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"An Orphan's Odyssey: Sacred Journeys to Renewal" - A case study of the Individuation Process by Rose-Emily Rothenberg
Chiron Publications
ASHEVILLE, N.C., March 20, 2015 /PRNewswire/ -- New Release by Chiron Publications.
In "An Orphan's Odyssey" Rose-Emily Rothenberg invites her readers to accompany her on outer world safaris and inner world journeys as she explores the images and symbols that appeared in the stories, myths, and dreams surrounding her travels to Africa. Inspiring us to follow and actively participate with our own psychological callings, she explores the dynamic of death and rebirth dynamic that ultimately renews us. By reconnecting to ancestors, both human and animal, she renews her connection to the Self and to the Divine.
Photo - http://photos.prnewswire.com/prnh/20150319/183282
Each chapter traces the pursuit of meaning conveyed through symbols that arise continually throughout the process. It is this process of listening and deepening understanding that reveals itself as an initiation, which contains many elements specific to orphanhood. Rothenberg shows the endurance and concentrated devotion that is required to bring meaning into consciousness and to surrender to the challenges of the initiation she was undergoing. She gathers many insights gleaned from her experiences and that needed to be incorporated into her psychological and spiritual life. This work amounts to a description of a journey of individuation with all its trials and tribulations, including the suffering and ecstasy that accompany such an endeavor.
Delving ever deeper into contemplations and reverie, the author better defined the orphan myth she lives which allowed her to bring the higher side of this dynamic into her awareness. This allowed her to integrate opposites thereby creating a greater sense of wholeness.
By making the instinctual aspects of herself more conscious and simultaneously strengthening her connection to the spiritual dimension of her journeys (using history and mythology, human and animal psychology, and the active participation of her imagination), she brought the Self into a greater awareness of her totality. Death and rebirth were the central dynamics of her process. Other themes include separating from the mother, claiming her "bush soul," and relating to religious imagery.
Ms. Rothenberg illustrates her dedication to observing, defining, clarifying, and integrating the many aspects of her inner landscape enriching this regenerative endeavor with pictures and journal excerpts that are a gift.
"This is the story of a personal journey with archetypal dimensions. By going deeply inward and also traveling physically over a large continent, conversing with dream figures and imaginal personalities as well as interacting with material beings of every variety, Rose-Emily Rothenberg has created an extraordinarily colorful and meaningful life. She gives us a case study in individuation that is deeply convincing because it has been lived with extraordinary devotion and consciousness." -Murray Stein, author of Minding the Self.
"Rothenberg carefully describes her ongoing voyage of initiation and learning. She has been utterly faithful to her foundational myth of orphan hood and bodily scars, traveling to Africa to connect with tribes, ancestors, and animals. A life led with integrity and knowledge, her description of her path is indeed worthy of being read by all those who search." -J. Marvin Spiegelman, author of The Divine Waba (Within, Among, Between, Around): A Jungian Exploration of Spiritual Paths.
"Beautifully illustrated and richly imagined, An Orphan's Odyssey weaves together the archetypal, cultural, and personal innerscapes and nature safaris of its author. As the West's most powerful symbol of the unconscious, Africa emerges as the mother of her spiritual development. This soul work will appeal to Jungians, psychotherapists, spiritual seekers, and readers of Africa travel writing. It is a joy to read." -Blake Burleson, Baylor University, author of Jung in Africa.
Following the success of her first book, "The Jewel in the Wound," when she travelled to Africa to unravel the mystery of scarring on her body, she is compelled by her animal-shaped scar to return to Africa to explore the animal world. Presented with a vast array of animals and animal behaviors, chief among which is the wildebeest migration, emerging as a poignant reflection of her own story. Africa, like the orphan, knows the wounds of loss, and the wildebeest migration aptly mirrors the essential presence of death and loss in the midst of life enduring and becoming. Ms. Rothenberg explores the dynamics behind the rich dreams, active imaginations and visions that occur before, during and after her travels.
Rose-Emily Rothenberg, MA, is in private practice in Pacific Palisades, California. She has been a Jungian analyst for over thirty-five years and teaches at the C. G. Jung Institute of Los Angeles. Her special interests, on which she has lectured nationally and internationally, are the orphan archetype and the relationship between disease and the psyche. Also by Rose-Emily Rothenberg, The Jewel in the Wound: How the Body Expresses the Needs of the Psyche and Offers a Path to Transformation.
Chiron Publications, est. 1983, publishes more than 150 titles addressing topics in Jungian Psychology, Mythology, Religion, Fairy Tales, and Clinical Practice. Managed by two Jungian-oriented practicing psychiatrists, Steven Buser, MD and Len Cruz, MD. Recent releases include Hauntings: Dispelling the Ghosts Who Rule Our Lives, by Dr. James Hollis, the international release of Love and Sacrifice: The Life of Emma Jung and the upcoming release of an original, unpublished manuscript by the famed 20th century analyst, Erich Neumann, Jacob and Esau: The Brother Motif.
The Asheville Jung Center, est. 2008 by Steven Buser, MD and Len Cruz, MD, is an international conferencing company providing internet video seminars, webinars, web-streaming archives, DVD recordings, continuing education credit and access to an interactive global community of Jungian Analysts, Jungian oriented therapists, and people interested in Jungian Psychology.
In 2015 Chiron will launch innerQuest, a new imprint devoted to an even more diverse array of titles and tools for inner development with the release of "DSM-5 Insanely Simplified," by Steven Buser, MD.
Contact: Brian Austin, Director of Marketing or Ryan Deegan, Managing Director (828) 333-4787 [email protected]
SOURCE Chiron Publications
http://www.chironpublications.com


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Algeria Telecom
About Algeria Telecom
President and CEO message
Algerie Telecom Group
Customer Space
Our stores' opening hours
Speed eligibility test
Interconnection Catalogue
ALGERIA TELECOM leader on the Algerian telecommunications expanding market, proposes a full range of voice and data services to the personal and business customers. This position was built via a powerful innovative policy adapted to the customer expectations and targeting the new users.
ALGERIA TELECOM is a joint-stock company with a capital stock operating on the market of networks and electronic communications services. It was enshrined by the law 2000/03 of August 05th, 2000, relative to the reorganization of the Post and Telecommunications Sector, beside the resolutions of the National Council for State Participations (CNPE) of March 1st , 2001 that established ALGERIA TELECOM as Public Economic Company.
Therefore, by this law ALGERIA TELECOM is a public economic company status in a legal form of a joint-stock company. With a share capital of 115.000.000.000.00 Algerian Dinars, registered in the national center of trade register on May 11th , 2002 under number 02B 0018083.
IDOOM FIXE
Pack MOOHTARIF
Consultation Notices
© 2023 Algeria Telecom

redpajama_set_name: RedPajamaCommonCrawl


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Debates of March 13th, 2000
House of Commons Hansard #63 of the 36th Parliament, 2nd Session. (The original version is on Parliament's site.) The word of the day was yea.
Westray Mine
An Act To Give Effect To The Requirement For Clarity As Set Out In The Opinion Of The Supreme Court Of Canada In The Quebec Secession Reference
Division No. 760
Dan Doyle
Tara Sloan
Fight Against Racism
Chief Joe Mathias
Overseas Development Assistance
The Late Marcel Pépin
Job Creation In Canada
Juno Awards
Indian Affairs And Northern Development
Post-Secondary Education
Parliament Of Canada Act
Questions On The Order Paper
Starred Questions
Division No. 1000
An Act To Give Effect To The Requirement For Clarity As Set Out In The Opinion Of The Supreme Court Of Canada In The Quebec Secession ReferenceGovernment Orders
The question is on Motion No. 13. Is it the pleasure of the House to adopt the motion?
And more than five members having risen:
A recorded division on Motion No. 13 stands deferred.
The next question is on Motion No. 18. Is it the pleasure of the House to adopt the motion?
The next question is on Motion No. 48.
Is it the pleasure of the House to adopt the motion?
A recorded division on Motion No. 48 stands deferred. The recorded division will also apply to Motion No. 49.


The item Adventure time, Banana guard academy, written by Kent Osborne & Dylan Haggerty ; illustrated by Mad Rupert represents a specific, individual, material embodiment of a distinct intellectual or artistic creation found in City of Stirling Library Services.
This crazy adventure follows Root Beer Guy as he starts his search for new recruits among Ooo's citizens. Only the best will do in this quest to protect the Candy Kingdom!


