text:
Nischal K C
Khopkar U
Saple D G
Adherenceintroduction
Adherence to Therapy
What is the opti...
What are the imp...
What are the fac...
What are the pre...
What are the pos...
Other measures t...
Improving adherence to antiretroviral therapy
KC Nischal1, Uday Khopkar1, DG Saple2
1 Department of Dermatology and Venereology, Seth GS Medical College and KEM Hospital, Mumbai, India
2 Department of Dermatology and Venereology, Gokuldas Tejpal Hospital, Mumbai, India
K C Nischal
Department of Dermatology and Venereology, Seth GS Medical College and KEM Hospital, Parel, Mumbai-400 012
Antiretroviral therapy (ART) has transformed HIV infection into a treatable, chronic condition. However, the need to continue treatment for decades rather than years, calls for a long-term perspective of ART. Adherence to the regimen is essential for successful treatment and sustained viral control. Studies have indicated that at least 95% adherence to ART regimens is optimal. It has been demonstrated that a 10% higher level of adherence results in a 21% reduction in disease progression. The various factors affecting success of ART are social aspects like motivation to begin therapy, ability to adhere to therapy, lifestyle pattern, financial support, family support, pros and cons of starting therapy and pharmacological aspects like tolerability of the regimen, availability of the drugs. Also, the regimen's pill burden, dosing frequency, food requirements, convenience, toxicity and drug interaction profile compared with other regimens are to be considered before starting ART. The lack of trust between clinician and patient, active drug and alcohol use, active mental illness (e.g. depression), lack of patient education and inability of patients to identify their medications, lack of reliable access to primary medical care or medication are considered to be predictors of inadequate adherence. Interventions at various levels, viz. patient level, medication level, healthcare level and community level, boost adherence and overall outcome of ART.
Keywords: Antiretroviral Therapy, Haart, Compliance, Adherenceintroduction
Nischal K C, Khopkar U, Saple D G. Improving adherence to antiretroviral therapy. Indian J Dermatol Venereol Leprol 2005;71:316-20
Nischal K C, Khopkar U, Saple D G. Improving adherence to antiretroviral therapy. Indian J Dermatol Venereol Leprol [serial online] 2005 [cited 2021 Jan 17];71:316-20. Available from: https://www.ijdvl.com/text.asp?2005/71/5/316/16780
Antiretroviral drugs delay progression of HIV disease and improve the quality of life in the HIV infected. The "3 by 5" motto of WHO (treating 3 million by 2005) has provided impetus for greater use of antiretroviral therapy (ART) in developing and resource limited countries.[1] The advent of combination ART has transformed this disease into a chronic treatable condition for a significant proportion of people living with HIV and AIDS (PLWHA) with access to this treatment. However, the need to maintain patients on treatment for decades rather than years, calls for a long-term perspective of antiretroviral therapy.
A very high replication rate of HIV with increased susceptibility to mutations in the process has led to the emergence of strains less sensitive to antiretroviral agents.[2] The long lasting efficiency of ART starts with the initial decision to start ART. The initial regimen plays an important role in achieving prolonged viral suppression.[3] Therefore, it must be chosen with the intent of achieving several goals [Table - 1]. However, in cases with extensive prior drug exposure, the desired goals are preservation of the immune system and prevention of clinical progression rather than maximal viral suppression.[4]
With the availability of generic ART agents at a much lower cost, there has been an increased use of ART in developing countries. Moreover, the initial encouraging response seen with these drugs has prompted their wide use across the medical fraternity, at times without considering the serious consequences of mismanaged therapy. Hence it is prudent to consider lack of adherence to ART, which adversely affects the overall outcome.
Adherence to the regimen is essential for successful treatment and hence has been rightly phrased as the 'Achilles heel of antiretroviral therapy'.[5] A major concern with ART is the emergence of viral resistance, which is mainly due to insufficient compliance. [4],[5],[6],
Other deterrents that hamper the outcome in ART are its lifelong duration, serious side effects, the complexity of newer regimens, which may have to be used due to the emergence of resistance, and the fact that therapy is not curative. The adherence rate varies not just between individuals, but also in the same individual over time,[7] thus making adherence a variable rather than a stable characteristic of an individual. Most people will exhibit low adherence at some time during this extended therapy.[8] This also makes the physician's prediction of probable adherence achievable by a patient highly unreliable.[9]
This makes it essential to define:
1.	What is the optimal adherence required?
2.	What are the implications of suboptimal adherence?
3.	What are the factors to be considered to achieve optimal adherence?
4.	What are the predictors of inadequate adherence?
5.	What are the strategies to improve adherence?
What is the optimal adherence required?
Optimal adherence is the compliance to ART that achieves a sustained plasma drug concentration that will inhibit viral replication. Studies have indicated that at least 95% adherence to ART regimens is optimal. [6],[7],[8],[9],[10], With 95% adherence, viral suppression to below detectable levels occurs in 80%. However, a fall in adherence to 70% (i.e. 25% less than optimal) drastically decreases viral suppression to 33% (i.e. less than 50% achieved with optimal adherence).[10] Also, it has been demonstrated that a 10% higher level of adherence results in a 21% reduction in disease progression.[11]
What are the implications of suboptimal adherence?
A.	Failure of the regimen
B.	Increase in morbidity and mortality
C.	Emergence of resistant strains of virus: If adherence is particularly poor, virologic failure is associated with a wild type of virus, but intermediate levels of adherence are likely to lead to the development of virus with resistant mutations in the genome.[12]
What are the factors to be considered to achieve optimal adherence?
Factors to be considered before starting ART are:
A. Social aspects
i.	Motivation to begin therapy : Because of the long course of therapy, the patient should be sufficiently motivated to begin treatment.
ii.	Ability to adhere to therapy : A busy work schedule may hinder a patient from taking medications 6-hourly or 4-hourly, leading to poor compliance.
iii.	Lifestyle pattern : Extensive travelling,[13] substance abuse and alcoholism[14] are associated with poor adherence. The practice of meditation decreases anxiety and strengthens mental resolve.[15] Spirituality is an important dimension in the assessment of psychosocial factors affecting HIV.[16],[17]
iv.	Financial support : This is essential for this expensive and prolonged treatment.
v.	Family support : Expensive regimens and social stigma make psychological and financial support by the family crucial.
vi.	Pros and cons of starting therapy :[4] The various pros and cons of starting therapy either early or late in the course of disease must be considered and preferably discussed with the patient.
B. Pharmacological aspects
i.	Tolerability of the regimen : The drugs used in the regimen have overlapping toxicities, which hamper adherence and cause organ dysfunction.
ii.	Availability of drugs : Most of the newer and secondary regimen drugs are not widely available.
Considerations should also be given to the regimen's pill burden, dosing frequency, food requirements, convenience, toxicity and drug interaction profile compared with other regimens.
What are the predictors of inadequate adherence?
Apart from the social and pharmacological aspects mentioned, there are some more factors that predict poor adherence:[4]
A.	Poor interpersonal relation between the patient and the treating physician.
B.	Active psychiatric illness (e.g. depression).
C.	Inability of illiterate patients to identify medications.
D.	Restricted access to primary medical care or medications.
What are the possible interventions to improve adherence?
Possible interventions that could be done at various levels to improve adherence are:
A. Interventions at the patient level
•	Achieve a good rapport with the patient.
•	Educate the patient about the disease and its course.
•	Assess and establish the patient's readiness to take medication.
•	Discuss the goals of therapy, need for adherence, and the outcome with the patient.
•	Make him understand that the initial regimen has the best chance for long-term success.
•	Implement a treatment plan that the patient understands and to which he/she commits.
•	It is essential to discuss the importance of the impact of resistance on future options andwhat to do if doses are missed, delayed, or vomited. [4],[5],[6],[7],[8],[9],[10],[11],[12],[13],[14],[15],[16],[17],[18],Daily or weekly pillboxes, timers with alarm, pagers or other devices can be used to remind patients of doses.
•	Use visual aids and audio/video information sources for patients with low literacy levels.
•	Factors like sex, race, low socioeconomic status or education level and past drug use are not reliable predictors of suboptimal adherence.[8]
•	Assessment of behavioral skills (goal-setting, time-tabling, assertiveness/communication, problem-solving, etc.) and behavioral determinants of adherence (daily routine, e.g. eating, sleeping and working patterns; recreational activities; familial/social relationships and responsibilities; travel plans, etc.) are necessary for ensuring adequate adherence. [4],[5],[6],[7],[8],[9],[10],[11],[12],[13],[14],[15],[16],[17],[18],
B. Interventions at the medication/ treatment level
•	Implement a tailor made regimen for each patient after thoughtful consideration of the simplicity or complexity of the regimen.
•	Use the best of medications locally available.
•	Consider the cost factor whenever and wherever applicable.
•	Be aware of the job constraints, especially for a regimen requiring doses to be taken 4- or 6-hourly. Keep the dose frequency and number of pills to the minimum.
•	Convey the common and probable side effects of ART to the patient before starting therapy. This awareness improves the patient's confidence in the physician and hence the adherence. Anticipate side effects and treat them as soon as possible.
•	Modify the dietary pattern to suit the antiretroviral agents.
•	Avoid adverse drug interactions amongst ART drugs and drugs used for controlling other symptoms as well as opportunistic infections.
•	Detect and treat any intervening illness and opportunistic infections at the earliest.
•	Direct observed therapy (DOTS) and modified DOTS are being explored to enhance adherence.[19],[20] Their relevance in resource limited countries is speculative at present.
C. Interventions at the healthcare delivery level
It is essential to establish a health care team comprising of clinicians, psychologists and volunteers to cater to the various needs of HIV patients. It is but natural to expect a reduction in adherence as time progresses, even among patients whose adherence has been optimal. This phenomenon is termed as 'pill fatigue or treatment fatigue,[21],[22] Regular and intensive monitoring is the only solution to this. Though there are many methods to measure adherence to ART like electronic, pill count, drug assay, MEMS cap (medication event monitoring system), provider estimates and visual analogue scale,[23] in clinical practice, the most efficient method is to simply ask the patient in supportive and non-judgmental ways. Most patients are truthful about their medication taking when asked.[24]
To get the most reliable information, the patient should be given the chance to err with dosages and should be asked in a non-judgmental way and given a specific period. For example, "Everyone misses doses some of the time. In the last two weeks, how many doses have you missed?"[25] This self-reporting technique of adherence measurement makes patients aware of the importance of their role in the achievement of optimal adherence.
Other measures to improve adherence include:
•	Serve as an educator and an information source with ongoing support and monitoring. Adherence to antiretroviral therapy is improved where patients view their relationship with their doctor positively.[26]
•	Supportive and non-judgmental attitudes and behaviours encourage the patient's honesty regarding adherence and associated problems.
•	Provide access between visits for any problems or queries, including during vacations (e.g. by providing pager number etc.).
•	Intercurrent medical, surgical or psychological illness (e.g. liver disease, wasting, recurrent chemical dependency) can adversely affect adherence and necessary modification in management is essential
•	Offer specific training to all health care team members and periodically update them.
Alternative medicines are in common use by patients with chronic ailments and this is true with HIV infected patients too. Traditional healers still play a major role in providing initial health care in many developing countries and the possibility of involving them in the HIV health care system for better patient care is being explored.[27],[28]
D. Interventions at the community level
The apprehension of social ostracization is a major hindrance to adherence as it limits a patient from taking medications in front of others, especially with complex regimens. Thus, the psychological support by the family and friends is a major factor in antiretroviral therapy.
•	Recruit family and friends to support the treatment plan.
•	Develop a link with local community based organizations regarding adherence combined with educational sessions and practical strategies.
•	Use peer education for adolescents and injection drug users.
•	Encourage HIV affected patients to form support groups, which guide and help others in coping up with the situation.
•	Mobilize sufficient funds for expensive medications through charitable trusts and NGOs.
•	Vocational and occupational rehabilitation.
In India, there is complete lack of awareness among the masses regarding ART. Health care providers need vigorous training in delivering all aspects of ART. Busy medical practitioners find it difficult to spare enough time for the extended counseling that is needed for the success of any therapy, especially ART. Moreover, adequate supply of medicines for ART as well as for treating opportunistic infections is essential for achieving the expected adherence to ART.
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[Table - 1]
1 Dermatoscopia para principiantes (i): características generales
D. Palacios-Martínez,R.A. Díaz-Alonso
SEMERGEN - Medicina de Familia. 2016;
2 Virus against Virus (VIVI): a potential solution against HIV/AIDS
Asfandyar Sheikh,Muhammad Farhan Khaliq,Muhammad Muslim Noorani
International Archives of Medicine. 2014; 7(1): 19
3 Adherence to highly active antiretroviral therapy in a tertiary care hospital in West Bengal, India
R Saha,I Saha,AP Sarkar,DK Das,R Misra,K Bhattacharya,RN Roy,A Bhattacharya
Singapore Medical Journal. 2014; 55(2): 92
4 Assessment of clinical efficacy of different concentrations of topical ascorbic acid formulations in the treatment of melasma
Basma M. Ali,Amal A. El-Ashmawy,Gamal M. El-Maghraby,Rania A. Khattab
Journal of the Egyptian Women's Dermatologic Society. 2014; 11(1): 36
5 The Development of an Inventory to Assess the Structural Barriers to Clinic Attendance and Pill-taking Amongst Users of Antiretroviral Therapy
Bronwyne Coetzee,Ashraf Kagee
AIDS and Behavior. 2013; 17(1): 319
6 Impact of a Rural Village Women (Asha) Intervention on Adherence to Antiretroviral Therapy in Southern India
Adeline Nyamathi,Alecia Y. Hanson,Benissa E. Salem,Sanjeev Sinha,Kalyan K. Ganguly,Barbara Leake,Kartik Yadav,Mary Marfisee
Nursing Research. 2012; 61(5): 353
7 Correlates of Adherence Among Rural Indian Women Living With HIV/AIDS
Adeline Nyamathi,Benissa Salem,E. J. Ernst,Colleen Keenan,P. Suresh,Sanjeev Sinha,Kalyan Ganguly,Padma Ramakrishnan,Yihang Liu
Journal of HIV/AIDS & Social Services. 2012; 11(4): 327
8 Do Coping Styles Mediate the Relationship Between Substance Use and Educational Attainment and Antiretroviral Adherence?
David A. Martinez,Kathy Goggin,Delwyn Catley,Mary M. Gerkovich,Karen Williams,Julie Wright,Jannette Berkley-Patton
AIDS and Behavior. 2012; 16(8): 2319
9 Existential dimensions of surviving HIV: The experience of gay long-term survivors
Machado, S.
Journal of Humanistic Psychology. 2012; 52(1): 6-29
10 Compliance with antiretroviral treatment in HIV/AIDS patients on a methadone maintenance program | [La adhesión al tratamiento antirretroviral en pacientes VIH+ en programa de mantenimiento con metadona]
Ladero, L., Almendros, C., Orejudo, S., Carrobles, J.A.
Anales de Psicologia. 2011; 27(2): 302-310
11 Challenges experienced by rural women in India living with AIDS and implications for the delivery of HIV/AIDS care
# Nyamathi, A.M., Sinha, S., Ganguly, K.K., William, R.R., Heravian, A., Ramakrishnan, P., Greengold, B., (...), Rao, P.V.R.
Health Care for Women International. 2011; 32(4): 300-313
12 Relationship between social factors and treatment adherence: A study from South India
Ajithkumar, K., Neera, P.G., Rajani, P.P.
Eastern Journal of Medicine. 2011; 16(2): 147-152
13 The role of parents and family members in ART treatment adherence: Evidence from Thailand
Knodel, J., Kespichayawattana, J., Saengtienchai, C., Wiwatwanich, S.
Research on Aging. 2010; 32(1): 19-39
14 Early viral suppression predicting long-term treatment success among HIV patients commencing NNRTI-based antiretroviral therapy
Soe, A.N., Tansuphasawadikul, S., Phonrat, B., Boonpok, L., Tepsupa, S., Japrasert, C., Maek-a-nantawat, W.
Journal of Antivirals and Antiretrovirals. 2010; 2(2): 33-37
15 Drug resistant mutations detected by genotypic drug resistance testing in patients failing therapy in clade C HIV-1 infected individuals from India
Kandathil, A.J., Kannangai, R., Verghese, V.P., Pulimood, S.A., Rupali, P., Sridharan, G., Grant, P., (...), Abraham, O.C.
Indian Journal of Medical Microbiology. 2009; 27(3): 231-236
16 Adherence to anti-retroviral therapy among HIV patients in Bangalore, India
Cauldbeck, M.B., OæConnor, C., OæConnor, M.B., Saunders, J.A., Rao, B., Mallesh, V.G., Kumar, N.K.P., (...), Satish, K.S.
AIDS Research and Therapy. 2009; 6(Art 7)
17 Antiretroviral therapy: Practice guidelines and National ART Programme
Bachani, D., Rewari, B.B.
Journal of the Indian Medical Association. 2009; 107(5): 308-316
18 The role of the multidisciplinary team meeting in AN antiretroviral treatment programme
Van Deventer, C., Radebe, M.
Southern African Journal of HIV Medicine. 2009; (34): 50-52
19 Barriers and facilitators to antiretroviral medication adherence among Hiv-infected paediatric patients in Ethiopia: A qualitative study
Biadgilign, S., Deribew, A., Amberbir, A., Deribe, K.
Sahara J. 2009; 6(4): 148-154
Sibhatu Biadgilign,Amare Deribew,Alemayehu Amberbir,Kebede Deribe
SAHARA-J: Journal of Social Aspects of HIV/AIDS. 2009; 6(4): 148
21 Adherence to highly active antiretroviral therapy and its correlates among HIV infected pediatric patients in Ethiopia
BMC Pediatrics. 2008; 8(Art 53)
22 Non-compliance in dermatologic diseases
Valia, R.
Indian Journal of Dermatology, Venereology and Leprology. 2008; 74(6): 553-557
23 Doctor-Patient Communication, Health-Related Beliefs, and Adherence in Glaucoma. Results from the Glaucoma Adherence and Persistency Study
Friedman, D.S., Hahn, S.R., Gelb, L., Tan, J., Shah, S.N., Kim, E.E., Zimmerman, T.J., Quigley, H.A.
Ophthalmology. 2008; 115(8): 1320-1327
24 Doctor–Patient Communication, Health-Related Beliefs, and Adherence in Glaucoma
David S. Friedman, Steven R. Hahn, Laurie Gelb, Jason Tan, Sonali N. Shah, Elizabeth E. Kim, Thom J. Zimmerman, Harry A. Quigley
Ophthalmology. 2008; 115(8): 1320
[VIEW] | [DOI]
25 Fixed-dose combination of lamivudine, stavudine and nevirapine in the treatment of pediatric HIV-infection: A preliminary report
Pensi T
Indian Pediatrics. 2007; 44(7): 519-521
26 Adherence to High Activity Antiretrovial Therapy (HAART) in pediatric patients infected with HIV: Issues and interventions
Shah CA
Indian Journal of Pediatrics. 2007; 74(1): 55-60
Chirag A. Shah
The Indian Journal of Pediatrics. 2007; 74(1): 55
28 Antiretroviral therapy: Need for a long-term view
Maniar JK
Indian J Dermatol Venereol Leprol. 2006; 72(6): 401-404
29 Pharmaceutical industryæs corporate social responsibility towards HIV/AIDS
Khanna A
J Postgrad Med. 2006; 52(3): 194-196


