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Achieving Ecological Sustainability In Anesthesiology
March 7, 2017 by Dr. Clemens Leave a Comment
Believe it or not, damages from health-sector pollution are on the same order of magnitude as lives lost each year from preventable medical errors. Therefore, striving to keep patients safe should include efforts to protect public health.
"Ironically, the health sector is one of the worst polluting industries," said Jodi Sherman, MD, assistant professor of anesthesiology at Yale School of Medicine, in New Haven, Conn. "You cannot have healthy people on a sick planet."
Ecological sustainability in health care is an emerging field, and "anesthesiologists are already demonstrating leadership," said Dr. Sherman, adding that anesthesiologists are well suited to tackle sustainability. "Among environmental hot spots in health care, the operating room [OR] is highly resource-intensive and a very large contributor to the pollution footprint. Anesthetic gases are of particular concern."
Moreover, anesthesiologists interface with most other specialists in the delivery of clinical care, and also interact with members of hospital administration and support staff in the actual operational function of the hospital itself.
"Therefore, we have the opportunity to take a leadership role and influence and embed sustainability as a core patient care value," said Dr. Sherman, who has been working on reducing health care pollution since her residency at Stanford University 10 years ago.
More than one-third of the carbon footprint stemming from an average OR surgical procedure derives from anesthetic gases, according to Dr. Sherman, and up to 5% of a hospital's greenhouse emissions can come from inhaled anesthetics. "The good news is that there are many simple things to reduce these emissions," Dr. Sherman said.
Focus of ASA Task Force
Strategies advocated by the American Society of Anesthesiologists (ASA) Environmental Task Force to reduce pollution have been collected and listed in the ASA's Anesthesia Sustainability Checklist (see sidebar).
For inhaled anesthetic gas management, strategies include avoiding the two high-impact inhaled anesthetics desflurane and nitrous oxide. "Instead, administer either sevoflurane or isoflurane when possible," said Dr. Sherman, who serves as co-chair of the task force.
Making a habit of using low fresh gas flows, and using noninhaled intravenous and regional techniques when clinically feasible, will also reduce inhaled anesthetic atmospheric waste. Technology for waste anesthetic capture/destruction is an important opportunity to further reduce emissions.
Anesthesiology Sustainability Checklist
By the ASA Environmental Task Force
www.asahq.org/?resources/?resources-from-asa-committees/?greening-the-operating-room
Reduce Inhaled Anesthetic Atmospheric Waste
Utilize low fresh gas flows
Avoid high impact inhaled anesthetics: Desflurane, Nitrous Oxide
Consider intravenous and regional techniques
Invest in WAG trapping (for volatiles only) or WAG destroying (all inhaled anesthetics, including Nitrous Oxide) technology for the Anesthesia Machine
Reduce IV Pharmaceutical Waste
Use prefilled syringes
Use appropriate sized vials for an individual patient
Dispose of unused medications and vials according to regulations (and not exceeding)
Reduce Anesthesia Equipment Waste
Only open equipment intended for immediate use
Consider purchase of reusable or reprocessed equipment over disposable
Reprocess or recycle suitable disposable equipment
Adjust stock levels to minimize discarding expired items
Reformulate prefabricated kits to eliminate unnecessary items
Reformulate anesthesia supply carts to eliminate unnecessary items
Donate expired or unused open equipment
Solid Waste Segregation
Segregate waste according to type (pharmaceutical, solid, biohazard, etc.)
Avoid default of placing all waste into a biohazard or sharps bins
Recycle batteries
Consider intraoperative recycling program for clean plastics, paper and cardboard
Use reusable sharps containers
Consider reusable linens
Minimize excessive use of reusable and disposable towels and blankets
Avoid excess electronics without proven benefit to patient care
Use a certified sustainable electronics recycling vendor to dispose of old equipment
When negotiating equipment upgrades/contracts, request vendors take back old equipment for refurbishment and donation, or request vendor use a certified sustainable electronics recycling vendor
Develop/join a Sustainability Committee at a department, hospital, or society level and advocate for a sustainability officer
Collaborate with hospital leadership to embed pollution prevention as part of the core business mission, to improve the health of our patients, employees and the surrounding community
Become involved in environmental preferable purchasing
Educate staff regarding the health, safety, and cost benefits of environmental projects
Evaluate new equipment, facility, and behavior options for improved sustainability
Consider strategic sustainability research projects that will lead to financial and environmental savings for the hospital
"It is not just what we throw away that matters," Dr. Sherman said. "It is also the resources that go into the manufacturing, transportation and the use of supplies—in other words, the entire life cycle of a product. So reducing waste overall is a critically important strategy."
Surprisingly, the most damaging phase of inhaled anesthetics is the disposal process. "These drugs are essentially blown off of hospital rooftops and into the air, as there are no regulations controlling their outdoor emissions," Dr. Sherman said.
Fortunately, there is commercially available technology to capture volatile anesthetics and to destroy nitrous oxide. "The question then becomes, should we all be adopting this technology?" Dr. Sherman said.
Anesthesiologists can become environmentally responsible by championing conservation of resource management. "This includes reducing waste and using more reusable devices when safe to do so, or reprocessing those devices," Dr. Sherman said. "Essentially, instead of using in-house central sterilization and supply departments, third-party vendors take the disposable devices, clean and test them to guarantee their safety, and then resell them at a discounted price."
To further reduce anesthesia equipment waste, "only open up stuff that you need," Dr. Sherman said. Adjusting stock levels to minimize the number of expired items and reformulating anesthesia supply carts to remove unnecessary items are also helpful.
Several printed articles demonstrate that anesthesiologists routinely discard 30% to 70% of intravenous drugs. "Vial sizes are frequently much larger than needed for an individual patient, so many of our drugs are being disposed as unused," Dr. Sherman said. As a result, some institutions have changed to prefilled syringes, which are provided by either a third-party vendor or an in-house pharmacy.
"Although this strategy has not been broadly adopted because it requires cost shifting, a comprehensive cost analysis has been lacking," Dr. Sherman said. "Prefilled syringes are safer, though, and have been advocated for by the Anesthesia Patient Safety Foundation (APSF) since 2010."
Solid waste segregation is another key metric for sustainability. "We have many different waste streams in the OR. The more hazardous the waste is, the more expensive and more polluting it is to treat, so taking the time to properly separate trash actually does matter," said Dr. Sherman, who is the environmental compliance officer for Yale's Department of Anesthesiology.
Another targeted area is linens. Reusable surgical linens have been shown to produce less pollution. Regardless of whether linens are reusable or disposable, "we need to minimize their use—for example, the number of cotton blanket turnovers on a single patient in their perioperative stay," Dr. Sherman said. "There is no evidence that a patient's heat is conserved more by having a blanket fresh out of the warmer versus not, and frequent changeovers are costly and energy- and water-intensive."
In addition, replacing old electronics such as monitors with the latest models "is not necessarily useful," Dr. Sherman said. When disposing of old equipment or negotiating new equipment contracts, specify the services of a certified sustainable electronic recycling vendor.
Anesthesiologists can step up to the plate in many ways, including starting or joining a sustainability committee at the department, hospital or community level. They also can become active in medical device procurement committees and add environmental preferable purchasing concerns to decision making.
"Moreover, you can get involved on a higher administrative level, or give talks at your own facility," Dr. Sherman said.
This past summer, Yale's Department of Anesthesiology launched a free smartphone app called Yale Gassing Greener, which provides a calculator to help educate clinicians about the environmental impact of inhaled anesthetics. The app also offers an optional research data collection tool. "By sharing inhaled anesthetic procurement volume data, a user can receive a free, personalized benchmark report on the inhaled anesthetic carbon footprint performance of her facility," Dr. Sherman said.


