medicine | Show Your Hope!
Greetings from inside the walls of Mass General (again).
I am writing from you from the Epilepsy Monitoring Unit (EMU) hooked up to an obscene amount of electrodes (brain, cardiac, oxygen) and I am sporting an IV and a fabulous head wrap. Yesterday I started my day with an MRI/MRS and then waited outside with Ralph and Beast for 4 hours until my bed on the EMU was ready.
It took another 3-4 hours or so to get all the electrodes on, IV in, labs drawn, get acquainted with 3 sets of doctors, and get myself settled. They had me sign a consent form releasing them of liability if I get injured or something horrible happens if they do induce a seizure…and also a release to be videotaped 24/7 until discharge.
The plan is to keep me for 5 days – during which time they will try to elicit a seizure (good times I tell ya, good times). At that point they will decide whether or not to start medication (though they said Lamictil was the drug of choice) and they will make a plan from there. They will then decide if I can drive again or not – but it's not sounding favorable – at least for now.
In the meantime, I get to spend the next few days confined to these 4 walls staring at the TV and the Zebra Sasha insisted I take with me. Yes folks, boredom has already set in.
See, I went to an appointment with the Epilepsy Clinic 2 weeks ago (it was scheduled by the neurology team at MGH from my stay at the end of June) and they decided they felt that I was likely having seizures given my symptoms. Since they were able to get me into the EMU so fast, they decided to hold off on starting seizure medications and restricted my driving until further notice (yes, it totally bites not being able to drive – I mean, even though I wasn't really driving much at all, it's different when you are told you CAN'T drive). They also wanted me to have an MRI/MRS done on the day of the admission just prior to coming up to the floor.
Last night was pretty rough – I kept setting off the cardiac alarms because my heart rate was going below 50 – and a few other things also. At 4 a.m. I woke gasping for air…no idea why, but it certainly wasn't a seizure. I had the nurse come in and they paged the neurologist – they went back and looked at everything and, sure enough – I almost flew out of the bed. Guess that sleep study needs to come sooner than later – maybe it was apnea or something. Whatever it was, it was NOT fun. This happens about once or twice a week. This is the second time this week. Can't wait to get to the bottom of that!
So, for now – I am going to end this post. Sorry it's not my typical blog post – but I am working on about 8 hours sleep since Wednesday and my head is screaming.
I will write another blog post tomorrow, so stay tuned. I've got a lot of things to share with you!
In the meantime, please take a moment to check out this link. My friend's 14 year old son is starting chemo tomorrow in preparation for a bone marrow transplant. Today, a central line was placed. I know how much it means to me when my friends reach out and support us when times are tough – so I want to do the same for this family. If you can share this with other people you know and also say a prayer for them, that would be wonderful.
Love and Light – Catch you tomorrow…..


1. As an affluent name of this domain, we hold expertise in presenting high quality magnetron.
3. Our products have also been granted for a number of national patents , Dali Vacuum Equipment Offers A Huge Choice Of ion sputtering, rf magnetron sputtering With New Design And Comfortable Materials.
1. Zhaoqing Dali Vacuum Equipment Ltd is a quality supplier of magnetron products in China.
2. This sputter coater not only promotes its capacity, but also saving rf magnetron sputtering.
3. Painstaking efforts are made by each employee in Zhaoqing Dali Vacuum Equipment Ltd to achieve the dream to be the leading ion sputtering brand. Get Quote!


text:
Q: Trying to put a matrix in the graphic console I created a random matrix and now I'm trying to use the graphic_text function to put it on the graphic console i have this code here but its not working, how can i make this work? The main objective of this code is creating a memory game so the numbers from the matrix must stay inside of the circles that i created. I read something about covert my int matrix int a char but I'm not sure if this is the right thing to do.
#include <stdio.h>
#include <math.h>
#include <stdlib.h>
#include "pg/graphics.h"

#define MaxC 4
#define MaxL 5

void background (void)
  {
    graph_rect(0,0,400,480,graph_rgb(102,51,0),true);
    graph_rect(420,390,190,40,c_black,true);
  }

void tabuleiro (void)
  {
    int n,k;
    for (k=0; k<5; k++) {
       for (n=0; n<4; n++){

           graph_circle (50+(95*n), 410-(90*k), 40, c_black,true);
                        }
                          }

graph_text(430,422,graph_rgb(255,255,255), "Novo Jogo", LARGE_FONT);

}

 void gerar_matriz(void){

    int na[10] = {0};
    int i=0,j=0,r;
    int n[MaxL][MaxC];
    srand(time(NULL));

    while(i<5){
        j=0;
       while(j<4){
         r=(rand()%10);

         if(na[r]<2){
            na[r]++;
            j++;
            n[i][j]=r;
            printf(" %3d ",n[i][j]);
        }
    }
    i++;
    printf("\n");

    }
}

void matriz_grafica(void){
      char n[MaxL][MaxC];
    gerar_matriz();

    for(int i=0;i<5;i++){
       for(int j=0;j<4;j++){
          char b= n[i][j];
          graph_text(50+(95*j), 410-(90*i), graph_rgb(255,255,255),b,LARGE_FONT);
    }
 }

 }

void restart(void)
 {
  graph_rect(0,0,GRAPH_WIDTH,GRAPH_HEIGHT, graph_rgb(250,250,250),true);
  graph_rect(0,0,320,480,graph_rgb(102,51,0),true);
  background();
  tabuleiro();
  gerar_matriz();
 }

void myMouseEventHandler (MouseEvent mouse){

if(mouse.state==BUTTON_CLICK && mouse.button==BUTTON_LEFT){
  if (mouse.x<610 && mouse.x>420 && mouse.y<430 && mouse.y>390 )
  {
    restart();
  }
}

}

int main (){

srand(time(NULL));
graph_init();
background();
tabuleiro();
gerar_matriz();
graph_regist_mouse_handler(myMouseEventHandler);
graph_start () ;

return 0;
}

redpajama_set_name: RedPajamaStackExchange


text:
New Species of Praepusa (Carnivora, Phocidae, Phocinae) from the Netherlands Supports East to West Neogene Dispersal of True Seals
Koretsky, I. A., Peters, N., Rahmat, S.
Examination of new fossils (humerus and sacrum) from The Netherlands reveals morphologically-distinctive characters, allowing the description of a new Late Miocene — Early Pliocene representative (Praepusa boeska sp.n.) of the subfamily Phocinae. Diagnostic humeral diff erences in shape of the coronoid (oval in males vs triangular in females) and depth of the olecranon fossae (shallow in males vs deep in females), as well as the presence of a rounded fi rst ventral foramen and thick lateral wall in the male sacrum, reveal the fi rst evidence of sexual dimorphism in the genus Praepusa. The newly described species adds information on the distribution of true seals, supporting the westward dispersal of this genus across the Paratethys. Strong endemism from closure of the Paratethys, and climatic, geological and stratigraphic diff erences indicate that Praepusa first inhabited the Eastern Paratethys (Early — Middle Miocene, 16.5–13.6 Ma) before dispersing to the Central (Middle Miocene, 13.6–11.2 Ma) and, later, Western (Late Miocene — Early Pliocene, 11.6–3.6 Ma) Paratethys. The Pr. boeska fossils are the youngest to date and have been found the furthest west of any previously described material of this genus. Th ese fi ndings help explain the origin and dispersal among described species of the genus Praepusa in comparison with other genera of the subfamily Phocinae.

