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Natural Immunity: The End Goal
Daniel J. Crisafi, ND.A., MH, PhD
In the first edition of my book, Candida Albicans, written in 1980, I suggested that if we didn't sufficiently boost our natural immunity, fungal infections would be nothing compared to the micro-organic problems of the future. We are now grappling with that future with mad cow disease, the bird flu, flesh-eating disease, Lyme disease, the West Nile virus and the infamous H1N1 virus. How can we bolster our natural immunity and protect ourselves from these threats, which will increasingly face in the coming decades?
Unfortunately, health authorities have only recently begun to acknowledge the problem of antibiotic resistance. Dr. Margaret Chan, Director-General of the World Health Organization (WHO) now corroborates what I predicted over 20 years ago. She made this statement at the conference on Combating Antimicrobial Resistance in Copenhagen, Denmark on March 14, 2012:
"Antimicrobial resistance is on the rise in Europe, and elsewhere in the world. We are losing our first-line antimicrobials... Some experts say we are moving back to the pre-antibiotic era. No. This will be a post-antibiotic era... A post-antibiotic era means, in effect, an end to modern medicine as we know it. Things as common as strep throat or a child's scratched knee could once again kill."1
The Montreal Children's Hospital website also cites a statement by Dr. Carol J. Baker, an American pediatrician and infectious disease expert, about the use of antibiotics: "Physicians and parents are not getting it. Antibiotics are not necessary for the majority of infections seen in the pediatrician's office." By posting this quote on its website, the Montreal Children's Hospital has clearly demonstrated that its team is more interested in children's health than the professional egos of its members, for which it should be applauded.
While "artificial" antibiotics have saved many lives, microbes eventually adapt to them, rendering them useless. However, except in rare cases, bacteria have been unable to adapt to the unparalleled effectiveness of a healthy human immune system.
The H1N1 virus pandemic so highly anticipated around the world is yet another example of the scientific failure of our traditional medical approach to immunity. You may recall the near-hysteria generated by the medical world and media during the "pandemic." When "anti-vaccination" professionals tried to intelligently intervene, they were largely silenced. I, personally, had this experience with the media during that time.
However, we now know several things about the H1N1 phenomenon. First, Professor Ulrich Keil, Director of the WHO's Collaborating Centre for Epidemiology, admitted that the data regarding the H1N1 virus had been manipulated and exaggerated by the pharmaceutical companies!2 Doctors, the media and the general public were, in turn, manipulated.
Second, we know that the flu vaccine, the magic bullet we were promised, has not yielded the expected results. In fact, Canadian researchers noticed in the early weeks of the pandemic that people who received a flu shot for the 2008-2009 winter appeared to be more likely to get infected with the pandemic virus than people who hadn't received a flu shot. According to study's author, Dr. Danuta Skowronski, Clinical Professor at the University of British Columbia, the tests showed that the seasonal flu vaccine increased the risk of contracting the H1N1 flu.3
We therefore need to put the effectiveness of this vaccine into perspective. Contrary to popular belief, it does not improve our immunity. The vaccine merely informs the immune system. In other words, it helps it program itself to respond more quickly and specifically to a pathogen. To use an analogy, it's like giving the police a photo of a terrorist so that they can recognize him or her and react more quickly. Unfortunately, if the police are armed with a pea shooter and the terrorist is armed with a machine gun, a quicker reaction isn't going to help the police.
The vaccine may help the immune system react more quickly, but as the saying goes, "You can't give what you don't have." The speed of the reaction will always depend on how healthy the individual's immune system is. We can't be injected with a healthy immune system.
"For a successful technology, reality must take precedence over public relations, for nature cannot be fooled."
- Richard Feynman (Nobel Prize in Physics winner)
So what can be done?
In the second decade of the 21st century, we must find a way to boost our immune potential because we can no longer rely on artificial "immunotherapy." We need to maximize our immunity in order to enjoy optimal health. If we want to prevent or minimize the impact of infectious agents, there is only one solution: increase our immune system's capacity. Here are few tips to consider.
Avoid excessive hygiene
The key word here is "excessive." Undoubtedly, a better understanding of the importance of hygiene, primarily due to Pasteur's studies, has saved many lives. However, studies increasingly show that excessive hygiene and sterilization negatively impact the immune system and hinder its ability to react adequately. According to Dr. Guy Delespesse, a professor at the Université de Montréal Faculty of Medicine and director of the Notre Dame Hospital Allergy Research Laboratory: "There is an inverse relationship between the level of hygiene and the incidence of allergies and autoimmune diseases. The more sterile the environment a child lives in, the higher the risk he or she will develop allergies or an immune problem in their lifetime."4 The excessive use of antiseptics leads to a lowered normal immune response and an increase in resistant bacterial strains.
Significantly reduce your consumption of simple sugars
The key word here is "significantly." A study by Loma Linda University in California showed that the defense capabilities of our white blood cells are inversely proportional to the amount of sugar we consume.5 In the study, people who consumed 100 grams of carbohydrates (glucose, fructose, sucrose, honey and orange juice) demonstrated reduced immunity that lasted 5 hours following consumption.
Make sure you eat enough protein
When we hear "protein," we invariable think "big muscles." But it's important to remember that muscles, just like hormones, neurotransmitters, skin and antibodies, are made up of protein. Unfortunately, our diets often contain more carbohydrates (e.g. bread, pasta and rice) than vegetable protein (e.g. grains, legumes and nuts) or animal protein (dairy, eggs, fish, meat and poultry).
Discover and eliminate food intolerances
When you eat food that you're allergic or intolerant to, your immune system kicks in to ward off the attack. It's then left with fewer resources to fight off micro-organisms in your environment.
