Have you ever visited the cycling store and felt completely out of your league? And not because of the massive quantities of bikes--road, tri, mountain, hybrid, comfort--grabbing your attention from the main floor. I'm talking about the abundance of gear for your bike once you have the basic two wheeler, maybe pimping it as far as clipless pedals, bike shoes, and a water bottle holder--and not know what exactly to purchase and what to pass up, especially if you're looking for the bare essentials.
I've definitely acquired my fair share of accessories over the five years since I bought my first road bike. And I was definitely overwhelmed when I left the store with that purchase, not bothering to buy anything extra and thinking I had everything I needed in the bike alone. Boy was I wrong--I couldn't ride this sucker like I rode my Costco special I've affectionately named "Big Green" that got me the places I needed to go and even tolerated 20-30 miles on the Lakefront Path before telling my knees no more. Once I upgraded, I learned that I'd need more than a water bottle (if I even remembered to bring that) with me on the trail. So when an athlete I coach asked me about bike gear to buy, I sent her this list of the basic bike gear--mostly what to shove into your saddle bag--I wished I had purchased at the get-go rather than days before a race. I called it "all the stuff to help with a flat or problem on the road."
Bike pump. Definitely key, especially a floor pump. You'll see people toting these around in transition area and a lot of people bring their own for fear of not being able to borrow one or getting a flat on the way to the race even though you pumped them full of air before leaving home (I got a flat with my bike in the trunk of my car once). And it's good to have at home to pump air in your tires before going out for a ride. Village Cycle just up the street from me has air outside the store...kinda like the way you go to a gas station to get air in the tires. I feel like such an idiot for not buying a floor pump until my road bike was a year old and I had already raced my first triathlon--I relied on a very basic, very cheap hand pump--and I learned how crucial that pressure gauge was. Finally, finally I wouldn't have to guess on my tire pressure, or have a tube burst during a ride (luckily my husband's and not mine).
Mini bike pump. Consider this an optional item but some people choose to carry a mini pump when they're out riding so that they don't have to fumble with CO2 cartridges (I'll get to those). The mini pump is nice because you can often attach it to the downtube on your bike and always have it with you in case you're out riding and notice that your tires need air. Or if you're racing, use the CO2 cartridge to fill the new tube, and then screw up and lose the CO2 into the air rather than in the tube, you have another method of getting the tube to fill--that happened to me last summer where I got a pinched flat and the tube wouldn't inflate (turned out it was punctured somewhere). We wasted two CO2 cartridges to fix it and then used a new tube and needed a hand pump to fill it. And if you can find a mini pump with a pressure gauge, even better.
Tool kit, patch kit and tire levers. These tools are the basics to carry for flat trouble and basic repairs. You can use the patch kit to patch up a tube--or so I've heard but have yet to use, ha ha. But sometimes you're better off swapping tubes on the road and doing the patching at home later. The tire levers help you get the tire off the rim of your wheel. Some people can barehand it--not me--but these are usually most helpful especially when trying to get the tire/tube back onto the wheel. The tool kit is good to have in case your seat needs adjusting, something feels loose, etc. And wiith the different screwdrivers and allen keys, it also comes in handy for building ikea furniture or having in the car on a camping trip (I've used mine for that more than on the road).
CO2 cartridges. I had no idea what these were used for the first time I had to write a list of gear to bring to a triathlon. But I quickly learned how handy CO2 cartridges are for races: They inflate your tire super fast after you change a flat. And each canister holds just enough to get the tire plenty plump so you don't need a gauge to check the tire pressure. The confusing part lies in buying threaded or non-threaded cartridges--easily solved by having an inflator that uses both.
Tire inflator. You can't just buy the cartridges, you need a little device to use them, the inflator. Last summer a group of cyclists told me that this was the good kind to have because of the trigger. Wish I had known that before I bought the simpler version that leaves more room for error and wasted cartridges.
Spare tubes. Feel free to laugh at my stupidity for thinking I'd have to go to the bike shop every time my tires went flat. Tubes to the rescue--and they are so easy to carry and always have at least one on hand. Now I don't leave home without one, and they've saved me from walking 10 miles home on more than one occasion. Tthe tubes are folded together into a tight package that easily slip into a bike bag. Some people even toss them in the back pocket of their bike shirt but to each his own.
Bike bag. So with all of these goodies, you can squeeze most of them into a saddle bag to have with you on your rides. You'll never notice it's there and then you're prepared in case of a problem. But finding the bike bag itself can be a challenge; I had issues finding one that would fit my tri bike.
I think I've covered the basics above, or at least what I've been toting around. Granted I still feel like I failed my athlete by leaving her in the dark before triathlon camp over the weekend. I was psyched that she'd learn a ton about the sport in a short time period, which she did, but I failed to tell her some basics before she left. Oops.
If I've missed something you carry with you, feel free to add it to the comments. I'm already realizing that I skipped over one other essential that's not of the tool variety: food. My Bento Box--easy accessibility--always has a Clif Bar and Sport Beans in case I'm starving during a ride, but the saddle bag also works as a good storage spot. Just don't forget what's inside or you'll be stuck with an expired gel or rock-hard Beans--not good for the stomach. Photo grabbed from cloettafazer.com.


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Home > Claims > Section 54 of the Insurance Contracts Act – a hard "act" to follow
Section 54 of the Insurance Contracts Act – a hard "act" to follow
By Ray Giblett and Tristan Baker on October 7, 2016 Posted in Claims
Lawyers have often scratched their heads trying to come to terms with section 54 of the Insurance Contracts Act 1984 (Cth) (ICA). Section 54 prevents an insurer from denying a claim on the basis of an act (or omission) of the insured provided the act did not cause the loss.
Two recent cases have considered what is meant by an "act" and provide useful clarification of when section 54 will come to the aid of an insured.
Insurer runs aground on section 54
The first case, Pantaenius Australia Pty Ltd v Watkins Syndicate 0457 at Lloyds[1], involved a marine insurance policy for a luxury yacht wrecked off Cape Talbot, Western Australia. The policy limited coverage to damage sustained while in Australian territorial waters. However, the relevant clause suspended cover from the time the yacht cleared customs for the purpose of leaving Australian waters until the yacht cleared customs upon its return. While the yacht ran aground within Australian waters, at the relevant time it was returning from Indonesia and had not cleared customs. The insurer therefore denied the claim.
Foster J read the exclusion in light of the underlying purpose of the policy, which was to only extend coverage to the yacht while it was in Australian waters. The question then became whether there had been an "act" as contemplated by section 54(1).
According to his Honour, the relevant "act" of the insured was the act of departing Fremantle harbour with an intention to leave Australian waters and clearing customs at the commencement of the voyage as this act was a necessary pre-condition to the suspension of the insurance policy.
As the insured's act did not cause the loss and the insurer suffered no prejudice, given the loss occurred in Australian territorial waters, section 54 operated to prevent the insurer from refusing the claim.
A better "state of affairs" for insurers
The above decision can be contracted with the decision of the West Australian Court of Appeal in Allianz Australia Insurance Ltd v Inglis[2]. This case involved a claim on a home insurance policy following injuries sustained by a 10-year-old girl, Ms Georgia Inglis, who was accidentally run over by a ride on lawnmower while playing. The persons claiming indemnity under the policy were the father and brother of the injured girl. Significantly, the home insurance policy excluded coverage for "injury to any person who normally lives with you" and the insurer declined indemnity on that basis.
At first instance, the Western Australian District Court found that the Ms Inglis was a person who normally lived with the father and brother and that this was an act for the purposed of section 54(1).
On appeal, the Court of Appeal concluded that living with another person is not an "act". In the Court of Appeal's opinion, the relevant facts were more appropriately defined as a "state of affairs" or a "description of a relationship". This situation was to be inferred from the conduct of all relevant persons over a prolonged period of time and did not depend on any single act of a particular person on the day that the insurable event occurred. The conduct, therefore, could not amount to an "act" within the meaning of section 54(1) and the insurers succeeded on appeal.
The above decisions provide some clarity in regard to the operation of section 54 in a post Maxwell v Highway Hauliers Pty Ltd[3] landscape. Although, as demonstrated in Pantaenius, section 54 continues to be applied broadly by the courts, Inglis illustrates that it is not a panacea for all claims.
[1] [2016] FCA 1.
[2] [2016] WASCA 25.
[3] [2014] HCA 33.
Tags: act, claim, insurance contract, Insurance contracts act, insurance law, prejudice, section 54

