Had in the Bible, Citizens United and End of the Ship:
(https://www.youtube.com/watch?v=yXlzkuFBJ7s)
(https://www.youtube.com/watch?v=vajWsEBQ-D8)
(https://www.youtube.com/watch?v=qNi1sevKNd0)
You can find much more about Roy Zimmerman on his website
It is my goal with this column to give you a little break from what is going on in the world. We all could use it!
Chris Wilson was the creator and co-producer of "Audiofile," an award winning radio feature which ran internationally for 14 years on public and community radio. She is currently best known in the local folk community as manager for Irish musician Ken O'Malley. She is also an RN/Attorney/Bioethicist and publishes a blog addressing health care issues and seniors. You can reach her at This email address is being protected from spambots. You need JavaScript enabled to view it..


La majorité des personnes décédées de suicide (dans cette étude), s'étaient présenté aux urgences de l'hôpital dans l'année précédente.
Objectives To describe attendance at emergency departments (EDs) in the year prior to suicide for a sample of mental health patients. To examine the characteristics of those who attended (particularly those who attended frequently) prior to suicide.
Design Case review of ED records for 286 individuals who died within 12 months of mental health contact in North West England (2003–2005).
Method Cases identified through the National Confidential Inquiry into Suicide were checked against regional EDs to establish attendance in the year prior to death. Records were examined to establish the number of attendances, reason for the final, non-fatal attendance, treatment offered and outcome.
Results One hundred and twenty-four (43%) individuals had attended the ED at least once in the year prior to their death, and of these, 35 (28%) had attended the ED on more than three occasions. These frequent attenders died by suicide significantly sooner after their final, non-fatal attendance than other attenders. A clinical history of alcohol misuse was also associated with early death following ED attendance.
Conclusions Over 40% of our clinical sample attended an ED in the year prior to death, and some individuals attended particularly frequently. EDs may therefore represent an important additional setting for suicide prevention in mental health patients. The majority of attendances prior to suicide were for self-harm or to request psychiatric help. Clinicians should be alert to the risk associated with such presentations and to the possible association between frequent attendance and suicide.
Article suivantSuivant Giovanni Segantini: un suicide inconscient ?


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BoF VOICES Day 1: Fashion Confronts a Challenging Future
The industry is grappling with an uncertain outlook amid projections for slowing growth and mounting socio-political unrest, but new technology and business models offer hope for innovative solutions.
Imran Amed speaks during BoF's VOICES conference | Source: Getty Images for The Business of Fashion
Sarah Kent
OXFORDSHIRE, United Kingdom — BoF's annual VOICES conference kicked off Thursday with a series of charged, and sometimes contentious, conversations about fashion's role in a time of intense disruption and global unrest.
Speakers including Extinction Rebellion's Clare Farrell, investigative journalist Carole Cadwalladr and Iranian-American activist Hoda Katebi outlined the systemic challenges and ethical conundrums facing the industry, raising tough questions about the future of fashion and its responsibilities in a rapidly-changing world.
A Challenging Environment
Extinction Rebellion's Farrell set the tone in her opening keynote, pulling no punches in laying out the climate crisis at hand and the fashion industry's role in contributing to it. The clothing and textile industry is responsible for 8 to 10 percent of the world's greenhouse gas emissions and 20 percent of industrial wastewater pollution, according to the UN.
"Everyone knows the fashion industry's really, really bad," Farrell told the gathering of senior executives and creatives. "What is glamorous about living in a dying world, and what is fashion doing to the planet, and is it really worth it?"
A growing number of fashion companies are grappling with the thorny issues raised by Farrell. Roughly a third of the industry has signed on to a Fashion Pact launched by Kering SA's François-Henri Pinault in August, but tangible and systemic change has been slow.
What is glamorous about living in a dying world, and what is fashion doing to the planet, and is it really worth it?
The pressure to change is coming at a difficult time for the industry. According to BoF and McKinsey & Company's annual State of Fashion report, which was released at VOICES, executives in the fashion industry are looking forward to 2020 with anxiety and concern. Only 9 percent of the executives surveyed for the report believe conditions in the industry will improve next year and the McKinsey Global Fashion Index forecasts that global growth in the sector will continue to slow.