Eat a healthy diet
I don't need to elaborate on this topic for Vitalité Québec readers. Just remember that a healthy diet, which is free from artificial additives and rich in whole grains, vegetables, vegetable and animal proteins, and fresh fruit will significantly boost your immune system.
Exercise, but don't overdo it
Exercise, just like lymphatic drainage massage, improves the circulation of your lymphatic system, thus boosting your immune capacity. However, too much exercise can drain the system and reduce your immunity. Overdoing it is as harmful as not getting enough!
Supplement your normal diet
Our food isn't as nutritious as it was in the past. Intensive farming, the use of chemical fertilizers, importing food grown in far-flung regions and acid rain all play a role in reducing the nutrient density of our food. Supplements are critical to compensate for these losses. Deficiencies of vitamins A and C and zinc affect the immune system the most.
Use natural products to bolster your immunity when you need it most
Many natural products have been shown to improve immune capacity during an infection. A study by Dr. Percival of the University of Florida showed that aged garlic extract (AGE) increased the production of NK cells and gamma delta T lymphocytes, and reduced the severity and duration of cold and flu symptoms.6 According to the University of Maryland Medical Center's website, "In people with inoperable colorectal, liver, or pancreatic cancer, immune activity improved after they took aged garlic extract."7 The WHO has stated that the effectiveness of Echinacea as a stimulator of the immune system has been demonstrated by over 350 scientific studies in the past 50 years.8 In addition, probiotics play a key role. A product containing one bacterial strain in particular, CL1285, can also help improve immune capacity. That's right, good health begins with the colon! These and other products have been shown to be more effective than antibiotics for minor to moderate infections. Moreover, bacteria and viruses have been unable to develop resistant strains to these natural substances.
Get enough rest
The body can only repair itself through rest and sleep. These are critical to the healing process. Make the time to get enough sleep, rest and relaxation.
Immunity cannot come from outside ourselves or through artificial means. A truly healthy immune system is accessible to everyone. The key is to recognize the myths that are hindering our ability to maintain truly natural immunity and to arm ourselves with the necessary tools to effectively improve it.
1 www.who.int/dg/speeches/2012/amr_20120314/en/index.html
2 Social, Health and Family Affairs Committee of the Parliamentary Assembly of the Council of Europe Hearing on "The handling of the H1N1 pandemic: more transparency needed?" Strasbourg, January 26, 2010.
3 Skowronski DM et al. "Association between the 2008-09 Seasonal Influenza Vaccine and Pandemic H1N1 Illness during Spring-Summer 2009: Four Observational Studies from Canada." PLOS Medicine, 2010.
4 http://www.nouvelles.umontreal.ca/udem-news/news/20100413-why-are-allergies-increasing.html
5 Albert Sanchez, J. L. Reeser, et al. "Role of sugars in human neutrophilic phagocytosis. American Journal of Clinical Nutrition." November 1973 vol. 26 no. 11 1180-1184.
6 Meri P. et al. "Supplementation with aged garlic extract improves both NK and [gamma][delta]-T cell function and reduces the severity of cold and flu symptoms: A randomized, double-blind, placebo-controlled nutrition intervention." American Journal of Clinical Nutrition. January 24, 2012.
7 www.umm.edu/altmed/articles/garlic-000245.htm
8 "WHO monographs on selected medicinal plants – Volume 1." World Health Organization. Geneva, 1999.
Nutrition and Mental Illness
My son was diagnosed with an anxiety disorder as well as OCD (Obsessive Compulsive Disorder). I consulted a naturopath who suggested that some of my son's psychological problems could be due to his diet. Is this possible?
My husband was diagnosed with multiple sclerosis. Do you think it is possible to treat this disease using natural methods?
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How do we know if steps taken to reduce damage before an earthquake really work once the ground starts shaking?
April 1, 2015 /in Uncategorized /by Chloe
For decades building codes have been chasing the damage, as each new earthquake reveals vulnerabilities in construction and preparedness methodologies. As far back as the 1930's, when the Long Beach earthquake severely damaged school buildings, the powers that be have reacted to the specific damage caused in a specific earthquake to adjust building criteria to prevent the type of damage that occurred in that earthquake from ever happening again. That earthquake damaged many school buildings, and spurned the creation of the Field Act; legislation that was designed to keep schools from falling down in earthquakes. As years pass and earthquakes damage different types of critical facilities, laws are passed and codes are re-written to prevent a reoccurrence of the specific damage that just happened. Hospitals, power plants, tall buildings and residences have joined school buildings, and are now built differently in many earthquake prone areas than they used to be. And whether we are talking buildings or their non-structural components, that still begs the question: will it all work in a large earthquake?
Next Tuesday, April 7th the Structural Engineers Association of Northern California (SEONC) will be hosting a meeting where some groundbreaking information regarding advances in earthquake engineering will be introduced to the engineering community and public at large. What makes this information particularly striking is that it is coming out BEFORE a large earthquake strikes the region. (Unless, of course a big quake hits between now and then).
In a bold and proactive move, Oakland California's EStructure structural engineering firm and Safe-T-Proof Disaster Preparedness Co. ran tests comparing the traditional anchorage of equipment with rigid steel brackets with the use of flexible, adhesive-based fastening. Items were run through extremely high intensity shaking at the Pacific Earthquake Engineering Research facility in Richmond, California.
Titled "Seismic Protection Design for Non Structural Components-What Really Happens When It Shakes?" the presentation will demonstrate how items such as laboratory refrigerators and freezers with what is considered "code compliant" anchorage really do perform in high intensity shaking. Are there better options to what has been longstanding tradition?