redpajama_set_name: RedPajamaCommonCrawl


Americans United for Life (AUL), the nation's premier pro-life legal team, works through the law and legislative process to one end: Achieving comprehensive legal protection for human life from conception to natural death. The nonprofit, public-interest law and policy organization holds the unique distinction of being the first national pro-life organization in America— incorporated in 1971, before the infamous Roe v. Wade decision. At the state, federal and international levels, AUL works to advance life issues through the law and does so through measures that can withstand judicial obstacles so that pro-life laws will be enforced. AUL knows that reversing Roe v. Wade can be accomplished through deliberate, legal strategies that accumulate victories, build momentum, and restore a culture of life.
• Dismantling the Big Abortion Industry that is profiting at the expense of women. • Raising awareness through media of abortion's harm to women; • Laying the legal groundwork to overturn Roe.
AUL's strategy involves producing, distributing and enacting model legislation designed to save women and children from the destruction of abortion, assisting in the defense of such legislation when it is challenged in courts of law, and educating the public on the harmful impact of Big Abortion on women and its destruction on society. Our specific strategies in these areas are highly confidential due to the strong opposition we face from the Big Abortion Industry which seeks to profit off of women in a crisis pregnancy situation. Donors of AUL may request more information on our strategy by contacting AUL at 202-741-4902.
As its greatest resource, Americans United for Life has the best legal, legislative, policy and media experts on staff (see: http://www. aul. org/about-aul/team/). AUL also has the longest and richest history of any pro-life organization in the United States, have worked to defend life two years before Roe v. Wade was decided (See: http://www. aul. org/about-aul/history/).
1. A reduction in abortion rates (which we are seeing in recent reports from the CDC and Guttmacher Insitute) 2. The enactment of pro-life laws (which we are seeing in the recent surge of pro-life legislation and AUL's involvement in enacting one third (or 74) of those laws. ) 3. Increased public awareness of abortion's harm to women and children (which we are seeing in the significant media attention given to AUL with 78. 6 million media mentions in 2013).
AUL has been involved in enacting one third (representing 74 bills) of the surge of pro-life laws we have seen enacted since 2011. In 2014, Bloomberg declared, "Americans United for Life has been a driving force behind [this] surge, providing state lawmakers with templates to enact abortion restrictions. " The impact of these laws has a dramatic effect on reducing abortion. Citing the passage of pro-life laws as a factor, the Centers for Disease Control reported a 5% decrease in abortions occurring in 2008 and a 3% decrease in 2009. Likewise, the Guttmacher Institute recently announced that abortions have decreased 13% from 2008, their lowest point since Roe v. Wade was enacted in 1973. According to Dr. Michael New of University of Michigan, legislative efforts to enact parental involvement laws, informed consent laws, and limits on taxpayer funding of abortions has contributed to a 25% nationwide decline in the number of abortions performed since 1992. (New, Michael. 2011. "Analyzing the Effect of Anti-Abortion U. S. State Legislation in the Post-Casey Era. " State Politics and Policy Quarterly 11(1) 28-47. ) AUL has also been involved in every U. S. Supreme Court case since Roe v. Wade and has had great success in assisting with the defense of pro-life laws in the Courts.
All data for Financial Performance Metrics calculations was provided by Americans United for Life on recent 990s filed with the IRS.


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Install CCTV cameras in schools
ISLAMABAD: The Federal Directorate of Education (FDE) on Monday awarded the contract of installing close circuit television (CCTV) cameras in educational institutions to a lone bidder.
A total of four companies participated in the bidding process for the over Rs40 million project. However, three of the firms were disqualified due to incomplete documents.
And the remaining company was awarded the contract against a bid of Rs130,200 per school without any healthy competition. The company is supposed to install four CCTV cameras, one UPS, one LCD and one networking video recorder in each school by the end of this month.
Interestingly, the three companies – MS System, Geo Tech and Mansha Brother – were declared ineligible for not having valid registrations from the Pakistan Engineer Council (PEC).
"If out of the total four, three companies have been disqualified, it means there is no competition as per the spirit of the Public Procurement Regulatory Rules (PPRR). Under such circumstances, instead of awarding the contract to the lone eligible company, the FDE should go for re-tendering," said Supreme Court lawyer Syed Nayyab Gardezi.
"Before finalising the process, the bids of all the companies should have been opened for making at least a comparison in prices but I don't know why the FDE didn't open our bids," said one of the bidders.
He said though the FDE had the right to reject or accept the bids, it made no sense that one company was awarded the contract without any competition.
When contacted, FDE's director finance Tahir Mustafa Khosa, who supervised the bidding process, claimed that the contract was awarded in a transparent manner.
"Four companies participated in the bidding but three of them could not provide the required documents. As a result, we didn't open their sealed bids." H claimed that the Public Procurement Regulatory Rules allowed the FDE to award the contract to the lone eligible bidder.
Mr Khosa said a committee would share the finding of the proceedings with the higher authorities of the FDE and the Capital Administration and Development Division, which were the competent authority to take a final decision.
"According to our opinion and recommendation, the tender goes in favour of the single company. However, in case a need arises, we can think for the re-tendering," he said.
The tender was called for supply, installation and commissioning of CCTV surveillance in 391 educational institutions.
However, now the number of institutions is being reduced. "We are considering reducing the number of schools to focus only on city areas," Mr Khosa said.
Another official of the FDE said there were dozens of schools without boundary walls so the installation of CCTV cameras in such institutions would be a useless exercise.
"As a first priority, we will focus on the city areas and sensitive schools and colleges and then go for the remaining institutions," the official said.
It may be noted that the tender was initially supposed to be reopened on April 20 but the FDE officials delayed the process.
Later, a corrigendum was issued fixing May 4 for the reopening of the bids. On Monday, the one eligible bid was reopened at the conference room of the FDE in the presence of all the bidders.
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Duffy finally gives fans what they've been waiting for - a new single.
Duffy isn't just appearing in Tom Hardy's new movie Legend; she's also singing three tracks on the soundtrack.
One of those songs - 'Whole Lot of Love' - has been unveiled as Duffy's new single, which made its official debut on Friday (September 11).
The song marks the first single Duffy has released since 'Well, Well, Well', which was featured on her 2010 album Endlessly.
On Wednesday (September 9), Duffy teased fans by posting an image on Facebook with the words "Are You Ready?". Two days later, Duffy released an image to promote 'Whole Lot of Love'.
Duffy made her debut in 2008 with Rockferry, spawning hits 'Mercy' and 'Warwick Avenue'. She won Best Pop Vocal Album at the 2009 Grammys for the album.
In Legends, Duffy portrays late American singer Timi Yuro.
Legends is already playing in the UK and will arrive in US cinemas on October 2.