redpajama_set_name: RedPajamaCommonCrawl


text:
Google gives Street View site a makeover
By Aemon Malone March 15, 2011
Google has updated its Street View website to showcase some of the the program's more exotic imagery, detail exactly where Street View is available and even give insights behind the story of the mysterious "pegman."
On Street View's homepage, visitors are now greeted with a slideshow of some of the more high-profile destinations captured by the Street View team. Images include shots of England's Stonehenge, South Africa's Kirstenbosch National Botanical Garden and Japan's Kumamoto Castle. There's also a "7 Continents of Street View" link which displays a greater of variety of attractions around the world (yes, Street View has visited Antarctica apparently).
In the gallery section of the site, Google has arranged images by different categories including UNESCO World Heritage Sites, South African soccer stadiums and U.S landmarks.
The site also now includes information about some of the operations behind the project. Perhaps the most interesting feature here is a map that shows all of the areas Street View covers and all the places that its currently in the process of photographing.
And if you've ever wondered about that little figure who appears atop the zoom bar in Google Maps, there's an explanation for that, too: "Pegman's name comes from the fact that he is shaped like a clothes peg. He is personified as a life-sized character in several of our demo videos, and has also appeared at other Google events, such as our launch of Street View in France in 2008."
And if you've never experimented with pegman, he's meant to be picked up and dragged to spots on Google Maps in order to reveal areas covered by Street View.
Despite the recent controversies, the new site really does a good job of justifying the Street Views project. It's well worth a visit if you have an hour to kill or if you're in need of some travel inspiration.
Best 2-in-1 laptop deals: Save on Dell, Lenovo, HP and more
Best HP laptop deals: HP Envy, HP Spectre x360, and more
Best Apple Deals: Save on AirPods, iPads, MacBooks and more
Apple Reality Pro: everything we know about Apple's VR headset
We now know how Apple's VR headset may handle video, and it's pretty awesome
Tested: Is Discord really slowing down Nvidia GPUs?


text:
For 750 years
Sale from the estate
Drinking Dreams.
Aromatic varieties
Pinot white
Pinot red
Our Cuvées in white, red and rosé
Our rarities.
Experiencing time
GOOD WINE COMES TO THOSE WHO WAIT.
AT NÄGELSFÖRST, WE CAN LOOK BACK ON 750 YEARS OF GOOD WINE.
We were lucky. Our stunning location on the hills with a panoramic view as far as France could hardly be any more beautiful. However, this was chosen already 750 years ago. The sun shines here for up to eight hours a day in one of the sunniest areas of Germany, surrounded by picturesque vineyards. We enjoy sharing this breathtaking atmosphere with our guests.
We look forward to liberating you from your daily routines with events high up on the hill, where we offer wine tastings and welcome you in our Straussie that is open in the months of April, May, September, as well as October.
We love to take care of your party or anniversary and make your corporate as well as team events, birthdays, communions, confirmations, weddings, and any other occasion one of the most beautiful days in your life.
Whether you are celebrating in the small circle of the family or hosting a glittering party – we are ready to make anything possible.
With an estate of 33 hectares, the only limit is your imagination!
> STRAUSSIE <
> EVENTS <
> WINE TASTINGS <
> CELEBRATIONS <
> WEDDINGS <
> CORPORATE EVENTS <
Phone: +49 (0)7221 – 3555-0
Fax: +49 (0)7221 – 3555-56
23. August – 18. Oktober
Sign up for our newsletter and receive up to date information about our wineyard and its products..
You successfully registered to our newsletter.
Sign up for our newsletter and receive up to date information about our wine yard and its products..
Thank you for signing up for our newsletter.
This website uses cookies. Some are essential, others help us to help us develop this website further.
Indiviual settings


text:
Doctors and Medical Staff
By conditions treated/procedures performed
Phoenix/Scottsdale, AZ
Find a doctor whose last name begins with the letter A A
Find a doctor whose last name begins with the letter B B
Find a doctor whose last name begins with the letter C C
Find a doctor whose last name begins with the letter D D
active Find a doctor whose last name begins with the letter E E
Find a doctor whose last name begins with the letter F F
Find a doctor whose last name begins with the letter G G
Find a doctor whose last name begins with the letter H H
Find a doctor whose last name begins with the letter I I
Find a doctor whose last name begins with the letter J J
Find a doctor whose last name begins with the letter K K
Find a doctor whose last name begins with the letter L L
Find a doctor whose last name begins with the letter M M
Find a doctor whose last name begins with the letter N N
Find a doctor whose last name begins with the letter O O
Find a doctor whose last name begins with the letter P P
Find a doctor whose last name begins with the letter Q Q
Find a doctor whose last name begins with the letter R R
Find a doctor whose last name begins with the letter S S
Find a doctor whose last name begins with the letter T T
Find a doctor whose last name begins with the letter U U
Find a doctor whose last name begins with the letter V V
Find a doctor whose last name begins with the letter W W
There are no doctors whose last name begins with the letter X X
Find a doctor whose last name begins with the letter Y Y
Find a doctor whose last name begins with the letter Z Z
Displaying 1-10 out of 11 doctors available
Last Name Initial: E
J. Dan Echols, M.D.
Areas of focus:
Eric Edwards, M.D.
Michael A. Edwards, M.D.
Eric R. Eggenberger, D.O.
Benjamin H. Eidelman, M.D.
Transplant, Stroke
Abdallah El Sabbagh, M.D.
Trans catheter tricuspid valve repair, Percutaneous valve procedures, Trans catheter mitral valve repair, Patent forame...n ovale closure, Trans catheter mitral valve replacement, Percutaneous coronary interventions, Alcohol septal ablation, Heart disease, Patent foramen ovale, Hypertrophic cardiomyopathy, Coronary artery disease, Heart valve disease
Show more areas of focus for Abdallah El Sabbagh, M.D.
Magdy M. El-Sayed Ahmed, M.B., B.Ch., M.D., M.S.
Mechanical circulatory support device implantation, Heart valve surgery, Coronary bypass surgery, Robotic surgery, Lung... transplant, Heart transplant, Heart valve disease, Coronary artery disease, Heart failure
Show more areas of focus for Magdy M. El-Sayed Ahmed, M.B., B.Ch., M.D., M.S.
Enrique F. Elli, M.D.
Robotic surgery, Minimally invasive surgery, Bariatric surgery, Stomach cancer, Gastroparesis, Esophageal cancer, Hernia
Mohamed Elrefaei, M.D., Ph.D.
Immunogeneticist
Laboratory Immunologist
Allergy, Infectious disease
David B. Erasmus, M.B., Ch.B., M.D.
Critical Care Specialist
Bronchoscopy, Lung transplant


During the Cuban Missile Crisis, while I was deployed to Wheelus AFB as 48th TFW weapons officer, all USAFE fighters were ordered to return to their home base. We had twelve aircraft to get ready for the next morning's launch to Lakenheath (with a fuel stop at Chaumont, France). The next morning some 60 fighters were ready for flight and all of Europe was WAXOF in a snowstorm. We launched anyway.
I was the lead of the third flight of four 48th F-100's. Over southern Italy, we were passed by the 105's – who were cruising at .9 Mach. As we coasted into France all we could see was white undercast. – all bases were calling 100 ft ceiling 1/4 mile visibility and snow. We approached Chaumont sweating about getting 12 airplanes down safely when a big hole opened up in the undercast – and there sat Chaumont. We all landed with Visual Flight Rules (VFR)1 – and after refueling and packing our drag-chutes, arrived back at the Heath with normal Instrument Flight Rules (IFR)2 recoveries – ready for war.
Visual flight rules (VFR) VFR rules also cover visibility requirements and cloud clearance criteria required to fly with visual reference to the ground and/or the horizon. These visibility and cloud clearance requirements vary depending on the type of airspace you're flying in, but they exist to ensure that pilots flying VFR don't get caught up in the clouds and crash into each other.
Instrument flight rules (IFR) stands for instrument flight rules – the set of rules that govern aircraft that fly in meteorological conditions. It's called instrument flight because the pilot navigates only by reference to the instruments in the aircraft cockpit.
On one practice intercept on T-33 target at 40K ft. – I vectored in for a gun pass at mach one plus, yo-yo'd off and barrel rolled outside to reposition for a second attack.
Up-side-down in the roll somewhere well above 40K ft., while pulling thru, the engine began compressor stalling and quickly flamed out. I aborted the attack and began a glide at 250 knots back to Tucson, down to 30K ft. for a restart, which was successful and I returned to base okay.
The long intake wasn't designed for high AoA and G's at 40K ft. – but it was a fun bird to fly in denser air.