PHILADELPHIA – Wilson Ramos is going to be back sooner rather than later.
That's what the All-Star catcher said as he got adjusted to his new surroundings in the Phillies clubhouse on Thursday, two days after being traded from the Tampa Bay Rays.
Ramos is currently on the 10-day disabled list with a strained left hamstring that has kept him out of action since the All-Star break.
There have been conflicting progress reports of when Ramos could make his Phillies debut, ranging from mid-August to early-September. Despite still feeling pain when he runs, he said the former is the better bet.
When healthy, Ramos, 30, is one of the most productive offensive players at the position. He was hitting .293 with 14 homers and 53 RBIs in 293 at-bats with the Rays before the trade.
"He helps us when he's healthy and we need to get to that point," Phillies manager Gabe Kapler said.
The "Buffalo" is also regarded as a defensive upgrade over the "Bear", rookie Jorge Alfaro, who has struggled with eight errors and a NL-worst eight passed balls.
Kapler said Ramos has already made a difference with his new club before he even put on the red pinstripes.
Ramos said he had been following on the trade news and expected to be traded, but was surprised it was to Philadelphia.
Ramos expressed sadness leaving the Tampa Bay organization, which signed him to a 2-year, $12.5-million contract in 2017 despite him coming off knee surgery the previous season.
Ramos responded with a decent dividends for the gamble, hitting .281 with 25 homers and 88 RBIs in 142 games with the Rays. The Venezuelan also spent seven years with the Washington Nationals, launching 83 homers in 578 games, including a career-high 22 in 2016.
After not having a left-hander on its entire pitching staff earlier this season, the Phillies boast three southpaws in the bullpen now.
Newly acquired Aaron Loup, who will wear No. 47, will likely be a lefty specialist for the Phillies. He was obtained from Toronto in a deal at the trade deadline.
Kapler said that rookie Austin Davis has shown the ability to get both righties and lefties out and projects more than just a lefty specialist.