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Pence torn between Trump, Constitution
Vice President Mike Pence finds himself in the most precarious position of his tenure as he prepares to preside over Wednesday's congressional tally of Electoral College votes.
[MUSIC PLAYING]
A New Pew Reseach Poll Reveals Just How Deep the Divisions Within the Republican Party Are
Republicans will have to define themselves in relation to Trumpism for decades to come.
15 vice presidents who became president themselves
Some vice presidents had no choice but to become president due to the death or resignation of their predecessors.
Senator Lisa Murkowski Hints She'll Vote to Convict Trump
The Republican senator believes it's "appropriate" to block President Trump from holding future office.
Pramila Jayapal: "We Don't Know If We Can Trust Our Republican Colleagues"
On Wednesday, Washington Rep. Pramila Jayapal and 231 of her fellow congresspeople voted to impeach President Donald Trump for inciting the insurrection at the Capitol on January 6. Jayapal was at the center of the Trump-caused firestorm in more ways than one: When armed, right-wing extremists stormed the Capitol, she and some of her colleagues were trapped in the gallery above the House chamber where they had been watching as the Electoral College votes were being counted; then they sheltered-in-place together in a secured room, where some of the Republican representatives refused to wear masks. At that time, Jayapal predicted that the event would be "a superspreader event on top of a domestic terrorist attack." Her words ended up coming true and affecting her personally: Jayapal tested positive for COVID-19 on Tuesday, along with at least four other Democratic colleagues. Ahead, we caught up with her to talk about Donald Trump's future, unending Republican cruelty, and how she's faring after her diagnosis. First of all, how are you feeling after testing positive? "Thank you. I am feeling better today, so that's giving me a lot of hope. My fever and chills are gone, and it's mostly a stuffy head and nose, kind of like a regular cold. So this thing is not going to win over me. I'm going to be fighting just as hard, if not harder." I bet you're working through it all, which can't make it a whole lot easier. "I think that is part of it. We don't really get sleep — though last night I got a great night's sleep, so I'm feeling very chipper today." You voted to impeach Donald Trump on Wednesday, making this the second time that the House has voted to impeach him. Why is this vote particularly important now? And what implications do you believe it could have for his future? "Donald Trump incited the insurrectionists, and he spent the last two months essentially using every platform he had as president of the United States to say that this election was fraudulent when it was free and fair, and to aid, affect, fuel, and ultimately incite a tactical, armed crowd to conduct the most violent assault on the Capitol since 1812. The whole time it was happening, he was reportedly cheering them on from the White House, not calling for peace, not allowing the resources that we needed, whether it was National Guardsmen or other assistance. And even his message, released very late as if he was taken hostage to read the words from the teleprompter, did not blame any of these people and said they were loyal patriots. So we have to take this action because Donald Trump is a threat to our national security every day that he is in office." What are your thoughts on what could happen in the Senate, particularly in light of the fact that Mitch McConnell seems to want to wait until after the inauguration to conduct a trial? "My hope is still that maybe there could be some pressure from Mitch McConnell to take this up immediately. It doesn't look likely, but I will tell you that a few days ago it didn't look likely that we would have the most bipartisan vote ever on impeaching a president. I think if Mitch McConnell refuses to take this up, then it will proceed under the Democratic majority. And I hope that Republicans in the Senate understand how critically important it is that, even though Donald Trump is the ex-president they vote to convict him. And if that happens with a two-thirds majority in the Senate, then they can vote to ensure that he never holds office again. I believe that there are enough Republicans in the Senate who are horrified by what happened. At least, I hope there are." Like you said, this was the most bipartisan impeachment vote in history, but, as you know, it was only 10 Republicans who voted to impeach him. How does that make you feel about the future of their party and our country? "It's a tough question because obviously I'm glad that there are 10 Republicans who had the courage to put country over party, and I am horrified that it was only 10 Republicans. It shows you how much lunacy there is in people's heads. It really worries me that this is essentially a cult following. I think the Republican Party is cleaving before our very eyes, and there will be one faction that is frankly terrifying for the future of the country, but there will be another faction that hopefully will begin to rebuild the depth of the Republican Party so that it is a party that is about at least something, even if we disagree with them. You know, some policy ideas instead of just an individual who is unhinged." What about the Democrats? Do you think this experience, as well as the new administration, might allow for a more unifying moment among the Democratic Party? "I do, and I've already seen it, just in the incredible unity around the impeachment vote. There was really very little question that that would happen and very little if any opposition to it even initially. And, I also think that it has fundamentally shifted the conversation on race and the response of law enforcement to white nationalists versus to Black Lives Matter folks. The Republican party can no longer claim to be a party of law enforcement when we saw people dragging out Capitol police officers and beating them. But also I think the racism within how white nationalists are perceived versus how people who are simply speaking up against the injustice in law enforcement with Black people being murdered every day, that was so clear. I just hope that it leads to far more unity on race in this country, and what we have to do to fix our institutionally racist structures." You and two other colleagues tested positive for COVID on Tuesday after your Republican colleagues refused to wear masks and essentially made fun of you. What lingering feelings do you have about that experience, and what would you like to say to your colleagues, who put you in harm's way? "They did. And I've been clear about my anger about that because here we had just experienced a terrorist attack by white nationalists, and we were forced into that room with over 100 people and they were still mocking the idea of science and public health. The number-one guidance to prevent the spread of the virus is wearing a mask and socially distancing. We obviously couldn't social distance in that particular situation with so many people in that room, but they absolutely could have taken the very simple steps of wearing a mask, which is really about protection of other people, not a personal liberty. I think their intransigence around that and the refusal to set an example for the entire country is absolutely part and parcel of why there are 3,200 Americans who are dying every day from COVID. "So it's an anger about the fact that they gave it to me, because I know I got it from that room. And, my husband has now contracted the virus as well because of his exposure to me. So it's that frustration on a personal level, but it's also this larger anger about how Republicans have treated the virus and allowed almost 400,000 people to die because they have taken it like a joke. "I think it's stunning, too, that in spite of them losing a colleague [Luke Letlow, congressman-elect from Louisiana] who just got elected and couldn't take a seat in Congress because he died from COVID, they still are refusing to acknowledge that this is real. I just don't understand it. I also don't understand how it's only Democrats who have been reporting testing positive since the January 6th attack. I've got to believe that there are Republicans, and they're just not telling us. Which means they could be not getting tested, and could be spreading it." How are your colleagues doing who also tested positive? It sounds like it may be particularly tough for Bonnie Watson Coleman, who is 75 and a cancer survivor. "I was checking in on her today. And luckily she also seems to be doing relatively well, though I don't want to speak for her. Brad Schneider, I actually talked to him last night and he does not have any symptoms. Ayanna Pressley and Adriano Espaillat both also tested positive. So that means four out of the five Democrats who have tested positive are people of color. And I do think that reflects the larger story of the virus in this country and how people of color are disproportionately affected." Many of your colleagues such as Reps. Ayanna Pressley and Alexandria Ocasio-Cortez have also spoken out since the insurrection, saying they feared for their lives on that day. What was your particular experience like? "I was trapped in that gallery with about a dozen other members. For me, my biggest source of concern was that I could only walk with a cane because I couldn't bend my knee; I had recently had knee surgery. So when they told us to duck under the banisters and go to the other side of the gallery, and then get on the floor, it was physically really challenging for me, on top of the fear of being trapped. "At one point, we were trying to get the attention of the Capitol Police on the main floor, because we weren't sure that anyone was going to come and get us. It was a deeply traumatic experience for those of us who were in the gallery. We were there when the gunshots were fired into the chamber, we heard that. We were also so close to the doors because that gallery is not very big. And so when the rioters were pounding on those doors, it was like, it was literally right there. We didn't know the Capitol Police didn't have anything to barricade those doors with. So it was literally just locking the door and then standing there behind it to try to keep them out." It's been reported that there were police and even Republican lawmakers helping the rioters at the Capitol. What are your thoughts on some of your colleagues potentially being complicit in all of this? "I think that's one of the most disturbing pieces of this, that we don't know if we can trust our Republican colleagues. In fact, everything shows that a few of them were part of planning and inciting the insurrection and showing people around. There was the video of one of the main organizers talking about the three members of Congress that were helping to plan this. It also feels like people knew their way around. So the question is whether there were recon tours that were given ahead of time. I think we need to make sure that any member of Congress who was a part of planning and inciting these attacks is removed from Congress. And if they violate the rules that we have put in place around all of our safety, whether it's walking through metal detectors or refusing to wear masks, then there have to be heavy fines levied on them, and they need to not be allowed onto the floor. You don't follow our rules, you can't vote. Period." Like what you see? How about some more R29 goodness, right here?Congresspeople Are Testing Positive For COVID-19AOC Thought She Was Going To Die During The SiegeThe FBI Knew About The Capitol Riot Beforehand


For half a decade retirees stayed close to home. They couldn't sell their house, so they couldn't move. Many people were forced to retire early, which meant their finances were even more stressed. Many baby boomers also still had kids in school, and so they didn't want to move anyway.
1. They can finally sell their house.
The real estate market suffered a historic slump during the Great Recession, and it has been slow to make a comeback. But now both sales and prices have returned to more normal levels, meaning people in California and the Northeast – and even in the Midwest to a lesser degree – can finally sell their homes. Fewer people are underwater on their mortgage, which means they have more equity, while mortgage rates are still low and credit is easier to obtain.
2. Their stock portfolios have recovered.
Baby boomers were not only frozen in place for half a decade, but they suffered huge losses in their savings and retirement nest eggs, which made them more cautious and less likely to pull up stakes and start a new life. Now that markets are back near historic highs, baby boomers are flush with more funds to use for down payments, moving costs and all the other expenses that go along with starting a new life.
3. It's expensive to live in California and the Northeast.
Although many states have slowed the rate of increase on real estate taxes – New York, for example, instituted a 2 percent cap – taxes are still high and going higher, even if at a slower pace. Retirees move to get away from high taxes. But there's also the high cost of insurance, entertainment, heating and all the other necessities of living in the north.
Global warming may have brought a marginal rise in temperatures worldwide, but that's cold comfort for those who see the outside thermometer stuck at 20 degrees. The unusually cold and snowy winters of the past two years only add to the motivation of retirees to find a more comfortable lifestyle in a warmer climate. A desire for healthier lifestyles also prompts people to seek out a climate where they can hike and bike and play outdoor sports all year round.
5. They're going to move anyway, so they might as well go someplace nicer.
Many boomers are moving not to retire, but to take advantage of late-in-life job opportunities. They have been downsized from their full-time careers, and are now looking at lower paying, but also lower pressure jobs outside major metropolitan areas. Along with low-powered jobs or part-time positions, they're looking forward to gaining more leisure time and paying less "overhead" for their lifestyle.
Despite the fact that more people are moving, the majority of retirees still age in place. So don't feel left out if you want to stay in your old neighborhood and live near your children and grandchildren. And then there is one countertrend. While most retirees head south, there are some who turn north. Northern states from Maine to Washington are losing population among those age 55 and over. But four states – New Hampshire, Vermont, Idaho and Oregon – are appealing enough to actually gain population among people 55 and over.


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En familia va ser un programa de televisió, emès per TVE entre 1987 i 1989, presentat i dirigit pel periodista Iñaki Gabilondo, en el seu retorn a televisió després de la seva experiència com a director dels serveis informatius.

Format
Es tractava d'un talk show que reunia en el plató a diverses persones relacionades amb l'assumpte que es tractés en el programa per a debatre els seus punts de vista.

En l'espai es van abordar assumptes com les drogues, l'alcoholisme, les relacions paternofilials, la violència en l'esport, la guerra civil espanyola, el joc, l'Església Catòlica, els militars, estrangers a Espanya, la moda, etc.

Premis
Gràcies a la seva labor al capdavant del programa, Gabilondo va aconseguir el Premi TP d'Or com a Millor Presentador. L'espai va ser guardonat amb el Premi Ondas.

En familia També va ser un nou format de TVE, emès el 26 de gener de 2011, ideat i dirigit per Santiago Tabernero, en el qual es conten històries de diferents llars, així com recull les diferents i múltimples variants de famílies a Espanya. En cada programa, es visiten cinc llars per a contar històries relacionades amb un nexe temàtic comú, gràcies a un equip de nou reporters que ens mostrarà el dia a dia d'estar En família extraordinàries.

