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Moon active games
Have the group sit in a circle. Aug 28, 2019 · Players with a copy of Sun, Moon, or the Ultra games can download a free Mystery Gift containing five rare types of Berries: Enigma, Micle, Custap, Jaboca, and Rowap. For this reason, circle games are a favorite activity for teachers, camp directors – anyone who works with groups of individuals, especially children. From there, students create moon phase cards, which is used to track their learning of the moon. The calendar below shows all Moon Phases for July 2020. Because most children already know how to play these time-tested traditional games, like "Musical Chairs," there is no need to The Monk's Tongue of the Sun and Moon feature states: Starting at 13th level, you learn to touch the ki of other minds so that you understand all spoken languages. Build a city on good fortune and strategic attacks . Primary games. Once a user is disqualified, no prizes are to be paid out. They take part in a fishbowl think aloud to encourage conversation and questioning from one another. Take part in SPACE WEEK and discover the secrets of the farthest planets of the Solar System! The better you do in TOURNAMENTS, the more points you will get and the higher your prize will be! Learn about shapes and play games with your favorite PBS KIDS characters like Elmo, Daniel Tiger, Sid the Science Kid and Thomas the tank engine! Aug 08, 2010 · As I write this it is a beautiful, sunny Winter's afternoon. 7 Disappearance of Sun Moon 8 Quotes 9 Fun Facts 10 Gallery Sun Moon is a businessman, entrepreneur, and leader of the Little Seoul chapter of the Korean Mafia Jan 18, 2019 · TASTE-SAFE Moon Sand Recipe. Our goal is to develop top quality casual games and connect people, friends and players from all over the world. Other moons are the size of planets, such as Basis which is nearly twice the size Oct 19, 2017 · The moon is a cold, lifeless chunk of rock today, but it was active in the past when the interior was still cooling. The Moon — sometimes Luna — was Earth's largest and only natural satellite. Look at the pattern the spaceship leaves behind and place the appropriate moon rock on the question mark to complete the pattern. 5. Card games. 4. 51 billion years ago, some 60 million years after the origin of the Solar System. #322 Free in Apps & Games (See Top 100 Free in Apps & Games) #133 in Games; Would you like to tell us about a lower price? Moon Active and GDPR. It was released in 2016 and earned its reputation as one of the most interactive mobile games on the market. 1. NASA's Jun 27, 2020 · Steam Games Accounts. The earth shadow falls on it. Or call 1-800-MY-APPLE. It is good to play with a class of kids, divided into teams, and can be adapted to suit different ages. There are numerous games and activities you can do with your kids to either get them started with addition and subtraction or secretly drill math facts. Game Operations Team Leader Moon Active. The patterns start to repeat and players see the same outcomes session after session. Active games The '90s Sailor Moon anime had 200 episodes. In 2013, the game Jan 19, 2018 · The newest pair of Pokemon games, Pokemon Ultra Sun and Ultra Moon, were released in November, and ahead of their launch, Nintendo began giving away a ton of free items and Pokemon for the Teachers, parents, or homeschoolers can use these three games to teach and reinforce creation games about the stars and moon for preschool children. 'Moon Landing' falls into the third category. It can be in the range from 0. We also provide a Powerpoint presentation and extensive teacher guide on how to use Active Engagement to teach and learn Moon phases. It is the perfect sound to accompany this sunny day and […] This hat will be awarded to active players after Nov. Our #1 game, Coin Master, was launched in 2016, and quickly earned its reputation as one of the most interactive social games around, connecting players worldwide to one another. Jun 26, 2020 · For years, most scientists figured that Jupiter's moon Io didn't have a lot going on. Sailor Moom Arte Sailor Moon Sailor Moon Stars Sailor Moon Manga Sailor Moon Crystal Sailor Moon Coloring Pages Fairy Coloring Pages Adult Coloring Pages Coloring Books Сейлор Уран VK is the largest European social network with more than 100 million active users. Some natural satellites were only asteroids captured by a planet's orbit, such as Reach's smaller moon Turul. Positive & Negative Reviews: Coin Master - 10 Similar Apps, 6 Review Highlights & 3,477,221 Reviews. 5 billion years old, the Moon is considered "tectonically active," the researchers wrote in the study, published in the scientific journal, Nature Geoscience. PBS KIDS Privacy Policy. Spin, Attack, Raid and Build Confirmed Page Owner: Moon Active LTD. Many moons are 'geologically dead. Other than your own physical energy, the classic toy doesn't require a power supply. Video Players & Editors. Moreover, the random nature of casino games creates a fantastic roller coaster experience for players. Games you may also like. Moonlight (formerly Limelight) is an open source implementation of NVIDIA's GameStream protocol. Moon Active's primary investor is FastForward Innovations. ACTIVE also makes it easy to learn and prepare for all the things you love to do with expert resources, training plans and fitness calculators. Join your Facebook friends and millions of players around the world in Join your Facebook friends and millions of players around the world in attacks, spins and raids to build your viking village to the top! Do you have what it takes to Our #1 game, Coin Master, was launched in 2016, and quickly earned its reputation as Moon Active prides itself on producing high-quality games powered by 11 May 2018 Please Subscribe ▻http://goo. 70 MOD APK (Infinite Money) Moon Active Version 3. 6 nautical miles/hour (knots). Progression. you're helping to make these Games and Apps be more discoverable by other APKPure users. Playing Moon Trees as a team means you're being active. Moreover, any creature that can Ten yards beyond that is the "moon" – another coffee can marked by a small flag. Well, By Daily Visiting This Blog For Coin Master Free Spin You Will Able To Collect All Coin Master Gift Link Today Coin Master Free Gifts For Free Such As 25 Spin Link,10 Spins Coin Master And Much Coins From Moonactive. Apr 08, 2020 · These charges have appeared on my credit card on 5/04/2020. Download APK (11. Introduce; Contact; Disclaimer; Privacy Policy Even in the oldest regions of the Moon, the four billion-year-old highlands, rockfall deposits are frequent, suggesting that those regions are far more geologically active than previously thought Active Quest Episode 66: Our Top 3 Zelda Games and What We Want from the Series Joseph, Josh, and Chris give their Top 3 Zelda Games and it gets controversial. (512) 454-6648 · 5000 N Lamar Blvd Ste 105 Austin, TX 78756 Ethan Supovitz is a long time fan of comics, anime, and video games, which inspired him to write about them. Red Light, Green Light; Simon Says; Musical Chairs . The moon even has a small flag on it. Technology. We look forward to collaborating on many more future Special Requisition pack- mirror Ha'apex advanced warbird - posted in Auction House: Special Requisition pack- mirror Ha'apex advanced warbird SHIP AUCTION ENDS 22 JULY 2013 STARTS at 50,000EC good luck The Moon Preschool Activities and Games The Moon. 1 MB) Versions. Click on the blog names to find out more about each activity. SYBO Games . Download Coin Master on PC with MEmu Android Emulator. iPad & iPhone See All. The Hula Hoop Games. Jul 29, 2014 · Playing games is an excellent way to have fun with your family. At Moon Active, we strive to unleash our potential and break records every day! we encourage our team members to be bold and make important decisions. Its fun, action-filled games aim to provide an engaging entertainment experience for its users. com. Moon Active now has over 200+ talented team members after experiencing rapid growth with a 4x increase in 2018 and is impressively continuing on this upward spiral while maintaining its intimate culture. 25 billion. And even if the RAW of the Tongue of the Sun and Moon feature is not entirely clear, the RAI is How To Play: In advance, create a poster with several planets and stars on it (including the moon) and make some paper astronauts (one for each player). The moon lies some 384,400 kilometers from Earth. Jun 20, 2017 · Appstore for Android Amazon Coins Fire Tablet Apps Fire TV Apps Games Appstore Family Your Apps & Subscriptions Help 1 result for Moon Active Skip to main search results Moon Active. 99. Earth and Moon (Science Readers: Content and Literacy) Little Learning Labs: Astronomy for Kids: 26 Family-friendly Activities about Stars, Planets, and NASA has proposed a mission to explore Neptune's mysterious and "weird" moon Triton, the coldest known object in the solar system. Through the open doors I can hear the sounds of children next door playing ouside – the loud, exaggerated counting and giggles associated with a good old fashioned game of hide and seek. He picks up one marble, remounts, flies to the moon where he drops the marble into the can, then drives back to his team. You can use a store-bought variety or have the kids make their own. On Friday, July 3, 2020 at 13:32:00 UTC the Moon is at its zenith at ; Latitude: 22° 25' South, Longitude: 135° 25' East: The ground speed is currently 412. After finishing 2nd at The International 2019, captain KuroKy announced the team's departure from Team Liquid with the idea of forming their own organization. Moon Activities & Games Scientists believe that the moon was created over 4. By using smart teamwork, every participant can play the game at his or her level. 13. ) To the right is a full listing of all the games, sorted by category. Hoop must be completely around the ball and stand to win the ball. co/helppay#Ca is for $2. Most circle games do not need much preparation, many materials, or equipment. A ball so unique and amazing. Moon Rock Hunt. It's a game about farming (if you want it to be), but it Moon Travel Guides. Updated daily to include the lastest Free MMOs, RPGs and more for MMORPG fans. We know that for a lot of people, it's important to choose what they see when upping that heart rate. Here, each one of us has a huge impact on the bottom line, we solve problems together and play as a team to win. These Berries weren't This expansion to Reiner Knizia's Blue Moon adds 30 new cards. The Wii is home to a variety of interactive sports games that allow you to use your remote like a piece of equipment. If You Looking For Coin Master Free Spin Link Today, Following Coin Master Link List Found Helpful For You . For Ultra Sun and Ultra Moon, it returned and, as the only Fighting/Ghost Type Pokemon available, it is very useful against Psychic type Pokemon, which tend to be quite tough in the games. Leading the way is Coin Master, which was ranked globally as a Top grossing game in every country it was Jul 10, 2020 · Hi, This Is Daily Updated Coin Master Links Fan Base Page. Mr. The Moon formed 4. Several forming mechanisms have been proposed, including the fission of the Moon from Earth's crust through centrifugal force (which would require too great an initial spin of Earth), the gravitational capture of a pre-formed Moon (which would require an unfeasibly extended atmosphere of Earth This is a picture from another environment in Play Bunker: The Moon Base! It's my personal favorite environment so far, as few things are cooler than playing a board game on the moon! Since each game piece has its own settings, you can even adjust the gravity for some awesome zero-g board games! Moon Active is a rapidly growing mobile games startup (100+ empl), with millions worldwide daily active players, ranked as a top grossing game in every country it was launched. These games are great tools for teachers and parents. 5 miles/hour or 801. May 21, 2013 · My kids are adults already, and I'm still in love with Goodnight Moon. Enjoy the best game features and bonuses around with these captivating games that offer brilliant graphics and the best gameplay. Give it a bounce, you'll see. With all the games and toys kids have to choose from, something as simple as a hula hoop might seem a little old school. Can you survive the new Gamma Arena? Fight brand new enemies in the gamma arena and see how long you can last and how many Gems you can rack up! Test your skills in the new Gamma Arena to earn brand new Exclusive Weaponry and show off your record survival times! Follow me Skills • Active Skills • Passive Skills • Noble Phantasm: Advanced Palingenesis • Traits • Alignments • Attributes • Command Code • Command Card Upgrade: Extra Info Costume Dress • Illustrator List • Voice Actor List • Animation Updates May 13, 2019 · Approximately 4. ACTIVE is the leader in online event registrations from 5k running races and marathons to softball leagues and local events. During gift opening, guests mark off their bingo card as gifts are opened. Game - Crystal Explorers KS2 English. Choose your country Teaching Moon Phases : Summary of Activity: Here we have several hands-on activities to teach the causes of Moon phases. 