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• Size: 5/16" & 3/8"
Enjoy the benefits of a snap binder with safety cam. Made in USA by Columbus McKinnon of parts forged and assembled in USA.
Effortlessly release this load binder without using any tools or prying - all it takes is one finger. Due to its unique design, the binder's handle releases the load at the same point every time - when the handle is perpendicular to the body of the binder. Low-energy release prevents the binder from snapping back over center.
Free turning, 360 degree continuous swivel action in both tongue and clevis for enhanced straight line pull.


text:
Guinea-Bissau Creole (Kriol, Kiriol, Kriolu, Purtuguis)
Guinea-Bissau Creole is a Portuguese-based creole spoken in Guinea-Bissau, where it is the lingua-franca, and also in in parts of Senegal, where it used as a trade language. Guinea-Bissau Creole is spoken by about 310,000 people as a native language (in 2006-2007), and by some 600,000 people as a second language.
Guinea-Bissau Creole, which is closely related to Cape Verdean Creole, is used in business, public services, parliament, informal literature and entertainment in Guinea-Bissau. It is not used in the news media. Standard Portuguese is the official language of Guinea-Bissau, and Guinea-Bissau Creole is becoming more and more influenced by it.
Guinea-Bissau Creole alphabet and pronunciation
Source: https://guinebissaudocs.files.wordpress.com/2010/02/415-dicionariocriouloportuguesintroduzione.pdf
Download an alphabet chart for Guinea-Bissau Creole (Excel)
Tudu pekaduris ta padidu libri i igual na balur suma na diritus. Suma e dadu kapasidadi di pensa, e tene tambi konsiensia, e dibi di trata nutru suma ermons.
Source: https://pt.wikipedia.org/wiki/Crioulo_da_Guiné-Bissau
Sample lesson in Guinea-Bissau Creole
Information about Guinea-Bissau Creole
https://en.wikipedia.org/wiki/Guinea-Bissau_Creole
https://www.ethnologue.com/language/pov
http://www.sorosoro.org/en/guinea-bissau-creole/
Guinea-Bissau Creole phrases
https://en.wikivoyage.org/wiki/Guinea-Bissau_Creole_phrasebook
http://wikitravel.org/en/Creole_phrasebook
Betawi, Bislama, Cape Verdean Creole, Chavacano, Chinook Jargon, Dominican Creole French, Fanagalo, French Guianese Creole, Guadeloupean Creole, Guinea-Bissau Creole, Haitian Creole, Jamaican, Kituba, Manado Malay, Mauritian Creole, Nagamese, Ndyuka, Norfuk, Nubi, Palenquero, Papiamento, Pijin, Réunion Creole, Sango, Saramaccan, Seychelles Creole, Sierra Leonean Creole, Singlish, Sranan, Saint Lucian Creole, Tok Pisin, Torres-Strait Creole

redpajama_set_name: RedPajamaCommonCrawl


text:
Cosby Claims He's Not A Public Figure To Keep Embarrassing Docs Sealed
Diana Moskovitz
Filed to: Bill CosbyFiled to: Bill Cosby
Andrea Constand
Bill Cosby, who has sold out arenas, who has been televised into millions of homes, who lectured America on the virtues of buckled pants, who has spoken at rally after rally, who has served on the board of trustees of a public university, claims he is not a public figure. Or rather, that's the argument his lawyers make in a brief they hope will convince a federal judge to keep under seal a number of potentially embarrassing records from a sexual assault lawsuit.
The suit is from 2005, when Andrea Constand went to Philadelphia police with allegations that Cosby had drugged and raped her while she was the director of operations for the women's basketball team at Temple University. Prosecutors didn't file charges, citing a lack of evidence, and Constand brought a civil case in federal court. It was settled for an undisclosed amount. The parts of the lawsuit open to public view revealed the inner workings of the American celebrity scandal machine: how the National Enquirer quashed the story of another Cosby rape accusation in return for an exclusive talk with the star; how Cosby's team tried to shame Constand via anonymous leaks to the media; how mega-agency William Morris's defensive maneuvers included, apparently, a payout to one of Cosby's "Jane Doe" accusers.
The Former Basketball Player Who Brought Down Bill Cosby
Without Andrea Constand, none of this happens. Bill Cosby is still America's No. 1 dad, still…
But 13 filings have been kept under seal, at the direction of a judge. On Dec. 29, 2014, the Associated Press—which twice tried unsuccessfully to fight seals in the suit while it was ongoing—asked the court to open the records, citing a local rule for the court district that says seals are lifted after two years unless there's an objection. Soon enough an objection arrived from Cosby's lawyers. What follows is their logic as it's presented in their legal brief.
As they argue it, Cosby isn't a "public person"; these documents are of "no legitimate public interest"; in fact, there is a "a complete lack of legitimate public interest in the subject matter." As Cosby's legal team puts it: "This case did not concern a public official, a public company, or other matters of legitimate public concern. Rather, it was a private dispute between two individuals over their personal relationship." They ask the judge to ignore Cosby's fame, his fortune, his media pulpit, his lectures, his position with a public university, all on the grounds that he isn't paid with tax dollars. Cosby, they argue, "is an entertainer, not a public servant."
They hammer home, again and again, a lack of public interest, which just requires ignoring the huge public interest in the extensive list of women with eerily similar stories of being slipped a drug, losing consciousness, and waking up to the realization they had been raped. Again, as Cosby's team sees it:
There is no public interest in disclosing these discovery materials: Defendant is not a public official, nor is the relevant information important to public health or safety. See Pansy, 23 F.3d at 787-88 (instructing court to consider "whether a party benefiting from the order of confidentiality is a public entity or official" and whether "confidentiality is being sought over information important to public health and safety"). These factors also weigh against lifting the seal.
Defendant's status as a well-known comedian and entertainer does not render him a "public" person within the meaning of the law. Pansy made clear that a "public" person is a "public official," one who serves the public using public funds. Privacy interests are diminished only where the person seeking protection "is subject to legitimate public scrutiny," noting that "'[t]he public has a substantial interest in the integrity or lack of integrity of those who serve them in public office.'"
There are other legal arguments made. One point is that both sides agreed to to keep discovery confidential forever as part of a settlement; opening these records would compromise that agreement, as well as possibly affect a Cosby civil suit in Massachusetts. There is a lot of worrying about Cosby's privacy and how embarrassing these details would be if released. There is a cheap shot at the AP.
The AP undertakes this effort not to shine the light of public scrutiny on the judicial process or any matter of legitimate public concern, but rather to sell copy about a celebrity sex scandal.
The AP, in its own brief, argues Cosby is a public figure and that he's fallen so far that he can't be embarrassed anymore.
With respect to reputational harm and embarrassment, there is little doubt that the new onslaught of allegations has already impacted the defendant's reputation. Thus the possibility that the sealed material will do further material damage appears remote at best. This is vividly demonstrated by the fact that the explicit accounts given by defendant's alleged victims are now easily found by a simple Google search. Defendant has already incurred the consequences of these accounts. Simply by way of example, according to published reports, NBC cancelled plans to develop a show with him, several institutions to which he was tied, such as Temple University and Spelman College, have distanced themselves, and he has become a pervasive topic of derision and humor.
But a huge part of Cosby's argument is that he is, in the parlance of Us Weekly, just like us. It's a statement that seems to defy logic, but logic and law aren't always on speaking terms. Now it's up to a federal judge to decide.
Image via Associated Press
Recent from Diana Moskovitz
The Biggest Thing Holding Back Women's Soccer Is The Same Old Thing
The New Tyreek Hill Audio Doesn't Contain Any Answers
KawhiWatch: Holy Shit, Kawhi Leonard Is Going To The Clippers