Referències
 Revista Teleprograma. Número 1098. 13 d'abril de 1987.
 Historia de TVE. Diario ya, 1986. Página 231.
 La Vanguardia, 10 d'abril de 1987

Guanyadors dels premis Ondas
Programes de televisió d'Espanya
Obres del 1988

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VERY soft paint. Multiple damaged areas from dealership "cleaning" although they were were told "Do Not Wash".
It is going to look killer with total chrome delete and the windows tinted.
Softly polished and coated with Cquartz Finest Reserve.
Please change the "gear" setting quality to 1080p HD.
Beautiful job as always Mike. You da man!
I'm up for a visit...if you are?


It was a long weekend of endless celebrations. Kizzie was 21! People came and went. Sometimes they looked bright and shiny and sometimes they looked dull and limp. We thought this could be down to the amount of Quail Ale consumed. Balloons festooned Wattlebury Cottage, bumping merrily in front of the Trusty Barometer. No matter, the days were long, blue and sunny, even though it was mid-January. Cake was eaten, Poppers popped and Songs were sung. Harvey wore a shiny Gold Hat and tried to purloin remains on plates. Dad cut logs and then cut more logs. Mum kept taking bags of rubbish to the bin and we waited patiently for tasty morsels to arrive.


Beautiful move in ready vacant home that has been fully remodeled in Desert Hot Springs. This home is fully enclosed with high stucco walls and wrought iron entry gates. Inside the gates are separate fenced and gated areas perfect for pets and children. With 2121 sqft, this home features 3 large bedrooms, separate dining room with custom wall to wall cabinetry, 2 and baths with new vanities and fixtures and a huge open living room area that includes a wet bar. The entire house has new wood plank water proof vinyl flooring and ceramic tile flooring with no carpet. New recessed lighting in living room, dining room and kitchen. Open kitchen with new granite counter tops and new appliances. Fully redone DG (decomposed granite) landscape with all new plants set on a new irrigation bubbler system Fresh new interior and exterior paint. Finished drywall garage. NO HOA FEES despite what some web sites are reporting.


une offrande pure. Father, you are holy indeed, and all creation rightly gives you praise. All life, all holiness comes from you through your Son, Jesus Christ our Lord, by the working of the Holy Spirit. From age to age you gather a people to yourself, so that from east to west a perfect offering may be made to the glory of your name.
An acolyte may ring a bell at this time.
Il fait un signe de croix sur le pain et le calice.
that they may become the body + and blood of your Son, our Lord Jesus Christ, at whose command we celebrate this eucharist.
あなたに感謝をささげて祝福し、割って弟子に与えて仰せになりました。 Dans les formules qui suivent, les paroles du Seigneur seront prononcées distinctement et clairement.
et le donna à ses disciples, en disant : The words of the Lord in the following formulas should be spoken clearly and distinctly, as their meaning demands.
and looking up to heaven, to you, his almighty Father, he gave you thanks and praise.
An acolyte may ring a bell when the host is elevated. If incense is used, an acolyte incences the host when it is raised.
会衆は司祭とともに合掌して深く礼をする。 Il montre au peuple l´hostie consacrée, la repose sur la patène, et fait la génuflexion. He shows the consecrated host to the people, places it on the paten, and genuflects in adoration.
Vous ferez cela, en mémoire de moi." He bows slightly.
this is the cup of my blood, the blood of the new and everlasting covenant. It will be shed for you and for all so that sins may be forgiven.
An acolyte may ring a bell when the chalice is elevated.
If incense is used, an acolyte incences the chalice when it is raised.
会衆は司祭とともに合掌して深く礼をする。 Il montre le calice au peuple, le dépose sur le corporal et fait la génuflexion. He shows the consecrated chalice to the people, places it on the corporal, and genuflects in adoration.
nous attendons ta venue dans la gloire. A. Christ has died, Christ is risen, Christ will come again.
et nous attendons que tu viennes. C. When we eat this bread and drink this cup, we proclaim your death, Lord Jesus, until you come in glory.
Viens, Seigneur Jésus ! B. Dying you destroyed our death, rising you restored our life. Lord Jesus, come in glory.
D. Lord, by your cross and resurrection you have set us free. You are the Savior of the world.
pour te rendre grâce. Father, calling to mind the death your Son endured for our salvation, his glorious resurrection and ascension into heaven, and ready to greet him when he comes again, we offer you in thanksgiving this holy and living sacrifice.
dans le Christ. Look with favor on your Church's offering, and see the Victim whose death has reconciled us to yourself. Grant that we, who are nourished by his body and blood, may be filled with his Holy Spirit, and become one body, one spirit in Christ.
May he make us an everlasting gift to you and enable us to share in the inheritance of your saints, with Mary, the virgin Mother of God ; with the apostles, the martyrs, (Saint N. - the saint of the day or the patron saint) and all your saints, on whose constant intercession we rely for help.
Lord, may this sacrifice, which has made our peace with you, advance the peace and salvation of all the world. Strengthen in faith and love your pilgrim Church on earth ; your servant, Pope N., our bishop N., and all the bishops, with the clergy and the entire people your Son has gained for you.
tous tes enfants dispersés. Father, hear the prayers of the family you have gathered here before you. In mercy and love unite all your children wherever they may be.
pour une vie nouvelle dans le Christ.
主・キリストを通して、あなたはすべてのよいものを世にお与えになります。 Aux messes pour des défunts, intercession propre, voir plus bas.
toute grâce et tout bien. Welcome into your kingdom our departed brothers and sisters, and all who have left this world in your friendship.
We hope to enjoy for ever the vision of your glory, through Christ our Lord, from whom all good things come.
que tu as appelé(e) auprès de toi (aujourd´hui).
pareils à son corps glorieux.
pour les siècles des siècles. Through him, with him, in him, in the unity of the Holy Spirit, all glory and honor are yours, almighty Father, for ever and ever.
où le Christ est ressuscité d´entre les morts.
enfanta le Sauveur du monde.


text:
Jakob Laurenz Custer est un marchand et un botaniste suisse, né le  à Altstätten, dans le canton de Saint-Gall, et mort le  à Rheineck (Saint-Gall).

Biographie

Il est le fils d'un marchand de tissus, Hans Jakob (1724-1782). Il reçoit une formation commerciale à Genève et à Marseille. Il se marie en 1776 avec sa tante, veuve d'un propriétaire d'un commerce de tissus.

Il s'implique dans la vie politique suisse et est nommé gouverneur du Rheintal et député au grand conseil de Saint-Gall.

Voir aussi

Bibliographie
 Dictionnaire historique de la Suisse
  Jakob Bosch, Jacob Laurenz Custer 1755-1828, 1928, 45 p.
  Peter J. Schaps, Jacob Laurenz Custer 1755-1828 : Politiker, Geschäfstmann und Wohltäter, Unser Rheintal 04, p. 217 (Turmleben auf dem Schloss Grünenstein)

Liens externes

Botaniste suisse
Naissance en mars 1755
Décès en janvier 1828
Personnalité politique saint-galloise
Naissance à Altstätten
Décès dans le canton de Saint-Gall
Décès à 72 ans


Expecting a start of the life in the US.
The surface of Lake Tahoe is incredibly deep blue.Whether the water is clear, or not.Whether the water temperature is low,or not.Whether the depth of the water is deep,or not.Whether the blue color of the sky appears in the surface of the lake or not.Perhaps they are all right. Because the water melted snow only runs downward to the Lake in 1,900m above sea level.
I decided to challenge going around Lake Tahoe by bicycle. That was the heart's desire. There are 72 miles (116km) in the total extension of this course, and there is the pitch difference in 300m.In consideration of my physical strength, I made the schedule of 2 days and 1 night.
I planned to run in the mountains course of 40km from Homewood to South Lake Tahoe on the first day and planned to run remaining flat course of 76km on the second day.In the afternoon of the second day,I knew that it was a shallow thought.
Emerald bay and small island where is only island in this lake.The small old site of castle is seen in the island.
No one was still in the beach of the southan corst. There was quietness before summer come there.
The cycle road was maitenance well.So confortable cycling was possible.
The first day,I stayed cheep motel of $50 at South Lake Tahoe.Good enogh!
I could get some food near shopping center called Safe Way.Pay attention to the small bottle on the table.A red liquid called Wine Vineger is in it.It is vineger made from a grape.I found that the hangover was suppressed when I took the vinegar in an interval of the liquor. And this vinegar heals the fatigue of the body quickly.
The second day,I started at 9:00 am.
Cove Rock.A strange-shaped rocky mountain appeared suddenly.
The mountain range to stay of remaining snow at the opposite shore was wonderful scenery.
However, it is all an uphill road continued for 5miles from here to the Spooner junction.I went up it to Spooner Janction, an altitude of 300m.Then, I went down 5 miles instantly to Sand Habor. It was a very fine feeling.
Hasty people enjoyed a bathe in Kings Beach.
Cityscape of Tahoe City has the calm atmosphere.
It was already past 4:00 p.m., and a fret came out a little. My fatigue reaches the limit.
Today's mileage 75km. At last I arrived at Homewood.I had a sense of achievement.It was the cycling that got a wrong time and distribution of the distance, but let's do it with future reflection obviously. I permitted oneself that I drank the sweet drinks to the full only tonight.
The second day, I challenged to walk Four Mile Trail.This course leads to the Gracier Point where is famous place for its magnificent view and 4.6miles(7.5km)one way. I had promised a friend as we start climbing at 8 am, however, the departure was really 9 am,because I am weak early in the morning. I felt very nice and pleasant the forest bathing in the morning. I have a good start.
Most of the course consists of a short switch-back, we raise the level gradually.It is easy to walk the course maintaining well relatively slowly.
There is always Yosemite falls on the opposite side of the course. Yosemite falls falling into three stages can be seen clearly from here because much quantity of water. This fall is the longest in North America. There is also 739m drop.( The 5th place of the world) It is interesting that this huge waterfall is shake from side to side by the wind. To pay attention to a viewpoint gradually rising.
Yosemite falls and the view under eyes never bored me.
A fence of "Closed" heartlessly appeared to around 2.8 miles. However, I climbed over this fence with a self-responsibility,because here is US.
It will be top soon. Trail becomes narrow due to remaining snow.
I was overlooking to valley bottom from steep vertically walls. It is quite thrilling.
Tunnel View was seen from the opposite side. Here is much higher and the magnificent scenery place compared to Tunnel View where is gone by car. EL Capitan cliffs can be seen on the right side.
It took four hours after departure to arrive at Glacier Point. Here altitude 2200m. Half Dome(2695m) appeared in front of me as overwhelming presence. Will a day to put it up in this top come?I can see the remaining snow still on the top.
Valley of the Yosemite looks like a miniature garden.
Vernal Fall and Nevada Fall where we went to yesterday can be seen in the back of Half Dome. There is a considerable distance, but I could hear the sound of the waterfall sounds so far.
Panorama here is the best part. It is not possible to capture this broad landscape with the naked eye or camera.
April 28. No one can come this place yet by the car. Here is a world of just people who climbed on own feet. I could visit the Gracier Point without a few people. On such a day, there will not be it for days through one year. It is May from next week. Here will be to be crowded with people who came by car.It's my lucky day really. I spent the happiest moment in silence.
A fountain that springs in mountain road.I drank a glass of delicious cold snowmelt until full stomach.
Yosemite Valley is a amusement park for adults that nature made. I got a new impression many times whenever I went. I will never watch this scenery. So,I would come here also.
Ideal:I make everything around me. It is my Ideal to live among the thing that made oneseif.


