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Suicide (Prevention) Notes
All presentations are held in the Hartford Room from 12pm-1:15pm unless otherwise noted. The schedule below will include abstracts, learning objectives, and recommended readings for each presentation when available.
Upcoming PresentationsPast Presentations Previous Grand Rounds
Out of an abundance of caution regarding COVID-19, presentations will be live streamed ONLY - no live attendance is being offered at this time.
This professional education activity supports the Institute's goal of clinical excellence and presents clinically relevant information from a variety of mental health disciplines. Areas of focus include new research and treatments, evidence-based practices, applied psychopharmacology and research on brain structure, and function, and current issues and controversies. In addition, several dates during the year are devoted to The Institute of Living Annual Treatment Update Series.
Grand Rounds is open to the community except on the Thursdays designated as "Case Conferences". These conferences may be held several times throughout the year and will be limited to clinicians employed by The Institute of Living and Hartford Hospital and active and consulting Department of Psychiatry medical staff.
Note: CMEs and Contact Hours will only be available to the Hartford HealthCare (HHC) community and credentialed community providers seeking AMA PRA Category 1 Credit(s)TM for an educational activity. This refers to HHC employed staff, HHC contracted staff and providers with HHC privileges. CMEs and Contact Hours are only available to those who participated in the live seminar.
Grand Rounds Schedule (2022-2023)
Date Presentation
Topic: Function and Dysfunction Paradigms in Mental Illness
Presented by: Justin Garson, Ph.D., Professor of Philosophy at Hunter College and The Graduate Center, City University of New York.
Download the abstract and Zoom link
Topic: Radical Recovery: A Vision for the Future of the Institute of Living
Presented by: Javeed Sukhera, MD, Chair of Psychiatry at the Institute of Living and Chief of Psychiatry at Hartford Hospital
Topic: Missteps in the Treatment of Trauma and PTSD
Presented by: David Tolin, Ph.D., Founder and Director of the Anxiety Disorders Center at the Institute of Living, Adjunct Professor of Psychiatry at Yale University School of Medicine.
T opic: Virtual Reality Job Interview Training: An Enhancement to IPS Supported Employment for Adults with Serious Mental Illness
Presented by: Matthew J. Smith, PhD, Professor of Social Work, University of Michigan; Licensed Clinical Social Worker.
Topic: Language: A Window into Psychosis
Presented by: Manu Sharma, MD, FAPA, Assistant Medical Director: Research, and Innovation at the Hartford Hospital- Institute of Living
Past Presentations (2022-23)
Topic: Experts by Personal and Professional Experience (EPPE), an innovative intervention to reduce mental health stigma
Presented by: Ahmed Hankir, MBChB MRCPsych, NHS Psychiatrist, Senior Research Fellow, Cambridge University (UK), Public Engagement and Education Lead, WHO Collaborating Centre for Mental Health and Human Rights, Institute of Mental Health, Nottingham University (UK).
Download the abstract
Topic: The Mind of the Mass School Shooter: "By the Power of My AR You Will Know Who I Am"
Presented by: Harold I. (Hank) Schwartz, MD, Psychiatrist-in-Chief, Emeritus, Institute of Living. He previously served as Psychiatrist-in-Chief of the IOL and Vice President, Behavioral Health at Hartford Healthcare.
Topic: Addressing the Elephant in the Room: Shame and Sentinel Emotional Events in Health Professions Learners
Presented by: Will Bynum, MD, Associate Professor of Family Medicine, Duke University School of Medicine; Director, Duke Family Medicine Residency Program
Topic: Intimate Partner Violence: Screening & Interventions for Health and Community Providers
Presented by: Ashley Starr-Frechette, MPH, Director of Health Professional Outreach at the Connecticut Coalition Against Domestic Violence.
Topic: The Mind and the Moon
Presented by: Daniel Bergner, Author & Journalist, contributing writer for the New York Times Magazine
Topic: Centering Justice and Collective Healing in Child and Family Mental Health
Presented by: Barbara Robles-Ramamurthy, MD; triple board-certified Adult, Child and Adolescent and Forensic Psychiatrist; Assistant Professor of Psychiatry and Behavioral Sciences at the University of Texas Health San Antonio; Director of Psychiatric Services at the Bexar County Juvenile Detention Center; Director of the South Texas Psychiatric Practice-based Research Network.
Topic: Sexts, Lies & Videostream: Adolescents & Pornography
Presented by: Paul Edward Weigle, MD, associate medical director of ambulatory services at Natchaug Hospital, assistant professor of psychiatry at UConn School of Medicine
Topic: Comorbid Substance Use Disorders and Posttraumatic Stress Disorder in Veterans: Clinical Implications and Treatment Recommendations
Presented by Sarah Meshberg-Cohen, Ph.D., Director of the VA Connecticut's Outpatient Addiction Recovery Service (OARS), and is an Associate Professor in the department of psychiatry at Yale School of Medicine and Jason DeViva, Ph.D., military sexual trauma coordinator for VA Connecticut and the VISN 1 MST point of contact, and an associate professor in the Department of Psychiatry of the Yale School of Medicine
Topic: The Science of Suicide Prevention
Presented by: J. John Mann, MD, Professor of Translational Neuroscience (in Psychiatry and in Radiology) at Columbia University and Director, Molecular Imaging and Neuropathology Division at the New York State Psychiatric Institute.
Topic: Advances in the Practice of ECT for the Treatment of Major Depressive Disorder
Presented by: Shawn M. McClintock, PhD, MSCS, Lydia Bryant Test Distinguished Professor at UT Southwestern Medical Center
Annual Burlingame Award Lecture
Topic: Risk of Developing and Having Recurrent Mood Episodes in Youth with Bipolar Disoder
Presented by: Burlingame Awardee Boris Birmaher, MD
Topic: Positive Psychology and How Adolescents Can Use Their Character Strengths To Live Fuller Lives
Presented by: Janet B. Schrager, Ph.D., Clinical Psychologist
Download the abstract | Watch the presentation
Topic: Treating Obsessive-Compulsive Disorder with Exposure and Response Prevention
Presented by: David F.Tolin, Ph.D., ABPP, Founder and Director of the Anxiety Disorders Center at the Institute of Living, and an Adjunct Professor of Psychiatry at Yale University School of Medicine.
Topic: Rhythm, Timing, and Song in Early Social Development in Autism: Mechanisms and Clinical Implications
Presented by: Miriam Lense, PhD., is an Assistant Professor and clinical psychologist at Vanderbilt University Medical Center where she co-directs the Vanderbilt Music Cognition Lab.
Topic: The Revolution Won't Be Prior Authorized
Presented by: Owen Scott Muir, MD is a dual board-certified child and general Psychiatrist, and co-author of Adolescent Suicide and Self-Injury: Mentalizing Theory and Treatment.
Topic: Understanding Their World: Working With Military Service Members With Behavioral Health Needs
Presented by: Carla W. Schnitzlein, DO, adult trained psychiatrist who has been in practice since 2014.
Topic: From the Hartford Retreat for the Insane to the Institute of Living: 200 Years of Moral Treatment, Innovation and Excellence
Presented by: Harold I. (Hank) Schwartz, MD, Psychiatrist-in-Chief, Emeritus at Hartford Hospital's Institute of Living (IOL)
Sep.8, 2022
Topic: Youth Suicidality: Trends, Impact on the Workforce, & Support Services Available in CT
Presented by: Andrea Iger Duarte, MSW, MPH, LCSW, Licensed Clinical Social Worker and Public Health Professional, CT Department of Mental Health and Addiction Services; Jennifer Ferrand, PsyD, ABPP, board-certified clinical health psychologist, Hartford HealthCare's Director of Well-Being
Topic: What's Your Legacy?
Presented by: Frederick Shegog, Founder/CEO of The Message LLC
Previous Grand Grounds
Grand Rounds, 2021-2022
Topic: Experience as a Differentiator: Opportunities at the BHN
Presented by: Gerard Lupacchino, MBA, CPXP, Senior Vice President for Human Experience, Hartford HealthCare and Erica Moura, LCSW, MBA, CPXP, Director for Human Centered Care, Hartford HealthCare Behavioral Health Network.
Watch: https://youtu.be/WbVsqRnF4HQ
Topic: Clozapine Update: Which Patients Benefit and How Do We Know?
Presented by: Godfrey D. Pearlson, MD, founding director of the Olin Neuropsychiatry Research Center (www.NRC-IOL.org) at the Institute of Living/Hartford Hospital
Watch: https://youtu.be/uCdtNyRHdGs
Topic: Pathways to Biology-Based Treatments in Autism Spectrum Disorder
Presented by: Jeremy Veenstra-VanderWeele, MD, Child and Adolescent Psychiatrist
Watch: https://youtu.be/OyKP9lFgU2M
Topic: What's the Connection: LGBTQ+ Identities and Autism Spectrum Disorder
Presented by: Laura M. Saunders, Psy.D., ABPP and Derek A. Fenwick, Psy.D.
Watch: https://youtu.be/Br9c4TWwIQ4
Topic: Treatment of Complex and Comorbid OCD
Presented by: E. Katia Moritz, Ph.D., ABPP, licensed psychologist in Florida, New York, Utah and Rio de Janeiro, Brazil.
Watch: https://youtu.be/-wGJ-JhpPQY
Event: Annual Burlingame Award Lecture
Topic: From Haloperidol to Clozapine, Atypical Antipsychotic Drugs, Neutraceuticals, and Novel Targets for Treating Schizophrenia – Help is here with more on the way
Presented by: Burlingame Awardee, Herbert Y. Meltzer, MD, Professor of Psychiatry and Behavioral Sciences, Pharmacology and Physiology and Director of the Translational Neuropharmacology Program at Northwestern University in Chicago, IL.
Watch: https://youtu.be/eOy9JOmj3Ok
Topic: Building Wellness Cultures and Systems to Improve Population Health Outcomes
Presented by: Bernadette M. Melnyk, PhD, APRN-CNP, FAANP, FNAP, FAAN, VP for Health Promotion, University Chief Wellness Officer, the Helene Fuld Health Trust Professor for Evidence-based Practice and Dean of the College of Nursing at The Ohio State University, Professor of Pediatrics and Psychiatry at OSU's College of Medicine, and Executive Director of The Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing & Healthcare.
Watch: https://youtu.be/3pyRw8lhxnM
Topic: IOL Case conference - for IOL staff only.
Topic: Choosing Wisely: Precison Medicine Approaches for Anxiety Disorders
Presented by: Jeffrey R Strawn, MD, Professor of Psychiatry, Pediatrics and Clinical Pharmacology at the University of Cincinnati and at Cincinnati Children's Hospital.
Watch: https://youtu.be/kzKTVx5Uitw
Topic: NAMI's Role in Providing Information & Support to People Affected by Mental Illness
Presented by: Elizabeth B. Stafford, MPH, NAMI, National's Director of Research.
Watch: https://youtu.be/UqcoKyE70GI
Topic: OPIOIDS and SUICIDE
Presented by: Paul Nestadt, MD, Assistant Professor of Psychiatry at the Johns Hopkins School of Medicine
Topic: Hoarding: Chasing a New Diagnosis Through Brain, Body, and Behavior
Presented by: David Tolin, Ph.D., Founder and Director of the Anxiety Disorders Center at the Institute of Living, and an Adjunct Professor of Psychiatry at Yale University School of Medicine.
Watch: https://youtu.be/7AGzH9cu53g
Topic: Embracing Hope, Healing and Empowerment: Helping Victims of Multiple Traumas Reclaim Their Lives from Survivor to Thriver!
Presented by: Susan M. Omilian, J.D., Author, Motivational Speaker and Attorney
Watch: https://youtu.be/dv-B249uLlc
Topic: Problem Solving Courts and Therapeutic Jurisprudence: The Power of Courts to Heal
Presented by: Judge Ginger Lerner-Wren, Broward County Court Judge, (17th Judicial Circuit, Florida)
Watch: https://youtu.be/yLz5xXJbYHc
Topic: Interstitial Medicine - The role of psychiatry in the complex interactions between mental disorders and medical conditions
Presented by: Glenn J. Treisman, MD, Eugene Meyer III Professor of Psychiatry and Medicine at the Johns Hopkins University School of Medicine
Watch: https://youtu.be/EasdjbckWJk
Topic: Holocaust & Medicine Education for Resilient Professional Identity Formation: A Holocaust Survivor's Daughter Teaches German Medical Students at Auschwitz
Presented by: Hedy S. Wald, Ph.D., Clinical Professor of Family Medicine at the Alpert Medical School of Brown University, Faculty, Harvard Medical School Pediatrics Leadership Program, and Commissioner, Lancet Commission on Medicine and the Holocaust.
Topic: Care Management in Behavioral Health Care
Presented by: Christopher T. Lim, MD, 4th-year psychiatry resident at Cambridge Health Alliance and a Clinical Fellow in Psychiatry at Harvard Medical School
Watch: https://youtu.be/5-lIg9M9Ycg
Topic: Is it Over YET? Healing the Healthcare Workforce through a Trauma-Informed Lens
Presented by: Jennifer Ferrand, PsyD ABPP, Director of Hartford HealthCare's Well-Being Department
Watch: https://youtu.be/jaP4EujMB_E
Topic: Controversies about the Diagnosis and Course of Pediatric Bipolar Disorder
Presented by: Dr. Birmaher, Endowed Chair in Early Onset Bipolar Disease and Distinguished Professor of Psychiatry, University of Pittsburgh, School of Medicine and the Director of the Child and Adolescent Bipolar Spectrum Services
Watch: https://youtu.be/kTHpTi29PuM
Topic: Faith Communities and the Well-Being of LGBT Youth
Presented by: Michael A. Norko MD, MAR, Professor of Psychiatry at Yale University School of Medicine in the Law and Psychiatry Division; Director of Forensic Services for the Connecticut Department of Mental Health and Addiction Services
Watch: https://youtu.be/d09XY3ylW1o
Topic: Disruptive Mood Dysregulation Disorder: Where did it come from? Where is it going? What can we do about it?
Presented by: Gabrielle A. Carlson, M.D., Professor of Psychiatry and Pediatrics and Director of the Division of Child and Adolescent Psychiatry, State University of New York at Stony Brook
Watch: https://youtu.be/Vt7dxRzonnc
Topic: IOL at 200: Reimagining Moral Treatment in a Contemporary Context
Presented by: Javeed Sukhera, MD, Chair of Psychiatry at the Institute of Living and Chief of the Department of Psychiatry at Hartford Hospital
Watch: https://youtu.be/MrbJgOaKhRw
Topic: Emergency Psychiatry Past, Present and Future
Presented by: David Pepper, MD, Director of Emergency Psychiatric Services, Hartford Hospital
Watch: https://youtu.be/fnfwxA2D640
Topic: Deep Brain Stimulation (DBS) for Obsessive Compulsive Disorder (OCD)
Presented by: Patrick Senatus, MD, PhD, FACS, FAANS, is the medical director of the Deep Brain Stimulation Program at Hartford HealthCare's Ayer Neuroscience Institute.
Watch: https://youtu.be/nNMAquxUOFQ
Topic: Healthcare Workplace Safety in New Hampshire
Presented by: Lisa Mistler, MD, Assistant Professor of Psychiatry and attending psychiatrist at New Hampshire Hospital under a contract between Dartmouth-Hitchcock Health and the State of NH.
Watch: https://youtu.be/GBKPSitFibU
Topic: Scientific Storm Warnings: What the Movement Toward Process-Based Therapy Portends
Presented by: Steven Hayes, PhD, Nevada Foundation Professor, Behavior Analysis program, Department of Psychology, University of Nevada.
Watch: https://youtu.be/butFitdnoq0
Topic: Freaking out, shutting down, and leaning in: Neural and clinical adventures at the outskirts of the emotional landscape
Presented by: Greg Siegle, PhD
Watch: https://youtu.be/JbFPA0hja_o
Topic: Understanding Pediatric Gender Identity through Childhood and Adolescence
Presented by: Jack Turban, MD MHS
Topic: Using Family-based Treatment for Youth with Eating Disorders
Presented by: James Lock, MD, PhD
Watch: https://youtu.be/SW1Nf-uYmls
Topic: Rethinking Wellness: Brokering New Mental Healthcare Paradigms
Presented by: Asante Haughton
Read this: Blurring the Blue Line
Watch: https://youtu.be/HD9b84wfW7Q
Topic: The Very Important Patient and Health Care: VIPs, Behavioral Health Equity and Preferential Treatment
Presented by: Brianna Pollock, PhD
Watch: https://youtu.be/2ZiAvQcsO40
Topic: Early Experience and Child Development: A New Science of Neurodevelopmental Optimization
Presented by: Joan Luby, MD, PhD, the Samuel and Mae S. Ludwig Professor of Psychiatry (Child) at the Washington University School of Medicine, where she had founded and leads the Early Emotional Development Program
Watch: https://youtu.be/N-KCajiDx9E
Topic: Improving Mental Health through Technology: Clinical case studies from the patients' perspective"
