text:
    <meta http-equiv="Content-Type" content="text/html; charset=Windows-1252" />
    <meta name="vs_targetSchema" content="http://schemas.microsoft.com/intellisense/ie5" />
    <title>DateField.TimeToString Method</title>
    <xml>
    </xml>
    <link rel="stylesheet" type="text/css" href="MSDN.css" />

            Apache Lucene.Net 2.4.0 Class Library API

DateField.TimeToString Method

 Converts a millisecond time to a string suitable for indexing.

public static string TimeToString(
   long time
);

See Also

        DateField Class | Lucene.Net.Documents Namespace

      <object type="application/x-oleobject" classid="clsid:1e2a7bd0-dab9-11d0-b93a-00c04fc99f9e" viewastext="true" style="display: none;">
        <param name="Keyword" value="TimeToString method">
        </param>
        <param name="Keyword" value="TimeToString method, DateField class">
        </param>
        <param name="Keyword" value="DateField.TimeToString method">
        </param>
      </object>

Generated from assembly Lucene.Net [2.4.0.2]


We've yet to come across serving spoons with more personality than these! This set of 3 spoons are sized to best work for serving tapas, sauces, and appetizers. Handmade out of brass by Artisans in Bali, each serving spoon hosts a fun saying at the bottom, "Eat Your Greens", "More Please", and "Dessert First", making them a fun conversation starter at your next dinner party! Sold as a set of 3. "Eat Your Greens" approx 2.5' x 9', "More please" approx 2" x 9", "Dessert Please" approx 1.5" x 9.5".


text:
Q: No puedo obtener un POST con express (NodeJS) Comence a desarrollar un pequeño cahtbot con tecnológia de IBM (Watson), estoy usando NodeJS para la parte del desarrollo de la aplicación. Estoy usando Express como Framework de enrutamiento, también he dividido el proyecto en vistas, rutas y el server. Me encontré con el siguiente error, tengo mi ruta como lo podemos ver:
    const express = require('express');
    const router = express.Router();

        router.post('/conversation/', (req, res) => {
          const { text, context = {} } = req.body;

          const params = {
            input: { text },
            workspace_id:'Workspace-id',
            context,
          };

          assistant.message(params, (err, response) => {
            if (err) res.status(500).json(err);

            res.json(response);
          });
        });

module.exports = router;

Mi Server esta de la siguiente forma:
/*eslint-env node*/
'use strict';
// This application uses express as its web server
// for more info, see: http://expressjs.com
const express = require('express');
const bodyParser = require('body-parser');
const path = require('path');

// cfenv provides access to your Cloud Foundry environment
// for more info, see: https://www.npmjs.com/package/cfenv
const cfenv = require('cfenv');
// create a new express server
const app = express();

const AssistantV1 = require('watson-developer-cloud/assistant/v1');

const assistant = new AssistantV1({
  username: 'username',
  password: 'pass',
  url: 'https://gateway.watsonplatform.net/assistant/api/',
  version: '2018-02-16',
});

//Configuring the environment
//Use body-parser to nodejs understand the user requests
app.use(bodyParser.urlencoded({extended:false}));
app.use(bodyParser.json());
//establish the views directory
app.set('views',path.join(__dirname,'views'));  //__dirname get the main tab project
//establish the views engine
app.set('view engine','ejs');

// serve the files out of ./public as our main files
app.use(express.static(__dirname + '/public'));

// get the app environment from Cloud Foundry
var appEnv = cfenv.getAppEnv();

//Routes
app.use('/', require('./routes/index'));

// start server on the specified port and binding host
app.listen(appEnv.port, appEnv.bind, () => {
  // print a message when the server starts listening
  console.log("server starting on " + appEnv.url);

});

Ahora lo que quiero es iniciar mi server en el link https://localhost:60001/conversation/
cuando lo ingreso desde el navegador, obtengo el siguiente error:

soy nuevo con NodeJS entonces, no sè que es lo que estoy haciendo mal, lo raro es que con el metodo GET no tengo el mismo problema y si me manda el render del index.ejs.

A: Estuve leyendo tu código. Al acceder a esa ruta mediante el navegador lo que está pasando es que se busca un GET no un POST como el que tienes. Para hacer peticiones POST, GET, DELETE, PUT etc. con parámetros y experimentar mas cosas te recomiendo que uses el software POSTMAN a mi me ha servido mucho.
Igual si quieres realizar peticiones mediante el URL utilizando GET, tendrás que definir una nueva ruta router.get('/conversation/'...
O hacer un petición POST en javascript, o mediante un FORM:
var xhr = new XMLHttpRequest();
xhr.open("POST", "tu_url");
xhr.send(parametros);

redpajama_set_name: RedPajamaStackExchange


Help us expand in 2018!
Help MealFlour expand in 2018 and increase food security for families throughout Guatemala! We are beyond excited about the requests from several Guatemalan-run organizations to bring the MealFlour program to their communities. We also have developed new partnerships, locally and globally (read below for more information) -- but we need your help!
Can't donate? Even just sharing the campaign with friends and family helps!
Asociación de Mujeres Ixpiyakok (ADEMI, Ixpiyakok Women's Association) was started in 1984 by 30 indigenous Mayan who lost their husbands in the civil war. Now, they work with over 30 communities throughout the Chimaltenango and Quiche regions to improve local food security and nutrition, local economic development, health, and political education.
These photos were taken at our introduction section with over 18 women leaders last month. MealFlour will start working with these women in 2018, when we will teach them how to raise mealworms and support them as they run trainings in their communities. Through this partnership, the MealFlour program will also be adding another language to our trainings - Kaqchikel!
...And our global partner, MIGHTi!
MealFlour is excited to announce our partnership with MIGHTi! MIGHTi, led by Valerie Stull, is a research project designed to address the multifaceted factors that contribute to food insecurity in Southern Africa. Since 2013, they have been collaborating with local partners in Zambia to generate socially acceptable and environmentally sustainable farming methods for edible insects.
MealFlour and MIGHTi will collaborate on projects that use edible insects to improve nutrition in Guatemala, Zambia, and elsewhere. Our goal is to develop a model that can be scaled to bring edible insect farming training programs to communities in countries around the world!
Thank you to the University of Chicago who will sponsor two new interns to join us in Guatemala during Summer 2018!
Please help spread the word about our crowdfunding campaign!


text:
Former Christian school teacher arrested days after being caught in bed with teen boy by husband
(FOX NEWS) - A former Oregon Christian school teacher was arrested after being accused of having an affair with a 15-year-old student that lasted for more than a year, authorities said Monday.
Andrea Nicole Baber, 29, was arrested at her home in Cottage Grove on Friday, the Register-Guard reported. The arrest came days after Baber's husband allegedly walked in on her and the teen in bed, according to the News-Review.
The student's father reported the relationship to police Dec. 12 after he and his wife received an anonymous email asking if they knew the boy and the Logos Christian Academy teacher were in a sexual relationship, authorities said.
The message was attached with photos of the teacher and the boy, according to the Register-Guard, citing an affidavit filed in Douglas County Circuit Court.
Read more at FOXNews.com.

redpajama_set_name: RedPajamaCommonCrawl


text:
Q: Is it possible to take app's comments from AppStore with any language to show it on web site I made some research but could not find something  yet, i think Apple won't let it but i need to ask it, if is it possible to take my app's comments from AppStore with any language to show it on web site. If i'm asking this question in wrong place and wrong tags please let me know.

A: Yes. It's possible. Just use your language of choice to crawl Apple's site and retrieve the comments. Then format them and display it on your site.
I'm not sure how to go about this in PHP. But for ASP.NET take a look at the HttpWebRequest class.

A: Yes, it is possible. Download the page and scrape it out. Any language will work for this. Here is how to do it in PHP:
<?php
$url = "https://itunes.apple.com/us/app/temple-run/id420009108?mt=8";

echo '';
echo '
Reading URL [ '. $url. ' ] ...';
$str = file_get_contents($url);

echo '
Parsing ...';
$dom = new DOMDocument();
$dom->loadHTML($str);
$xpath = new DOMXPath($dom);
$tags = $xpath->query('//div[@class="customer-reviews"]//span[@class="customerReviewTitle"] | //div[@class="customer-reviews"]//span[@class="user-info"] | //div[@class="customer-reviews"]//p[@class="content"]');
$str_out='';
$n=0;

foreach ($tags as $tag) {
    $this_line=trim($tag->nodeValue);
    if(empty($this_line)) continue;
    switch($n % 3) {
    case 0: $str_out.='
'. $this_line. '
'; break;
    case 1: $str_out.='
'. $this_line. '
'; break;
    case 2: $str_out.='
'. $this_line. '
'; break;
    }
    $n++;
}

echo '
Displaying results ...'. "\n". $str_out;
?>


text:
Kings' top scout takes stock of team's North American world juniors prospects
By Lisa Dillman Jan 6, 2020 24
Akil Thomas might have a school or a hockey rink named after him in his Scarborough neighborhood in Toronto following his tournament heroics, after he emerged from a supporting role to score the tournament-clinching goal for Canada.
Samuel Fagemo went to the Czech Republic and will be returning home to Sweden with a bronze medal and another impressive line on his hockey resume: Leading scorer at the World Junior Championship.
Sunday in Ostrava, Czech Republic, was a day for the Kings organization to savor, as its prospects delivered in a high-pressured tournament with often outsized expectations.
Before the knock-out stage, Mark Yannetti, the Kings' longtime director of amateur scouting, thought Thomas had another level in him. Thomas turned 20 during the tournament and was drafted by the Kings in the second round (No. 51) in 2018.
[ Listen to Point Breakaway for more Kings coverage ]
"It's not an indictment by any means," Yannetti...


text:
Petrus Wolfart (* 11. Juli 1675 in Hanau; † 3. Dezember 1726 in Kassel) war ein deutscher Mediziner, Professor für Medizin und Physik an der Universität Marburg und Mitglied der Gelehrtenakademie "Leopoldina".

Petrus Wolfart besuchte das Gymnasium in Hanau. 1693 immatrikulierte er sich an der Universität in Gießen für das Studium der Medizin und hörte Vorlesungen bei Michael Bernhard Valentini. 1696 erfolgte die medizinische Promotion. Er war danach zunächst Physicus in Gießen und später öffentlicher Professor der Anatomie und Experimentalphysik in Hanau. Er avancierte zum ordentlichen Professor für Medizin und Physik an der Universität Marburg und wurde Hessen-Kassel'scher Hofarzt. Er gehörte der evangelischen Konfession an.