Clark had come to visit the scene of this attack just days after the event, says Charlotte Taylor. Here, it is still in progress. Against the seawall, some of the territorials lie fallen while others, in their khaki greatcoats, are urgently struggling to put up a defence, which was hampered by the position of the lighthouse. People are fleeing. A woman carrying an infant rushes away on the far right, in the shadow of a wrecked seafront building, with the word most of the word "Cafe" visible on the frontage. Some timber lies in the road. But the main focus, apart from the central lighthouse bravely flying its flag, is a fisherman hurrying a little girl from the frightening scene, and, he hopes, from danger. Another person can be seen running behind him on the right.
Clark would have known some of this, but, as with The Great Sacrifice, he does not attempt to show the full ugliness of war. Instead, by focusing on the fisherman's attention to his charge, and the mother's to her infant, he dwells on how the human spirit, at its best, can rise above the immediate predicament in its concern for others. As he had hoped, the painting came to sum up the horrors of the Bombardment and record it for future generations.
Chrystal, Paul, and Simon Crossley. Hartlepool through Time Stroud, Gloucestershire: Amberley, 2013 (ebook).


A superb special offer, from £189 down to £159!
Wednesday - Friday and Sundays. Subject to availability. Sundays fill very quickly, please book at least six - eight weeks in advance.
Guests aged 18 or over are welcome. Please advise the venue of any medical conditions or allergies at the time of booking. Unsuitable for pregnant women.
Spend four hours at the venue including a two hours and 25-minutes of treatments. The spa is open 11 - 6pm Wednesday - Friday and 11 - 4pm Sundays.
Please bring swimwear. Towels, robes and slippers are provided.


text:
InDepthNH.org (http://indepthnh.org/2019/06/28/sununu-vetoes-compromise-budget/)
Sununu Vetoes Compromise Budget
By GARRY RAYNO | June 28, 2019
More on Business & Economy
Subscribe to Business & Economy
Evan Lips photo
Gov. Chris Sununu
By GARRY RAYNO
CONCORD — Citing the familiar red flags of tax increases and a structural deficit, Gov. Chris Sununu as expected vetoed the two-year operating budget Friday the House and Senate passed the day before.
"The legislature's proposed budget for fiscal years 2020 and 2021 …both threatens the state's economic growth and leaves the next legislature with a massive fiscal deficit," Sununu wrote in his veto message. "This budget takes us down the wrong path, and the people of New Hampshire will never support it."
But Democratic legislative leaders said the governor chose big business over the people of New Hampshire who would have benefited from property tax relief, expanded child protection and mental health services, and business tax reforms businesses want more than a small tax reduction.
"It's deeply discouraging that the governor chose today to put big businesses before the people of New Hampshire when he vetoed the state budget," stated Senate President Donna Soucy, D-Manchester. "While the Senate remains committed to ongoing budget negotiations, the governor's veto today delays implementation of statewide children's mobile crisis services, jeopardizes critical funding to address the mental health and substance use disorder crises, and kicks the can down the road on education funding and property tax relief."
The House and Senate passed the $13.3 billion, two-year budget package without one Republican vote in either body and with a partisan, contentious debate in the Senate.
While Democrats claim the budget meets the needs of New Hampshire residents more than any budget in a long time, providing critical services such as substance abuse treatment and recovery, mental health emergency care, child protection and crisis help, along with a first step in addressing the state education funding system that has some communities in crisis, and revenue sharing with cities and towns for the first time in a decade.
But Republicans said the budget would hurt the businesses that creates the jobs for the state's robust economy, and will spend the state into an income tax.
The key disagreement between the Governor and the Democratically controlled House and Senate is business tax rates.
Democrats say the rates are "stabilized" at 2018 levels, while Sununu says that is a tax increase because the rates went down in January under the last budget plan.
Maintaining the rates produces $90 million in revenue the Democratically controlled House and Senate need to balance the budget and say business taxes have been reduced over the last few years and are now the lowest in New England.
Democratic leaders say the budget includes business tax reforms bringing New Hampshire in line with surrounding states that are more important to businesses than the small rate cuts Republicans demand.
Sununu said in his budget message the ongoing rate reductions are responsible for the state's growing economy, noting four years ago, New Hampshire had the highest business tax rates in New England.
"The Legislature began the process of providing tax relief by lowering the burden on our employers in a measured process," Sununu writes. "This had an immediate impact on our economy. Employers thrived and created jobs."
He said the legislature's budget would reverse that success.
Democrats said they tried to work with Sununu and met him more than half way giving up a capital gains tax the House used to increase eduction funding and a paid family and medical leave program both houses passed, while the governor refused to budge on any significant issue.
"The House and Senate listened to the governor and the people of New Hampshire and built a budget that helps everyone. The budget vetoed by Governor Sununu today did more for cities and towns than any budget in the last ten years while enacting meaningful business tax reform," said Senate Finance Committee chair Sen. Lou D'Allesandro, D-Manchester. "The governor let this opportunity go by with the stroke of one red pen today simply because he wanted his way. That's not what cooperative government is all about."
Both House and Senate Republicans urged the governor to veto the budget Thursday saying they would support him, which would sustain his veto because Democrats do not have a two-thirds majority needed to override the veto.
"Republicans in the House stood united against the Democrats' fiscally irresponsible deficit-ridden spend-a-thon budget, and we fully support the Governor's decision to veto HB1 and HB2," said House Minority Leader Dick Hinch, R-Merrimack. "This budget raises taxes on our citizens, jeopardizes our economic success, and puts us at a real risk for an income tax or capital gains tax in order to dig ourselves out of an impending structural deficit."
Despite the veto, the governor and Democrats agreed on many issues in the budget including Medicaid provider rate increases, a new Secure Psychiatric Unit, upgrading Department of Transportation vehicles, $40 million in revenue sharing with municipalities, funding for child protective and mental health services, reducing the number of mentally ill patients in hospital emergency rooms, ending the wait list for developmentally disabled services, lead paint remediation and fixing state owned dams.
But the two sides could not agree on business tax rates.
Democrats say the veto leaves the state's children, families and property taxpayers in the lurch as they try to negotiate a new budget package
"With so many crises facing our children, our families, and our state, Governor Sununu's veto of an entire state budget over one issue he didn't win on is just not the New Hampshire way. It is reckless, tone-deaf, and Trumpian," said Senate Majority Leader Dan Feltes, D-Concord. "Our families, our economy, and our property tax payers all deserve better. They deserve a budget."
But Sununu contends the budget creates false hopes and likens it to the one passed in 2009 that resulted in a significant deficit, causing lawmakers in the next legislature to cut critical program and layoff state employees.
"I will not put our state in that position again," Sununu writes. "By putting our booming economy at risk and by building spending expectations that are unsustainable, this budget relies on bad financial management practices and therefore, I cannot support it."
The House and Senate unanimously approved and Sununu signed a three-month continuing resolution to allow state government to continue operating at approved fiscal year 2019 spending levels. The resolution remains in effect until Oct. 1 or until a new two-year budget is approved.
Legislative leaders and the governor say they intend to continue the ongoing negotiations that continued until Thursday when the legislature voted for the budget package down party lines.
While lawmakers' budget spends $13.3 billion in total funds, Sununu's proposed budget would spend $13.1 billion.
The Legislature's budget spends $5.5 billion in state general funds, which is approximately $500 million more than the budget proposed by Sununu.
Garry Rayno may be reached at garry.rayno@yahoo.com