You don't need to wait for an earthquake to find out.
https://www.quakecottage.com/wp-content/uploads/2021/03/Logo-340x62-1.jpg 0 0 Chloe https://www.quakecottage.com/wp-content/uploads/2021/03/Logo-340x62-1.jpg Chloe2015-04-01 17:01:182015-04-01 17:01:18How do we know if steps taken to reduce damage before an earthquake really work once the ground starts shaking?
Arizona Earthquakes? WHEN WE SAY ROCK THE QUAKE—WE MEAN ROCK!

redpajama_set_name: RedPajamaCommonCrawl


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CZO | national
The Critical Zone
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Only the publications tagged "national" are shown. Use the above "move laterally" menu to access additional publications for each CZO.
Papers and books that explicitly acknowledge a CZO grant are highlighted in PALE ORANGE.
Interdisciplinary Teaching about Earth and the Environment for a Sustainable Future Book Chapter: Implementing and Assessing InTeGrate Critical Zone Science Materials in an Undergraduate Geoscience Program. Ashlee Dere, Carol Engelmann, Timothy White, Adam Wymore, Adam Hoffman, James Washburne, Martha Conklin (2018): Springer Cross-CZO National
CZO Network Attributes Table. CZO Network (2018): CZO National Office Cross-CZO National
CZO National Office Annual Report 2018. Derry, L. (2018): CZO National Office, Cornell University National
Geomorphic influences on the distribution and accumulation of pyrogenic carbon (PyC) following a low severity wildfire in northern New Mexico. Galanter, A., Cadol, D., and K.A. Lohse (2018): Earth Surface Processes and Landforms 43: 2207–2218 Cross-CZO National
Reassessing the dissolved molybdenum isotopic composition of ocean inputs: The effect of chemical weathering and groundwater. King, E.K. and Pett-Ridge, J.C. (2018): Geology 46 (11): 955-958 Cross-CZO National
2018 (In Review)
Critical zone science informs landscape management through quantification of slow and often elusive (episodic) constraints on ecosystem services. Lohse, K.A., Commendador, A., Stalder, S., Glossner, K., Macek, C., and R. MacNeille (2018): Earth's Future Cross-CZO National
Clays in the Critical Zone. Paul A. Schroeder (2018): Cambridge University Press Cross-CZO National
Mercury sourcing and sequestration in weathering profiles at six Critical Zone Observatories. Richardson, Justin B., Arnulfo A. Aguirre, Heather L. Buss, A. Toby O'Geen, Xin Gu, Daniella M. Rempe, and Daniel deB. Richter (2018): Global Biogeochemical Cycles, 32(10):1542-1555 Cross-CZO National
Ideas and perspectives: Strengthening the biogeosciences in environmental research networks. Richter, D.D., S.A. Billings, P.M. Groffman, E.F. Kelly, K.A. Lohse, W.H. McDowell, T.S. White, S. Anderson, D.D. Baldocchi, S. Banwart, S. Brantley, J.J. Braun, Z.S. Brecheisen, C.W. Cook, H.E. Hartnett, S.E. Hobbie, J. Gaillardet, E. Jobbagy, H.F. Jungkunst, C.E. Kazanski, J. Krishnaswamy, D. Markewitz, K. O'Neill, C.S. Riebe, P. Schroeder, C. Siebe, W.L. Silver, A. Thompson, A. Verhoef, G. Zhang (2018): Biogeosciences 15: 4815-4832 Cross-CZO National
Using research networks to create the comprehensive datasets needed to assess nutrient availability as a key determinant of terrestrial carbon cycling. Vicca, S.; Stocker, B.D.; Reed, S.; Wieder, W.R.; Bahn, M.; Fay, P.A.; Janssens, I.A.; Lambers, H.; Peñuelas, J.; Piao, S.; Rebel, K.T.; Sardans, J.; Sigurdsson, B.D.; Sundert, K.V.; Wang, Y.P.; Zaehle, S.; Ciais, P. (2018): Environmental Research Letters Cross-CZO National
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36 elegant living rooms that are richly furnished decorated. Architecture decor interior decorating. 17 best images about staircase on pinterest wrought iron. Best 25 luxury dining room ideas on pinterest. Cozy home with a green marble kitchen coco lapine design. 17 best ideas about cozy dining rooms on pinterest. Best 25 cozy dining rooms ideas on pinterest world. Rustic dining room furniture bringing cozy nature. Neutral, dining room, white cream dishes, candels, bird. 21 cozy dining room ideas. Dining room apartment ideas latest bestapartment 2018. 52 shabby chic dining room ideas: awesome tables, chairs. Dining room spring tour restyle relove. 17 best ideas about reclaimed wood tables on pinterest. 17 best ideas about cozy dining rooms on pinterest. Decorating: cozy dining room furniture with outstanding. I love this table with those chairs looks cozy. 21 cozy dining room ideas. 21 christmas dining room decorating ideas with festive flair!. 6 free farmhouse printable art pieces word art with. 1000 images about rustic farmhouse fixer upper styles. This cozy dining room seats eight guests, perfect for. Red walls chintz snack set with the white furniture. Best 25 christmas dining rooms ideas on pinterest. Cozy marble dining tables newlibrarygoodcom. Matte black chairs with a rustic, wooden table from. Best 25 warm living rooms ideas on pinterest cozy. 42 best natural makeup ideas for any season. Natural navy dining room 100 comfy cottage rooms. 25 best ideas about cozy dining rooms on pinterest. Homelegance dining room natural chair with back cushion. Warm modern interior design. The 25 best cosy dining room ideas on pinterest cosy. Cozy christmas home tour cherished bliss. 17 best images about living room ideas on pinterest.