text:
Hospital Mortality Among Elderly Patients Admitted With Neurological Disorders Was Not Predicted by any Particular Diagnosis in a Tertiary Medical Center
Aroldo Bacellar*, Telma Assis, Bruno B. Pedreira, Gersonita Costa, Osvaldo J.M. Nascimento
Hospital Sao Rafael, Department of Neurology Av Sao Rafael 2152, Sao Marcos, Salvador, BA, CEP 41235-190, Brazil
First Page: 1
Publisher Id: TONEUJ-12-1
DOI: 10.2174/1874205X01812010001
Received Date: 16/09/2017
Revision Received Date: 19/12/2017
Electronic publication date: 22/01/2018
PDF Downloads: 1014
ePub Downloads: 936
]. Dementia and delirium were independently analyzed. Degenerative dementia such as Alzheimer disease, fronto-temporal dementia, Lewy bodies dementia, as well as vascular dementia were analyzed together since they do not have significant differences in short-term mortality rates in the elderly [26].
2.4. Comorbidities
Comorbidities were recognized by the following criteria. Hypertension was Diagnosed According to the Criteria of the Joint National committee on the Prevention, Detection, Evaluation and Treatment of High Blood Pressure [27]. [2] Dyslipidemias were defined according to the recommendations of the National Cholesterol Education Program Expert Panel on Detection, Evaluation and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) and the results of recent clinical trials [28, 29]. (3) Diabetes mellitus was diagnosed based on the follow-up report of The Expert Committee on Diagnosis and Classification of Diabetes Mellitus [30]. (4) Clinical disorders were classified according to ICD-10, and included a) infections, represented not only by patients who were admitted with infections, but also patients with neurological symptoms who experienced infections during their period of hospitalization, b) neoplasms, c) chronic and acute respiratory system diseases, d) musculoskeletal diseases, e) genitourinary disorders, f) digestive disorders, g) endocrine and metabolic disorders, including fluid and electrolyte disturbances (hepatic insufficiency was considered a metabolic rather than a digestive disorder), h) circulatory system disorders (cardiac and peripheral vascular disorders) excluding patients with cerebrovascular diseases, and i) psychiatric disorders were diagnosed based on DSM-IV criteria [25]. These disorders were only classified as comorbidities of NDs, since HSR does not admit patients with a primary psychiatric diagnosis; therefore most of the disorders were anxiety, depression, and bipolar disorder. (5) Patient multimorbidity signified patients suffering from two or more morbidities.
2.5. Predictors of Hospital Mortality
Patients were dichotomized between those who died in hospital and inpatients who remained alive. Univariate analysis of hospital mortality risk, including all patient characteristics, was performed; a multivariable analysis of selected variables was executed thereafter.
2.6. Statistics
Quantitative variables with normal distribution were reported as their mean and standard deviation and for variables with non-normal distribution by their median and interquartile interval.
Normal variables were identified by graphic analysis and the Shapiro-Wilk test. Categorical variables were reported by frequencies and percentages.
Bivariate comparisons between groups were performed with Student t test for numerical variables with normal distribution and by the Mann-Whitney test for those with non- normal distribution. Categorical variables were compared with Pearson's chi-square or Fisher's test when necessary.
Independent variables were considered for multivariable analysis if identified as a biological plausibility associated with main study hypotheses, and when bivariate tests showed a P value <0.25 according to the algorithm proposed by Hosmer and Lemeshow [31]. The number of variables was conservatively calculated (EPV= m/10). Hierarchic logistic regressions were sequentially performed in blocks to increment prediction power of a variable power model; sociodemographic characteristics were selected as initial independent variables (first block), followed by comorbidities (second block) and NDs (third block).
Full model fit was reported, including no significant variables by Wald statistics.
2.7. Ethics
The HSR Ethical Committee for Research approved this study (number 8/11) on 25 August 2011. The HSR Ethical Committee for Research was accredited by the National Committee for Ethics in Research, according to the Brazilian Operational Manual for Ethics Committees in Research.
3.1. Patient Demographics
During the study period 798 elderly inpatients with NDs that needed neurological care were admitted to HSR. The age of these individuals had a normal distribution with a mean of 75.8 ± 9.1 years and median of 76 years. The interquartile interval ranged from 68 years (25 percentile) to 82 years (percentile 75). Women formed 55% of this population. This geriatric population consisted of 464 (58%) married individuals, and 713 (89%) were patients of private health services.
3.2. Elderly Inpatient Hospital Mortality Rate
The hospital mortality rate for elderly inpatients with NDs was 18% (95% CI, 15%-21%).
3.2.1. Neurological Disorders and Comorbidities: Frequency and Association with Hospital Mortality
Among our older adult inpatient population, 555 (70%) had primary NDs diagnosed by neurologists and identified in discharge summaries. The remaining 243 (30%) patients were admitted with clinical complications of underlying neurological chronic NDs or patients who developed neurological complications during their stay in the hospital. The latter were captured by IT-HSR examination of physician's billing codes. Overall, 312 (39%) patients were affected by more than one ND, totaling 668 additional NDs that were classified as neurological comorbidities in this population. Therefore, we found 1154 NDs among 798 elderly inpatients, which represented a mean NDs of 1.32±0.91 (95% CI, 1.23 -1.38), with a range of 1-5 NDs per patient. Moreover, we observed a wide range of diagnostic frequency of the NDs (0.3% to 50.8%), and cerebrovascular disease was the most common (50.8%). This finding contrasted with a slight variation (15% to 20%) between individual ND's hospital mortality rate; except for patients admitted with headache and syncope (11%), Fig. (1). This study captured 2679 comorbidities involving 90% of patients with two or more comorbidities, constituting a mean of 3.35±1.51 (95% CI, 3.25-3.47), and a range of 0-9 comorbidities per patient. We found a wide range of diagnostic frequency for comorbidities (5.6% to 84.5%), and hypertension (84.5%) and diabetes (57.5%) were the most common. However, the comorbidities' hospital mortality rates only varied from 15% to 27%, Fig. (2). Overall, for patient multimorbidity (NDs + comorbidities) the mean was 4.7±1.7 morbidities per patient, median 5.0, ranging from 1 to 11 morbidities.
3.3. Patient's Characteristics Associated with Hospital Mortality
After univariate analysis, patient age (p<0.001), being an SUS-user (p=0.003), infection (p=0.011), and respiratory system disorder (p=0.024), were demographics and clinical characteristics associated with hospital mortality, in contrast to syncope and headache, which predicted lower risk for hospital mortality (p<0.05), (Tables 1 and 2).
Fig. (1). Nervous system disorder frequency and hospital mortality rate.
Fig. (2). Comorbidities frequency and hospital mortality rate.
Table 1. Univariate Analysis of Demographics and Clinical Characteristics of Patients Related to Hospital Mortality.
Total Patient Numbers
n= 655
Age 75.8 ± 9.1 75.1 ± 9.0 78.7 ± 9.2 <0.001
Female Sex 435 (54.5) 354 (54.0) 81 (56.6) 0.572
Married 464 (58.1) 384 (58.6) 80 (55.9) 0.556
*SUS user 85 (10.7) 60 (9.2) 25 (17.5) 0.003
Cerebrovascular disorder 405 (50.8) 342 (52.2) 63 (44.1) 0.077
Movement disorder 139 (17.4) 112 (17.1) 27 (18.9) 0.611
Epilepsy 127 (15.9) 102 (15.6) 25 (17.5) 0.572
Syncope 122 (15.3) 109(16.6) 13 (9.1) 0.023
Headache 102 (12.8) 91 (13.9) 11 (7.7) 0.044
Dementia 96(12.0) 79(12.1) 17(11.9) 0.954
Delirium 86(10.8) 71(10.8) 15(10.5) 0.903
Neuromuscular 55 (6.9) 45 (6.9) 10 (7.0) 0.958
Neurotoxic & Metabolic
CNS infection 12 (1.5)
5 (0.6) 10 (1.5)
4 (0.6) 2 (1.4)
1 (0.7) 0.999
Brain injury 3 (0.4) 3 (0.5) 0 (0.0) 0.999
CNS neoplasm 2 (0.3) 2 (0.3) 0 (0.0) 0.999
Data are presented as total patient numbers and percentages within parentheses (%). *SUS user = users of Unified Brazilian Public Health System (Sistema Único de Saúde). CNS = central nervous system.
Table 2. Univariate Analysis of Comorbidity Characteristics According to Hospital Mortality.
(n = 655)
Hypertension 674 (84.5) 550 (84.0) 124 (86.7) 0.412
Diabetes 459 (57.5) 381 (58.2) 78 (54.5) 0.427
Dyslipidemia 363 (47.4) 305 (48.6) 58 (42.0) 0.164
Infection 359 (45.0) 281 (42.9) 78 (54.5) 0.011
Neoplasm 181 (22.7) 141 (21.5) 40 (28.0) 0.095
Endocrine & Metabolic disorder 122 (15.3) 93 (14,2) 29 (20.3) 0.067
Circulatory system 102 (12.8) 87 (13.3) 15 (10.5) 0.409
Genitourinary system 92 (11.5) 76 (11.6) 16 (11.2) 0.888
Respiratory system 86 (10.8) 63 (9.6) 23 (16.1) 0.024
Musculoskeletal 86 (10.8) 73 (11.1) 13 (9.1) 0.473
Digestive system 57 (7.1) 46 (7.0) 11 (7.7) 0.778
Trauma related 53 (6.6 40 (6.1) 13 (9.1) 0.194
Psychiatric 45(5.6) 38(5.8) 7(4.9) 0.670
Data are presented as total patient numbers and percentages within parentheses (%).
Table 3. Summary Statistics for Models According to Variable Blocks.
1st Block
2nd Block
3rd Block
*AIC 730.7 729.1 725.2
Nagelkerke R2 0.056 0.071 0.090
Omnibus Test of Model Coefficientsa
(p value) < 0.001 0.055 0.007
Hosmer-Lemeshow test (p value) 0.146 0.439 0.312
*AIC = Akaike Information Criterion.
Table 4. Multivariable Analysis: Adjusted Odds Ratio and Final P Value According to Wald Statistics.
(Demographics)
(Comorbidities)
(Neurological Disorders)
Coefficient p value in final model
(Wald statistics)
Adjusted Odds Ratio and 95% Confidence Interval
(Reference: Male) 1.103
(0.758 – 1.604) 1.140
(0.781 - 1.663) 1.142
Age (per year) 1.046
(1.022 - 1.065) <0.001
SUS-user. 2.425
(1.256 - 3,.741) 2.124
Neoplasm - 1.228
Respiratory - 1.481
Infection - 1.447
Cerebrovascular - - 0.712
Headache - - 0.530
Syncope - - 0.528
a p values by Block. All models presented p < 0.001
3.4. Multivariable Analysis
Table (3) shows summary statistics including a measure of relative quality Akaike information criterion); an estimation of how much the model explains the outcome (Nagelkerke R2); an omnibus test of model coefficients (p value), and goodness of fit for logistic regression model (Hosmer-Lemeshow test). Table (4) shows the adjusted odds ratio (Exp b) with a 95% confidence interval for the three blocks as well as p-values of variable coefficients according to Wald statistics. After the final multivariable model, age and being an SUS-user were identified as independent risks for hospital mortality. However, neither neurological disorders nor their comorbidities predicted hospital mortality in this particular population. Additionally, patients admitted with syncope had a statistically significant lower risk of hospital mortality in this sample. Identified risks of hospital mortality in this population accounted for 9% of predictors (Nagelkerke R2), (Table 3).
Fig. (3). Area under the ROC (AUROC) = 0.671; IC 95%: 0.621 – 0.719; p < 0.001.
Fig. (3) shows standard receiver operating characteristic (ROC) and analysis of the area under the curve, which quantified power of prediction for this model demonstrating a statistically significant result.