This cool steampunk MOC comes from Gabe Umland. It depicts Lahair on the deck of the Alegna, a floating boat. I love the design, it sorta reminds me of Mr. Kim's boat in Fifth Element, like a junk with no sail.


text:
require 'chunky_png'

module PalletePNG
  class Image
    NotPNG = Class.new StandardError

    # @return [ChunkyPNG::Image]
    attr_reader :image

    # @param [String] image_data The PNG image data
    # @raise [ChunkyPNG::SignatureMismatch] if image_data is not a PNG image
    def initialize(image_data)
      @image = ChunkyPNG::Image.from_blob(image_data)
    end

    # @return [String] The new image data that the color_mode is converted to TRUE COLOR alpha
    def to_truecolor_alpha
      image.to_blob color_mode: ChunkyPNG::COLOR_TRUECOLOR_ALPHA
    end

    def pallete_based?
      color_mode, _depth = image.palette.best_color_settings
      color_mode == ChunkyPNG::COLOR_INDEXED
    end

    def transparency_chunk?
      !datastream.transparency_chunk.nil?
    end

    # @return [ChunkyPNG::Datastream]
    def datastream
      @datastream ||= image.to_datastream
    end
  end
end

redpajama_set_name: RedPajamaGithub


THIS RING IS FOR YOU!
We aren't the largest ring, but we are the friendliest!!! Genealogy ring for those who want to see that their family history is not forgotten!
A family history homepage with the most extensive online database for my southern Barmore family, 1725 to the present. Homepage for the new Barmore and Barrymore Family WebRing.
Saga of Standard-Bred Harness Horses, AKC Champion Tibetan Spaniels, and Chow Chows Breeder/Owner/Handled by the Russell, Phillips, and Sanders Families from 1836 to the present. Features Genealogy of equines, canines, and humans associated with this Century and Heritage Andrew Jackson Land-Grant Farm and my circa 1897 "Home In Stevenson, Alabama"!


Looks delicious. Beautiful table setting, too. I'm working hard, too, but no compensation this nice.
The readers of PDP are the ones who have won a prize, Eric. Thank you for your hard work on our behalf. You should be treated like a King each and every day. Now, would you pass the bread please?
Glad you had a good time, though!
Wow, il y en a qui ont la vie belle quand même, pendant que d'autres triment !
Looks lovely, Eric. Hope you enjoyed it thoroughly. I clicked to the link on l'Academie Goncourt & saw a photo of M. Bernard Pivot! I had never seen him, but his name is so well known to me from the US show "Inside the Actor's Studio" where the host uses Pivot's 10 question interview for all his guests. Thanks for more stimulating words and images, Eric!
This time I don't envy you Eric. I had lunch today at a wonderful french restaurant with a view here in Rio, so for a few hours I had the best of two worlds: France & Rio!!!
Oh, but I envy you, Monica! France, Rio, and a view! Sounds spectacular. I've always wanted to visit Rio -- maybe someday I can meet you for a nice Salade Nicoise under the Sugarloaf!
Did you sneak this photo Eric or did you tell everyone about PDP at the table? What else did you have for lunch? Looks delicious!
And btw Eric, no, "anonymous" is not me. Although you know I love risotto!
Yes Coltrane, I'll have French food in Rio anytime! It's a beautiful place with wonderful people.
Have a great day Michael.
Yeah, I'll have what he's having, too: risotto.
Oh, and I'll have Monica, too!
Anyway, though I can't describe a meal in Paris, I did dine at Cafe Matisse in Nassau, and a wonderful meal it was. Once in a while I experience an exhilerating Pinot Noir, and such a wine found me there.
I agree, Eric, that a good meal compensates for many things. Your lunch, the table, it all is beautiful. Perfect photo.
Hey, when should I come to Paris in 2010? I need to start planning. Can anyone find a date for me for the picnic?
Looks delicious! I think I'll have the same. And congratulations to Ms. Ndiaye.
Dear Tomate, I wonder what the problem is. Is anyone else having trouble seeing the photo? I can see it just fine.
Ok, Ok, I see it better now!
Looks wonderful. I adore a good risotto and this is just that. Fascinating to read about Drouant and its connection to the Prix Goncourt.
Must admit to having a big crush on Bernard Pivot—I like him even more than I like risotto (and this looks super). Congrats to Ms. Ndiaye.
I love risotto, too, and as Alexa says, this one looks super. Thank you, Eric, for the visual feast.
Monica's day sounds lovely, too!
I am jealous it seems a bit unfair or should I be inspired, or nervous, as I look at this picture of beautifully presented food and prepare thanksgiving dinner.
Is that correct, the value of the prize is 10 euros?
Less than cost of the food on your plate Eric!
Of course the prestige for the winner is beyond price.
You've never actually mentioned what it is that you do as work. Is it out of line to ask?
Thanks for expanding our horizons with your post today,Eric.
Food. Nourriture. By any name, it still tastes as good.
@Tomate. You could not see the photo? Why??
@Carrie. Yes, you're right. Pivot is now part of the Jury. And we also have the Actor's studio program here, so I see what you're talking about. The questionnaire is actually known to be Le questionnaire de Proust and Pivot "borrowed" it.
@Monica "This time I don't envy you Eric. I had lunch today at a wonderful french restaurant with a view here in Rio, so for a few hours I had the best of two worlds: France & Rio!!!" OK, you win!!
@Michael "Did you sneak this photo Eric or did you tell everyone about PDP at the table? What else did you have for lunch? Looks delicious!" No I sneaked it and I really felt bad, because this was a work lunch and I really felt like the obnoxious tourist taking a photo of his plate!
@ALexa "Must admit to having a big crush on Bernard Pivot" He was loved by everyone when he had his show.
@Lynn "mmmm but you know what I fancy now? The pile of bread and the wine" Actually the bread was to die for. Crispy, slightly warm. Yummy!
@Drummon "Is that correct, the value of the prize is 10 euros?" Yes. But in fact much more than that. Because a Goncourt prize winner sells hundreds of books.
@Starman "You've never actually mentioned what it is that you do as work. Is it out of line to ask?" Not at all; I'm a journalist.
@PHX ".in Milan, the queen of risotto cities!" You're so right. SO did you throw up in the end?!!
This is good information, Eric. Now I know it's obnoxious to take a photo of my food in Paris! Around here the restaurant owners love it because they're going to be posted on a blog and get publicity!