The FXLP500X5-7 is a broadband log periodic antenna designed to be used for fixed mast & rotatable applications. The robust construction of this antenna provides operational reliability in the most severe environmental conditions. The antenna has a band pass covering 500-2500 MHz with a single input. At a power level of 400 Watts it has a VSWR of less than 2.75:1 throughout the operational band to provide an efficient match to all modern public safety transceivers. The FXLP500X5-7 provides good gain and front-to-back ratio.


The Robertson Scholars Leadership Program is open to outstanding high school seniors who plan to enroll at either Duke University or the University of North Carolina Chapel Hill. Each year, 36 FULL scholarships are awarded.
Eligible students must have superior academic records, strong leadership skills, commitment to their communities and demonstrated ethical conduct. The Robertson Scholars Leadership Program includes not only a four-year merit scholarship but also a comprehensive program of summer enrichment opportunities, mentoring, special courses, and unique access to the resources at Duke and UNC.
Eligible students may apply online and include their application, cover letter containing personal information, two letters of recommendation, grade transcripts, list of extracurricular activities, and completed essays.
The purpose of the program is to reward the outstanding efforts of high-achieving students and give them an opportunity to experience two superior educational institutions. Scholarship recipients will have access to courses at both Duke and UNC.


Automotive Invoice Template – Have you been still using Excel 2003? Many individuals and businesses are reluctant to buy the brand new Excel. Right after a long time of releases which didn't really change this app , Excel 2007 introduced a major change.
You are able to come across several varieties of some budgeting worksheet on the internet you may print or use as a template at one of your existing apps. Even if you merely utilize it to get thoughts, it can be a large relief when you sit to produce a cash management plan. While not everyone has the same revenue and investment conditions, such a worksheet is just a wonderful destination for a get started.
If you do locate a budgeting worksheet that you'd like, you can simply add categories for replace or it those people you may not use with your particular products. By way of example, many of these worksheets that you will see on the web have a location for investment income but if that you have no any investments to monitor ignore this category or exchange it together with a few of your own personal.
The moment you see a couple of these templates, you can realize that you simply have more classes of paying than you thought. For example, when creating a funding, many people forget everything about gifts, subscriptions, along with puppy expenses but by dealing with a few of those pre-printed templates, you might remember additional expenses that you ought to consider. Another fantastic illustration of the benefits of utilizing a template since you make your funding is the kind branded holiday. While the majority of people don't budget for his or her holiday on a monthly basis in their budgeting worksheet, experts suggest that you incorporate most your time or annual expenses into a workable monthly funding. In this manner, when holiday time rolls around, you will already have all the capital that you want. Consider one other one time or annual expenses in your financial picture you can need to plan for on monthly basis.
By incorporating virtually every expense to your monthly budget, you may rest assured that your entire duties are going to likely be taken care of. Look online for cases of a budgeting worksheet you could employ to begin. Many of them are free and you also will probably notice that they create the endeavor of creating a budget much easier.
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Turtle Creek Wind Farm is located in northeastern Iowa, 25 miles northeast of Mason City, approximately 110 miles southeast of Minneapolis. Located in Mitchell County, the wind farm complements the area's robust crop production and provides local agricultural producers with a stable revenue stream in the form of landowner lease payments.
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Iowa | Turtle Creek
Farm Fact #1
Turtle Creek Wind Farm has an installed capacity of 199.2 megawatts (MW) — enough to power approximately 61,000 average Iowa homes with clean energy each year.
Enough to power approximately
61,000 Homes
Benefits to the Community
Turtle Creek Wind Farm yields significant economic benefits to the community in the form of payments to landowners, local spending, and annual community investment.
Turtle Creek represents a capital investment of approximately $318 million and will disperse millions of dollars in payments to local governments through the life of the project. The project created approximately 200 full-time equivalent jobs during construction as well as 15 permanent jobs. Through 2018, approximately $18.2 million has been spent within 50 miles of the wind farm.
Benefits to the Environment
Turtle Creek Wind Farm saves more than 354 million gallons of water each year and displaces carbon emissions from fossil fuel power plants, a major contributor to climate change. Wind energy also enhances air quality by helping to mitigate the health effects of harmful air pollutants.
Gallons of Water Saved Each Year
Turtle Creek Wind Farm is compatible with other land uses and provides a stable form of income to local landowners. Millions of dollars will be paid to the wind farm's landowners through the life of the project. These supportive landowners participate in long-term lease and easement agreements that cover turbines, access roads, and transmission corridors.
Modern wind turbine generators are sophisticated, high-tech machines designed to capture the kinetic energy of the wind and convert it into electricity. A turbine's blades capture the wind and rotate an internal shaft connected to a gearbox spinning a generator to produce electricity. Tubular steel towers support a hub with three attached blades and a nacelle, which houses the shaft, gearbox, generator, and controls. Wind measurements are collected to automatically rotate the turbine to face the strongest wind and angle, or "pitch," its blades to optimize the energy captured. Electricity must be produced at just the right frequency and voltage to be compatible with the utility grid.
Turtle Creek Wind Farm consists of 40 Vestas V136 3.6 MW wind turbines and 16 Vestas V136 3.45 MW wind turbines.
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TurtleCreek@edpr.com
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Stacyville, IA 50476
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Since 30 March 2018, Palestinians civilians living as refugees and exiles in Gaza ever since they were driven out from Palestine have been gathering in mass, unarmed demonstration about their right of return to the homeland they lost in 1948. Confronted by the Israeli army, including 100 snipers, the toll of dead and wounded Palestinian civilians is mounting at a shocking rate as we write.