This Penthouse is located on the highest floor of the building in Au Co Street, Tay Ho, Hanoi. The apartment has a large area up to 200 m2, including 3 bedrooms, 3 bathrooms, reasonable design, 2 floors, the first floor is a spacious and luxurious living room and a modern and high-class kitchen with internal imported furniture, balcony area up to 40 sqm make the room is bright and airy. The second floor is a warm bedrooms with view of the Red River. All bedrooms have large windows, so sunshine will flood into the room.
Apartment with garage, service included in rental price such as internet, cable TV, tap Water and cleaning twice a week.
The price of USD 1,500 / month is a very good price for a fully serviced Penthouse, such a good location.
Bathroom number 3 Services Cable TV, internet, tap water, cleanning service.


Westley: Why can't I move? Why am I up against this wall?
In some unfortunate folks, the "arch" of the aorta becomes diseased. The layers of the aorta split apart; a separation which spreads under the pounding of blood ejected from the heart. Over time (sometimes quickly) it can result in stroke, catastrophic heart attack, or sudden bleeding into the chest as the split advances to the branching arteries leaving the aorta for their target organs. This is called an aortic arch dissection. Alternately, the aorta can weaken, bulging like the bubble of an inner tube into an aneurysm which, if it ruptures, is almost always rapidly fatal.
At 70 degrees, the patient is cold to the touch; the first time you feel a 70 degree cheek, you shudder. The patient looks ghostly above the ether screen; they look...cadaverous. Which technically, I suppose, they are, sort of. When the pump is stopped, the room gets quiet. A timer is started. There is no music. There is no idle chatter. If somebody walks into the room talking, they are shushed. The surgeons talk in low voices as they sew. Circ arrest cases are intimate, somehow; it's sacred ritual. I believe in cold, so I surround the head with ice bags wrapped in towels during arrest. I doubt it helps the patient much extra, but it helps me.
From the moment the pump is stopped, the patient begins to decay. No heart or lung function. No brain activity. Like freshly caught fish, the body starts to rot. Decomposition, a process of fat oxidation (free radical breakdown of lipids) is greatly slowed by cold. Fish at room temperature; a few hours. Fish at 34 degrees; a couple of days. When fish smells fishy, it is the odor of the omega-fish fats being oxidized. In humans who we expect to re-animate, the situation is the same. At 68 degrees, energy requiring cellular processes are essentially abolished. Patients are in a state of suspended animation. It's like we've dropped them out of the plane at altitude, and we are swooping down with a net to catch them in their slow motion free-fall before they hit the ground. Patients can last this way about an hour, sometimes a little longer, before enough lipid is degraded to begin to destroy cellular integrity. As time passes, the likelihood of stroke increases. Two hours is way too long.
Once the repair is effected, the pump is restarted and flow is re-established. Then begins a long period of rewarming, maybe an hour and a half or so, culminating in separation from bypass, which can sometimes be a challenge; the cold and handling "stun" even healthy heart muscle, which consequently doesn't beat very vigorously for some time after. During re-warming, there's relatively less to do; the surgeons tidy up their repair. I prepare various drug drips and tend to the anesthetic. The mood in the room lightens; music is turned on, we chat while we watch the temp rise in the bladder, nose, and blood.
There is some promising data looking at even colder temperatures; this is limited by much longer rewarming time, and thus, extended pump time; very long pump runs are themselves injurious, causing lung, heart and kidney injury through inflammatory activation. Interestingly, most of the injury seems to occur after circulation is restored and the patient is rewarmed. Then, affected cells commit suicide-apoptosis. This is called re-perfusion injury. Out of all the organs, the brain is most sensitive. One hour or so. Kidneys next, and gut. Other things later. Hair follicles survive a long time-days.
Circ arrest cases are very demanding; there's no room for error; there are no "do-overs." Anesthetic technique for circ arrest is like making fresh mayonnaise; simple ingredients, impeccable technique. In this case, the ingredients are physiologic; maintenance of good physiology during cooling, rewarming, and separation from bypass. Fancy ingredients (barbiturates, lidocaine, etc) don't seem to add much to sustainable circ arrest time or odds of functional survival.
Thanks for sharing. As a double valve replacement patient, I'm always interested in anything related to the heart.
First case of circulatory arrest with deep hypothermia I saw was an infant with anomolous pulmonary venous return. Cold and static, ice packed around the heart: by pretty much any criteria, the child was dead during the operation; and, other than having a few tubes here and there, seemed ready for discharge the next day.
A very nicely written -- poetic, really -- treatise. Thanks.
Very intriguing. Cardiac is the one specialty I have never had the privelege to scrub or assist in. Very descriptive. Tell us more?
You my friend are a very special individual. Your passion for what you do is immediately discerned in your eloquent writing. Anyone who you work on is blessed to be in your hands. As an aortic surgery suvivor, my surgeon was like you. It would be great if all doctors in all fields had a passion like you. You are gifted. Keep up the good work.


text:
AHL Shuffle: 12/06/21
December 6, 2021 at 11:59 am CDT | by Gavin Lee Leave a Comment
Six games are on the schedule this evening, including new coaches leading benches in Philadelphia and Vancouver. Mike Yeo will coach his first game as Flyers interim head coach this evening against the Colorado Avalanche, while Bruce Boudreau takes over the Canucks bench against the Los Angeles Kings. As those teams and others prepare for action, we'll keep track of all the minor league shuffling:
The Florida Panthers have recalled Olli Juolevi from the AHL, after the young defenseman went down on a conditioning loan earlier this month. Juolevi hasn't played in the NHL yet this season.
Jack Ahcan and John Moore have been recalled by the Boston Bruins, who are dealing with several non-COVID illnesses in their group. Moore, who has more than 500 games of NHL experience, has played just 31 games with the Bruins since the start of the 2019-20 season. Oskar Steen has been sent back down to Providence to make room.
The Buffalo Sabres have brought Ukko-Pekka Luukkonen back up, following Malcolm Subban's injury the other night. The team is hopeful that Subban's injury isn't significant and according to John Vogl of The Athletic, the team is using one of the two goaltender exemptions they're allowed this season to bring Luukkonen up. That would allow them to carry 24 players on the roster for a short period of time (48 hours).
Perhaps Yeo prefers Max Willman to Connor Bunnaman, because the Flyers have swapped the two today. Willman has been recalled to the NHL roster, while Bunnaman is on his way back to the AHL.
The Nashville Predators have recalled Ben Harpur and Matt Luff from the AHL, giving them a pair of new bodies as they hit the road for a four-game trip. Harpur is coming off a conditioning loan, as he's played just four games for the Predators this season.
The Vancouver Canucks, now led by interim GM Stan Smyl, have recalled Travis Hamonic from the AHL. Hamonic hasn't played since November 21 as he missed the team's last road trip due to vaccination status and then curiously was not recalled for Saturday's home game. The team has previously announced that by the next time they go on the road, Hamonic will be able to travel with the team.
This page will be updated throughout the day
AHL| Transactions
Connor McDavid Avoids Suspension
Dmitry Zavgorodniy Assigned To KHL