Presented by: Luis R. Sandoval, Ph.D., licensed clinician and research staff in the Public Psychiatry Division at Beth Israel Deaconess Medical Center / Harvard Medical School
Watch: https://youtu.be/aaCimBFiFoI
Topic: Esketamine Treatment at the IOL
Presented by: Ben Anderson, MD, Center for Interventional Psychiatry / Esketamine Clinic, The Institute of Living
Watch: https://youtu.be/i9fMSsNsivg
Topic: The Recovery Support Specialist: Changing the Landscape of Behavioral Health
Presented by: Karen Kangas, Ed.D; William Dantzler, RSS; Juan Torres, RSS; Tonya Cutler, RSS
Watch: https://youtu.be/X-3paN8HbhU
Topic: Structural Stigma and Coercive Mental Healthcare
Presented by: James Livingston, PhD, Associate Professor in the Department of Criminology at Saint Mary's University in Halifax, Nova Scotia, Canada
Watch: https://youtu.be/nG6tODkI0dI
Topic: Psychedelic-assisted Psychotherapy for Major Depressive Disorder: Current Evidence and Key Clinical Considerations
Presented by: Natalie Gukasyan, MD, psychiatrist and Assistant Professor in the Department of Psychiatry and Behavioral Sciences at Johns Hopkins University School of Medicine
Watch: https://youtu.be/00w2z4Q7hl4
Topic: The Interface of Medical and Psychiatric Disorders: Focus on Cancer and Heart Disease
Presented by: Charles Nemeroff, MD, PhD, chair and professor with the Department of Psychiatry and Behavioral Sciences at The University of Texas at Austin Dell Medical School
Watch: https://youtu.be/8bRFL5wLVaI
Topic: Mental Health in the Public Domain: Using Technology to Scale Our Impact
Presented by: Matthew Peters, MD, Assistant Professor at Johns Hopkins University School of Medicine
Topic: Zero Opioid Overdose Deaths: Opportunities for Engagement
Presented by: Jonathan Craig Allen, MD, Medical Director of Rushford Center, Chief of Psychiatry at Midstate Medical Center, and Vice President of Addiction Services for the Behavioral Health Network of Hartford HealthCare.
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Topic: The Promise of Risk Algorithms for Identifying Patients at Risk of Suicide across Diverse Clinical Settings
Presented by: Robert H Aseltine Jr., PhD, Professor and Chair in the Division of Behavioral Sciences and Community Health and Director of the Center for Population Health at UConn Health
Topic: Short-Term Dynamic Psychotherapy: Emotion Meets Cognition
Presented by: Steven B Sandler, MD, author of Remembering with Emotion in Dynamic Psychotherapy
Topic: Trial By Fire: Telepsychiatry During and Beyond the Pandemic
Presented by: Neha Jain, MD, assistant professor of psychiatry and associate program director for the geriatric psychiatry fellowship at UConn Health
View this Presentation
Topic: The Childhood Risk to Develop Anxiety and Depression: A Translational Neuroscience Approach
Presented by: Burlingame Awardee Ned H. Kalin, M.D., Chair, Department of Psychiatry and Hedberg Professor, University of Wisconsin School of Medicine and Public Health—Madison, Editor-in-Chief – American Journal of Psychiatry
Topic: Working with the Neurobiological Legacy of Trauma
Presented by: Janina Fisher, PhD, Assistant Director of the Sensorimotor Psychotherapy Institute
Watch this Presentation (YouTube)
Topic: Advanced Services for Adolescents with Psychosis (ASAP): A Treatment Approach to Mitigating Schizophrenia Prodrome
Presented by: Jennifer Zajac, DO; Patricia Graham, LCSW; Frescia Velarde, BA
Topic: Best Care and Best Outcomes in Behavioral Health Settings
Presented by: Kevin Ann Huckshorn, PhD, Director of Evidence-based Practices and Programs for WellPath Recovery Solutions, Inc
(This presentation is only available in Healthstream for HHC employees.)
Topic: Big-data in psychiatry: and how weather changes your brain
Presented by: Gregory Book, MS, Olin Neuropsychiatry Research Center at the Institute of Living
Topic: Practical tips for Open Notes for Psychiatry and Behavioral Health
Presented by: Frank Fortunati, MD, JD, Vice Chief of Psychiatry and Behavioral Health at YNHH, Medical Director of Yale New Haven Psychiatric Hospital and Assistant Professor in the Yale Department of Psychiatry.
Topic: Black, Male, and Blue: Unpacking Mechanisms Linking Racism to Depression in Black Adult Males
Presented by: Wizdom Powell, PhD, MPH, Director of the Health Disparities Institute and Associate Professor of Psychiatry at The University of Connecticut
Topic: Assessing Late Career Practitioners for Cognitive Decline: An Evidence-Based Approach
Presented by: Kevin Young, PhD, Assistant Training Director, Psychology and Manager, Psychological Testing Service at Hartford HealthCare's Institute of Living
Topic: Not Fake News: Gun Violence - A Public Health Emergency in the United States
Presented by: Bela Sood, MD, FAACAP, Senior Professor for Child and Mental Health Policy, Children's Hospital of Richmond at VCU.
Topic: Options for Treating SARS-CoV-2
Presented by: Christopher Steele, MD, MPH, Assistant Professor of Medicine at the University of Connecticut School of Medicine
Topic: EMDR: A Research Supported Psychotherapy for Trauma
Presented by: Cheryl Kenn, LCSW, and Judy Cabeceiras, LMFT
Topic: Patient Safety: A Journey to High Reliability in Healthcare
Presented by: Lori Paine, DrPh, MS, RN, Senior Director, Patient Safety at the Johns Hopkins Hospital and Armstrong Institute for Patient Safety and Quality Johns Hopkins Medicine. Associate Faculty, Johns Hopkins Bloomberg School of Public Health, Adjunct Faculty, Johns Hopkins University School of Nursing
Topic: Minimizing Risk of Persistent Postoperative Opioid Use and Postoperative Pain
Presented by: Traci Speed, MD, PhD, Assistant Professor of Psychiatry and Behavioral Sciences at Johns Hopkins School of Medicine
Topic: The Well-Gardened Mind: Horticulture, Nature and Mental Health
Presented by: Sue Stuart-Smith, MD, PhD, MA MBBS, MRCPsych, PhD, Consultant Psychiatrist and Psychotherapist DocHealth Service, Author of "The Well Gardened Mind"
Topic: Secure Attachment: A Portal to Improve Population Health
Presented by: Marilyn Sanders, MD, Attending Neonatologist, Connecticut Children's Medical Center, Professor of Pediatrics, University of Connecticut School of Medicine
Topic: Little Treatments, Big Effects: Building Brief Interventions to Reduce Youth Psychopathology at Scale
Presented by: Jessica L. Schleider, PhD, Assistant Professor, Department of Psychology, Stony Brook University
Topic: Suicide and Access to Lethal Means
Presented by: Paul S Nestadt, MD, PhD
Topic: Oxytocin as an augmentation to the treatment of schizophrenia with clozapine: Improvement in negative symptoms and life paths
Presented by: Dr. Rocco Marotta, MD, PhD
Topic: Self-Compassion in Clinical Practice
Presented by: Christopher Germer, PhD, Clinical Psychologist, Harvard Medical School; Founding faculty member of the Institute for Meditation and Psychotherapy as well as the Center for Mindfulness and Compassion, Cambridge Health Alliance, Harvard Medical School
Topic: Personalizing Psychotherapy: A New Therapy for Each Patient
Presented by: John C Norcross, PhD, Distinguished Professor & Chair of Psychology, University of Scranton
Topic: Unique Molecular Regulation of Prefrontal Cortex Confers Vulnerability to Schizophrenia
Presented by: Amy Arnsten, PhD, Kent Professor of Neuroscience and Psychology, Yale University
Topic: Mental Illness and Criminal Behavior: Too Dangerous for Psychiatric Hospitalization
Presented by: Charles C. Dike, MD, MPH, FRCPsych, Law and Psychiatry Division, Yale University
Topic: Creating a Mask Wearing Culture
Presented by: Jennifer Ferrand, PsyD, Director of Wellness, Hartford HealthCare
Topic: Harm Reduction: Opportunities for Engagement
Presented by: J. Craig Allen, MD, Medical Director, Rushford; Vice President of Addiction Services, BHN; Mark Jenkins, Founder, Executive Director, Greater Hartford Harm Reduction Coalition
Topic: COVID-19: Promoting Children's Mental Health through a Trauma-Informed Lens
Presented by: Elissa Brown, PhD, Director, Child HELP Partnership and Professor, St. John's University
Topic: The Psychosocial Dimension of Psychopharmacology
Presented by: David Mintz, MD, Director of Psychiatric Education, Austen Riggs Center
Topic: Internet and Screen-Based Addiction: An Emerging Area
of Behavioral Addiction Medicine
Presented by: David Greenfield, PhD, MS, ABPP, Founder and Clinical Director, Center for Internet & Technology Addiction; Medical Director, Greenfield Recovery Center; Assistant Clinical Professor of Psychiatry, UConn School of Medicine
Topic: Psychiatry and the Media
Presented by: Lloyd I. Sederer, MD, Adjunct Professor, Columbia University, Mailman School; Director, Columbia Psychiatry Media; Chief Medical Officer & Co-Founder, Session; Chair, Advisory Board, Get Help; Distinguished Psychiatrist Advisor, NYS Office of Mental Health
Topic: Modern Practice of ECT
Presented by: Joan Prudic, MD, Clinical Professor of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, NY
Topic: Psycho-social Factors that Influence Mental Health Treatment Outcomes for Persons of Color
Presented by: C. Jama Adams, PhD, associate professor of psychology, John Jay College of Criminal Justice - City University of New York
Topic: Metacognition and Psychosis: Emerging Research and Approaches to Individual Pyschotherapy
Presented by: Paul Lysaker, PhD, Clinical Psychologist at the Roudebush VA Medical Center; Professor of Clinical Psychology at the Indiana University School of Medicine.
Topic: Maddening: The Mental Health Crisis Behind Bars
Presented by: Christine Montross, MD, Associate Professor of Psychiatry and Human Behavior, Warren Alpert Medical School at Brown University
Topic: Learning how to walk then run: becoming antiracist in psychiatry
Presented by: Dr. Jessica Isom, MD, MPH, Clinical Instructor, Yale University Department of Psychiatry; Attending Psychiatrist, Codman Square Health Center in Dorchester, MA; Boston Medical Center, Department of Psychiatry
Topic: Building Resilience in the Time of Rona and Anti-Black Racism
Presented by: Dr. Ayana Jordan, Assistant professor, Department of Psychiatry, Yale University School of Medicine, addiction psychiatrist, Connecticut Mental Health Center, associate program director for the Yale Department of Psychiatry Residency Program
Topic: Setting the stage: Why racial injustice is a community psychiatry issue for patients, clinicians and health systems
Presented by: Dr. Theddeus Iheanacho, associate professor of psychiatry, Yale University School of Medicine, Medical Director, Errera Community Care Center, VA Connecticut Healthcare System
Watch this presentation (Dropbox)
Topic: Structural Racism and Mental Health: Challenges and Opportunities
Presented by: Dr. Ruth Shim, Luke & Grace Kim Professor in Cultural Psychiatry, University of California, Davis
Topic: Ghosts in the Office: Structural Racism and Mental Health
Presented by: Dr. Sarah Vinson, associate professor of psychiatry and pediatrics and adjunct faculty at Emory School of Medicine
Topic: Racial Projections and Enactments in the Clinical Relationship: A Black Perspective
Presented by: Dr. Steven Hoffler, assistant professor, Social Work Department, Lang House, Southern Connecticut State University
Topic: Schizophrenia and psychosis: a review of the historical framework shaping racial biases in diagnosis and treatment
Presented by: Dr. Aieyat Zalzala, Clinical psychologist, Institute of Living
Topic: Bias in the Mirror: Exploring Implicit Bias in Health Professions
Presented by: Dr. Javeed Sukhera, Associate professor of Psychiatry at Schulich School of Medicine, Western University; chair of London Police Services Board
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AECOM provides professional and technical services to both public and private sector clients in a wide range of markets, including transportation, facilities and environment. The group is involved in a large range of projects across the nation and strives to create connected and liveable cities.
Celestino is a Western Sydney-based family business constantly on the look out for ways to change the game with exceptional commercial, residential and industrial development opportunities. These developments, which include the Sydney Science Park at Luddenham and the Gables at Box Hill, are carefully designed to be inclusive and a vibrant addition to their existing communities.
Deloitte is a multinational professional services network, whose our purpose is to make an impact that matters. They are driven by their desire to create positive outcomes for our clients, communities and people, with 790 partners and more than 8000 people located in 14 offices across the country.
Endeavour Energy is responsible for the safe and reliable supply of electricity to 2.4 million people in households and businesses across Sydney's Greater West, Blue Mountains, Southern Highlands the Illawarra and the South Coast.
Ernst & Young is a multinational professional services firm, committed to building a better working world. EY aspires to have a leading people culture everywhere in the world by investing in three key elements of their culture: inclusiveness, development & engagement.
Landcom is focused on supporting the government in improving housing affordability across NSW, and delivering the local infrastructure to help new communities grow and thrive.
Landcom unlocks surplus or underutilised government-owned sites or large institutional land holdings to create vibrant urban places with housing choices, community facilities, open spaces and access to services.
Lendlease create places that are truly beautiful and designed to enrich the lives of current residents, as well as those for generations to come. Their holistic urban design approach is to encourage environments that foster opportunities for people to choose the way they live, the way they work, the way they learn.
McKinsey & Company focusses on helping organisations across the pirvate, public and social sectors to create change that matters. From the C-suite to the front line, Mckinsey &* Co partners with their clients to transform their organisations in the ways that matter most to them by embedding digital, analytics, and design into core processes and mind-sets; building capabilities that help organizations and people to thrive in an ever-changing context; and developing excellence in execution to ensure that actions translate into outcomes, quickly and sustainably.
The National Australia Bank is Australia's biggest bank, with over 30,000 employees serving over nine million customers at more than 900 locations in Australia, New Zealand and worldwide. More than money, NAB also funds some of the most important infrastructure in our communities - including schools, hospitals and roads, in a way that is responsible, inclusive and innovative.
Parramatta Leagues has been a staple in the Parramatta community since 1959, featuring premium facilities and quality restaurants. The Leagues Club is the proud home of the Parramatta Eels and has plans to develop a new hotel and luxury leisure precinct connected to the new $300m Western Sydney Stadium and the heart of the Parramatta CBD.
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In the exhibition From Dust Till Dust, the iconographies of vanitas and memento mori are re-proposed in a kinetic key.
Next to the iconic image of the skull, revived in a new key organic, the primitive elemental powers appears: fire, ash and the soil.
Protagonists of a reflection on the ineffable of life and on the need to preserve memory, the artworks selected are mainly created through fire combustion, evoking the vital cycle of destruction and renewal, and inviting the visitor to be immersed in their ineluctable flow.
The exhibition opens new ideas and interpretations towards the complex topic of the use of elemental powers in creation (in arts and crafts creations, and also in manufacturing industries). The presence of artists and art in the production chain is one of the most interesting strategies proposed to our clients to differentiate their market proposal.
Artists: Nathalie Vanheule, Angela Alexander-Lloyd, Cosima Montavoci, Stefano Zaratin, Remus Ilisie, Gio Montez, Bernard Aubertin.
Vernissage: Saturday, march the 24th, 18.30 pm, for the occasion, a talk with the artists Stefano Zaratin, Cosima Montavoci and Gio Montez. The exhibition will lasts from March the 25th, to April the 29th, 2018 @ our headquarter (Vicolo Isola di mezzo 3/5, Treviso, Italy). Visiting hours: 10.30/18.30, from Tuesday to Sunday.