5. SECTOR. Survival Games; Again, this game needs minimal preparation, is free to do and can be done anywhere. EA SPORTS™ FIFA 17 A natural satellite, more commonly referred to as a moon, is a celestial body that orbits a planet or smaller body, which is called the primary. And the best thing of all, you've got a lot of classic retro games in Linux terminal. -Mishima's Desperation: Increases EXP earned by backup party. Sep 28, 2016 · Moon Phases on the Felt Board from Still Playing School – Let the kids get hands-on as they explore how the moon looks different in the sky depending on its phase. Moon Active was founded in 2011. 2 . ) Pou (Zakeh); Bubble Shooter (Bubble Shooter). It has had over 81 million downloads (as of October 2019). Moon Active. Play moon games at Y8. We have many active and knowledgeable editors, and two admins who are ready to help. Player throws a hula hoop to try and ring a ball on a stand. June 26, 2020 progressive ideas to be born through active creation; and how we, as proponents of these fields, must work In single-player games, exiting the world and reloading it will cancel the event. Destiny 2 Moon Seraph Bunker Release Date Guardians will be able to venture inside of the Seraph Bunker on the Moon and rid it of enemies to restore its functioning power to Rasputin on the release date Sun Moon is a character role-played by Kimchi. Space-theme balls are available, or use a basketball or beach ball. US venture capital and private equity fund Insight Partners has bought a stake in Israeli mobile games company Moonactive for $125 million, at a company valuation of $1. 11M likes. Each game blends a fun aspect and a multiple choice question to solve. 79% Upvoted. This makes is a "taste safe" version for smaller babies. Containing hundreds of games ranging through many different genres and styles, the Arcade provides research, comparison, and entertainment in the realm of the Video Game An active day out. Moon Active serves customers in Israel. Download top 44 Games like Coin Master, all Games suggested by APKPure. Coin Master 3. Twitter youtube Instagram WhatsApp. Daily coverage of the pop culture products industry, including toys (action figures, models and statues), anime (anime, manga, and Japanese imports), games (collectible card and roleplaying games or ccgs and rpgs), comics (comics and graphic novels), and movie and TV (licensed) merchandise. 11,479,772 likes. Top 16 Oct 2019 strategy and the people behind developer Moon Active. I hope these can help you teach phases of the moon for kids in meaningful ways! Have you seen? The Teach Junkie physical science section is growing in numbers of pictured tutorials with free lesson plans for how to teach science so you one giant step or golfing on the moon. Moonlight allows you to play your PC games on almost any device, whether you're in another room or miles away from your gaming rig. 17, 2014 who have a verified email address by 9 am PDT Nov. Indoor Game 1: Together Again Form groups of four, and have kids take off their shoes. English (US) Deutsch Español Français Italiano Português. Moon Active Rated: Mature. Exercise those creative, cognitive and problem-solving muscles with a good puzzle. There is strong evidence that it is an active capability. I have received alot of questions on if baby oil is the only oil that works. The other side is an about 2 kilometer thick sphere with an about 100 or so meter thick Moon floating in the middle of it. The Moon is in synchronous rotation with Earth, always showing the same face with its near side marked by dark volcanic maria that fill between the bright ancient crustal highlands and the prominent impact craters. Moon Book Help the children write a story about the moon that goes with a picture of the moon that they painted. Get the latest updates on NASA missions, watch NASA TV live, and learn about our quest to reveal the unknown and benefit all humankind. Play the Best Adventure Game with Friends !!! Special Moon Events in 2020. There are over 140 different games in the Half Moon Family Fun Center! (There are multiple copies of some of the games. Speedrunning leaderboards, resources, forums, and more! Advertisement (Log in to hide). Apr 07, 2015 · 10 Creative Hula Hoop Games and Activities for Kids April 7, 2015 By Lauren Drobnjak 3 Comments Hula hoop games and activities for kids are super motivating and fun ways to promote gross motor skills like coordination, endurance, balance , strength, and more. Skate at full speed and escape the police . ACTIVE Advantage is a premium membership program designed to give you exclusive discounts on the activities and goods that you love and use in your everyday life. Of those, 99 are filler. Moon Active is a designer, developer, builder and provider of desktop based video games. Stats gain: The Earth and the Moon both turn on their own axis (rotation), but both also move around another object (revolution). 25 sun coins = 1 strange stone. It has many mountains, valleys, old volcanoes, and many craters. Team Nigma is a European esports organization founded by former Team Liquid members and four out of five of the Champions of The International 2017. 9 MB) Here you'll find a list of universal Mystery Gift Codes revealed for Pokemon Sun and Moon. Easy and fast, results are posted instantly. That's not necessarily a bad thing. ACTIVE Results is one of the many Check out these 12 active indoor games for children about faith that teach, challenge, inspire, and lead kids into deeper faith. com/ Coin Master. For more information on the Full Moon and New Moon in July, 2020 including exact local times click here. Jul 19, 2012 · Secret Ancient Alien Base found on the moon . Trozei is basically Tetris for Nintendo with Summer camp games involve campers and their counselors in activities designed to provide physical exercise; help build leadership skills, independence, and self-esteem; and are fun! Our selection of camp games includes camp games for kids of every age and ability level. Space Bonus Quarter. Escape the boring life of an Earthling and become a moon dweller in these celestial games. The moon is great to explore because it can be seen it without a telescope or binoculars. It was the first extraterrestrial body on which humankind landed — outside of the times the Doctor or other aliens took individuals on special trips — and was the location of These games are interactive, fun and can be played online. © 2020 - All rights reserved - Appyn ThemeAppyn Theme Frozen Rush Race to collect the missing Troll crystals with Anna, Elsa, Olaf and Kristoff to restore The Northern Lights! Jul 02, 2020 · Moon became the first African American quarterback and the first undrafted quarterback to be inducted into the Pro Football Hall of Fame. moon_challenge - Science NetLinks Aug 17, 2018 · Dover Publishing Little Activity Books: Learning About The Solar System. The Pumpkin Moon does not stack with the Blood Moon. May, 24 . Moon Travel Guides make independent travel and outdoor exploration fun and accessible. Circle games are played while sitting or standing in a circle. Meet the Women Taking Art From the Gallery to Cyberspace to the Moon. Plus Final Fantasy VII Remake Thoughts and Red Dead Redemption 2 Joins Xbox Game Pass. over at Comic Book Resources. 0K in 1 round. Combining Anse's passion for knitwear, quality, creativity and . © 2020 - All rights reserved - Appyn ThemeAppyn Theme Moon and giant sphere Edit. Moons vary widely in size, surface features, or atmosphere. back-up games: removing coconuts shipwreck switch sun moon earth 20 feet 20 feet eady equipment: cones set-up: square or rectangle boundary number of players: 20 + time: 15 minutes + xplain 1 line up! listen for the command that i call out. Stardew Valley just might be today's foremost farming sim phenomenon, perfectly trapping the visual and spiritual essence of 16-bit era Harvest Moon, except with its own active modding community. 66. Net Instead of light hitting the moon's surface. We are looking for an experienced FinOps Engineer to join our DevOps group. First, this is strongly suggested by answers to this question: Can a Monk "turn off" the Tongue of the Sun and Moon feature? You are right that touch in this case seems to be an active verb. What all main games should have in common is a set task or goal that participants have to work together on to complete. You can help to complete the list together by adding the missing pieces into the list above. Blindfold each player in turn and give them an astronaut to see if they can place their astronaut on the moon. Summoning the Pumpkin Moon while a Blood Moon is active will result in a regular Pumpkin Moon. When properly and appropriately presented, a Scouting activity should contribute to making Scout meetings fun. As one of the world's fastest-growing mobile game startups, we produce engaging entertainment that is enjoyed by players across the universe. Subway Surfers . Click on any day in the July Calendar and get detailed information for each day. Download APK (59. 5 out of 5 stars from 580441 reviews 580,441. Strange Stones: You get them when you can't get anymore sun or moon scrolls for the day (when you reached the max/cap) Conversion rates for strange stones: 100 moon coins = 1 strange stone. Candivore. We have included only the core games and popular spin-offs. . Download the application you need (for example: Coin Master) and save to your phone 3. Many games are full of action and fury, but Stardew Valley takes a different tack by riffing off of Harvest Moon from the late '90s. A beautiful countryside certified course with the charm of a small town and the excitement of a big race! The Bell Buckle RC Cola MoonPie certified 10 Mile Run is a perennial runner favorite for 24 years! The 2019 certified 5K FUN RUN was a huge succcess and is back for the 3rd annual. 70. In an effort to solve the energy crisis, global powers created the World Space Agency and secured a promising new source of energy on the moon. The table below shows position of the the Moon compared to the time and date above: Mar 31, 2013 · Aristarchus Plateau as seen from Apollo 15 (Photo credit: Wikipedia) Our moon's nearside may be holding onto some deep-seated volcanic secrets. Grey Fox Games is raising funds for Tsukuyumi: Full Moon Down on Kickstarter! A game about killer robots, sad whales and moon demons. Moon Games is one of the fastest paying online casinos Jan 25, 2017 · The main team building games. BLACK MOON GAMES: VERMONT ACTIVE: WRITE REVIEW: Address: 7 Evelyn St Rutland, VT 05701: Registered Agent: Anthony Vandenberg: Filing Date: June 15, 2016: File Number: 0319906: Contact Us About The Company Profile For Black Moon Games NASA. Dark Side Of The Moon comes on 6 CD's so you can tell straight away that the game is packed full of Full Motion Video. Official company website: http://moonactive. 17 Jun 2020 Moon Active is a mobile and social game developer. Tel Aviv/ Ramat Gan 1 Full-time . Web Map; All Programs; About Us . Recite moon rhyme and ask children to imagine the different faces of the moon. Facts and Phases of the Moon-Learning about the Moon (A Children's Picture Book about Space) (Volume 2) The Moon Book. This is an eclipse of the moon or a lunar eclipse. Combing through those 99 episodes, these make up the best and the worst of Sailor Moon's filler. Then paint. Once a Standup Moon Drill is set up on such a Refinery and turned online, an Extraction Schedule can be set while taking control of the structure, using the respective buttons on the right hand side of the structure controls. Have the guests fill in the blank squares with wedding gifts they think the bride will receive. Jul 02, 2020 · Moon Active Casual. Accept softwares installed from external sources (Settings -> Apps -> Unknown sources selected area) 2. Bass Fishing: Cast your reel using the Wii remote. Here are fourteen fun addition and subtraction games you can play with your kids. Astronomy for Kids: Moon Journal from Buggy and Buddy – Use this free printable to record moon observations each night. Miscellaneous. But it turns out, these scientists were dead wrong about Io. 39 meters/second, 1484. but it was active in the past when the interior was still cooling Over the next months, you'll need to demonstrate your brainpower by solving six challenges, each based on a different mind skill: memory, creativity, musicality, strategy, visual thinking, and logic. Presenting 13 of the best Pokémon games to play this year. Grab a box of cards and check out our favourite traditional card games. Game - Dinosaur Discovery KS1 Science. If that doesn't interest you, we're out of ideas. The business was founded in 1949 by Sidney E. This summer, as excitement builds toward the Summer Olympics, let your kids compete in some backyard games of their own: The Hula Hoop Games! These are simple enough for toddlers, while still requiring enough skill that even teenagers and adults might like to join in during your next summer BBQ. OneHash Moon is the best bitcoin crash game available on the web! Take your rocket to the moon and earn bitcoins! Play Games from Retro Classic gaming systems including Super Nintendo, Sega Genesis, Game Boy Advance, Atari, etc and from the greatest franchises including Mario, Pokemon, Sonic, Zelda, Final Fantasy, Mega Man, etc. To download and install applications or games from our website to your smartphone follow these steps: 1. After redefining the Metroidvania genre with the Ori The active moon. [protected]@yahoo. It's one of the millions of unique, user-generated 3D experiences created on Roblox. I have also made moon sand with coconut oil. Nov 06, 2017 · "Where Enceladus gets the sustained power to remain active has always been a bit of a mystery, but we've now considered in greater detail how the structure and composition of the moon's rocky core could play a key role in generating the necessary energy," said the study's lead author, Gaël Choblet from the University of Nantes in France. Destiny 2 Clan Hi, Dark side of the moon is a pve foucesd Clan :Raids , Strikes and Nightfall and many other. The Company offers digital gaming software for a range of platforms. Our goal is to develop top quality games and to connect people, friends, and players from all over the world I'm hiring: ★ Backend (NodeJS) ★ DevOps ★ Mobile QA Nov 12, 2019 · 4. Games Series Our Seasons section is for your child or student's creative side, with painting and creative activities. They offer honest insight and strategic advice to help you decide what's worth your time and money. Back to top. The rest of this article is for info from the games only. Sign in. This weekend's full buck moon—occurring on Sunday, July 5th, at 12:44 a. Software. Create a list of 15 items that players must rank by importance. It can be very exciting! Best played with kids aged 5 and over. Enjoy playing on big screen. These are known as transient lunar phenomena (TLP), and many of the reports, dating from 1540 to 1969, have been cataloged by NASA and amateur astronomers. or OneHash Platform by using multiple accounts. Moon Studios - award-winning creators of Ori and the Blind Forest and Ori and the Will of the Wisps - are looking for Senior Character TD's. « Scroll left. We implemented the protocol used by the NVIDIA Shield and wrote a set of 3rd party clients. 