Glucose is one of the "simple sugars" -- an ironic name, because the chemistry of these compounds is rather complex. The naming system for sugars reflects this complexity. Chemists use prefixes like alpha and beta to denote different versions of glucose and other sugar molecules. To the uninitiated, these prefixes may seem mysterious, but once you understand sugar structure, their nature and purpose will become clearer.
Each molecule of glucose has a carbon backbone with -OH groups and hydrogen atoms attached to it. At the top of the chain, an oxygen atom is double-bonded to a carbon atom; collectively, these two atoms are called a carbonyl group. The carbon backbone of the glucose molecule can coil up so that an -OH group near the bottom end of the chain attacks the carbonyl carbon and the glucose molecule forms a ring. This ring-shaped structure is the cyclic form of glucose, while the straight chain structure is the linear form. In solution, the cyclic form is by far the more common.
Glucose can form either five-membered or six-membered rings. The six-membered ring is much more common, and in solution the vast majority of glucose molecules are found to have six-membered rings. Since linear and cyclic forms can inter-convert, however, no glucose molecule is ever fixed in the six-membered ring form; it can go back and forth. It does spend most of its time in the six-membered ring form, but the occasional conversion to and from other forms does something interesting to its structure.
You can depict the cyclic form of glucose by drawing a hexagon on a sheet of paper. One atom in the hexagon is an oxygen atom; the other five are carbon atoms. The hexagon has a -CH2-OH group attached to it and four other -OH groups. Each of these five groups can be either above the plane of the ring, generally depicted as a line pointing up, or below it, with a line pointing down. By convention, the oxygen atom in the ring is drawn in the upper-right corner of the hexagon.
The difference between alpha and beta glucose is nothing more than the position of one of the four -OH groups. The carbon to the right of the oxygen atom in the hexagonal ring is called the anomeric carbon. If the -OH group attached to it is below the ring, the molecule is alpha glucose. If the -OH group is above the ring, the molecule is beta glucose. Since the linear and cyclic forms of glucose inter-convert with each other, alpha glucose can turn into beta glucose and vice versa. If you take a sample of pure alpha glucose and put it into water, you'll end up with a sample that is part alpha and part beta glucose.
What Are Other Common Names for Glucose?
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Establishing pelvic balance and alignment is another reason to obtain chiropractic care during pregnancy.When the pelvis is misaligned it may reduce the amount of room available for the developing baby. This restriction is called intrauterine constraint. A misaligned pelvis may also make it difficult for the baby to get into the best possible position for delivery.
This can affect the mother's ability to have a natural, non-invasive birth. Breech and posterior positions can interfere with the natural ease of labor and lead to interventions such as c-sections. The nervous system is the master communication system to all the body systems including the reproductive system. Keeping the spine aligned helps the entire body work more effectively.
This balanced state in the pelvis has been clinically shown to allow for optimal fetal positioning. The technique is known as the Webster Technique. It is considered normal by some for a baby to present breech until the third trimester. Most birth practitioners are not concerned with breech presentations until a patient is 37 weeks along. The Journal of Manipulative and Physiological Therapeutics reported in the July/August 2002 issue an 82% success rate of babies turning vertex when doctors of chiropractic used the Webster Technique.
With a balanced pelvis, babies have a greater chance of moving into the correct position for birth, and the crisis and worry associated with breech and posterior presentations may be avoided altogether. Optimal baby positioning at the time of birth also eliminates the potential for dystocia (difficult labor) and, therefore, results in easier and safer deliveries for both the mother and baby.


Yes, you can set up a standing order to regularly contribute money to your portfolio.
In order to do this, you need to make sure you use your nominated bank account, and be sure to include the payment reference that can be found in the funding form.
If you do set up a standing order, it may take a couple of days after the money has left your bank account to appear in your investment portfolio.
Note: If your portfolio is an ISA, it is up to you to ensure that you do not exceed the ISA allowance.


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Lysimachia nemorum, comúnmente llamada muraje amarillo, es una especie de plantas del género Lysimachia.

Descripción
Planta vivaz de hasta 30-40 cm, con tallos más o menos tendidos que enraízan en su parte inferior. Hojas opuestas, cortamente pecioladas, ovaladas, puntiagudas, de 2-4 cm de longitud. Flores solitarias en las axilas de las hojas superiores, con un pedúnculo filiforme tan largo o más que las hojas. 5 sépalos lanceolados que no se superponen y 5 pétalos amarillos ovales. Florece en la segunda mitad de la primavera y durante casi todo el verano.

Hábitat
Bosques húmedos y umbríos

Distribución
Gran parte de Europa, excepto Islandia, Finlandia, Albania, Grecia, Turquía, Bulgaria y Hungría.

Referencias

nemorum
Flora de Europa

redpajama_set_name: RedPajamaWikipedia


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Glenfiddich Where Next? An Evening of Storytelling With The Most Exemplary Of Individuals Led By Zainab Ashadu
By SPONSORED
02 November 2021 | 11:30 am
There's a reason Glenfiddich has earned a reputation as the most awarded and best-selling single malt Scotch whisky, in launching the second phase of its Grande Composition campaign, they have collaborated with local maverick designer Zainab Ashadu to create iconic interpretations of its luxury gold filigree, which was inspired by the colliding French and Scottish worlds of Grand Couronne.
There's a reason Glenfiddich has earned a reputation as the most awarded and best-selling single malt Scotch whisky, in launching the second phase of its Grande Composition campaign, they have collaborated with local maverick designer Zainab Ashadu to create iconic interpretations of its luxury gold filigree, which was inspired by the colliding French and Scottish worlds of Grand Couronne. The latest addition to the grand series, "Grande Couronne" had its bottle design re-imagined by Ayoola Gbolahan a Lagos-based award-winning painter and sculptor, to what we know now as a picture of elegance and deep artistry.
The collaboration with celebrated Designer Zainab Ashadu founder of Zashadu, a leading British/Nigerian sustainable luxury brand, specializing in hand-crafted leather pieces kicked off with the "Where Next Live?" dinner in celebration of their new partnership at the prestigious Thomas and Ray Whisky bar in the Transcorp Hilton Abuja on Thursday 28th October and a second dinner on the 31st October in the luxurious Seattle Residence and spa, Walter Carrington Lagos.
Just like the vibrant, rich, renaissance design of the bottle, the ambiance of the night, did not fall short of the luxurious standard of Glenfiddich.
Guests where welcomed at arrival with an astonishing red carpet and an exhibition of Zainab's work, there she talked about her vision for her brand in an interview and her now partnership with Glenfiddich, a brand that continues to celebrate and align with exemplary Mavericks in Nigeria and across the globe.
Guests where then seated, with Mavericks such as Charles Okpaleke founder of the Play Pan African Network, Ogwa Iweze (founder of DZYN), Amamchi Rochas (CEO of Wingist network), Celebrity Photographer George Okoro and more joining Zainab on the high table in Abuja , In Lagos famed actors Efa Iwara, Daniel Effiong, graced the Mavericks round table alongside Glenfiddich Collaborator Prince Ayoola Gbolahan, Venture Capitalist and former Glenfiddich Campaign Ambassador Edmund Olotu, Sam Otigba of Avante Fly and Opeyemi Ajayi ( Executive Director Genesis Group).
It was truly a night of celebration and elegance as everyone enjoyed a taste of the excellently crafted Glenfiddich Grand Couronne 26 year old single malt paired with the gastronomic mastery of celebrity Chef, Fregz, Musical performances lit up the evening with stellar numbers from Jazz musician Jessica Bongos, and Twins singers and song writers Oiza and Meyi of Project Fame, afterwards a video presentation of Zainab's work was played and then she shared her success story, the growth and challenges of her brand and the parallels drawn with the Glenfiddich Where next ideology.
Both nights were not absent of intellectual discuss as guests on the round table shared generously about their individual businesses, their challenges and how they have remained the top entrepreneurs in society today. "A culture of creation" was the discussion topic for the Abuja panel, while "crown the occasion" was the theme discussed in Lagos.
We all take risks in order to achieve meaningful growth; but there's nothing quite like embracing the unknown with likeminded Mavericks over a dram of Glenfiddich. Where Next?
Glenfiddich continues to pave the way for creativity, and these nights were no exception,
This year 2021 also marks the 20th anniversary of the brand's Artist in Residence programme – an initiative that champions collaborations with breakthrough artists through a residency at the Glenfiddich distillery.
#GlenfiddichWhereNext #Glenfiddich #Glenfiddichwhisky #WorldsMostAwarded #singlemalt #scotch #whisky
@glenfiddich_ng
12 Tips To Achieving That Face Contour Like A Pro
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Festival Of Joy Promo: Glo presents house to Ibadan-based Nurse
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redpajama_set_name: RedPajamaCommonCrawl