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MANAGERS at Hinchingbrooke Hospital have moved to reassure patients that problems in the treatment of colorectal conditions are not replicated in other departments.
Last week, The Hunts Post reported that major bowel cancer surgery had been moved to Addenbrooke's Hospital in Cambridge, whose specialists were overseeing colorectal work at Hinchingbrooke.
The arrangement follows concern by Cambridgeshire coroners about a number of case of patients having died after colorectal surgery at the Huntingdon hospital that they would normally have been expected to survive.
Hinchingbrooke agreed to a request from South and West Cambridgeshire Coroner David Morris to commission an independent external review of the department "and associated practice at the hospital and the issues of nursing care".
In the meantime, Addenbrooke's clinicians have become involved, and Hinchingbrooke has promised to implement the recommendations of the independent review.
Interim chief executive Nigel Beverley told The Hunts Post yesterday (Tuesday) that there was no evidence of problems in other Hinchingbrooke departments.
The review will also cover the way serious untoward incidents (SUI) are reported after another coroner, Dr Sam Bass, said he was concerned that "undue influence has come from the clinicians involved and it is lacking in independent scrutiny".
Mr Morris said he had also been concerned that "several other internal SUI reports have been less than optimal".
The problems come at the same time as a string of complaints from patients and relatives about both the care provided and the manner of hospital staff and coincide with uncertainty about the hospital's future management.
Hinchingbrooke was to have been handed over to John Lewis-style partnership Circle on June 1 under a management franchise, but that decision remains stuck in the Treasury.
Circle wants to empower clinicians and other staff to identify problems in service delivery and fix them, improving both efficiency and patient experience.
The trust denies that Hinchingbrooke is drifting on a sea of uncertainty.
"One of the reasons I'm here is to ensure that there isn't drift and that we keep on providing safe services and manage it into the new contract as soon as possible," said Mr Beverley, Hinchingbrooke's fourth successive temporary leader in five years.
He admitted that the uncertainty had added to Hinchingbrooke's difficulty in recruiting and retaining doctors and nurses.
Recruitment difficulties had not impacted on services, though the hospital was having to rely on locums in some circumstances, he said.