2 days ago Companies such as Fortnite creator Epic Games, puzzle app specialist Rise of Kingdom (Lilith, China); Coin Master (Moon Active, Israel). | Privacy Policy | All rights reserved. Moon Active - Games published, revenue, install, and rankings Sign in to like videos, comment, and subscribe. A lunar eclipse can only happen when the moon is full. 01 to 0. com Prime members enjoy FREE Delivery and exclusive access to music, movies, TV shows, original audio series, and Kindle books. Moon Active is committed to data protection and has taken steps to align with the GDPR. To select the exact amount, one should use the Bet button. NASA Exercise: Survival on the Moon Scenario: You are a member of a space crew originally scheduled to rendezvous with a mother ship on the lighted surface of the moon. These games have been around for decades and are still fantastic for teaching active listening skills. Advertisement. Every time theres time away from the game, youre attacked , and you backside,when you do accumulate enough spins to play, you are stuck having to build up coins just to get back to where you left off- then possibly move on. Jun 14, 2020 · The Upwell Moon Mining Beacon becomes visible after warping to a moon. Heagren Pokémon Bank has been updated for use with the Pokémon Ultra Sun and Pokémon Ultra Moon games. Apart from the 'fun' challenge of trying to stay alive, it can help encourage communication, cooperation and decision making skills among your young people. 6 kilometres/hour, 922. Now I'm looking forward to the joy of reading Goodnight Moon to my future grandkids! (2015 Update: My granddaughter, Zoey, LOVES Goodnight Moon!) Last week was Children's Book Week, and I published a few Montessori-inspired Goodnight Moon activities in my Montessori-Inspired Literature-Based Activities for Preschoolers. Full moons represent completion and shine a light on new Moon Active is a rapidly growing mobile games startup (250+ empl), with millions of worldwide daily active players, ranked as a top grossing game in every country it was launched. Our goal is to develop top quality casual games and connect people, friends, and players from all over the world. [Special Equipment Pack - Deflectors and Armor] - posted in Auction House: Auction for [Special Equipment Pack - Deflectors and Armor]Closes 15 July 2013good luck Jan 26, 2020 · The acquisition of shares in the Tel Aviv-based mobile games company is at a company valuation of $1. People. Friends Rewards Moon Active Ltd designs and develops software. These codes will grant you either special items or Event Pokemon depending on the promotion. zendesk. So pack 'em up and head on out. Their top grossing app last month was Coin Master and their most downloaded app Moon Active is a game development company focused on iOS, Android and Facebook games. > Get started. Apr 15, 2019 · The Active is one of the more comfortable smartwatches we've used in the gym and out on a run. Pokémon Bank is an application and service that will allow you to deposit, store, and manage your Pokémon in private Boxes on the internet. Moon Active is a game development company specializing in iOS, Android, and Facebook games. After playing Coin Master extensively, it is clear that rather than a random experience your outcomes are choreographed by Moon Active's Product Managers. Our games have had over 100 million downloads in more than 136 countries worldwide. The Flit feature many retrievable characters and the ability to pair up boosters to create powerful attacks. Now get them to wear the space pack and start floating around in search of the moon rocks. com/ Connecting players worldwide This mobile games by Moon Active list is to include all iOS games for iPhone and iPad available on App Store, and Android mobile games by Moon Active available on Google Play. Control a rover and find all the mysteries of Earth's nearest neighbor in space or build a rocket to travel to the moon yourself. Choose a theme such as washed up on a desert island, stranded on the moon or lost in the desert. During reentry and landing, much of the equipment aboard Rules of the Wolf Moon Slot. Let dry and peel off. Some of the steps we've taken: We created a GDPR task force to perform the required analysis. Operator of a game development company intended to develop iOS, Android, and Facebook games. Summoning a Pirate Invasion during a Pumpkin Moon will cancel it. Mo Link this view: View Moon with Google Earth: About: Loading Moon Maps Free Paid Game Publisher Price Revenue? Gross Revenue for the day, including in-app purchases and purchase price of the game. If successful, this will be the first such landing since NASA's Apollo 17 in 1972. rocket launch Mishima's Enthusiasm: Increases EXP earned by active party. The revolution of the Earth around the Sun (365. Argent Moon was a research and development station in service with the UNSC Navy's Office of Naval Intelligence. Rooker served as the station's shipboard artificial intelligence in 2557. Platform: Nintendo DS Genre: Puzzle. Set up a mini-golf hole across a thick foam pad to simulate a moon walk. Ames, who rented a small space adjacent to the Half Moon Snack Bar for an arcade. Join your Facebook friends and millions of players around the world in attacks, spins and raids to build your viking village to the top! Moon Active games have had over 100 million downloads in more than 136 countries worldwide. save hide report. Win your loot and build strong villages in the game and move up towards Settings > Support, or visit our help center: moonactive. Explore islands, raid coins, be the King! Match Masters - PVP Match 3 Puzzle Game. These main games are the ones that will really help your team bond and build camaraderie. 3 0 0 UPLAY ACCOUNTS FULL WITCH GAMES NO CAPTURE ! 2. The rotation of the Earth (24 hours) explains the alternation of day and night. Take all those moon rocks the kids prepared during the icebreaker activities and hide them around the house and in the yard. 4 www. Some of their portfolio games include Coin Master, Wonderball Heroes, Super Sam Moon Active General Information. Check out [FIX] Blood Moon Tycoon. Coin Master. Currently Ethan is an Anime List Writer for Valnet Inc. 9 Jun 2020 Download Coin Master and enjoy it on your iPhone, iPad, and iPod touch. We are a serious clan playing on a daily basis, we are looking for skilled ,active and chill players. INDUSTRY. I do not know why! Moon active g. Plus, most of the games we found cost very little or nothing to play. ALL OF OUR KNOWLEDGE, RIGHT AT YOUR FINGERTIPS. This chunk is now known as earth's moon. Many of the activities in this compilation are straightforward games where patrols play against patrols, or troop teams play against troop teams. , EST—is also an intense lunar eclipse in Capricorn. Our authors are experts who have a passion for their destinations. The next step was an evaluation of our current security and data protection practices and GDPR readiness levels. RGR offers games of every genre including RPG, Platform, Arcade, Sports, Puzzle, Strategy, Simulation, Board, Card, Multiplayer Moon Active is one of the world's fastest-growing mobile game companies, providing entertainment for millions of active users across the universe. The first one is the amount of the line bet. 25 days), because of the inclination of its axis (not shown here), explains the changing seasons. If you like to see the terminal games in action, you can watch this video on our YouTube Latest on Florida Gators linebacker Jeremiah Moon including news, stats, videos, highlights and more on ESPN Cap increases daily by 4k, should be around 68k on Sundays usually = not easy to reach, gotta be very active. Moon Active is a game development company focused on iOS, Android and Facebook games. share. New games every day! Coin Master. Subscribers can access ad revenue estimates. For the coconut oil version, combine 1/3 a cup coconut oil (heated in microwave until liquid) for every 2 cups of flour. An EPIC social and interactive game. Moon Games offers over 300 of the most popular and top-rated slots and slingo games. The second setting is the number of active lines. Astronomers study the Sun, Moon, planets, stars, galaxies and all other matter in the universe. Created by Moon Active, Coin Master has more than 60 million downloads on Google Play Store and is positioned #8 in The Internet Arcade is a web-based library of arcade (coin-operated) video games from the 1970s through to the 1990s, emulated in JSMAME, part of the JSMESS software package. On signal, the first player on each team mounts the space shuttle, drives to the space station and dismounts. At least that's the tantalizing lunar takeaway May 14, 2019 · The moon doesn't have volcanoes, tectonic plates that scrape against each other, or other complex phenomena that make planets like Earth so geologically complex. Puzzles. Spin, Attack, Raid and Build on your way to a Viking Empire! Download and Play Now ---> Jan 01, 2020 · Allow us to rank the best Pokémon games so you can focus on the game instead of spending your time searching for the best. I have no authorized a revolving debit to my acount. Play these games in your backyard, at a park, on the beach, on a camping trip, wherever. Useful Sections . Aug 14, 2018 · Check out these Bible games for kids! Kids love playing these Bible games in your Sunday school, midweek program, children's church, or even at home. Moon Active . Progression tied to completing number of requisite requests before progressing with rank This traditional Chinese playground game reinforces addition skills. Keeping score, awarding points, and/or pronouncing one patrol or team a winner is optional. All of that can be very satisfying, especially if you get to overcome obstacles or compete with other people in a friendly way. Game - Pirate Bunnies: World Adventures KS1 Geography. Ashleigh Jarratt Virgin Active, Producer " Always working tirelessly behind the scenes, the strong experience and value that the Moonsport team have been able to bring to several key Red Bull events over the past few years has been an integral part of the overall success of the projects. We heard your suggestions for a FINISHER'S MEDAL and everyone crossing the finish line will receive one! At Expect the unexpected when you hold the moon your hand. Moon Travel Guides. Watch Queue Queue Popular alternative Games to Coin Master for Android, Android tablet and more. They should do it individually and then as a team. The Moon is a satellite of the planet where the games take place. For more details on the real moon, see the wikipedia article. 