Two-and-a-half years ago, a large textile factory in Bangladesh collapsed. Numerous workers who worked for only 20 cents an hour under extremely hazardous working conditions were killed.
I watched a televised discussion about the incident. The implication of the discussion was that a consumer who chooses to buys clothes far below the minimum cost price shares responsibility for the disaster! I felt accountable, but wondered how possible it was to take on this responsibility!
In the months after this, the questions occurred to me again and again; there were so many occasions in which as a consumer and as a voter, I was being asked to take responsibility. As an individual I seemed to have much influence on the world, but apparently I was being guided by impulses such as price, taste and marketing, not facts!
"Am I not interested in the facts?" I wondered. Am I too lazy to take on my responsibility or is the problem that we cannot figure everything out ourselves in this complex world?
Thus I came to the conclusion that via the internet people should be able to discuss issues together and check whether information is reliable.
If people can use the internet to discuss effectively, all sorts of statements from politicians and the advertising industry, but also from critics and activists can be put to the test with our shared knowledge and understanding.
I went to work on analyzing what is needed for such an online discussion, and was fascinated by the clear structure that forms the basis of all discussions. A condensed form of displaying arguments and assertions from the debate has proved very suitable for an online version!
I developed a data model that these discussions could contain, and because I wanted to make online discussion as accessible as possible I thought a lot about usability.
People around me often seemed to be very enthusiastic about the idea. One person was interested in the model's scope for capturing the discussion around effective patient care. Another saw it as a way to increase cooperation in scientific research. Someone else reacted with enthusiasm about how helpful this could be in the field of investigative journalism. That confirmed my feeling that this idea fills a need.
My dream is that with my idea I can contribute to a world in which people can easily understand the consequences of their choices, and in which companies will be accountable for providing honest information because their deception will be much more visible.
Share this dream? Share this blog on your favorite social media sites so that everyone can get involved in realization of my dream!


text:
Q: Using an Excel UDF inside another UDF Is is possible to use one UDF inside another?
For example Columns A,B,C,D.
UDF1(w,x) - Calculates the product of the maximum of A and the Maximum of BUDF2(y,z) - Calculates the product of the maximum of C and maximum of D
UDF1 and UDF2 work fine.
UDF3 to calculate the product of UDF1 and UDF2 (as in cell calc is trivial)
Can I make UDF3 that take the as input (w,x,y,z) and then passes w,x to UDF1 and y,z to UDF2 - return the answers from UDF1 and UDF2 and calculate the product?
(I know there are other ways to do what I am describing - its the concept I am interested in) --
Background:
I am trying to work up examples of programming inside Excel that starts by building simple UDFs and then recycling them (kinda like subroutines)  -- again, I appreciate that there are better ways of doing this.
Cheers
G

A:
Can I make UDF3 that take the as input (w,x,y,z) and then passes w,x to UDF1 and y,z to UDF2 - return the answers from UDF1 and UDF2 and calculate the product?

Yes.
Here is an example. Paste this in a module. I am using SUM for demonstration.
Function MainF(rng1 As Range, rng2 As Range, _
rng3 As Range, rng4 As Range) As Long
    Dim x As Long, y As Long

    x = a(rng1, rng2)
    y = b(rng3, rng4)

    MainF = x + y
End Function

Function a(rng1 As Range, rng2 As Range) As Long
    a = rng1.Value + rng2.Value
End Function

Function b(rng1 As Range, rng2 As Range) As Long
    b = rng1.Value + rng2.Value
End Function

redpajama_set_name: RedPajamaStackExchange


text:
Media Release: Expansion planned for Argyll-based international research facility
ONE of the largest aquaculture research facilities in Europe is undertaking an expansion which will reinforce the reputation of Scotland as a world leader in marine science.
The Marine Environmental Research Laboratory (MERL), part of the University of Stirling's Institute of Aquaculture, is based at Machrihanish in Argyll. It provides contract research services and facilities to industry and academics working within the aquaculture sector, including a number of multinational corporations.
The laboratory's main focus is around new product development in veterinary medicine, vaccines and functional feeds for the salmon farming industry. MERL has long term service agreements with a number of multinational animal health organisations to develop a range of safe and environmentally acceptable products for sea lice control, including those derived from natural products. Sea lice are a major threat to the industry, with losses estimated in the region of £33m in Scotland and £305m worldwide.
MERL is looking to upgrade and enhance its research facilities, confirming its enviable reputation in the marine science community.
Supported by £90,192 from economic development agency Highlands and Islands Enterprise (HIE), the £322,819 expansion project will increase the number of research tanks at the facility. This will deliver an increase in research capacity, increasing employment and growing turnover.
Dr Bill Roy from MERL, commented: "This new development is a welcome addition to the University of Stirling's research facilities at Machrihanish. We work closely with the aquaculture industry to tackle some of the important issues which affect its productivity and public reputation. The industry plays a major role in the economy of the Highlands and Islands and investment in research infrastructure is vital to maintain and develop this sector for the wider public benefit."
Morag Goodfellow of HIE, commented: "MERL has an impressive client list including feed companies and multinational fish farming organisations. The research undertaken at the centre is important in safeguarding the longevity of the aquaculture industry – which is also a significant employer across the Highlands and Islands. This project is a key element in increasing the capacity of the centre and building on what is already considered a high quality research and development institution."
Argyll is already home to a significant and innovative marine sciences cluster. The Scottish Marine Institute at Dunstaffnage, near Oban, is home to the European Centre for Marine Biotechnology and the Scottish Association of Marine Science (SAMS) – an academic partner of the University of the Highlands and Islands. HIE has also developed the multi-million pound European Marine Science Park next to SAMS which provides space for the growth of existing and new businesses which wish to tap into the region's world leading reputation in marine science research and development.
Photographs are attached to accompany this release.
Pictured here (L-R) Dr David Bassett, Dr Andrew Davie, Morag Goodfellow, HIE and Dr Bill Roy from MERL.Credit: Stuart Andrew/HIE
Please contact communications@hient.co.uk for additional pictures.
The Marine Environmental Research Laboratory (MERL)
The Marine Environmental Research Laboratory (MERL) is a purpose-built aquaculture facility located in Kintyre on the west coast of Scotland.
The site was founded in 1991, and expanded in 1998. In 2008 it took over operation of the facilities of MMF Ltd, the UK's largest commercial cod hatchery, to provide one of the largest and best equipped marine aquaculture research facilities in Europe. The facility provides contract research services and hire of facilities to industry and academic institutions and supports research and teaching at the Institute of Aquaculture.
The Institute of Aquaculture
The Institute of Aquaculture is the leading international centre in its field and is the largest of its kind in the world. With an excellent RAE 2008 outcome, we bring together cross-disciplinary, world class researchers to meet the wide range of challenges faced as aquaculture grows to meet global demands. www.aqua.stir.ac.uk
Founded by Royal Charter in 1967, the University of Stirling was the first genuinely new university in Scotland for over 400 years. Working with academic, commercial, public, private and voluntary sector partners, Stirling is one of the UK's leading research universities in the fields of health and wellbeing, the environment and people, culture and society, enterprise and the economy, and sport. For more information, please visit www.stir.ac.uk.
MEDIA RELEASE issued by Highlands and Islands Enterprise. You too can post your story ideas for journalists (aka Press or media releases), on allmediascotland.com. Email info@allmediascotland.com for more information.
Check out twitter.com/nonstopstories.
Contact: HIE Communications
Email: communications@hient.co.uk
Website: http://www.hie.co.uk
By pressteam · July 21, 2014 at 16:33 · Comments Off
Highlands and Islands Enterprise · Animals - veterinary science and pets · Scotland-wide


text:
Trekking Peak Climbing Tours
Kyajo Ri Peak Climbing
Himalaya Mountain and Cultural Tour
Himalaya, Safari and Cultural Tour
Kathmandu and Pokhara Cultural Tour
Trips Trips Trips
Know Our
Since 1993, Sherpa Swiss Adventures has provided incredible Himalayan experiences to visitors from all around the world.
Inspired by the Swiss and Sherpa pride for the moutain community and ecosystem, Mr. Lhakpa Gyalzen Sherpa brought his experiences in Nepal and Switzerland together, to allow everyone to experience the magic of the Himalayas. Sherpa Swiss Adventures is a market leader, with a reliable, efficient, and amicable team, who will ensure that your time in Nepal is safe and spectacular.
Recognition from the International Mountaineering & Climbing Federation (Union Internationale Des Associations D'Alpinisme)
Certified as the Medical Rescue Coordinator by the Nepal Mountaineering Association
Honored by His Excellency Mr. Thomas Gass, the Ambassador of Switzerland
Won the KKBB Award 2009
Reference letter on completion of work with Air-Glaciers, Switzerland
Established Sherpa Swiss Adventures
Returned from Switerland after a year of work with Air Glaciers as a flight assistant and medical evacuation staff
Lhakpa Gyalzen Sherpa, born and brought up in Solukhumbu, got inspired by his father Phurba Gyalzen Sherpa- Phuri Gelje Sherpa who worked in the travel and trekking industry since the 1970s.
We Have A
Lhakpa Gyalzen Sherpa| The man behind the magic
Lhakpa Gyalzen Sherpa, born and brought up in Solukhumbu, was inspired by his father Phurba Gyalzen Sherpa who worked in the travel and trekking industry since the 1970s. From a young age he saw foreigners coming to explore Nepal and also heard of many casualties due to natural calamities while trying to scale the great Himalayas. He was deeply affected by the news of people getting hurt, or losing their life in the process of discovering Nepal and themselves. Hence he felt, there could be a lot more precautions taken in raising awareness and improving readiness for all travellers in case of disaster.
He initially started off as a guide in the industry, but by the time he was in his early 20s he started his own travel company-Sherpa Swiss Adventures. He had the opportunity to go to Switzerland in 1989 for training in rescue and medevacs and casevacs, and came back to Nepal empowered with his new training and with a passion to make a difference in how people experienced the mountainous terrains. When he started Sherpa Swiss Adventure, many alpinists started reaching out to him, as they learnt of his 9 month training and experience working with Air Glacier in Switzerland.
Due to his passion to improve the conditions in the trekking and mountaineering business, he worked on educating all staff and the local community on how to minimize disaster and how to respond during an emergency. He is also a pioneer in bringing the concept of roof-top helipad to hospitals, which has now been replicated across several medical institutions.
Our formative team has inter-generational experience, starting from Mr. Lakpa Gyalzen Sherpa to now the next generation leading the tour and trekking business. Passionate about our company and our services, we take pride in being available 24/7 to our customers.
Phurba Chiring Sherpa Director
Lhakpa Gyalzen Sherpa Chairman
Chimi Sherpa Executive Director
© Sherpa Adventure 2020
Website by Curves n' Colors