So, Crescent Moon Press has some good stuff coming in the next few days. First off is Maer Wilson's debut novel, Relics. Come join the fun here. I promise you awesome prizes, books, give-a-ways, and just plain old fun. Already the five star reviews are piling up.
I will post my review on May 1st, Relics release day. I promise, you won't want to miss this one. The novel is enormously entertaining.
When the creatures of myth and magic return to Earth, they're nothing like your mother's fairy tales. Most of Thulu and La Fi's clients are dead. Which is perfect since their detective agency caters to the supernatural. So, a job finding relics for an ancient daemon is simple. The daemon needs the relics to keep a dangerous portal closed. His enemy, Gabriel, wants the relics to open the portal and give his people access to a new feeding ground - Earth. Hoping to create chaos, Gabriel opens portals to other worlds and the creatures of magic return to Earth, stunning humanity with their existence. When Gabriel threatens their family, Thulu and La Fi's job becomes personal. They'll need powerful allies in the race to find the relics before Gabriel does. But maybe that's what grateful dead, magical allies and daemonic clients are for.
Then we have the International Blog Tour of Wendy S. Russo's, January Black. Click on the highlighted links to take part in more give-a-ways, or the January Black link to purchase this awesome YA fantasy that is rocking the young adult world.
We are all waiting to see how the overseas blog tour goes. It's another marketing tool we can keep in our arsenal. .
Sixteen-year-old genius Matty Ducayn has never fit in on The Hill, an ordered place seriously lacking a sense of humor. After his school's headmaster expels him for a small act of mischief, Matty's future looks grim until King Hadrian comes to his rescue with a challenge: answer a question for a master's diploma.
It's a ship. Everyone knows that. Hadrian rejects that answer, though, and Matty becomes compelled by curiosity and pride to solve the puzzle. When his search for an answer turns up long-buried state secrets, Matty's journey becomes a collision course with a deadly royal decree. He's been set up to fail, which forces him to choose. Run for his life with the challenge lost...or call the king's bluff.
Lastly, I want to share, The False Gwenevere, book trailer. It is one of the most unusual trailers I've yet to experience. Click here to view it for yourself.
Imagine living with hundreds of people in a large fortress, but you are practically invisible. This is the life of Gaenor, an outcast fey child rejected by her mother and abandoned by her father. After her twin sister, Gwenevere, marries King Arthur, Gaenor journeys to Annwn and is now the center of attention for the first time in her life. For everyone but Gaenor believes she is part of a long awaited fey legend.
Merlyn sends Lancelot after Gaenor fearing that she is in danger. But Gaenor is not like the other damsels Lancelot's known. They were merely a means to an end; damsels rescued at Merlyn's behest in order to uncover the mysteries of his own lost past. However, Gaenor possesses courage and determination, compelling Lancelot to break his rule about avoiding romantic complications.
Once in Annwn, the pair must unite with King Arthur to prevent an evil Sluagh sorcerer from stealing the enchanted Thirteen Treasures of Annwn.
Thanks for stopping by today. I hope your weekend was great!


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Home » Papa John's same-store sales jump 5% in first quarter
Papa John's same-store sales jump 5% in first quarter
Photo: Papa John's International
By Erica Shaffer
LOUISVILLE, KY. – Papa John's International Inc. said same-store sales increased 5.3% systemwide in North America and 2.3% in the company's international business during the first quarter ended March 29.
The company said approximately 350 of the company's 2,100 international franchised stores are temporarily closed, principally in Ireland, Peru and the Philippines. Fifteen of the company's franchise locations in China and one of the locations in Korea remain closed. Both markets were impacted early by the coronavirus (COVID-19) and new infections have significantly declined.
"First in Asia, then in Europe, and now in North and South America, we have seen the COVID-19 pandemic impact our business differently, depending on the restrictions enacted by governments," said Rob Lynch, president and chief executive officer of Papa John's. "In some international markets this has resulted in temporary closures, but in most markets, including North America, we are nearly fully operational.
"Although March sales in North America were negatively impacted by the cancellation of large gatherings, including major sporting events, our international and domestic businesses have performed well, as customers and communities rely on us and others in the food delivery industry. Our cash position is supporting our current operations, and we have access to approximately $350 million in our credit facility, should we need it. We are continuously monitoring the situation and will provide further updates on our upcoming first-quarter earnings call."
Despite a good financial performance, the company withdrew its previous financial outlook for fiscal 2020 because of uncertainties related to the COVID-19 pandemic.
"Our team members' health and safety are always our top priority, and even more so now because of the critical importance of their work," Lynch said. "We have implemented extra health and safety measures across our business, including No Contact Delivery, for the protection of both our customers and team members. We have expanded our benefits to include free virtual doctor visits. This is in addition to existing benefits of no-cost mental health support, affordable health plan options and access to the Papa John's Team Member Emergency Relief Fund, if and when needed. We have also ramped up our hiring to provide thousands of jobs to workers displaced by the impact of COVID-19."
In other company news, John Schnatter, co-founder of Papa John's, lowered his stake in the company to approximately 4% from 30%, according to a March 24 filing with the US Securities and Exchange Commission. As a result, Schnatter's obligation to report sales or buys of shares has ended.
SEC documents show Schnatter sold 60,539 shares for $51.20 per share on March 20, 239,431 shares for $54.69 per share on March 23, and 50,000 for $51.76 per share on March 24.
Food Service Prepared Food Financial Performance Coronavirus/COVID-19
Same-store sales shoot up over 23% at Papa John's
Papa John's sees gains in comparable store sales growth
Papa John's comparable store sales grow 24% in North America
Yum! same-store sales in China fall 13% in July
Popeyes comparable sales jump 34% in fourth quarter


MedStar Franklin Square Medical Center, Clinical Assistant Professor of Medicine, University of Maryland School of Medicine, Baltimore, MD.
Assistant Professor of Medicine, retired, Johns Hopkins School of Medicine, Baltimore, MD.
Hepatology and Liver Transplanting Consulting, Hepatology Research Director, Servicio de Medicina Digestivo (Torre F-5), La Fe University Hospital, IISLa Fe, Ciberehd and University of Valencia, Valencia, Spain.
Professor of Pediatrics at Georgetown University, Washington, DC.
Division of Gastroenterology and Hepatology, Mayo Clinic College of Medicine, Rochester, Minnesota USA.
Professor of Medicine, Division of Nephrology and Hypertension, Department of Nephrology and Hypertension, Loyola University Medical Center, Maywood, IL.
Onco-Nephrologist, Dana-Farber Cancer Institute, Associate Physician, Division of Renal Medicine, Brigham and Women's Hospital, Assistant Professor of Medicine, Harvard Medical School, Boston, MA.
Onco-Nephrologist, Dana-Farber Cancer Institute, Associate Physician, Division of Renal Medicine, Brigham and Women's Hospital, Instructor in Medicine, Harvard Medical School, Boston, MA.
Associate Professor of Pediatrics and Internal Medicine, Department of Pediatrics, Nationwide Children's Hospital, The Ohio State University, Columbus, OH.
Associate Researcher, Nephrology Division, Federal University of São Paulo, São Paulo, Brazil.
Assistant professor in the Department of Neurology, Inje University Ilsan-Paik Hospital, Goyang, Republic of Korea.
Associate Professor, Nephrology Division, Federal University of São Paulo, São Paulo, Brazil.
Executive director of Behavioral Health Services, Saint Francis Hospital and Medical Center, Hartford, CT.
Associate Professor of Medicine, Division of Nephrology and Hypertension, Loyola University Medical Center, Maywood, IL.