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Startup Zenefits Shows How Hard Hitting Revenue Targets Can Be
By Eric Newcomer | February 22, 2016
Zenefits probably couldn't have predicted it would spend the first two weeks of February dealing with the resignation of its founding chief executive officer under pressure from the board and the loss of its biggest customer—all while facing investigations by authorities in at least two states. That stuff can be hard to foresee. But financial performance is something businesses are expected to better at forecasting. Yet the corporate benefits startup missed the mark there, too.
Bloomberg Businessweek chronicled some of the recent drama behind co-founder Parker Conrad's departure and the creation of a deceptive tool known as "the Macro." Still, the numbers are worth a closer look. Fundraising documents obtained by Bloomberg show that Zenefits offered prospective investors an optimistic outlook on growth that it failed to deliver on almost immediately. The documents were distributed in advance of the financing round from May 2015 that valued the company at $4.5 billion. Zenefits declined to comment.
Zenefits develops software designed to simplify and automate human resources tasks, including signing up for health insurance. It's a cloud software company and, as such, it typically measures performance using a financial metric known as annual recurring revenue. This is a fairly common way to gauge the health of a cloud business, and it has the added benefit of reminding investors that the subscription revenue will keep coming every year. Investors have been offering serious love to the cloud, so you'll hear more technology companies talk about annual recurring revenue.
Zenefits said it had annual recurring revenue of about $20 million in 2014. In the fundraising documents, the company projected annual recurring revenue of $127 million for 2015. By the time Zenefits closed its financing round, the forecast had dropped to $100 million in a statement it sent to reporters.
While Zenefits increased annual recurring revenue at least threefold in 2015, topping $60 million, it was well short of even the more conservative target. The startup's more distant projections were no less aggressive. It expected to generate $3.26 billion in annual recurring revenue by the end of 2019, according to the fundraising documents. That would make it bigger than Photoshop creator Adobe Systems Inc.'s digital media business is today.
Annual recurring revenue refers to the value of all customers' subscriptions over the course of a year. It can be a predictable way to estimate full-year revenue because subscribers tend to stay aboard, said Lou Shipley, a lecturer at MIT. "The benefit for this model is that as long as you can keep your renewal rate in the mid-90 percent range," he said, "you can plan your spending better with less risk." In 2014, Zenefits lost 11 percent of customers but expected to reduce its churn rate to 4 percent by 2019, according to the fundraising documents.
However, when customers do leave, the recurring revenue number can give the impression that a company has booked revenue it doesn't have. This month, Zenefits lost its biggest client, Jet.com Inc., according to BuzzFeed. "It's hard," Shipley said. "Companies get acquired. Companies go out of business. There's a natural melt-off." Zenefits said on Thursday that it had made several changes to its executive leadership, appointing a chief strategy officer and a vice president of product management.
Annual recurring revenue and actual revenue can differ substantially. While Zenefits had 2014 annual recurring revenue of $20 million, actual revenue that year was $7.8 million, according to the financial documents. The discrepancy makes sense because Zenefits was growing rapidly and probably added many of its customers in the latter half of the year.
Younger companies can more easily recover from these kinds of stumbles, particularly those such as Zenefits that are far outpacing their rivals. "When they're growing that quickly, they really get a little bit of a break before they're public," Shipley said. "Once you become public, you kind of have to beat and raise and work the Wall Street game. I don't think it's going to hurt them that much. The way to think about is, 'Are there any competitors growing faster than them?' And I don't think there are."
Zenefits is still expanding quickly, but missing targets can take a toll. Fidelity Investments, which led last year's $500 million financing round with TPG, wrote down the value of its Zenefits stake last year. Fidelity and TPG declined to comment.
Zenefits Rises Quickly to Join Billion-Dollar Start-Up Club
Copyright 2020 Bloomberg.
Jury Orders Wells Fargo to Pay $102.8 Million in USAA Mobile Deposit Patent Case
Categories: National NewsTopics: annual recurring revenue, Fidelity Investments, insurance subscriptions, Zenefits
Yet another failure by the goofy millennial crowd.
Texas Insurance Department: Board, Committee Slots Open at SLTX, TWIA


What does a Volunteer Advocate do?
Missoula Food Bank & Community Center believes that food banking should not be a growth industry.
While the work we do in providing emergency food assistance is both necessary and important, tandem work in addressing the underlying issues of food insecurity and poverty is needed if we ever hope to have a food secure community. A charitable response to the growing number of people who do not have access to adequate nutrition is unsustainable.
Choosing to act as an advocate at Missoula Food Bank & Community Center speaks to a greater desire to end hunger in the United States by cultivating a mindset shift at the leadership level of our community organizations, the policy level of our government, and the individual level in our neighborhoods to fight food insecurity by addressing the causal issues of hunger. Hunger and food insecurity are influenced by a number of factors, including poverty, high housing costs, healthcare, and low wages that cannot be addressed through emergency food resources alone. Advocates are able to look at the "bigger picture" and envision a future in which hunger is not a problem for our community while taking action to help this vision become a reality. Volunteer advocates are welcome and encouraged to participate in the ways that they would prefer, which might mean choosing a couple of activities from the list below.


Lakeville, Conn., (July 19, 2017) – This weekend, IMSA WeatherTech SportsCar Championship team Paul Miller Racing will enjoy competition on its home turf, racing at the Northeast Grand Prix at Lime Rock Park in Lakeville, Connecticut. Round 8 of the championship will run two of the four series classes, on what is the shortest track on the 2017 calendar.
Following the previous round at Canadian Tire Motorsport Park, the No. 48 TOTAL Lubricants/UIS Lamborghini Huracán GT3 traveled to Paul Miller's Audi dealership in New Jersey, just over 100 miles from Lime Rock Park. There, the car was prepared for Saturday's race before heading to the northwest corner of Connecticut.
The 1.474 mile, seven turn road course offers little time for drivers Bryan Sellers and Madison Snow to rest, with lap times under one minute. The event itself is also the shortest of the year, fitting all seven on track sessions into a two day window. The tightened schedule will put added pressure on each team to find the perfect qualifying and race set ups in time for Saturday afternoon's event.
The Northeast Grand Prix will air live on FOX Sports 2 Saturday, July 22 at 3:00PM ET. Audio coverage of each on track session will be available via IMSA Radio at radiolemans.com. International audiences can tune in to the streaming broadcast live on imsa.tv.
I'm very excited about getting back to Lime Rock. It is one of the best events we go to. The fans are knowledgeable and generally sell out the event. There is always some added motivation at this race because it is a home event for Paul Miller and we want to perform for them!
Lime Rock is the shortest track we racing all year which changes both driving style, strategy, and how we race the other competitors. There are no long straights here or heavy breaking zones compared to tracks like Canadian Tire Motorsport Park or Detroit to make for easy passing opportunities. This track takes a lot of smooth precision and finesse as you have to roll a lot of speed through all the corners. This is also the shortest event for us which pushes us to get the car set up very quickly as we have a little time to make changes throughout the weekend, which heavily benefits unloading with a good car. This is the home track for Paul Milller Racing so there's always some extra push to do well here, we had a really good car at the last race so I believe we will be able to have a good race in Lime Rock.


May is when fluffy white clouds float across clear blue skies. It is when the sun shines through small leaves, and the soft earth becomes carpeted with apple blossoms. May is when birds and butterflies return from their long travels south. It is when the sun is warm, and breezes are rich and sweet.
A million tiny circles formed on the surface of the lake as yet another spring shower fell on the little crew of fishermen enjoying a day on the dock. A half-dozen rods were resting in holes made in the log railing, created for just that purpose.
She is fickle. I asked if she could be anywhere she wanted to be right this minute, where would she be?


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Whether you're a Belieber or not, live music is always one of the most pleasurable things you could do in your free time! We've got you covered then, because we are giving away two tickets to see one of the world's best-selling music artists: Justin Bieber. We have got our hands on two tickets for his show at the Manchester Arena on Sunday 23rd October 2016 and they are up for grabs in this free competition!
Free Contest for Justin Bieber Tickets
He quickly has gone from his YouTube channel to the most renowned stages around the world, selling more than 100 million records.
Justin Bieber has won numerous fan-voted awards, including American Music Award for Artist of the Year in 2010 and 2012. In his career, he has received three Grammy nominations, winning one for Best Dance Recording for the song "Where Are Ü Now" at the 2016 ceremony.
We managed to book amazing tickets and you will be seating on the upper tier, to make sure you don't miss a thing and have one of the best views being in one of the central blocks facing the stage. There's two tickets up for grabs so you can bring a friend too!
Make sure you enter all your correct details and claim your prize by the deadline, so that we can get in touch to arrange delivery for the tickets.
For those of you who haven't played Winneroo before, you can join totally free – there's many free competitions every week. You can also win up to £100 in cash every day with our Free Daily Scratchcard. Best of luck everyone!


I read the fan-translation of this one through volume 5 but I dropped it when I became inundated with official releases and I got tired of him hiding his OPness. I wouldn't mind re-reading it again though because I really liked it at first, but I don't think anyone has managed to release an AlphaPolis novel yet.
I would really like to read an official translation of this one.
Would like to get official translation of this as well. So far reading fan translation and its decent quality.
I really like the series. I stalled a bit with v10 being a flashback volume, but I'll power through it once the full volume is translated. I'd buy/prepub a JNC release of it.
The fan translation is nearly caught up to the raws (11 volumes raw, volume 10 currently being translated), and the entire series has been translated with good quality by a single group. "Shin Translations", named after the series protagonist, they've been releasing consistently for more than three years and doesn't translate anything else (at least under that name). There do appear to be more than one translator internally, so it may or may not be a candidate for a similar situation as Rokujouma and Isekai Mahou.
I want this. I enjoy this. That's all.
I also really would like to read the official translation too!
I would also gladly read an official release of that novel. I think it deserves it.
I'd love to see an official release of either the novel or the manga (as I scanlate the latter) but Alphapolis seem reluctant to license anything oversees. As far as I know, the only official localisation from them is Gate:JSDF which is the most anti-Western in content of anything they publish. Purely a coincidence, I'm sure.
Love this series would greatly enjoy a translation for this.
@bravedude8 They seem okay licensing manga, it's their Light Novels which no publisher has managed to reach yet. Seven Seas publishes the Re:Monster manga in English after all.


When I first came to RVC in March of 2013, my definition of success in the gym was to maintain my weight level (I had just lost 43 LBS), and to get my weightlifting ability up in spite of terrible back problems.
I met with a personal trainer every week, and progress was steady. A year or so later I decided to go into a more intense program to reach my goal of making a 300 lb. deadlift.
I also wanted to try CrossFit as a way to mix up my training. Somewhere along the way, my left knee and left shoulder decided that those particular goals might not be achieved, plus I was still plagued with almost continuous back problems every three to four weeks.
My knee continued to deteriorate and my left shoulder began to have problems, too. I told myself that it just comes with age and arthritis.
During 2015, I began to train with Scott Prince in an effort to see if I really could make my goal, even though I had these limitations. He worked with me in finding ways to both strengthen and protect my shoulder by eliminating the external rotation work, and I was lifting from Jerk Blocks rather than the floor for heavier weights.
Somewhere during 2017, I managed to get the 305 lb. deadlift I so desperately wanted, and I thought now I can just work up from there.
Unfortunately, my left knee didn't think so, and I had to have a total knee replacement during the third week of September 2017. I worked hard prior to that to continue to shed weight and build strength in order to make my recovery as short as possible.
The pre-surgery training was my real success, not a heavy dead lift or back squat. I was able to do all the movements asked of me the day after the surgery, and my home PT lasted only 5 sessions. Out-patient PT went for three weeks, and I was back in the gym beginning my training program over again eight weeks after surgery. My surgeon signed off on my training program, and now I have started from the very beginning to reach for my prior level of fitness.
Starting over was initially depressing for me, but I had so much encouragement from other members and many of the trainers at the Club that my attitude changed.
I realized my real success is that I no longer have any back pain, my shoulders are feeling very good, I am making incredibly swift progress towards reaching my former performance level, plus my left knee although feeling different, is much better.
I realized my real success is that I no longer have any back pain, my shoulders are feeling very good, I am making incredibly swift progress towards reaching my former performance level.