Sein Vater war Christoph Joachim Wolfart, Professor für Physik und Medizin am Gymnasium in Hanau. Die Mutter war Barbara Elisabeth Schunck.

Im Jahr 1700 heiratete Petrus Wolfart Marie van de Velde.

Petrus Wolfart wurde am 4. Mai 1708 unter der Matrikel-Nr. 278 mit dem akademischen Beinamen POLYAENUS I. als Mitglied in die Deutsche Akademie der Naturforscher Leopoldina aufgenommen.

Werke
 mit Michael Bernhard Valentini: Discursus Academicus De China Chinae. Gießen 1695.
 Dissertatio Medica Inauguralis De Febre Haemoptoica. Ad Praxin Clinicam accommodata. Gießen 1696.
 Thermarum Embsensium nova delineatio. Kassel 1715.
 Historia Naturalis Lapidum … Hassiae Inferioris. Der Naturgeschichte des Nieder-Fürstenthums Hessen Theil … Harmes, Kassel, Ps. 1, 1719 (Digitalisat).

Literatur
 Andreas Elias Büchner: Academiae Sacri Romani Imperii Leopoldino-Carolinae Natvrae Cvriosorvm Historia. Litteris et impensis Ioannis Iustini Gebaueri, Halae Magdebvrgicae 1755, De Collegis, S. 488 Digitalisat
 Johann Daniel Ferdinand Neigebaur: Geschichte der kaiserlichen Leopoldino-Carolinischen deutschen Akademie der Naturforscher während des zweiten Jahrhunderts ihres Bestehens. Friedrich Frommann, Jena 1860, S. 204 (archive.org)

 Ulrike Enke: Peripherie als Innovationspotential? Das Beispiel des Gießener Medizinprofessors Michael Bernhard Valentini (1657-1729). In: Dies. (Hrsg.): Die Medizinische Fakultät der Universität Gießen: Institutionen, Akteure und Ereignisse von der Gründung 1607 bis ins 20. Jahrhundert (= Die Medizinische Fakultät der Universität Gießen 1607 bis 2007, hg. von V Roelcke, Bd. 1). Stuttgart: Franz Steiner, 2007, S. 39–80.
 Ulrike Enke: Das gelehrte Hessen und die "Luftpumpe" – Über Michael Bernhard Valentini (1657–1729) und Petrus Wolfart (1675–1726), Experimentalphysiker der Frühaufklärung. ResearchGate, September 2020. Digitalisat

Weblinks
 Mitgliedseintrag von Peter Wolfart bei der Deutschen Akademie der Naturforscher Leopoldina, abgerufen am 17. Oktober 2021.
 Hessische Biografie: Petrus Wolfart, abgerufen am 17. Oktober 2021.

Mediziner (17. Jahrhundert)
Mediziner (18. Jahrhundert)
Hochschullehrer (Hessen)
Hochschullehrer (Philipps-Universität Marburg)
Mitglied der Leopoldina (18. Jahrhundert)
Deutscher
Geboren 1675
Gestorben 1726
Mann

redpajama_set_name: RedPajamaWikipedia


On behalf of the recently appointed committee of the Hellenic Australian Lawyers Association it is my pleasure to welcome you to the first HALnea newsletter.
It will be a privilege to serve as National President of HAL.
The progress of the Association has been remarkable due to the hard work, passion and commitment of members, for which I extend my gratitude and appreciation.
Positive progress has been made towards making the Association a truly national organisation, with representation under the amended rules of each of the eight chapters on the National Committee.
The next year will be an exciting one in the development and further maturity of the Association, with planning well underway for high calibre events around Australia and the Rhodes International Conference.
Who are the Patrons of HAL?
The Hellenic Australian Lawyers Association is privileged to have eminent jurists as Patrons in each HAL Chapter, now established in every Australian state and territory.
HAL has now matured into a highly respected National Association with Chapters launched in each state and territory, hosting high calibre events and developing links with lawyers overseas.
Membership is open to Australian lawyers who are philhellenes or have a Hellenic background and support the purposes of HAL, as well as non-lawyers and students as Associate members.
Chief Justice the Hon Helen Murrell accepts an invitation to speak at the Rhodes Conference, further expanding on her contribution as Patron of the ACT Chapter.
Members of the NSW Chapter attend a lecture event that perfectly matches the international vision of HAL outlined by NSW Chief Justice, the Hon. Tom Bathurst AC.
The Top End's enduring association with Greece continues with NT Chief Justice Michael Grant, and NT Chapter Patron, on the speakers' list for the inaugural HAL Legal Conference in Rhodes.
The Honourable Patrick Keane AC, Justice of the High Court of Australia, delivers the 2017 Freeleagus Oration, before more than 270 lawyers and guests, incisively examining the jury system.
Justice of the High Court of Australia, The Honourable Geoffrey Nettle, highlights five contributions of the ancient Greek legal system, which have imparted a huge and enduring effect on the development of our law.
The Tasmanian Chapter of HAL is arranging a HAL Oration in honour of Sir John (Dimitrios) Morris KCMG, the first Chief Justice in Australia of Hellenic origin, in March 2018.
The WA Chapter of the Hellenic Australian Lawyers Association partners with academia to co-host a well-attended lecture on reunifying the legendary Parthenon Marbles.
Mentoring can be a career-changing experience for many, offering measured advice to journey through the demands and challenges faced by lawyers.
Interest is intensifying in HAL's 2018 International Legal Conference, to be held on Rhodes in July. A distinguished list of speakers is confirmed. Register soon as places are limited, with more than 200 lawyers already registered.


Hey babe! Want to get all eyes on you at your next big event? Try our Purple One Shoulder Mini Dress. This gorgeous mini comes in a beautiful purple colour and a one-shoulder style. This is the perfect little number to wear to any event be it a festival or your next night out with the girls! Simply style down with trainers and a jacket or up with heels and a clutch. You do you girl.