The tension between sustainable business models and responsible operations emerged as a key challenge for the industry in the years ahead, and was a flashpoint for debate Thursday. H&M Group's Christopher Wylie pushed back against criticism by Extinction Rebellion of comments made by CEO Karl-Johan Persson about the need to protect jobs.
"How do we accommodate for people who are employed in the industry?" Wylie asked. "How do we avoid a disproportionate impact on women of colour in the global south in terms of striving for sustainable means of production?"
Beyond climate concerns, Thursday's talks made it plain that the fashion industry is operating in an uncertain world that requires careful navigation. Consumers are angry, with protests sweeping global markets. They want brands to advocate for and embody their values, but answering this call has never been more complex for companies.
Many of the social media platforms that are becoming increasingly important to the industry are themselves facing harsh criticism. Brands should be asking whether Facebook and Instagram are safe spaces for their labels to exist in our age of disinformation, warned Cadwalladr, The Guardian and Observer journalist whose 2018 investigation into data analytics firm Cambridge Analytica revealed the company was using Facebook data to influence politics in a massive data breach.
"The advertising industry and fashion brands are completely complicit in this ecosystem [of misinformation on Facebook]," she said. "The cavalry isn't coming. It's on us as individuals."
It's an issue that's only likely to become more pressing as brands and retailers look to capitalise on the power of social platforms by building their own communities in the future. A recent feature by BoF's Chavie Lieber investigated allegations of widespread sexual harassment and other inappropriate messages on the resale platform Depop. The company's success in building out an engaged community of Gen Z consumers has driven rapid growth, but CEO Maria Raga acknowledged there was a need for moderation on the platform.
The cavalry isn't coming. It's on us as individuals.
"There's always room for things to go wrong," she said. "For us, trust, it's a critical thing that we need to maintain on the platform and we have absolutely zero tolerance for bad behaviour … This needs to be policed."
Another aspect of this era of protest that has proved challenging for the industry is inclusivity. A plethora of brands have suffered as a result of ill-advised comments or products even as they publicly championed diversity and inclusion.
Katebi, the Iranian-American activist who founded the Blue Tin Production co-op — known as America's first apparel manufacturing co-op run by refugee women — condemned the fashion industry for tokenistic action on this front. She argued it has boiled Muslim identity down to the occasional hijab sent down the runway or sold in stores. She labelled this "revolution-washing," similar to corporate "greenwashing," the embrace of the language, but not the practice, of sustainability.
"Every brand wants to be sexy and part of the revolution," she said, citing Nike's "sports hijab" as an example. "But you're taking away the significance of being Muslim … fashion should not be in the business of simplifying things."
What became clear from Thursday's discussions is that the industry is at a crossroads, and many inside are conflicted on how to combat the issues while continuing to build their businesses. But there are solutions.
Innovative technologies that provide more sustainable fabric options and open up the possibilities to recycle a wider array of clothes are gradually beginning to scale, offering new opportunities for companies to change the way they operate.
For instance, Bolt Threads CEO Dan Widmaier announced that the company — which produces a lab-grown leather alternative — is scaling up production to meet orders for 1 million square feet. The company has worked with Stella McCartney in the past and plans to grow further near term.
Predictions are interesting, but most predictions are traps because the future is unpredictable.
Veteran fashion journalist Dana Thomas highlighted a host of female entrepreneurs who are also driving change within the industry. Thomas met with many of them during research for her latest book, "Fashionopolis," which examines the damage fashion is doing to the earth. It's an issue that women like Sarah Bellos, founder of natural indigo dye company Stony Creek Colors, are making strides to combat. Thomas also called out Stacy Flynn, whose company Evrnu is working on recycling technologies; Sally Fox, the "mother of organic cotton"; and former VOICES speaker and BoF cover star Kalpona Akter, who continues to fight for workers' rights in Bangladesh.
Discussions of potential solutions veered outside the fashion world to energy and mobility, but came with some warnings about the uncertainty ahead.
"Well here's a spoiler: I don't know and nobody knows," said Andrew Blau, US leader of signature issues at Deloitte Consulting. "Predictions are interesting, but most predictions are traps because the future is unpredictable. I'm more interested in how and why the future will surprise us. Because it does."
Meanwhile, new business models like resale are showing strong growth despite the sluggishness in the broader market. According to GlobalData, the second-hand market will exceed $50 billion in 2023 — up from $24 billion last year.