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La zlabia, ou zelabia, parfois sous la forme jalebi, est une confiserie de la cuisine orientale traditionnelle.

Intermédiaire entre un gâteau et une confiserie, elle est préparée au Maghreb principalement (en Algérie, Tunisie et Libye, ainsi que dans la région de l'Oriental au Maroc), principalement lors du mois de ramadan. Elle est aussi préparée dans les pays du Moyen-Orient, comme en Iran, l'Irak, la Jordanie, la Syrie, Palestine, le Liban et l'Égypte. On la retrouve dans des pays de l'Est africain, comme Zanzibar, les Comores ou Mayotte. Cette pâtisserie frite est appelée jalebi, jilapi ou zulbia dans le sous-continent indien, comme en Inde, au Bangladesh, au Népal, au Pakistan, en Afghanistan et au Sri Lanka.

Selon les recettes, elle contient du sucre, de la farine, du miel et de la cardamome. Elle est parfois colorée en rouge. Sa forme est généralement hélicoïdale. La surface, plongée dans le sucre ou le miel, est légèrement craquante. La zlabia de l'Est algérien est à base de semoule.

Au Maroc, une pâtisserie consommée de la même façon mais différente dans la préparation, la texture et le goût, appelée chebbakia est très prisée aussi pendant le mois de Ramadan.

En Algérie, on retrouve une variante spécifique à la ville de Boufarik, de forme longue, en bâtonnets, et légèrement épaisse, de couleur jaune-marron.

On retrouve les mkhareg à Ksar el Boukhari, sous le nom de mkhirgate (المخيرقات), avec un pic spectaculaire de consommation, comme partout en Algérie, durant le mois du ramadan.

Galerie

Notes et références

Voir aussi

Articles connexes
 Cuisine maghrébine

Confiserie
Cuisine levantine
Pâtisserie algérienne
Pâtisserie tunisienne
Dessert indien
Pâtisserie marocaine


If you're reading John Corey's adventures don't miss book #2. Detective John Corey, last seen in Plum Island, now faces his toughest assignment yet: the pursuit and capture of the world's most dangerous terrorist -- a young Arab known as "The Lion" who has baffled a federal task force and shows no sign of stopping in his quest for revenge against the American pilots who bombed Libya and killed his family. Filled with unrelenting suspense and surprising plot twists at every terrifying turn, THE LION'S GAME is a heart stopping race against time and one of Nelson DeMille's most riveting thrillers.


Here at NPUS Accountants we have made tax our passion, so you don't have to.
Tax is a complicated subject and there's no need for you to waste valuable working hours trying to get to grips with it when you can leave it to us.
Make sure your business is paying the right amount of tax by taking advantage of our expertise and knowledge.
We specialise in all areas of taxation, from corporate and capital gains tax to trusts and tax investigations.
Our team is dedicated to giving up to date, clear and useful tax advice as well as practical help dealing with the Inland Revenue, organising your tax returns and implementing tax-saving strategies.
We'll do all the hard work, but always ensure you understand exactly what is going on with your company's taxation issues.


Selling or purchasing a new home or an investment on a beautiful Gold Coast?
We are here to step in as your local Real Estate Agent and be sure that all property involved transactions are in your best interests. Expert in niche marketing and negotiating, Doma Realty will assess the market and provide the right advice to ensure our clients make the right decisions. We will estimate the right target market, making the selling or buying process a smooth and pain free experience. As a Seller you get a right Buyer to your beloved property who was looking for exactly this type of the dwelling. As a Buyer you get a right house which meets closely your requirements. Win/win solution in it is best tradition!
I will not throw a thousand brochures at you, the particulars of which you might not have time to absorb comprehensively. Instead, I will walk every step to success arm-in-arm with you, through sharing my knowledge, advice and a passion in real estate.
Please fill in your name, email and address and I will email you a free personalised market report on your property within 48 hours!
Contact me today if you are thinking of selling or would like just to keep up-to-date with property values.


109 kids latched! To enjoy the photos please check out the Kelowna Breastfeeding Challenge Gallery 2014.
Way to go Kelowna Breastfeeding Cafe & Breastfeeding Challenge organizers, Lisa Ford & Chantal Kozar! Thank you to everyone that made this event possible. It is so amazing to be able to celebrate and at the same time normalize kids drinking mothers' milk!


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https://www.sfgate.com/news/crime/article/Police-2-shot-dead-at-Northern-California-Ford-14049829.php
Gunman kills 2 at California car dealer, kills himself
Nic Coury and Robert Jablon, Associated Press
2 workers, gunman dead at Calif. Ford dealership
A man who had just been fired from a Northern California Ford dealership shot and killed two employees and then killed himself Tuesday evening, police and witnesses said. (June 26)
Now Playing: 2 workers, gunman dead at Calif. Ford dealershipAD:
MORGAN HILL, Calif. (AP) — A man who had just been fired from a Northern California Ford dealership shot and killed two employees and then killed himself, police and witnesses said.
Police called to the Ford Store Morgan Hill Tuesday evening found a man dead of an apparently self-inflicted gunshot on the ground near the store's service bays.
"In his hand was a firearm, a handgun," police Sgt. Bill Norman told reporters in Morgan Hill, near San Jose in the San Francisco Bay Area.
Employees directed officers inside a building where they found two other men who had been shot and killed at the scene.
Police investigate at the scene of a shooting at the Morgan Hill Ford Store in Morgan Hill, Calif., Tuesday, June 25, 2019. Police say at least three people were shot in what may be a workplace confrontation.
Photo: Nic Coury, AP
Police did not immediately identify the gunman or the victims.
Doug MacGlashan, who was working in the parts department, told KRON-TV that the gunman had just been fired from his job.
The service and parts director "had just fired a parts rep that he had said he was going to fire earlier in the day. And I guess the parts rep went outside, got a gun, went into the service and parts director's office and shot him," MacGlashan said.
The man also killed the parts manager, he said.
Video and photos showed police cars from several agencies swarming the dealership and employees hugging each other as they left the property.
Jablon reported from Los Angeles.


On January 15, 2008, the Library received a call from Mr. Ivo Stipinovich informing us that his aunt had passed away and it was her wish that we receive as a donation the records of The Association of Pioneer Women of California, of which she had been the last president. His aunt, Lorna Clair Stipinovich, had also been a member of The Society of California Pioneers as well as a past president of The Daughters of California Pioneers before that. The Librarian told Mr. Stipinovich that we would be happy to accept the donation, knowing that the Association, founded in 1900, was one of the earlier organizations for female descendants of early Gold Rush pioneers.
The Librarian asked how many boxes comprised the collection, and he told her to walk over to the window of the Library's reading room, and look across the street at the stoplight. She did so and saw him standing across the street, at the stoplight, carrying a large book under his arm, and pulling a "steamer" trunk behind him. He was invited in and we found the collection to be comprised of not only a cloth-bound book or ledger in which were written accounts of member's trips to California, but also (in the "steamer trunk") records of the Association. These records included bylaws, business receipts, minutes, as well as plans and drawings for the Log Cabin they designed and built in Golden Gate Park -where their meetings were held and which still stands.
The Association's book of women's accounts of their trips to California and their early lives there continues to be an invaluable resource for not only its listing of their early members, but also birth dates, their father's and mother's birthplace and arrival date in California, and often a date of their death. The entire collection is a unique and significant addition to the state's history of early women Pioneers, and The Society of California Pioneers is fortunate and honored to be housing this collection and making it available to researchers.