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Christiaan Colen/Flickr
Daniel Wagner
Cyberwarfare Against Critical Infrastructure
Despite the fact that cyberattacks are occurring with greater frequency and intensity around the world, many either go unreported or are under-reported, leaving the public with a false sense of security about the threat they pose and the lives and property they impact. While governments, businesses and individuals are all being targeted on an exponential basis, infrastructure has become a target of choice among both individual and state-sponsored cyber-attackers, who are targeting security systems that were previously thought of as impenetrable. This has served to demonstrate just how vulnerable cities, states and countries have become, and the growing importance of achieving global risk agility in the face of such threats.
The US government has now blamed Russia for numerous cyberattacks on its energy, aviation, and other sectors in recent years – evidence of just how significantly cyber warfare has come to define the manner in which some governments threaten and spar with each other. The Russian government planted malware, conducted spear phishing, and gained remote access to some very sensitive areas of America's infrastructure networks. They did this with surprising ease, for example, using false job applicant resumes to apply for jobs through the companies' human resources divisions. Once the tainted emails were opened, the malware was installed.
This modus operandi is not new to Russia, nor to other actors in cyberspace intent on planting malware and gaining entry into otherwise sensitive companies and sectors. Russia planted the malware that led to the Wannacry ransomware attacks of 2017 by entering a Ukrainian tax and accounting firm that services 80% of Ukraine's businesses, then gaining access to all of those businesses. That quickly spun out of control and infected computers around the world. It is shockingly easy for nefarious actors to enter otherwise secure computer systems and companies. Up to 95% of the time that is because of the risk that exists between a keyboard and the chair – employees who click on an infected link.
Cyberattacks are difficult to prevent, given the relative ease with which hackers can find a single system vulnerability, and the impossibility of plugging every conceivable security hole. Cybersecurity professionals are in essence playing an endless game of cat and mouse, whereby a would-be attacker attempts to enter a system while security professionals attempt to defend a computer system from attack by applying continuous patches. The adversary then quickly moves
to exploit the latest discovered vulnerability. That is why many computer security programs produce patches numerous times per day.
High profile cyberattacks are increasingly becoming the norm, giving nations of all sizes, degrees of wealth and resources a seat at the table with China, Russia and the US, affording them a disproportionate ability to create disruption and chaos. While the big three lead the world in overt and covert cyberattacks, virtually every government with the capability to do so engages in such attacks. Iran and North Korea are prominent members of the club. All this has prompted the Trump administration to declare earlier this year that it is equating cyberattacks against critical infrastructure on a par with acts of war that can potentially result in a nuclear weapon response. The stakes are extremely high.
International treaties intended to address the problem have limited impact because of the inability to hold signatories accountable and the difficulty associated with accurately determining the identity of responsible actors. Enhanced information sharing, combined with a mandate to swiftly and accurately release information regarding attacks to impacted citizens, provide a sensible foundation for designing a protocol to effectively address future attacks, yet very few governments routinely engage in this practice.
Clearly, governments, businesses and individuals must devote greater resources to becoming more cyber-vigilant. Apart from raising awareness, devoting more resources and making counter-cyberattacks compulsory, nations must also create a more holistic approach to addressing the problem by thinking more proactively about how to address these vulnerabilities, implementing routine cybersecurity audits, and creating teams of people devoted solely to solving the problem. Budgets need to be adjusted to devote even more resources to addressing the growing list of cyberrisks to infrastructure. Security and privacy risk-mapping, benchmarking and scenario planning should become a standard part of cyberrisk management protocols.
Governments and businesses should engage in more public-private partnerships in order to adequately address the issue. President Obama issued the first Executive Order of its kind designed to establish a voluntary risk-based cybersecurity framework between the private and public sectors. The framework allowed for all US government agencies, regardless of their size or cybersecurity capability, to apply the best possible risk management practices in an effort to improve the security of critical infrastructure. The primary importance of this framework is that it allows for all those who voluntarily participate to adequately communicate and understand the risks, which is a vital step in the direction of achieving a functioning national and international cybersecurity network.
The European Union implemented the Network and Information Security Directive, which forced member states to adopt more rigid cybersecurity standards and created an avenue for EU member states and the operators of essential services such as energy, transportation, and healthcare sectors to effectively communicate. While other nations are in the process of acting accordingly, no nation allocates sufficient resources to adequately respond to the increasing threat of a cyberattacks against critical infrastructure, nor does any nation have a truly comprehensive plan to prevent or meaningfully react to the outcome of such attacks. Local and state governments must work together with their national counterparts to produce and quickly implement plans to address future attacks, because they are coming.


FAQs – Practitioners – Visioneering Technologies, Inc.
How do I contact Visioneering Technologies, Inc. (VTI) directly?
If you have a product question, complaint or need to report an adverse event related to a contact lens product, please contact our technical consultation department 9:00 am to 6:00 pm EST Monday – Friday, at toll-free 1-844-VTI-LENS (1-844-884-5367 x 102).
For general information or questions, you may call the VTI offices, from 9:00 am to 5:00 pm EST Monday – Friday, at toll-free 1-844-VTI-LENS (1-844-884-5367 x 116) or use the online contact us form on this website or email directly to info@vtivision.com.
How can I speak with my VTI sales representative?
VTI's vision care sales representatives will gladly help you with any requests. To contact your VTI sales representative from 9:00 am to 5:00 pm EST Monday – Friday, at toll-free 1-844-VTI-LENS (1-844-884-5367), and select ext. 116.
How do I request a VTI sales representative to visit my office?
Please request a VTI sales representative through the online contact us form on this website or click here. Please include your practice name, practitioner name, location (city, state/province) and product/area of interest. You may also call 1-844-VTI-LENS (1-844-884-5367) and select ext. 116.
I am interested in learning more about VTI's NaturalVue® (etafilcon A) Multifocal 1 Day Contact Lenses and when it will be available in my area. Whom do I contact?
Contact a VTI sales representative at toll-free 1-844-VTI-LENS (1-844-884-5367, ext. 116) during regular office hours 9:00 am to 5:00 pm EST Monday – Friday.
How can I get literature or materials for my office?
Literature may be requested through your VTI sales representative or via the online contact us form on this website or email directly to info@vtivision.com.
Where can I get instructions for use and/or training on the NaturalVue® Multifocal 1 Day contact lens products?
Instructions for use are available in the product and practitioner sections of this website. Please also contact your VTI sales representative for more in-depth training for you and/or your staff. You may request instructions for use and/or training via the online contact us form on this website or email directly to info@vtivision.com.
I'm interested in participating as a clinical investigator. Whom do I contact?
Please use the contact us form on this website or email directly to info@vtivision.com.
Where can I find package inserts for VTI's products?
The NaturalVue® Package Insert, Patient Instruction Booklet, and Practitioner Fitting Guide can be found in the product or practitioner sections of this website, or can be requested by email at info@vtivision.com.
How do I request diagnostic lens sets and/or diagnostic lenses of VTI contact lens products?
Please speak with your VTI sales representative for assistance toll-free at 1-844-VTI-LENS (1-844-884-5367), and select the extension 116. You can also use the online contact us form on this website or email directly to info@vtivision.com.
How do I establish an account with VTI?
Please contact a VTI sales representative toll-free at 1-844-VTI-LENS (1-844-884-5367) and select ext. 116. You may also use the online contact us form on this website or email directly to info@vtivision.com. Please include your location (city, state/province) and product/area of interest.
What is VTI's Business Policy?
VTI currently uses ABB Optical Group (ABB) and Wisconsin Vision Associates (WVA) as authorized distributors.
If the practice does not already have an account with ABB, they will need to complete a credit application, available online. Accounts may fax the completed application to 1-954-752-6430 or email directly to creditapp@abboptical.com. Most accounts may be set-up within 2 business days.
1. Order online. Click: www.abboptical.com.
2. Order by phone by speaking directly to one of ABB's customer service representatives at 1-800-852-8089, Monday to Friday 8:00 am to 9:00 pm Eastern.
3. Order by fax at 1-800-851-2470 (Fax orders will be entered the day after the order has been received).
For any orders placed by 5:00 pm Eastern, they will be shipped the same day.
If the practice does not already have an account with WVA, they will need to complete a credit application, available online. Accounts may fax the completed application to 1-800-294-3270 or email directly to sales.support@wisvis.com. Most accounts may be set-up within 2 business days.
1. Order online. Click www.wisvis.com, then select the orders tab to log-in.
2. Order by phone by speaking directly to one of WVA's customer service representatives at 1-800-747-9000 (Monday-Friday 9:00 pm to 4:00 pm Central; phones stay on until 5:00 pm Central for accounts located in Mountain and Pacific time zones).
3. Order by fax at 1-800-298-2329.
4. Order through online ordering portals. WVA accepts electronic ordering through some of the most popular electronic ordering sites like CLX, Crystal, VisionWeb, My Vision Express, Rev360 Smart Flow.
How can I check the status of my account in regards to my VTI products (invoices, shipping, order status, change practice/account information)?
ABB Optical Group: Speak to a customer service representative at 1-800-852-8089, Monday to Friday 8:00 am to 9:00 pm Eastern.
WVA: Speak to a customer service representative at 1-800-747-9000 (Monday-Friday 9:00 am to 4:00 pm Central; phones stay on until 5:00 pm Central for accounts located in Mountain and Pacific time zones).
I need to change my contact information (i.e., email address) in the VTI system. Whom do I contact?
VTI representatives are available 9:00 am to 5:00 pm EST Monday – Friday, at toll-free 1-844-VTI-LENS (1-844-884-5367, ext. 116) or use the online Contact Us form on this website or email directly to info@vtivision.com.
I need to change my account information for ordering or shipping. Whom do I contact?