"When you think about the activity that's on Depop, you see super young, creative people building businesses and creating trends," the platform's Raga said. They're thinking about "what needs to be created in the first place — whether that's through [a lens] of sustainability or these very trends."
To learn more about VOICES, BoF's annual gathering for big thinkers, visit our VOICES website, where you can find all the details on our invitation-only global gathering.
François-Henri Pinault
Dan Widmaier
Dana Thomas
Alexi Lubomirski
Brad Grossman
Clare Farrell
Andrew Blau
Cyril Diagne
Carole Cadwalladr
Clare Cadwalladr
Claire Farrell
Bolt Threads
Ford Motors Company
Oxfordshire, United Kingdom
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Chris July 5, 2018 No Comments All Posts, Articles
What are antibacterial soaps and cleaning products?
Some manufacturers add antimicrobial ingredients to cleaning products and soaps, often branding them as 'antiseptic' or 'antibacterial'. The logic is that consumers prefer to use a product that will eliminate bacteria and microorganisms, reducing the risk of infection, especially in bathrooms and kitchens. Commonly added antibacterials include:
Triclosan and triclocarban
Fluorosalan
Chloroxylenol
There are many common antimicrobials, and they can be difficult to identify on ingredient labels. If a product contains an antimicrobial it will normally be branded as 'antiseptic', 'disinfectant' or 'antimicrobial'.
[Note: Doctors prescribe antimicrobial washing products for a range of conditions (e.g. eczema). These are regulated, evidence-based products, and not discussed in this article.]
How effective are these products?
The question essentially revolves around whether adding an antimicrobial to products would have any impact on reducing the number and severity of infections. Influential research has suggested that there is no significant difference between antimicrobial and plain soaps:
'Consumer antibacterial soaps: effective or just risky?' (2007) [1]
This literature review identified 27 studies published between 1980 – 2006. It found that combined, the studies showed there was no evidence that antimicrobial soaps reduced infections or bacteria levels on hands, compared to plain soap.
Hand Hygiene with Soap and Water Is Superior to Alcohol Rub and Antiseptic Wipes for Removal of Clostridium difficile' (2009) [2]
A crossover study of 10 volunteers found that using plain soap and water was more effective at removing Clostridium difficile on the skin than antimicrobial soaps, alcohol rubs, or antiseptic wipes.
With a growing body of evidence, in 2013 the FDA required manufacturers to submit safety data for the use of antimicrobial soaps [3]. In 2016, after a review period, the FDA concluded that there was insufficient evidence for the safety in daily use or effectiveness of 19 commonly added microbials, effectively banning their use [4].
What are the risks in using antibacterial soaps and cleaning products?
The FDA ruling in 2016 highlighted that there was insufficient evidence that antimicrobial soaps were any more effective than plain soaps, but also that there was a lack of safety data. Antimicrobial soaps have been linked with increased bacterial resistance, hormonal effects (endocrine disruption), and allergic diseases.
Bacterial Resistance
Resistance can occur when bacteria adapt to an antimicrobial agent. The theory is that by widely using antimicrobials in soaps, bacteria will adapt, rendering the ingredient useless. This removes one of the methods we have for eliminating bacteria, crucial given the emergence of multi-drug resistant organisms (e.g. tuberculosis).
Several studies have noted that the use of antimicrobial soaps increases the concentration of antibiotics required to overcome a bacterial population [5]. The relevance for these findings among the general population is unclear, and studies in the community have not always come to the same conclusions.
Hormonal Effects
Antimicrobials are widely added to both soaps, and less obvious products to prevent bacterial growth, including: toothpastes, clothing, toys, plastics, and paints [6]. The prevalence of these ingredients in daily life means that they can be detected at low levels in blood and urine samples, in both children and adults, as well as aquatic life [7].
Both triclosan and triclocarban have been shown to imitate reproductive and thyroid hormones – with implications for infant development [8]. A statement signed by over 200 researchers and medical professionals urged regulatory agencies to prevent the widespread use of triclosan and triclocarban in household products [6]. Both the FDA and European Union (EU) now restrict the use of these ingredients.
The underlying cause of allergic diseases like asthma, eczema, and hay fever are not yet fully understood. A 2014 study questioned 35,000 Korean children and found that those exposed to the highest concentrations of household antimicrobials were significantly more likely to suffer from allergic diseases [9]. The correlation highlights the need for more robust studies into the risks of widespread antimicrobial use.