Since 2014 Israel has further tightened the passage of essential medicines and equipment into Gaza, and of the entry of doctors and experts from abroad who offer technical expertise not available locally. Gazan hospitals have been depleted of antibiotics, anaesthetic agents, painkillers, other essential drugs, disposables, and fuel to run surgical theatres. (2) Patients die while waiting for permission to go for specialist treatment outside Gaza. All elective surgery has been cancelled since last January 2018, and 3 hospitals have closed because of medication, equipment and fuel shortages (3). Medical personnel have been working on reduced salaries. Gazan health professionals find it almost impossible to get Israeli permission to travel abroad to further their training.The regular episodic military assaults on Gaza and the current targeting of unarmed demonstrators are part of a pattern of periodically induced emergencies arising from Israeli policy. The cumulative effects of the impact on healthcare provision for the general population have been documented in multiple reports by NGOs, UN agencies and the WHO. (4).This appears to be a strategy for the de-development of health and social services impinging on all the population of Gaza.
The current systematic use of excessive force towards unarmed civilians, including children and journalists, is provoking a further crisis for the people of Gaza. Since 30 March 2018, snipers firing military grade ammunition have caused crippling wounds to unarmed demonstrators.(5) As of 23 April 2018,5511 Palestinians, including at least 454 children, have been injured by Israeli forces, including 1,739 from live ammunition according to the Palestinian Ministry of Health in Gaza. As of April 27, the death toll has reached 48 and additional hundreds wounded.
Even the BBC has shown films of the deliberate shooting of people who were standing harmlessly or running away, including children and journalists (6). The sniper-fire is mostly not to the head, with most of the wounds to the lower torso and legs. Dozens have needed emergency amputation of either one or both legs, and a further 1,300 required immediate external fixations which will entail an estimated 7,800 hours of subsequent complex reconstructive surgery if the limbs are to be saved. This is calculated maiming. More may die or incur life-long disability because of the degraded state of health service sand the prohibition by Israel of the transfer for the seriously wounded (7). How is Gaza to survive this situation? And meanwhile, the many that have lost non-emergency healthcare because of the ongoing lack of medicines and energy will be joined by many more now that all scarce resources are going to life and limb saving efforts.
Whilst various UN and WHO agencies have condemned Israeli actions, Western governments have not uttered a murmur and thus bolster the impunity Israel seems always to have enjoyed in its treatment of Palestinian society. Others who seek to document and to draw attention to events like this, including in medical journals, are often subject to vilifying ad hominem attacks, as have journal editors (8). These are matters of international shame.
Derek Summerfield, Institute of Psychiatry, Psychology & Neuroscience, King's College, University of London.
David Halpin, Retired orthopaedic and trauma surgeon. Member – British Orthopaedic Association.
(2) Emergency Delegation to the Gaza Strip. Physicians for Human Rights Israel.


Upcoming hospital procedure? Avoiding having it done in July.
On behalf of McKeen & Associates, PC posted in Surgical Errors on Wednesday, June 6, 2018.
Life is unpredictable. You can't anticipate every turn of events that could lead to a hospital stay. However, if you're having elective surgery or treating a non-urgent condition, you may have some flexibility in scheduling your procedure. If at all possible, it's wise to avoid hospital treatment in the summer months—particularly in July.
On behalf of McKeen & Associates, PC posted in Surgical Errors on Friday, September 29, 2017.
There are certain things that should never happen in an operating room. Because of how often such things do happen, patient safety advocates have launched major efforts in recent years to put policies and processes in place to prevent these so-called "never events" from ever occurring. According to many experts, there is still plenty of room for improvement.
On behalf of McKeen & Associates, PC posted in Surgical Errors on Thursday, November 10, 2016.
We have previously written on this blog about the results of an annual survey conducted by The Leapfrog Group, which rates hospitals according to how well they avoid medical errors and patient harm in the delivery of health care services. The survey is aimed at helping consumers of health care services to evaluate the quality of care they are seeking and to encourage providers and health care systems to improve their safety performance.
On behalf of McKeen & Associates, PC posted in Surgical Errors on Tuesday, August 30, 2016.
In our last post, we began speaking about the persistence of surgical errors despite efforts to prevent them. Wrong-site, wrong-procedure and wrong-patient errors are particularly concerning because of the serious impact they can have on the patients involved.
On behalf of McKeen & Associates, PC posted in Surgical Errors on Monday, August 29, 2016.
Getting a surgical procedure can be a nerve-racking experience for many people, not only because surgery has its own inherent risks, but also because most the public is aware of the fact that surgeons and other health care providers are not perfect and do occasionally make mistakes.
On behalf of McKeen & Associates, PC posted in Surgical Errors on Friday, July 22, 2016.
An important task for any surgical residency program is how to evaluate the skills of its surgeons in training. Thorough and effective training, of course, ensures surgeons are equipped to succeed in their work and that patients entrusted to their case will receive competent care.
On behalf of McKeen & Associates, PC posted in Surgical Errors on Wednesday, May 11, 2016.
Mistakes can happen in any medical or surgical procedure, and even the most skilled of physicians don't perform perfectly with every patient. Sometimes mistakes have little to no long-term effect, and are nothing to worry about. In other cases, the long-term effects are significant. In some cases, the short-term consequences are significant but the problem can be fixed at a cost.
On behalf of McKeen & Associates, PC posted in Surgical Errors on Friday, August 21, 2015.