text:
Another preventable death thanks to alternative medicine
Orac October 12, 2016 41 Comments
What is it about Florida and quacks? It's as though it's the Wild West there when it comes to regulating the practice of medicine. There, quacks can get away with almost anything, or so it would seem. After all, Brian Clement, who isn't even a doctor and isn't even really a naturopath either, has been practicing his quackery for decades, even going so far as to travel to Ontario to look for new marks among the indigenous peoples and to Europe and the UK, leading to at least one preventable death and to a young mother with incurable breast cancer to waste her precious remaining time and effort pursuing dubious treatments before dying. The sorts of treatments administered by Clement's Hippocrates Health Institute include various detoxification schemes, juice fasting, wheatgrass enemas, "bioenergy" treatments, ozone pools, far infrared saunas, and much more. yet, for some reason, even though the State of Florida has tried to shut Clement down, it's failed.
Clement, unfortunately, is not alone. I just learned of another quack in Florida. This time, the quack is a real doctor with a real MD, which makes it all the worse in my eyes, because real doctors are regulated by real state medical boards, who can take away their medical licenses. Of course, as I've discussed many times before, medical boards seem inexplicably reluctant to take that step, even for obvious quacks. I tend to think that the reason consists of a combination of fellow physicians' "there for the grace of God go I" attitude towards other physicians and, more importantly, a lack of resources, particularly in states controlled by governments with a lot of anti-regulation legislators and governors. That latter problem contributes to medical boards prioritizing straightforward cases, such as docs impaired due to substance abuse or docs who diddle their patients, over shutting down quacks, which is harder to do because it's harder to prove that something is quackery that is a danger to the public than it is to show that an impaired or sexually inappropriate doctor is. You almost can't blame them in a way. Their charter is to protect the public, and they have to decide whether to put away several impaired doctors or to shut down one quack.
Here's one they're trying to shut down now in Florida, Dr. Kenneth Wollner, and what he is accused of doing:
Stephanie Sofronsky was just 23, close to graduation from Florida Atlantic University, when she learned she had lymphoma.
She didn't want to believe it. So she sought a second opinion from Moffitt Cancer Center in Tampa and a third opinion from Mayo Clinic in Jacksonville, state records show. Moffitt double-checked with the National Cancer Institute.
All confirmed that Sofronsky had Hodgkin lymphoma, a cancer that attacks white blood cells. They said she had an 80 percent chance of beating it with chemotherapy.
Hodgkin's lymphoma. Why is it always Hodgkin's lymphoma? OK, it's not always Hodgkin's lymphoma, but it frequently is. What's so frustrating about seeing young people with Hodgkin's lymphoma choosing quackery instead of effective medicine is that Hodgkin's lymphoma is so treatable for cure. Indeed, even stage IV Hodgkin's lymphoma can be cured about 65% of the time. Sofronsky must have had stage III Hodgkin's because the story says she had an estimated 80% chance of beating it with standard treatment. Remember, Hodgkin's disease is usually treated with a combination of chemotherapy and radiation therapy.
Of course, the problem is the chemotherapy. Of all the treatments for cancer, chemotherapy tends to be what scares people the most. It's understandable. Take breast cancer, for instance, which I treat surgically. Most women operated on for breast cancer undergo fairly small operations, but even for those who undergo mastectomy, the recovery is generally within a month and the pain not long lasting. Chemotherapy, on the other hand, goes on for months and can in some cases make the patient feel worse than any surgery. It also doesn't help that there is a narrative that chemotherapy is so toxic that it kills people before the cancer can, and ineffective, to boot, a false narrative fed by online anti-medicine cranks like Mike Adams. When someone whose outlook has been influenced by such a narrative hears the pitch from someone like Dr. Kenneth Woliner, who bills himself as an "integrative medicine specialist" in Boca Raton.
The decision of Administrative Law Judge Mary Li Creasy, who held two days of hearings in February and issued her opinion in late April, is chilling reading. It turns out that Sofronsky was originally diagnosed with peripheral T cell lymphoma, but after a second opinion a diagnosis of Hodgkin's lymphoma was settled on. She went for a third opinion from Dr. Vivek Roy, who confirmed the diagnosis of Hodgkins lymphoma and recommended standard chemotherapy. Initially, Sofronsky appeared as though she were going to pursue standard of care for her Hodgkin's lymphoma (HL), but then:
40. A few days before S.S.'s appointment with Dr. Rothschild, M.S. asked Respondent if it were possible that a "toxic something" was causing all of S.S.'s symptoms, including her swollen lymph nodes.
41. Instead of telling M.S. that S.S.'s symptoms, including her swollen lymph nodes, were more likely caused by her untreated cancer, Respondent suggested that S.S.'s house be tested for mold.
42. On July 5, 2011, S.S. presented to Respondent for a "check-up" and to discuss the little bit of mold that was found in her home. During the appointment, S.S. mentioned to Respondent that she met with Dr. Rothschild to discuss chemotherapy for her HL.
43. Respondent reiterated to S.S. that cancer was "low on his list" of possible medical concerns. Respondent indicated that S.S.'s tests showing she had increased lymphocytes9/ were not indicative of cancer, especially since he did not see any "Reed- Sternberg" cells.10/ Respondent insinuated that oncologists often overreact to the presence of lymphocytes and recommend chemotherapy before making an actual diagnosis. Respondent further insinuated that Dr. Rothschild may not be a competent oncologist.
44. Respondent recommended S.S. pursue her "mold allergy" issues and referred her to Daniel Tucker, M.D., a local allergist.
45. Respondent also provided S.S. with a letter addressed to Dr. Rothschild wherein he emphasized that "mold could be causing all of [S.S.'s] symptoms and exam findings."
So basically, Sofransky decided to abandon standard of care treatment that had a high probability of saving her life in favor of Wollner's rejection of the diagnosis made by pathologists at an NCI-designated comprehensive cancer center (Moffitt) and subsequent claim that all her symptoms were caused by "allergies" and other issues—anything but the cancer.
The last nearly two years of the narrative are painful to read about. Sofronsky kept developing new symptoms, all of which were consistent with progressing lymphoma, including complaints of back pain, more lymph node swelling and pain (which Wollner treated with low dose Naltrexone), leg swelling, increasing abdominal pain and swelling (which Wollner attributed to an allergic reaction), and weakness. Finally, she collapsed and died three days after a visit to Wollner's office for a complaint of "pain and severe swelling in her legs," which was almost certainly caused by growing lymph nodes in her pelvis pressing on the veins draining blood from the legs.
Even after the autopsy conclusively showed that Sofransky had died of complications of Hodgkin's lymphoma (to which Wollner responded that the patient had never been diagnosed with Hodgkin's lymphoma), Wollner remained in denial:
84. Despite having reviewed S.S.'s radiographic, pathology, and oncology consultation reports indicating that S.S. had HL,15/ and having treated her symptoms indicative of progressed HL for nearly two years, Respondent refused to believe that S.S. had HL, choosing instead to believe that she presented "more like a [chronic fatigue] patient allergic to mold than a lymphoma patient."
85. It was not until Respondent received the final autopsy report, several months after S.S. died, that Respondent was finally "satisfied" that S.S. had HL all along.
I took a look at Wollner's website. He actually presents a rather interesting conundrum—not to me, mind you, but to promoters of the specialty of "integrative medicine," or, as I like to call it, integrating quackery with medicine. His practice does not take insurance and bills itself as offering concierge medicine with:
Second opinions for "Difficult-to-Treat" medical conditions
Functional Medicine. Find and treat the cause of your condition not just cover up the symptoms
Nutritional IV Therapy
Bio-Identical Natural Hormone Replacement Therapy for Menopause
Individualized Treatment of Thyroid Disorders using all medications including Armour Thyroid and Nature-throid
Effective Weight Management for Men, Women and Children
Medical and Nutritional Therapies for Chronic Fatigue, Insomnia, Hair Loss, Diabetes, High Cholesterol and other medical conditions
Effective Pain Management for Fibromyalgia ,Arthritis, Back and Neck Pain using Trigger Point Myotheraphy
Holistic Therapies for Osteoporosis using diet, exercise and vitamins
I guess that second opinion for Sofransky's "difficult to treat" medical condition didn't work out so well. Of course, Sofransky wasn't that difficult to treat. She had Hodgkin's lymphoma, and even if she had actually had a peripheral T cell lymphoma, both diseases have pretty straighforward treatment protocols. Be that as it may, the above doesn't describe everything. Wollner treats candida infections, for instance, in a manner that naturopaths do when blaming a vast panoply of vague symptoms on "chronic candida infection."
On his website, Wollner touts the following credentials:
American Board of Family Medicine (ABMS) – July 2000, Re-certified August 2007 and 2013; valid through Dec 31, 2017
Board Certified Integrative Medicine (ABPS) – Certified February 5, 2015, valid through December 31, 2023
American Board of Integrative Holistic Medicine – Certified 1997; Recertified November 2013
Institute for Functional Medicine Certification Program – Certified November 2013
U.S. District Court for the Southern District of Florida – Qualified as an expert witness, October 11, 2013.
Well, that last one is good to know.
Remember how I discussed the board certification in integrative medicine, how it was Andrew Weil's attempt, in collaboration with the American Board of Integrative Holistic Medicine, to bring respectability to the specialty? Here's the problem. "Integrative" medicine "integrates" the very practices that Wollner used on Sofransky. Oh, sure, the academic integrative medicine specialists in their ivory towers of academia will deny that integrative medicine encompasses anything that isn't evidence-based, and maybe in university academic medical centers integrative doctors can delude themselves into believing that's true even as they recommend acupuncture, reiki, traditional Chinese medicine, functional medicine, naturopathy, and even high dose vitamin C for cancer. And maybe at academic medical centers, there is even a modicum of quality control. However, when you get out into the community, what you're dealing with when it comes to integrative medicine are docs like Dr. Wollner.
Indeed, the story about this case is even more damning, as it points out:
Dr. Stephen Silver of Boca Raton, the only integrative medicine specialist who testified. He said Woliner's treatment was appropriate.
Neither of the two expert witnesses for the state was qualified to judge Woliner's handling of the case because neither of them practices or is trained in integrative medicine, the attorneys argue.
The irony is rich. Wollner's defense was an "integrative" doctor who said his treatment was appropriate and to criticize the state's two expert witnesses for not being trained in integrative medicine. That's what we're talking about in the community far more often than the integrative doctors in ivory tower academia would like to acknowledge.
Patients like Stephanie Sofransky pay the price.
CategoriesCancer, Complementary and alternative medicine, Medicine, Quackery, Science
Tagsallergy, cancer, Hodgkin's lymphoma, integrative medicine, Kenneth Wollner, quackery, Stephanie Sofronsky
Homeopathic nosodes: A clinical trial of magic
A study of overdiagnosis due to mammography reported during Breast Cancer Awareness Month
prn October 12, 2016 at 5:19 am
Ah, more carpet bombing and damnation of everything unapproved, for some young unfortunate soul. Damnation including ye olde vitamin C, which is not a single entity in cancer treatment.
Now I don't believe in vitamin C as a likely monotherapy for most cancer in today's market. It does appear to favor certain kinds of cell lines, KRAS mutant CRC in recent papers. We have found it useful against in combination with chemo where the chemo without enough vitamin C had repeated marker doublings, almost 40 fold cumulatively over several years, mostly with various treatment slippages. Interestingly, simply continuing chemo and doubling the IV dose drove the cancer marker back down to the normal range in 6 months.
)ver 60 years (figure Klenner's hospital experience in the 1950s) and we can't get straight research, collocation of results, reporting or collaboration on the collective experience base of IV vitamin C because of an atmosphere of oppression, fear and ridicule that restarts the learning curve to near zero with each generation of doctors.
sadmar October 12, 2016 at 6:14 am
Wow. I was confused about some details and checked the links to the news story (' what he is accused of doing') and the Judge's decision. Orac left out a lot of stuff. Most importantly, from the WLRN article:
The case may raise the profile of "integrative medicine," a newly-recognized specialty sponsored by the American Association of Physician Specialists, a Tampa-based group. Woliner's website says he is certified by that group's American Board of Integrative Medicine. James Marzano, director of public relations for the association, declined in an e-mail to comment, saying the Woliner case "has nothing to do with board certification."
It is highly unusual for a single incident of alleged malpractice to end in a revoked license, even if the patient dies. But this incident doesn't fit the pattern for malpractice complaints, which tend to involve a late diagnosis or an error in treatment. In the Sofronsky case, hearing officer Creasy said, Woliner knew the diagnosis and chose not to believe it, or at least failed to follow up.
Woliner's current attorneys, George Indest III and Lance Leider of The Health Law Firm in Altamonte Springs, have filed numerous objections to Creasy's legal conclusions and are expected to mount a fierce defense. In written motions, they argue:
— Sofronsky was a mentally competent adult who had been advised of her cancer diagnosis by at least five cancer specialists. "Dr. Woliner cannot be held responsible" for her failure to take their advice, they wrote.
— The hearing officer erred in calling Woliner Sofronsky's primary care physician, who would have been required to refer her to an oncologist and counsel her to go through with the chemotherapy. They argue that as an integrative medicine specialist, he was not her primary care physician. "Dr. Woliner was engaged to investigate Sofronsky's thyroid issues, not to diagnose or treat her cancer," they wrote. Even though he was trained in Family Medicine, Woliner was no longer practicing that specialty, his attorneys say. He was practicing "integrative medicine," and thus could only be reviewed on that basis.
— Neither of the two expert witnesses for the state was qualified to judge Woliner's handling of the case because neither of them practices or is trained in integrative medicine, the attorneys argue. One was Dr. Roy Ambinder, a cancer specialist in Altamonte Springs, and the other was Dr. Charles Powers, a Family Medicine specialist in St. Cloud. Both said Woliner's treatment amounted to malpractice. But Woliner's attorneys said the hearing officer should have listened to defense witness Dr. Stephen Silver of Boca Raton, the only integrative medicine specialist who testified. He said Woliner's treatment was appropriate.
Second, Orac has just touched the surface of the chilling stuff in the narrative detailed in the judge's decision. IMHO, the comparison of Woliner to Brian Clement isn't exaggerated at all. It sure looks like he just slo-motion murdered Stephanie Sofronsky for the pupose of draining her mom's bank account.
i have lots of questions — I don't really understand how these license challenges work (also not clear to me re: Bob Sears)… Nor do I understand the legal ramifications, if any, of board certification, or how the Medical Board license decision might relate to criminal prosecution or civil litigation. And then there are questions about the details of the narrative… But I'm too tired to think or type straight, so I'll come back after I get some sleep.
Helianthus October 12, 2016 at 6:15 am
@ prn
Ah, more carpet bombing and damnation of everything unapproved,
As I read it, Wollner is guilty of misdiagnosis, going all the way into gross medical incompetence and negligence.
Mold allergy, indeed. I suspect Wollner had a fungus for a brain.
Whatever Wollner prescribed to the poor girl is next-to-irrelevant. It's certainly not about "damnation of everything unapproved". It starts with making a proper diagnosis and checking your initial assessment when the patient doesn't improve, instead of doubling-down on unnamed "allergies".
A regular doc does this, he should be disbarred and send to the street. I mean it.
You read this article, and all you can do is whine about your freeling ascorbic acid.
Not a single word about Wollner or the poor girl.
You are not better than him. Just like him, an obsessed prick with a pet theory of a cure-all panacea.
herr doktor bimler October 12, 2016 at 7:29 am
By the standards of Integrative Medicine, treating HL with benign neglect is "appropriate treatment".
Woliner's attorneys have damned the whole scam so thoroughly, we can all go home now.
Zach October 12, 2016 at 7:51 am
Comment #1 is just plain wrong, and using one of the oldest tropes in quackery's book:
Vitamin C and chemo is not an effective combination treatment – the latter is, and your vitamin dosage is virtually irrelevant. But by piggybacking nonsense onto legitimate medicine, claims like yours can be made. Show the statistically significant correlation instead of fuzzy logic, please.
Dangerous Bacon October 12, 2016 at 8:11 am
This is rich in irony, seeing that "Respondent (Wollner) indicated that S.S.'s tests showing she had increased lymphocytes9/ were not indicative of cancer, especially since he did not see any "Reed- Sternberg" cells."
One gathers from this statement that Wollner fancied himself a pathologist, looked at slides(s) and concluded that there weren't any Reed-Sternberg cells, so it wasn't Hodgkin's lymphoma.
The problem here is even if Wollner knew what he was looking for, not all Hodgkin's cases contain classic Reed-Sternberg cells.
Hematopathology is a challenging enough subspecialty for those trained in it. Wooncologists should stick to sniffing out mold.
Quark October 12, 2016 at 8:16 am
Decades of science to be able to treat condition like this… Stupid people ignoring the truth, killing 23 years old women to make some money. Getting away with it, indeed. I really wonder how those quack can sleep, this is so sick.
Orac October 12, 2016 at 8:41 am
By the standards of Integrative Medicine, treating HL with benign neglect is "appropriate treatment"
Yep, that "integrative medicine" expert witness did the specialty no favors with that testimony.
One wonders if Dr. Wollner was too used to doing live blood analysis to have seen the features of lymphoma. (I have no idea of he does live blood analysis, but it wouldn't surprise me.)
I can't help but note that there was no disagreement between the pathologists at different cancer centers over whether this was a lymphoma. They just disagreed over whether it was a peripheral T-cell lymphoma or Hodgkin's disease. There's no doubt that it's a lymphoma. Dr. Wollner disagreed, despite having no qualifications to do so, and instead treated the lymphoma as though it were an allergic reaction. Even as the patient's lymph nodes got bigger and she developed more signs and symptoms of progressive lymphoma, he "stayed the course"—until the patient died.
Todd W. October 12, 2016 at 10:21 am
Dangerous things happen when people fancy themselves pathologists without the requisite credentials and training. Had a run-in on Twitter with a former phlebotomist/lab tech that fancied herself a pathologist yesterday.
Eric Lund October 12, 2016 at 10:23 am
Respondent recommended S.S. pursue her "mold allergy" issues and referred her to Daniel Tucker, M.D., a local allergist.
Via Google I found the Mayo Clinic's page on mold allergy symptoms. How does a competent doctor mistake lymphoma for mold allergy? One of these things is not like the other, as our friends on Sesame Street would say.
Wzrd1 October 12, 2016 at 11:34 am
@Orac, as a man who formerly killed people for money as an occupation – that is what a soldier's job is, *I* can't see how that man can sleep at night.*
But, comment #1 and the rest of the story do help build an alarm bell filter. Screeding on about megadose vitamin C, big warning flag. "Blame the mold" in an absence of evidence of allergy in blood films, excellent new alarm flag.
Something that recent life experience in the mystifying case of my wife's blood work outlines. RBC's, always elevated, CO2 always elevated, oh, she's a smoker (yeah, we know where the punch line is going, we just have to get around to checking CO levels). Neutrophils will elevate randomly. Eosinophils also are currently elevated. She also coughs periodically, consistent with asthma, with a sister with asthma.
Our *real* doctor prescribed a highly effective inhaler for her. A quack will go for all manner of exotic things, likely (one current trend that has been ongoing for a while, mold).**
Usually, the blame goes to "black mold".
Interestingly, I'm highly allergic to one species of "black mold". Allergic as in, a one square infested area sends me outside vomiting, gasping around massive amounts of mucus and feeling rather faint.
Fortunately, that specific species is common in the wild and rare in any home environment, as it needs highly specific conditions under which to grow. Let's face it, common household "critters" are ones we usually tend to tolerate or only have mild symptoms from (dust mites, common mildew, etc).
So, let's add an additional flag, zebra hunting. A "doctor" who look for zebras whenever he or she hears hoof beats.
No, horses are more common than zebras, many zebras are endangered, others, extinct.
Alas, the horse's ass seems to be thriving off of those who are ill.
*OK, I also got to help run rural clinics, help build schoolhouses and even help fix sanitation issues in some really, really remote areas.
**I'm of the suspicion that some of her constellation of issues are unrelated to her severe degenerative disc disease and advanced osteoporosis, but related to incipient liver failure.
Decades of higher than necessary APAP loads, plus ignored bilary obstruction from gallstones (dismissively regarded as sand) resulted in cirrhosis that is scheduled for biopsy. To ascertain from the blood work and diagnostic imagery, I suspect it won't be good.***
Woe unto the woo peddler that tries to ply their wares with us. Those 'gators down the road are hungry.
***She's taken to falls of late – a lot of falls. To the point when, when I identified an apparently trustworthy homeless couple trying to earn money doing odd jobs, well, they're living with us, worried about her as well. We also have a superpower, that of having people tell their honest life story to us, both good and bad. They're a couple where the male made a few bad life choices, the legal system destroyed the rest of his life potential, as this area punishes convicted people for life with deprivation of rentals and purchases, as well as employment difficulties.
An area that I actually wanted to address when employment forced us to move here. One entity of life has odd, both way biting teeth: serendipity, it can and will insist. 😉
P.S.; As for humor, do look up your local EMT population and ED population to begin to understand. The oncology treatment population tend to be a bit grimmer than we, who have a humor type that's as mercurial as the EMS situation in general reality.
Besides, we always love friends from outside of work.
While we do understand the oncology community, I'll admit a massive gap in comprehending the minds within the NICU community. But then, that job would utterly destroy us. But then, I'd distract from the tangent already introduced, with my apologies. Really bad week.
Had to unload, but also remain on topic, primarily.
I'd create my own blog, but I'd get sued, as it's be called, "Life Stinks – see Mel Brooks".
Maybe I could get away with calling it, "Pepto's blog"?
Dorit Reiss October 12, 2016 at 11:38 am
Overlapping with Dangerous Bacon's point, but still worth spelling out explicitly: if the specialists here are not qualified to speak on integrative medicine because that's not their specialty, Wollner was not qualified to speak to a diagnosis of cancer and should not have tried to challenge the experts on that.
They can try to have it both ways, but Amy competent administrative or regular judge should reject that.
Add to these warning flags the following:
[Wollner's] practice does not take insurance
I've noticed a pattern that several of the practicing doctors at whom Orac has directed his Respectful Insolence do not accept insurance: Bob Sears, Jay Gordon, Stanislaw Burzynski, and now Kenneth Wollner. It's almost as if they fear (reasonably so, IMO) that an insurance provider would disallow many of their treatments, and they want to make sure they get paid.
sadmar October 12, 2016 at 12:09 pm
How does a competent doctor mistake lymphoma for mold allergy?
Well, I wouldn't know obviously, but I don't think that's the relevant question. What does it say when a licensed MD, board certified in Family Medicine, knowing that his patient has been diagnosed with lymphoma by the U of Miami, Moffit, NCI and Mayo, suddenly decides to attribute her severe symptoms to a mold allergy, and persists in treating her for 'allergies' for two years as her condition continues to decline, despite the fact the allergist to whom he referred the patient diagnosed only a mild mold allergy and recommended only "a series of life-style modifications to reduce her mold allergy symptoms"?
This wasn't your classic misdiagnosis, just mistaking symptoms on one thing for another. Wollner began treating Sofronsky in March, 2011. He didn't come up with the allergy 'diagnosis' until late June, AFTER he had received PET scan results from Mayo "indicating that S.S.'s malignancy progressed to her pelvic region." AFTER Dr. Roy from Mayo affirmed the HL diagnosis, recommended chemo, and had Sofronsky schedule an appointment with the hematologist (Rothschild).
Misdiagnosis? Or just pulling something/anything out of his ass to keep Sofronsky from starting chemo, and instead keep coming to his cash-only practice for 'treatment' of her advancing illness. And how do you call it 'misdiagnosis' of allergy instead of lymphoma when Wollner gets the info that the actual allergist didn't even put Sofransky on antihistamines, much less immunotherapy?