Antimicrobial soaps have been shown to be no more effective at reducing bacteria on the skin or the risk of infection than plain soaps. They are associated with potentially harmful bacterial resistance, and are present in urine and blood samples, with links to hormonal disruption and allergic diseases.
So should you use them? In our opinion – no! Aside from not being very effective, there's health and environmental risks with using them.
[1] Aiello, A. E., Larson, E. L., & Levy, S. B. (2007). Consumer antibacterial soaps: effective or just risky? Clinical Infectious Diseases, 45, S137-S147.
[2] Oughton, M. T., Loo, V. G., Dendukuri, N., Fenn, S., & Libman, M. D. (2009). Hand hygiene with soap and water is superior to alcohol rub and antiseptic wipes for removal of Clostridium difficile. Infection Control & Hospital Epidemiology, 30(10), 939-944.
[3] FDA. (2013). Safety and Effectiveness of Consumer Antiseptics; Topical Antimicrobial Drug Products for Over-the-Counter Human Use. www.fda.gov
[4] FDA. (2016). FDA issues final rule on safety and effectiveness of antibacterial soaps. www.fda.gov
[5] Sheldon Jr, A. T. (2005). Antiseptic "resistance": real or perceived threat? Clinical Infectious Diseases, 40(11), 1650-1656.
[6] Halden, R. U., Lindeman, A. E., Aiello, A. E., Andrews, D., Arnold, W. A., Fair, P., & McNeill, K. (2017). The Florence statement on triclosan and triclocarban. Environmental Health Perspectives, 125(6).
[7] Kookana, R. S., Ying, G. G., & Waller, N. J. (2011). Triclosan: its occurrence, fate and effects in the Australian environment. Water Science and Technology, 63(4), 598-604.
[8] Rodricks, J. V., Swenberg, J. A., Borzelleca, J. F., Maronpot, R. R., & Shipp, A. M. (2010). Triclosan: a critical review of the experimental data and development of margins of safety for consumer products. Critical Reviews in Toxicology, 40(5), 422-484.
[9] Hong, S., Kwon, H. J., Choi, W. J., Lim, W. R., Kim, J., & Kim, K. (2014). Association between exposure to antimicrobial household products and allergic symptoms. Environmental health and toxicology, 29.
[10] CDC. (2017). Handwashing: Clean Hands Save Lives. www.cdc.gov
After founding and running Dandruff Deconstructed for a number of years, I wanted to expand into other areas. I have extremely sensitive skin, and cleaning products were one of the main triggers of my contact dermatitis. It only made sense to expand on what I was doing on Dandruff Deconstructed and applying that knowledge to Safe Household Cleaning.
Review :: Eco-Me Fragrance Free Liquid Laundry Detergent
Review :: Seventh Generation Natural Dish Liquid


We kick off 2015 with updates on upcoming tours, stories of past tours (complete with yetis from Cape Cod) and experimenting with dehydration… no not the bad kind, the good kind!
The January email newsletter went out – thanks to everyone who's signed up! Reach out to the show via email, Facebook, Twitter or Instagram. Yes, even Instagram.
Sorry for the jingles and jangles you might hear in the background… it was a full on zoo within the Pedalshift recording studio since we were rocking temps in the low teens in DC at the time of the recording. For the record, it was Jackson the Cat who disrupted things the most. Louis the Pug will make an appearance in episode 012 in two weeks for the bike touring story, Louis the Pug Bike Touring Experiment #1 of 1.
Met Jesse on the Border to Border ride… cool guy, lots of interesting perspectives on touring. He put together one hell of a ride last year.
Apples – super easy. 1/4″ thick (5-6 mm for metric types). Wouldn't bother treating the apples as some recipes suggest… They barely brown.
Kale chips – olive oil, Montreal steak seasoning, nutritional yeast. Insanely good.
Jerky! Much better than my toaster oven variety because it uses ground meat. Because it also includes jerky cure the end product keeps better.
Instagram follower Jim Giddens loves the podcast!
Instagram follower Ethan Georgi liked the Border to Border story and my enthusiasm – thank you!
TonyS on pedalshit.net: Tim — love your website and podcasts! Episode 008 — The Sweater — was awesome, and is a fantastic testament to the willingness of bicyclists to come to each other's aide whenever they can.