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Sample references (see below) specify reference style and format for the most common sources of literature and clarify symbols and identifications used to organize reference lists a la Vancouver style that seem unusual to the Russian speaking authors.
According to the international citation systems, bibliographic references are included in the translated into English part of the manuscript. Therefore, references should be presented both in the source language and in Roman alphabet. So, the author should provide References in two versions: in the source language (Russian language sources should be in Cyrillic alphabet and English language sources – in Roman alphabet), and then the same list in Roman alphabet for international databases duplicating all literature sources no matter whether there are any international sources among them.
All Russian language sources in the References should be formatted in the following order: authors' names (author's transliteration), manuscript title (transliteration), manuscript title (English translation in square brackets), journal's title (transliteration), publisher (transliteration). Imprint data in digital format should be followed by indication of the source language (in Russian). Title of the journal should be highlighted in italics.
Запорожченко В.Г. Героин: исторический обзор. Профилактика заболеваний и укрепление здоровья 2000; 3(6): 31-36.
Zaporozhchenko V.G. Geroin: istoricheskiy obzor [Heroin: a historical review]. Profilaktika zabolevaniy i ukreplenie zdorov'ya 2000; 3(6): 31-36. (In Russian).
To develop References in Roman alphabet, editors of the Journal recommend using Translit transliteration system available from http://www.translit.ru. Access is free. Manual transliteration is not encouraged as fraught with errors.
Go to http://www.translit.ru. Select BGN (Board of Geographic Names) in the Options box.
Insert text of the reference in the main box and press the "In translit" button. The entire text of the reference is immediately transliterated.
Paste the transliterated text into the References.
Translate title (of the manuscript, book, proceedings) into English and paste it into the References. We recommend refraining from the use of electronic translation programs to ensure that the author's implication of the title is accurately conveyed without distortion.
Consolidate transliterated and translated texts to format the reference according to the stated above rules. Place of publication (city) should be transliterated as well (please, note that both capitals, i.e. Moscow and St. Petersburg, should be translated into English rather than transliterated). Introduce technical corrections if needed.
Note 1. The editors give pared examples: the first example samples organization of a reference for the Russian language References. The second one exemplifies organization of the same reference for the English language References.
Note 2. Part of a reference is presented in digital format if organized a-la Vancouver style.
Let's take the following reference as an example: Сабгайда Т.П., Семенова В.Г., Иванова А.Е., Евдокушкина Г.Н., Секриеру Е.М., Никитина С.Ю. Полнота учета в медицинских свидетельствах о смерти состояний, приведших к смерти. Здравоохранение Российской Федерации. 2014; 58 (5): 4-8.
2014; - the year (date) of publication. Semicolon indicates that the dating is completed. Dating can be more complicated, for instance: 2002 Jul; (the year and month of publication) or 2002 Jul 25; (the year, month and day of publication). However, in both cases the semicolon shows that dating is completed.
58 is the volume. There can be no volume if the Journal is free from volumes. If the volume is followed by a colon not the journal's issue, this means that the Journal is not numbered by its editors. Semicolon is followed by the number of pages on which the publication is placed inside and out.
(5): is the number of the journal. It is always displayed in round brackets even if there is no volume. Semicolon indicates that the number is followed by pages on which the publication is placed inside and out. The sample article above is placed on pages four to eight.
Note 3. Reference to books in digital format reads the following: if the letter "p" follows the number (436 p) it indicates the total number of pages in the cited source; if it precedes the number (P. 436), it refers to the page of the source on which the idea or conception cited by the author is placed.
If a reference is made to a book's section of chapter (more than one page), number of pages indicate pages on which they are placed inside and out: P. 434-636.
Note 4. If you have difficulties formatting references please, refer to the examples provided on this webpage or apply for help to the editors of the Journal. Assistance is free.
Note. The titles of the Russian language journals should be provided in full. Abbreviations can be used only if accepted in PubMed or Index Medicus. For example, JAMA or Br J Psych. Titles of the journals in the References should be highlighted in italics.
If an article has up to six authors, the reference should list them all.
Белушкина Н.Н., Хомякова Т.Н., Хомяков Ю.Н. Заболевания, связанные с нарушением регуляции программируемой клеточной гибели. Молекулярная медицина 2012;(2):3-10.
Belushkina NN, Khomyakova TN, Khomyakov YuN. Zabolevaniya, svyazannye s narusheniem regulyatsii programmiruemoy kletochnoy gibeli [Diseases associated with dysregulation of programmed cell death]. Molekulyarnaya meditsina 2012;(2):3-10. (In Russian).
Сабгайда Т.П., Семенова В.Г., Иванова А.Е., Евдокушкина Г.Н., Секриеру Е.М., Никитина С.Ю. Полнота учета в медицинских свидетельствах о смерти состояний, приведших к смерти. Здравоохранение Российской Федерации. 2014; 58 (5): 4-8.
Sabgayda T.P., Semenova V.G., Ivanova A.E., Evdokushkina G.N., Sekrieru E.M., Nikitina S.Yu. Polnota ucheta v meditsinskikh svidetel'stvakh o smerti sostoyaniy, privedshikh k smerti [The completeness of recordings in medical death certificates the conditions resulted in death]. Zdravookhranenie Rossiyskoy Federatsii 2014; 58 (5): 4-8. (In Russian).
If an article has more than six authors, the reference lists the first six authors followed by "и др" in the Russian language References and by "et al." in the English language References.
Веркина Л.М., Телесманич Н.Р., Мишин Д.В., Ботиков А.Г., Ломов Ю.М., Дерябин П.Г., и др. Конструирование полимерного препарата для серологической диагностики гепатита С. Вопросы вирусологии 2012;(1):45-48.
Verkina LM, Telesmanich NR, Mishin DV, Botikov AG, Lomov YuM, Deryabin PG, et al. Konstruirovanie polimernogo preparata dlya serologicheskoy diagnostiki gepatita С [Construction of the polymer preparation for serological diagnosis of hepatitis C.] Voprosy virusologii 2012;(1):45-48. (In Russian).
Иванова А.Е., Головенкин С.Е., Сульдин С.А. Предотвратимость потерь здоровья при инфаркте миокарда. Социальные аспекты здоровья населения [электронный научный журнал]; 2013;33(5). URL: http://vestnik.mednet.ru/content/view/504/30/lang,ru/ (Дата обращения 12 февраля 2014).
Please, note that in the English language References date is separated from volume and number of the journal.
Ivanova A.E., Golovenkin S.E., Sul'din S.A. Predotvratimost' poter' zdorov'ya pri infarkte miokarda [Preventable health loss associated with myocardial infarction]. Social'nye aspekty zdorov'a naselenia [serial online]; 2013 [cited 2014 Feb 12]; 33(5). Available from: http://vestnik.mednet.ru/content/view/504/30/lang,ru/ (In Russian).
Аполихин О.И., Катибов М.И., Сивков А.В., Чернышев И.В., Рощин Д.А., Шадеркин И.А. и др. Индуцированные всеобщей диспансеризацией проблемы скрининга рака предстательной железы в Российской Федерации. Социальные аспекты здоровья населения [электронный научный журнал] 2013;34(6). URL: http://vestnik.mednet.ru/content/view/519/30/lang,ru/ (Дата обращения 3 февраля 2014).
Apolikhin OI, Katibov MI, Sivkov AV, Chernishev IV, Roschin DA, Shaderkin IA, et al. Indutsirovannye vseobshchey dispanserizatsiey problemy skrininga raka predstatel'noy zhelezy v Rossiyskoy Federatsii [Problems of prostate cancer screening induced by comprehensive medical examination in the Russian Federation]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2013 [cited 2014 Feb 02]; 34;(6). Available from: http://vestnik.mednet.ru/content/view/519/30/lang,ru/ (In Russian).
If a book has up to six authors the reference should list them all.
Стародубов В.И., Суханова Л.П. Репродуктивные проблемы в демографическом развитии России. Москва: ИД "Менеджер здравоохранения"; 2012. 320 с.
Starodubov V.I., Sukhanova L.P. Reproduktivnye problemy v demograficheskom razvitii Rossii [Reproductive problems in the demographic development of Russia]. Moscow: ID "Menedzher zdravookhraneniya"; 2012. 320 p. (In Russian).
If an book has more than six authors, the reference lists the first six authors followed by "и др" in the Russian language References and by "et al." in the English language References.