Read items 20-85 in the decision, and give me your IANAL opinion: Does this look more like a petition to revoke a medical license, or an indictment for first degree murder?
Wzrd1 October 12, 2016 at 12:21 pm
This wasn't your classic misdiagnosis, just mistaking symptoms on one thing for another.</blockquote?
This isn't a classic misdiagnosis, this is mistaking one's wife for a common canine.
This is either the most pure and distilled case of medical incompetence or malfeasance.
In the former case, were this a family member of mine, we'd not be in court, he'd be missing, with some 'gators well fed.
It *really* is that simple and I'm being very, very honest.
MikeMa October 12, 2016 at 1:03 pm
This wasn't a misdiagnosis, it was a clear path to empty her bank account and tap any insurance coverage she had.
shay simmons October 12, 2016 at 1:07 pm
Had a run-in on Twitter with a former phlebotomist/lab tech that fancied herself a pathologist yesterday.
That would be Australia's favorite florist, Angela Coral Eisenhauer? Yes, she habitually over-represents her credentials.
Orac October 12, 2016 at 1:28 pm
Ah, yes. The one who sent an e-mail to my dean last week. 🙂
Sara October 12, 2016 at 1:18 pm
I am in the panhandle of Florida. This is truly the wild, wild West. All of my personal physicians are callous, unpleasant burnouts who know most of their patients have neither the resources nor education to challenge the mediocre quality of their care. It is sad, depressing, infuriating. I have spent thirty years in academic medicine and know a bad doc and a burnout when I see one, and there is almost almost nothing I can do here. I feel totally helpless to help people who know less than I do about the deficiencies of care here. There is a dead end for what I think I can do. Totally maddening and very, very upsetting.
To add to the original post…..This state board is totally, totally corrupt. I can't post evidence for that to someone else's blog. They are failing good docs and the public in outrageous ways.
@shay simmons
Ding! Ding! Ding! We have a winner.
I took her at her word at first, but then decided I should probably check to verify her claim. Color me oh so surprised when I discovered that she misrepresented herself, after misrepresenting a study, my comments, Dr. Boonstra's comments…
At any rate, that's neither here nor there.
Denice Walter October 12, 2016 at 2:07 pm
" Usually, the blame goes to 'black mold'"
Although I haven't heard as much recently ( at those sinkholes of altie lunacy I survey**) very much about either black mold or (( shudder)) yeast/ candida.
I suspect that once they get someone in their offices, the big guns come out: mold, yeast, parasites, adrenal insufficiency, vitamin deficiency ,lack of magnesium, low qi, ad nauseum.
A few months ago, one of my gentlemen sent me to a ( supposedly) famous acupuncturist at his expense, about which I've related @ RI::
to make a long story short, after 3 sessions of manual manipulation ( 3 times), needles (n 3 times) and (((( double shudder)))) cupping ( once was enough!), she suggested that I had low qi and needed 'supplements'.
From what I've observed, woo- meisters attack illness by attributing most symptoms to single causes ( like inflammation or toxins or the aforementioned) and then, use multiple treatments to ameliorate these causes- including dietary injunctions/ cures.
All of which yields profit .
** they're too busy with politics
Todd – true. But it's amazing how readily the anti-science crowd discounts the value of professional training and experience (as evidenced by some mothers' group now TESTING VACCINES FOR GLYSOPHATE OMGMERCKMONSANTO!)
@shay
They claim the respectability of titles and expertise, but then denigrate the same titles and expertise as meaningless and unnecessary. Like everything, they're good when they enable the frauds to grift their marks, but worthless when it goes against them.
@Orac
Saw that she's in a pique over your not replying to her email.
Eric Lund October 12, 2016 at 2:22 pm
@sadmar: I have to agree with wzrd1 here. This was indeed a misdiagnosis of a nature that qualifies as malpractice, and that was explicitly one of the issues before the judge here.
The position taken by Dr. Silver, the expert witness for the respondent, is quite brazen. From the judge's opinion:
89. Stephen Silver, M.D., testified on behalf of Respondent and opined that Respondent's role in S.S.'s care was as an out-of-network, adjunct holistic doctor, more comparable to an acupuncturist or Reiki specialist than a medical doctor. Dr. Silver suggested that Respondent should not be held to the same standard as other family medicine doctors providing primary care services.
The judge, to her credit, rejected this position. But even if she hadn't, Dr. Woliner would have been explicitly labeled as the equivalent of an acupuncturist or Reiki practitioner rather than an M.D. The latter, as regular RI readers know, is one of the more ludicrous forms of woo out there, rivaling homeopathy in the obviousness of its nonsense.
'how the anti-science crowd discounts the value of professional training and experience' – shay simmons
Since 2008-9, I've noticed that amongst the woo-ready on the net, the suspicion of SBM/ doctors/ psychologists
has mushroomed into dismissal of experts in general
( contra the 'cult of the expert'- prn.fm) :
scientists are wrong, economists are wrong, the media is wrong ( big one!), bankers are wrong, politicians are wrong,
historians are wrong, educators are wrong… you name it!-
It's RONG! ( see Natural News, AoA, TMR)**
And in their place, we get the usual suspects and alt media [email protected] ( see the news re Alex Jones) as well as
so-called political anti-elitists.
I enjoy being an elitist. Don't you? Perhaps we're all devils and smell of sulfur.
** where do these people go when their car breaks down?
herr doktor bimler October 12, 2016 at 2:40 pm
Sofronsky kept developing new symptoms, all of which were consistent with progressing lymphoma, including complaints of back pain, more lymph node swelling and pain (which Wollner treated with low dose Naltrexone), leg swelling, increasing abdominal pain and swelling (which Wollner attributed to an allergic reaction), and weakness.
The usual rationale for the very *existence* of 'Integrative Medicine is that Conventional Allopathy is reductionist and only about Treating the Symptoms while Ignoring the Underlying Disease.
Someone has to make a joke about the name 'concierge medicine'…
Don't look at me like that.
I have to leave so I can't.
Helianthus October 12, 2016 at 4:48 pm
Dr. Silver suggested that Respondent should not be held to the same standard as other family medicine doctors providing primary care services.
"I'm playing a doctor, I want to have the same prescription privileges as a real doctor, but please don't held me accountable like a doctor when things go wrong"
I hate humans so much.
Gilbert October 12, 2016 at 5:23 pm
were this a family member of mine, we'd not be in court, he'd be missing, with some 'gators well fed.
Awww, Wizrd1; I always took you for a "went to shit and the hogs ate him" kinda guy.
Wzrd1 October 13, 2016 at 1:36 am
A wise chap once told me, never shit where you eat. 🙂
It's scary how much the "integrative medicine" speciality has become legitimized. A Texas quack named V. John Gonino was accused of various wrongdoings. In 2013, he and the TMB entered into a Mediated Agreed Order in which he basically got a slap on the wrist.
Part of the order required him to "attend and participate in a nationally or internationally recognized conference for integrative medicine which includes 17 hours of CME". So his punishment was to attend a conference to learn to be a better quack?
Mark Thorson October 12, 2016 at 6:24 pm
Maybe mammography should be moved from conventional medicine to integrative medicine?
http://fivethirtyeight.com/features/even-more-evidence-that-mammograms-have-been-oversold/
Peebs October 12, 2016 at 6:37 pm
I was the equivalent of one of your Corpsmen in the Royal Navy and was trained quite well in basic diagnostics; as most of the ships I served in I was working independently.
I had a couple of personal 'Directives' I tried to follow.
If my patient showed little or no improvement after 3 or 4 visits; Get advice.
If I really had no idea what was wrong; Get advice.
I suppose what I'm saying is, "Know your limitations".
But then, I wasn't in it for the money.
If you think that's the message of that study, you missed the point.
Mark Thorson October 13, 2016 at 11:55 am
It doesn't improve patient outcomes. It appeals to their health paranoia. It requires this big fancy machine. There's some pain involved (they really squeeze your boobs to take the pictures). And you can charge lots of money for it. That sure sounds like integrative medicine to me!
@ Wzrd1
So sorry about the troubles you're having with your wife's illness. It's a reminder that we have more to do than attack quackery — our healthcare delivery system just doesn't handle difficult to identify chronic disease well at all, and it's far to easy for 'regular joes and janes' to fall through the cracks.
This is either distilled incompetence or malfeasance. In the former case, he'd be missing, with some 'gators well fed.
So if incompetence goes to the gators, what happens to him if it's malfeasance?
Wzrd1 October 14, 2016 at 4:38 pm
@sadmar;
our healthcare delivery system just doesn't handle difficult to identify chronic disease well at all, and it's far to easy for 'regular joes and janes' to fall through the cracks.
It didn't help not having health insurance when I was caring for my father during his final years of his life. He needed 24/7 care.
A very, very unpleasant time with me, then the gators get what's left.
I'm very protective of my family.
I second sadmars' sentiment.
RBC's, always elevated,… Neutrophils will elevate randomly. Eosinophils also are currently elevated.
When I do a little medical google sleuthing, I somehow have every malady under the sun. Still, you might check out this sight and see if anything rings a bell:
Eosinophils can also be high in
diseases that cause an increase in myeloid tissue… One such condition in which there is an increase in myeloid
tissue is polycythemia vera. Polycythemia vera is a condition of unknown cause in which there is a
long-term increase in red blood cells and other types of cells.
http://www.medfriendly.com/eosinophil.html
Esonophils are usually associated with allergies or parasites and various skin conditions.
Ohh, and Mitragyna speciosa for all forms of pain, especially herniated disks.
Robert Riley October 16, 2016 at 2:24 pm
I'm sure one of the things coming into play that is permitting the spread of quackery and, as we see in some cases, providing licensing/legal cover, is the relatively recent activist and political/funding driven "choices" and "patients first" philosophies and campaigns.
Most of the time when i read about this or that being about patient "choice," or "putting patients first", or letting patients "take control" it's public relations cover for one of two things: Quackery or budget control. Actually … three things, as the two can be combined in some cases. When I refer to "budget control" I refer to all forms of controlling health care expenditures by, for example, cutting or reducing existing costs or limiting increases in costs.
So, for example, hospitals can generate good (if not great) PR and media attention by, for example, announcing the addition of quackery-based "alternative" services (e.g., acupuncture, homeopathy, or something "wellness" or "holistic") to their cancer program. I think in order to ride the line between something like the concept of "what harm can it do" and complete lunacy such alternative practices are limited to "symptom management" – often treatment side-effect management (e.g., nausea from chemo) – rather than using such alternative practices as any sort of legitimate part of the actual cancer treatment plan. I think many hospitals would find their oncologists ready to walk out if, for example, alternative medicine practitioners/considerations had to be part of case management conferences.
On the other hand, the "patients first" and "patient choice" game can be used to help contain or control budgets and reduce or eliminate the need to take any effective, and more expensive course of action. In Ontario, Canada, for example, the provincial Ministry of Health can expand telemedicine programs under the guise of putting patients first, patient choice, bringing care "closer to home," etc., at a much lower cost than actually providing a lot of services where they are actually needed. Don't get me wrong, a variety of telemedicine consults are much preferred to having the 10 scheduled patients each separately having to travel 100, 200, 500 km to the nearest consulting specialist, but the "gold standard" really does remain those 10 patients, and all the others before/after them, having direct local access to a relevant specialist in person. Of course, it often isn't just a case of getting 1 or 2 of certain specialists to move to (or even visit) whatever city/hospital – many specialists/specialties are not going to be willing to move or even visit unless there are local technicians, diagnostics, operating or procedure room time, hospital privileges, designated inpatient beds, designated budget, staffing, etc. So it is still cheaper for funding agencies to add on more staff and a few more beds, for example, to an existing program – and have dozens of patients travel TO it – rather than create new programs where needs exist and start-up costs can be high.