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Simphiwe Buthelezi, Kangeza, 2019.
Solace and Whispers: Simphiwe Buthelezi's 'Lala La'
simphiwe Buthelezi
By Nolan Stevens
Bag Factory
We seem to be living in an age of unapologetic expression where the voices belonging to the previously disenfranchised, or voiceless can be heard. Simphiwe Buthelezi's first solo artistic offering 'Lala La' ('Come rest here' in Zulu), curated by Chumisa Ndakisa, at the Bag Factory Studios, is another of those voices for the voiceless.
As winner of the 2018 Blessing Ngobeni Art Prize, Buthelezi has spent three months in residency at the Bag Factory Art Studios creating this body of thatched mat installation work. While the pieces on show can be interpreted to provide the viewer with a sense of ease, as this exhibition title suggests, they also speak of female oppression within the confines of Zulu tradition. The areas of solitude within this exhibition, allow us to contemplate the overlooked art form of woven grass mat-making, as well as the marginalization of this traditionally feminine practice.
By recontextualizing and repositioning her creations from that of the rural setting to that of an urban context, Buthelezi is able to introduce fresh meaning into a classical traditional mode. Here Buthelezi's works are transformed conceptually and formalistically from the environment which has been conditioned to expect silence of these objects, to placing them within a context where whisperings of its creation, its creator and other complexities begin to be unveiled. These are whisperings which transcend the traditionalist meanings of the words 'Lala la': words of comfort and solace usually said by a woman to her lover, a mother to her child, or even by a child to her father. Instead, here Buthelezi re-presents the forms of her woven mats and recontextualizes and complexifies the the traditionally feminine materials.
Simphiwe Buthelezi, The Reading, 2019.
Her piece The Reading, an installation of soil, acrylic and resin on straw mat, in part serves as a cocoon and in another speaks of destruction, denaturing and re-appropriation of this particular straw mat. The reading in the title references divination within an African spirituality context. Straw mats are used by traditional healers when giving readings and guidance. Buthelezi's manipulation of her medium seems to speak though to a discomfort that comes with seeking out.
Buthelezi's exploration into understanding gender roles within the confines of a traditional and cultural dynamics is focused much more keenly in her work Khangeza (meaning the 'option of picking up'), in this case a reference to scooping soil from a shovel into a grave at a burial. This work is of earth, powdered oxide and varnish on canvas. It interrogates masculine identity through the eyes of her father who was grappling with the cultural pressures of being a Zulu man whilst simultaneously having to deal with his own terminal illness. Presented as a soil-like covered rectangular surface with dug-out sections which suggest the presence of a collecting hand. Lying beneath the surface are traces of gold which once again draw on Buthelezi's quest to create pockets of understanding, discovery and a seeking out of comfort zones within this exhibition.
Emphuleni ('By the river'), is another work which makes reference to African spiritual practice. Here she constructs the thatched mats into a wave-like formation; creating a river for herself along with beach sand to form an image which calls to mind the spiritual practice of making pilgrimage to a natural water source. This symbolic river embodies a space of prayer and healing for the artist. The work also makes reference to the events surrounding the Clifton Beach saga, while speaking to a grander scale of reclaiming of blackness in our society.
Simphiwe Buthelezi Yasha yangqoqa iniziyo yam, 2019.
Amidst the works that speak to healing and understanding there are works on show such as her piece, Yasha Yangqoqa Inhlziyo Yam ('My heart is burning into unrecognizable destruction'), a work which sees Buthelezi's straw mats in their most tortured incarnation. The work shows the moments when everything seems to fall apart beyond repair or recognition, and one is in need of solace and rescuing. It suggests looking to those who had come before such as one's elders or ancestors as the possible holders of power or providing rescue. This work simultaneously suggest through its disintegration that our generation might be beyond repair.
Whether via the use of a sound piece, video installation, or the merging of western and traditional materials, Buthelezi's manipulation of her materials in the created comfort zones of her installation not only convey a space which opens itself up to healing but one which is undoubtedly feminist in its makeup and construction. This is evident in the paring and crafting of her material where beading, hair chandeliers and gilded frames are incorporated to help aid in the telling of a narrative that is far from new, but one which is spoken aloud with an artistic voice that speaks on behalf of those in the past..
Filed Under: insight_, Review Tagged With: bag factory, simphiwe buthelezi