Лещенко Я.А.,.Данилина Е.В,.Батура О.Г, Боева А.В., Лещенко О.Я., Лутин Я.А., и др. Общественное здоровье как важнейшая составляющая человеческого капитала. Иркутск. 2005. 206 с.
Leshchenko Ya.A. Danilina E.V., Batura O.G., Boeva A.V., Leshchenko O.Ya, Lutin YaA., et al. Obshchestvennoe zdorov'e kak vazhneyshaya sostavlyayushchaya chelovecheskogo kapitala [Public health as an important component of human capital]. Irkutsk. 2005. 206 p. (In Russian).
Иванова А.Е. Тенденции и причины смерти населения России. В кн.: Осипов В.Г., Рыбаковский Л.Л., редакторы. Демографическое развитие России в XXI веке. Москва: Экон-Информ; 2009. С. 110-131.
Ivanova A.E. Tendentsii i prichiny smerti naseleniya Rossii [Trends and causes of death of the population of Russia]. In: Osipov V.G., Rybakovskiy L.L., editors. Demograficheskoe razvitie Rossii v XXI veke [Demographic development of Russia in the XXI century]. Moscow: Ekon-Inform; 2009. p. 110-131. (In Russian).
Давыдов М.И., Аксель Е.М., Блохина Н.Н. Организация онкологической помощи в России и распространённость злокачественных новообразований среди взрослых. В кн.: Л.А. Бокерия, И.Н. Ступаков, редакторы. Социально значимые болезни в Российской Федерации. Москва: Научный центр сердечно-сосудистой хирургии им. А.Н. Бакулева; 2006. С. 170-194.
Davydov M.I., Aksel' E.M., Blokhina N.N. Organizatsiya onkologicheskoy pomoshchi v Rossii i rasprostranennost' zlokachestvennykh novoobrazovaniy sredi vzroslykh [The organization of cancer care in Russia and prevalence of malignant neoplasms among in adults]. In: Bokeriya L.A., Stupakov I.N., editors. Sotsial'no znachimye bolezni v Rossiyskoy Federatsii [Socially significant diseases in the Russian Federation]. Moscow: Nauchnyy tsentr serdechno-sosudistoy khirurgii im. A.N. Bakuleva; 2006. P. 170-194. (In Russian).
Гланц С. Медико-биологическая статистика. 4-е изд. [Пер. с англ]. Москва: Практика; 1998. 459 с.
Glantz S.A. Primer of Biostatistics. 4th ed. [Transl. from Eng]. Moscow. Praktika; 1998. 459 p. (In Russian).
Ригельман Р. Как избежать врачебных ошибок. [Пер. с англ.]. Москва: Практика; 1994. 204 с.
Riegelman R.К. Minimizing Medical Mistakes: The Art of Medical Decision Making. [Transl. from Eng]. Moscow: Praktika; 1994. 204 p. (In Russian).
Российский статистический ежегодник. 2013. Статистический сборник. Москва: Росстат; 2013, 717 с.
Rossiyskiy statisticheskiy ezhegodnik. 2013 [Russian statistical yearbook. 2013]. Statisticheskiy sbornik. Moscow: Rosstat; 2013, 717 p. (In Russian).
Россия 2013: Статистический справочник. Москва: Росстат; 2013. 62 с.
Rossiya 2013: Statisticheskiy spravochnik [Russia 2013: Statistical Handbook]. Moscow: Rosstat; 2013. 62 p. (In Russian).
Бокерия Л.А., Ступаков И.Н., редакторы. Социально значимые болезни в Российской Федерации. Москва: Научный центр сердечно-сосудистой хирургии им. А.Н. Бакулева; 2006. 326 с.
Bokeriya L.A., Stupakov I.N., editors. Sotsial'no znachimye bolezni v Rossiyskoy Federatsii [Socially significant diseases in the Russian Federation]. Moscow: Nauchnyy tsentr serdechno-sosudistoy khirurgii im. A.N. Bakuleva; 2006. 326 p. (In Russian).
Сабгайда Т.П. Паразитарная система P.vivax: информационно-математическое моделирование как основа анализа и управления её функционированием: дис. … д-ра мед. наук. Москва: 2002. 320 с.
Sabgayda TP. Parazitarnaya sistema P.vivax: informatsionno-matematicheskoe modelirovanie kak osnova analiza i upravleniya ee funktsionirovaniem [The parasitic system P.vivax: information and mathematical modeling as a basis of analysis and management of its functioning]. Dr. Med.Sci [dissertation]. Moscow; 2002. 320 p. (In Russian).
Подсвирова О.В. Оптимизация методических и медико-организационных аспектов управления факторами, определяющими качество перинатальной профилактики: автореф. дис. … канд. мед. наук. Иваново. 2004. 24 с.
Рыбаковский Л.Л., редактор. Демографическое настоящее и будущее России и её регионов. Материалы Всероссийской научно-практической конференции. 2012 30-31 мая, Москва. Москва: Экон-информ; 2012. 178 с.
Rybakovskiy L.L., editor. Demograficheskoe nastoyashchee i budushchee Rossii i ee regionov [Demographic present and future of Russia and its regions]. Materialy Vserossiyskoy nauchno-prakticheskoy konferentsii. 2012, 30-31 May, Moscow. Moscow: Ekon-inform; 2012. 178 p. (In Russian).
Салов И.А., Маринушкин Д.Н. Акушерская тактика при внутриутробной гибели плода. В кн.: Кулаков В.И., редактор. Материалы IV Российского форума "Мать и дитя". Москва; 2000; ч. 1. С. 516-519.
Salov IA, Marinushkin DN. Akusherskaya taktika pri vnutriutrobnoy gibeli ploda [Obstetric tactics in intrauterine fetal death]. In: Kulakov V.I., editor. Materialy IV Rossiyskogo foruma "Mat' i ditya". Мoscow, 2000; Part 1. p. 516-519. (In Russian).
Иванова А.Е., Михайлов А.Ю. Эффективность региональных программ по снижению смертности в России. В кн.: Цыбулевская Е.А., Терентьев Л.А., Ильченко Л.П., Саакян Р.Р., Селезнев С.Б., Анкундинов С.Г., и др., редакторы. Здоровье населения – основа процветания России. Материалы V Всероссийской научно-практической конференции с международным участием (26-27 апреля 2011 года), г. Анапа. Анапа: Издание филиала Российского государственного социального университета в г. Анапе; 2011. С. 151-152.
Ivanova A.E., Mikhaylov A.Yu. Effektivnost' regional'nykh programm po snizheniyu smertnosti v Rossii [Efficiency of the regional programs on reducing mortality in Russia]. In: Tsybulevskaya E.A., Terent'ev L. A., Il'chenko L.P., Saakyan R.R., Seleznev S.B., Ankundinov S.G., et al., editors. Zdorov'e naseleniya – osnova protsvetaniya Rossii [Population health is the basis for prosperity of Russia]. Materialy V Vserossiyskoy nauchno-prakticheskoy konferentsii s mezhdunarodnym uchastiem (26-27 Apr 2011), Anapa. Anapa: Izdanie filiala Rossiyskogo gosudarstvennogo sotsial'nogo universiteta. Anapa; 2011. P. 151-152. (In Russian).
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О защите прав юридических лиц и индивидуальных предпринимателей при осуществлении государственного контроля (надзора) и муниципального контроля: федеральный закон от 26.12.2008 № 294-ФЗ (ред. от 28.12.2013). Собрание законодательства РФ 2008.12.29, №52 (ч. 1), ст. 6249.
O zashchite prav yuridicheskikh lits i individual'nykh predprinimateley pri osushchestvlenii gosudarstvennogo kontrolya (nadzora) i munitsipal'nogo kontrolya [On protecting the rights of legal entities and individual entrepreneurs in providing the state control (supervision) and municipal control]. Federal'nyy zakon ot 26.12.2008 № 294-FZ (red. ot 28.12.2013)]. Sobranie zakonodatel'stva RF 2008.12.29, №52 (Part 1), Art. 6249. (In Russian).
Ob obyazatel'nom meditsinskom strakhovanii v Rossiyskoy Federatsii [On mandatory health insurance in the Russian Federation] Federal'nyy zakon ot 29 noyabrya 2010 g. №326-FZ (s izmeneniyami i dopolneniyami)]. [Online]. 2010 [cited 2014 Apr 26]. Available from: http://base.garant.ru/12180688/ (In Russian).
Об организации лицензирования отдельных видов деятельности: Постановление Правительства РФ от 21.11.2011; №957 (ред. от 28.10.2013). Собрание законодательства РФ 2011.11.28, №48, ст. 6931.
Ob organizatsii litsenzirovaniya otdel'nykh vidov deyatel'nosti [On organization of licensing certain types of activity]. Postanovlenie Pravitel'stva RF ot 21.11.2011; №957 (red. ot 28.10.2013). Sobranie zakonodatel'stva RF 2011.11.28, №48, Art. 6931. (In Russian).
Ob utverzhdenii meditsinskoy dokumentatsii i statisticheskoy otchetnosti, ispol'zuemykh pri provedenii dispanserizatsii opredelennykh grupp vzroslogo naseleniya i profilakticheskikh meditsinskikh osmotrov [On approving medical documentation and statistical reporting documents used for medical examination of certain groups of adult population and preventive medical examination]. Prikaz Minzdrava Rossii ot 21 iyunya 2013 goda №382n]. [Online] [cited 2014 Feb 14]. Available from: http://www.rosminzdrav.ru/docs/mzsr/orders/1522. (In Russian).
Ob utverzhdenii gosudarstvennoy programmy Rossiyskoy Federatsii «Razvitie zdravookhraneniya [On approving the state program of the Russian Federation "Development of health care"]. Postanovlenie Pravitel'stva RF ot 15.04.2014 №294]. [Online]. 2014 [cited 2014 Apr 26]. Available from: http://www.rg.ru/2014/04/24/zdravooxr-site-dok.html (In Russian).
Всемирный доклад о наркотиках, 2012. Организация Объединенных Наций. Нью-Йорк. 2012. 153 с.
World Drug Report. 2012. United Nations. New York. 2012. 153 p. (In Russian).
The basic changes in aging during the period after the II World Assembly on aging: Report of Secretary General. Commission for social development. 45 Session. February 7-16, 2007. P.14. [Online] [cited 2014 Feb 01]. Available from: URL: http://socpolitika.ru/files/5492/ageing_report_com.pdf. (In Russian).
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Доклад о состоянии здравоохранения в мире 2007. [Интернет]. URL: http://www.who.int/whr/2007/whr07_ru.pdf (Дата обращения: 22.10.2014).