Signed and dated l.c., "C L EASTLAKE...1824.". Signed l.l., "[C L E]ASTLAKE...".
Horatio Walpole, circa 1824, Painted for Horatio Walpole, 3rd Earl of Orford (1783–1858). His (anon) sale, Christie's, London, 26–28 June 1856, 3rd day, no 250 ('A classical landscape, with Arcadian figures near a terminal statue; buildings, and mountainous distance. A beautiful composition, painted at Rome').
Pennell, 28 Jun 1856-pre 1881, London/England, Purchased at the previous sale, 170 gns.
George Comer, pre 1881, By 1881. See exhibitions.
Newman, post 04 Dec 1909, Purchased at the previous sale for 13 gns.


text:
Q: Dialog in WPF dissapears when clicking on application icon in taskbar I have a WPF application where i show a dialog with
  nrDialog.WindowStartupLocation = WindowStartupLocation.CenterScreen;
  bool? dialogResult = nrDialog.ShowDialog();

The dialog is a simple Window object with properties
Title="NewReportDialog" WindowStartupLocation="CenterOwner" ShowInTaskbar="False" ResizeMode="NoResize">

The windows works as normal modal dialog and locks mainwindow as it should , but when i click on the application icon on the taskbar, Windows 7, the modal dialog goes out of focus and the only way to get the dialog back in to focus is to use ALT-Tab
Anyone has a solution?

A: Try to set the Owner of the dialog Window to be the main application window. This should solve the issue.
Probably something like:
nrDialog.Owner = this;

Where this is the main window instance. You can replace it with something more relevant to your case.
You can get the main application window using: Application.Current.MainWindow


text:
Q: ошибка IOException public class MainActivity extends AppCompatActivity implements View.OnClickListener {

    EditText etEnterPassword;
    EditText etEnterLogin;
    Button btnEnter;
    CheckBox cbEnter;
    TextView tvChecking;
    Button btnChecking;
    private final static String DIRECTORY_NAME = "dataDir";
    private final static String FILE_MAIN_NAME = "contextFile";
    private final static String DIRECTORY_PATH = "./src/main/java/org/Council/context.txt";
    String data;

    @Override
    protected void onCreate(Bundle savedInstanceState) {
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        Gson gson = new Gson();
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            data.mkdir();
        }
        if (!context.exists()) {
            context.createNewFile();
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        FileWriter fileWriter = new FileWriter(DIRECTORY_PATH + "/context.txt");
        gson.toJson(getDataLogin(), fileWriter);
        gson.toJson(getDataPassword(), fileWriter);

    }

    public String jsonReader() throws IOException {
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        while (fileReader.ready()) {
            data = data + fileReader.read();

        }
        return data;
    }

    public void check() throws IOException {
        String check = jsonReader();
        if (check == "adminadmin") {
            Toast toast = Toast.makeText(getApplicationContext(), "It's OK", Toast.LENGTH_LONG);
            toast.show();
        }

    }

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        return (password);
    }

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        switch (view.getId()) {
            case R.id.btnEnter:
                try {
                    jsonWriter();
                } catch (IOException e) {
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                    toast.show();
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                }
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}

приложение должно сохранять файл с логином и паролем, затем при открытии приложения или при вводе данных проверять пароль, если он совпадает с adminadmin писать "it's OK" Но вываливается ошибка


text:
Culture | December 9, 2022 6:45 am
A Return to Scary Normalcy: Krampusnacht Is Back
A holiday tradition that's not about the fat guy in the red suit
Santa and Krampus
Krampusnacht DC
By Brandon Charles
Christmas started as a pagan holiday — kind of. Some traditions of the solstice-adjacent Roman festival of Saturnalia carried over into Christmas. The solstice may not be well-represented on the Hallmark Channel or on Starbucks cups, but one of its key figures — the mythical horned character of Krampus, a sort of anti-Santa who punished naughty children during Advent — is alive and bigger than ever, at least in the U.S. (Maybe you've seen Krampus, starring Adam Scott.)
In DC, he's the focus of one of the season's true highlights: the Krampusnacht DC festivities, which take place tomorrow. "Krampus is sort of a holdover from more pagan celebrations," says Lyndsay Webb, one of the event's organizers. "With the solstice being the darkest night of the year, it was actually sort of scary. Krampusnacht DC has sort of taken that [story] — based largely on where the idea of Krampus originates from, which is the Bavarian region of Germany, Austria, northern Italy — and we've spun it into a non-traditional alternative celebration for people who don't really celebrate the Judeo-Christian Christmas. We celebrate that in a lighthearted way, and make it a fundraiser."
The 2022 version will look and feel a bit different from its pre-pandemic version, which made its home on H Street. This year's edition is a two-part celebration, inside and outside, fun for the family in the afternoon and adults only once it's dark. The biggest difference is the location(s).
How Krampus, the German Christmas Demon, Took Over America
He whips naughty children with branches and eats them, and he's winning our hearts
No longer on H Street, the 9th annual Krampusnacht DC begins at every family's favorite afternoon destination: a brewery. Kids and adults are welcome at DC Brau from noon to 4 p.m. for a "Krampustag" party. Some staples from the first eight editions will be present, like drum troupes, jugglers, costume contests and appearances from both Santa and Krampus.
What's new is the logistics. The first part is explicitly family-friendly and indoors. The evening component at Wundergarten is an adults-only affair and will most likely fill the Krampuschnacht hole in your potentially evil heart, featuring the same type of performances from the first eight editions. Both events stress inclusivity and will raise funds for the Wanda Alston Foundation, the only housing program in Washington, D.C. solely dedicated to offering pre-independent transitional living and support services to homeless or at-risk LGBTQ youth.
"The primary difference is we are moving off of H Street," says Webb. "We don't intend that to be a permanent change. But it is a change for this year, just because the primary venues and businesses that we worked with on H Street have either changed ownership and have sort of redesigned the business and can't really accommodate us or have gone out of business. And so many restaurants on H Street have expanded their outdoor seating. Our regular 'parade route' is kind of not viable this year."
According to Webb, "even though the format has changed, it is going to definitely have the same heart and spirit of all of the previous years."
Krampusnacht DC is Saturday, December 10 at DC Brau and Wundergarten. Festivities at DC Brau begin at noon, while the adults-only party ast Wundergarten kick off at 7 p.m. Visit krampusnachtdc.com for more information.
This DC Photographer Is a Pro at Capturing Chaos
10 Excellent West Virginia Airbnbs for a Cozy Winter Getaway
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Kevin Garnett Net Worth
Kevin Garnett Net Worth. During his career, he made a total of $334 million. Likewise, as of now, the former basketball player is 45 years old.
Kevin Net Worth And Career Journey Follow News from follownews.com
In fact, it is now estimated that kevin garnett has a net worth of $120 million, even though is no longer playing professional basketball. Known for his intensity, defensive ability, and versatility, garnett is considered one of the greatest power forwards of all time. A detailed look at kevin garnett's net worth, career earnings, and endorsement deals his nba salaries amounted to over $334 million.
Source: follownews.com
He currently resides in mauldin, south carolina, usa. Kevin garnett net worth is due to his extensive qualities.
He Is Best Known For His Time On The Minnesota Timberwolves Where He Spent The Bulk Of His Career, Though He Did Have Success (And His Only Championship) With The Boston Celtics As Well.
Garnett came straight out of high school, and he ended his nba career as a millionaire. Kevin maurice garnett is known as an american basketball player and also an actor who has been able to gain an estimated. Continue reading to learn how he.
With The Net Worth Of $120 Million, Kevin Garnett Is The # 2112 Richest Person On Earth All The Time Follow Our Database.
Also known as "the big ticket," "kg," "the kid," and "the franchise," garnett became one of the world's most famous athletes during his playing career. Salary, married, wedding, spouse, family kevin maurice garnett (born may 19, 1976) is an american professional basketball power forward and center with the brooklyn nets of the national basketball association (nba). During his career, he made a total of $334 million.
Kevin Garnett's Salary In His Final Nba Season Was $12 Million.
In the below table, you will get the latest info about salary and assets. Some controversies about his are found which is also added below. As of kevin garnett's net worth is estimated to be $190 million dollars.
Kevin Maurice Garnett (Born May 19, 1976), Also Known By His Initials Kg, Is An American Former Professional Basketball Player Who Played For 21 Seasons In The National Basketball Association (Nba).
At the time he also earned an additional $10 million per year from endorsements. He was born in greenville, south carolina, usa. In addition, how much is a kevin garnett rookie card worth?
Kevin Garnett's Signature Shot Changed The Way We Expect Players His Size To Shoot The Ball.
American former professional basketball player kevin garnett has an estimated net worth of $120 million dollars, as of 2022. In addition, the former basketball player belongs to american nationality and was born under the star sign taurus. In 1997 he and fleshier turned down the contract with timberwolves for worth $102 million.
Categories Net Worth Tags Garnett, Kevin, Worth
Wheat Pennies Worth Money
Kodak Black Net Worth 2021


Connect up to 8 current sensors to a Raspberrypi.
It is possible to stack boards together to expand the numbers of sensors supported. All units are sold configured as master. Please refer to the wiki page to learn how to configure them as slave.
Is it possible to stack RPICT8 and RPICT7V1 or RPICT4V3 units together.