Isn't it time we updated furnace standards?
Recent cold snaps highlight how the Department of Energy can, through efficiency standards, help Americans save money on energy and cut air pollution.
January 21, 2014, 10:42 a.m.
When a polar vortex brought subzero temperatures and wind-chill factors even more brutal to many parts of the United States, many Americans huddled inside, with good reason. Unfortunately, not only were they suffering through the extreme cold, but many will be hit with higher heating bills at the end of the month as they pay the price of the energy used to keep their homes safe and warm.
These costly energy bills highlight the need for the U.S. Department of Energy (DOE) to update energy-saving standards for furnaces for the first time in decades and set the first-ever standards for furnace fans (these fans circulate air from the furnace to the rest of your house).
Updated standards for furnaces and furnace fans, combined, could save consumers roughly $37 billion over three decades and reduce cumulative carbon emission by over 500 million metric tons — the equivalent of shutting down about five coal-fired power plants.
The opportunity to reduce energy use — and utility bills — is so large because approximately 40 percent of the energy used on-site in American homes goes to keeping them warm. Yet, standards for furnaces — which represent about half of this site-energy use — essentially haven't been updated since 1987 when the very first furnace standards were established and the technology available to increase furnace efficiency was far less advanced than it is now.
Why has it taken more than two decades for the DOE to update standards to make sure furnaces don't waste as much energy — and consumer dollars? DOE was supposed to update the standards in 1994, but the agency delayed. In 2007, it finally issued an updated furnace-efficiency standard, but it was essentially a non-standard, because it moved the efficiency requirement from 78 to 80 percent — a level that almost the entire market had already achieved. NRDC and others then sued the DOE; federal law mandates that DOE set standards at the maximum level that's both technologically feasible and cost-justified, which the 2007 standard didn't do. In 2008, the new administration of U.S. President Barack Obama settled that challenge by agreeing to send the rule back to DOE so it could try again to create a standard that meets the maximum efficiency level required by law.
DOE then issued an important new furnace efficiency standard in 2011, but litigation by an industry trade group has delayed it. That standard had been jointly proposed by NRDC, a group of manufacturers, other efficiency advocates and the state of California, and would have required furnaces to be 90 percent or more efficientin the northern United States, while allowing furnaces in the south to continue to meet the 80-percent standard due to the more moderate climate. Initially scheduled to go into effect in May 2013, it would have saved 31 billion therms of natural gas over the next 30 years — enough to heat all the homes in New York State for over 11 years — and saved consumers $10.7 billion on their energy bills.
However, after the industry trade group sued DOE, DOE did an about face and agreed to a proposed settlement that would undo the efficiency standard and have DOE re-start the standard-setting process anew. The court has not yet taken any action on the settlement, and the litigation is still pending. So the nation is in a state of limbo on furnace efficiency until all that is resolved. At this rate, it's likely a new furnace standard won't go into effect until 2020 or later, meaning Americans are losing out on a tremendous opportunity to save both money and carbon pollution. But eventually, we expect DOE to set updated standards at the strongest possible level that is technically feasible and cost effective, which could well be stronger than the 2011 rule.
In the meantime, DOE has made impressive progress in making furnace fans — the fans that circulate air from your furnace to the rest of your house, which are a separate component from the furnace itself — more efficient, with a proposed rule issued this past October that would reduce fan-energy use by 40 percent. That's significant, because a typical furnace fan uses about 800 kilowatt-hours of electricity a year, more than the annual energy use of a new refrigerator and new dishwasher combined. NRDC expects the rule to be finalized sometime this year.
The biting cold temperatures that so many Americans have been experiencing highlight how vulnerable we are to extreme weather. They also call our attention to how many opportunities the DOE has, through efficiency standards, to help Americans save money on energy and cut carbon and other air pollution. The agency should "heat up" the process and fast-track these standards now so Americans and their energy bills aren't left out in the cold.
Meg Waltner is a manager of building energy policy for NRDC. This Op-Ed was adapted from the post "Cold Snap Highlights Need for Updated Furnace Efficiency Standards" on the NRDC blog Switchboard. The views expressed are those of the author and do not necessarily reflect the views of the publisher. This version of the article was originally published on LiveScience.
Updated standards for furnaces and furnace fans, combined, could save consumers roughly $37 billion over three decades.


RG316D/ RD316 LSFH 6 GHz, 50 Ohm, 105° C ø3. Coaxial Type = RD316 Cable Shape = Coaxial. Text: MCX Series 50 Ohm - Plug MCX 50 Ohm Cable Plugs Description rd316 Plug - Short Crimp Straight MCX 50 Ohm Cable RF/ Coaxial MCX Series 50 Ohm - Plug Ordering Data Plug - Short Crimp Straight MCX 50 Ohm Cable Part Number 59PPPPPP110- 6 Cable RG316 RD316 RG316 RD316 RG178 RG178 Crimp Tool Hex mm 3. rd316 The use of coaxial cables extends to every application in. SMP Interconnect Series. Connectors for RG188/ U series cable: At Sea Level = 400 Vrms. Add rd316 to compare The actual product may differ from image shown. Directory of Suppliers Product Directory Datasheet Directory Technical Articles Webinar Calendar HOME PRODUCTS & SERVICES DATASHEETS CABLE ASSEMBLIES TRU CORPORATION COAX CABLE - - RD- 316 TRU Corporation. Molex MCX JACK datasheet VERT SMT 50 OHMS. What is an MCX Connector and what applications are datasheet MCX Connectors used in? 2 mm Flame retardant, RADOX® jacket Railway qualified Datasheet: Cable family: RADOX RF: Highly flame retardant LSFH. The M17/ 113- RG316 is a Coaxial Cable with either solid or stranded. rf cable assembly - - p1ca- samsamra- rd316- 6 rfmw ltd. RD316 coaxial cable has double layers of shielding MCX connector, TNC connector, can terminate with various RF connectors like MMCX connector, SMA connector N connector. TNC 50 Ohms Flange Mount, 4- Hole RF Connectors / Coaxial Connectors are available at Mouser Electronics.
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A once thriving network of space stations and planets have been left lifeless, redundant scars of the apocalypse. Into this age of darkness comes light. You will lead the way in rebuilding the network of space stations to a standard accepted by the individual alien races, attracting them to harness their expertise and research new technologies. Thus begins the hilarious battle of wits and cunning, full of daring escapades.
Varied levels of play, from simple sandbox to detailed station micromanagement.


Dr. Jayanti Thumsi is a consultant Breast Oncologist who has graduated and completed her MS in General Surgery from Grant Medical College, JJ Hospital, Mumbai. She has undergone training in Breast Oncology at Tata Memorial Hospital, Mumbai. She has been practising Breast Oncology in Bangalore since 16 years and has a vast experience. She has performed more than 3500 breast surgeries and 2500 other surgeries so far, with an expertise in Breast conservation and Breast Reconstruction surgeries.
She has keen interest in bringing about awareness in women about Breast cancer and has been very active in conducting more than 258 awareness programs and has educated 1,58,000 women so far. She has done a number of TV shows, Radio programs, written newspaper articles, YouTube videos, Facebook live programs, etc.
She has authored a book 'Lump to Laughter' which highlights the emotional journey of women going through breast cancer treatment with medically validated information. This book is already in its third edition.
She is the founder member and managing director of CREST Foundation, which is a NGO working on reducing the burden of cancer in our society. Under her leadership BGS Global Hospital and CREST Foundation had organized 'The World's Largest campaign for Breast self-examination' in which 2332 women were taught Breast Self - Examination in a single day. This event has been recognised by Limca book of records.
CREST Foundation has sponsored education for 3 deserving meritorious but under privileged students for completing MBBS.
Dr. Jayanti has published many papers in various national and international journals. She has been an invited speaker in many national and international conferences. She is also involved in many research activities and clinical trials.