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Why won't she listen to me???
Discussion in 'I care for a person with dementia' started by Lisajk, Apr 1, 2015.
Lisajk Registered User
#1 Lisajk, Apr 1, 2015
Took MIL for her Urology appointment at the hospital today... We get to the bus stop 'where's my dog?' she asks. I reply that she's at home in the kitchen in her bed as she can't come to the hospital with us.
'Do you think she's gone in the park?' No, I reply, she's at home.
That went on for 4 hours. She asked the bus driver, the hospital receptionist, the Consultant, and everyone else she spoke to if they'd seen her bloody dog!!!
We get home - dog is in the kitchen where we left her, so she's going on and on and on about how the dog got out, who found her, when did they bring her back etc etc. I can't deal with it any more so I've put her to bed early. I'm at the end of my rope today. I told her she's driving me mental because she won't listen to me. I can't agree with her and say yes she got out etc but she's safe now, because this will make her worse - she'll remember that and be worried for weeks about the dog getting out. I've tried changing the subject, believe me, she changes it back! I hope that she doesn't go on about it tomorrow. I'll have to spend most of the day in another room I think. Sorry for the rant. No one else I can rant to. Hope everyone else is having a good evening. X
Sent from my iPhone using Talking Point
Crag Registered User
#2 Crag, Apr 1, 2015
Sorry to hear this. I'm sure there's many on here with similar experiences. It feels like I'm having to convince Dad that black is white much of the time, and unfortunately it hasn't got any easier yet. i wish I could advise but I'm also on learning curve. But all I can say is your not alone with this sort of problem
marionq Registered User
#3 marionq, Apr 1, 2015
In fact walking away is often the only answer after you have tried distraction and diversion. It is mind numbing but there is no easy solution. If it is a regular thing you might ask the GP about medication to reduce anxiety. That does help in some cases.
Thank you, I hadn't thought about anxiety meds! I wonder if this will help? Oh my, I'm going to ring the doctors first thing.
#5 Boldredrosie, Apr 1, 2015
I had *exactly* the same situation yesterday but about keys. Swap dog for keys in all the conversations you had, and I had them too. If I'd had a gun, I'd have shot myself just to make it stop.
Ballykeith Registered User
#6 Ballykeith, Apr 1, 2015
Maybe pretend you're blind? Irreverence aside, people have various assistance dogs don't they? People with hearing loss, physical disability, even autism. The dog is clearly very important to MIL so, IMHO, a dementia-friendly society should permit people with pets to bring them to places where animals are ordinarily not accepted. Maybe we could have a card to show officialdom. We've no animals but still managed to have a very stressy day with my mum. Took her out to lunch, then on a bus trip, coffee in a cosy pub - at which point she said that's she's too old for 'all this trokking about'. We got home and she said, 'What do we do now?' (I had ironing to do). I did a face/palm, she picked up that I was unhappy and told me to go home. She changed her mind once I made to leave and we had a bit of a row. Had to defuse the situation with a walk in the park after a bit of the ironing. Since I started writing this, she's asked me if I have a girlfriend four times and if I have a picture of her - but at least she's calmed down now
jen54 Registered User
#7 jen54, Apr 1, 2015
my mum seems to get in a loop about something and keeps seeking reassurance, then she wont mention it again for days.and something else gets her worrying, I find all I can do is reassure her and keep doing so, hoping the loop will end and she will fixate on something else-today it has been unclaimed inheritance from donkeys years ago-I have been through it a dozen times -yesterday, rubbish and someone in loft!! yet that had been forgotten today
Liz57 Registered User
#8 Liz57, Apr 1, 2015
Daycare causes my mum's "goldfish" moments these days. She goes twice a week and half an hour after she gets back she gets worried that she's told them she's not going back there and regrets it. No amount of reassurance or distraction works and I get hours of "when do I go?", "will it be OK to go back after I said I wouldn't?", "will you come with me in case they say I can't come in?", "how do I get there?", "will you tell them I've not been there because I've been ill" (she hasn't by the way) and at some point we'll start the loop again. No amount of distraction works because less than a minute after I've tried changing the subject, she's back on it again. Grrr
Witzend Registered User
SW London
#9 Witzend, Apr 2, 2015
I know exactly what you mean about no distraction working - it used to drive me mad when people suggested it, as if I were too thick to think of anything so simple. As if 'How about a nice cup of tea?' would stop it, when no matter what I said or did or tried, we would be back to the same thing within a minute, like a wasp to a jam jar.
What I eventually used to do with FIL (same question over and over and over, I once counted 35 times in one hour) was to make a sort of separate compartment in my head, where I could go on answering nicely but mechanically, with the rest of my head elsewhere, if you see what I mean. I could never show the slightest irritation since he was apt to explode into violent rages over tiny things.
For me it was a sort of safety device, since I had begun to feel I could scream, or murder him - very likely both at once.
This sort of thing is so terribly hard to cope with.
BTW to the OP - it's probably not that she won't listen - more that she can't remember that she only just asked you, or what you replied, and that she asked umpteen times before that. She has some worrying bee buzzing in her head that won't go away. I do know how terribly trying it is, though.
chelsea girl Registered User
#10 chelsea girl, Apr 2, 2015
Witzend said: ↑
Everything you said is true of my mum too. She worries constantly abt the dog, talks to him as if he can answer her and it goes on and on and on until i feel like screaming!! "What u looking for buster?" a hundred times a day!!. Sorry not much help but we r all in the same boat, which is quite comforting ☺. Chin up everyone x
#11 RedLou, Apr 2, 2015
*snip*
Sorry Witzend but you did make me laugh re: the screaming murder.
#12 Witzend, Apr 2, 2015
RedLou said: ↑
No apology needed! Black humour can be a safety valve too. One weekend when FIL was driving both me and OH bonkers, OH took a carving knife from the kitchen drawer and went up behind FIL - who was still wittering on about the same thing - with the knife raised dagger-style and his best psycho-nutter face. I honestly nearly wet myself laughing - but it was a very badly needed laugh at the time. Poor old FIL couldn't help it, but oh, dear, it was a very tough time.
tre Registered User
#13 tre, Apr 2, 2015
It does not help deal with it but I think that when you give the answer it cannot be retained. With my husband he can ask me 20 or 30 times in five minutes "where are we going?" but he genuinely cannot retain the information or remember having just asked. It is like trying to fetch water in a leaky bucket- the information just falls through.
I try to just keep repeating the answer calmly but it is difficult, especially when he gets stuck in the loop. I also agree that distraction often does not work.
Spamar Registered User
#14 Spamar, Apr 2, 2015
Five repetitions are my limit!
Familyfairy Registered User
#15 Familyfairy, Apr 2, 2015
Refusal to attend memory support clinic - advice anyone?
Both of my parents, who are in their eighties, have dementia (albeit of differing types). We've had good support from their GP and we pay for daily care support to enable them to stay together in their own home, where they feel safe. However my father is, and always has been, a very proud and difficult man - I can not get him to agree to see anyone from the memory clinic and he has been rude and belligerent to anyone who has called, telling them to leave. He feels that the memory tests show him as being 'stupid', when for the majority of his life he has been in charge and an organiser. How on earth can I access further support and advice for them both in their vulnerable condition, when they are refusing to accept help? They just see it as intrusive.
Bod Registered User
#16 Bod, Apr 2, 2015
Familyfairy said: ↑
Would he be interested in showing the Drs. just how good his memory really is?
Flower 3,
CallMeBob