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Depression Research and Treatment
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Volume 2011, Article ID 896395, 6 pages
http://dx.doi.org/10.1155/2011/896395
Antidepressant Therapy in Severe Depression May Have Different Effects on Ego-Dystonic and Ego-Syntonic Suicidal Ideation
Louise Brådvik1 and Mats Berglund2
1Division of Psychiatry, Department of Clinical Sciences Lund, Lund University Hospital, 221 85 Lund, Sweden
2Department of Clinical Alcohol Research, University Hospital MAS, Lund University, Malmö, Sweden
Received 30 December 2010; Accepted 13 March 2011
Academic Editor: Verinder Sharma
Copyright © 2011 Louise Brådvik and Mats Berglund. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
The objective of the present study was to investigate whether ego-dystonic and ego-syntonic suicidal ideation occurred at different frequencies during antidepressant therapy. A blind evaluation has been performed on records of 100 suicides with a primary severe depression and 100 matched controls, admitted to the Department of Psychiatry, Lund, Sweden. Ego-dystonic suicidal ideation was more commonly reported during adequate treatment as compared to ego-syntonic ideation ( ). Men who committed suicide during adequate antidepressant therapy more often reported ego-dystonic suicidal ideation earlier in their lives compared with those who were not treated ( ). This may indicate that treatment failure for ego-dystonic ideation was a precursor of their suicides. Consequently, ego-dystonic ideation seems to show a poorer response to antidepressant therapy as compared to ego-syntonic ideation, which may be more directly related to depression. Ego-dystonic ideation is proposed to be related to depressive psychosis.
Suicidal ideation is a precursor of completed suicide, and it is important to evaluate the effect of treatment on its occurrence. Reduction of suicidal ideation has been shown during antidepressant medication [1–5], or at least in some individuals [6, 7], and after ECT [8–10]. However, an emergence of suicidal tendencies has also been found [11–13].
These studies were based on undifferentiated suicidal ideation. Previous research by Ringel on suicidal ideation has distinguished between active and passive suicidal ideation, depending on whether the individual keeps some subjectively active position or is passively overwhelmed by suicidal thoughts [14]. In addition, Akiskal has described that some depressed people could be tormented with suicidal obsessions and constantly resist unwanted suicidal urges or impulses to destroy themselves, as opposed to another group who may harbour elaborate plans, carefully preparing a will, and so forth [15].
The present study uses a phenomenological distinction between ego-syntonic and ego-dystonic suicidal ideation based on previous studies in our group. We have found that suicidal ideation "beyond one's own will" (i.e., ego-dystonic) was related to completed suicide in a severe depression with psychotic features for men and bipolar disorder for both men and women, while the more rational/wanted items on Beck's SSI were not related [16]. Previous studies have also shown that there were generally similar rates of adequate antidepressant treatment and also improvement in suicides and controls in the long-term course [17] and at suicide [18]. Consequently, the increased suicide risk for patients who report suicidal ideation "beyond one's own will" may be resistance to antidepressant therapy.
The aim of the present study was to compare ego-dystonic and ego-syntonic ideation during adequate antidepressant treatment, to identify any differential responses to treatment. The following questions were addressed: firstly, was ego-dystonic compared to ego-syntonic suicidal ideation more often reported during adequate treatment in the long-term course: secondly, had those who committed suicide during adequate antidepressant treatment more often reported ego-dystonic suicidal ideation earlier in their lives, indicating a lack of response to treatment for this type of ideation? Men and women were compared.
2.1. Sample
In the 1950s and 1960s, all in-patients at the Department of Psychiatry, University Hospital, Lund were rated on a multiaxial diagnostic schedule at discharge [19]. This database enabled the selection of patients with a prospectively rated severe depression/melancholia for an investigation into suicide.
A total of 1,206 patients received this diagnosis (506 men and 700 women). Their mortality was followed-up in three sessions—to January 1, 1984 to January 1, 1998, and to Feb 15 2010. There were 116 suicide victims up to 2010. Deceased persons were grouped according to the primary cause of death as classified by the Central Bureau of Statistics using the International Classification of Disease [20–22]. The sampling procedure is presented in Figure 1.
Figure 1: Flow-diagram for the sample of patients with severe depression admitted to the Department of Psychiatry, Lund University Hospital.
The case records were prepared for a thorough blind evaluation by omitting the last sheet with information on the suicide, as has previously been described [23], and a similar procedure was used at second and third follow-ups. Secondary depressions, mainly alcoholism, were excluded. This left us with 100 completed suicides, 44 men and 56 women, with a primary severe depression. Matched controls, one for each suicide, were selected from the total sample by the criteria of diagnosis, gender, year of birth, and index admission year, which meant that they were the same age on admission. The controls were selected on the basis of being alive and monitored up until the death of the suicide victim they matched and so were monitored for a similar length of time.
A retrospective diagnosis according to DSM-IV [24] has been performed based on the symptoms reported in the records. It turned out that at least 91% of the patients met the criteria for a major depressive disorder with melancholic or psychotic features; of these, 47% were melancholic and 63% psychotic, and 22% had a bipolar disorder. The rates in suicides and controls were the same.
Comorbid obsessional-compulsive symptoms blindly scored in the case records in the first follow-up did not significantly differentiate between suicides and controls (13% versus 8%). Anxiety prospectively scored on the multiaxial ratings did not differentiate (35% versus 33%). Being married at index admission (blindly rated) was significantly more common in female controls but social class did not differentiate for men or women [23]. Prospective scores (multiaxial ratings) of brittle/sensitive personality and heredity for psychosis were significantly more common in male suicides than male controls [23].
2.2. Suicidal Ideation
Suicidal ideation was scored based on the reports in the case records according to Beck's Scale for Suicidal Ideation—SSI [25], as described in a previous paper [16]. However, some types of ideation reported in the records did not fit in the basically rational thinking in SSI and those items were scored separately. Of the latter "suicidal ideation beyond one's own will" was significantly related to suicide.
The occurrence of ego-dystonic suicidal ideation, or "beyond one's own will" [16], was compared with ego-syntonic thoughts of suicide during adequate antidepressant therapy. These correspond to the dichotomy suggested by Ringel [14] and Akiskal [15]. The ratings were as follows.(i)Ego-dystonic suicidal ideation. Unwanted urges to take one's own life; suicidal ideation "beyond one's own will"; fear of killing oneself; a compulsion to kill oneself; and nightmares about suicide. (Three cases of imperative hallucinations demanding suicide were found in the control group only; they overlapped with irrational/unwanted ideation in all but one case and were excluded.) (ii)Ego-syntonic suicidal ideation (items on Beck's SSI, English version [25]). Evidence of desire to take one's own life: item 4, desire to make an active suicide attempt; item 12, method considered; item 16, partial or complete preparations; item 17, suicide notes completed, and item 18, act in anticipation of death.
All scoring was performed by the same rater, who was blind to suicidal outcome and to the scoring of antidepressant therapy and repeated on a later occasion to enhance the reliability. (Beck's SSI was used for the scoring as well as items describing "suicidal ideation beyond one's own will" or ego-dystonic ideation [16].)
2.3. Antidepressant Therapy
Antidepressant therapy during the course of depression was evaluated according to Ottosson [26] for all follow-ups (1984, 1998, 2010) and was as follows.(1)Adequate doses were scored as follows: a full dose of at least 150 mg of tricyclic or tetracyclic antidepressants should be continued for at least 2 months. (A few patients who had received monoamine oxidase inhibitors (MAO) inhibitors were included.)(2)ECT (adequate treatment): a series of at least six treatments was considered adequate (all patients were given three treatments a week). (According to the tradition of the clinic, treatment was sometimes discontinued after 4 seizures. These cases were included if there was a persistent effect on depression.)(3)ECT and continuation treatment with antidepressants: continuation treatment should be initiated within 2 weeks after the last ECT. No sign of relapse of depression should have been reported.(4)Lithium-prophylaxis was also scored (and in one case valproatic acid).
Treatment with neuroleptics was also noted. Adequate treatment of depressive episodes was similar throughout the course of depression in suicides and controls and so was improvement, as described in a previous paper [17]. Suicidal ideation was scored as to whether it was reported during ongoing adequate antidepressant therapy or when untreated. Antidepressant medication should have been used at least four weeks in order to be considered to have an antidepressant effect, and a full course of ECT should have been completed. For those who received adequate antidepressant therapy, occurrence of ego-dystonic and ego-syntonic suicidal ideation during adequate treatment was scored, in order to evaluate whether relief of depressive symptoms also included relief of suicidal ideation.