According to a recent study led by a researcher from the University of Utah School of Medicine, patients who suffer from complications after a surgery do best to return to the hospital where the surgery occurred rather than having the problem addressed somewhere else. The study said that returning to the facility where the surgery occurred reduced the risk of death over the following two months.


They look pretty at ease with the whole thing. But then 12-year-old Skyla and eight-year-olds Taja & Kai have music in their blood.
To their right, dad Adam Wakeman is showing his versatility and prowess at the keys. And their grandad? He's not here today, but goes by the name of Rick Wakeman.
Music is a real family affair, for sure.
This Wavendon Stables show is one of a few dates that Wakeman has managed to cram in, around his many other projects.
His partner in sound for the evening is Damian Wilson, a man whose versatile strong vocals have been filling the auditorium, working wonderfully alongside Adam's guitar work and that inspired playability at the keys.
And tonight, Adam is facing a Steinway piano. It sounds beautiful.
There is a decidedly friendly atmosphere to this show, in the literal sense - pals have flooded to the venue for the intimate date with the duo, and are being rewarded with two sets of sublime playability.
Both have a rock pedigree (Adam spent years in the ranks of Black Sabbath, only bowing out three weeks before this date, when the band called time on their own career, although he will be out on the road again with Ozzy Osbourne this summer), while Damian has been in demand from prog-rock troupes and the theatrical stage (once spending two years in Cameron Mackintosh's Les Miserables) for his enviable vocal capability.
But this show is stripped back, pure, simple and sensational.
Musically, there is nowhere to hide from errors here, and nowhere needed as they pull material from their own catalogues and their collaborative album Weir Keeper's Tale.
They even throw in an inspired choice to be given the Wilson Wakeman treatment; Iron Maiden's The Evil That Men Do.
The uninitiated would have no idea that it's usually delivered by the warbly-vocals of Bruce Dickinson and his metal comrades.
As they go about their music making, Adam and Damian share stories, anecdotes and lots of laughs.
While those laughs will have since faded since last Sunday's show, the smiles induced by their collaborative work will stay put for a long time to come.
And if they ever need backing singers, there are three youngsters, ready, willing and able, at home!


2/3/13 into 2/4 9:00pm to 1:00pm - I spent a few hours researching and exploring the current system and it's hardware. I also spent some time researching unix, hardware information documented from previous semesters and started researching backup solutions.
2/4/13 4:00pm to 7:30pm - I spent this time gathering hardware and networking information on caesar. I found a bunch of commands through searching the wiki as well as the internet. I logged the session and will pull out the useful commands and information and share with the team on 2/6.
2/5/13 10:00am to 12:30pm - Reviewed my logged session output from 2/4 and put together the list of commands below to share with the group.
2/5/13 9:00pm to 10:00pm - mapped the network and put together a brief outlined listed below under "Network Information". I'm seeing a device in caesar's arp cache that is unknown - millie1.miller1.unh.edu (132.177.189.40). I'll ask about this device during class on 2/6.
2/6/13 8:00am to 9:45am - continued to read logs / information from previous semesters relating to backups. Will discuss during class to determine what needs to be backed up / How much space is required to support a backup.
Here is a list of helpful commands for general purposes and information as it relates to the filesystem, hardware, OS and network.
I plan to discuss my findings with the group on 2/6 and to continue to research backup options. I need more information on what needs to be backed up.
2/10/13 10:00pm to 11:15pm - I read about clonezilla. This seems like a viable option dependent on some external HD space. We could perhaps acquire some external hardrives or could clone the servers on some of the other hardware in the server room. We need to figure out exactly how much space is needed and where we're to get disk space before performing this backup.
2/11/13 various times throughout the day - Exchanged emails with the group in regards to the plan for the rest of the semester. I need more clarification on clonezilla how to accomplish a system backup. I logged into the system to find out exactly how much HDD space is being used in this current configuration. We will also need to estimate how much HDD space will be needed after we get the system running to include trains, models, decodes.
2/12/13 12:00pm to 1:00pm - began writing a proposal for using clonezilla to image the servers. One limitation discovered is that the partition to be cloned must be unmounted. I need to find a way that we can unmount for the backup then mount the clients again or find another option.
Tyler and I have been discussing this option. We can set up a scheduled maintenance shutdown of the system. After a shut down the clients unmount from Caesar which would give us the opportunity to back up.
2/12/13 1:00pm to 2:45pm - drafted a project proposal for the hardware team and emailed it to the group. Each member can add based on what work they've done thus far. We will review this as a group on 2/13.
2/13/13 - 1:30pm to 3:00pm - Worked with the team in an attempt to restore caesar. We replaced the failed hard drive and attempted to bring the server back online.
2/16/13 - 1:00pm to 1:30pm - Read emails explaining how Eric was able to restore caesar.
2/18/13 - 12:00pm to 2:00pm - started drafting the proposal for the clonezilla backup image backup solution. It will be posted when completed prior to the class/team meeting on 2/20. I also updated the project proposal section for our group as it relates to the drive failure on Caesar.
2/19/13 - 6:00pm to 8:00pm - completed drafting the proposal.
The UNHM CIS790 capstone class is using a system comprised of ten interconnected servers to run speech recognition software on an open source Linux operating system (OpenSUSE 12.2). The main server, a Dell PowerEdge 2650 with the hostname of Caesar, serves as the systems NFS repository with all other clients (Dell PowerEdge 1750s) in the stack sharing Caesar's 500GB of hard drive space in a mounted configuration. This system will become increasingly prone to hardware failures as the equipment ages. With an estimated 200 hours of transcripts and all other data derived through the production of language models it's essential to not only back up the data but the entire system through imaging.