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Breaking: Ronaldo, Messi, Virgil van Dijk make final 2019 Best FIFA Men's Player award shortlist
September 2, 2019 Dailymail Sports, Top Stories 0
Van Dijk, Messi and Ronaldo
FIFA have unveiled its three-man shortlist for the 2019 Best Men's Player Award – with Cristiano Ronaldo, Virgil van Dijk and Lionel Messi all competing for the top prize.
The European superstars will battle it out to win the prestigious gong, currently held by Real Madrid's Luka Modric, in a ceremony held in Milan on September 23.
All three names were recognised for their formidable achievements at both the front and rear of the pitch throughout the last year.
It comes as no surprise that Juventus' Portuguese star has been nominated. His 21 goal haul in Serie A last season helped the Italian giants retain the title for an eighth successive season.
After opting to move from Real Madrid at the start of the last campaign, the mercurial forward played a crucial role in Juventus' battle for silverware across several fronts.
He also excelled on the international stage, having lifted the UEFA Nations League with Portgual in June.
Ronaldo's competitive streak and hunger for improvement has seen the 30-year-old remain at the pinnacle of the sport and continue to prove a menace for defences all across the continent.
The Portuguese had, however, lost out to fellow contender van Dijk for the UEFA Player of the Year award last week.
The towering Dutchman was voted PFA Player of the Year for last season, and also claimed the same title from UEFA for his heroics throughout Liverpool's Champions League winning campaign.
Jurgen Klopp's side had shipped just 22 goals and finished in second spot at the end of a breathless Premier League title race.
Van Dijk's confidence and assured nature, no matter the situation, helped settle a notoriously shaky Reds defence – and countless elite strikers had failed to dribble beyond the 28-year-old across a 65-game run.
His reign as the world's most expensive defender was brought to an end after Harry Maguire's switch to Manchester United, but van Dijk continues to be Europe's most feared centre half.
Van Dijk had also captained his country to the Nations League final, after Holland had topped a group containing powerhouses Germany and France.
The diminutive Argentine had netted a superb 51 goals in 50 games for Barcelona last season, confirming his credentials as one of, if not the very best in the world.
Ernesto Valverde's men had clinched the La Liga, Spanish Super Cup and Copa del Rey titles, largely due to Messi's unrivaled ability to ghost through defences and convert countless chances.
Messi was also crowned top scorer in the last Champions League campaign, including a thunderbolt 30-yard free kick against Liverpool at the Nou Camp.
However, the 32-year-old star was famously a victim of the English giants' infamous comeback at the semi-final stage.
After another scintillating strike at Real Betis, which had even earned a rapturous ovation from the home faithful, Messi is also shortlisted for this year's Puskas Award.
Initial shortlist
Cristiano Ronaldo (Juventus)
Virgil van Dijk (Liverpool)
Lionel Messi (Barcelona)
Frenkie de Jong (Barcelona)
Matthijs de Ligt (Juventus)
Harry Kane (Tottenham)
Eden Hazard (Real Madrid)
Sadio Mane (Liverpool)
Kylian Mbappe (Paris Saint-Germain)
Mohamed Salah (Liverpool)
You searched: C. Ronaldo, Ronaldo, UEFA
C. Ronaldo
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My Dreamcloud Mattress Is Sagging
Description: A signature product and best-seller, the original DreamCloud Hybrid Mattress has gained recognition and awards over the years for its high-quality material construction at a valuable cost. It's made up of CertiPUR-US-certified foams, a gel-infused memory foam layer, and spring coils that are reinforced to provide extra stability. It also provides excellent cooling for the person who sleeps on it.
The DreamCloud: A closer look My Dreamcloud Mattress Is Sagging
The DreamCloud Hybrid Mattress is a standout among luxury hybrid beds. It's made from the same high-quality materials as all other hybrid beds, but it costs comparatively less. Its comfort level is advertised to be near the medium firm range, though leaning a bit slightly firm. Although it's within the comfort range that most people would like to sleep on, it can be problematic for some.
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Active couples or partners – Those with their partners may enjoy this model's impressive ease of movement, and this can be used to their advantage should they decide to do anything on the bed
If you are looking for a mattress, the first thing you should check is its firmness. It can make it easy to decide whether it is too firm or soft, or whether you are tempted to buy it. Although the DreamCloud Hybrid Mattress claims a comfort level of 6.5/10 on the firmness scale for its mattress, how accurate is that claim? To answer this, we tested out its overall firmness and feel to see for ourselves if DreamCloud is true to its word with its flagship mattress. My Dreamcloud Mattress Is Sagging
Based on the data we collected over the past 14 days, it seems that most could agree that this mattress has the potential to accommodate a sizable range of positions and body weights but not exactly all of them. We would give the DreamCloud Hybrid a solid 7/10 on the firmness scale, which is medium firm. It's plush enough to be comfortable, yet supportive enough to contour the body even in different positions. It's also worth noting that the mattress was comfortable for two of the three volunteers immediately upon contact. The other took them several days to adjust.
Average-weighted individuals may like the DreamCloud Hybrid best as it should give them the perfect balance of relief and hold. Their hips, in particular, should sink into the mattress very nicely while the coils underneath support them. Heavyweight sleepers should also feel the same to some extent, but those who weigh around 300lbs or more may not find it suitable since they may sink in too much to the point where pressure is produced. My Dreamcloud Mattress Is Sagging
While the DreamCloud mattress may provide most back sleepers with exceptional contouring and spinal alignment, the same can apply to side sleepers, though there are a few notable exceptions. Reactions are mixed for our average-weighted sleepers – our 155-lb volunteer found the bed to be able to support and align their body quite well. The top layers of the bed were a little too soft for their 225-pound counterpart, but he was still able to feel a good amount of support.
The DreamCloud Hybrid may be too soft for heavy people, especially those over 300 lbs. The representative of that group said her hips were sinking into her mattress when she lay on her stomach. It was so uncomfortable she couldn't sleep in this position. Although stomach sleepers with higher than average weights may have issues with the mattress, lighter people may be able to reap the benefits of this mattress better than others. Because of their body, their hips will not be able sink in as much. Therefore, they should feel just as comfortable on their stomachs than their backs.
Among the three weight groups, those of average weight are more likely to gain an upper hand when it comes to side sleeping on the DreamCloud Hybrid. For folks who weigh between 130-190 lbs, they may receive an ample amount of contouring support, and the pressure along the hips and shoulders won't be as much so they should be good. According to our 155-lb volunteer, the experience was worthwhile as they were able to rest well regardless if they switch to either side or stick to one. It's different for those who are 190 or more.
Our heavyweight and 225-lb reps both felt that the mattress was uncomfortable to sleep on their sides. Both experienced a lot of sinking in their hips, shoulders and hips. This can lead to pressure points that could cause minor concurrent pains. As heavier individuals may find the DreamCloud Hybrid to be soft under their weight, those who are lesser than 130 pounds may find it a little bit firmer sometimes to be able to sleep properly. Our lightweight volunteer can attest to this: when she tried to rest strictly on one side for a prolonged period, she felt as if the top layers were too firm at times, but when it came to sleeping with her sides interchanged, it turned out to be decently comfortable. At this rate, minor adjustments are more likely expected.
In terms of sleeping on the stomach, expect the DreamCloud Hybrid to produce a decent yet everchanging share of pressure points, particularly along the hips. While light-weight sleepers and those who are average may be able rest comfortably without worrying about pent up pressure, heavy-weight sleepers, particularly those with 300-pound structures, might need to be cautious as excessive sinking could lead to increased pressure points. My Dreamcloud Mattress Is Sagging
We found significant pressure points for most body types when it came to side sleep. It doesn't matter what your weight, side sleeping on the DreamCloud Hybrid will cause discomfort. The problem is worse for those who are heavier. For instance, lighter sleepers may not find the mattress comfortable in this position, while heavier sleepers may feel more pain in their hips and shoulders. The only anomaly here is the group of average-weighted sleepers, but that doesn't mean they're completely free from the pressure points the DreamCloud mattress may bring to them.
What is the DreamCloud Hybrid Mattress exactly made of? The DreamCloud Hybrid Mattress measures 14 inches in height. It is filled with notable qualities that keep you cool and relaxed throughout the night. It's equipped with exceptional cooling capabilities to keep the body cool and prevent heat buildup, making it a top-performing hybrid model.
The mattress cover is quilted so you won't be able to guess what material it is. Under the cashmere-blend mattress cover is a plush, soft, and supportive polyfoam that provides ample support for the body's weight. With 1 1/2 inches worth of material, this layer helps give off a pillow-top feel that users may likely experience upon contact with the bed – all without the worries about breaking the bank.
Since its inception, memory foam has been widely recognized to adapt and respond to the body's shape as fluidly as possible and provide much-needed relief from its pressure points. The DreamCloud Hybrid has it placed underneath the quilted top layer. Measuring one inch, it's appropriate enough to support the sleeper well, but not enough to produce a familiar sinking feeling. Although this material is known for trapping heat well, DreamCloud has incorporated gel infusion to help cool the body.
Beneath the memory foam is a two-inch firm polyfoam that serves as a transitional layer between the soft part of the mattress and the base foundation of the coils. It serves two purposes: 1) it conforms the body's posture and shape to the coils; and 2) it keeps it from sinking further into the mattress, which can be very inconvenient.
Situated beneath the coil set is an inch-thick layer of high-density standard foam. It acts as a foundation for the mattress and is thick enough to prevent the springs moving, but thin enough to allow airflow. My Dreamcloud Mattress Is Sagging
To cap it all off is a tufted cover to store all the layers within the DreamCloud Hybrid safely in place. Although it's not considered a layer that makes up the bed per se, it's built for the sole purpose to secure the foundation that holds it. Its rounded borders are adorned with tufted decor to make the mattress appear luxurious, while its four side handles, with two on each side, are sewn in to make transporting it easier and hassle-less.
Considering what it's made of and how it functions, the DreamCloud mattress may not fully absorb a person's motions, but it does a decent job, regardless. We first noticed that one of our volunteers couldn't feel the other's movements changing as much when they became more intense. When it came to small movements, it resulted in a lesser to no sign of disturbance.
Similar to most luxury hybrid beds, the DreamCloud Hybrid's motion isolation capabilities are fairly bearable. Average persons may willingly look past it, but as for any light sleeper with an often restless partner beside them, this model may not be an ideal choice.
Our volunteers can attest that the DreamCloud bed's edges are able to support them well. However, our heavyweight rep stated otherwise. Those who weigh more than 230 lbs may not find this bed as supportive.
The DreamCloud Hybrid is an exception – within our two-week testing period, not a single one of our crew noticed any annoying squeaking coming from within the bed. The way it was constructed or the method of wrapping up each oil may be a contributing factor, but regardless, with this model, noise shouldn't be a huge worry for many. My Dreamcloud Mattress Is Sagging
As our team tried to move around the bed, we spotted right away that it wasn't entirely difficult to switch from one side of the surface to another. If you plan to do some motion-intensive activities on the bed, especially, you wouldn't have any issues with it.
The DreamCloud Hybrid is a motion-intensive bed that we believe has a lot of potential. Folks who engage in sex once in a while may surely enjoy its ability to adapt to their movements swiftly. It makes a noticeable difference in noise, so it is possible to have discreet sex.
The medium-firm mattress may not be suitable for partners who prefer to sleep in one or more positions. Regardless, the DreamCloud mattress fits the bill as one of our best beds for sex. My Dreamcloud Mattress Is Sagging
How long this durability could last may change depending on the sleeper's body type, how often they use it, or if they have one or two more persons who lay on its surface. Reflecting on our two-week testing period, we can all agree that the DreamCloud mattress stayed durable enough to not have its ability to provide comfort compromised. That being said, we believe that it should stay this way for at least seven to eight years. My Dreamcloud Mattress Is Sagging
Other than the mattress, the box also contains a booklet with instructions and a pocket knife. This is especially useful if you don't already have one. Once you roll it out from the box onto the bed frame where you'll place it and it's free from any form of packaging, you will need to wait between 24-48 hours until it's fully decompressed. Expect a slight off-putting smell because you will be interacting with a brand new mattress.
Models made of synthetic foam layers tend to emit volatile organic compounds (VOCs) collected from manufacturing. Since the DreamCloud Hybrid's foam layers are all CertiPUR-US-certified, the amount should be much less. It is important to let it sit out so that the smell can dissipate after a few days. To speed this process up, we suggest that you do so in a well-ventilated environment by opening up all the windows and doors in the room.
You may also save money if you order from DreamCloud's official site. To make it easier, you will receive a set of bedding including sheets, pillowcases and a mattress protector.
King 76″ W x 80″ L x 14″ H 120.30 LBS $1,499
Want to consider some options? We'll help you with that! Although the DreamCloud Hybrid Mattress is the most popular luxury hybrid model on the market, there are two alternatives that offer the same comfort and have unique features that it does not. Let's take a closer look at each one! My Dreamcloud Mattress Is Sagging
The Differences: Saatva is a bit more expensive than the DreamCloud Hybrid thanks partly to its construction – its coil system is more intricate, and the organic cotton-covered Euro pillowtop makes up for a more snug feeling. Unlike the latter which has only one, the former gives you more firmness options to cater to many different body types.
The Differences: While the DreamCloud Hybrid is a hybrid bed, Nectar is all-foam, with an extra thick layer of memory foam in between. This means it can easily adapt to a wide range of sleeping positions than just the back. Many even find it to be best suited for strict side sleeping.
It can support and accommodate most people's backs. However, it is not able to alleviate pressure points in some areas. It's a great choice for anyone looking for a versatile and well-constructed experience.
You also have less to lose if it's your decision to buy it. You'll be given plenty of exclusive discount rates from DreamCloud's official website, plus exceptionally responsive customer service teams to assist you along the way. We give the DreamCloud Hybrid a solid 4.5/5 star rating due to all these great reasons. It's definitely worth the effort… and the purchase! My Dreamcloud Mattress Is Sagging
FAQ My Dreamcloud Mattress Is Sagging
What is DreamCloud's warranty? And how does it work?
DreamCloud offers its customers a lifetime warranty period in which the company will shoulder the responsibility of replacing or repairing its mattress should it ever sustain significant damage years after purchase, completely free of charge. If the mattress compresses slowly and forms impressions of at least 1.5 inches in depth, has material flaws or is manufactured with manufacturing defects, this warranty can be used.
Authentic DreamCloud mattresses, including its original hybrid model, come with a 365-night Home Trial period. Compared to other mattress specialists that offer shorter 180-night trials, DreamCloud encourages you to familiarize yourself and test the waters with your purchase for a full year, giving you more time to decide if it's the right fit.
What happens if I return the DreamCloud Hybrid Mattress within the sleep trial? What happens if I decide to return the DreamCloud Hybrid Mattress during the sleep trial period?
All of DreamCloud's available mattress models are eligible for returns within the 365-night sleep trial. If you are unhappy with your purchase and wish to return it within the 365-night period, the Sleep Concierge team will assist you in arranging for a replacement or refund. If you are not satisfied with the mattress, you can exchange it for a new one once you have received your money. My Dreamcloud Mattress Is Sagging
Unfortunately, returns after the trial period end are not possible. You wouldn't be eligible for a refund, either.
DreamCloud does not ship its products from the website to U.S. territories like Puerto Rico and Guam and other countries beyond the borders. It does have a Amazon.com certified storefront that allows you to ship any product internationally. My Dreamcloud Mattress Is Sagging