Finally, treatment at suicide was related to type of ideation previously reported. In all, 51 members of the sample were in contact with the department within six months before suicide (22 men and 29 women). This contact was supposed to concern their last episode.
The study was approved by Lund University Medical Ethics Committee 1985 and 2003.
2.4. Statistics
An test was used for comparisons between groups and Fisher's exact test, when applicable. Wilcoxon's test was used for a comparison of ranks. A sign test was used for a comparison between type of suicidal ideation during adequate treatment, as almost all patients had received adequate treatment on some occasion and could therefore report suicidal ideation during treatment. By using a sign test, those who had reported both ego-dystonic and ego-syntonic ideation on different occasions were ascribed a zero value, and those who had reported only one type of ideation were compared.
3.1. Report of Suicidal Ideation and Long-Term Treatment
Treatment of depressive episodes in the long-term course was compared for suicides and controls. A vast majority had received adequate antidepressant therapy at some time, 93% of the suicide group and 95% of the control group. Type of treatment, such as ECT, antidepressant pharmacotherapy, or mood-stabilisers did not vary.
Suicidal ideation could not be shown to occur more often among those who were less adequately treated. Within the suicide group, as well as the control group, suicidal ideators showed similar rates of adequately treated episodes as did nonideators (66% versus 79% in the suicide group and 76% versus 69% in the control group). Rates of ECT, antidepressant pharmacotherapy, and Lithium were similar for ideators and nonideators too.
3.2. Type of Ideation Related to Treatment and Long-Term Course
Suicides and controls showed similar rates of treatment and were analysed together. A sign test showed a significant increased risk for patients with ego-dystonic suicidal ideation as compared to ego-syntonic ideation during adequate antidepressant therapy (24 ego-dystonic only versus 8 ego-syntonic only; ).
The proportion of ego-dystonic and ego-syntonic ideation events reported during adequate treatment in relation to the total number of ideation events is presented in Figure 2. The proportion of individuals who reported ego-dystonic or ego-syntonic ideation during antidepressant therapy only in relation to the total number of individuals who reported the type of ideation is presented in Figure 3. A clear peak for ego-dystonic compared to ego-syntonic suicidal ideation was found during adequate treatment.
Figure 2: The proportion of reported ego-dystonic and ego-syntonic suicidal ideation during adequate treatment related to the total number of reported ego-dystonic and ego-syntonic ideation (percent).
Figure 3: The proportion of individuals who reported ego-dystonic and ego-syntonic suicidal ideation during adequate treatment only, related to the total number of individuals who had at some time reported ego-dystonic and ego-syntonic ideation (percent).
3.3. Type of Ideation Related to Treatment at Suicide
Suicidal ideation previously reported was compared for those patients who had been in contact and adequately treated before suicide and those who were untreated, being in contact or not (Table 1). Males who committed suicide during adequate treatment had more often previously reported ego-dystonic suicidal ideation in comparison to all untreated (7/15 versus 5/29, chi-square = 4.32, ). Furthermore, if only those who were in contact before suicide were compared, a significant difference for ego-dystonic ideation between treated and untreated remained (7/15 versus 0/7, Fisher's exact test ). All the seven patients with ego-dystonic ideation who committed suicide despite adequate treatment had previously been diagnosed with psychotic features. Of these, two were prescribed additional neuroleptics, only one as an antipsychotic. There was a nonsignificant trend for males to report ego-dystonic suicidal ideation during treatment more often than women (7/15 versus 3/17, chi-square = 3.12; ).
Table 1: Ego-dystonic and ego-syntonic suicidal ideation related to treatment by contact and gender.
Firstly, ego-dystonic suicidal ideation was shown to be more commonly reported during adequate antidepressant therapy as compared with ego-syntonic suicidal ideation. Secondly, the ego-dystonic ideation previously in life was more often reported by men who committed suicide during antidepressant treatment as compared to other male suicides, being in contact at suicide or not. We do not know whether the patients who previously had reported ego-dystonic suicidal ideation also had these thoughts at the time of suicide. However, the fact that ego-dystonic ideation also appeared resistant to antidepressant treatment in the long-term course justifies an assumption that suicide may have been preceded by this type of suicidal thought. The association with accomplished suicide was found only in the male group. It is possible that men more often act on this type of suicidal feeling, as men are more prone to fatal suicidal acts [27]. The occurrence of ego-dystonic suicidal ideation and accomplished suicide during adequate antidepressant therapy may be due to a lack of response for this type of suicidal ideation. In a previous study, we found evidence that urges to make suicide attempts may remain during adequate treatment with antidepressants, though the acts were often interrupted [17]. That finding is compatible with the occurrence of ego-dystonic suicidal ideation during antidepressant therapy found in the present study. Ego-syntonic suicidal ideation appears to show a better response to antidepressant therapy as compared to ego-dystonic suicidal ideation. Perhaps ego-syntonic ideation is part of a depressive disorder and consequently reduced when there is a relief of depression. On the other hand, ego-dystonic ideation appears to show a poor response, indicating that it may occur independent of depressive symptoms. In another previous study [16], we found a correlation between ego-dystonic suicidal ideation ("beyond one's own will") and psychosis. All the men who committed suicide during antidepressant therapy had suffered depression with psychotic features. As ego-dystonic suicidal ideation both appeared resistant to antidepressant treatment and was also related to psychosis, there is an interesting possibility that this type of suicidal ideation may actually be psychotic in nature. According to other investigators, patients with psychotic depression seem to be much more likely to exhibit high levels of suicidal ideation following treatment compared with patients without psychotic features [28], which is compatible with the present findings. Risperidone augmentation to antidepressants has also recently been shown to reduce suicidal ideation in major depressive disorder [29], a finding compatible with a hypothesis of "psychotic suicidal ideation". However, none of these studies considered the type of ideation.
The present study deals with a sample of severely depressed patients. Severe depression has been shown to be a predominant diagnosis among suicide victims [30] and to have an increased risk for completed suicide as compared to major depression without severe features [31, 32]. The records were well written and very informative and a great number of statements on suicidal ideation were available, but an important weakness of this study is the lack of systematic inquiry of suicidal ideation. On the other hand, the study builds on continuous reports in the case records noted at the time, thereby minimising the effect of recall bias, which is a strength. Furthermore, in making a comparison between the occurrences of different types of ideation during treatment, it is assumed that patients are equally prone to communicate those types of suicidal ideation, whether under treatment or not. This is probable but cannot be proved. There were some differences between suicides and controls concerning personality and marital status that is shown in a previous paper [23]. However, there is no indication these would influence the different responses for types of ideation, and the improvement rates on antidepressant therapy were the same for suicides and controls. Type of suicidal ideation was compared during different types of treatment, which may have different modes of action. However, the common objective is relief of depression through the use of ECT, antidepressants, and mood-stabilisers, which work in much the same way. Finally, the antidepressants prescribed were generally tricyclics, which are no longer a first choice. However, a similar effect of these drugs as compared to selective serotonin reuptake inhibitors and serotonin norepinephrine reuptake inhibitors (SSRI and SNRI) on suicidal behaviour has been proposed [32, 33] and also generally a better effect on severe depression [34, 35].
Ego-dystonic suicidal ideation appeared to be more frequent during adequate antidepressant therapy than ego-syntonic suicidal ideation. The distinction between these types of ideation during antidepressant treatment therefore appears to be important in efforts to predict and prevent suicide. We propose that ego-syntonic ideation may be a part of a depressive disorder and thereby reduced by antidepressant therapy, while ego-dystonic ideation occurs more frequently during adequate therapy, perhaps indicating that it may be psychotic in nature.
Contract grant sponsors: Swedish Research Council, Sjöbring Fund, O. M. Persson Memorial Fund, Söderström-Königska Foundation. Anna Lindgren, Mathematical Statistics, Centre of Mathematical Sciences provided statistical advice. Leslie Walke revised the language of the paper.
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Limitless capital funds is a utility token. LCF Token owners can use tokens in our Hotels & Resorts to pay for products and services. We also aim to build blockchain mainstream through the creation of tokens attached to the value of dollars, euros, pounds and yen.