Everyone wants radiant, luminous skin – but not everyone naturally has it. Here are 8 easy ways for you to get the glow you're going for.
You thought we were going to tell you to wear sunscreen, didn't you? Well, you should definitely do that (more below), but you should also indulge in dark chocolate.
Raw cacao contains anti-aging antioxidants, which may protect your skin from UV damage and prevent the appearance of wrinkles, fine lines, and skin discolorations . Make sure to choose raw instead of processed cacao because the heat treatment that occurs during processing can destroy the antioxidant benefits.
How many times have we been told to drink 64oz of water a day? And how many times has that actually happened?
In our work-hard, play-hard culture, most of us fail to drink enough water because we over-caffeinate, over-soda, or over-booze instead. Thing is: too much caffeine, sugar and alcohol can dehydrate our skin, break down collagen  and elastin over time, and dull our complexions.
We're not going to tell you to stop drinking coffee or wine. But consider alternating water before and after your beverage of choice.
We like to gussy up our water with mint, cucumbers, or lemons to make every day feel like a spa day.
We tend to buy quite a few products and not use them regularly. Get the most out of your cleanser, face oil, and eye cream by using them every day.
It's also a great idea to exfoliate once a week to slough off dead skin cells, which pile up and make skin appear dull. By exfoliating, you'll help smooth your skin, reflect more light, and look more radiant.
You can also add a blast of major moisture by using a simple, refreshing sheet mask once or twice a week.
Packed with omega 3-fatty acids, antioxidants, Vitamin C, pantothenic acid, potassium, magnesium, and even folate , avocados help boost moisture and softness in your skin, counteract some of the negative effects of the sun, and help reduce acne lesions .
Eat them in guacamole, spread them on toast, spoon them right out of the rind, or slather the pulp directly on your skin (unless you're allergic, of course).
You knew this one was coming. Protect yourself from sun damage by wearing sunscreen every day. Even if you're only outside during your walk from the parking lot to the office, your skin can still suffer from the sun's harmful rays .
Rather than add another step your morning regiment, buy a face moisturizer or CC Cream that includes sunscreen so it becomes part of your routine.
Go nuts for nuts and berries.
Walnuts and almonds are not only delicious, they also contain vitamin E, which is vital to skin health . And berries are loaded with anti-inflammatory agents and vitamin C  to keep your skin firm and protect you from premature aging.
Kill two birds with one breakfast and throw some berries and nuts on top of greek yogurt for a healthy start to your day.
Head to bed a little earlier.
Beauty rest is real! Skin cells regenerate when you sleep, so consider skipping that last Netflix show you're tempted to squeeze in and hop into bed instead. Not only will you be better rested the next day, you'll look it too.
Fake your glow with BB cream and highlighter.
Hey, we're busy people who don't always eat right, sleep enough, or have the time to use all five of our face products.
Sometimes you've got to just fake the glow. That's when a sheer BB cream and a highlighter come in handy.
Just smooth the BB cream over your skin, and apply a cream or powder highlighter on your cheekbones, brow bones, and tip of your nose. And call yourself a dewy goddess on the go.
Any other simple, quick glow-getter tips? Share them in the comments below!


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redpajama_set_name: RedPajamaGithub


MultitrackStudio is audio/MIDI multitrack recording software for both . by Bremmers Audio Design . The Pro edition features automation and powerful .. - Audio (CDDA) - Battery - E-mu - EXS24 - Gigastudio - Halion - Juicer 3 - Kontakt - Wusikstation - .
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Antimo by Lord. Vai ai contenuti. Menu . Nero Mpeg2 Svcd for Nero v5.5.9.14 NetTracker Professional v6.0 . Bremmers Audio Design MultitrackStudio Pro Plus v2.1. MultitrackStudio Lite is recording and . From Bremmers Audio Design: MultitrackStudio Lite is recording and . I most likely will purchase pro-version as .


Violations, such as those against antitrust laws, can turn out to be very costly for companies and employees. High fines and job losses are the most common consequences. The damage to the reputation of employees and companies cannot be underestimated either. Customers place a great deal of importance on fair working conditions and adherence to environmental standards. Investors and suppliers are also paying an increased amount of attention to compliant behavior. So, how can we embed compliance in the minds of employees so that they behave in a compliant manner in their everyday lives?
Stimulating employees is a decisive factor in the success of compliance training. This is achieved by using relevant, challenging content that appeals to learners on an emotional level. There is nothing more annoying than struggling through dry information that is completely irrelevant to the learner. For this reason, it is essential to ask the following questions: How, why, and when is compliance relevant to employees in their everyday working lives? This way, you can offer training content precisely tailored to participants, their level of knowledge, and their function within the company. Using everyday situations to illustrate the right and wrong way to act is key. Motivation levels increase when employees recognize why the training is good for them and for the company, for example, because compliant behavior protects from criminal proceedings, fines, and job losses.
Knowledge of compliance also remains in the minds of employees when they learn through understanding as well as being addressed on an emotional level. Emotions can be sparked by placing information in exciting stories and using eye-catching graphic designs. You can break down the content by mixing different media, including images, videos, simulations, and audio – via podcasts, for example. It is 'the more, the better' when it to the sensory channels that are addressed. What's more, learners remember information better when they have exchanged ideas about it with others. Social media makes it possible to do this across different company sites and departments. It is best when learning is enjoyable and the learner can acquire and test knowledge hands on in a protected environment. That's why everyone is talking about game-based learning, or in other words, learning with serious games. Game-based learning also prevents the content from becoming overly theoretical. Employees are confronted with realistic situations where they have to act and make decisions independently. This ensures that lessons learned are more than just gray theory.
And finally, it is necessary to pose challenges. Confront your learners with scenarios that require them to make real decisions. It is important to test the knowledge learned using challenging tests. This is the only way to ensure that participants do not just randomly select one answer after another, but rather really think about what they have learned.
At LearnChamp, we consider e-learning to be particularly well-suited for the transfer of compliance knowledge. When it comes to dry subject matter like legal regulations and codes of conduct, electronic learning is at least enjoyable for participants. They can learn whenever and wherever suits them best. Thanks to the new responsive formats, employees can learn when they have a few minutes to spare when on the go, either on the commute to work or when waiting for a flight at the airport. In addition, it is possible to offer reminders that periodically highlight content on which employees performed poorly in tests. Checklists and brief summaries help provide access to knowledge when it is really needed. This enables learners to learn in small chunks.
e-learning does not gobble up a massive training budget. In fact, it is often more cost-effective than classroom training (see here for an impressive case for cost savings through e-learning). Why, you ask? On the one hand, it is possible to provide information to specific target groups using personalized access methods. This allows you to save yourself the unnecessary expense of having to hire instructors and your employees save valuable time that they can use for their core tasks. Moreover, reporting tools assume responsibility for documenting the entire learning history, ensuring you are very well prepared to cope with audits.
Of course, e-learning cannot solve all compliance problems. Corporate culture is indispensable when it comes to establishing compliant behavior within a company. If you are interested in knowing how to shape corporate culture and what you need to keep in mind, keep an eye on our blog. We are going to write about this in the near future.
How do you approach compliance training in your company? Do you see any room for improvement? If so, get in touch with us! We are happy to advise you.


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Joan Gardy Artigas, pseudònim de Joan Llorens i Gardy (Boulogne-Billancourt, Illa de França, 18 de juny de 1938), és un escultor i ceramista català, fill de Josep Llorens Artigas. Hi ha obra pública seva a diverses ciutats de França, Espanya, Estats Units, Alemanya i Anglaterra. Durant molts anys fou director de la Fundació Tallers Josep Llorens Artigas de Gallifa, fundada el 1989 en memòria del seu pare amb l'objectiu de proporcionar un lloc de creació per a artistes d'arreu del món, i que actualment dirigeix el seu fill Isao.

Biografia
Nascut a Boulogne-Billancourt, prop de París, la seva família va instal·lar-se a Ceret quan els alemanys van envair la ciutat durant la Segona Guerra Mundial. Dos anys després s'instal·larien a Catalunya. Va créixer envoltat d'artistes, ja que el seu pare era íntim amic de Joan Miró i de Pablo Picasso. Va viure a Espanya fins al 1958, quan va a marxar a París per estudiar a l'Escola del Louvre. Quan va finalitzar els estudis va obrir el seu propi estudi a la ciutat. Allà treballaria amb artistes com Georges Braque o Marc Chagall.

Va conèixer Giacometti a Montparnasse i hi va mantenir una gran amistat durant la seva estada parisenca.

Obra

Gardy Artigas ha col·laborat amb tots els grans murals realitzats per Joan Miró (Harvard University, UNESCO a París, Aeroport de Barcelona, Kunsthaus de Zúric…), i en diverses de les seves escultures, com Dona i Ocell.

Seva és l'escultura Terra i foc, de més de 15 metres d'alçària, situada a l'avinguda Diagonal de Barcelona enfront de la seu central de La Caixa, que li va fer l'encàrrec cap als anys vuitanta. També es pot veure una obra monumental seva a l'àrea de descans del punt quilomètric 67,7 de l'autopista AP-7 Nord a la comarca del Gironès.

Exposicions rellevants
Com a escultor, ha exposat les seves creacions a diversos espais de renom, com la Galeria Maeght, la Galeria Theo de Madrid, el Meadows Museum de Dallas, o l'Spanish Institute de Nova York, entre d'altres.

Curiositat
Durant una exposició d'Antoni Tàpies a la Martha Jackson Gallery de Nova York, Gardy Artigas va tallar el bigoti a Salvador Dalí sense el seu consentiment, fent un tipus d'acció surrealista. Dalí, sorprès i amb tot de públic esperant la seva reacció, va explicar que també tenia un testicle més llarg que l'altre i que amb el nou bigoti podria agafar ones còsmiques.