text:
680 Grand Circle Photos
SeatPlan members have added 680 Grand Circle view from seat photos to help you book Ain't Too Proud tickets and MJ the Musical tickets and more. Help us get a photo from every seat - add your photos.
Grand Circle Guide
The Grand Circle is the highest section in the theatre and can feel particularly distant from the stage, especially in rows H-N. This section is split into front and back by a horizontal aisle that runs behind Row G. The best seats are situated in the centre.
Seats curve around the balcony, with the most drastic restrictions in the front row and in seats towards the ends of rows. It is best to research these seats, as some can be an absolute bargain.
Stairwells on either side of Row H make the rear of the Grand Circle feel very distant from the stage. Loge boxes run down the side of the auditorium and are very high above the stage, offering a side view of the stage, which is usually discounted but still offers a great view.
There is a bar available on this level, with movable seating.
Men and Women's toilets are available on this level.


I'm so excited about the announcement of a new picture-book I'll be working on later this year with my editor for MISS MAPLE'S SEEDS, Nancy Paulsen. The story, called OUR BABY, written by Varsha Bajaj, celebrates a baby elephant's birth. The text is so sweet, and is bound to be a great new baby gift!
I've been paying special attention recently to photos and articles about elephants, and also got a pass for our nearby zoo so that I can sketch them up close. They are fascinating and intelligent creatures, it's going to be fun spending more time learning about and drawing them. When I was young, one of my favorite Disney films was DUMBO. I'm looking forward to re-watching that for inspiration! I'm trying to collect elephant reference, so please feel free to share any links to articles, photos, or videos that you come across!
I'm also especially looking forward to working with Nancy Paulsen again — her feedback is always so incredibly thoughtful, and she's extremely supportive of the creative process. Nancy and I have been working back and forth since the publication of MISS MAPLE'S SEEDS to nail down my next book, and have worked through several story ideas. She's been patient with my slow pace when it comes to the writing process, and it helps me to know she understands that a great book doesn't happen overnight. She's both honest and encouraging (a great combination).
Nancy sent me a random email one day asking, "Have you drawn any elephants?" I hadn't, but was eager to give them a try! So I made this sketch in response. The wrinkles and folds are going to be so fun to develop further!
A huge thank you to Nancy Paulsen for giving me this opportunity, and to my wonderful agent Jen Rofé for working out all the project and contract details!
Can't wait to see this book! What an adorable picture.
Thank you, Lynne! This link is great, I appreciate you sharing it!
Thanks so much, Diandra! It is going to be such a fun topic to work with. Hope your illustrating is going well!
Eliza, I think you need to add a cuteness alert to this post. The "baby" you have brought to life is everything I imagined and more!
Haha – thank you so much, Varsha!
Congratulations Eliza! Your elephant is so lovely! Looking forward to your illustrations and Varsha's story. I met Nancy at the winter conference this year and I can see how she would be a joy to work with. Have Fun!
Congratulations, Eliza! Your elephant is lovely.
And luck you– you get to spend some time with elephants!
It's going to be a fun subject – thank you Dana! Hope you're well!
Love the elephant you drew – she is adorable!
That sounds like such a fun project, Eliza! I can't wait to hear more about it. That's so awesome that the zoo gave you a special pass.
Thank you so much, Jess! So awesome to hear about Miss Maple at the Boulder Bookstore. Yay! And hahaha – I can totally see how the title to this post may have given that impression!! Oh my – nothing like that happening around here yet. :) Hope to see you soon!
Looking forward to it!! Your work is outstanding, Eliza!!


text:
HomeOpinion
Credit: Alexandra Koch via Pixabay.
The Unintended Effects Of The Lockdown
By Ben Dolbear on	 May 31, 2020 Opinion Politics
Disclaimer: The views expressed within this article are entirely the author's own and are not attributable to Wessex Scene as a whole.
Like all of us, I have been heeding the advice of the government for the past two months to stay at home, protect the NHS, and save lives. But if this government's self-professed agenda really is to 'save lives', it's time we start thinking about ending this lockdown.
I have no quibbles with the social distancing measures that have turned our lives upside down up to this moment. Self-imposed quarantine has saved thousands of lives across the country, and the clear guidance of the two-metre rule has slowed the spread of the disease to the extent that the R-rate of infection is now well below 1. In short, the lockdown has done its job.
But if we now persist in keeping the pause button pressed on our society for months more to come, the dangerous consequences already starting to corrode our collective human psyche and the nation's physical health will be magnified. The social distancing measures led the Southern Health NHS Trust back in late March banned friends and families from all hospitals, including mental health units. This has meant that for nearly two months, the most vulnerable in our society, those who need more than anything to rebuild connections with those dearest to them, have been denied a vital pillar to recovery.
A second unintended consequence of this nationwide lockdown is that Accident and Emergency visitations in England have fallen to their lowest level since records began. Part of the staggering year-on-year in community deaths might be down not to this deadly virus, but to a reluctance to seek medical help in times of crisis. Perhaps this is what Boris Johnson meant when he hinted the public had heeded the 'stay at home' advice too strongly. Moreover, physical health is taking hits across the medical spectrum, from delays to life-saving chemotherapy appointments to heightened uncertainty over maternity care.
In the past three weeks alone, a record 500,000 people have accessed online training that aims to prevent suicide, while evidence has been produced showing that the performance of poorer school pupils in England is falling significantly behind that of their wealthier peers.
Boris Johnson hopes that the UK can return to 'near normality' by July this year, but two more months of this social stagnation may open irreparable wounds across the nation, leaving many of us wondering: was it really worth it?
Ben Dolbear
English student, lifestyle writer.


text:
package org.unbescape.css;

import org.junit.Test;

import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeBECompact1;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeBECompact2;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeBECompact3;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeBECompact4;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeBESixDigit1;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeBESixDigit2;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeBESixDigit3;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeBESixDigit4;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeCompact1;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeCompact2;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeCompact3;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeCompact4;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeSixDigit1;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeSixDigit2;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeSixDigit3;
import static org.unbescape.css.CssStringEscapeTestUtil.testEscapeSixDigit4;
import static org.unbescape.css.CssStringEscapeTestUtil.testUnescape;

/**
 *
 * @author Daniel Fernández
 *
 * @since 1.0
 *
 */
public class CssStringEscape21Test {

    // Decimal numbers at the beginning of the identifier should be escaped
    private static final String TEXT = "0123456789";

    @Test
    public void testBECompact() throws Exception {

        final String textBECompactLevel1 = "0123456789";
        final String textBECompactLevel2 = "0123456789";
        final String textBECompactLevel3 = "0123456789";
        final String textBECompactLevel4 = "\\30\\31\\32\\33\\34\\35\\36\\37\\38\\39";

        testEscapeBECompact1(TEXT, textBECompactLevel1);
        testEscapeBECompact2(TEXT, textBECompactLevel2);
        testEscapeBECompact3(TEXT, textBECompactLevel3);
        testEscapeBECompact4(TEXT, textBECompactLevel4);

        testUnescape(textBECompactLevel1, TEXT);
        testUnescape(textBECompactLevel2, TEXT);
        testUnescape(textBECompactLevel3, TEXT);
        testUnescape(textBECompactLevel4, TEXT);