HONG KONG (SE): The Canossian Sisters celebrated the 60th anniversary of entrance into religious life of Sister Cecilia Lee, Sister Maria Lit and Sister Rosangela Cesati, on September 15, the Feast of Our Lady of Sorrows.
HONG KONG (SE): Typhoon Mangkhut was the most powerful to hit Hong Kong since records began in 1946 and brought record levels of storm surge too, with flood waters reaching their highest since 1904. The Hong Kong Observatory hoisted the Number 10 typhoon signal—the highest— for 10 hours on Sunday, September 16.
Sunday Masses were cancelled in the parishes across the city. It may be sheer coincidence that a number of Signal 8 typhoons that hit Hong Kong in the recent past were on Sundays.
Hong Kong (AsiaNews/SE): A memorial Mass in honour of Father John Baptist Cheng Kwok-cheung, and Father Peter Ngai Wan-fai, who were murdered on 7 September 1953 in their sleeping quarters at Holy Soul's Church (now Our Lady of Mount Carmel), Wanchai, on the 65th anniversary of their deaths.
"I wanted this Mass because I want my generation to remember my uncle," said Cheng Tak-Mei, Father Cheng's niece.


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text:
Q: sorl-thumbnail URLField instead of ImageField I have a bunch of images uploaded to Amazon S3 and I want to use sorl on them in the way, so sorl wouldn't relocate files into upload_to directory. Like if I've used URLField instead of FileField (which is require actual file content). Is it possible?
UPDATE:
Here is an example:
from storages.backends.s3boto import S3BotoStorage
from sorl.thumbnail import ImageField

class Thumbnail(Model):
    image = ImageField(upload_to='.', storage=S3BotoStorage)

thumb = Thumbnail(image=File(S3BotoStorage.open('/path/to/image'))
thumb.save()

This code will download image to server and then upload it to the same S3 storage, which, well, takes time. It's completely unnecessary if thumbnails are already created, so my idea was to use some kind of URLField, which I would point to my S3 storage in order to avoid this problem.

redpajama_set_name: RedPajamaStackExchange


A clear tissue which makes up the outer surface of the eyes is called the cornea. All of the light you see passes through the cornea, which bends the light into the eye, focusing it on the retina. If the cornea is diseased, scarred, or incorrectly shaped, it can lead to visual acuity problems, loss of clarity, and even loss of eyesight. Corneal disease like keratoconus, conditions such as dry eye or astigmatism, and other corneal-related issued are often to blame for poor or deteriorating eyesight.
Regular eye exams are key to diagnosing, preventing, and treating corneal diseases. Symptoms of corneal disease vary greatly depending on the condition, nature, and severity of the eye problem. If diagnosed early, most eye conditions can be effectively treated by preventing the problem from worsening or curing the condition altogether. The following are a few types of conditions which directly affect the cornea.
Dry eyes occur when your tear ducts do not produce enough tears to keep the surface of the eye (cornea) moist. Dry eyes can signify the presence of several different conditions.
Characterized by a thinning and bulging of the cornea, keratoconus directly affects the ability to see clearly. It can also cause the sufferer pain. This eye disease can become worse if left untreated, but if diagnosed early our eye doctors can treat it effectively.
In addition to dry eyes and keratoconus, two of the most common corneal diseases, other conditions such as Fuchs' Corneal Dystrophy and Pterygium affect the cornea as well.
Treatment varies greatly depending on the condition present, but often includes surgery, eye drops, or other medications. To find out if corneal treatments are right for you, we encourage you to schedule an appointment with one of our eye doctors.
If you have concerns regarding dry eyes or another corneal disease, we encourage you to schedule an appointment with a bay area eye doctor at one of our conveniently located Spectrum Eye Physicians offices. Our experienced doctors and staff are proud to provide service to the bay area with locations in San Jose, Los Gatos, Santa Cruz, and Cupertino. Call us at 408-884-2215 to schedule an eye exam and corneal consultation today.


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Israel set to approve 5,400 settlement units in the West Bank
04/10/2020 National News 2,765 Views
Israeli newspaper "Haaretz" revealed, in its Sunday edition, that the Israeli authorities are moving towards approving 5,400 units in settlements established in the West Bank, without referring to their distribution map, despite talk of freezing annexation plans in exchange for normalization with the UAE and Bahrain.
Haaretz stated that there is a tendency to hold formal sessions on the 12th of this month, at the behest of Benjamin Netanyahu, to approve a series of construction plans in Israeli settlements, and to transfer them to the implementation stage.
"Israel Hayom" newspaper had indicated two days ago that more than two thousand housing units within the plan would be in the Haredi settlement "Betar Illit", 629 housing units in "Aali" settlement, 560 in the "Gilo" settlement in occupied Jerusalem, and 286 housing units. In "Har Barkha" settlement, 181 in "Einaf" settlement, and 120 in "Kedem" settlement.
A source close to Netanyahu recently announced that "the delay in announcing approval of these settlements was related to developments in contacts with countries in the Gulf, but now there is no additional reason to delay the approval of these plans."
It is noteworthy that plans were approved during a meeting held two weeks ago to implement modifications in the vicinity of the Ibrahimi Mosque in Hebron, to enable settlers and Jews with special needs to reach the Haram and perform prayers there, due to the temporal and spatial division imposed by the occupation in the Ibrahimi Mosque since 1994 The sanctuary massacre carried out by the Jewish terrorist Baruch Goldstein.


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Q: Access WMTS from a GeoTIFF Layer in GeoServer I created a layer in GeoServer from a GeoTIFF-source.
I can access this layer via WMS through the following URLs:
mapproxy:
http://10.77.70.19:8080/geoserver/germany/wms?SERVICE=WMS&
I have enabled GeoWebCache for that layer.
I want to create a WMTS layer through mapproxy by combining this layer with another WMTS layer. Combining WMS and WMTS to create WMTS seems to not be possible.

A: You have a couple of options:

*

*Request the GeoServer layer as a WMTS tile set via GeoWebCache (which is built into your GeoServer install) - MapProxy should be able to combine two WMTS layers.

*Use GeoServer to cascade the external WMTS so that it appears as "just" another WMS/WMTS layer. Your client can then request both the layers together, possibly using a Layer Group to combine them into one.


This is a color ripper to get the exact color you see on your computer screen. I couldn't find any utility for this so I decided to make my own… It's a simple program. To run it, it requires .NET Framework 2.0 or higher runtime to work. It's very user friendly. It calculates in real-time and comes with a color corrector if the color is either too bright or too dark. I hope someone could find this useful for color restoration hacks or customizing a character's colors in a game. Hope you guys like it.