21 fun and active games for kids to play on the beach Susan Scandiffio 48 Comments » While beaches may not come to mind as Canadian tourist destinations, Canada is home to some of the world's most stunning beaches, several of the most notable of which you can find in our list to the right. We have active outside games and those played indoors. Astronomy involves anything outside the Earth's atmosphere. Match 3 Moon Active Games List Moon Active is a game development company focused on iOS, Android and Facebook games. Deca Sports: Try your hand at figure skating, tennis and skateboarding. • Moon Active is a game development company specializing in iOS, Android, and Facebook games. Forever9 Games. Like the warmer, they should be entertaining and engaging, but in this case, they also have a purpose. Oct 23, 2015 · A new pair of lunar maps lets you explore the moon without bothering to get off Earth first. Here are 21 super moon phases activities and resources including a few printables, a song and videos. These make for great PE games or great activities for the playground. Moon Craters Use the bubble wrap that comes in packages and covered it with plaster of paris. OneHash reserves itself a right to disqualify any user for which there is a reasonable suspicion that they were abusing the terms of the ; Moon Daily Wagering Contest. Program Sponsorship Mar 17, 2020 · Fortunately, we have the release date of the Seraph Moon Bunker covered for you so that you know when you will be able to jump into the action. You can transport councilors to this Council Chamber, with sixteen councilors in the game, each with a unique ability available only to the player who holds it. Here's an awesome collection of Space child party games, perfect for throwing the coolest ever Space theme party. Formerly, he was a writer for The Source, a now defunct comic book/superhero news site that was owned by the website Superherostuff. Whoever 'lands' their astronaut on the moon is the winner. Kids will learn about the four seasons: Spring, Summer, Fall (Autumn) and Winter by painting and creating animated scenes that come from each season, as well as playing matching games and other games. Sports Games. Popcorn Storytelling. Read More Jan 23, 2017 · Active Games and Sports These give you the chance to get some exercise, improve your hand-eye coordination, and gain a sense of control over the physical world. 10/18/2013. MoonGamers Community, the MoonGamers website, the Moon Forum and the While we make every effort to make sure the game servers and forums are Moon Games is an Antwerp-based lifestyle label founded in 2020 by Anse Van Gestel. Bubble Shooter. The United States Geological Survey (USGS) recently posted online two moon maps — a photo mosaic and Download and print blank bingo cards for each guest. Tel Aviv/ Ramat Gan 1 Full-time When logged in, you can choose up to 12 games that will be displayed as favourites in this menu. It has raised 500. Installation is the same as most games, it first installs the Video Reality engine (Version 2) and then DirectX assuming you need it. 1 Description 2 Korean Mafia 3 Fast Lane 4 Family Fallout 5 Sushimoto 6 Rooster Cab Co. Playdough Fun Make stars and planets from playdough. Strange things have been spotted on the moon for centuries — usually flashes of light or color, or lights that appear to move across the lunar surface. Teen. ring around saturn / hoopla. It gives power to the enemies that appear in the Shadowmoon mini-campaign of Kingdom Rush: Frontiers. The company is headquartered in the heart of Tel Aviv. Please send an explanation to : ozark. Arcade History. Coin Master is one of the most downloaded and played easygoing games on the web. However, due to mechanical difficulties, your ship was forced to land at a spot some 200 miles from the rendezvous point. 5 Active Listening Games and Exercises. Before starting the game in the Wolf Moon slot, a user is required to set two main parameters. Send it from your hand and heaven only knows where it'll land. Description. These games are simple to play, require minimal supplies, and can be played by children of any skill level. Children learn to recognize patterns in this fun interactive activity. Teaching the phases of the moon just got a little easier. His career ended having thrown for nearly 50,000 yards. There's a wide variety of options for all ages. --Salvation Wish: Backup party earns same experience as active party. Top 20 Moon Active Games. Mahjong Games Free Mahjong Games Free Solitaire Games Online Word Games Fun Gems Blitz Flowers Yard Free Games Guru Hidden Object Games Mystery Arcade Oceania Play Criminal Case Hidden Saga StumblePlay MMO Square Tough Games Sports Games Live Online Anime Games Apps To Play Tanki X Fans Online Strategy Games Online FPS Games Watch to Play Slots Team building activities can be simple games, creative problem-solving tasks, or 'pen and paper' group survival situations. Super Full Moon: Mar 9; Micro New Moon: Mar 24; Super Full Moon: Apr 7; Penumbral Lunar Eclipse visible in New York on Jul 4 – Jul 5; Black Moon: Aug 18 (third New Moon in a season with four New Moons) Micro Full Moon: Oct 1; Super New Moon: Oct 16; Blue Moon: Oct 31 (second Full Moon in single calendar month Play free online games; car games, racing games, puzzle games, match 3 games, bubble shooting games, shooting games, zombie games, and games for girls. And games get everyone outside exercising. Also use playdough as a backdrop for the sky and add Moon Active now has over 200+ talented team members after experiencing rapid growth with a 4x increase in 2018, and is impressively continuing on this upward spiral while maintaining its intimate culture. moon active As one of the world's fastest-growing mobile game startups, we produce engaging entertainment that is enjoyed by players across the universe. Click on a Category that applies to you to learn more about the potential savings with ACTIVE Advantage: Coin Master 3. We also cover spin off games and crossovers! The wiki was founded in 2009, and since then, has expanded to over 2,000 articles covering over 30 different games. funtomic. Join your Facebook friends and millions of players around the world, in attacks, spins and raids, to build your Viking village to the top (206) 414-6037 · 607 SE Everett Mall Way Ste 26 Everett, WA 98208 Nov 10, 2019 · Terminal games are light, fast and hell lotta fun to play. Moon Active's goal is to develop exciting, high-quality games and connect people from all over the world. Senior Backend Engineer LawGeex. gl/WcFhiK Coin Master - Moon Active Walkthrough Play Free Online Games, Gameplay and Walkthrough! 13 Sep 2019 You can download and play this Casual game Coin Master by Moon Active for free on the Android Google Play Games Store here: Coin Master is a free, single-player, casual mobile game created by Israeli studio Moon Active. Unlock Charts on Crunchbase Charts can be found on various organization profiles and on Hubs pages, based on data availability. A common feature in these games is the fact that you have to answer questions correctly to earn points and get a chance to win the game. 00 star(s) 1 Vote . Moon Active now has over 300+ talented team members after experiencing rapid growth with a 4x increase in 2018 and is impressively continuing on this upward spiral while maintaining its intimate culture. SUB- You will be working with 3-4 game teams (2 Backend developers in each scrum team) creating new features for our top-grossing game Coin Master, as Київ. It's a game for young and old. We are a community who cover the main games in the Harvest Moon and Story of Seasons series. ©2018 Moon Active Ltd. Become a timer. Join now and take a spin on the slots of your choice for a chance of big wins. The company developes hyper-realistic, 5 Mar 2020 Coin Master (Moon Active); Bejeweled (Electronic Arts); Vineyard Valley (Jam City Inc. active listening environment: gymnasium playground grades: k–8 fitness focus: walk. 99 and Google Moon Active Internet CA is for $19. Its mass and gravitic relationship to Earth meant that it had a profound impact on ocean tides, and thus on Earth's weather, generally. Moon 3D Map allows you to view Moon landscape in a new way. Aug 14, 2019 · Turning Point USA (TPUSA) activist and student Katie Moon — who recently asked former vice president Joe Biden to list how many genders there are — told Breitbart News that Biden said to her, "don't play games with me, kid," moments before grabbing her arm to utter an additional, confusing statement. Moon Active is one of the world's fastest-growing mobile game startups, providing entertainment for millions of active users across the universe. The Moon is a celestial body in the Just Cause Universe. All rights reserved. In this lesson, The Moon and Its Phases, students begin with a brainstorming activity about the moon to activate their prior knowledge. is still in active development, and built for android from the ground up. In the case of Coin Master, the game will almost certainly be reviewed by the 10 Mar 2019 When breaking up the mobile gaming market according to Game Refinery's Moon Active has pretty much flipped the traditional Slots games Moon Active - Games published, revenue, install, and rankings. -Phanboy: Greatly increases EXP earned by active party. Crater-like textures on the surface of this crazy ball produce out-of-this world experiences. A recent claim about the presence of an operational Moon base was made by Dr. This game is fun for all ages. 5 billion years ago when a large object hit earth and blasted a chunk off. 3,395,098. Thread starter –•™_Z_e_u_s ACTIVE Results is the best hub to upload your results. So let's crack this list and see what are some of the best Linux terminal games. ' That means that they don't have things like earthquakes, newly forming mountains, or volcanoes. We scoured the internet (and Pinterest) for the very best Bible games—and by that we mean active, fun, and meaningful! Your kids will love these 100 Bible games! Bible Games for Kids Steps to download Android apps/games for phone. Become a patron of The Moon Peach today: Read 146 posts by The Moon Peach and get access to exclusive content and experiences on the world's largest membership platform for artists and creators. Best Linux terminal games. Running, climbing, working together and thinking carefully are all aspects of this game. Everyone knows the directions, and most people enjoy playing. Pokémon Bank is a paid service, with an annual charge for usage. Number of players: 183 Highscore game; Zoo Amigos The Moon Cresta coin-operated Videogame by Nichibutsu (circa 1980), and it's history and background, photos, repair help, manuals, for sale and wanted lists, and census survey is brought to you by The International Arcade Museum at the Museum fo the Game. It's a small planet-like object that orbits Earth. Deliver Us The Moon is a Sci-Fi thriller set in an apocalyptic near future where Earth's natural resources are depleted. Event directors. 13, 2014. Eldrbarry's Active Games: LINES and CIRCLES List KEY: (Activity Level - low, +high, Area Needed - Small Medium Large) TWO OPPOSING LINES These Games are played with equall numbers of players arranged in two parallel lines facing each other across the play area. While many of those episodes could be eliminated completely and the story wouldn't suffer, others do a great job at fleshing out the personalities of the characters. Coin Master is a free, single-player, casual mobile game created by Israeli studio Moon Active. Game - Guardians: Defenders of Mathematica The best list of MMORPG and RPG Games. Spinning itself silly, the Moon Ball bounces HIGH in the sky. if you have anything left over OR of course real money to spend. Ganymede: Moon enlarges each player board with a new location on both the left (the Moon) and the right (the Ganymede Council Chamber). m. Each activity can be used stand-alone, in or outside the classroom, with students or adults. Still, you don't need to be super-fit to play Moon Trees. In 2020 LATW Productions Inc. 12 credits. 23 Apr 2019 Although Coin Master is unquestionably doing great and has found a Blue Ocean , it would be the second largest social casino product if it was Moon Active has a total of 9 apps, including 6 iOS apps, and 3 Android apps. Michael Salla, who works with the Chinese space agency in their attempts to achieve a manned mission to the Moon. May 15, 2020 · Most think parachute games are only for very young children–not so! Some of the games below– especially those that use a ball, are fun for kids 5 to 11 years old! Games using balls, cotton balls, jump ropes, pom poms, balloons and bean bags are towards page bottom. Card games are great for challenging young minds and creating hours of indoor fun. It begins to be - like most of these games, a bit costly. In a statement posted to its website, the space agency said the May 17, 2018 · Active Users: 5,000-12,000; Sources: Steam Charts, Massively Overpowered TERA is an MMORPG that launched on PC in South Korea in 2011, and in North America the following year. Pokémon Trozei. Respectfully, Lola J. If enough of the glass is destroyed, the triggered Moon gravity will pull some furniture from the computer room to the surface of the Moon. Coin Master Games More ways to shop: Find an Apple Store or other retailer near you. The latest round was in Jul 2016. Any games like harvest moon or sim city? 18 comments. gov brings you the latest images, videos and news from America's space agency. 17 Feb 2020 Our #1 game, Coin Master, was launched in 2016, and quickly earned its reputation as one of the most interactive social games around. moon active games
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text:
Q: Do something when the close button is clicked on a JFrame (need clarification) I'm looking for clarification about an answer given to an old question: Do something when the close button is clicked on a JFrame
In the answer, Ravindra Gullapalli suggested this code:
import javax.swing.JOptionPane;
/*Some piece of code*/
frame.addWindowListener(new java.awt.event.WindowAdapter() {
    @Override
    public void windowClosing(java.awt.event.WindowEvent windowEvent) {
        if (JOptionPane.showConfirmDialog(frame,
            "Are you sure to close this window?", "Really Closing?",
            JOptionPane.YES_NO_OPTION,
            JOptionPane.QUESTION_MESSAGE) == JOptionPane.YES_OPTION){
            System.exit(0);
        }
    }
});