    }

    @Test
    public void testBESixDigit() throws Exception {

        final String textBESixDigitLevel1 = "0123456789";
        final String textBESixDigitLevel2 = "0123456789";
        final String textBESixDigitLevel3 = "0123456789";
        final String textBESixDigitLevel4 = "\\000030\\000031\\000032\\000033\\000034\\000035\\000036\\000037\\000038\\000039";

        testEscapeBESixDigit1(TEXT, textBESixDigitLevel1);
        testEscapeBESixDigit2(TEXT, textBESixDigitLevel2);
        testEscapeBESixDigit3(TEXT, textBESixDigitLevel3);
        testEscapeBESixDigit4(TEXT, textBESixDigitLevel4);

        testUnescape(textBESixDigitLevel1, TEXT);
        testUnescape(textBESixDigitLevel2, TEXT);
        testUnescape(textBESixDigitLevel3, TEXT);
        testUnescape(textBESixDigitLevel4, TEXT);

    }

    @Test
    public void testCompact() throws Exception {

        final String textCompactLevel1 = "0123456789";
        final String textCompactLevel2 = "0123456789";
        final String textCompactLevel3 = "0123456789";
        final String textCompactLevel4 = "\\30\\31\\32\\33\\34\\35\\36\\37\\38\\39";

        testEscapeCompact1(TEXT, textCompactLevel1);
        testEscapeCompact2(TEXT, textCompactLevel2);
        testEscapeCompact3(TEXT, textCompactLevel3);
        testEscapeCompact4(TEXT, textCompactLevel4);

        testUnescape(textCompactLevel1, TEXT);
        testUnescape(textCompactLevel2, TEXT);
        testUnescape(textCompactLevel3, TEXT);
        testUnescape(textCompactLevel4, TEXT);

    }

    @Test
    public void testSixDigit() throws Exception {

        final String textSixDigitLevel1 = "0123456789";
        final String textSixDigitLevel2 = "0123456789";
        final String textSixDigitLevel3 = "0123456789";
        final String textSixDigitLevel4 = "\\000030\\000031\\000032\\000033\\000034\\000035\\000036\\000037\\000038\\000039";

        testEscapeSixDigit1(TEXT, textSixDigitLevel1);
        testEscapeSixDigit2(TEXT, textSixDigitLevel2);
        testEscapeSixDigit3(TEXT, textSixDigitLevel3);
        testEscapeSixDigit4(TEXT, textSixDigitLevel4);

        testUnescape(textSixDigitLevel1, TEXT);
        testUnescape(textSixDigitLevel2, TEXT);
        testUnescape(textSixDigitLevel3, TEXT);
        testUnescape(textSixDigitLevel4, TEXT);

    }

    public CssStringEscape21Test() {
        super();
    }

}

redpajama_set_name: RedPajamaGithub


Found 5319 reading (dyslexia) tutors – page 1 of 532.
Dr. Johnson is a professor of online courses in Medicine, Health, Nursing, Allied Health, Professional Communication, Forensics, Natural Medicine, and Healthcare Informatics that he has taught for over 12 years.
A first-grader learning to read, a middle-schooler struggling with algebra, a high school student preparing for SAT's, and an adult learner heading back to college have very different needs.


text:
The Royal Grove Hotel (sometimes hereinafter referred to as "Hotel", "we", "us", or "our") welcomes all guests. We are dedicated to providing exceptional service, from reservation to check-out.
Digital Accessibility Compliance Guidelines and Goals
We strive to offer an excellent user experience for visitors using any type of assistive technology to access the website. Our website accessibility standards are based on the WCAG 2.1 (Web Content Accessibility Guidelines 2.1) level A + AA success criteria.
We also follow the World Wide Web Consortium (W3C) Web Accessibility Initiative (WAI) guidelines, which are in line with our philosophy of promoting usability for people of all abilities. In addition, we actively work to maintain, assess and improve the usability and accessibility of our website through engagement of experts and regular testing of our digital accessibility.
Continuous Digital Monitoring
Using mainstream, developer-supported accessibility monitoring tools and assistive technology, our site undergoes real time monitoring and multiple scans per day to detect any accessibility errors that may arise due to the addition of updated content or website code.
Our team of accessibility experts manually investigates each error that may appear and applies an appropriate remedy in order to ensure the site's functionality is available to the most diverse range of users possible. Data results of scans are recorded in long-term logs so that we are able to access a snapshot of the accessibility score of the website at any given time.
We welcome feedback
If you experience any difficulty accessing or navigating our websites or have any accessibility-related questions or comments, we are listening. Please contact us at reservations@royalgrovewaikiki.com with a description of the issue you encountered and your contact information. You are also welcome to call us at 808-923-7691 for assistance 24 hours a day, 7 days a week.
The Royal Grove Hotel website may contain material from social media sites such as Facebook and Youtube, which are used to share additional content about our property, facilities and services. We invite you to review accessibility information and guidance directly from Facebook, Youtube, Twitter and Instagram.
Accessible Features and Amenities
The Royal Grove Hotel is compliant with the ADA (Department of Justice ADA Title III Regulation 28 CFR Part 36, 1991). We welcome guests of all abilities. Our property descriptions aim to allow any visitor to make an informed decision on whether the hotel is an appropriate choice for their needs.
Please note that Royal Grove Hotel does not have designated wheelchair-accessible accommodations. Please contact us directly at reservations@royalgrovewaikiki.com or 808-923-7691 to discuss your needs. We are happy to consult with you and provide more information.
Accessible public entrance.
The registration desk is 36" high.
Accessible route from the public entrance and rooms to the registration area.
Accessible elevator.
Accessible route to the elevator from the public entrance, registration desk and rooms.
Accessible emergency exit: Main entrance.
TTY for guest use.
Visual and audible alarms for smoke, fire and emergency.
Service animals are welcome at the Royal Grove Hotel.
Accessible Business Center.
Accessible route to Business Center from the public entrance and rooms.
From a digitally-accessible website to complete descriptions of all onsite amenities and features, we wish to provide a positive experience from start to finish. Please note that this accessibility statement applies to all content on the Royal Grove Hotel website.