text:
Changes to the German Renewable Energy regime from July 2016
31 October 2016 | Germany
Legal Briefings – By Silke Goldberg, Partner and Marius Boewe, Counsel
On 8 July 2016, the German Upper House approved a number of acts relating to the future of the German energy market. This included the German Renewable Energy Act ("EEG"), which was heavily amended less than two years ago when the EEG 2014 became effective on 1 August 2014). The amendments to the EEG constitute the EEG 2017, which will become effective as of 2017 and will once more change the entire system of promoting the generation of electricity from renewable sources.
The ministry of Economy and Energy, which has been in charge of the legislative process, has stated that the EEG 2017 will be the next step in promoting the generation of renewable energy. The EEG 2017 affirms the model of determining the feed-in tariffs individually in the course of tender processes for the most important renewable energy sources (ie, onshore and offshore wind, solar and biomass). To date, this model has only been tested in a pilot phase. It is thought that this model will determine the real market prices of renewably generated electricity for the first time since the introduction of the original version of the EEG in 2000. This change in the remuneration system does not only aim to lower the energy costs for energy consumers, but also to fulfil objectives set by the European Commission over recent years.
As of 2017, the German renewable energy projects above certain capacity thresholds will be subject to auctions and no longer benefit from statutory defined feed-in tariffs. Smaller installations and energy sources of the auctions (eg, hydropower) will remain in the currently applicable remuneration system. The conditions to participate in auction processes include some cost-intensive steps to be financed in advance of the auction which will limit the number of future tenderers to financially strong energy companies.
Legislative Targets Remain
The EEG 2017 defines specific targets as to the portion that electricity generated from renewable sources should make up in the future:
until 2025, this portion should total 40 - 45 per cent;
until 2035, this portion should total 55 - 60 per cent; and
until 2050, this portion should total at least 80 per cent.
Until 2020 the portion of renewable energy of the gross energy consumption should total at least 18 per cent.
For the second time, these legislative goals were not altered in the course of implementing a new EEG. Given the fact that in 2015 the gross energy consumption amounted to 12.5 per cent and the portion of renewable electricity to 32.6 per cent, those goals remain achievable if the growth of renewable electricity and energy continues as it has done over the last decade.
Like EEG 2014, EEG 2017 defines targets for the annual expansion of onshore, offshore, biomass and solar electricity installed capacity.
The annual increase rate for onshore wind amounts to 2,800 MW p.a. for 2017, 2018 and 2019, and as of 2020 to 2,900 MW p.a. The annual increase rate for solar electricity amounts to 2,500 MW and for biomass to 150 MW in 2017, 2018 and 2019, and to 200 MW in 2020, 2021 and 2022. The installed capacity for offshore wind shall amount to 6,500 MW in 2020 and to 15,000 MW in 2030. To reach this latter goal, German legislators have, for the first time, implemented a specific offshore wind act ("WindSeeG"). This effectively includes all relevant provisions for the construction and operation of offshore wind parks (such as regional planning, permitting or net integration).Whilst there are some offshore wind stipulations in EEG 2017 these only serve to supplement the WindSeeG regime.
The Basic Principles of the Auction
The idea to determine the electricity price to be paid for renewable energy was originally tested in a pilot phase for solar electricity pursuant to EEG 2014. The Federal Ministry for Economic Affairs and Energy in charge of the legislative process of the EEG 2017 considers this test phase to be a success and decided to extend the principle to onshore, offshore, solar electricity as well as biomass. Only minor installations with a capacity of less than 750 kW (in case of biomass, less than 150 kW) are exempted from the auction process. As the renewable electricity generation is dominated by wind and solar in Germany, 80 per cent of the newly to be installed renewable energy will be subject to the new auction regime.
The aim of the auction is to determine the specific amount required to define the market premium (Marktprämie) of the relevant specific capacity being put to tender. This market premium will be paid to successful auction participants in addition to the electricity market price prevailing at the relevant time. In the past, the market premium was introduced in the context of the operator's direct marketing obligations. At the time, the market premium paid to operators of renewable energy plants was the difference between the statutorily defined feed-in tariffs and the amount to be received by direct marketing. Under the EEG 2017 regime, the feed-in tariff is no longer the relevant figure to determine the market premium but the specific amount determined in the course of a specific tender process.
The German national regulator, Bundesnetzagentyr, Federal Network Agency ("FNA") will conduct future tender processes following a strict regime set out by EEG 2017. S.28 of the Act defines the specific capacity volumes to be put to tender as well as the dates on which such auction shall be conducted. For example, on 1 May 2017, 800 MW installed capacity of onshore wind will be put to tender. Should the amount of installed capacity for specific renewable energy sources deviate from the statutory target, the amount for the following years may be altered.
When putting a specific capacity to tender, the FNA will publish, at the earliest 8 weeks and at the latest 5 weeks before, the final bid date:
when the complete bid must be sent to the Agency;
the amount of capacity subject to the tender process; and
the maximum amount allowed to be offered as the specific amount to determine the market premium.
Companies intending to participate in a tender process are obliged to provide financial security. Such security can be given by deposit or guarantee and an amount, depending on the technology, between 30 and 60 EUR per kW of installed capacity. The participating companies must inform the FNA about the specific location of the plant involved and bid for the specific amount (ct/kWh) and the specific capacity of their plant.
The bidding party offering the lowest specific amount will be successful and will be awarded the relevant market premium in relation to the capacity it is offering. This is followed by the second lowest bid until the entire amount of capacity being put to tender has been reached. The awarded projects must be implemented within a defined term. If such a term is not met, the operator will be fined and the operator will lose their deposit.
Specific rules for specific energy sources
The future regime for onshore wind installations has been subject to controversial debates in Germany. According to S.36 EEG 2017, the administrative permits for the construction and operation of the installations subject to the specific bids must have been granted to the bidder no later than 3 weeks prior to the final date of the tender process. The permitting procedure is time and cost intensive; parties who want to participate in an onshore tender process have to invest a considerable amount in advance before knowing whether their offer will be accepted. Once a bidder has been rewarded in an auction, the installation must start its operation at the latest 24 months after the reward.
As such investments could only be borne by bigger and financially strong companies however, the EEG 2017 stipulates an exemption for wind farms sponsored by local initiatives and citizens (Bürgerwindparks) from this pre-offer obligation to file for a permit. These citizen wind farms are defined as companies with at least 10 individual shareholders, and at least 51 per cent of the shareholders must be natural persons living in the administrative district of the future wind farm location. No shareholder can hold a share larger than 10 per cent in the company. Such citizen wind farms are also privileged regarding the specific amount achieved in the auction. Irrespective of the specific amount of their individual bid, the citizen wind farm which was successful in a tender process will be awarded with the highest individual amount achieved in the auction. This means that a "citizen wind farm" will in any case receive the highest possible market premium granted in the individual auction (so-called uniform pricing). Each citizen wind farm is entitled to bid for up to 6 wind turbines with a total capacity of 18 MW.
Another specific feature regarding onshore wind parks is the introduction of grid expansion areas (Netzausbaugebiet). Wind farm locations are not distributed equally throughout Germany, due to local wind volumes and historical political obstacles regarding the acceptance of wind parks in specific Federal States. This causes grid bottlenecks and leads to the temporary switch-off of wind parks. To control the distribution of the future onshore wind installations, grid expansion areas have been implemented. The capacity to be added in such areas will therefore be limited to 58 per cent of the average capacity which has been installed in this region between 2013 and 2015. The specific grid expansion areas will be determined by the FNA by 1 March 2017.
Finally, the economic efficiency of an onshore wind park primarily depends on its location. To enable a fair competition in the auction process and to make bids from different regions comparable, a one-levelled reference yield (Referenzertrag) will be established. Each bid shall be calculated for an onshore wind installation located at a reference benchmark location (the so called "100 per cent" location), with a wind speed of 100 km/h in 100m height. Such offers will be compared within the auction and after the award decisions, the actual level of remuneration will be calculated on the basis of the specific correction factor of the individual location of each wind installation. The correction factors lie between 70 per cent and 150 per cent, depending on the individual wind level in relation to the benchmark location.
Solar electricity
As the auction process has already been implemented under the scope of the EEG 2014, the changes within the EEG 2017 in relation to solar electricity are comparably low. Under the scope of the EEG 2017, solar installations with an installed capacity above 750 kW are obliged to participate in a tender process. The intended annual expansion of solar power amounts further on to 2,500 MW, whereas 600 MW hereof shall be subject to tender. The maximum volume of each bid amounts to 10 MW. The maximum amount accepted as bid in an auction shall correlate to the feed-in tariff for open-site installation (Freiflächenanlagen), initially 8.91 ct/kWh. Should this feed-in tariff be altered (especially under the scope of the principle of a flexible cap (atmender Deckel) once the annual capacity has been exceeded), the maximum amount will be altered in the same correlation.
The policy aim is to reach an installed capacity of offshore wind plants of 6,500 MW until 2020 and of 15,000 MW by 2030. At the end of 2015, there was 3,295 MW of offshore installed capacity of grid connected.
To reach this legislative goal, the WindSeeG was implemented, comprising all relevant stipulations in relation to offshore wind farms (such as regional planning, permitting or net integration).
In principle, the auction process has been implemented for offshore wind farms, too. In this context, the EEC 2017 reflects aspects of the so called Danish model; the FNA will conduct the preliminary inspections of potential future locations within the exclusive economic zone and prepare an area development plan. These investigations used to be conducted by the future operators of the offshore wind farms. Once such appropriate areas have been detected, parts of such areas will be subject to an annual auction process, beginning on 1 September 2021. The tendered capacity will vary between 700 and 900 MW per year. Due to the intensive planning period to implement this new system, it will apply only to offshore wind farms due to be commissioned on 1 January 2026. Installations which will have received an unconditional grid connection commitment or a grid connection capacity and will start their operation before 2021, are not required to participate in the auction.
For the time between 2021 and 2025, a transitional regime has been introduced. Future offshore wind parks, which are in an advanced planning phase, are entitled to participate in two auctions, held on 1 March 2017 and 1 March 2018, each regarding a capacity of 1,550 MW. The aim of those two auctions is to increase the capacity in 2021 and 2022 by 500 MW p.a. and in 2023, 2024 and 2025 by 700 MW p.a. The 500 MW for 2021 will be limited to the Baltic Sea for grid connection reasons.
This transitional regime bears conflicts with future offshore wind park operators, who are already in a phase of planning or construction but will not fall under the privilege to be exempted from an auction as they may not meet the timelines described above. Should such wind park operator participate in one of the intermediate auctions in 2017 or 2018 and not being awarded, he has a right of entry in case its area will be subject to a future auction conducted by the FNA as of 2021. However, if the specific intended area of its project has been projected is not selected by the Federal Net Agency and not be subject to a future auction, the planning costs of the not implementable offshore wind farm will effectively be considered as sunk costs.
Further stipulations and outlook
The auction process will be the defining tool to determine the future market premium and therefore the major share for end consumers to be paid via the EEG surcharge for the German energy policy. However the original system of statutorily defined feed-in tariffs (as originated in 1991 by the electricity feed-in act (StromeinspeisungsG), the predecessor of the EEG) remains in place for smaller installations. For the generation of electricity from hydropower, geothermal energy, gas from landfills, sewage or mine gas, the EEG 2017 stipulates no auction at all. For onshore wind and solar electricity, no auction obligation exists for installations below 750 kW, for biomass not below 150 kW.
The EEG 2017 will enter into force on 1 January 2017. As of October 2016, it is possible that further amendments may be made to EEG 2017 the scope of which is currently unclear. It is understood that legislators for any such amendments to enter into force on 1 January 2017.
The EEG 2017 can be considered as the first sea change in the promotion of generation of renewable energy in Germany. This was caused by the massive, overwhelming development renewable energy has undergone over the last 15 years in Germany (starting in 2000 with an 6.2 per cent share in gross electricity consumption, reaching 32.6 per cent in 2015, being currently by far the most important energy source in Germany), corresponding with a massive increase of the EEG surcharge (amounting to 0.19 ct/kWh in 2000 and amounting to 6.17 ct/kWh in 2015), leading to a massive increase of electricity prices for the end consumers. Previous versions of the EEG tried to counteract this development of increasing costs but never considered to refrain from the statutory guaranteed feed-in tariffs. It is expected that the new regime will in the long run lower the increase of EEG related costs for end consumers. However, it will take a long time until the previous guaranteed tariffs will fade out. This is because each new version of the EEG only stipulates remuneration regimes for the installations to be installed and put into operation under the scope of the respective version of the act but not retroactively, and because the statutorily guaranteed feed-in tariffs are guaranteed for 20 years. The second reason for this change of system was the decision of the European Commission with regard to the EEG 2012, which called for the implementation of auctions instead of fixed tariffs.
The new EEG 2017 will lead to a more cost efficient generation of renewable energy in the future. It will also lead to a concentration of future operators, given the fact that financial investments must be undertaken to be allowed to participate in auctions. In any case, it is a big step forward to refrain from a system of highly subsidised energy to a more market prize orientated approach.
Silke Goldberg
Partner, London
Silke is a partner specialising in energy law. She is Global Head of ESG and leads the firm's Climate Change practice.
Energy mergers and acquisitions
Dr Marius Boewe
Partner, Germany
Dr Marius Boewe is a Partner in our Düsseldorf office and leads our German Regulatory practice.
Administrative and Public Law