During a two-year period all elderly patients admitted with ND diagnosis as the primary diagnosis on discharge, and also as a comorbidity or complication of another disorder were enrolled for this study. This method allowed good accuracy regarding rates of disease frequency and hospital mortality of all NDs and their comorbidities that could influence hospital mortality for elderly patients admitted to HSR. The studied population consisted of aged inpatients, 25% of them being older than 81years of age, which reflected the Brazilian socioeconomic middle and upper class aging phenomena. Age and being a SUS-user were associated with higher mortality rates. Although, the SUS has improved medical care for the low-income population, it is still far from optimal [32]. Although created to be a universal health system for the entire Brazilian population, the SUS has been chronically underfunded and poorly structured [33]. For this reason local health authorities have long-term agreements with some well-equipped non-profit foundations to increase the numbers of public hospital beds. Hence, HSR allows 30% of hospital beds to be used by SUS-users. We highlight that elderly SUS-users had a statistically significant much higher hospital mortality rate than their counterparts using private health services. As mentioned previously, SUS-users belong to the Brazilian lower socioeconomic stratum. We suppose that higher hospital mortality among SUS-users is due to their previous precarious health conditions because of the primary healthcare inequality that occurs, particularly in northeastern municipalities of Brazil [23, 34, 35].
Notwithstanding that the frequency of NDs and comorbidities had a wide range, hospital mortality rates for all NDs as well as for their comorbidities were uniformly high. These findings resulted in a narrow range between the lowest and highest rate of hospital mortality. Our results implied that all elderly inpatients with NDs were seriously ill, whatever their neurological diagnosis or comorbidity, as all NDs had a similar high rate of hospital mortality. This was surprising, because at first we expected that cerebrovascular diseases, delirium, and epilepsy as well as comorbidities in the top rank of hospital mortality, such as infections and respiratory and cardiovascular disorders would be predictors of death in this population [12, 13, 36, 37]. Therefore, although revealing a high hospital mortality rate in this population, this study was unable to identify predictors of hospital mortality among NDs or among comorbidities. We emphasize that the population under study included very old inpatients with NDs, and patient multimorbidities were more the rule than the exception. Patient multimorbidity in elderly inpatients is associated with disability, functional decline, and poor outcome [38]. Our results suggest that for identifying predictors of hospital mortality in elderly inpatients with NDs, individual characteristics might be more relevant than neurological diagnosis. The exception was patients admitted for syncope who were independently associated with lower risk of hospital mortality in this sample. Syncope is very common in emergency rooms, caused by several disorder etiologies including neurocardiovascular instability syndrome, as well as cardiac diseases associated with intermediate-risk for mortality in patients aged ≥ 50 years; however overall, syncope has a relatively low hospital mortality rate [39, 40].
According to Nagelkerke R2 statistics, aging and being a SUS-user (citizen of low socioeconomic status) could explain only 9% of variables related to hospital mortality. Nonetheless other variables not included in this analysis such as patient multimorbidity, scores of functional and cognitive status, polypharmacy, and severity of disease were already identified as predictors of hospital mortality in other geriatric inpatients [38, 41, 42]. Hence, we cogitate whether scores of comorbidity, functional, and cognitive status should be evaluated and whether they will improve our model of risk for hospital mortality in elderly inpatients with NDs.
Limitations of this study should be noted because it was a retrospective survey carried out in a single center. However, the data obtained were powerful because we used two approaches to capture all NDs that might influence elderly patient hospital mortality, that is, examining the discharge lists and searching the neurological procedure records. Moreover, after selection, the authors carefully reviewed all patient written health records, which assured quality of data and found a relevant patient multimorbidity.
Overall, although associated with high rates of mortality, neither an ND nor a particular comorbidity was recognized as an independent predictor of hospital mortality in the studied population. Age and low socioeconomic strata explained 9% of variables associated with hospital mortality. Therefore, we recommend evaluating whether scores of comorbidity, functional performance, and scores of cognitive status will improve the model of risk for hospital mortality in elderly patients admitted with neurological disorders.
LIST OF ABBRIVIATIONS
AIC Akaike information criterion
CNS Central nervous system
HSR Hospital Sao Rafael
IT-HSR Information Technology of HSR
NDs Neurological disorders
PD Parkinson's disease
ROC Receiver operating characteristic
SUS Brazilian unified public health system
The Hospital Sao Rafael – Monte Tabor Foundation, partially reimburses manuscript-processing charges to motivate research.
Datasets used and/or analyzed in this study are available from the corresponding author on reasonable request.
AB conceived the study, collected data and drafted the manuscript. BBP, GC, and TA collected data and drafted the manuscript. OJN critically reviewed the article for intellectual content and also drafted the manuscript. All authors read and approved the final manuscript.
The Hospital Sao Rafael Ethical Committee for Research has approved this study.
No Animals/Humans were used for studies that are base of this research.
Chairperson of The Neurology Department, Hospital Sao Rafael, Salvador-BA-BR
Neurologists of The Neurology Department, Hospital Sao Rafael
Head of Neurology Department at Fluminense Federal University, Niteroi, RJ-BR
The authors declare no conflict of interest, financial or otherwise.
We acknowledge Felipe Argolo and Professor Luis Correia who performed statistical analysis.
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[13] Assis TM, Bacellar A, Costa G, Nascimento OJ. Mortality predictors of epilepsy and epileptic seizures among hospitalized elderly. Arq Neuropsiquiatr 2015; 73(6): 510-5.
[14] Stelzer FG, Bustamante GdeO, Sander H, Sakamoto AC, Fernandes RM. Short-term mortality and prognostic factors related to status epilepticus. Arq Neuropsiquiatr 2015; 73(8): 670-5.
[15] Sleeman KE, Ho YK, Verne J, Gao W, Higginson IJ. Reversal of English trend towards hospital death in dementia: A population-based study of place of death and associated individual and regional factors, 2001-2010. BMC Neurol 2014; 14: 59.
[16] Zilkens RR, Spilsbury K, Bruce DG, Semmens JB. Linkage of hospital and death records increased identification of dementia cases and death rate estimates. Neuroepidemiology 2009; 32(1): 61-9.
[17] Boersma I, Miyasaki J, Kutner J, Kluger B. Palliative care and neurology: time for a paradigm shift. Neurology 2014; 83(6): 561-7.
[18] Sleeman KE, Ho YK, Verne J, et al. Place of death, and its relation with underlying cause of death, in Parkinson's disease, motor neurone disease, and multiple sclerosis: a population-based study. Palliat Med 2013; 27(9): 840-6.
[19] Tiamkao S, Pranboon S, Thepsuthammarat K, Sawanyawisuth K. Prevalence of factors associated with poor outcomes of hospitalized myasthenia gravis patients in Thailand. Neurosciences (Riyadh) 2014; 19(4): 286-90.
[20] Bacellar A, Pedreira BB, Costa G, Assis T. Frequency, associated features, and burden of neurological disorders in older adult inpatients in Brazil: A retrospective cross-sectional study. BMC Health Serv Res 2017; 17(1): 504.
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[22] Bós AM, Bós AJ. [Determinants of elders' choice between private and public health care providers]. Rev Saude Publica 2004; 38(1): 113-20. [Determinants of elders' choice between private and public health care providers].
[23] Boccolini CS, de Souza Junior PR. Inequities in Healthcare utilization: Results of the Brazilian National Health Survey, 2013. Int J Equity Health 2016; 15(1): 150.
[24] van Drimmelen-Krabbe JJ, Bradley WG, Orgogozo JM, Sartorius N. The application of the International Statistical Classification of Diseases to neurology: ICD-10 NA. J Neurol Sci 1998; 161(1): 2-9.
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[29] Grundy SM, Cleeman JI, Merz CN, et al. Implications of recent clinical trials for the National Cholesterol Education Program Adult Treatment Panel III Guidelines. J Am Coll Cardiol 2004; 44(3): 720-32.
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[34] Mendoza-Sassi R, Béria JU, Barros AJ. Outpatient health service utilization and associated factors: A population-based study. Rev Saude Publica 2003; 37(3): 372-8.
[35] Garcia-Subirats I, Vargas I, Mogollón-Pérez AS, et al. Inequities in access to health care in different health systems: A study in municipalities of central Colombia and north-eastern Brazil. Int J Equity Health 2014; 13: 10.
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The Open Neurology Journal
G. Messina
Department of Clinical and Experimental Medicine
University of Foggia
Biography of G. Messina
Prof Messina Giovanni is Senior Researcher of Physiology and Human Nutrition at the Department of Clinical and Experimental Medicine - University of Foggia. He received PhD in Food and Health with honors at the Second University of Naples, Italy. His research interests are Nervous control of body temperature, Correlations between thermogenesis and feeding behavior, Cortical and hypothalamic control of vegetative functions, Autonomic responses to stimulation with orexin A in various conditions, including those by neuroleptic drugs, Control of nociceptive transmission, Variations of metabolic and vegetative parameters in physiological and pathological conditions, Variations of Heat Rate Variability in physiological and pathological conditions. He has 80 publications and having H index 15
Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
Neuropsychological and Syntactic Deficits in HIV Seropositive Males
Surgical Robotic Technology for Developing an Endonasal Endoscopic Transsphenoidal Surgery (EETS) Robotic System
An Atypical Case of POEMS Syndrome Associated with Autonomic Dysfunction
Anxiety-related Endophenotypes and Hazardous Alcohol Use in Young Adults are Associated with a Functional Polymorphism in the SLC6A4 Gene
Primary Thalamic Haemorrhage – Clinical Profile and Prognostic Predictors from a Series of 117 Cases
The Open Neurology Journal is an Open Access online journal, which publishes research articles, reviews, letters, case reports and guest-edited single topic issues in all areas of neurology and neurological disorders. Bentham Open ensures speedy peer review process and accepted papers are published within 2 weeks of final acceptance.
The Open Neurology Journal is committed to ensuring high quality of research published. We believe that a dedicated and committed team of editors and reviewers make it possible to ensure the quality of the research papers. The overall standing of a journal is in a way, reflective of the quality of its Editor(s) and Editorial Board and its members.
The Open Neurology Journal is seeking energetic and qualified researchers to join its editorial board team as Editorial Board Members or reviewers.
The essential criteria to become Editorial Board Members of The Open Neurology Journal are as follows:
Experience in neurology and neurological disorders with an academic degree.
At least 20 publication records of articles and /or books related to the field of neurology and neurological disorders or in a specific research field.