Realizing that you have a problem with drugs and need help is a powerful moment; rather than being an admission of defeat, admitting that you need help is an act of courage that speaks to your desire to live a healthier and more fulfilling life. Often, it speaks to your desire to live, period. But for many users, the prospect of getting clean and sober is intimidating. Even if you strongly recognize the need for recovery, the process of that recovery can seem like a painful and difficult journey, especially when your addiction is likely to produce distressing withdrawal symptoms. For certain types of drugs, however, medications are available that ease or even eliminate withdrawal symptoms, support your engagement in early treatment and recovery, and create a positive start to your recovery journey.
Dr. Steven Batki is considered one of the leading experts on addiction medicine in the country. As Consulting Psychiatrist at Alta Mira, he manages the medical and psychiatric needs of all clients, including the creation of personalized, medically-supervised detox plans that address the needs of those going through the detox and withdrawal process. In this interview, he shares his insights about the use of medications to minimize or prevent withdrawal symptoms and how pharmacological treatments can pave the way for long-term recovery.
To understand how pharmacological withdrawal treatment works, you must first understand how withdrawal itself works. "The phenomena that occur during withdrawal are all due to neuroadaptation, or adaptation of the central nervous system to taking drugs over long periods of time," Dr. Batki says.
Chronic use of drugs leads to brain changes or adaptations that can be thought of as resulting in the opposite kind of symptoms or effects than what the drugs of abuse produce. This is because when we take drugs that affect certain neurotransmitters in the brain, and during the process of taking those drugs we end up reducing or "down-regulating" the amount of those neurotransmitters that our own brain makes, or we reduce the number of the receptors on brain cells that are affected by those drugs.
For example, alcohol increases GABA-related neurotransmission in the brain (GABA is a relaxing, sedating chemical that alleviates anxiety and acts as an anticonvulsant). Chronic alcohol consumption reduces our brain's natural GABA production, so that if alcohol use is suddenly discontinued, we are left with a "GABA deficit".
When we stop drinking and we're no longer getting this artificially high GABA effect from the alcohol, we are left with a brain that has inadequate amounts of its own GABA. That will lead to all the opposite effects — rather than relaxation, there's going to be anxiety. Rather than sedation, there's going to be excitability. Rather than anticonvulsant effects, there might be seizures.
For individuals addicted to alcohol, opioids, and benzodiazepines, the natural withdrawal process can be deeply distressing both emotionally and physically, leading many to return to drug use in order to stave off the physical and psychological pain of these withdrawal symptoms.
In some cases, withdrawal can be life-threatening, if the brain is unable to stabilize rapidly enough to prevent the emergence of dangerous symptoms such as seizures. As a result, it is imperative to seek medical attention if you are withdrawing from long-term, chronic alcohol or benzodiazepine addiction. Withdrawal from opioid addiction, while not life-threatening, is often intensely uncomfortable.
The judicious use of certain medications can dramatically minimize or eliminate withdrawal symptoms in early recovery from certain types of drugs of abuse, providing both mental and physical comfort while reducing the urge to use. In the case of alcohol and benzodiazepine addiction, they can even be essential to the withdrawal process by preventing physical harm from seizures.
Medications are used to alleviate withdrawal symptoms by essentially making up for — or correcting — the neuroadaptation that drug use has caused. If chronic alcohol consumption reduces your levels of GABA, then we can give a medication that provides some of that GABA effect, and then withdraw or taper that medication in a gradual fashion to prevent the emergence of the withdrawal syndrome.
The pro-GABA effects of a medication such as phenobarbital can help in treating withdrawal from benzodiazepines such as Xanax, allowing you to safely and gradually detox from drugs of addiction with minimal withdrawal symptoms.
In the case of opioid withdrawal, opioids themselves are typically employed to alleviate withdrawal symptoms and allow the brain time to recover by gradually removing the effects of opioids from the body. Because they are longer-lasting and have lower risk profiles, medications such as buprenorphine (Suboxone) offer significant therapeutic benefits and provide safe and comfortable withdrawal from drugs of abuse. Adjunctive use of the non-opioid blood pressure medication Clonidine may also allow for reduced reliance on opioid medications.
Unfortunately, withdrawal medications are not available for all types of drugs. "We do not have detox medications proven to be effective for cannabis or for stimulants such as methamphetamine or cocaine, or for certain other drugs classified as hallucinogens or dissociative anesthetics like ketamine," Dr. Batki tells me. But for the addictions for which treatments are available, medications can make a big impact, and might mean the difference between recovery and relapse.
While withdrawal medications can be a critical part of early recovery, the nature of your treatment must be tailored to your specific needs. This is especially true if you are experiencing a co-occurring mental health disorder, which may complicate withdrawal by augmenting withdrawal symptoms.
The best example of this is a patient with severe anxiety disorders or severe mood disorders, particularly depression. Individuals who are very anxious and have benzodiazepine addiction or alcohol use disorder are going to have both a benzodiazepine or alcohol withdrawal syndrome when they stop using, and they'll also have their pre-existing anxiety disorder adding to it. They might be much more anxious and agitated when they go through withdrawal than a person who does not have an underlying anxiety disorder.
Similarly, people with depression often have more severe depressive symptoms during withdrawal than someone without underlying depression. As a result, those with co-occurring mental health disorders may require withdrawal symptom-reducing medication longer or at higher doses.
12-step support groups provide a community that can offer extremely valuable psychological support and encouragement. Having a sober living environment can protect against impulses to relapse to substance use when experiencing withdrawal symptoms, experiencing one's own uncomfortable or painful emotions, or experiencing the day-to-day stresses that come with life. Having relapse prevention medications that reduce craving, especially stress-induced craving, can be really helpful. Spiritual practice, exercise, good nutrition, and holistic lifestyle changes are also extremely important.
What exactly withdrawal looks like will be different for each person, but with the right supports, it is possible to have a healthy and comfortable experience that serves as the foundation for long-term recovery, personal growth, and profound inner transformation.
Alta Mira offers comprehensive treatment for people struggling with addiction as well as co-occurring mental health disorders and process addictions. Contact us to learn more about our internationally renowned programs and staff, and how we can help you or your loved one start the journey toward lasting recovery.