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Posted in SAINT of the DAY
Saint of the Day – 3 November – Saint Hubert of Liege (c 656-727) the "Apostle of the Ardennes,"
Posted on November 3, 2021 November 2, 2021 by AnaStpaul
Saint of the Day – 3 November – Saint Hubert of Liege (c 656-727) the first Bishop of Maastricht, the "Apostle of the Ardennes," spiritual student of Saint Lambert of Maastricht (c 635-c 700), excellent Preacher and devoted to the needs of the poor, widower and father to St Floribert of Liege. Born in c 656 at Maastricht, Netherlands and died on 30 May 727 at Fura (modern Tervueren), Brabant, Belgium of natural causes. Patronages – against dog bite, against hydrophobia, against mad dogs, against rabie. of archers, dogs, forest workers, furriers, hunters, huntsmen, hunting, Liege, Belgium, machinists, mathematician, metal workers, opticians, precision instrument makers, the Town of Saint-Hubert, Belgium, smelters, trappers . Also known as – Apostle of the Ardennes, Hubert the Hunter, Hubertus… Additional Memorial – 30 May (translation of relics).
Hubert likely was born in Toulouse about the year 656, the eldest son of Bertrand, Duke of Aquitaine. As a youth, Hubert was sent to the Court of Theuderic III at Paris, where his charm and agreeable manner ,led to his investment with the dignity of "Count of the Palace." Hubert was a hunting enthusiast and spent a great deal of time in learning the skills of the sport.
About 682, Hubert married Floribanne, daughter of Dagobert, Count of Leuven. Their son, Floribert of Liège later would become Bishop of Liège and a Saint, in the footsteps of his father. Hubert soon followed his noble peers to the Austrasian Court and was warmly welcomed by Pepin of Herstal, Mayor of the Palace, who entitled him, almost immediately, Grand Master of the household.
Hubert's wife had died giving birth to their son Floribert and his grief prompted him to retreat from the Court. He withdrew into the forests of the Ardennes and gave himself up entirely to hunting.
On a Good Friday morning, while the faithful were in Church, Hubert was hunting in the forest. As he pursued a magnificent stag or hart, the animal turned and Hubert was astounded to see a Crucifix floating between its antlers. He heard a Voice saying: "Hubert unless thou turnest to the Lord and leadest a holy life, thou shalt quickly go down into Hell." Hubert dismounted and prostrated himself and after asking "Lord, what wouldst Thou have me do?" he wasitold, "Go and seek Lambert and he will instruct you."
Hubert set out immediately for Maastricht, to meet Lambert, a Bishop who received him kindly and became his spiritual director. Hubert renounced all his very considerable honours and gave up his birthright to the Aquitaine to his younger brother, Odo, whom he made guardian of his infant son, Floribert. Having distributed all his personal wealth among the poor, he studied for the Priesthood, was Ordained and soon after, became one of St Lambert's assistants in the administration of his Diocese. By the advice of St Lambert, Hubert made a pilgrimage to Rome in 708 but during his absence, Lambert was assassinated by the followers of Pepin. According to the hagiographies of Hubert, this act was simultaneously revealed to the Pope in a vision, together with an injunction to appoint Hubert Bishop of Maastricht.
Saint Hubert being Consecrated Bishop by Pope Sergius I
Hubert distributed his episcopal revenues among the poor, was diligent in fasting and prayer and became well known for his eloquence in the pulpit. In 720, in obedience to a vision, Hubert translated St Lambert's remains from Maastricht to Liège with great pomp and ceremony, with several neighbouring Bishops assisting. A Basilica to enshrine the elics was built upon the site of Lambert's Martyrdom and was Consecrated as a Cathedral the following year, the See being removed from Maastricht to Liège, then only a small village. This laid the foundation of the future greatness of Liège, of which Lambert is honoured as Patron and Hubert as Founder and first Bishop.
Th removal of St Lambert to the Cathedral of Lieges by Rogier van der Weyden
Hubert actively evangelised among pagans in the extensive Ardennes forests and in Toxandria, a district stretching from near Tongeren to the confluence of the rivers Waal and the Rhine.
Hubert died peacefully in a place called Fura, located 30 miles from Liège on 30 May 727 or 728. Initially he was buried in the collegiate St.Peter's Church, Liège but his relics were exhumed in 825 and translated to the Benedictine Abbey of Amdain, the present-day Saint-Hubert, Belgium in the Ardennes. The Abbey became a holy destination for pilgrims, until Hubert's coffin disappeared during the Reformation.
Hubert was widely venerated in the Middle Ages and partly because of his noble birth, several military orders were named after him – the Bavarian, the Bohemian International Order of St. Hubert and that of the Archbishop-Elector of Cologne.
Hubert, along with St Quirinus of Neuss, St Cornelius and St Anthony, was venerated as one of the Four Holy Marshals (Vier Marschälle Gottes) in the Rhineland. The St Hubertus Order, a chivalric order, was founded in 1444 .
Following Lamberts' assassination, Hubert becomes Bishop of Maastricht, then of Liége but he was known as the Apostle of the Ardennes throughout his life, venturing much into the Forest and gaining the trust and the faith, of its people. Hubert became an important reference and intercessor, whenever matters of the Ardennes Forest and any other forest, are being discussed or considered in need of assistance.
The true meaning of the Jägermeister logo takes after the story of Saint Hubert's vision. The Rrademark story of the Company is below, along with the logo:
"Only a legendary stag's head would suffice, one with a Cross between its antlers. The stag that appeared to a wild hunter and converted him to Christianity. The same hunter who would later become the Patron Saint of all hunters – Saint Hubert. This stag remains today, as it always has been, the Jägermeister trademark. A symbol of the preservation of our quality and tradition."
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2 thoughts on "Saint of the Day – 3 November – Saint Hubert of Liege (c 656-727) the "Apostle of the Ardennes,""
November 3 is also the feast day of St Martin de Porrès, lay dominican, canonized by St John XXIII in 1962. As a roman student, I had the joy to assist at the papal ceremony.
He was highlighted last year, I think. St Martin's celebration, I believe, was very popular in SA – well, they listened on the Radio.