text:
"Asleep in the Deep"  is the first episode of the fifth series of the British television sitcom Dad's Army. It was originally transmitted on  6 October 1972. The title may have come from the song, Asleep in the Deep that is referenced by Private Walker in the episode.

Synopsis
A bomb falls on the local pumping station, where Walker and Godfrey are on patrol. Efforts at freeing them result in the rest of the platoon becoming trapped with them, and a pipe bursting, filling the room rapidly with water...

Plot
The episode opens with the Walmington-on-Sea Home Guard unit in an air raid shelter during a raid. Jones and his section arrive, Frazer complaining that the "shrapnel was coming down like hail". Pike makes a fool of himself by explaining why he acquires hundreds and thousands as his sweet ration to Mainwaring, but to Pike's dismay his sweets all go on the floor when a bomb falls nearby. They are joined by ARP Warden Hodges, who mentions that a bomb has fallen on the local pumping station. Godfrey and Walker are on duty there, so some of the platoon, with Hodges, go to rescue them.

When they arrive, Walker and Godfrey are unhurt but Godfrey is asleep in an inner room and Walker cannot wake him up. Bomb damage has made the corridor very dangerous, so Mainwaring puts two dots on pieces of paper to determine who goes at the head of a human chain with a frightened Hodges picking the first of the two dots. Mainwaring pulls a blank piece but lies to stop the young Pike of having any chance of being at the front. They quickly shift the rubble to gain access to the trapped men, with Mainwaring at the front, then Hodges, Wilson, Frazer, Pike, and Jones at the back. Once inside, they wake up Godfrey, who had taken soporific tablets to help him sleep (since he has had trouble sleeping lately), explaining why Walker couldn't wake him. Mainwaring asks Wilson to tell Jones to close his door, but Jones slams the door, thus bringing the roof down in the corridor and trapping everyone (except Jones, who is left outside) in the inner room. When Jones goes for help he breaks the handle on the outside door, leaving him trapped as well.

Mainwaring enlists Wilson's help to cheer the men up by singing "Under the Spreading Chestnut Tree" but whilst doing this a pipe bursts and the inner room starts to flood, Pike being soaked first by the jet of water. Jones tries to shut off the water from his side with the stopcock, but only increases it and leaving Pike's jacket, which he was using to try and wrap up the pipe, completely drenched.

Later, the inner room is now waist high in water, with Pike standing in the flood, pleading with everyone to do something otherwise he will drown, Hodges floating in a tank, and the rest of the men crammed onto the bunks.

Much later, the water is chest high. Pike is still pleading, and the rest assure him that they are thinking about how to get out. Eventually, Godfrey discovers a manhole that can be opened to allow them all to escape. The spanner needed to unbolt it is hanging high on the wall, and when Hodges tries to reach it, he falls out of his tank and into the water, dropping the spanner. Pike dives under the water and retrieves it, leaving him more wet than ever, but at least the men can get out. After opening the manhole, they crawl through it to the outside of the pumping house, then run round to rescue Jones, who has managed to open another inspection hatch into the flooded chamber.

But before they can all leave, Godfrey shuts the outside door ("there's a nasty draught and you're all wet. I didn't want you to catch cold"), thus trapping them all in the outer room again and leaving Wilson having to go around again through the now neck high water filled chamber to open the door from the other side.