text:
Amazon's airport ambitions might be squashed by a tiny group of activists
By Maya Shwayder January 29, 2020
A group of environmental and labor activists in Southern California are taking on Amazon and the U.S. government, in hopes of stopping a new airport terminal that's expected to be used as a massive Amazon fulfillment center that could make air quality in the area even worse.
Amazon's big pollution problem
Findings disputed
The groups filed a petition for review in the U.S. Court of Appeals for the Ninth Circuit in a challenge of an environmental assessment by the Federal Aviation Administration (FAA) that would make way for a new cargo terminal at the San Bernardino airport. This terminal is suspected to be under construction specifically as a shipping and fulfillment center for Amazon, according to the LA Times.
The petition for review, obtained by Digital Trends, said the FAA's orders were "arbitrary and capricious." The petition is being filed by the environmental legal group Earthjustice on behalf of the local Teamsters union in Southern California, as well as the Sierra Club and the Center for Community Action and Environmental Justice, who said their goal is to completely halt the construction of the new terminal so that a "robust" environmental review can be done.
It'll take a lot more than $1 billion for Delta to go carbon-neutral
Hundreds of Amazon workers criticize the company's approach to climate crisis
Samsung, T-Mobile to recycle an old phone for every S10e sold in the Netherlands
According to the American Lung Association, San Bernardino County already has some of the worst air quality in the country. Earthjustice and the petition filers are saying that a functioning airport terminal like the one currently proposed would involved an estimated 7,516 truck trips annually, and pump 355 tons of air pollution into the community.
"They're going to dump literally a ton of pollution in this area, that's already one of the most ozone polluted areas in the country," said Adrian Martinez, a staff attorney for Earthjustice's Right to Zero campaign, to Digital Trends before the filing. "They're saying it's not going to have an impact when we all know it will. It's one of these things that defies logic and science."
"The FAA has chosen to ignore the dirty impacts this new airport terminal will create for us," said Anthony Victoria-Mindence, spokesperson for the Center for Community Action & Environmental Justice in a statement to Digital Trends. "Developers and corporations should be required to meet stringent standards if they're trying to build in a community suffering from the nation's worst air quality, not given free rein to deplete our quality of life in San Bernardino."
This filing comes as Amazon pledged in September to go carbon neutral after pressure from an employee-led movement within its own company. At present, Amazon has admitted that it produces 44.4 million tons of carbon dioxide each year, the same amount as Norway or Hong Kong. According to Greenpeace, Amazon's growth has outpaced its renewable energy investment in certain sectors. Features like Prime Shipping mean that packages are not consolidated, which can lead to further waste, according to Buzzfeed. At present, Greenpeace said, Amazon's climate pledge does not cover its supply chain emissions.
"Aircraft is one of the sources of pollution that we have a hard time controlling," Martinez said. "We're hearing there's a lot of interest in expanding air freight and using air freights to ship products around the country, and that has an immense impact on greenhouse gases and localized health."
The region around the airport, known as the Inland Empire, is a huge logistics and shipping hub for the U.S.. There are more Amazon warehouses there than anywhere else in the country. "It's the biggest game in town," said Mario Vasquez, Communications Coordinator for the local Teamsters 1932 union. "The Inland Empire is the shopping cart of America. The consumer products all around you at one point passed through the supply chain that's been built out here."
Vasquez said the labor group were joining up with the environmental groups because the issue is so multifaceted. "Our lived experience is so shaped by warehouse and logistics developments in our region," he told DT. "the residents here don't need a study to tell them what they already experience every day — that the air quality is absolutely terrible, and adding more emissions to the region without proper mitigation is an injustice to them."
When the FAA completed its assessment for the Eastgate Air Cargo Facility at the San Bernardino Airport in December 2019, it issued a "Finding of No Significance," meaning that the construction and operation of the airport terminal would have no significant consequences on the environment in the region, and construction could go forward.
The notice of the FAA's assessment, sent from the FAA to the San Bernardino Airport's executive director and provided to Digital Trends, reads as follows: "The proposed action is consistent with existing environmental policies and objectives as set forth in the National Environmental Policy Act of 1969 in that it will not significantly affect the quality of the human environment."
The groups filing this petition say none of that is true. "This project [the airport terminal] has a lot of flaws, but most of all, it's going to dump a lot of air pollution into one of the worst and already most polluted regions in the country," said Martinez. "We're saying the FAA violated environmental laws by failing to really look at the impact this proposed cargo project could have."
A spokesperson for the FAA told Digital Trends that it doesn't comment on pending litigation. Amazon did not immediately respond to a request for comment on the filing. We will update this story when we hear back.
Earthjustice and the filing groups point to the current high rate of pollution in the area as evidence of the environmental impact that the airport already has.
The groups are asking for what they call "real and rigorous" analysis of the airport project, and called the current analysis "paltry."
"There was a real desire to ram this project through," said Martinez, adding that this has been a trend. "This is an administration that's taken short shrift of environmental protection, and this is another example where they're trying to push a project through without careful consideration. The consequences of this will be felt in the lungs of people in San Bernardino."
Amazon's Jeff Bezos commits $10 billion to fighting climate change
Would you give up Amazon Prime shipping to save the planet?
Google has made 'substantial' donations to climate change deniers in D.C.
Changing some code on YouTube could help lower its carbon footprint
Eat up! Insects may truly be the sustainable food source of the future
Richard Branson is sinking one of the last surviving Pearl Harbor ships for a good cause


text:
Ludolf August Friedrich von Alvensleben (* 6. September 1743 in Alsleben; † 25. Februar 1822 in Brieg) war ein preußischer Generalmajor, Kommandant der Festung Glatz und Inspekteur der Schlesischen Truppen.

Leben

Herkunft
Er war der älteste Sohn des Herrn auf Calbe Johann Friedrich von Alvensleben (1698–1752) und dessen Frau Wilhelmine Auguste Ernestine, geborene von Erlach (1722–1756). Sie war die Tochter des Hofmarschalls (Anhalt-Bernburg) August Leberecht von Erlach.

Militärkarriere
Alvensleben war zunächst Page beim Herzog Viktor Friedrich von Anhalt-Bernburg. Anfang Oktober 1756 trat er als Gefreiterkorporal in das Regiment Garde der Preußischen Armee ein. Während des Siebenjährigen Krieges geriet er in der Schlacht bei Hochkirch verwundet in Gefangenschaft. Nach seinem Austausch nahm Alvensleben an der Schlacht bei Torgau teil, in der er am Fuß verwundet wurde. Bis Oktober 1771 avancierte er zum Premierleutnant, nahm 1778/79 am Bayerischen Erbfolgekrieg teil und erhielt mit der Beförderung zum Kapitän im August 1780 eine eigene Kompanie. Als Major konnte sich Alvensleben während des Ersten Koalitionskrieges in der Schlacht bei Pirmasens besonders bewähren und erhielt dafür den Orden Pour le Mérite.

Bis Januar 1796 stieg Alvensleben zum Oberstleutnant auf und wurde Anfang Februar 1796 Kommandeur des III. Bataillons. Im Januar 1798 wurde er Oberst und im September 1800 zum Regimentskommandeur ernannt. Am 31. Dezember 1804 folgte seine Ernennung zum Chef des Infanterieregiments "von Schierstedt" in Glatz. In dieser Stellung wurde Alvensleben am 20. Mai 1805 mit Patent vom 23. Mai 1805 zum Generalmajor befördert. Als solcher nahm er 1806 an der Schlacht bei Jena teil, wurde dabei verwundet und durch die Kapitulation von Magdeburg inaktiv gestellt. Am 29. November 1807 wurde er zum Kommandant von Glatz ernannt und ab Anfang Februar 1808 war er auch als Inspekteur der Schlesischen Truppen tätig. Mit einer jährlichen Pension von 900 Talern wurde ihm am 3. Juni 1809 sein Abschied bewilligt.

Mitte September 1809 verurteilte ihn ein Militärgericht zu einer zweijährigen Festungshaft, weil er sich 1806 in Magdeburg zwar gegen die Kapitulation der Festung ausgesprochen, diese aber nicht verhindert hatte. Mit Alvensleben wurden auch die Generale von Schack, von Tschepe und von Schimonsky verurteilt.

Zu Beginn der Befreiungskriege erbat Alvensleben bei König Friedrich Wilhelm III. eine Wiederanstellung in der Armee, die dieser jedoch ablehnte. Er starb am 25. Februar 1822 in Brieg.

Familie
Alvensleben heiratet am 20. März 1792 in Potsdam Juliana von Rabiel. Sie war die Tochter des Oberstleutnants und späteren Postmeisters zu Landsberg an der Warthe. Ihre einzige Tochter Augusta (1793–1871) ehelichte den Rittmeister Christoph Bernhard Wilhelm von der Osten (1785–1833).

Literatur
 Kurt von Priesdorff: Soldatisches Führertum. Band 3, Hanseatische Verlagsanstalt Hamburg, o. O. [Hamburg], o. J. [1937], , S. 167–168, Nr. 1077.
 Siegmund Wilhelm Wohlbrück, Hellmut Kretzschmar: Geschichtliche Nachrichten von dem Geschlechte Alvensleben. Band 3, S. 367 Digitalisat

Weblink
 General Ludolf von Alvensleben auf der Website der Familie von Alvensleben

General der Frühen Neuzeit (Brandenburg-Preußen)
Regimentsinhaber der Frühen Neuzeit
Person im Siebenjährigen Krieg (Preußen)
Person in den Koalitionskriegen (Preußen)
Verurteilte Person
Träger des Pour le Mérite (Militärorden)
Ludolf August Friedrich
Preuße
Geboren 1743
Gestorben 1822
Mann

redpajama_set_name: RedPajamaWikipedia