In a traditional file backup only specified data is copied to external space, however, imaging software creates an entire backup of a drive which captures everything currently running in a production system. Imaging the system will eliminate timely restoration effort as it can recover the running configuration as well as the programs that are currently installed.
This backup project will also serve as the foundation backup solutions in the future and will provide information for future classes on how to orchestrate a backup using this outline methodology.
As specified on the clonezilla site their software cannot backup a mounted system. We will have to shut down in order to perform the backup. A backup will occur during a scheduled maintenance period in which the system can be powered down.
1.	Download the Clonezilla Live zip file. 2.	If you already have a FAT16 or FAT32 partition on your USB flash drive then skip to the next step (3). Otherwise prepare at least a 200 MB partition formatted with either a FAT16 or FAT32 file system.
If the USB flash drive or USB hard drive does not have any partition, you can use a partitioning tool (e.g. gparted, parted, fdisk, cfdisk or sfdisk) to create a partition with a size of 200 MB or more.
Then format the partition as FAT with a command such as "mkfs.vfat -F 32 /dev/sdd1"
WARNING! Executing the mkfs.vfat command on the wrong partition or devic could cause your GNU/Linux not to boot. Be sure to confirm the command before you run it.
3.	Insert your USB flash drive or USB hard drive into the USB port on your Linux machine and wait a few seconds. Next, run the command "dmesg" to query the device name of the USB flash drive or USB hard drive. Let's say, for example, that you find it is /dev/sdd1. In this example, we assume /dev/sdd1 has FAT filesystem, and it is automatically mounted in dir /media/usb/. If it's not automatically mounted, manually mount it with commands such as "mkdir -p /media/usb; mount /dev/sdd1 /media/usb/".
4.	Unzip all the files and copy them into your USB flash drive or USB hard drive. You can do this with a command such as: "unzip gparted-live-0.4.5-2.zip -d /media/usb/"). Keep the directory architecture, for example, file "GPL" should be in the USB flash drive or USB hard drive's top directory (e.g. /media/usb/GPL).
5.	To make your USB flash drive bootable, first change the working dir, e.g. "cd /media/usb/utils/linux", then run "bash makeboot.sh /dev/sdd1" (replace /dev/sdd1 with your USB flash drive device name), and follow the prompts. WARNING! Executing makeboot.sh with the wrong device name could cause your GNU/Linux not to boot. Be sure to confirm the command before you run it.
NOTE: There is a known problem if you run makeboot.sh on Debian Etch, since the program utils/linux/syslinux does not work properly. Make sure you run it on newer GNU/Linux, such as Debian Lenny, Ubuntu 8.04, or Fedora 9.
Ensure that your USB flash drive contains at least one FAT partition. Ensure that the partition is marked as "bootable" in the partition table. Ensure that the partition starts on a cylinder boundary. For the first partition this is usually sector 63.
This is a low-risk project as it doesn't change any of the configurations of the system. The only risk is the downtime required in which the backup will occur.
The systems team will coordinate a scheduled maintenance schedule and will ensure that the class is aware of the outage prior to the maintenance event.
2/20/13 - 1:00pm - 3:30pm - worked with the group in an attempt to restore SSH to caesar.
2/22/13 - 12:30pm - 1:30pm - added the proposal to the Systems group page (Pending review) - added a brief timeline for the backup solution to the proposal page.
2/25/13 - 12:30pm - 1:30pm - read through Mike's proposal for the fedora OS upgrade. Made suggestions through email on how to improve the proposal. Suggested adding in a comparison chart outlining the differences between our current version of opensuse and the latest distribution of fedora and perhaps more Linux OS releases.
2/26/13 - 8:30pm to 10:00pm - read through the project proposal page as well as logs from the system group.
Last week we were unable to attempt a an image of one of the batch servers due to the SSH issue. I would like to try a back up this week during our class meeting.
3/3/13 10:30pm - 12:00am - Researched Clonezilla with RAID backups. Information thus far is inconclusive. Will research more.
3/4/13 11:30am - 1:00pm - Read through the logs of the system group and continued the research started on 3/3.
3/6/13 - 2:00pm to 4:00pm - worked with the group to install fedora on a spare drive used in caesar's chassis.
3/17/13 10pm - 11pm - started reading through logs from the Modeling Group. Still need to catch up on the work that they've done in preparation for my own modeling.
3/18/13 5pm-9pm - Started working on a visio diagram showing the rack and servers for this project.
3/23/13 10:30pm to 12:00am - Read through the newly revised document that Eric sent out to familiarize myself with how to set up experiments. I'll run through the process on the system on 3/24 and will contact Eric or the group if I run into any issues.
3/25/13 5:00pm to 6:30pm - Ran a clonezilla backup on my local machine and created a procedure for backing up the servers.
3/25/13 8:00pm to 10:30pm - Completed the rack diagram and adjusted it to the feedback from Tyler.
3/26/13 7:00pm to 9:30pm - Attempted to create train based on the instructions give however ran into an issue with generating the feats data. I'm sure that it's something that I did incorrectly however, can't figure out where my mistake is. Emailed Eric asking him to look at this on 3/27 during class. See experiment 0038 for the error.
You'll be asked if you're sure twice. Click yes through both prompts.
Stuck on the "Generate Feats data" section of training. I'll consult the group on 3/27/13 to see if anyone has experienced this and knows how to resolve it.
3/30/13 - 10:00am to 11:00am - Reviewed Eric's suggestions and debug of the failed experiment attempted earlier this week (0038). I'll attempt to work through it again either today or on 4/1/13. I also added the rack diagram to hardware page in the information section. I also added the list of helpful and more detailed unix commands to the Unix Notes page in the information section.