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7 Unique Modes of Transportation From Around The World
by 1 August 17, 2015
Knowing how to get around is important no mater where you are in the world, and everywhere has their own way to get from Point A to Point B. With much of the world's largest cities running on some sort of combination of under and above ground public transportation system, buses, street cars and subways tend to be just as commonplace as cars and taxis. But what about other methods? Certain places are unable to accommodate some commonplace forms of public transportation to work, so it's important to consider the possibility that you may not be able to travel around town in the same way that you're accustomed to. It's important to be open to this and prepared to use the local mode of travel, even if it's different than what you're used to. Here, we take a look at a few unique modes of transportation from around the world.
Traghetto - Venice, Italy
When you think of Venice, images of of slow moving canoes travelling wistfully down the city's canals instantly come to mind. While those picturesque gondolas are mainly for couples looking for a romantic boatride, Traghettoes are essentially economical water taxis for more day-to-day travel from one side o the canal to the other. Follow bright yellow signs around the city directing you to the nearest landing and be sure you travel light when getting into one.
Bamboo Train - Cambodia
Known locally as the "Nori", a raised bamboo platform sits on top of an electric generator engine and runs on wooden tracks to provide cheap and accessible public transit around Cambodia. Able to travel up to speeds of 40 km/h, the ride can sometimes be bumpy depending on where you are.
Thai-Style Canoe - Bangkok, Thailand
Much like the Traghettoes of Venice, the city of Bangkok has its very own systems of canals that are worth travelling. Not only do the canals serve as water roadways to other parts of the city, some of the action stays there; with floating vendors at the sides of the canal selling everything from fruits to clothing to the passing canoe traffic.
Suspended Monorail -Wuppertal, Germany
These hanging trains have been running since 1901, hovering 39 ft. in the air over car and pedestrian traffic. It services 20 stations in the city and carries approximately 82,000 riders to their destinations daily.
Maglev Train - Shanghai, China
Connecting two major airports in the city, the Maglev train reaches top speeds of 431 km/h, making it the fastest high speed train in the world. With its name short for Magnetic Levitation, a system that uses magnets to allow vehicles to travel without touching the ground, magnets in the tracks and train use the powers of both attraction and repulsion to reduce friction and accommodate much higher speeds than traditional transport methods.
Jeepneys - Phillipines
Using modified Jeeps left behind by the United Stated after the Second World War, locals stripped down the vehicles and added roofs for shade; quickly turning them into what is now the most popular form of local public transportation in the country.
Chicken Bus - Latin America
These brightly painted former school buses can be found all over Central and South America and serve as the most common and economical form of transport in the region. Getting its name from the fact that you're just as likely to see livestock as you are people on board, these buses fill up quickly with the roof top used for luggage storage. Typically, the driver has an assistant responsible for collecting fares, organizing the rooftop storage and calling out upcoming stops. No matter which mode of transport you choose, it's important to be prepared before heading to a new place to make sure you're comfortable with these modes of transportation. Using local public transit gives you much better insight into a region's culture and day-to-day life, but it's also important to be sure these these methods are convenient for you during your stay, as some may not work well for you if you are prone to motion sickness or are afraid of heights. Be sure to do your research in addition to being prepared and well-packed using one of our Rise Gear bags. Happy Travels!
Back to Rise Gear