Notes

Referències

Ceramistes catalans
Persones de Boulogne-Billancourt
Alumnes de l'École nationale supérieure des beaux-arts
Alumnes de l'Escola del Louvre
Artistes de l'Illa de França
Artistes catalans del sud contemporanis
Naixements del 1938


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[Please enjoy this guest post written by David Rodbard, M.D. about diabetes prevention and new diabetes technology. Dr. Rodbard is an endocrinologist whose had a long career as a clinician and scientist working in mathematics, statistics, modeling, and computing at NIH. He started developing computer programs for analyzing glucose data in the mid-1980's, and he's worked with multiple companies developing glucose meters and CGM sensors. He has developed a dozen new methods to display glucose and insulin data. Currently, he is working on 'artificial intelligence' to permit computers to interpret glucose, insulin, medication, food, intake, and activity data—the exact kinds of data collected and used by One Drop.
The numbers are astounding: 415 million people have diabetes worldwide. Over the next 25 years, this will rise to 642 million! More than 50% of the US population and ~33% of the Canadian population has either diabetes or prediabetes, and the numbers are expected to grow dramatically over the next 10 years everywhere in the world—developed and developing countries alike.
There have been dramatic improvements in the performance and acceptability of continuous glucose monitors (CGMs), which can measure glucose every five minutes for up to 14 days using a single subcutaneous sensor. CGMs are now being used in closed-loop systems, in which glucose sensor data can control the rate of infusion of insulin from an insulin pump via an algorithm.
Currently, there are two commercially available systems that will stop insulin delivery for up to two hours if a person's blood sugar drops below a specified level (e.g., 70 mg/dL), or if person is expected to go low in the next few minutes (e.g., a blood glucose value of 80 mg/dL, dropping at a rate of 2 mg/dL per minute). These systems work well and reduce the frequency and severity of low blood glucose levels, but they still don't fully close the loop between CGM and insulin pump, as the user must still program insulin delivery for meals and high blood glucose.
Research is underway at several centers throughout the world to safely have the system do more. In these studies, the rate of insulin infusion does not only change in response to low blood glucose, but also adjusts continuously to keep blood glucose levels within a target range (e.g. 100 – 140 mg/dL). These systems are called "artificial pancreas" or "closed loop" systems, and they are expected to be on the market within the next 2-3 years. Initially, the target users for these devices will be people with type 1 diabetes who have difficulty achieving good glycemic control or are at risk of frequent or severe hypoglycemia.
It is now clear to everyone that the person with diabetes (PWD) is most important when it comes to effective diabetes management. And given the rising number or PWDs, there simply are not enough doctors and nurses worldwide to effectively manage the health and wellbeing of all PWDs. This is true in even the richest, most developed nations, but it's especially true in developing countries.
Not surprisingly, almost everyone is looking to technology for help. In India, for example, a number of clinics have been using text messaging to communicate with patients. It's inexpensive and relatively accessible, as most people across the regions have access to mobile phones. Through texts, clinics can remind people to refill their prescriptions, take their medications, engage in healthy behaviors, and keep their appointments. This strategy has proven effective in improving care and short-term outcomes, such as A1C.
The internet was also recognized as a valuable tool for patient education, physician education, coaching programs, remote blood glucose monitoring, and making treatment recommendations to PWDs.
Toujeo™ and Tresiba™ are both long-acting insulins with a duration of action of at least 24 hours. Research has shown that both insulins affect blood sugar more predictably than older types of long-acting insulin, with less variability from day to day and less variability from person to person. Toujeo™ (Glargine U-300) is from Sanofi, and Tresiba™ (Insulin Degludec) is from NovoNordisk.
Both Toujeo™ and Tresiba™ have been approved and are now available in many countries throughout the world. People who use these new insulins typically are at lower risk of low blood sugar, especially at night.
A number of new types of medications have been introduced over the past few years, which are generally more effective and safer than those used in the past. Stay tuned for future blog posts where I describe the different types of medications, their effects and action profiles, and their pros and cons.
What can we do right now to prevent or manage diabetes?
Exercise regularly! We all know the many benefits of exercise—improved mood, decreased stress, increased energy, and (maybe) longer life! But it's important to realize that exercise is especially beneficial for people with diabetes or prediabetes, as it increases insulin sensitivity, decreases blood sugar, and helps with weight loss.
You are what you eat, so ditch those high-carb processed foods and enjoy lots of fruits, vegetables, and fiber instead!
Like exercise, these foods have countless benefits and are especially helpful to people with prediabetes or diabetes. Fruits and vegetables are relatively low-calorie and packed with beneficial vitamins and minerals, while high fiber foods slow digestion, preventing blood sugar spikes and making you feel full longer.
At risk of developing diabetes? Get an A1C test done to screen for diabetes. Early diagnosis can make a significant difference in the outcome! If you take preventative steps now, you may never develop diabetes at all.
Already have diabetes? Check your A1C regularly and get on a diabetes management plan! A1C values reflect average blood glucose over the previous ~3 months, so they are a great way to assess how well your diabetes management plan is working for you. Diabetes will never stop you from living life to the fullest if you are proactive and diligent in your daily care.


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UWL Pride Center honors transgender day of remembrance
Graduate Assistant for the Pride Center, Garrett Denning. Photo retrieved from the UWL Pride Center.
Maija Sikora, General Assignment Reporter
On Nov. 28, 1998, 35-year-old Rita Hester was stabbed to death in her apartment, two days before her birthday. One year later, advocate and writer, Gwendolyn Anne Smith organized a vigil in her honor, commemorating both Hester and all of those who have been victims of violence against transgender people.
Transgender Day of Remembrance has become a national phenomena celebrated annually on Nov. 20.
"Transgender Remembrance Day is a national day of recognition intended to honor and remember the lives that are lost every year due to violence against the transgender community. As well as just to raise awareness about the Transgender Community, because it's still very prevalent," said Pride Center Peer Educator Sara Seymour. "We want to recognize that this is still something that happens in our country and in our world, as well as recognize that trans people do exist and that we support them. Every year we host a vigil to remember all the individuals who have lost their lives as well as the people we know and recognize as part of the community."
Trans people face a high risk of violence or gender-based persecution. According to the National Center for Transgender Equality, "More than one in four trans people has faced a bias-driven assault, and rates are higher for trans women and trans people of color."
In the isolated year of 2019, the United States recognized 21 transgender murders. In response, advocacy organizations such as the Trans Murder Monitoring Project exist to provide a platform for those who lack recognition.
Map retrieved from transrespect.org
The transgender murder monitoring is a subproject of Trans Respect versus Transphobia, an organization whose goal is to provide resources to human rights organizations, as well as the general public.
The project, according to the organization's homepage, is necessary due to a lack of trans representation in statistics. According to Advocate Journalist Trudy Ring, lack of support in statistics can be attributed to transphobia and lack of acknowledgment.
"Transgender Americans are facing an epidemic of violence. Twenty-four of them were known to be homicide victims in 2018, although the actual number is likely higher, as undoubtedly some victims were misgendered by police or media, or their deaths not reported at all."
"This year 21 lives have been lost. That number is definitely under-representative, because there are a lot of crimes that go unreported, as well as murders of transgender people that go unrecognized," said Seymour. She also said the number doesn't include individuals who have taken their own lives in response to persecution or structural violence.
For those who have multiple marginalized identities, the violence surrounding them can look different. According to national press secretary Sarah McBride, "When there is a mix of misogyny, transphobia, and racism, people who live in the intersection of multiple identities, the violence they face can be inflamed by the multiplying prejudices,"
"This year as part of the project, the other peer educators and I have been collecting photos of faculty and students on campus, holding signs that say things like 'We support our Transfamily,' 'Trans lives Matter.' We are going to have a big photo collage up at the event just to show that we have people on this campus that do support transgender individuals to let transgender students and faculty members know," said Seymour.
Seymour said that the Pride Center saw help from an overwhelming amount of students.
The event will be held Wednesday, Nov. 20 from 11 .am. to 2 p.m. at the Hall of Nations in Centennial Hall. The candlelight vigil will be held after the weekly Queer Cinema showing; Unboxed in the Student Union at 7 p.m.
For more information, contact Peer Educators Sara Seymour [email protected] or Garret Denning [email protected], or Program Director Willem Van Roosenbeek [email protected]
Maija Sikora, Managing Editor
Year at UWL: Junior
PGPs: She/Her/Hers
Hometown: Franklin, Wisconsin
Major: Communications with a Media Studies emphasis
Minor: International...
News Release: UWL announces surge testing site at Cartwright Center will close Jan. 22
UWL student Meagan Rain on creating her paint pours and artwork
UWL students react to changes in Reuter Hall parking
UWL students voice safety and efficiency concerns over the Eagle Mail Center


Possibly put sliding doors on the minor bedroom wardrobes to give more options with furniture placement. That's the only suggestion I have.
Is brickwork cracking a structural concern?
I'm not sure on the upgrade but I would ask for an anticon blanket to be included if you go with the colourbond for noise reduction.
Our inspector picked up a lot of things Clarendon didn't. I think it's definitely worth having your own.
I'd still have my own inspector.
We have monument gutters (similar coloured roof tile - maybe sanctuary) and surf mist render. We have wallaby around the garage, so garage door is surfmist too.
Which Master Bedroom - help me pick!
That looks good too. Much more of the dune tones in that photo.
When we had handover they had a book that you wrote your list of issues at handover in. Then you got one copy (pink maybe) and they got the other.
Did you change cabinetry after plans were finalised? Maybe they didn't move plumbing from the original position.
Plain flush door unless you specified otherwise.


text:
China says more trade talks with U.S. planned for January
© Reuters. FILE PHOTO: China's Ministry of Commerce spokesperson Gao Feng attends a news conference in Beijing
BEIJING (Reuters) – China and the United States will hold more talks on trade in January, China said on Thursday, following detailed discussions about the issues to be tacked in the negotiations.
Commerce Ministry spokesman Gao Feng expressed confidence in a "successful implementation" of a consensus reached at Dec. 1 talks between U.S. President Donald Trump and his Chinese counterpart, Xi Jinping, in Argentina.
Gao said the two sides had been in close contact since then, including a vice-ministerial level call on Wednesday, when they went over arrangements for more talks and the issues of trade balances and the protection of intellectual property rights.
"The two sides will arrange consultations including meetings and calls at any time as needed to promote the implementation of the consensus of the heads of state," Gao told reporters in Beijing.
He did not elaborate on who would lead the next talks or where they would be held.
U.S. Treasury Secretary Steven Mnuchin had reportedly said earlier that China and the United States were planning to hold meetings in January to "document an agreement" on trade.
Trump administration officials have not disclosed any plans for face-to-face meetings since the Trump and Xi talks.
The potential for trade cooperation between the two countries was huge and the nature of win-win cooperation would not change, Gao said.
Trump and Xi Jinping agreed in Argentina to a truce that delayed the planned Jan. 1 U.S. increase of tariffs on $200 billion worth of Chinese goods while they negotiate a trade deal.
(This story fixes typo in paragraph one)
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