Korablev V.N. Ispol'zovanie innovatsionnykh tekhnologiy upravleniya dlya povysheniya effektivnosti zdravookhraneniya regiona [Implementation of innovation management technologies to increase the health care efficiency in regions]. [Online]. Khabarovsk: Izdatel'stvo Dal'nevostochnogo gosudarstvennogo meditsinskogo universiteta. 2009 [cited 2014 Apr 09]. Available from: http://www.medlinks.ru/sections.php?op=listarticles&secid=135 (in Russian).
Popova G.V. Metodologicheskie osnovy formirovaniya innovatsionnoy sistemy upravleniya razvitiem regional'nogo zdravookhraneniya [Methodical grounds for forming innovation management system for development of regional health care]. Dr. Oec.Sci. [thesis]. St. Petersburg. 2009 [Online]. 2009 [cited 2014 Apr 09]. Available from: http://www.dissers.ru/avtoreferati-dissertatsii-ekonomika/a892.php (in Russian).
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Angus J. Ageism: A Threat to "Aging Well»' in the 21st Century. Journal of Applied Gerontology. 2006; (25): 137-152.
Russell FD, Coppell AL, Davenport AP. In vitro enzymatic processing of radiolabelled big ET-1 in human kidney as a food ingredient. Biochem Pharmacol 1998;55(5):697- 701.
Prokai-Tatrai K, Prokai L. Modifying peptide properties by prodrug design for enhanced transport into the CNS. Prog Drug Res. 2003;61:155-88.
If an article has more than six authors, the reference lists the first six authors followed by "et al.".
Hallal AH, Amortegui JD, Jeroukhimov IM, Casillas J, Schulman CI, Manning RJ, et al. Magnetic resonance cholangiopancreatography accurately detects common bile duct stones in resolving gallstone pancreatitis. J Am Coll Surg 2005;200(6):869-75.
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Getzen TE. Health economics: fundamentals of funds. New York: John Wiley & Sons;1997. 464 p.
Lodish H, Baltimore D, Berk A, Zipursky SL, Matsudaira P, Darnell J. Molecular cell biology. 3rd ed. New York: Scientific American; 1995. 853 p.
If a book has more than six authors, the reference lists the first six authors followed by "et al.".
Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, et al. Harrison's principles of internal medicine. 14th ed. New York: McGraw Hill, Health Professions Division; 1998.
Branco K.J. Stereotyping and the life cycle: Views of aging and the aged. In: In the Eye of the Beholder: Contemporary Issues in Stereotyping. A.G. Miller, editor. NY. 1982. P. 364-410.
Porter RJ, Meldrum BS. Antiepileptic drugs. In: Katzung BG, editor. Basic and clinical pharmacology. 6th ed. Norwalk (CN): Appleton and Lange; 1995. p. 361-80.
Such reference is formatted the same as a referent to a book with authors. The name of the last editor is followed by a coma and the word "editor" or "editors" is full to avoid confusion with the abbreviation "ed." that stands for "edition" to indicate the edition number (3rd ed. or 6th ed.).
Millares M, editor. Applied drug information: strategies for information management. Vancouver (WA): Applied Therapeutics, Inc.; 1998.
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National Organization for Rare Diseases [Online]. 1999 Aug 16 [cited 1999 Aug 21]; Available from: http://www.rarediseases.org/Royal College of General Practitioners.
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Ferreira de Oliveira MJ, editor. Accessibility and quality of health services. Proceedings of the 28th Meeting of the European Working Group on Operational Research Applied to Health Services (ORAHS); 2002 Jul 28-Aug 2; Rio de Janeiro, Brazil. Frankfurt (Germany): Peter Lang; c2004. 287 p.
Arendt T. Alzheimer's disease as a disorder of dynamic brain self-organization. In: van Pelt J, Kamermans M, Levelt CN, van Ooyen A, Ramakers GJ, Roelfsema PR, editors. Development, dynamics, and pathology of neuronal networks: from molecules to functional circuits. Proceedings of the 23rd International Summer School of Brain Research; 2003 Aug 25-29; Royal Netherlands Academy of Arts and Sciences, Amsterdam, the Netherlands. Amsterdam (Netherlands): Elsevier; 2005. p. 355-78.
Semyonova V, Sabgayda T. The distorting death causes structure of Russia population. In: Skiadas C.H., editor. Book of abstract of 15th Applied stochastic models and data analysis international conference. 25-28 June 2013. Matara (Barcelona), Spain. 2013. P. 189-190.
Jones DL. The role of physical activity on the need for revision total knee arthroplasty in individuals with osteoarthritis of the knee [dissertation]. [Pittsburgh (PA)]: University of Pittsburgh; 2001. 436 p.
Liu-Ambrose TY. Studies of fall risk and bone morphology in older women with low bone mass [dissertation]. [Vancouver (BC)]: University of British Columbia; 2004. 290 p.
Roguskie JM. The role of Pseudomonas aeruginosa1244 pilin glycan in virulence [master's thesis]. [Pittsburgh (PA)]: Duquesne University; 2005. 111 p.
Weisbaum LD. Human sexuality of children and adolescents: a comprehensive training guide for social work professionals [master's thesis]. Long Beach (CA): California State University, Long Beach; 2005. 101 p.
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text:
The Info List - Till The Clouds Roll By
Till The Clouds Roll By is a 1946 Technicolor
Technicolor American musical film produced by Metro-Goldwyn-Mayer. It is a fictionalized biopic of composer Jerome Kern, portrayed by Robert Walker. Kern was originally involved with the production, but died before it was completed. It has a large cast of well-known musical stars of the day who appear performing Kern's songs. It was the first in a series of MGM biopics about Broadway's composers; it was followed by Words and Music (Rodgers and Hart, 1948), Three Little Words (Kalmar and Ruby, 1950), and Deep in My Heart (Sigmund Romberg, 1954).[1] The film is one of the MGM musicals that lapsed into the public domain on their 28th anniversary, due to MGM failing to renew its copyright.
1 Cast 2 Production 3 Songs
3.1 Surviving Judy Garland
Judy Garland song outtake
4 Soundtrack album 5 Reception
5.1 Critical response 5.2 Box office 5.3 Accolades
6 Home video 7 References 8 External links
Robert Walker as Jerome Kern June Allyson
June Allyson as Herself/Jane in Leave It to Jane Lucille Bremer
Lucille Bremer as Sally Hessler Judy Garland
Judy Garland as Marilyn Miller Kathryn Grayson
Kathryn Grayson as Magnolia Hawks in Show Boat/Herself Van Heflin
Van Heflin as James I. Hessler Lena Horne
Lena Horne as Julie LaVerne in Show Boat/Herself Dorothy Patrick
Dorothy Patrick as Eva Kern Van Johnson
Van Johnson as bandleader in Elite Club Tony Martin as Gaylord Ravenal in Show Boat/Himself Dinah Shore
Dinah Shore as Herself Frank Sinatra
Frank Sinatra as Himself Gower Champion
Gower Champion as Specialty dancer in Roberta Cyd Charisse
Cyd Charisse as Specialty dancer in Roberta Angela Lansbury
Angela Lansbury as London specialty Ray McDonald as Dance Specialty in Oh, Boy! and Leave It to Jane Virginia O'Brien
Virginia O'Brien as Ellie Mae in Show Boat/Herself Joan Wells as Young Sally Hessler Harry Hayden as Charles Frohman Paul Langton
Paul Langton as Oscar Hammerstein II Paul Maxey as Victor Herbert
Cast notes
Esther Williams makes a cameo appearance Sally Forrest
Sally Forrest and Mary Hatcher make appearances as "chorus girls".[2] Kathryn Grayson
Kathryn Grayson reprised the role of Magnolia Hawks in MGM's film adaptation of Show Boat, released in 1951.[2]
Bruce Cowling
Dorothy Patrick
Production[edit]
Lena Horne as Julie Laverne in a mini-production of Show Boat, singing "Can't Help Lovin' Dat Man".
The working title for the film was "As the Clouds Roll By".[2] Gene Kelly was originally intended to play Kern, with Gloria deHaven, Jacqueline White, Imogene Carpenter, a stage actress, and Jeanette MacDonald in major parts. None appeared in the film.[2] The first 15 minutes of the film consist of a condensed adaptation of Act I of Show Boat, with the order of some of the songs shifted - "Can't Help Lovin' Dat Man" is sung after "Life upon the Wicked Stage", and "Ol' Man River" was used as an Act I Finale, dissimilar to the show.[citation needed] "Can't Help Lovin' Dat Man" as sung by Lena Horne was filmed, like many of her other musical numbers in MGM films, so that it could be easily removed from the print by sensitive Southern distributors.[citation needed] When the film started production in the fall of 1945, Judy Garland
Judy Garland was signed as Broadway singer-dancer Marilyn Miller, having just returned to California after a long New York honeymoon with her new husband, director Vincente Minnelli.[1] Soon after, Kern returned to New York towards the end of October and died in November 1945. During the six months that it took to shoot the film, producer Arthur Freed had to come up with one director after another. Lemuel Ayers, a set designer, was originally scheduled to make his directorial debut on the film, but was replaced by Busby Berkeley