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Nokia and Apple Settle Patent Dispute with Multi-Year Licensing and Business Cooperation Agreement
Posted by Rajesh Pandey on May 23, 2017 in Apple News
Nokia and Apple today announced that they have settled all their patent litigation issues and have signed a multi-year patent license.
The agreement will see Nokia provide "certain network infrastructure product and services" to Apple, while the latter will once again start selling Nokia-branded — formerly Withings — health products in its retail and online store. Both companies are now also exploring opportunities to collaborate in digital health segment. Regular summits between the top executives of Nokia and Apple will also be held for the betterment of their relationship and for the benefit of customers.
"This is a meaningful agreement between Nokia and Apple," said Maria Varsellona, Chief Legal Officer at Nokia, responsible for Nokia's patent licensing business. "It moves our relationship with Apple from being adversaries in court to business partners working for the benefit of our customers."
Details of the agreement between the two companies have not been made public, but this agreement will see Apple paying an upfront amount to Nokia, with additional revenues coming in during the term of the agreement.
Nokia had sued Apple in the US and Germany last year for infringing on several of its patents. The companies were in talks over a licensing agreement but failed to reach a conclusion which led Nokia to file a lawsuit. Back then, Apple claimed that Nokia was trying to "collect excessive fees" through illegal patent transfer scheme.
[Via Apple]


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Destinations, Park and Plaza
Lapangan Banteng: The Waterloo Square of Batavia
Lapangan Banteng or Banteng Square is located on Jl. Lapangan Banteng Selatan, Jakarta Pusat/Central Jakarta. Bateng Square was built at the time of Lieutenant Governor General Daendels, when the capital moved from Old Town to the Weltevreden area in the early 19th century and named as the Waterlooplein or Lions Square. The square was called Lion Square because it is said in the middle of the square, stands a statue of the lion, which became a symbol of courage. The lion is a symbol representing the activities in it, namely as a place of military activities of the Dutch troops.
At the arrival of the Japanese in Batavia, Waterlooplein was used as a defense center of the Dutch army. Such a fact is evident by the very existence of a defensive bunker under Waterlooplein that connects directly to the Palace of the Governor General of the Dutch East Indies (today the Finance Ministry building).
When Jakarta fell to the Japanese, Waterlooplein was renamed into the Lion Square. Japan's military used the Lion Square as a military training field and other events. However, after Indonesia's independence on August 17, 1945, President Soekarno changef its name to into Banteng Square.
Banteng Square is divided into three sections: Banteng Square that serves as a sport place where there are athletic tracks and football fields, and then the location of West Irian Liberation Monument, and Banteng Square Garden.
Banteng Square Garden is often used as a place of annual Flora and Fauna exhibition, held by Jakarta government. But if it is not used for the exhibition, the park is quite comfortable to use to enjoy views of the garden after you exercise.
How to get here (see the route map):
From Gondangdia /Cikini go to platform 1 and take Red Line or Blue Line heading to Jakarta Kota and stop at Juanda. Take a 15-minute walk to the southeast.
From Tanah Abang go to platform 3 and take the Yellow Line heading to Depok/Nambo/Bogor and stop at Manggarai. Go to platform 3/5 and take Red Line or Blue Line heading to Jakarta Kota and stop at Juanda. Take a 15-minute walk to the southeast.
From Sudirman go to platform 2 and take the Yellow Line heading to Depok/Nambo/Bogor and stop at Manggarai. Go to platform 3/5 and take Red Line or Blue Line heading to Jakarta Kota and stop at Juanda. Take a 15-minute walk to the southeast.
For a map illustration, click here, or see the map below.
http://www.beritajakarta.com/2008/id/berita_detail.asp?nNewsId=35917
http://metro.news.viva.co.id/news/read/127638-mengingat_sejarah_di_waterloo_plein
http://www.tempo.co/read/news/2012/06/14/214410637/Lapangan-Banteng-Jadi-Pusat-Flora-dan-Fauna
Banteng SquareBanteng Square ParkCentral JakartaJuandaLapangan Banteng
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Women are more likely to experience urinary incontinence, prolapse and faecal incontinence 20 years after one vaginal delivery rather than one caesarean section, finds new research published in a thesis from Sahlgrenska Academy.
Urinary incontinence, prolapse and faecal incontinence are common conditions affecting adult women of all ages and can have a negative influence on quality of life.
Study on risk factors
This unique study, performed by researcher Maria Gyhagen at the Sahlgrenska Academy, looked at the prevalence and risk factors for urinary incontinence, prolapse and faecal incontinence 20 years after vaginal delivery or caesarean section. The SWEPOP (Swedish pregnancy, obesity and pelvic floor) study was conducted in 2008 and data was obtained from the Medical Birth Register about women who had delivered only one child between 1985-1988 and had no further children.
A questionnaire was sent to the women in 2008 and 6, 148 completed it answering questions on height, weight, urinary or faecal incontinence, genital prolapse, menstrual status, hysterectomy, the menopause and hormone treatment.
Associated with 275% higher risk
Two decades after one childbirth, vaginal delivery was associated with a 67% increased odds of urine incontinence (UI), and UI being present more than 10 years later increased by 275% compared to caesarean section.
- Current BMI was the most important BMI-determinant for UI, which is important, since BMI is modifiable, says Maria Gyhagen.
Symptomatic prolapse
The single most important risk factor for symptomatic prolapse was delivery via the vaginal route. Birthweight above 4500g was a risk factor for symptomatic prolapse after vaginal delivery. Symptomatic prolapse was also an important risk factor for urine incontinence.
Higher prevalence of faecal incontinence
The prevalence of faecal incontinence was higher after vaginal delivery compared with caesarean section. Perineal tear of the 2nd degree almost doubled the prevalence of faecal incontinence. Episiotomy was protective against late faecal incontinence.
The prevalence of urinary incontinence, prolapse and faecal incontinence did not differ between women delivered by acute compared to elective caesarean section, indicating that it is not until the fetus passes through the delivery canal that the injuries occur that causes these pelvic floor disorders.
First study of its kind
This is the first study of its kind to show that one vaginal delivery influences the long-term risk of developimg urinary incontinence, prolapse and faecal incontinence compared to one caesarean section. The results of this study provide important new information for women who are concerned that a vaginal delivery will lead to long-term pelvic floor damage.
However it is important to note that when choosing the most suitable form of delivery it is necessary to consider numerous medical issues that can potentially influence the health of the mother and child.
The thesis Long-term consequences of vaginal delivery on the pelvic floor. A comparison with caesarean section in one-para women was defended by Maira Gyhagen on January 25, 2013.
Long-term consequences of vaginal delivery on the pelvic floor. A comparison with caesarean section in one-para women.
Dr Maria Gyhagen, gynecologist and researcher, Sahlgrenska Academy, Gothenburg University
Sahlgrenska Academy, Gothenburg University
Second-Generation CT Scanner Substantially Reduces Radiation Exposure
Post Review about Long-term consequences of vaginal delivery on the pelvic floor Click here to cancel reply.


Atwellandco.com.au is a leading property management solution provider and offers its services across various places around Melbourne. Synapse Interactive SEO copywriting team was approached with a need of keyword optimized content that would help the site gain on search engine prominence.
The team of SEO copywriters accepted the challenge and began with intensive research on the services specific to the area and client's capacity. Based on the inputs provided by the client, especially on the tone, and language form (which was to be Australian English), the copywriters started to deliver pages periodically.
71 webpage content were delivered on time.


I recently used a batch fix to disallow CC on random (was getting some weird things with townies), but when I went back into my game all of my custom sims had their CC removed (no hair, no brows, make up, eyelashes, etc). I really don't want to go back and have to remake every single one of them (I have... several dozen sims that I've spent hours on) - so what can I do to fix it?
I ran the allow cc for random fix, hoping it would reset things, but that didn't do a thing.
Will loading an older save work? Or have I messed things up entirely?
You just saved my game! Thank you so much - I didn't know about the backups!
Hi thecatsred , the issue you're describing is not supposed to happen. If you have a package or two that you know disappeared from your custom Sims after running the batch fix, it would be very helpful if you could PM me with these so this problem can be investigated. We do not want this batch fix affecting custom Sims.