TIBCO Enterprise Message Service is a standards-based messaging platform (fully TCK certified to both the JMS 1.1 and 2.0 standards) that simplifies and accelerates the integration and management of data distribution in high-performance, enterprise environments.(Source: Wiki). In this post we will create a Java client which publishes message in Tiibco Queue.
1. Create a Maven project and add following dependencies in pom.xml.
2. Create a Java class TibcoQueue which manages tibco queue details.
3. Create a Java class which does all configuration and send message to queue.
4. Create Java class with main method which executes sendMessage() method and initiates message sending to queue.
Note: Create JMSConstants class with fields broker_url, queueName, username and password and use it in above class accordingly.


text:
Story Items
The Crossing of the Fathers
One of the goals of the Dominguez-Escalante expedition was to find a northern route to the Spanish missions in Monterey, California from the Spanish colonial stronghold of Santa Fe, New Mexico. Led by two Franciscan friars named Silvestre Velez de Escalante and Francisco Dominguez, the expedition never reached California, but instead, turned back to Santa Fe, forded the mighty Colorado River, and thus created one of Utah's most popular historic sites, The Crossing of the Fathers.
The Dominguez-Escalante expedition faced a choice in October of 1776 due to snowstorms and the untimely abandonment of their Ute guide. Would they continue to California or head back toward familiar territory? To decide, they drew lots on October 8th, 1776 near present-day Cedar City, and familiar territory won the draw. Without significant direction, the party bumbled across northern Arizona throughout the month of October, with scarce food and little water. They obtained food by trading with local Indians or killing their horses for meat.
By October 25th, the group reached the Colorado River, just downstream from present-day Lee's Ferry. The party continued upstream, back into Utah, hoping to find a way across the Colorado River and out of the red-rock canyons. The group found a possible ford on November 6th and the following day, Fathers Dominguez and Escalante chiseled steps in the canyon wall for a distance of about 10 feet to enable their livestock to negotiate the steep terrain down to the river. By 5:00 that evening, the entire party safely crossed the Colorado River, and fired their guns into the air in celebration. The date was November 7th, 1776.
The perilous ford became known as the "Crossing of the Fathers" and the steps carved into the canyon wall were a popular historic site, until the construction of the Glen Canyon dam flooded the spot with 550 feet of water in what is now Lake Powell's Padre Bay.
Nicholas Demas for Utah Humanities © 2012
Image: The Colorado River, Crossing of the Fathers. c. 1870s. "Crossing of the Fathers" from Wheeler's Survey. Drawing by Mulhausen. Escalante Expedition. Tall rock formations tower over the Colorado River in this drawing. Courtesy of Utah State Historical Society.
See Ted J. Warner, The Dominguez-Escalante Journal: Their Expedition Through Colorado, Utah, Arizona, and New Mexico in 1776 (Salt Lake City: University of Utah Press, 1995), pp. 79-123; Ted J. Warner, "The Spanish Epoch" in Richard D. Poll, Thomas G. Alexander, Eugene E. Campbell, David E. Miller, ed., Utah's History (Provo: Brigham Young University Press, 1978), pp. 35-51; David E. Miller, "Discovery of Glen Canyon, 1776," Utah Historical Quarterly 26 (Summer 1958), pp. 231-238.
The Beehive Archive is a production of the Utah Humanities. Find sources and the whole collection of past episodes at www.utahhumanities.org
Beehive Archive - Utah Journey Stories
County: Kane, Date: Pre-1800, Exploration, Land, Settlement, Water
Nicholas Demas for Utah Humanities © 2012, "The Crossing of the Fathers," Utah Stories from the Beehive Archive, accessed January 20, 2022, https://www.utahhumanities.org/stories/items/show/256.
UTAH HUMANITIES • 202 West 300 North, Salt Lake City, Utah 84103 • 801.359.9670 • www.utahhumanities.org
Follow us on Instagram @utahbeehivearchive or subscribe where you find your podcasts.
Tune in to The Beehive Archive each week on KCPW and Utah Public Radio for a new episode. With all of the history and none of the dust, it's a fun way to catch up on Utah's past! The Beehive Archive is funded in part by a grant from the Lawrence T. and Janet T. Dee Foundation.
Copyright © Utah Humanities. All rights reserved.


Happy New Year to all of our club members, supporters and friends.
We start the year with the AGM. This takes place on Sunday 3rd February. Starting at 3pm at Hayes Rugby Club, Kingshill Avenue, Hayes, UB4 8BZ.
This is an opportunity to reflect on last year and set our targets for the forthcoming year. All of our club members and players are asked to attend. This includes our senior and youth members. With a growing youth section it would be encouraging to see more of the youth parents attending.
New players are always welcome to the club. If you're looking to get back into the game or have just moved to London please feel free to contact us. We will assist you in finding work, accommodation and transport to and from training. As Hillingdon Borough's only GAA club we cover a wide area of West London including Hayes, Uxbridge, West Drayton, Hillingdon, Ruislip, Northolt and even out to Slough and Windsor. Contact us at [email protected] or 079691 45545.
Follow us on Facebook, St Clarets GAA, or Twitter @StClaretsGAA for further updates. If you wish to sign up to our mailing list drop us a line and that can be arranged.
London GAA are organising a Safeguarding Course for all youth coaches.mentors/administrators. This will take place on Thursday 24th January from 7pm - 10pm in McGovern Park, Ruislip, HA4 6QX. Numbers are limited so please register your interest asap. This is vital for anyone involved with our youth teams.
Friday, January 18th, 2019 7.00 p.m. - 10.00 p.m.
Saturday, January 19th 9.00 a.m. - 5.00 p.m.
Sunday, January 20th 9.00 a.m. - 5.00 p.m.
Friday, February 22nd 7.00 p.m. - 10.00 p.m.
Sunday, February 24th 9.00 a.m. - 5.00 p.m.
Again, numbers on this course are limited so please let us know if you're interested in this.


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Research about visual social media responses to the Syrian refugee crisis
Jill Walker Rettberg
Dec 21, 2015 · 4 min read
Stencils like this show that the position of Aylan's body has become iconic in itself, Ray Drainville argues in a research report on the images of Aylan.
The short paper Radhika Gajjala and I wrote about the negative portrayals of refugees on the Twitter hashtag #RefugeesNOTwelcome was just published in Feminist Media Studies. Hooray for the fastest idea to publication ever!
A closely related project is the Visual Social Media Lab at the University of Sheffield's The Iconic Image on Social Media: A Rapid Research Response to the Death of Aylan Kurdi*. I love the format of this 70 page research report: 18 scholars have written very short papers on different aspects of the reception of the image, from an analysis of exactly how the image spread on Twitter and other social media, through an analysis of data from Google about how different countries' searches about migrants changed after the image went viral, discussions of the growth of Facebook groups like Refugees Welcome to Norway to discussions of the iconography of the image itself.
Radhika and my paper also discusses images in social media, but we looked at images shared on #refugeesNOTwelcome that were part of the backlash against the sense of empathy and care that flowed through Europe in response to the images of Aylan in particular. We gathered images from the last three weeks of September 2015, just after the Aylan images were spread, on September 2 and 3.
One of our findings, that echoes findings in the Aylan Kurdi report, was how images that become popular in social media often reference familiar images. This can be used rhetorically in many ways. The visual similarities between the images of Syrian refugees crowding train stations and images of Jews being crowded onto trains to concentration camps during the second world war may well have increased European sympathy for the refugees. But visual references can also be used to make the opposite argument. One of the examples Radhika and I analyze is very explicit about this:
Image shared on #refugeesNOTwelcome.
Here photos allegedly of current refugees are contrasted to an example of a familiar idea of what a worthy refugee should look like.
Other composite images made the argument that the men escaping Syrian were cowards, in contrast to brave women staying to fight.
This is where Radhika's deep knowledge of post-colonialism and of the subaltern were very useful, allowing us to contextualise these and other images in terms of earlier portrayals of Arabic men, and letting us see how these visual claims were only allowing Arabic men to have two positions: either they are terrorists or they must be cowards.
Another way of understanding images is through the iconography of the long traditions of art history. Several chapters in the Aylan report do this.
Ray Drainville analyses the images of Aylan's body lying on the beach in the context of the aestheticisation of death in Western art, which has been particularly evident in portrayals of the dead Christ. Even the foreshortening of the most shared image of Aylan's body is familiar from a well-known painting of the dead Christ.
Andrea Mantegna's Lamentation over the Dead Christ. Note the foreshortening of the body.
Aylan Kurdi on the beach.
Jim Auchlich compares the image of the police officer carrying Aylan's body away from the shore to a pieta:
Essentially, it is a Pieta, originally coined in 11th century Byzantium the iconography developed in Northern Europe from about 1400 as a stage in the depiction of the Passion of Christ (Figure 11). As such we could tag it with the words: Family; Sacrifice; Martyrdom; Displacement; Flight; Survival; Protection; Resurrection; Redemption; Salvation; Pity; Mercy; Sorrow; Piety and ultimately Victory over Death. Crucially, the body is held forward by an authority figure (Mother of God, father, soldier, policeman, fireman). The body is held in a gesture of offering up, as if to bear witness and to implore for the intercession of an even higher authority.
One of the images that was heavily circulated was the police officer carrying Aylan's body.
Michaelangelo's Pieta at the Vatican shows Mary holding Jesus after his death. The pieta motif is one of the most common in Western art history.
The images were immensely influential in Europe, but of course they were also spread elsewhere, particularly in Middle-Eastern cultures, where the pieta is not part of the cultural heritage. Auchlich notes this, mentioning that different images were more popular in non-Western sources.
It is interesting to note that accounts of the event from non-Western sources favour the image of the body alone to signal a different visual tradition.
I would love to know more about this.
An example of a version of the Aylan image showing Aylan as an angel.
There is a lot more to say about these images, and about the many edited and altered versions of the Aylan images. The short papers in the Visual Social Media Lab's report or my and Radhika's short paper are just touching the top of the iceberg. But taken together, they say a lot.
University of Bergen prof of digital culture; ERC project on Machine Vision, author of Seeing Ourselves Through Technology (2014). Blogs at http://jilltxt.net.