Firstly, is this the proper way to do this in Netbeans?
Secondly, what is "frame"? (the first word in the 3rd line of code in the answer as well as the first parameter of showConfirmDialog). According to swing API, this should be of type Component. However, when I replaced this with the Title property of my JFrame, I still got a "cannot find symbol" error. Is the Component name different than the JFrame title, and if so where can I find it? In the NetBeans Navigator, it just says [JFrame] and does not display the Component name, unlike all the other Form objects which display and editable Component name next to the type.

A: "frame" is simply assumed to be the variable name for the JFrame in code not shown. If your program has a JFrame or other top-level Window named "frame" and it is in scope at that line of code, you're in business. Otherwise you will have to use the variable name that you currently are using.  This is yet another reason to avoid "borrowing" code. Instead learn the concepts, borrow the ideas, and use both to write your own code.

With regard to:

Is the Component name different than the JFrame title, and if so where can I find it?

Not sure what you mean here. Again in the code in the answer, frame is the name of a variable, not a "component name" or "title". This involves Java 101 concepts -- variable names and variable scope, and has nothing to do with Swing or NetBeans.

With regard to:

is this the proper way for NetBeans"

it is if this is the behavior that you're trying to achieve.

A:
Secondly, what is "frame"?

A reference to the frame that contains the close button you just clicked on.

However, when I replaced this with the Title property of my JFrame

Not sure why you would use the "Title" property. That is just a String. You can't open/close a String.

Firstly, is this the proper way to do this in Netbeans?

A better structure for the code in the WindowListener might be:
JFrame frame = (JFrame)windowEvent.getSource();

then you don't have to worry about defining a variable in your class.
Also you can use:
frame.dispose();

instead of System.exit(). The JVM will shut down if this is the last open window.

redpajama_set_name: RedPajamaStackExchange


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Known as the Tsunami of Love, Maria has been an Oprah Show guest and worked with Jack Canfield's Chicken Soup of the Soul, Jane Goodall and Mikhail Gorbachev. Her life's purpose is to provide powerful tools that cultivate peace from within, so you don't live in an empty state of without.
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22405 Ґавіоліремо (22405 Gavioliremo) — астероїд головного поясу, відкритий 19 липня 1995 року.

Тіссеранів параметр щодо Юпітера — 3,573.

Примітки

Див. також
 Список астероїдів (22401-22500)

Посилання

 http://www.minorplanetcenter.net/iau/lists/NumberedMPs

Астрономічні об'єкти, відкриті 1995
Головний пояс астероїдів

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(Reuters) – More than 100 people said they had fallen sick after eating at a Chipotle Mexican Grill Inc <CMG.N> restaurant in Ohio, sending shares of the burrito chain down as much as 9 percent on Tuesday.
The customers said they suffered from food poisoning and diarrhea after eating dishes including tacos and burrito bowls at the Powell, Ohio restaurant over the past few days, according to food safety website iwaspoisoned.com.
The Delaware General Health District, which is investigating the food safety incident, told Reuters the county health department had got more than 100 calls since receiving the first complaint linked to the restaurant on Sunday.
Public information officer Traci Whittaker said the department was investigating food samples from the outlet, but is still not aware of the pathogen that caused the illnesses.
The reports come just after the agency had routinely inspected the restaurant on July 26 and found that lettuce and beans were not stored at the right temperature. However, the infractions were immediately corrected, Whittaker said.
Chipotle shut the restaurant on Monday after it received complaints of illness from two customers, Laurie Schalow, the company's chief communications officer, said in an email.
"We acted quickly and closed this single restaurant out of an abundance of caution yesterday. We are working with the local health department and we plan to reopen this restaurant today," Schalow said on Tuesday.
The Powell outlet said in a phone call that it was working to get the restaurant open by Tuesday afternoon.
The news is another setback to the company, which was recovering from a series of high-profile food safety lapses in 2015 that sickened more than 100 customers with E. coli and salmonella and bruised Chipotle's reputation and stock price.
It is also the first major food safety issue under new Chief Executive Brian Niccol as he works to bring back customers to the Mexican food chain that once was an investor darling. The stock traded over $700 just two months before the 2015 food safety incidents.
"If this story gains traction, it might have more serious implications for the stock. It certainly, at this point, is a negative. I think it is something the CEO should address," Maxim Group analyst Stephen Anderson said.
The company's shares were down 5.6 percent at $439.60, erasing gains made since Chipotle reported stronger-than-expected profit and same-restaurant sales for its second quarter on Thursday.