4/1/13 - 1:00pm to 2:30pm - Attempted to finish experiment 0038 and got through running the first train however was interrupted. I hope to get the full experiment done between 6:30pm and 10:00pm. Eric found a colon that I added to sphinx_train.cfg file that I must have added while editing in VI. After the removal I was able to successfully complete the gen feats step. I have a list of words that produced warnings and will work to getting those added into the dictionary or removed from the transcript.
4/2/13 - 2:00pm to 3:00pm - Updated the list of words that threw warnings when running the train with the list of phones from the CMU site.
4/2/13 - 8:00pm to 9:00pm - Attempted to update the dictionary with the the list of words however am now getting a ton of phone errors which seems to be related to missing stress indicators. Working with Eric to get an updated working dictionary. After adding the new dictionary to the experiment from the mini/train corpus which is running without an issue now. After this completes, I'll create the language model and start the decode. Scoring to be completed on 4/3. 10:00pm - Created the language model and began the decode.
caesar Exp/0038> /mnt/main/scripts/train/scripts_pl/make_feats.pl -ctl /mnt/mExp/0038/etc/0038_train.fileids Configuration (e.g. etc/sphinx_train.cfg) not defined Compilation failed in require at /mnt/main/scripts/train/scripts_pl/make_feat line 43. BEGIN failed--compilation aborted at /mnt/main/scripts/train/scripts_pl/make_s.pl line 43.
Words that errored during the initial train.
The warning below occurred after to incorrect additions into the dictionary: The CMU site wasn't able to lookup many of the words that threw warnings during the initial train and directed me to another site "LOGIOS". When updating some of the words into the dictionary, either the phones were incorrect or the lexical stresses were incorrect.
We then added a new working dictionary from the mini/train corpus which ran successfully after correcting two words in the new dictionary. I was then able to run a successful train, create the language model and run the decode.
Have a much better understanding of what to do however, have not been able to complete the experiment. I hope to have it completed and scored on 4/3.
4/3/13 - 1:30 - Investigating how to resolve the errors that I received when scoring on 4/2. Following the steps to remove the redundant entries in 0038_train.trans.
I was able to complete the experiment by running the uniq hyp.trans >> hyp.trans.uniq command to remove the duplicates. I then ran the sclite -r 0038_train.trans -h hyp.trans.uniq -i swb >> scoring.log command to run the scoring on the new hyp.trans.uniq file which threw one duplicate entry error "sw2245a-ms98-a-0166". I went into VI and removed the duplicate entry and ran through scoring again which was successful. The experiment page 0038 has been update with the results.
4/7/13 11:30pm to 12:30am - set up the experiment directories for both Exp 0074 and 0075 by running the setup_SphinxTrain.pl script. I then edited the sphinx_train.cfg files in both experiment directories in preparation for the train to be started on 4/8.
4/13/13 - Although this post wasn't updated on 4/13 (due to a 14hr shift at work), I read through the assignments/goals for this week and caught up on email communication between the group.
4/14/13 - Read through the groups logs to find out where the group was at regarding this weeks tasks. There were only two tasks left Exp 0080 through Exp 0082 were completed. I created the Language model for Exp 0083. All that's left is to run the decode and to score. Updated the group log in google docs and on the group page on the wiki. Responded to emails from the systems group regarding the URC Poster.
4/15/13 - modified the sphinx_train.cfg file and generated the transcript file for 0083.
4/16/13 - read through the group assignment sheet to catch up on the current state of 0083.
4/17/13 - Created bullet points for the Systems group URC poster.
4/19/13 - Reviewed the URC poster. No other suggestions for improvement.
4/29/13 - Started the decode on Exp0094. I'll score the experiment and create the 0094 wiki article. After decoding and scoring we ended up with a word error rate of around 57%. The experiment is complete and the wiki article has been created. Further analysis is needed to determine why the result was this bad.
4/29/13 - Worked with Eric to create a new Exp (0096) in which new sphinx models were used. The decode is running overnight. I'll score and post the results on 4/30.
4/30/13 - The decode on Exp 0096 completed overnight. I scored it this morning and we ended up with an average error rate of 72.0. The Exp0096 wiki article has been created in which the results have been posted.
5/3/13 - Read through this week's tasks and goals. Read through some logs. I may be able to work on some tasks on Exp0097 today and will email Charlie Haynes regarding the final report to see if there's anything I can do to help with that.
5/4/13 - Setup the experiment directory for Exp 0098, modified the sphinx_train.cfg file, ran genTrans, copied over the dictionary from 0089 and the filler dictionary. Commented the assignment sheet asking the group to check 0097.dict before moving forward. Not sure if copying over 0089.dict and renaming it 0097.dict was correct.
5/6/13 - Ran genTrans6.pl on the last_5hr/Train corpus for 0099, copied the dictionary from 0089 and the filler dictionary into 0099/etc. A few closing brackets were grepped out of 0099_train.trans and have been sent to Eric. I generated phone and feats and am hold until we get these corrected. Eric corrected genTrans6.pl and I was able to continue. Ran into another issue where I missed adding "SIL" to 0099.phones. That was corrected and was able to complete running the train and creating the experiment wiki. There is no decode / score for this experiment.
5/6/13 - Began working on Exp 0100. Setting up the directory and modifying sphinx_train.cfg were already completed. I generated the transcript, set up 0100 with the dictionary and filler, generated phones, generated feats. Left off here due to other obligations.
5/7/13 - Read through logs and the group assignment sheet. Created the experiment page for 0100. The group will update the page with the score once completed.
This page was last modified on 7 May 2013, at 18:32.