Busby Berkeley late in August 1945. Meanwhile, Minnelli – who, it was rumored at the time, would be taking over the direction of the film – was shooting Garland's sequences even before the beginning of principal photography, as she was pregnant and expected to give birth in March 1946; her shooting was completed on November 8, 1945. By the time full shooting began in the middle of December, Berkeley had been replaced by Henry Koster, who was also replaced after a short period by Richard Whorf. Whorf ended up receiving the onscreen directorial credit.[1][2] There was a break in production from some time in January 1946 to the middle of March of that year.[2] The film includes two versions of "Ol' Man River" - the first sung by Caleb Peterson and an African-American chorus as part of the Show Boat medley, and the second, a "crooner version" by Frank Sinatra, featured as the grand finale. Barbette consulted on the creation of the film's circus sequence.[5] Songs[edit]
"Cotton Blossom" - MGM Studio Orchestra and Chorus "Where's the Mate for Me" - Tony Martin "Make Believe" - Kathryn Grayson/Tony Martin "Life Upon the Wicked Stage" - Virginia O'Brien/MGM Studio Orchestra and Chorus Girls "Can't Help Lovin' Dat Man" - Lena Horne "Ol' Man River" - Caleb Peterson/MGM Studio Orchestra and Chorus "Ka-Lu-a" - MGM Studio Orchestra "How'd You Like to Spoon with Me" - Angela Lansbury/MGM Studio Orchestra and Chorus "They Didn't Believe Me" - Dinah Shore "Till the Clouds Roll By" - June Allyson/Ray McDonald/MGM Studio Orchestra and Chorus "Leave It to Jane" - MGM Studio Orchestra and Chorus/June Allyson/Ray McDonald "Cleopatterer" - June Allyson/Ray McDonald/MGM Studio Orchestra and Chorus "Leave It to Jane" (Reprise) - MGM Studio Orchestra and Chorus/June Allyson/Ray McDonald "Look for the Silver Lining" - Judy Garland "Sunny" - Judy Garland/MGM Studio Orchestra and Chorus "Who?" - Judy Garland/MGM Studio Orchestra and Chorus "One More Dance" - Lucille Bremer
Lucille Bremer (Dubbed by Trudy Erwin) "I Won't Dance" - Van Johnson/ Lucille Bremer
Lucille Bremer (dubbed by Trudy Erwin) "She Didn't Say Yes" - Lee and Lyn Wilde, aka "The Wilde Twins" "Smoke Gets in Your Eyes" - Cyd Charisse/Gower Champion "The Last Time I Saw Paris" - Dinah Shore "The Land Where the Good Songs Go" - Lucille Bremer
Lucille Bremer (dubbed by Trudy Erwin) "Yesterdays" - MGM Studio Orchestra and Chorus "Long Ago (and Far Away)" - Kathryn Grayson "A Fine Romance" - Virginia O'Brien "All the Things You Are" - Tony Martin "Why Was I Born?" - Lena Horne "Ol' Man River" (Reprise/Finale) - Frank Sinatra/MGM Studio Orchestra and Chorus
Surviving Judy Garland
Judy Garland song outtake[edit] A video of an excised musical number survives from this film, although part of the soundtrack has been lost. Judy Garland, as Marilyn Miller, sings "D'Ya Love Me?" to two clowns in a circus setting, representing a scene from the Broadway musical
Broadway musical Sunny.[6] Soundtrack album[edit]
Judy Garland as Marilyn Miller
Marilyn Miller in a scene based on the musical Sunny
Garland as Miller, singing "Who?" from Sunny
Garland, as Miller, singing "Look for the Silver Lining" from the musical Sally
The film was one of the first motion pictures to have a soundtrack album released concurrent with it arriving in theaters. The soundtrack was produced by MGM Records. It originally contained four 78-rpm records featuring various artists and songs from thegilm and front-cover artwork by Lennie Hayton. Later the album was released on LP.[7] No official authorized version has yet been released on CD, but several unauthorized versions have ( Rhino Entertainment
Rhino Entertainment currently owns the rights to issue an authorized CD of the soundtrack, under license from Turner Entertainment; in the past, MCA Records
MCA Records and Sony Music Entertainment held such rights). This is due to MGM allowing the film to fall into public domain. Reception[edit] Critical response[edit] Bosley Crowther, reviewing the film for The New York Times, wrote:[8]
"Why did Metro...have to cook up a thoroughly phoney yarn about the struggles of a chirpy young composer to carry the lovely songs of Jerry Kern? And why did it have to do it in such a hackneyed and sentimental way as to grate on the sensibilities of even the most affectionately disposed?"
Variety began its review with a similar sentiment: "Why quibble about the story?"[9] Box office[edit] The film earned $4,748,000 in the US and Canada box office and $1,976,000 elsewhere, but because of its high cost the profit was only $732,000.[4][10] Accolades[edit] The film is recognized by American Film Institute
American Film Institute in these lists:
2006: AFI's Greatest Movie Musicals – Nominated[11]
Home video[edit] The film is one of several MGM musicals – another being Royal Wedding – that lapsed into public domain on their 28th anniversary due to failure to renew the copyright registration.[12] As such, it is one of the most widely circulated MGM musicals on home video. Warner Home Video gave it its first fully restored DVD release on April 25, 2006. References[edit]
^ a b c d e Levy, Emanuel (2007). "Till the Clouds Roll By". EmanuelLevy.com. Retrieved 2015-03-22. ^ a b c d e f g h i Till the Clouds Roll By
Till the Clouds Roll By at the American Film Institute Catalog ^ "Music" TCM.com ^ a b c The Eddie Mannix Ledger, Los Angeles: Margaret Herrick Library, Center for Motion Picture Study . ^ Thompson, Karen R (2007-04-07). ""Barbette": He started in the circus". Community Impact newspaper. Retrieved 2012-08-09. ^ Judy Garland
Judy Garland in outtake from Till the Clouds Roll By
Till the Clouds Roll By (1946); soundtrack partially missing on YouTube ^ "Trivia" TCM.com ^ Crowther, Bosley (December 6, 1946). "'Till Clouds Roll By,' Musical Biography of Life of Jerome Kern
Jerome Kern With Robert Walker in Title Role, at the Music Hall". The New York Times. Retrieved 2015-03-22. ^ Staff (December 31, 1945). "Review: 'Till the Clouds Roll by'". Variety. Retrieved 2015-03-22. ^ "Top Grossers of 1947", Variety, 7 January 1948 p 63 ^ " AFI's Greatest Movie Musicals Nominees" (PDF). Retrieved 2016-08-13. ^ Pierce, David (June 2007). "Forgotten Faces: Why Some of Our Cinema Heritage Is Part of the Public Domain". Film History: An International Journal. 19 (2): 125–43. doi:10.2979/FIL.2007.19.2.125. ISSN 0892-2160. JSTOR 25165419. OCLC 15122313.
Wikimedia Commons has media related to Till The Clouds Roll By.
"Till The Clouds Roll By" Full movie at BuggZugg YouTube Till the Clouds Roll By
Till the Clouds Roll By at the American Film Institute
American Film Institute Catalog Till the Clouds Roll By
Till the Clouds Roll By on IMDb Till the Clouds Roll By
Till the Clouds Roll By at the TCM Movie Database Till the Clouds Roll By
Till the Clouds Roll By at AllMovie Till the Clouds Roll By
Till the Clouds Roll By is available for free download at the Internet Archive "Till The Clouds Roll By" at TheJudyRoom.com
Arthur Freed musical productions
As producer
Babes in Arms (1939) Strike Up the Band (1940) Little Nellie Kelly
Little Nellie Kelly (1940) Lady Be Good (1941) Babes on Broadway
Babes on Broadway (1941) Panama Hattie
Panama Hattie (1942) For Me and My Gal (1942) Cabin in the Sky (1943) DuBarry Was a Lady (1943) Best Foot Forward (1943) Girl Crazy
Girl Crazy (1943) Meet Me in St. Louis
Meet Me in St. Louis (1944) Yolanda and the Thief
Yolanda and the Thief (1945) The Harvey Girls
The Harvey Girls (1946) Ziegfeld Follies (1946) Till the Clouds Roll By
Till the Clouds Roll By (1946) Good News (1947) Summer Holiday (1948) The Pirate (1948) Easter Parade (1948) Words and Music (1948) Take Me Out to the Ball Game (1949) The Barkleys of Broadway
The Barkleys of Broadway (1949) On the Town (1949) Annie Get Your Gun (1950) Pagan Love Song
Pagan Love Song (1950) Royal Wedding
Royal Wedding (1951) Show Boat
Show Boat (1951) An American in Paris (1951) The Belle of New York (1952) Singin' in the Rain
Singin' in the Rain (1952) The Band Wagon
The Band Wagon (1953) Brigadoon (1954) It's Always Fair Weather
It's Always Fair Weather (1955) Kismet (1955) Invitation to the Dance (1956) Silk Stockings (1957) Gigi (1958) Bells Are Ringing (1960)
Uncredited as producer
The Wizard of Oz (1939) Meet the People
Meet the People (1944)
Non-musicals
The Clock (1945) Any Number Can Play
Any Number Can Play (1949) Crisis (1950) The Subterraneans
The Subterraneans (1960) Light in the Piazza (1962)
Ambassador Bill (1931) Devil's Lottery (1932) Week-End at the Waldorf
Week-End at the Waldorf (1945) Ziegfeld Follies (1945) Till the Clouds Roll By
Till the Clouds Roll By (1946) Easter Parade (1948) Adorable Julia (1962)
Very Good Eddie (1915) Oh, Boy! (1917) Leave It to Jane
Leave It to Jane (1917) Miss 1917 (1917) Kissing Time
Kissing Time (1918) Oh, Lady! Lady!!
Oh, Lady! Lady!! (1918) Primrose (1924) Lady, Be Good (1925) Tip-Toes
Tip-Toes (1926) Oh, Kay!
Oh, Kay! (1926) Girl Crazy
Girl Crazy (1930) Anything Goes
Bring on the Girls!
Ivy May Bolton (sister) Marguerite