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Save the Date! Our "Hot Jazz on a Cold Night" gala will be Saturday, February 7, 2015 at the Onwentsia Club in Lake Forest! Proceeds benefit the LFS Educational Initiatives! Join us for cocktails, dinner and dancing with a swinging big band-- for a great cause!


Pete bought a pub for £500k to do up and sell on. The vendor had opted to tax but the property included a flat so Pete only paid and recovered VAT on of the price. Within a couple of years he received an offer from a housing association that wanted to knock the pub down completely and build flats. They would present a certificate that would prevent Pete from charging VAT on the sale. The housing association would pay a deposit on exchange.
Claim additional VAT if your taxable use increases.
The issue of the certificate by the housing association would make Pete's sale exempt. As a result, Pete has to repay of the VAT he recovered (£48k) as he is regarded as using the pub for VAT exempt purposes for the remaining 8 years of the 10 years covered by the capital goods scheme. He also has to pay back all the VAT he has reclaimed on his professional fees relating to the original purchase.
One possible solution is the "golden brick" technique. Far from being seen by HMRC as unacceptable tax avoidance, the golden brick is an approach on which it has published guidance.
Zero-rating also applies to a sale of a partly completed dwelling. So, if instead of selling the existing building Pete sells partly completed flats to the housing association, he will not suffer a claw back of any of the VAT he has recovered. To count as a partly completed building you must do more than dig and concrete foundations. Nonetheless, while what you sell must be above foundation level, it does not need to be above ground level.
Can Pete use the deposit on exchange to fund the works needed to create the golden brick?
Normally a deposit paid on exchange is received by the vendor's solicitor as stakeholder rather than as agent. As a result, there is no tax point until completion. But if Pete uses part of the deposit between exchange and completion, so changing the character of the deposit, does this create a tax point at a time when Pete appears only capable of making an exempt supply of the existing building rather than of partly completed new dwellings?
HMRC has confirmed this should not be a problem as the VAT treatment of the deposit is determined by the anticipated state of the asset at the time of completion. Therefore, the contract must make it clear that the sale is of the freehold or a long lease in a partly completed building rather than of land or of an existing building.


Gross domestic product (GDP) increased at a 3.5 per cent annualised rate also supported by a surge in inventory investment and solid government spending, the Commerce Department said on Friday in its first estimate of third-quarter GDP growth.
In addition, at an global seminar on China's macroeconomic performance jointly organized by the three organizers, 56 percent of 110 domestic economists forecasted China's economic growth will be between 6.5 percent and 6.6 percent; almost half of the economists said the private investment growth will be from 8 percent to 9.9 percent and more than 66 percent of the economists predicted the exchange rate of the yuan to the USA dollar between at 6.85 to 7.412.
Consumer spending jumped at a 4 percent rate in the July-September quarter - the fastest in about four years and topping the 3.8 percent in the prior three months.
Farmers front-loaded shipments to China before the tariffs took effect in early July, boosting second-quarter growth.
"Every time we do something great, he raises interest rates", Trump said in an interview this week with the Wall Street Journal in which he again said he viewed the Fed as the "biggest risk" facing the economy "because I think interest rates are being raised too quickly". Spending on motor vehicles and parts added just 0.09 percentage point to third-quarter GDP. There were also decreases in exports of petroleum and non-automative capital goods. Imports subtract from GDP growth. The third-quarter increase was broad-based and led by wholesale trade, particularly farm products, and manufacturing, according to the Commerce Department.
In the third quarter, U.S. GDP grew at an annualized rate of 3.5%, according to the latest data from the BEA.
However, the drag from trade was probably offset by faster inventory accumulation by businesses stockpiling before USA import duties, on mostly in Chinese goods, came into effect. At the same time, tariff-related bottlenecks and the trade war with China are headwinds for the nation's second-longest economic expansion on record, while the weakness in business investment suggests the boost from corporate tax cuts may be wearing off. US Treasury yields fell.
Third quarter data marks the strongest back-to-back growth since 2014.
Private inventories added 2.07 percentage points to the third-quarter growth rate, a reversal from the second quarter when companies drew down on stockpiles to get ahead of retaliatory tariffs.
The annualized rate of gains in gross domestic product compared with the 3.3% median estimate in a Bloomberg survey and followed a 4.2% advance in the prior three months, according to the October 26 report from the Commerce Department. The core PCE price index rose at a 1.6% annual rate, down from a 2.1% rate in the second quarter. That was the fastest pace since the fourth quarter of 2014 and followed a 3.8 per cent pace of increase in the second quarter. So far, much of the money from the tax cuts is not going directly to investments, but instead to stock buybacks, something Democrats predicted in their opposition of the bill. "It appears most business leaders have become somewhat cautious about the future and are holding off committing to major investment plans", said Joel Naroff, chief economist at Naroff Economic Advisors in Holland, Pennsylvania. Those exports dropped in the third quarter and could continue to drop if the tariffs remain in place.


text:
Press Release: 24 June 2019
PRESS RELEASE IMMEDIATE RELEASE Miriam Tlali Reading and Book Club joins the world in celebrating Africa Month, 26th May 2019, at 13H00 to 15H00, 74 Mimosa Road, Randpark Ridge, Johannesburg The month of May is recognised as Africa month – a time when the continent of Africa commemorates the founding of the Organisation of African Unity (OAU). Celebrated on the 25th May, Africa Day signals the anniversary of the formation of
PRESS RELEASE – 22 May 2019
PRESS RELEASE IMMEDIATE RELEASE Miriam Tlali Reading and Book Club joins the world in celebrating Africa Month, 26th May 2019, at 13H00 to 15H00, 74 Mimosa Road, Randpark Ridge, Johannesburg The month of May is recognised as Africa month – a time when the continent of Africa commemorates the founding of the Organisation of African Unity (OAU). Celebrated on the 25th May, Africa Day signals the anniversary of the formation of (OAU)
PRESS RELEASE: 28th September 2018
The 2018 South African Literary Awards Announces Nominees, Launches 2 Additional Categories, Names New Poet Laureate Celebrating 13th anniversary of their existence, the South African Literary Awards (SALA) have shortlisted twenty three (23) authors from a total of just under two hundred (200) submissions received for 2018. The winners will be announced at a glittering awards ceremony on the 6th November at UNISA. Following the passing on of the 2nd National Poet Laureate,
PRESS RELEASE: 6 August 2018
PRESS RELEASE Release Date: 6 August 2018 (Immediate Release) Released by the wRite associates and partners. The 7th annual Africa Century International African Writers Conference (ACIAWC) Call for Papers is now open. Papers and panel proposals, interpreting the theme "Unifying Africa: Writing and reading in African languages" are invited. Delivered by the wRite associates in partnership with the national Department of Arts and Culture, UNISA and Archie Mafeje Research Institute
Press Release: 8th November 2017
Press Release For immediate release: 8th November 2017 Issued by the wRite associates And the 2017 SALA winners are… "Being recognised by your own is truly special. I have received many awards in my life, but this makes me very emotional. I am deeply grateful," Dikgang Moseneke, author and former Deputy Chief Justice of the South African Constitutional Court, when accepting the 2017 South African Literary Awards' Creative Non-fiction Award
Press Release – 13 October 2017
Press Release For immediate release: 13 October 2017 Issued by the wRite associates Twenty eight (28) South Africa's authors are shortlisted for the 2017 South African Literary Awards (SALA). 2017 marks the highest milestone of South African Literary Awards (SALA), as the shortlist includes, for the first time, the !Xam and !Kun languages. Listed under the Posthumous Literary Awards, five (5) legendary contributors are drawn from Wilhelm Bleek and Lucy
PRESS RELEASE – ANTI-APARTHEID ACTIVIST AUTHOR, MIRIAM TLALI, DEPARTS YONDER AT 83
PRESS RELEASE 28 February 2017 ANTI-APARTHEID ACTIVIST AUTHOR, MIRIAM TLALI, DEPARTS YONDER AT 83 South Africa and the literary world mourn the passing on of Miriam Tlali, a world-renowned award-winning anti-apartheid crusading author and South Africa's first African woman to publish a novel. She was 83. Miriam Masoli Tlali-Lehutso was born in Doornfontein in Johannesburg, in the then Transvaal (now Gauteng) and grew up in Sophiatown. She'd wanted to study
2016 SALA WINNERS ANNOUNCED
CONGRATULATIONS TO THE 2016 SALA WINNERS! CATEGORY AUTHOR TITLE Posthumous Literary Award TT Cloete For his body of work Chris van Wyk For his body of work Poetry Award Gilbert Gibson Vry Arja Salafranca Beyond Touch Nadine Gordimer Short Story Award Sandra Hill Unsettled and Other Stories Literary Translators Award Leon de Kock & Karin Schimke Flame in the Snow: The Love Letters of Andre Brink
The 2016 South African Literary Awards Nominees
PRESS RELEASE 7th October 2016 The 2016 South African Literary Awards Nominees Are Announced. Celebrating 11th anniversary of their existence, the South African Literary Awards (SALA) have shortlisted eighteen (18) authors from a total of one hundred and thirty-two (132) submissions received for 2016. The winners will be announced at a glittering awards ceremony on the 7th November at UNISA. The awards ceremony will be preceded by the 5thAfrica Century
Press Release: SALA honoured fourteen South Africa's authors
Press Release SALA honoured fourteen South Africa's authors at the 10th South African Literary Awards on the 7th November 2015, Tshwane Events centre, Pretoria. Receiving the awards were: CATEGORY LANGUAGE NAME & SURNAME BOOK TITLE/ OEUVRE 1. First-time Published Author Award English Carol Campbell My Children Have Faces 2. k Sello Duiker Memorial Literary Award English Zukiswa Wanner London, Cape Town, Joburg 3. Creative Non-Fiction Award English

redpajama_set_name: RedPajamaCommonCrawl


Magnolia By The Sea -An upscale cottage community located just 5 miles East of Seaside. Magnolia By The Sea has quickly become one of the most desired beach destinations on 30A. The home is very well appointed which includes Kohler fixtures, hardwood floors in the great room, kitchen, and bedrooms. There is tile in all the bath's, along with granite counter tops and stainless steel appliances in the kitchen. You will also enjoy the world famous beaches which are a 3-4 minute walk from the home, or the neighborhood resort style swimming pool which is just a minute walk away. This 3 bedroom cottage can accomodate up to 6 guests.