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Top Clinical Training Schools in the U.S.
Posted on April 20, 2019 May 5, 2019 by EDU
Ranking School and Information
1 Georgetown University (Washington, DC)
Tuition & Fees: Full-time: $46,865 per year
Enrollment (full-time): 1,671
LSAT scores (25th-75th percentile): 167-171
GPA(25th-75th percentile): 3.44-3.8
Acceptance rate: 26.6%
Graduates known to be employed nine months after graduation: 96.0%
2 American University (Washington) (Washington, DC)
GPA(25th-75th percentile): 3.22-3.59
3 New York University (New York, NY)
4 CUNY (Flushing, NY)
Tuition & Fees: In-state, full-time: $12,207 per year, Out-of-state, full-time: $19,157 per year
Enrollment (full-time): 478
5 University of Maryland: Baltimore (Carey) (Baltimore, MD)
6 Washington University in St. Louis (St. Louis, MO)
7 University of New Mexico (Albuquerque, NM)
8 Yale University (New Haven, CT)
Acceptance rate: 7.9%
9 Stanford University (Stanford, CA)
10 University of the District of Columbia (Clarke) (Washington, DC)
Tuition & Fees: N/A
Enrollment (full-time): N/A
11 University of Tennessee: Knoxville (Knoxville, TN)
12 Northwestern University (Chicago, IL)
13 University of Denver (Sturm) (Denver, CO)
14 University of Michigan (Ann Arbor, MI)
15 Fordham University (New York, NY)
16 Harvard University (Cambridge, MA)
17 University of California: Los Angeles (Los Angeles, CA)
18 Northeastern University (Boston, MA)
19 Seattle University (Seattle, WA)
GPA(25th-75th percentile): 3.1-3.52
20 Catholic University of America (Columbus) (Washington, DC)
21 Suffolk University (Boston, MA)
22 Tulane University (New Orleans, LA)
23 Case Western Reserve University (Cleveland, OH)
24 Columbia University (New York, NY)
25 University of Baltimore (Baltimore, MD)
26 University of California: Berkeley (Berkeley, CA)
27 University of Chicago (Chicago, IL)
28 University of Washington (Seattle, WA)
29 Vermont Law School (South Royalton, VT)
GPA(25th-75th percentile): 3-3.54
30 University of California (Hastings) (San Francisco, CA)
31 William Mitchell College of Law (St. Paul, MN)
32 Albany Law School (Albany, NY)
33 Boston College (Newton, MA)
34 University of Nevada: Las Vegas (Las Vegas, NV)
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IMPOSSIBLE TRIVIA: Only 1 in 6 People Were Successful Doing This Last Year?
The summer wouldn't be complete without an appearance by Jimmy Buffett. So for all of you "Parrotheads", we've got some great news.
Buffett and his Coral Reefer Band will return to Camden's Susquehanna Bank Center this summer as part of his "Workin' n' Playin'" Tour 2015.
In keeping with his preference to only perform only on Tuesdays, Thursdays and Saturdays, Buffett's Camden show will take place Thursday, August 20. Joining Buffett will be special guests Huey Lewis and the News.
This year marks the 40th anniversary of the release of Buffett's record "A1A," his first Top 40 record, which contains the concert staple 'A Pirate Looks At Forty.' The song is part of the Big 8, a term which formerly represented the eight classic Jimmy Buffett songs played regularly at his shows. Although the list has somewhat expanded over the years, the song still remains a concert favorite.
This week on the Lite Rock Morning Show, we're giving you the chance to win tickets to see Jimmy Buffett in concert this summer. Keeping with the Buffett theme, we'll also give you a $50 gift card for a fun time out at Margaritaville Atlantic City, inside Resorts Casino. Resorts, the fun is here!
To win, play Lite Rock Impossible Trivia with Eddie Davis weekdays at 7:20am on the Lite Rock Morning Show.
This morning's question: It's estimated that only one in six people who tried to do this last year was successful. What were they trying to do?


I was excited to see that this dramatic story of sushi-and the problems it causes for our oceans- was created for Bamboo Sushi right here in Portland. I eat there as often as I can, and it's great to see them share their story with the world. As one of the world's first 'sustainable sushi restaurants', Bamboo goes to great lengths to serve fish that is legally, ethically and environmentally sound.
Their video is a narrated tale of sushi's journey, from the ocean to your plate. Seven months in the making, all models are handmade in this stop-motion video.


Castle Security is a family owned Western Australian company who specialise in the design, supply and installation of residential, commercial and government security systems spanning the Perth Metropolitan Area and all country areas of Western Australia.
Over the past 20 years, we have built up a reputation as a name you can trust because we understand the importance of integrity, transparency and most of all, quality security services that you can count on to secure your home or business.
Behind Castle Security's outstanding reputation is a team of people who take the time to truly understand your budget and your needs.
We're real people, just like our clients, and we are committed to providing you with a diverse range of security services.
Castle Security stalwart Bill is now a man of leisure, working part-time in the Castle Security office while he balances socialising, zooming around in his red sports car and taking regular overseas holidays.
Bill values his family, his community and his friends. He makes the most of any time he can spend with his family, which may be why two of his (awesome) sons also work at Castle Security.
Fun Fact: Bill has never been paintballing – possibly because Louis and Andrew would make him their target!
When he's not providing quotes to our clients or juggling the management of Castle Security, you can find Louis biking around Perth's northern suburbs and getting involved in his local community.
Fun Fact: Louis claims to be giving up chocolate – for the umpteenth time – please direct any chocolate to the rest of the Castle Security team.
Although Andrew loves his boat, fishing and four-wheel driving, he is also one of the lucky people who can say he truly loves his job as the senior technician at Castle Security.
Andrew works hard, but always finds time for family and friends.
Fun Fact: If you have leftover chocolate that Louis won't eat, unfortunately, Andrew won't be much help either – he prefers savoury foods over sweet!
When you love your job as much as Kien does, it is not hard to see why he has spent his career with Castle Security. Kien came into our team as an apprentice and thanks to his immaculate work ethic and keen interest in technology; we thought we should keep him around!
Kien loves Vietnamese food and holds family and honesty close to his heart.
Fun Fact: Kien loves to keep up to date with technology and always has the latest gadgets, gizmos and what-ya-call-its.
Joshua is our office young gun, also known as our apprentice in training. He's a favourite around the office because he is eager to learn, works well with others and values family, mates and socialising.
Fun Fact: Joshua loves surfing just a little too much! If you listen closely, you can probably hear the sound of the waves coursing through his veins.
No office is complete without a star administrator to tie everything together. Kerrie is Castle Security's administration guru who loves reading and travelling. Her next dream vacation? Italy.
When she's not keeping the office organised and being the friendly face of our team, you can find her spending time with her family and friends, or cooking up a storm – she even still uses these things called "cookbooks".
Fun Fact: Kerrie is currently studying to achieve a degree in Social Science!
Under the capable management of Bill Thorp, who has over 25 years' experience in the security industry, supported by his two sons Louis & Andrew and a committed team of professionals, Castle Security continues to provide a diverse range of security services to a varied and respected clientele.
Whether you are installing a new security system, doing some maintenance or getting a repair, it is important to be able to trust the technicians who are accessing your home or business to be professional and undertake the job at hand to the highest standard.
With skilled and motivated technicians, 24/7 alarm monitoring and a dedicated team of staff in the Castle Security office, we work hard to assist each client in a timely manner, ensuring all projects are completed within a suitable timeframe.
Don't just settle for any of the security companies in Perth, choose THE security company in Perth – Castle Security. Contact the Castle Security team to discover how Castle Security can assist you into a more secure future.