Brandon Flowers has announced five U.S. dates that will kick off his first solo tour later this month. The Killers' frontman has been prepping his debut solo effort, Flamingo, ever since the band announced an indefinite hiatus at the beginning of the year. The album's first single, "Crossfire," has already been released and the entire album is scheduled to drop Sept. 14 via Island Records.
Tickets are on sale now. Check out all the dates below.


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The government has begun consultations with stakeholders of the decade-long conflict on amendment to the transitional justice act, with the 'zero draft' unveiled in June last year being the 'starting point' for talks.
Conflict victims have already rejected the draft, stating it is nothing but a ploy to provide immunity to perpetrators of conflict-era rights violations.
As per the draft, perpetrators will not get amnesty in serious human rights violations, but may get waiver in sentences as per the prevailing laws — up to 60 per cent if they did not reveal the truth and did not assist the court, but if they assisted the court, revealed the truth, apologised to the victims and pledged not to commit such crimes again, they could get waiver of punishment up to 75 per cent.
The draft, which proposes to have retroactive effects, also proposes a maximum jail term of three years in other crimes, and perpetrators of other crimes could also be sent to open prison if they helped the cause of transitional justice and assisted the investigation.
However, government Secretary Ramesh Dhakal, who is actively involved in the act amendment process, said the draft was just a basis for starting the consultations and not the official view of the government. It could be revised as per the outcome of the consultations with stakeholders. "The government plans to conduct consultations not only in Kathmandu, but also at the province level," he told The Himalayan Times.
Today, the government held consultations with a few conflict victims at the Office of the Prime Minister and Council of Ministers. Participants of the meeting were, among others, Secretary Dhakal form the government's side and Ram Kumar Bhandari, Gopal Shah and Gita Rasaili from the victims' side. The government has invited other victim leaders, including Suman Adhikari and Bhagiram Chaudhary for talks tomorrow.
Dhakal said the talks, still in preliminary phase, focused on how to take forward the consultation process. Bhandari said they were ready to cooperate with the government on consultations as long as it wanted to talk to victims and other stakeholders. He said the government wanted to begin consultations on the basis of the old draft and prepare a new one after consultations with NHRC, victims and stakeholders. "We've been seeking consultations from the very beginning, so we will cooperate with any efforts made for consultations," he said.
With the government just beginning the consultation process, talks are unlikely to be over by the end of the tenure of the two transitional justice mechanisms — Truth and Reconciliation Commission and Commission of Investigation on Enforced Disappeared Persons. Mandates of the two commissions expire on February 9.
But Dhakal said the government had the option of extending the tenure of the commissions and continuing the consultations. Bhandari also said they were open to the option, as long as the talks continued.
The government has been maintaining that the amendment would be done on the basis of six factors — the Comprehensive Peace Accord; Nepal's national and international obligations related to human rights; fundamental principles of the transitional justice; decisions and orders of the Supreme Court; sentiments of conflict victims; and Nepal's legal and political processes.
A version of this article appears in print on January 25, 2019 of The Himalayan Times.


Hello all. First, I want to thank you visiting my Netsupports website.
I work at 013Netvision ISP as a support engineer.
The goal of my website is to assist you in configuring basic and advanced commands on network equipment like Cisco, Check-point, Fortigate, etc; quickly and simply.


Environmentalists rejoiced at a Los Angeles Times report that the government cut its estimate of how much technically recoverable oil was in California's Monterey Shale formation.
The Energy Information Administration cut the amount of technically recoverable oil in the Monterey Shale by 96 percent. Many believe this to mean that two-thirds of the U.S. tight oil supply to have disappeared, but the facts of what the EIA actually said should give them pause.
When EIA refers to "technically recoverable" barrels of oil, they mean how many barrels of oil can be taken out of the ground with existing technology — it's not an estimate of how many barrels of oil are actually in the ground.
So the 96 percent cut in technically recoverable oil means that only 600 million barrels of oil can be taken out of the shale formation with current technology as opposed to previous estimates of 13.7 billion barrels. There are still about 400 billion barrels of tight oil in the ground that oil companies will be able to access when technology improves.
"Companies focused on the Monterey, such as Venoco Inc., have been warning investors that the California shale was different from other shales. And oil output has been lackluster," Gold writes.
But environmentalists jumped at the opportunity to slam the oil industry and accuse it of overblowing the positive impact shale development would have in the state.
San Francisco liberal billionaire Tom Steyer also joined the fray and slammed the oil industry's supposed misfortune.
MYTHBUSTED: Monterey Shale oil estimates just had a massive downgrade from 13.7B barrels to 0.6B barrels — a staggering 96% decline.
Steyer has spent millions of dollars opposing the Keystone XL pipeline and backing anti-fossil fuels candidates like Massachusetts Democratic Sen. Ed Markey.
Oil companies may develop better drilling technology to unlock even more oil reserves than were previously estimated.
For example, the U.S. Geological Survey (USGS) aimed that North Dakota's Bakken shale formation only had 151 million barrels of recoverable oil. But the USGS increased its estimate 40-fold in 2008 and then doubled the 2008 estimate in 2013.
In 1976, the USGS said the Gulf of Mexico only held about 4.7 billion barrels of proven oil reserves. In 2010, the proven reserves in the Gulf were determined to be 21.5 billion barrels of oil.
"The lesson here? Beware of forecasts that make too many assumptions about how much oil is available. You need to drill a lot of wells first before you can really figure it out," Gold writes.


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Q: Invalid path because of filename when hive load data local inpath The file '/home/hadoop/_user_active_score_small' exactly exists. But when run load data local as below, get a SemanticException:
hive> load data local  inpath '/home/hadoop/_user_active_score_small' overwrite into table user_active_score_tmp ;
FAILED: SemanticException Line 1:24 Invalid path ''/home/hadoop/_user_active_score_small'': No files matching path file:/home/hadoop/_user_active_score_small

But, cp /home/hadoop/_user_active_score_small /home/hadoop/user_active_score_small, and then run load data again:
hive> load data local  inpath '/home/hadoop/user_active_score_small' overwrite into table user_active_score_tmp ;
Loading data to table user_bg_action.user_active_score_tmp
OK
Time taken: 0.368 seconds

The files' access type are the same, in the same directory:
-rw-rw-r-- 1 hadoop hadoop 614 7月   5 13:49 _user_active_score_small
-rw-rw-r-- 1 hadoop hadoop 614 7月   5 11:48 user_active_score_small

I don't know how does this happen. Is file name which starts with '_' not allowed by hive?

A: Files and directories that starts  with underscore _ are considered hidden in MapReduce, that's probably the reason of the observed behavior.
If you look at FileInputFormat source code you can find this:
protected static final PathFilter hiddenFileFilter = new PathFilter(){
  public boolean accept(Path p){
    String name = p.getName();
    return !name.startsWith("_") && !name.startsWith(".");
  }
};

redpajama_set_name: RedPajamaStackExchange


Annie obviously spent a lot of time fine-tuning this tasty recipe that uses both coconut water and coconut oil for the nutty, sweet flavor. Dates pack the blended drink with fiber and plenty of natural sugar.
Bonus tip: Put the left-over lime peels in the fridge as a deodorant!