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In the previous couple of days I've been working on two new features for LitePub: drafts and tags.
LitePub is a lightweight static blog generator.
Any post can be marked as draft by simply moving it to the draft subdirectory of the posts directory. To unmark it just move it back to the posts directory.
8 Node.js, is better than Java but nevertheless I wanted to contribute, too.
Download a release to check it out. If you're new to LitePub follow the quick start to get started.


text:
Fabriciana olympena är en fjärilsart som beskrevs av Ruggero Verity 1937. Fabriciana olympena ingår i släktet Fabriciana och familjen praktfjärilar. Inga underarter finns listade i Catalogue of Life.

Källor

Praktfjärilar
olympena


text:
Amazing Capacities & Self-Inflicted Limitations: An Interview With Joseph Chilton Pearce
By Michael Mendizza
Joseph Chilton Pearce has authored many books, beginning with 1973's The Crack in the Cosmic Egg and continuing through Magical Child, Evolution's End, The Biology of Transcendence, and most recently with 2007's The Death of Religion and Rebirth of Spirit. He is both original and unique in his view of human potential and our limited development of that potential. In Pearce's view, we human beings are the apex of billions of years of creative, evolving adaptation. The complexity of our structure includes all that came before; we are truly magical. We express, moment by moment, the creative force that formed us. And yet, generation after generation, through our habits, beliefs and traditions, we fail to manifest the full spectrum of our inherent potential. Joe's lifelong quest has been to "understand our amazing capacities and self-inflicted limitations" in hopes that each of us, by sharing in this journey with him, will discover and become more of what we truly are—but don't yet know it. Author and educator Michael Mendizza sat down with Pearce and had this illuminating conversation.
Michael: What started you on your journey?
Joe: My first book, The Crack in the Cosmic Egg, which I wrote and rewrote for 12 years, was a protest against the prevailing academic, consensus view, which narrows our perceptions and limits us to grim necessity, as William Blake would say, to the death of spirit. In my 23rd year of life I underwent a series of paranormal events which challenged the foundations of classical thought. These events took place with abundant objective witnesses. Over time, however, I watched how these witnesses screened out or blurred-over their own perceptions, and I realized this was a necessary move to keep intact their established consensus of what was real. This selective tendency of the brainmind is part of a general maintenance system, which keeps our collective world experience stable, and seems to function below awareness, healing little rifts in the fabric of the known.
Since these paranormal events were my direct experience, not just witnessed, I questioned their meaning, which opened a whole new realm of possibilities, and I wondered how much of our potential this automatic survival system filters out? Through studying child development, I saw how our cultural worldview was formed by our social models, and how this view is locked into the very neural structures of our brains, not as opinion but as our world-forming, perceptual-conceptual process. When writing my third book, Magical Child, I started giving workshops and seminars to get feedback on my ideas. By the time I completed the book, this feedback had enlarged my original focus to include astonishing capacities and self-inflicted limitations.
Michael: So your intention has always been to draw our attention to these undeveloped capacities and limitations we impose on ourselves and on our children?
Joe: To grasp the nature of adult spiritual development we must understand the nature of child development, which in turn opens fully to us only when we understand the self-organizing properties of the brain and the way our brain draws on fields of intelligence and memory. The paradox of the idio-savant is a dramatic example of this, and challenges large sectors of common sense and classical belief.
Michael: What are our hidden possibilities and why are they important?
Joe: For a long while academic thought has considered the brain a chemical-electrical soup, bringing in signals from the outer world and processing them into an inner facsimile of that world, which includes, of course, all the information we try and "teach." Current research has pretty well exploded these notions. Consider instead that the brain is translating from fields of potential— physical, emotional-relational, and intellectual potentials—all of which are inherent within any child's system, simply awaiting the appropriate stimulus and nurturing.
Obviously we need to develop cognitive skills and discover the processes by which these fields manifest, but to spend years trying to pound information into the young person, from the topdown, so to speak, is a very limited approach.
Michael: You have said the capacity to learn is infinite. Brain matter is localized, but its operations are both in and beyond time-space, what quantum physicists speak of as localized and non-localized, as wave and particle.
Joe: Within any brain is the potential for unlimited structures of knowledge, but nothing is as worthless as infinite potential. Actual education, coming into knowledge, can only take place by selectivity, distinguishing a particular reality from the whole. And this selectivity is determined by our models, parents and society.
All processes are complementary dynamics. Brain-mind and world create each other through "structural coupling." Mind shapes its environment, which gives shape to that mind, and the two can never really be separate. An environment for the child includes all the shaping forces, including our misguided notions of schooling, testing and failing, with the inevitable guilt, anger and closure of the absorbent mind.
Within the first three years of life the absorbent mind of the child has either opened up to embrace a benevolent universe or closed down into a frightened defense mechanism on guard against a world it can't trust. Which is the root cause for the social mess we have today.
Michael:This calls into question the critical role we adults play in this process.
Joe: Stages of development unfold at birth, age one, four, seven and eleven, concluding (for now) at age fifteen. Except for birth, these are statistical averages. Any child may vary from them as much as a year, but the universality of the stages themselves is beyond question. Each stage consists of a block of potential intelligences and/or abilities appropriate to that age. For optimal development, those abilities must be stimulated and nurtured within the time frame of that stage. This stimulus-nurturing implies a model imperative. Just as no teeth could appear unless the new infant is nourished, no intelligence or ability will unfold unless given a like stimulus from the environment. Not even the physical senses can function until the infant is given sufficient sensory stimulation. No intelligence can unfold unless the child is given an appropriate environmental model of that intelligence— someone who has themselves developed that intelligence and, in turn, provides the child with both initial stimulus and ongoing guidance in his or her own development of that capacity. There are no exceptions to this.
As part of this model imperative, the nature, character and quality of the model determines to an indeterminable extent the nature, character and quality of the unfolding intelligence-ability of the child. Children don't become who we tell them to be. They become who we are, and the mother is the first and most important model in a child's life.
Plato said, "Give me a different set of mothers and I will give you a different world," which is simply to say that the mother is the most powerful presence in shaping the emerging mind. She is the infant's environment and emotional world, and that infant has no choice except to rough in his basic knowledge of the world as he finds it expressed in her.
EducationIssue 74
Germ Theory, New Perspectives
By Tom Cowan, M.D.Editor's note: What are viruses? Are they good or bad? What's their origin? Offering new philosophical perspectives is a...
Hunters And Farmers: The Origins Of Adhd
By Thom HartmannIf ADHD is a genetic disease or an abnormality, it's a popular one, possibly afflicting as many as 25...


On his official Twitter account (@alexoficial), the singer known as "El Potrillo" displayed a gorgeous sunset in Punta de Mita, where he welcomed the New Year before heading off on his 2015 tour. Mexico's ex-President enjoyed the evening at Vallarta Gardens in La Cruz de Huanacaxtle.
The steady efforts on behalf of the Riviera Nayarit Convention and Visitors Bureau (CVB) to promote the destination as a haven for celebrities continue to reap success. So much so that the year got off to a heady start with none other than Alejandro Fernández on hand to welcome 2015 in Punta de Mita, the Glamour Peninsula of the Riviera Nayarit, while Vicente Fox did the same at Vallarta Gardens in La Cruz de Huanacaxtle.
"El Potrillo" himself, who has over three million followers on his Twitter account (@alexoficial), broke the news of his beach camping vacation. At that moment no one really knew what beach he was on; however, later posts gave away his secret.
He published a photo of a gorgeous sunset in Punta de Mita on a day the sky over the bay was painted in tones of peach and blue. "The #lastsunsetoftheyear 2014! One for the books!" crowed the singer.
On January 3rd he could no longer contain his gratitude towards and satisfaction with Mexico's Pacific Treasure, as was evident on his post: "Bolongo! Incredible! #beach #mexico Day 2!" It's being said "El Potrillo" could be a partner in the homonymous development, currently under construction.
Jesús Carmona, Director of Operations at Vallarta Gardens, informed the CVB that Mexico's ex-President, Vicente Fox, had celebrated New Year's Eve in the developments luxurious facilities.