redpajama_set_name: RedPajamaCommonCrawl


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Falcon 9 Full Thurst – trzecia, czwarta i piąta wersja rakiet z rodziny Falcon 9, znane także jako Falcon 9 v1.2. W tej wersji wprowadzono liczne zmiany konstrukcyjne wynikające z doświadczeń zdobytych przy poprzednich startach. Powiększono zbiorniki paliwa, wzmocniono strukturę kadłuba i podpory rakiety. Całkowita wysokość zwiększyła się w porównaniu do wersji Falcon 9 1.1 o 1,5 metra i wynosi 70 metrów. Wersja FT została wyposażona w zmodernizowane silniki Merlin 1D o zwiększonej mocy. 22 grudnia 2015 roku odbył się start pierwszego egzemplarza tego modelu zakończony wyniesieniem na orbitę satelitów Orbcom i po raz pierwszy w historii odzyskaniem pierwszego stopnia rakiety, który wylądował na przylądku Canaveral na specjalnie do tego celu przygotowanym lądowisku "Landing Zone 1".

8 kwietnia 2016 Falcon 9 Full Thrust wyniósł na orbitę statek zaopatrzeniowy do stacji ISS Dragon CRS-8. Pierwszy stopień rakiety zdołał wylądować na morzu na specjalnie do tego celu przystosowanej jednostce z lądowiskiem noszącej nazwę "Of Course I Still Love You".

14 sierpnia odbył się pierwszy lot czwartej wersji rakiety - Falcon 9 Full Thrust Block 4

Odzyskiwanie pierwszego stopnia rakiety jest uzależnione od rodzaju misji, ponieważ wymaga zabrania dodatkowej ilości paliwa, które jest konieczne do wyhamowania rakiety i na jej dolecenie do miejsca lądowania.

Dane techniczne

Historia startów

Debiut rakiety nastąpił 22 grudnia 2015 roku.

Przypisy

Rakiety Falcon

redpajama_set_name: RedPajamaWikipedia


I miss my nids... I really really do. They were at their peak in 3rd and 4th. My army was feared in my local meta because I ran all assault and speed and I over ran all of my opponents in the first 3 (give or take) turns. Leaping warriors for the win!
Then.... they went down hill and now it seems I actually have to take things that shoot. But I still want them scary like they once were for me.
So, the theme for Hive Fleet Mullet is big bugs. Nothing with only 1 wound is allowed!
I understand that this is just a fun list and I just want to polish it off a bit because I love winning with different armies!
I have 19 models but there are 56 wounds in total!
Flyrant goes eat something, everything walks up laying down fire and then eats anything that's left. Venom cannon warriors sit on home objective. Psychic powers will be fun to play around with between the 'thropes and the tyrants!
Winged tyrants are badass. That stabby, winged bug will now reach any one target on the board in turn 2, can ignore dangerous terrain and will eat pretty much any unit alive.
The downside - a single flying monster draws a hell of a lot of fire. The grounded rule makes it not too hard to shoot him out of the air, which - even if it doesn't kill him - will probably wound him (downside of no invulnerable) and leave him vulnerable. The big problem with the list is that he is such a massive priority one - because nothing can keep up with him - that if he survives to turn two, something's gone very wrong for your opponent.
The rest of the army is nice, too. Things I would point out; the warriors leave you with relatively few models able to take an objective. That's probably the single biggest weakness in the army; if you're going big-thing-heavy, eight warriors won't surfice to win an objectives game.
The Zoanthropes - have a play around with some of the new psychic power tables. Some of the telepathy powers particularly can be nasty.
I figured as much, one good battlecannon shot and there goes the brood. But until I can get 1-2 Tervigons they'll have to do for now.
They'll always have a MC around them at all times to hopefully draw attention.
This is the main reason why I put this list on the casual side.
Still got 35 points to spend. Any suggestions?
An additional warrior, if you've got one.


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Home » Music » The Real Meaning Behind Shape Of You By Ed Sheeran
The Real Meaning Behind Shape Of You By Ed Sheeran
Singer Ed Sheeran has had many wildly successful hit songs, like "Castle on the Hill," "Perfect," and "Thinking Out Loud." He even once made a cameo in the TV series Game of Thrones. But he is most famous for the track "Shape of You," a catchy song that spent a record-breaking 33 weeks in the Billboard Hot 100 Top 10 in 2017.
In December 2018, Spotify announced in a tweet that the song became the first one on the platform to reach 2 billion streams. A year later in 2019, the music streaming platform declared (via the BBC) that "Shape of You" was the most-streamed song of the 2010s decade.
While listeners couldn't get enough of the song, "Shape of You" also received accolades from the music industry. In 2018, the track won the Grammy for Best Pop Solo Performance. So, what is this incredibly successful song all about? Read on to find out the deeper meaning behind "Shape of You."
The 'Shape of You' lyrics are about a physical attraction becoming more
Ed Sheeran's "Shape of You" is a very catchy track with lyrics about how a bar hookup grows into a potential relationship, according to Genius. Sheeran sings about a woman approaching him while he drinks with his friends. In the chorus, the encounter ends up in the bedroom, and the singer describes the intensity of the initial attraction. Sheeran croons, "I'm in love with the shape of you / We push and pull like a magnet do / Although my heart is falling too / I'm in love with your body."
Based on those lyrics, it seems like Sheeran is describing a one-night stand, but the second verse details a date between the singer and this unknown woman. They go to an all-you-can-eat restaurant, "talk for hours and hours" about life and their families. Although they had a physical connection at first, Sheeran and the woman may try to pursue an actual relationship.
So perhaps the title, "Shape of You," isn't about objectifying a woman's body, but something a little more philosophical, such as how the love interest can potentially fit into his life. This could be possible, especially because Sheeran originally wanted a female artist to sing the track.
Ed Sheeran originally wrote 'Shape of You' for Rihanna
When you listen to "Shape of You" by Ed Sheeran, the beat clearly has some R&B influences — including an interpolation of TLC's "No Scrubs," for which they received a writing credit on the song, according to Quartz.
Apparently, Sheeran always had that kind of sound in mind for the track. In January 2017, he told the BBC R1 Breakfast Show that he originally wanted Rihanna to sing "Shape of You." Sheeran told then-host Nick Grimshaw, "And then I started singing lyrics like 'putting Van The Man on the jukebox' and I was like 'well she's not really going to sing that, is she?' And then we sort of decided halfway through that we were just going to make it for me."
He also didn't consider putting the song on his hit album, ÷ (Divide), until he sent it to his label at the very last minute. The label loved it and the rest is history. The song "Shape of You" may have been intended for another artist, but it seems like it was always meant to make Sheeran into a music superstar.
Keyshia Cole Rolls Her Eyes After Her 'Verzuz' Battle With Ashanti Is Delayed Again
GOT7 Will Not Renew Their Contract With JYP Entertainment