Her mom's name was Chief (actual given name on Census, etc.) and was said to be of Native ancestry. Looks like the combination of Native American, Mid Turkic (Central Asia/Altai, etc) and NorthEast Asian (Siberia) prove it's true.
Everything else seems on par/on average for an African American(?) Do you guys notice anything interesting here?
Chief is an awesome name!
Thank you for posting her results.


text:
Q: Can't set IsSelected property for a ComboBoxItem When I try to set the IsSelected for a ComboBoxItem it throws Set property 'IsSelected' threw an exception. What should I do?
Here's the XAML:
<ComboBox x:Name="rowsPerPageCombo" HorizontalAlignment="Left" VerticalAlignment="Center"  Width="120" SelectionChanged="rowsPerPageCombo_SelectionChanged" Background="White">
        <ComboBoxItem x:Name="Page10" Content="10" IsSelected="True"/>
        <ComboBoxItem x:Name="Page20" Content="20"/>
        <ComboBoxItem x:Name="Page30" Content="30"/>
        <ComboBoxItem x:Name="Page40" Content="40"/>
        <ComboBoxItem x:Name="Page50" Content="50"/>
 </ComboBox>

A: Try setting the SelectedIndex property to 0 instead of setting the selected item on the ComboBoxItem element
<ComboBox x:Name="rowsPerPageCombo" SelectedIndex="0" HorizontalAlignment="Left" VerticalAlignment="Center"  Width="120" SelectionChanged="rowsPerPageCombo_SelectionChanged" Background="White">
    <ComboBoxItem x:Name="Page10" Content="10" />
    <ComboBoxItem x:Name="Page20" Content="20"/>
    <ComboBoxItem x:Name="Page30" Content="30"/>
    <ComboBoxItem x:Name="Page40" Content="40"/>
    <ComboBoxItem x:Name="Page50" Content="50"/>
</ComboBox>

A: It's difficult to say where your error is without having seen your code but make sure that the window has been loaded before yoy try to anything in the SelectionChanged event handler. You could return immediately if the IsLoaded property returns false:
private void rowsPerPageCombo_SelectionChanged(object sender, SelectionChangedEventArgs e)
{
    if (this.IsLoaded)
        return;

    //your code...
}

If you remove SelectionChanged="rowsPerPageCombo_SelectionChanged" and don't handle the SelectionChanged event you will probably get rid of the exception. Otherwise it is related to something else in your code.

redpajama_set_name: RedPajamaStackExchange


text:
Q: Why is opening a second ADO client-side recordset so terribly slow? Repro

*

*Create an SQL Server table with a lot of rows:
CREATE TABLE largetable (field int);

INSERT INTO largetable (field)
SELECT TOP 10000 ROW_NUMBER() OVER(ORDER BY t1.number)
  FROM master..spt_values t1 CROSS JOIN master..spt_values;

*Create a new VBA project (e.g. Access or Excel 2016) and add a reference to "Microsoft ActiveX Data Objects 2.8 (or 6.1) Library".

*Modify the following repro code to include the correct connection string to your SQL Server database. Then execute it in your VBA module:
Public Sub Repro()
    Dim cn As New ADODB.Connection
    Dim r1 As New ADODB.Recordset

    cn.ConnectionString = "Driver={SQL Server Native Client 11.0};Server=...;Database=...;Trusted_Connection=yes"
    cn.Open

    ReadLargeTable cn       ' Fast (0.01-0.03s)

    r1.CursorLocation = adUseClient
    r1.Open "SELECT 1", cn, adOpenStatic

    ReadLargeTable cn       ' Slow (6-10s)

    r1.Close

    ReadLargeTable cn       ' Slow (6-10s)

    Set r1 = Nothing

    ReadLargeTable cn       ' Fast (0.01-0.03s)

    cn.Close
End Sub

Private Sub ReadLargeTable(ByVal cn As ADODB.Connection)
    Dim d As Double
    Dim r2 As New ADODB.Recordset

    d = Timer
    r2.CursorLocation = adUseClient
    r2.Open "SELECT field FROM largetable", cn, adOpenStatic
    Debug.Print Timer - d

    r2.Close
    Set r2 = Nothing
End Sub

Question
As you can see, opening a second client-side cursor is painfully slow if another one is already open. I would like to know why this happens and what I can do about it.

More details
Using SQL Server Profiler, I can see that the "slow" and the "fast" scenarios differ.
This is what a "fast" query looks like:
SQL:BatchStarting   SELECT field FROM largetable
SQL:StmtStarting    SELECT field FROM largetable
SQL:StmtCompleted   SELECT field FROM largetable
SQL:BatchCompleted  SELECT field FROM largetable

This is what a "slow" query looks like:
RPC:Starting
  declare @p1 int
  set @p1=0
  declare @p3 int
  set @p3=16388
  declare @p4 int
  set @p4=8193
  declare @p5 int
  set @p5=0
  exec sp_cursoropen @p1 output,N'SELECT field FROM largetable',@p3 output,@p4 output,@p5 output
  select @p1, @p3, @p4, @p5

RPC:Completed
  ...same SQL as above...

RPC:Starting    exec sp_cursorfetch 180150003,2,0,1
RPC:Completed   exec sp_cursorfetch 180150003,2,0,1
RPC:Starting    exec sp_cursorfetch 180150003,2,0,1
RPC:Completed   exec sp_cursorfetch 180150003,2,0,1
RPC:Starting    exec sp_cursorfetch 180150003,2,0,1
RPC:Completed   exec sp_cursorfetch 180150003,2,0,1
...repeat 10000 times...

So it appears that when the query is fast, all the data is loaded in one batch, whereas when the query is slow, each record is transmitted individually.
Obviously, I'd like to force ADO to always use the "fast" route, even if another client-side cursor is already open.

Additional notes

*

*I am aware that Recordset.Open can return a different type of cursor than the one requested. In this case, checking CursorType and CursorLocation after rs2.Open reveals that in both cases (slow and fast) a client-side static cursor is returned.

*I have tested the following SQL Server ODBC drivers, and the problem can be reproduced with all of them:

*

*the "classic" MDAC {SQL Server} ODBC driver,

*SQL Server Native Client 11.0,

*the most up-to-date ODBC Driver 17 for SQL Server.

*The problem can not be reproduced with the SQL Server OLE DB driver. We use ODBC instead of OLE DB, because the OLE DB driver was deprecated. I am aware that it was un-deprecated some time ago, but we currently do not plan to migrate our DAL.

*Enabling MARS (MARS_Connection=yes) does not make a difference. SQL Server Profiler shows that both recordsets use the same connection. This is not that problem.

*We use ADO instead of ADO.NET because MS Access does not have built-in support for .NET code yet.

*We don't want to use server-side cursors. They are evil and have their own sets of problems. We just finished migrating away from them.