Cast

Arthur Lowe as Captain Mainwaring
John Le Mesurier as Sergeant Wilson
Clive Dunn as Lance Corporal Jones
John Laurie as Private Frazer
James Beck as Private Walker
Arnold Ridley as Private Godfrey
Ian Lavender as Private Pike
Bill Pertwee as ARP Warden Hodges
Colin Bean as Private Sponge

Further reading

External links

Dad's Army (series 5) episodes
1972 British television episodes


text:
S. Korea to allow commercial breaks for terrestrial broadcasters
A logo of the Korea Communications Commission
South Korea's media regulator said Wednesday it will ease rules to allow commercial breaks during TV programs for terrestrial broadcasters in a move to boost the country's slumping broadcast industry.
Local terrestrial broadcasters are currently prohibited from airing commercial breaks to ensure viewer rights.
Broadcasters, however, have skirted rules by dividing programs in two parts and airing commercials in between amid declining sales.
The Korea Communications Commission said it will change existing broadcast rules to allow commercial breaks for them as part of its broader plan to bolster the local broadcast industry.
South Korea's broadcast market has suffered stalled growth in recent years, rising 2.1 percent on year to reach 17.7 trillion won ($16.1 billion) in 2019.
In comparison, the market logged an average annual growth of 6.5 percent from 2010 to 2019, according to the KCC.
Terrestrial broadcasters have especially faced difficulty amid increased competition, with their sales declining 7 percent on year to 3.5 trillion won in 2019.
Their ad sales tumbled 15.4 percent to reach 1.1 trillion won over the same period.
Internet protocol TVs, in comparison, have shown rapid growth, with their total sales rising 12 percent to 3.9 trillion won in 2019. (Yonhap)


text:
https://www.qbcc.qld.gov.au/sites/default/files/Header_Contractors_defectiveworkanddisputes.jpg
Home » Defective work and disputes » Dispute a QBCC decision
Defective work and disputes
Complaints before your contract has been completed
Responding to a Direction to Rectify
Dispute a QBCC decision
Complaints against certifiers
Complaints between a principal contractor and their subcontractor
If you feel a decision we've made is incorrect, you can apply to have it reviewed independently through our Internal Review Unit, or through the Queensland Civil and Administrative Tribunal (QCAT).
What can be internally reviewed
If you are dissatisfied with a decision we've made, you can apply to our Internal Review Unit for an independent review of the decision.
Our Internal Review Unit can review certain types of decisions called 'reviewable decisions'. Examples of some of these reviewable decisions include:
a decision to refuse a licence application or renewal
a decision to suspend or cancel a licence
a decision to issue a direction to rectify defective building work
a decision that rectification/completion work is of an unsatisfactory standard
a decision about the scope of works for an insurance claim
a decision that a domestic building contract has been validly terminated leading to allowing an insurance claim for non-completion
a decision that a building certifier has engaged in unsatisfactory conduct or professional misconduct
The complete list of reviewable decisions is available at Reviewable decisions.
What cannot be internally reviewed
Internal reviews cannot be conducted on certain types of issues or decisions. These include:
a decision to issue an infringement notice (a fine) – please consider the options set out in the infringement notice
dissatisfaction with the conduct of one of our staff – matters about staff conduct should be lodged as a complaint using our feedback form. Customers may also contact us at 139 333 and ask a Customer Service Officer to lodge a complaint on their behalf, write us a letter or send us a fax. We will assess your concerns and identify the appropriate action to take.
a matter on which we have not yet made a decision – a decision cannot be reviewed if it has not yet been made. Further information about matters in progress should be given to or obtained from your QBCC contact person or by contacting one of our Service Centres
decisions made by, or are currently before, QCAT – internal reviews cannot be conducted if you have made an application to QCAT to consider the matter. Internal reviews that have already begun will be discontinued if you make a QCAT application during the internal review
dissatisfaction with decisions made or actions taken by another agency, tribunal or court – please raise these matters directly with the agency, tribunal or court or seek legal advice
issues that have already been internally reviewed – internal reviews will not be conducted on internal review decisions. If you remain dissatisfied, you can make an application to QCAT or another relevant external review agency, such as the Queensland Ombudsman.
Who can make an internal review application
To apply for an internal review you must be 'affected' by a QBCC reviewable decision. Usually this means that you received a reviewable decision from us and that decision has a direct impact on you e.g. as the licensee whose licence was not renewed. Generally, an affected person is more than someone who is simply a member of the general public or a concerned citizen.
An affected person can give written permission for someone else to make an application for internal review on their behalf i.e. an authorised agent.
When should I apply to have a decision reviewed?
Applications to review decisions must be filed within 28 calendar days of the Commission making a person aware of the decision.
If you wish our Internal Review Unit to review a decision outside of that timeframe, you will be given 3 days to provide reasons for the delay and a decision will be made about whether to accept your 'out of time' application.
Internal review process
Acknowledgement of your review application
An internal review application is acknowledged within 2 business days by email or phone.
Application pre-assessment checklist
The internal review application will then be assessed by the assessment officer to make sure that:
a decision has been made by QBCC (the original decision)
the original decision is a reviewable decision
applications for internal review must be lodged with the Commission within 28 calendar days after the applicant is given notice of the original decision or otherwise becomes aware of the decision to which the application relates
the internal review application was made by an affected person, or their authorised agent
there are no other issues which prevent the internal review of the decision or decisions (e.g. such as an application for QCAT made about the same matter)
You will be contacted and given 3 days to provide all the information you wish to submit before the assessment commences.
Internal review officer assessment
The internal review officer conducting the review is independent of our previous decision. The review decision will be made by an officer at the same level as, or more senior to, the original decision-maker.
The matter will be allocated to an internal review officer who will conduct a more detailed assessment and investigation, or advise you if an internal review cannot be conducted, including the reasons why.
Internal review investigation
The review officer has the same decision making powers as the original decision maker and must consider the same legislative provisions, policies and procedures relevant to that decision.
To assist with making a new decision, the internal review officer may ask you for more information, seek professional advice (for example, from an engineer), conduct further research and/or arrange for a site visit.
The internal review officer will also advise other affected people of the internal review and ask them for information and/or to attend a site visit.
For example, if you are a builder and apply for an internal review because we directed you to rectify building works (a reviewable decision), the internal review officer will contact the home owner where the alleged defective works are located, to tell them of the internal review, get any information from the home owner that might assist with the internal review and may ask the home owner to attend any site visits, along with you and the internal review officer. This is because the home owner will be affected if a different decision is made by the internal review officer, and gives the home owner the opportunity to be involved in the internal review process before the decision is made.
The internal review officer may also obtain information from our original decision-maker about the reasons for their decision and any information they took into account, including policies, procedures, legislation, facts and circumstances.
Outcome of an internal review
A new decision will be made based on the information previously given to us and any new information you've provided.
You will be advised of the outcome of the internal review by letter and/or email and, where possible, by phone.
The internal review officer can make a new decision which is the same as, or different to, the original decision and will provide you with their findings and reasons for the decision. The internal review officer will also advise other affected parties involved in the matter of the internal review decision.
Timeframes for completing a review
In the event that an internal review cannot be completed within 28 calendar days, you (if you are the applicant who requested the review) will be contacted to discuss whether you prefer the internal review to continue on the basis that you are prepared to provide an extension of time. If you do not wish to provide a time extension, and in the circumstances the internal review cannot be completed within 28 days, then the internal review officer must consider the original decision to be the internal review decision.
More than one extension may be necessary based on various factors including complexity and whether site inspections and testing are required.
How to apply for an internal review
Applications for internal review must be lodged with the Commission within 28 calendar days after the applicant is given notice of the original decision or otherwise becomes aware of the decision to which the application relates. There is no particular application form for an internal review except that they must be in writing. See below for options.
Webform submission
You can apply online. Please note, to access the webform the best browsers to use are any other than Internet Explorer, for example Chrome, Firefox, Opera etc. However, if using Internet Explorer, please try turning off Compatibility View.
As there is a character limit on the form, you have the opportunity to attach further information at the end of the form.
Email or mail submission
Please head your application with 'ATTENTION: INTERNAL REVIEW UNIT'. Your application should contain the following information:
Your name and best contact information
What decision you would like to have reviewed (including the original case reference number, usually at the top right hand side of the decision letter you received)
The date of the decision (i.e. the date at the top of the decision letter or when you received the decision)
Who made the original decision (usually the person whose name is at the end of the decision letter)
Why you are unhappy with the decision
What you would like to occur
Whether you have been to QCAT about the matter (please provide the QCAT reference number)
Any new information you think will help explain why the decision should be changed e.g. new expert reports you have received, facts or circumstances that you have not advised us of that may change the decision
If your application is being made outside the 28 calendar day period, reasons for the delay in making your applications.
If you would like an agent to act on your behalf, your written authority is required.
Send applications by email to internalreview@qbcc.qld.gov.au.
Send applications by mail to us at Queensland Building and Construction Commission, GPO Box 5099, Brisbane QLD 4001
Reviewing a QBCC decision in QCAT
You can apply to QCAT to review a decision made by QBCC, including a decision made by the Internal Review Unit. The appropriate forms and information on how to file an external review can be found at the QCAT website. Please be aware that some decisions are not reviewable by QCAT.
Internal review online form
Internal review policy (266.34 KB)
IRU Process (432.01 KB)
Reviewable decisions
Queensland Civil and Administrative Tribunal (QCAT)
Queensland Ombudsman