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July 5 Is The Busiest Day of the Year for U.S. Animal Shelters
In Kern County, California, 255 dogs and cats were taken in at the shelter on July 5, 2012; in 2011 they took in 236 dogs and cats.
July 5, while many people relax after Independence Day festivities or prepare to continue the fun at weekend barbecues, others spend the day searching desperately for their lost pets — dogs who, frightened by July 4 fireworks displays escaped the yard, or indoor-outdoor cats who usually come inside when called but are nowhere to be found after the neighbor's late-night firecracker marathon.
Staff members and volunteers at animal shelters all across the country are also prepping for July 5, the busiest day of the year at many if not all shelters nationwide.
The Eugene Daily News out of Oregon reports that 30 percent of all lost pet incidents each year occur on the evening of the 4th of July. Green Hill Humane Society Media and Events Manager Sasha Elliott says what animal rescue staff and volunteers are thinking all across the country today: "Friday will be our biggest day of the year."
Humboldt County Animal Shelter Supervisor Sergeant Kym Thompson tells the Times-Standard that she and her staff are expecting this July 5 to be as busy as previous years.
"Each year on the fourth and fifth, we get slammed with reports of missing animals, or lost animals coming in that were spooked by the fireworks," Sgt. Thompson explains.
In Kern County, California, Kern County Animal Control Spokesperson Maggie Kalar knows to expect an influx of lost animals into the shelter come Friday morning.
"Last year on July 5 we took in 255 dogs and cats so it's an incredible amount of animals coming into the shelter," Kalar tells ABC News Channel 23. "The year prior to that we took in 236 dogs and cats."
Calls to the Enid Society for the Prevention of Cruelty to Animals in Enid, Oklahoma are expected to increase by 40 percent on the morning of July 5, according to the shelter's Executive Director, Vickie Grantz.
"There's nothing to fight, so they're going to run to try and get safe," Grantz tells EnidNews.com of the lost pets she expects will fill her shelter kennels come Friday morning. "They will do anything. They will dig out, they will climb over, they will injure themselves to get away. If some kid in your neighborhood is shooting off some kind of firework and it lands by your fence, they will do almost anything to try and get away because they don't understand what's happening."
Meanwhile in the Chicagoland area, Linda Estrada, Executive Director of the Animal Welfare League (AFL) in Chicago Ridge, tells the Southtown Star that on July 5s past the AFL has been inundated with lost animals and animals who have been injured while trying to escape the startling noises created by fireworks. She says her organization has treated pets who have broken bones after falling from balconies or down flights of stairs, and animals who have been hit by cars just trying to get away from the scary sounds.
"They hear all that noise and it's dark and they panic and run," Estrada says.
It turns out July 5's stats are not surprising. DogTime.com outlines the danger fireworks and firecrackers pose to your pet: Not only can they cause direct and serious injury when animals try to attack or play with mortars, bottle rockets, sparklers, and other festive but dangerous explosives, but the loud and sudden noises they create can cause Fido and Fluffy to panic and bolt. The eve of July 4, while towns and backyard barbecues commemorate America's birthday with fireworks displays, nervous pets don't hear celebrations — they hear a warzone.
But don't fret — there are several preventative measures you can take to make sure your beloved fur kids don't become part of the statistics this holiday weekend.
Be sure when you're enjoying this weekend's Independence Day festivities to leave the pets safely at home, inside a cool home and behind secure doors. Try playing music on a radio or leaving the television on to drown out the noise outside. Do not leave Fido outdoors unsupervised, even in a fenced yard — frightened dogs, startled by the loud pops and bangs of fireworks and firecrackers, are more likely to jump fences to try and escape the noise. And definitely do not leave your pet tied up outside, as animals scared by fireworks have been known to strangle themselves to try and break free.
Perhaps most importantly, before you head off to parties and patriotic parades this holiday weekend, make sure your pet's identification tags and microchip information are up-to-date with your current contact information in the event that Fido or Fluffy does get out.
For more great July 4 safety tips, be sure to check out DogTime.com.
Sources: Eugene Daily News, Times-Standard, ABC News Channel 23, EnidNews.com, Southtown Star


A 5k Run/Walk gets the day started at 9:00 a.m., with a 26k bike ride to follow at 10:30am. Day-of registration for both events begins at 8. The entrance fee for a single event is $20. $40 to participate in both. Questions about the Run/Walk can be directed to Cristin Lagerman at cristinleigh@gmail.com. For questions about the bike ride, contact Tom Ringelstetter at ringelstetter@gmail.com. For run/walk or bike course maps, visit 4petesake.com/day-in-the-park.
Come for lunch; stay for dinner. Food and Beverages will be available from 11:00 a.m. to 7:00 p.m. Food will be served by the Spring Green Lions, with a menu that includes hamburgers, hot dogs, brats, black bean burgers, pork and chicken sandwiches, plus chips, popcorn and slushies. Beer, wine, soda and water will also be available, including beers on tap from local breweries Furthermore, Lake Louie and Vintage. And satisfy your sweet tooth with a brownie sundae, featuring home-baked brownies, Culver's custard and, of course, all the whipped cream and sprinkles you can handle.
The grand prize for this year's 4PeteSake raffle is large-screen tv. Other prizes include: dinner for six at Freddy Valentine's and 6 tickets to APT; a $500 Prem Meats Gift Card; a $500 VISA Gift Card provided by Peoples Community Bank; and a 30lb bundle from Straka Meats. Raffle tickets are available from 4PeteSake committee members and at many area businesses. They will also be available for purchase day-of at the Day in the Park. Raffle tickets are $5.00 each or 5 for $20.00. The raffle drawing will take place at 5:30 p.m.
The silent auction offers nearly 200 unique items, including contributions from local merchants and service providers and artwork by local artists. Special items include a one-week house rental in Galveston, TX. The auction is open for viewing at 11:00 am, with tables closing at 5:00 p.m. A Buy It Now area allows shoppers to buy items on the spot and avoid the bidding wars.
Kids will stay busy at the Day in the Park with a jumpy castle, craft activities, face painting and games. Kids can have unlimited access to all the Kid's Area has to offer with the purchase of a $5.00 wrist band. The Kid's Area is open Noon – 5:00 p.m. And don't miss the photo booth! Open 12noon to 6pm, featuring bundles of great outfits and accessories from the APT costume shop.
The popular Cake Walk returns once again this year. Pay $1.00 for a chance to play. Walk the cake walk until the music stops and if you land on the lucky number, you may choose a delicious cake or other delectable dessert.
This year's edition of the 4PeteSake T-shirt is now available. To get yours, find the 4PeteSake table at The Shed's Local Night on August 18th. A limited number of shirts will also be available at the Day in the Park, priced between $15 and $25. Vintage T's from previous years will be also available at deeply discounted prices.


Are you the proud mama of a little Ram, born between March 21st and April 19th? Read on to learn eight fun things about your naturally happy and eager child.
Here's what you'll need to know about being this one's mama!
Aries children like a lot of attention, and they are not very subtle with their demands that you give it to them, right now (they're quite impatient)! From wailing at the top of their lungs to banging on the table, Aries babies are noisy in their requests for your eyes and ears.
An Aries child rarely has a hard time sharing toys or snacks. Expect that you might have to soothe her hurt feelings when she discovers that most other children lack this naturally-generous spirit. Older Aries children will give away their last dollar. Needless to say, finances are not their strong suit.
Children born under the sign of the Ram are positive, cheerful, and eager to try everything. Your little one might be the first of his peers to crawl, walk, and talk; Aries like to take the lead.
Ever likable and sociable, Aries children are natural leaders who love sports and competition. They're the first to try new things and love a challenge. But they're not a fan of authority, which causes them to get stubborn. Instead of giving orders, offer a smile or praise when you ask your Aries to help out.
Get Ready for Busy, Busy, Busy!
Aries babies are nonstop. From birth, they're easily distracted by whatever's going on around them. They love interactive games like Pat-A-Cake and Row the Boat. As soon as they can, Aries babies are up, moving around, and into everything. Good baby proofing is a must!
There's a quick-to-ignite temper inside these fire signs. Luckily, those bursts of anger just as quickly dissolve into happiness and joy. Aries babies and children tend to be very affectionate and give many hugs and kisses.
Straightforward Aries might not seem very emotional, but on the inside they are quite vulnerable. You'll need to be there to support them when someone hurts their feelings. They want to be liked and need frequent validation that they are.
Although he'll be quick to walk and talk, your Aries baby might be slower to potty train than you would expect. He could be so busy doing other things that stopping to use the toilet won't be a priority. Let him take the lead on training—that's the only way it will work. He'll do it when he's ready.