A: If the recordset specifies adUseClient but the connection does not, a second  adUseClient recordset makes everything horribly slow.
This showed up for me when users open two forms at once, each with an ADO RecordSource. With just one form open, everything is fine. With two forms open, forget it!
The solution is to have a second connection, with adUseClient. Any number of recordsets can use this connection without slowness. A form's Form_Load typically contains Set Me.Recordset = BackendQueryUseClient("SELECT * FROM MyTable").
I'm using SQL Server authentication. I clone the current connection and store the second connection in a Static, created on first use, so it can be used for subsequent requests without the overhead of opening a new connection for each request. I use the DiscardCache option to close the connection if needed.
Public Function BackendQueryUseClient(ByVal q As String) As adodb.Recordset
Dim rs As adodb.Recordset
Set rs = BackendConnectionUseClient.Execute(q)
Set BackendQueryUseClient = rs
End Function

Public Function BackendConnectionUseClient() As adodb.Connection
Static pConnection As adodb.Connection
If pConnection Is Nothing Then
  Dim cs As String, csNew As String
  cs = CurrentDb.TableDefs("Employees").Connect     ' choose any table that will be in the Backend DB
  Set pConnection = New adodb.Connection            ' existing connection string won't round-trip so must be rearranged
  pConnection.CursorLocation = adUseClient
  csNew = "ODBC;DATABASE=" & CSValue("DATABASE", cs) & _
          ";SERVER=" & CSValue("SERVER", cs) & _
          ";DRIVER=ODBC Driver 17 for SQL Server;" & _
          ";UID=" & CSValue("UID", cs) & _
          ";PWD=" & CSValue("PWD", cs)
  pConnection.Open csNew
  pConnection.Execute "USE [" & CSValue("DATABASE", cs) & "]"
End If
Set BackendConnectionUseClient = pConnection
End Function

Public Function CSValue(Keyword As String, ConnectionString As String) As String
CSValue = RegExpFirstMatch(Keyword & "=([^;]+)", ConnectionString)
End Function

' Return "" if no match found
Public Function RegExpFirstMatch(Pattern As String, SourceString As String) As String
Dim RegEx As RegExp, matches As MatchCollection
Set RegEx = New RegExp
RegEx.Pattern = Pattern
Set matches = RegEx.Execute(SourceString)
If matches.Count > 0 Then
    RegExpFirstMatch = matches.Item(0).SubMatches(0)
End If
End Function


text:
Watch Craig David's Impressive Rap Over Jack Ü's 'Where Are Ü Now'
The British singer has repeated his impressive lyrical burst, this time for an audience of thousands. And with Major Lazer as his sidekicks.
By Lars Brandle
Lars Brandle
More Stories by Lars
SZA Ousts Taylor Swift From Australia's Chart Summit
Archie Roach Posthumously Recognized In Australia Day Honors
Sam Smith Talks 'Gloria,' Confidence and 'Expressing the Liberation I've Been Feeling'
Diplo of Major Lazer performs on stage at Sala Razzmatazz on Aug. 18, 2015 in Barcelona, Spain. Xavi Torrent/Redferns
Craig David always boasted he was born to do it. The British R&B singer won a lot of respect and reminded many others of his talents when video went viral last month of his mash-up of "Fill Me In" with Jack Ü's "Where Are Ü Now"…with a rapid-fire freestyle thrown in for good measure.
The one-time U.K. Garage star has repeated his impressive lyrical burst, this time for an audience of thousands. And with Major Lazer as his sidekicks.
Paul van Dyk Announces Genre-Blending VENTURE X Project: Fans 'Deserve More Than a Top 10 Dance…
Jack Ü and Major Lazer co-founder Diplo was apparently so taken by David's cover for BBC Radio he invited the artist to join Major Lazer for its show at London's Alexandra Palace. David tweeted a clip of their live collaboration, which can be seen below.
David's career exploded out the blocks following the release of his 2000 debut Born To Do It, which yielded the U.K. No. 1s "Fill Me In" and "7 Days," the first of which earned him plaudits as Britain's youngest male to write and sing a No. 1 (he was 18 years, 11 months and 10 days at the time). Born to Do It is certified platinum in the U.S., where it peaked at No. 11 on the albums chart.
The singer followed-up with 2002's Slicker Than Your Average, which reached No. 32 on the Billboard 200. In the space of less than 18 months, David had six U.K. top 10 singles to his name.
Going on differently for 2016!!! @majorlazer @diplo #alexandrapalace #Lit pic.twitter.com/XIv0QxhDug
— Craig David (@CraigDavid) October 17, 2015


text:
by Yanissa Perez de Leon | Nov 25, 2017
Panel Discussion Talks Blockchain for Government, Federal Contractors
Information Technology (IT) and Emerging Technology
While mostly known as the technology behind the digital money Bitcoin, blockchain has other uses that are gaining traction across government. Blockchain can help improve cybersecurity, increase transparency, and speed up contract award processing and proposal review times.
At a panel discussion presented by the Professional Services Council in partnership with IBM Center for The Business of Government in Washington, D.C., "Blockchain for Government and Federal Contractors" discussed the hype around blockchain and what contractors should know as partners with government organizations exploring the distributed ledger technology.
This panel included an esteemed list of guest speakers including: Combiz Abdolrahimi, Treasury representative to the FedID Planning Committee and senior policy advisor for the U.S. Department of Treasury; Jose Arrieta, director of the IT 70 Schedule Contract Operations for the General Services Administration (GSA); Bo Shevchik, Alliance Director for the Federal Reserve Bank of Boston and co-chair of the Association of Government Accounts Blockchain Working Group; and Mark Fisk, partner with IBM Digital – Global Business Services and moderator of the panel discussion.
The panelists expressed that blockchain is a game changer and government should continue to look for ways to implement it. While a complex topic, this session began with a breakdown of the basics and why government agencies should care about this new capability and its overall value.
Blockchain is a decentralized technology that is just a continuously growing list of records that are linked and secured, like a digital transaction database. As a distributed ledger, a blockchain is usually managed by a peer-to-peer network agreeing to follow a set protocol for validating new blocks. The data in any given block cannot be altered without the modification of all following blocks once recorded. This would require the approval of the network majority so it's basically resistant to change.
The technology allows digital information to be distributed but not copied. Because of this, it addresses trust, transparency, and accountability. And while the biggest challenge is that no one owns blockchain so there's no real governance, it also means the data collected can be shared without risk of it being copied or modified.
Jose Arrieta shared his experiences implementing blockchain for GSA. Arrieta looked at the business process of Schedule 70 contracts, mapped out the optimal path to complete the process, and identified bottlenecks within that process. Arrieta and his team were then able to implement blockchain technology by putting everything into a distributed ledger, redesigning user interfaces, and then automating the processes. This allowed users to only have to enter the information once instead of logging into multiple systems, which also meant it could eliminate the need for outsourced tools.
According to Arrieta, be open to redesigning the business process and taking on fundamental changes to the baseline technology. In addition, the value comes really from implementing through the entire business network.
Shevchik and Abdolrahimi followed with key takeaways like the concept of asking what the problem is and identifying that first. The panelists advised that there is no shortcut to learning how to best implement blockchain so stayed informed, research, and continue to experiment. In addition, continue to think about current challenges and how to apply blockchain as a solution. As they said, we need to improve citizen services and access to those services so let technology play a part in this for government.
You can learn more about the Professional Services Council and the IBM Center for The Business of Government by visiting the respective links.