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2019 Update in perioperative cardiovascular medicine
Cleveland Clinic Journal of Medicine. 2019 October;86(10):677-683
Steven L. Cohn, MD, MACP, SFHM
Paul J. Grant, MD, SFHM, FACP
Barbara Slawski, MD, MS, SFHM
Professor Emeritus, Department of Medicine, University of Miami Miller School of Medicine, Miami, FL
Associate Professor of Medicine, Associate Chief Medical Information Officer, Director, Perioperative and Consultative Medicine, Division of Hospital Medicine, Department of Internal Medicine, University of Michigan, Ann Arbor
Professor of Medicine and Orthopedic Surgery, Chief, Section of Perioperative and Consultative Medicine, Division of General Internal Medicine, Department of Medicine, Medical College of Wisconsin, Milwaukee
Address: Steven L. Cohn, MD, MACP, SFHM, Department of Medicine, University of Miami Miller School of Medicine, 1120 NW 14th Street, Miami, FL 33136; scohn@med.miami.edu
Dr. Cohn has disclosed teaching and speaking for Janssen and Portola.
Expiration date: September 30, 2020
Estimated time of completion: 1 hour
Click here to start this CME/MOC activity.
We performed a MEDLINE search and found 6 studies published February 2018 through January 2019 that should influence perioperative cardiovascular medicine, specifically in preoperative cardiac risk assessment, perioperative medication management, and postoperative cardiac complications.
The Duke Activity Status Index is a better tool for assessing cardiopulmonary fitness than subjective assessment, and it should be considered for use in guideline algorithms.
Aspirin should not be given perioperatively in patients undergoing vascular surgery other than carotid endarterectomy.
Angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) are associated with intraoperative hypotension if given before surgery. Further study is needed to determined how best to manage ACE inhibitors and ARBs perioperatively.
In a study, dabigatran given to patients with myocardial injury after noncardiac surgery lowered the risk of major vascular complications, with no significant increase in major bleeding. But the study had major limitations.
Postoperative atrial fibrillation is associated with outcomes similar to those of nonsurgical nonvalvular atrial fibrillation. Anticoagulation decreases its stroke and mortality risk.
Fleisher LA, Fleischmann KE, Auerbach AD, et al. 2014 ACC/AHA guideline on perioperative cardiovascular evaluation and management of patients undergoing noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on practice guidelines. J Am Coll Cardiol 2014; 64(22):e77–137. doi:10.1016/j.jacc.2014.07.944
Kristensen SD, Knuuti J, Saraste A, et al. 2014 ESC/ESA Guidelines on non-cardiac surgery: cardiovascular assessment and management: the Joint Task Force on non-cardiac surgery: cardiovascular assessment and management of the European Society of Cardiology (ESC) and the European Society of Anaesthesiology (ESA). Eur Heart J 2014; 35(35):2383–2431. doi:10.1093/eurheartj/ehu282
Hlatky MA, Boineau RE, Higginbotham MB, et al. A brief self-administered questionnaire to determine functional capacity (The Duke Activity Status Index). Am J Cardiol 1989; 64(10):651–654. doi:10.1016/0002-9149(89)90496-7
Wijeysundera DN, Pearse RM, Sulman MA, et al. Assessment of functional capacity before major non-cardiac surgery: an international, prospective cohort study. Lancet 2018; 391(10140):2631–2640. doi:10.1016/S0140-6736(18)31131-0
Devereaux PJ, Mrkobrada M, Sessler DI, et al; POISE-2 Investigators. Aspirin in patients undergoing noncardiac surgery. N Engl J Med 2014; 370(16):1494–1503. doi:10.1056/NEJMoa1401105
Graham MM, Sessler DI, Parlow JL, et al. Aspirin in patients with previous percutaneous coronary intervention undergoing noncardiac surgery. Ann Intern Med 2018;168(4):237–244. pmid:29132159
Biccard BM, Sigamani A, Chan MTV, et al. Effect of aspirin in vascular surgery in patients from a randomized clinical trial (POISE-2). Br J Surg 2018; 105(12):1591–1597. doi:10.1002/bjs.10925
Shiffermiller JF, Monson BJ, Vokoun CW, et al. Prospective randomized evaluation of preoperative angiotensin-converting enzyme inhibition (PREOP-ACEI). J Hosp Med 2018; 13(10):661–667. doi:10.12788/jhm.3036
Hollmann C, Fernandes NL, Biccard BM. A systematic review of outcomes associated with withholding or continuing angiotensin-converting enzyme inhibitors and angiotensin receptor blockers before noncardiac surgery. Anesth Analg 2018; 127(3):678–687. doi:10.1213/ANE.0000000000002837
Devereaux PJ, Duceppe E, Guyatt G, et al. Dabigatran in patients with myocardial injury after non-cardiac surgery (MANAGE): an international, randomised, placebo-controlled trial. Lancet 2018; 391(10137):2325–2334. doi:10.1016/S0140-6736(18)30832-8
Butt JH, Olesen JB, Havers-Borgersen E, et al. Risk of thromboembolism associated with atrial fibrillation following noncardiac surgery. J Am Coll Cardiol 2018; 72(17):2027–2036. doi:10.1016/j.jacc.2018.07.088
Perioperative medicine is an evolving field with a rapidly growing body of literature, particularly in cardiology.
In this update, we review 6 articles to answer questions related to preoperative cardiac risk assessment, perioperative medication management, and postoperative cardiac complications. We surveyed perioperative literature from February 2018 through January 2019 and chose the final articles by consensus, based on relevance to clinicians who provide preoperative evaluations and postoperative care to surgical patients.
These summaries are derived from "Updates in Perioperative Medicine" presented at the 14th Annual Perioperative Medicine Summit (Orlando, FL, February 13–16, 2019) and the 2019 Society of Hospital Medicine Annual Meeting (National Harbor, MD, March 24–27, 2019).
PREOPERATIVE CARDIAC EVALUATION
How well do measures of functional capacity predict perioperative complications and mortality in noncardiac surgical patients?
Functional capacity is commonly assessed in preoperative evaluations to estimate patients' risks of perioperative complications and death. The American College of Cardiology/American Heart Association1 and the European Society of Cardiology2 guidelines both include estimation of cardiopulmonary fitness as a step in preoperative assessment before major noncardiac surgery.
"Subjective assessment" is one way to estimate functional capacity. Simply put, clinicians try to form a rough idea about the fitness of patients by asking questions about routine activities such as walking or climbing stairs. Although commonly used, subjective assessment of functional capacity lacks strong evidence that it predicts adverse perioperative events.
The Duke Activity Status Index is another method: self-administered in a questionnaire, it consists of 12 questions, which have weighted values (Table 1).3 In its derivation and validation studies, its results were found to correlate with peak oxygen uptake during exercise.
Cardiopulmonary exercise testing is a third option. It measures peak oxygen consumption and anaerobic threshold during exercise. It is probably the best objective measurement of functional capacity, but not necessarily for predicting postoperative cardiac complications, and it is performed relatively infrequently.
[Wijeysundera DN, Pearse RM, Sulman MA, et al. Assessment of functional capacity before major non-cardiac surgery: an international, prospective cohort study. Lancet 2018; 391(10140):2631–2640. doi:10.1016/S0140-6736(18)31131-0]
In a multicenter, prospective cohort study, Wijeysundera et al4 compared subjective functional capacity assessment, the Duke Activity Status Index, cardiopulmonary exercise testing, and the preoperative N-terminal pro-B-type natriuretic peptide (NT-proBNP) level in their ability to predict complications and death in 1,401 noncardiac surgery patients older than 40 with at least 1 cardiovascular risk factor. After surgery, patients had daily electrocardiograms and troponin measurements until postoperative day 3 or discharge.
The primary outcome was the 30-day incidence of death or myocardial infarction (MI). Additional outcomes included the 30-day incidence of death or myocardial injury after noncardiac surgery (MINS), the 1-year mortality rate, and moderate to severe in-hospital perioperative complications.
Findings. Two percent of patients died or had an MI within 30 days of surgery.4
Subjective assessment had only a 19.2% sensitivity (95% confidence interval [CI] 14.2–25) but a 94.7% specificity (95% CI 93.2–95.9) for predicting inability to attain 4 metabolic equivalents during exercise.4
A lower Duke Activity Status Index predicted the primary outcome of death or MI within 30 days (adjusted odds ratio [OR] 0.96, 95% CI 0.83–0.99, P = .03), and it was the only measure that did so. Additionally, the Duke index and NT-proBNP level predicted the risk of death or MINS within 30 days.4
Only elevated NT-proBNP was associated with death at 1 year.4
On exercise testing, low peak oxygen consumption was significantly associated with perioperative complications.
Limitations. The number of primary outcome events (death and MI) was low, potentially affecting the statistical power of the study.
Conclusions. Subjective assessment of functional capacity misclassifies too many patients as being at low risk of perioperative complications and should not be used for preoperative risk stratification. Other tools, such as the Duke Activity Status Index and NT-proBNP levels, are better predictors of adverse perioperative cardiovascular outcomes and should be considered for use in preoperative cardiac risk assessment.
Although the Duke Activity Status Index is a better predictor of adverse outcomes than subjective functional capacity assessment, a specific perioperative threshold for risk classification has not been established. Its correlate for metabolic equivalents should be considered for use in clinical practice at this point.
A complication of enoxaparin injection
1-Minute Consult
Should we stop aspirin before noncardiac surgery?
Anbazhagan Prabhakaran, MD, MRCP (Edin), FACP
Christopher Whinney, MD
It depends on the type of surgery and the reason the patient is taking aspirin.
Perioperative cardiovascular medicine: 5 questions for 2018
Kunjam Modha, MD, FACP
Kay M. Johnson, MD, MPH
Ethan Kuperman, MD, FHM
Kurt Pfeifer, MD, FACP, SFHM
Steven L. Cohn, MD, FACP, SFHM
Findings of recent studies regarding aspirin, troponin T, hypotension, patent foramen ovale, and recurrent stroke.
2017 Update in perioperative medicine: 6 questions answered
Ryan Munyon, MD
Gerald W. Smetana, MD, MACP
Topics: cardiac risk assessment, surgery after PCI, statins, sleep apnea, bridging anticoagulation, and frailty.
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We know life moves forward. The chapters of your past close, and new chapters get written everyday. It goes forward because, well, there's no real way for it to go back. So you move on — and you should. But somewhere along the way a disconnect happened. A disconnect between taking a next step in your life, and what that new life actually means. When life opens a door, you're supposed to explore what's behind it. And when opportunities arise you're supposed to seize them. But sometimes you have to stop and think, these things are happening for me, great, but at what cost? Is taking that step forward, going to make you take two steps back in the end?
Sure, sometimes the gain outweighs the risk so you do it. Sometimes that step can literally change your life. But it's important to acknowledge all the changes. Not just that one outcome you're so focused on. Is the thing you're walking towards worth changing your life completely? And if it is, down the road when the dust settles, are you going to be okay with what or who you sacrificed to get it? Somewhere along the way this idea of going forward became the same as leaving things behind. But it doesn't have to be that way. It's possible to do one without the other. To make changes in your life that better you, without losing the people and things that are important to you. To get the life you want, without erasing the life you were living.
Now, it's true that sometimes you just out grow people. Sometimes the things that were once important to you simply no longer are. But if the people and things are still pieces to the puzzle that is your life, what's the point of purposely making them not fit? If you don't have to, what's the point of leaving what's important behind? You have the ability to open a new door of your life, and still bring people with you. To write that next chapter, and introduce new characters while still maintaining the old. It doesn't have to be all or nothing. It doesn't have to be either or. It's possible to create a new life, without destroying the old one. Especially if this change is so dramatic. Especially if there's a chance it fails. You don't want to cut out the people you're going to need if the life you're creating doesn't work out. It's possible to move forward, without leaving people behind. All it takes is a choice. To bring the people you care about along for your journey, instead of forcing them to be absent from your destination.