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San Antonio è una località dell'Argentina, appartenente alla Provincia di La Rioja, situata nella parte nord-orientale della provincia. L'abitato è compreso nel Dipartimento di Arauco.

Popolazione
Al censimento del 2001 la località contava 530 abitanti; con le vicine località di Aimogasta e Machigasta forma un conglomerato urbano di 10.418 abitanti.

Note

Città della provincia di La Rioja


I was trying to forward port 7706 to port 3306 locally to make mysql respond on two ports.
In linux this would be done with iptables, and as it turns out its almost easier to do in Windows.
This requires ipv6 to be installed to work, but that has been true of windows since Vista.
Replacing 1.1.1.1 with a valid IP address on your machine. I could not get 127.0.0.1 to work with this for some reason, it had to be a real ip.


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Dublin Mail Drop
Call Answering & Forwarding
Virtual Office Packages
Concerns over impact of new restrictions on Dublin business
Alan Clerkin
Thu, September 17, 2020
The CEO of DublinTown, the group representing businesses in the capital city, has warned that any new restrictions will have a negative impact on business.
Dublin needs to focus on COVID-19 transmission in people's homes, rather than in business.
That's according to business group DublinTown, which says restrictions on the city are not the answer. Richard Guiney told Newstalk's Breakfast Briefing that any time there is a suggestion of restrictions there was an immediate impact on footfall. If Dublin moves to Level 3, as is anticipated, this will mean a further reduction in footfall and hospitality is suffering the most, he said.
Mr Guiney pointed out that the increase in levels of the virus was because of activities in people's homes which was where efforts needed to be concentrated, he said.
"So we would expect that as we enter level three, which I think is going to happen based on all of the reports, we will see a further reduction in our footfall.
"The footfall primarily declines very sharply at about 6 o'clock in the evening, so it's the hospitality businesses that are feeling it most.
"We know that something needs to be done, the virus incidence is increasing, but I suppose we're saying let's be strategic about this.
"We need an economy, we need a vibrant Dublin city centre to attract FDI in the longer term, and we need to sustain employment for after there is a resolution to COVID.
"So we need to be quite strategic – the virus is circulating in the suburbs, it's circulating from people's homes and I think that's where we need to concentrate our efforts.
Messaging on public transport also needed to be examined. "Is the virus actually circulating on public transport?" he asked. There should also be a focus on young people, who, he said were perhaps not as aware of the implications, not just for themselves and their families, but also the economy.
"We need to look at those messages – nobody wants to bring people into an unsafe environment, but I think we need to be very strategic in terms of where we focus our energies in reducing the transmission."
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Chicago police union wants a federal investigation into Smollett case
The Chicago police union again is calling for a federal investigation into State's Attorney Kim Foxx to determine the extent of her involvement with the Jussie Smollett case.
Kevin Graham, president of the Chicago Fraternal Order of Police, said the demand is based on news reports about text messages between Foxx and an attorney about, according to him, "diverting the case from Chicago police department to a federal investigation."
Foxx, the state's attorney for Cook County, recused herself from the Smollett investigation in mid-February.
Graham, who spoke to reporters after prosecutors announced they were dropping charges against Smollett, said he originally made the request to the US Department of Justice last week. He also has asked federal investigators to look into a letter sent to Smollett days before he alleged he was attacked on a Chicago street.
"We're doubling down on that. We want to make sure that the Justice Department takes a very hard look with that case and what went on today," he said.
Text messages obtained by CNN through an open records request show Smollett family friend Tina Tchen -- a former chief of staff for first lady Michelle Obama and a lawyer -- reached out to Foxx on February 1. Tchen wrote the family had "concerns about the investigation."
Foxx emailed Tchen saying in part, "Spoke to Superintendent Johnson. I convinced him to (r)each out to FBI to ask that they take over the investigation. He is reaching out now and will get back to me shortly."
Later another person, identified by Foxx's office as a family friend, asked the prosecutor whether they could talk on the phone. She says Tchen gave her Foxx's number.
Hours later, Foxx texts the unidentified family friend that she "spoke to the (police) superintendent earlier, he made the ask. Trying to figure out the logistics."
The person responds: "Omg this would be a huge victory."
The text message exchange went back and forth with Foxx and the family friend until Feb. 13 and these messages are why Foxx recused herself from the investigation, Cook County State Attorney's Office spokeswoman Tandra Simonton said earlier this month.
CNN reached out to Foxx on Tuesday but didn't get a response.
Efforts to get a comment from the Department of Justice on Tuesday night were also unsuccessful.


Nicole is a personable, competent and confident realtor who helped us successfully purchase our dream home on the water. Nicole is very flexible and was willing to work around our schedule, her dedication and knowledge helped us negotiate a fair price. She kept us well informed and constantly followed up on items answering any questions we had. Nicole is dedicated and an awesome agent.


ELIJAH HAS BEEN PLACED FOR ADOPTION!
Elijah "Baby Lee" H. born June 2016 loves to cuddle and is ticklish everywhere, even on his head. He smiles and laughs when you talk to him. He will look for people when hearing a familiar voice even though he is blind. He is happiest when being cuddled. He loves to lay on his mat and play. He is learning to roll side to side and is getting really good at scooting off his mat.


I don't really enjoy Reading away, mainly because we always get absolutely spanked.
I think this year might be a bit different, for no real reason, given we're not exactly having a blistering start to the season.
Maybe we'll see Lee, Abdi or Hooper this weekend.
Pudil and Van Aken still look likely to miss out, but Fox has returned to fitness and there's no fresh concerns.
Bannan and Joao will be keen to impress after their newly signed contracts, much to the joy of most of the fans.
David Jones was dusted off and made an appearance against Wolves, but disappeared to the bench late on, so we probably won't see him until the FA Cup in January.
Reading look as bad as they have done for years.
After falling victim to Huddersfield on penalties in the playoffs the same year we did, the club seems to have gone backwards even more than we have.
Even the happy clappers seem to think they're in serious danger of relegation.
The squad lacks in all areas, even in fight or confidence.
Clement plays football differently to Jaap Stam, but the same basic problems exist, too many sloppy goals are conceded and not made up for at the other end.
It all looks worrying for Reading.
(Huge thanks to my friend Ollie @Woodsey_92 for his open assessment of his beloved club).
Dead even. Huge fan of it.
I think the line-up will be similar to that against Ipswich, reverting back away from most of the changes for the midweek cup game.
All our games against Reading seem to be extremely dull.
I'm going to go for a cautious prediction, I don't want to get my hopes up.


I've been working a lot with Java lately, and the thing I like best about Java is its garbage collector. The idea that I can create objects, use them and forget about them when they're not needed anymore is quite pleasing.
This brings up the issue of Pointer management. We should definitely have some guidelines on how to handle pointers, because if we don't, we will very likely end up with one big memory-leaking mess.
I have an idea for intelligent pointers, which allow (incremental) garbage collection, but I won't bore you with details unless you're interested to hear.
Maybe we should simply use one of c++ garbage collectors? Or overload new/delete words?
I'm not suggesting that we should use a garbage collector or that we should not. I'm interested to know other people's opinions on garbage collectors. And similarly on pointer management.
Of course, using garbage collectors has some pros and cons. It gives greater freedom in programming at the expense of some extra memory usage and (sometimes) decreased performance.
Garbage collector - good for sloppy programming, bad for speed, increases memory needs.
We are dealing with a real time game here - the speed penalty from using a garbage collector will be unacceptable, I feel.
Is the performance benefit big enough to turn us off using garbage collectors?
Java has more performance issues than just the garbage collector.
Yeah, let's see: It is byte-code interpreted... It is evil... It was created by Sun... Java = evil and slow.
Ok - so it is settled - we are hard to the core and will use manual management.
I think speed is of the essence in such a game, so we should use manual management. I guess we just need to make sure that we delete everything we create, or we will run into... large issues. It can be a bit of a bother, but in the long run is cleaner and faster. And clean and fast is good!
[W]e just need to make sure that we delete everything we create, or we will run into... large issues.
Of course, if we miss something, our gamers will be more than happy to point this out to us.
have you allready thought about using smart pointers? In my opinion it is a good mechanism for not using garbage collection, but forgetting about memory leaks at the same time. Since every class handles it's instances with reference counting. I love to use this mechanism for classes which are normaly instanciated a lot of times likes a matrix class. Another nice thing is, that this allows you to return references of objects with no problem. So you don't need to pass an object to a method if you wan't to write to it.
What do you think about using smart pointers for several classes?