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We rescue animals in need such as seniors, special needs, and pups or kittens who have had a rough start in life. Please help Dolly's Legacy in our mission to save them.
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Pack-i-neau.....Parshall over Trinity 07 finals. the best high school game ive seen in person. with the stage it was on, and 90% of the biudling pullin for Parshall. do i dare even say it...4 point play haha.
Not the most exciting game I have ever seen, but I bet I never see anything like it again.
Wild Wolves wrote: New Rockford state title.
Im not saying this because I went to NRS but I agree I have never seen a team since this title play like them. Teams before that I havnt seen could have but from what ive seen they were on top.
Hettinger had the Vliem brothers, Mack, I think a Morey and Regent had Sheldon, Monkey, Wiseman.
I am honored to hear that someone commented on the Sheldon-Chaffee 1993 team as being one of the greatest class B teams ever. I am the one that broke the backboard at the district tourny and still feel that on our best night, we could have beaten anyone. We had a team that was unlike any other. I remember nights when we had 5 to 6 guys that were in double figures. There may have been a shining night for one person, but we were unselfish and deticated to the team because of our coaching staff. Dave Schill and Kevin Bratland ( sorry if the spelling is wrong) were the best coaches that I have been around and I still use the teachings that I recieved from them to this day. Thank you to Dave and Kevin for giving us the memories that everyone on this team still holds and thank you to the fans that still remember the greatest days of our sporting careers. After 16 years I finally found the sports bloopers dvd of me breaking the backboard thanks to a teammate and best friend of mine Jason Schatzke.
A team with an abundance of talent doesn't make it a good team, but a team that plays as a team with a common goal makes it a legacy.
How far did the Sheldon-Chaffee team of 1993 get?
Flying Wallenda wrote: How far did the Sheldon-Chaffee team of 1993 get?
Don't get me wrong, I just thought it was cool for someone to remember our team the way that we did. We took 3rd in Regionals. We got beat by Oaks in the semifinals by two(they shot 75% from the field) the only other loss came in the regular season with a 7 point loss with starters riding the bench with injuries. I'm not claiming to be one of the top class B teams by any means I just thought it was nice to even be mentioned. 23-2 season and losing 2 games by a total of 9 points, winning the Barnes County tournement, District tournement and being knocked out by 2 points in Regionals isn't bad for a small school team that played ironman ball with 6 or 7 players every night.
I wasn't knocking your team, I just geniunely didn't know how far you guys got.
I have a couple: the first one I witnesses on T.V., but I can't remember for sure what year it was... But it was Bismarck High's Russell Archambault banking in a half-court shot to give the Demons a win that placed them in the Class A State Championship game... I want to stay it was around 1994, but I'm not for sure... The other game I witnessed in person and it was during the 1997 season... Belcourt at St. Mary's, the game went into three overtimes, with Belcourt having to hit last second shots at the end of regulation and at the end of the first and second overtimes, all were made by different players... and the game was won by Belcourt on a fade-away three pointer in the corner made by Mark Desjarlais with no time remaining, just an awesome game, I couldn't hardly talk after that one!
No offense, but I thought that was one of the worst championship games I'd ever seen. Great ending, no doubt, but I thought it was pretty boring for the first 30+ minutes. I mean, 34-32, give me a break. I imagine both teams played better games at times earlier in the season.
robdooley wrote: isn't bad for a small school team that played ironman ball with 6 or 7 players every night.
welcome to class b basketball??
Does anyone remember the 1988 region 7 championship, undefeated Ray at 22-0, number 3 in the state, and Divide County? Divide County made a shot from the hash mark with a guy in his face, at the buzzer to win the game, Divide went on to play Edmore in the state championship and ended up finishing 2nd.
smalltowner wrote: Does anyone remember the 1988 region 7 championship, undefeated Ray at 22-0, number 3 in the state, and Divide County? Divide County made a shot from the hash mark with a guy in his face, at the buzzer to win the game, Divide went on to play Edmore in the state championship and ended up finishing 2nd.
Yes, I was there, lived there, Darwin Lindsey is the name of the guy that made the huge three coming off the curl right in front of us! That was an awesome game!!!
shs01240 wrote: i will have to continue the trend of being a homer and go with any game where Jacobson and Boschee went head to head. i was just a little guy and jacobson was my hero.
also this year shanley had 3 buzzer beating vicories over Wahp, North, and RR. sent the fans into a crazy frenzy. but mainly the old-school jacobson-boschee dual.
I have witnessed many good games but the one that sticks out as the best was St. John and Dunseith at the turtle mt. community college last year. St.john dominated the whole game and led by 12 with 2 minutes left, then dunseith turned it on and came back to beat st.john by like 8. It was an awesome display of defense and teamwork.
I would still have rather seen the 4-2 game than behlovak dropping 50. I'm not taking anything away from him by saying this, but the 06 championship game was an amazing game. It was a defensive struggle the whole game and neither team got a lead of more than six or seven points. Either of those teams could have won the championship,but, that game showed that defensive wins championships. Look at some teams today in the nba who are dropping almost 100 pts a game but are terrible because they have no defensive, anybody can score, you don't have to work half as hard on offensive then you do on defensive. Do you have any idea how trinity made seven trips to state in a row? It's because they worked their butts off on defense and the offense came. Also, trinity plays like a team, grinny hates stud ball and if they play stud ball they get to ride the pine, not play. Once again i'm not taking anything away from behlovak's ability, he's a great player, but how do you score 50 points in one game? i didn't see the game but, from what i hear williston would have won that game if they would've played some d to stop behlovak.
tdog09 wrote: I would still have rather seen the 4-2 game than behlovak dropping 50. I'm not taking anything away from him by saying this, but the 06 championship game was an amazing game. It was a defensive struggle the whole game and neither team got a lead of more than six or seven points. Either of those teams could have won the championship,but, that game showed that defensive wins championships. Look at some teams today in the nba who are dropping almost 100 pts a game but are terrible because they have no defensive, anybody can score, you don't have to work half as hard on offensive then you do on defensive. Do you have any idea how trinity made seven trips to state in a row? It's because they worked their butts off on defense and the offense came. Also, trinity plays like a team, grinny hates stud ball and if they play stud ball they get to ride the pine, not play. Once again i'm not taking anything away from behlovak's ability, he's a great player, but how do you score 50 points in one game? i didn't see the game but, from what i hear williston would have won that game if they would've played some d to stop behlovak.
The shots Belohlavek was making were incredible. He would hit fade away's over Brian Qvale's outstretched arms. He would hit running jumpers off the backboard while falling sideways. On the other end, Qvale had 38 points, so it was a great game on both sides. There were numerous charges taken, many lead changes, and it has been, by far, the single most amazing ND game I have watched.
this is about a loaded question if I have ever seen one no matter what, you are going to have others that disagree with you. The 50 pointer would have been awesome to see, especially against williston. Good for you, you got to witness this first hand.
ndbsktbllfan wrote: this is about a loaded question if I have ever seen one no matter what, you are going to have others that disagree with you. The 50 pointer would have been awesome to see, especially against williston. Good for you, you got to witness this first hand.
I don't think there is any one right answer. The 4-2 game could have been amazing, but if someone isn't there to see it, they can't appreciate the game's greatness.


text:
Video	 May 9, 2019 May 9, 2019
Actor Zac Efron searches for carp on the LA River
In the latest episode of Zac Efron's "Off the Grid" Youtube Series, he is joined by Matus Sobolic of @CaliCarpin, and his brother Dylan Efron. The trio then hit the famous LA River on the hunt for urban carp on the fly. The LA River offers an amazing escape from the urban spread of Los Angeles. Follow along as the group fly fishes, skates and explores this unique fishery. (From Flylords Magazine)
Filed under: Carp, Dylan Efron, LA River, Matus Sobolic, Zac Efron
CalTrout's new campaign 'Dams Out' targets Malibu Rindge Dam
From California Trout: Rindge Dam, located three miles upstream from Malibu coastline, is listed as one of the Top 5 California dams to remove in our latest report.
Built in 1926, it once provided water for irrigation and household use in Malibu. However, after just 30 years, the 100-foot dam became obsolete after the reservoir filled entirely with sediment. Today it is part of Malibu Creek State Park and remains a total barrier to southern steelhead migration.
Removing Rindge Dam will reconnect access to over 18 miles of high-quality spawning and rearing habitat for the federally threatened southern steelhead.
Reopening the upper reaches could restore the fishery and establish it as a nursery for this particular strain of steelhead so that the population can recover and become abundant once again.
It's been a decades-long battle but CalTrout remains committed to removing Rindge Dam and reconnecting habitat for endangered southern steelhead.
Filed under: California Trout, Rindge Dam, Southern Steelhead
River stories, Video	 May 4, 2019 May 4, 2019
'Carpe Diem,' the film (and it's hilarious)
Filed under: Carp, Carpe Diem
Editorial, Video	 August 14, 2017 September 20, 2017
Editorial: Let's not forget, the river must come first
Click above to watch a clip from KCET's 'A Concrete River: Reviving The Waters of Los Angeles.' (Courtesy KCET)
In our all-too-human rush to progress, unexplored, poorly researched goals can lead to more problems than the fix solves.
How about the car? Sure, it got rid of those messy horses and fly-infested dung piles messing up the roads, but, in turn, we got smog, gridlock and a woeful public transit system from our embrace of the "horseless carriage."
Or old-school refrigeration? Sure, your ice doesn't come in blocks anymore, and your meat isn't spoiled, but CFC refrigerants had to be reinvented to combat a growing hole in the ozone. And that reinvention, hydrofluorocarbons (HFCs), turned out to be worse than carbon dioxide as a greenhouse gas.
The Los Angeles River no longer has winter flooding, thanks to the work of the Army Corps of Engineers, but we no longer have an actual river running through Los Angeles, nor the ecosystem it supported. And now is the time to ask what kind of solution we will get to the one that fixed the original problem,
In recent years, the river has become a money magnet enabling politicians from Los Angeles, to Sacramento, to Washington. This comment after a July press conference post about the river receiving $100 million in bond funds hit home for readers of this blog.
Mark Gangi says:
July 7, 2017 at 5:08 pm Edit
Just hope they don't screw up the fishing by confusing what a park is with what a river is.
At first, Mark's comment seemed so straightforward to me that I missed his point. But it became clear as I listened to this interview with Tim Brick, managing director of the Arroyo Seco Foundation with A. Martinez on KPCC public radio.
Brick wants to restore the ecosystem, so that steelhead can return from the ocean to their mountain home. Is a plan that far-reaching anywhere in the planner notes?
This was also the rallying cry of co-Friends of the Los Angeles River founder Lewis MacAdams. "When the steelhead come home, we'll know we've done our jobs" he would remind basically everyone who would listen. But since his retirement, that lofty goal seems to have slipped past advocacy groups that once rallied around his vision.
At that July press conference, California Senate President Pro Tempore Kevin de Leon (D-Los Angeles) proudly announced that he'd chosen this location, Marsh Park, because it was his first legislative victory. And, good on him. We need to have more public spaces for our underserved communities. But as I listened to one after another of the elected and appointed officials at the press conference, not one mentioned the steelhead trout, or creating an environment for its plausible return.
One hundred million dollars is quite a large sum of money and, as I understand it, the cash will be divvied up through grants chosen by two public agencies, each tasked with creating more green space along the river. That's all good, but what about the river, itself?
As I say in the clip above, I've never caught a cold-water fish in the LA River because they're aren't any. The habitat that once supported thousands of steelhead is now so hot only intrepid warm-water fish can survive.
(Credit Jim Burns)
In 2011, I asked city officials and river advocates about this same topic in "Will steelhead ever return to the L.A. River?"
As select administrators for both the city and the Army Corps huddle over what the redesign should look like, one that will bring more than $1 billion to river restoration one this decade and beyond, let's hope that a habitat worthy of steelhead trout is at the top of their agenda, before parks, before soccer fields and before condo developments.
Is it too crazy to ask for a fish passage through all of the concrete up to and including Devil's Gate dam in Pasadena, the gateway to historical steelhead spawning grounds?
Is it too crazy to give the Los Angeles river mascot "Steelhead Fred" an opportunity to return to his historic home water?
This time we need to take the sober, long view before our "rush to progress" clouds our vision, one in which we return to nature — and to ourselves — what was taken away.
p.s. Can you find the flaw in the KCET video? Let me know.
Flying Fish says:
August 16, 2017 at 7:35 am Edit
Looks like a steelhead SALMON to me……
Filed under: "A Concrete River", fly fishing, KCET
Video	 April 5, 2017 April 5, 2017
Spring spawn 2017 is on!
Filed under: Los Angeles River, Spring Carp Spawn
Video	 June 23, 2015
New video: 'Carp on the Fly, Los Angeles River'
What name should this carp we call? (Ryan Anglin)
Take a look at this engaging new video from Ryan Anglin (real name, born to fish!)
It certainly represents the way I've felt many times on our river — serenity sans hip-hop soundtrack. I guess it's easier to see the river from a bling perspective — fly in; take some shots; catch some fish; fly out; edit, complete with stereotypes — but this piece captures the peace I feel on this magical waterway.
Should come with a NSFW warning — watch it and you'll leave your cube early to get out there.
Filed under: Carp, Los Angele River, Ryan Anglin
Tying, Video	 March 7, 2015 March 9, 2015
The two-part Saturday
UPDATE, March 8: Greg Madrigal of Sierra Nets writes,
I took a couple buddies down to the LA River in Long Beach and we saw hundreds upon hundreds of carp, but could not get any to go! It was very frustrating but exhilarating at the same time.
I don't think there was a better day than today anywhere else. Really. We Angelinos have it made if we'd just get out of our cars, get outside and LOVE what we've got going on the Left Coast.
After my niggling review of the Orvis Beginner's Carp Fly book in the previous post, I felt sheepish attending the free Orvis fly tying class. There were only three of us knocking on the door in Pasadena at 9 a.m., and all I can tell you is run, don't walk, to the next session given by the incomparable Frank Burr. Ready smile, terrific stories, and Frank has been tying flies for more than 40 years, beginning in grade school! The man has the skill and patience to make you a better tyer.
WAIT! What's that speck doing in my bourbon bottle? (Jim Burns)
Without his gentle guidance I would have never had the confidence to try tying a No. 20 beadhead midge. I mean, those suckers are small. The bead looks like a dust mite and the hook resembles a speck you might flick off your kitchen counter. With Frank's guidance, all three of us produced something that was at least close to the midge we were imitating. Awesome. Thank you, Frank.
Then, off to the LA River. As soon as I got there, I knew I was toast because of the cruising, crazy-lovin' behavior going on close to the weeds. Big females and small males had a high, old time, which didn't mean they didn't spook easier than normal. I knew working weekends would make me miss the pre-spawn, when the hookin' is easy (ier), and, sure enough, that's what happened. Still, I saw at least 30 fish in a few hours, including having several bruisers swim between my legs!
In honor of this skunk, which beats the hell out of working, I'm offering the skunk video from a couple of years ago. Enjoy. And if you hook up, please send pics!


My hotel was the Cosmo and I was very please with my choice. Although the room is quite small, it included all the main features you will need like hairdryer, TV, coffee and tea maker, air conditioning. Everything in the hotel is new and clean.
Breakfast is not include in the rate, but they offer a 24 hours service of coffee and tea which I really appreciated, including some fruits like apple, bananas and pears.
But I really love about the hotel was the Handy. We had free Wi-Fi everywhere in the hotel, but they offered you an extra. The Wi-Fi in your room is provided by a 3G smartphone that worked as Wi-Fi Hotspot that you could take with you everywhere in the city and have Wi-Fi all the time. That is really helpful when you are traveling.
More hotels should offer guests this option.
The staff was really nice and helpful. We also loved the idea of having a free shuttle to some points in the city, saving time and money in a very comfortable way.
We really do recommend the hotel.


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A Time and a Place — живий альбом англійської групи Emerson, Lake & Palmer, який був випущений 14 травня 2010 року.

Композиції
 The Barbarian
 Take A Pebble
 Ballad of Blue
 High Level Fugue
 Hoedown
 Still… You Turn Me On
 Lucky Man
 Karn Evil 9 (1st, 2nd & 3rd Impressions)
 Peter Gunn Theme
 Pictures at an Exhibition
 Tiger in a Spotlight
 Maple Leaf Rag
 Tank
 Drum Solo
 The Enemy God Dances with the Black Spirits
 Watching Over You
 Pirates
 Tarkus
 Show Me The Way To Go Home
 Knife Edge
 Paper Blood
 Black Moon
 Creole Dance
 From The Beginning
 Honky Tonk Train Blues
 Affairs of the Heart
 Touch And Go
 A Time and a Place
 Bitches Crystal
 Instrumental Jam
 Fanfare for the Common Man — America — Rondo
 Introduction
 The Endless Enigma
 Abaddon's Bolero
 Jeremy Bender — The Sheriff
 Toccata
 Jerusalem
 Nutrocker
 C'est La Vie
 Piano Concerto No. 1 3rd Movement
 To Believing
 Close To Home
 I Believe in Father Christmas

Учасники запису
 Кіт Емерсон — орган, синтезатор, фортепіано, челеста, клавішні, орган Гаммонда, синтезатор Муґа
 Грег Лейк — акустична гітара, бас-гітара, електрогітара, вокал
 Карл Палмер — перкусія, ударні

Джерела
 A Time and a Place  allmusic
 A Time and a Place  last.fm

Альбоми Emerson, Lake & Palmer

redpajama_set_name: RedPajamaWikipedia


text:
Spanje deed in 2007 mee aan het Eurovisiedansfestival.

In 2007 stuurde Spanje Amagoya Benlloch en Abraham Martinez naar het festival. Met de chachacha en paso doble haalden ze een 10de plaats.

In 2008 deed Spanje niet meer mee.

Lijst van Spaanse deelnames

Eurovisiedansfestival


We who are CPAP users all know that it's not a quick fix.. it takes time, patience and most of all, education to figure out how to get well using it.
That said, we live in an age of instant gratification. Of high speed internet access, accustomed to getting our problems solved immediately.
Do we as a culture really have an appetite for CPAP? Or for Sleep Apnea to really gain the awareness it deserves, do we need a more "quick fix" treatment modality?
Carl, the current treatment choices for people with severe OSA are to become compliant with CPAP or get a trach., and my choice was to become compliant with CPAP. For most people, becoming compliant with CPAP requires motivation and determination, and many people give up -- they do not make a choice, they give up. Many people wish for an easier treatment for OSA, and someday an easier treatment method might be found. I have made my peace with CPAP because I don't want a trach.
I have 100% compliance - my last check revealed 379 days out of 379 usage - but my CPAP is only a partial answer in that I can function with it but can't without.
Functioning is the key word; I am not fullly or even adequately rested, I still have headaches, dry mouth and some days, episodes of pressing need to sleep.
But without the CPAP everything is so much worse.
I have absolutely no idea why CPAP isn't a better answer and even less idea, if that's possible, as to where I might go for help. So I just take it for what it is and try not to obsess about it.
One day, there will be a better answer. (I've always thought a vacuum generating bandage worn on the outside of the jaw and throat would be a better, less invasive solution than a m/c blowing air into me but nobody makes one, yet...). And when it arrives I hope I find out about it!
No, I don't think straight CPAP is all there is.
Have you even looked at, heard of, or tried the newer ASV machines (I say "newer" because they've been approved for insurance since 2006)? ASV will drop the pressure greatly when you are breathing normally, track your normal respiration, then kick in when it detects a cessation of breathing.
And before someone says "ASV is just BiPAP", while the principle is the same, the fact that it doesn't run at such high pressures all the time, adapts to YOUR breathing rate, and only kicks in when you drop below 90% of your normal rate makes me hopeful that I won't end up waking up and gagging like I did with the BiPAP trial.
"And before someone says "ASV is just BiPAP", while the principle is the same, the fact that it doesn't run at such high pressures all the time, adapts to YOUR breathing rate, and only kicks in when you drop below 90% of your normal rate makes me hopeful that I won't end up waking up and gagging like I did with the BiPAP trial."
Good luck Carl. I wish that I was running your study.
My doctor and provider are the unmotivated ones, and uneducated to the extent that I made myself in an afternoon and a half. Personally, I agree with Brad; OSA is a simple, physics problem, and why there isn't more being done to find a surgical solution that is more or less failsafe, I don't know. I do know there is a surgeon at Duke who has cured OSA--severe--in two people in my office by, in essence, performing several surgeries at once. Both of these people say it hurt like hell to do this, but they'd do it a second time in a heartbeat to feel as good as they do now and never have to sleep with a device roosting on their face all night, every night, ever again. This doctor pretty much gives everyone the same treatment and says he "cures" the apnea--he sure did with the two people I know. Secondly, my migraine doctor discovered I have Hashimoto's thyroiditis, which has implications for OSA. The tissues in the palate and throat swell with this diseasea process; treatment alleviates the swelling. My doctor believes my apnea will go away with sufficient thyroid treatment. Interestingly, since I've been on just a somewhat subtherapeutic dose of thyroid, I have started pulling my CPAP mask off while I'm asleep, without memory of having done so. The remarkable thing is that I wake up with the mask on the floor, but I'm reasted and I've dreamed!! So I'm wondering . . .
I am sure that some number of people who are new to CPAP have problems that are not corrected by their CPAP and some number of people have problems, such as ill fitting masks or mouth breathing, that need to be addressed. From reading posts in apnea forums, it seems that a number of people lack the motivation or determination needed to become compliant with CPAP. I have heard that something like 50% of people who are provided with CPAPs give up on them -- that is a whole lot of unmotivated people.
The Stanford surgeries do dramatically reduce the AHI of some number of patients. They are not "cures" and they are not universally effective; I would also like to see how many are still effective after five years. I have also had an MMA with a few other things, and a UPPP. I know how painful the surgeries are -- and I still have apnea.
Properly set up and used, CPAPs dramatically reduce the AHI of virtually all patients who are compliant with them, and they retain their effectiveness long-term. I find CPAP to be very much less painful and intrusive than the MMA and UPPP.
For me, this has been the most frustrating physical problem I've ever had, mainly because I can't seem to find a mask that will work for me, without leaving sore marks on my forehead and the bridge of my nose. And then there was the gel one that just wouldn't stay where I told it to! That just continuously blew air into my eyes.
I didn't expect a quick fix since I have several maladies that are not going to go away and all I can do is hope to keep them under control. But what does drive me crazy is that there's a go-between, a RT who's very nice and says I should keep coming back until I find a comfortable mask, but despite that, I hate to bother him. I really feel like a moron.
So even though we do live in a society of quick fixes, I didn't expect one. I did think I'd have a mask by now, however.
Kathleen, use that RT until you find a comfortable mask. I have used my DME to the point that my roommate says I can't call him anymore, I'm a pest. LOL. I have to say he has gone out of his way to try me with different masks, I have big issues with the skin of my nose breaking down to the point I had to take 19 days off to let it heal. Pad-a Cheek makes a product that fits over the forehead piece and then down over the bridge of the nose. I didn't find the piece over the bridge of the nose effective, but the forehead pad helped. Mack's silicone ear plugs can also be molded to pad the bridge of the nose, you can also use bandaids, moleskin, duoderm (buy one piece until you try it, it's expensive, amazon sells it by the piece) and there is also a comfort gel pad available from on line cpap suppliers. Please don't let this get out of hand. Part of the reason I think my DME is so accessible right now is that he realizes he should have been more aggressive when the problems with my nose would not resolve. You are not a moron. None of us are who are serious about our treatment and want to get it right. I think the mask rates high on the list of cpap difficulties. Also your pressure if high, can make mask success difficult.