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RTJ celebrates 25 years
Published 9:17 pm Saturday, August 5, 2017
By jonathanbryant
The Robert Trent Jones Golf Trail celebrated 25 years at Cambrian Ridge Friday morning. Pictured from left to right are Cambrian Ridge director Bryan Reynolds, John Cannon, president of Sun Belt Golf, and Greenville mayor Dexter McLendon.
The Robert Trent Jones Golf Trail has maintained a tradition of excellence that has been par for the course for 25 years.
Various Greenville officials gathered at Cambrian Ridge Friday to honor that milestone with a media conference, followed by lunch.
In addition, golfers were treated to a $25 round of golf, including a cart, for the occasion.
Cambrian Ridge director Bryan Reynolds spoke first on the momentous occasion, calling the event both a big day for the Trail and Cambrian Ridge itself and thanking city officials, the Greenville Area Chamber of Commerce and the Greenville Police Department for their decades-long support.
"The Trail has played 12 million rounds since its opening, and here at Cambrian Ridge we've been able to contribute 620,000 rounds to that number," Reynolds said. "We hope that through all of our renovations, that number grows. And we're really proud of the renovations we've got—the new greens, the redesigned holes, etc.
"It's an exciting time for us, and we hope that we can continue to be successful and be a vital part of the community."
Cambrian Ridge, which opened in 1993, is the fifth site to open on the trail, proceeding Hampton Cove of Huntsville, Oxmoor Valley of Birmingham, Grand National in Opelika and Magnolia Grove of Mobile.
A 2014 study conducted by Dr. Mark Fagan, department head emeritus of Jacksonville State University, showed the sizable economic impact that Cambrian Ridge has had on the Camellia City.
Fagan tracked data from the Alabama Tourism Department concerning tourism-related spending—including money spent on eating, drinking, transportation, lodging and related retail—in Butler County from the early 1990s in comparison with 2011, and the results show a consistent upward trend in virtually every area.
Annual spending was $11,686,242 back in 1995, which grew to $42,109,848 in 2011, an increase of 360 percent during a 16-year period.
Growth in local state taxes from tourism spending, state lodging taxes and more were all factors in commercial growth, as well as the increased tourism spending at Exit 130 on I-65.
Greenville mayor Dexter McLendon said that, without the benefit of hindsight, the original plan to develop Cambrian Ridge was met with a fair amount of skepticism.
He recalled one anonymous phone call in particular, received during his first term in office, in which the caller threatened to end McLendon's political career if he and the council pursued the project.
"I would give you all a large sum of money to find out who that guy was," McLendon said with a laugh to a crowd at Cambrian Ridge Friday.
"A lot of times in a small town, we don't think big enough," McLendon said. "We ended up with a 36-hole golf course that has meant so much to us. The changes they've made the last few years to this golf course are just incredible.
"It was one of the best things that ever happened to Greenville, Ala. And I hope and pray that in 25 years I get to stand here for a 50th anniversary."
Gates makes top 8 at DYW


Recognising that you have a problem with drugs or alcohol takes a lot of courage – as does making the decision that you want to change this.
The great news is that there is a huge amount of help and support available for you. If you want to stop or make changes to how you use, you don't have to do it on your own. Looking for help is a huge and very positive step towards your recovery.
There are various treatment options available, which often take place in the community. However, some – like us – are provided in residential settings. Everyone's needs are different, and the treatment you choose depends on how much and how long you've been using, your health and medical history, and your personal circumstances.
The first step is getting an assessment so that you can talk this through with a drug or alcohol worker. We can help put you in touch if you don't already have one, or your GP can arrange this. They will meet with you for a confidential discussion to look at what is the best course of action for you.
You might need medical support to stop drinking, reduce or stop your drug use. Your drug or alcohol worker will help determine this and will make a referral to our safe, medically-controlled detoxification service. Boswyns is a stunning, purpose built unit in a beautiful setting, which has been set up and staffed by highly skilled professionals specifically to achieve this. Our facilities are staffed by personnel trained and experienced in the delivery of an effective, evidence based programme.
If you can safely stop by yourself, or with the support available to you locally, the next step is to look at what needs to change to keep you sober. Our residential rehabilitation service allows you the time and space to address this, with experienced, specialist support to guide you through it. You'll receive a range of therapies which explore the root cause of your drug or alcohol problem and equip you with the skills you need to live a healthier life. Once you've completed this, we also provide after-care – to make sure you stay supported once you leave us, and have someone to talk to who really understands any issues you may face.
Call us in confidence on 01736 850006.
Boswyns detox is a 16 bed, short stay service for anyone aged 18 or over who requires a drug or alcohol detoxification in Cornwall.
Bosence provides residential rehabilitation in Cornwall for those recovering from alcohol / drug dependence and is registered with the Care Quality Commission.
Our admissions team will asses your needs in confidence.


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package tw.edu.nccu.cs.exercise.state;

public class DefendState implements HeroState {

    @Override
    public int attack() {
        System.out.println("Counter attck");
        return 5;
    }

    @Override
    public int defend(int wounds) {
        System.out.println("Defend");
        return 0;
    }

    @Override
    public boolean canDoUlt() {
        return false;
    }

}

redpajama_set_name: RedPajamaGithub


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Mashuna upemba is a butterfly in the family Nymphalidae. It is found in north-eastern Angola, the Democratic Republic of the Congo and south-western Tanzania. The habitat consists of marshy areas and open, grassy glades at high altitudes.

References

Satyrini
Butterflies of Africa
Butterflies described in 1955


The following article was kindly provided to us by Adam Grunwerg at BinaryOptions.com. His site provides information about binary options trading, lessons and trader picks.
Everything changes…You might ask what's the connection between that and Options and you would be entitled to do so, but to answer the question, I must tell you a little story: I started to trade Forex about five or six years ago. I went through the usual ups and downs, lost money in the beginning and then made it back. I'm not going to bore you with the details, but after I finally got my trading together and found my balance, I thought I would never trade something else. Well, that thought was short lived because my curiosity led me to Options. At first I just wanted to know what they're about, I wanted to compare them to Forex and see if I am able to achieve higher returns with lower risk, but soon I started to trade Options more than Forex.
Then the Binary Options craze hit the internet. All the slogans, all the stuff like "…binaries are easy and profitable" made me stay away at first, because I don't consider that to be a good approach to financial instruments and trading in general. But curiosity struck again and got the better of me so I took a second, closer look at binary trading.
To put it simply, when trading Binary options you either lose the entire amount invested on a trade, or you win a fixed payout which usually ranges from 65% to 95% of your investment, depending on broker and underlying asset. This leads us to the first and major difference between Binaries and regular options: while trading regular options, the further price moves away from the strike price in our predicted direction, the more we profit, but when trading Binary Options, just one pip/point is all we need in order to win the entire payout. Assuming we have a regular option trade and at expiry time price is one pip/point above the strike price, we are not in a very happy situation, but if a Binary trade expires at the same point…well, we just made 65% to 95% profit on that trade.
On top of that, a Binary Option trade is not affected by the Greeks. Did you ever find yourself in a trade that lingered around the strike price and only started to move in your desired direction late in its "life span"? I know I did…and by that time, Theta ate all my potential profit. Not a beautiful scenario, but nonetheless, time decay is something that we need to take into consideration when trading regular options. However, the good news is that Binaries are not affected by Theta or any of the Greeks so in other words, even if in the last moments of my trade, price moves above/below the strike price, I still receive the entire payout.
Not everything is milk and honey in the Binary world and a drawback is the Risk to Reward ratio: I can lose 100% but I can only make 65% to 95%, depending on the broker I am trading with. Well, I know that in order to make a profit you have to either have a high win rate or a good Risk to Reward ratio…In Binary Options this ratio is not so good, but the fact that you just have to be right about the direction and not having to care about the distance traveled can help with the high win rate part. Also, some brokers offer a refund on Out of the Money options and this refund can go up to 15%, but not all brokers adopt this practice and 15% is seen rather rarely.
Once I got over my first urge to dismiss Binary Options due to the advertising and the hype created around them, I realized it's a profitable instrument, much easier to trade than others. Some Forex traders, especially new comers find it difficult to calculate position sizes; some regular Options traders have difficulties understanding all the butterflies, iron condors, bull spreads, albatross spreads and especially the Greeks and how they can influence the profit of a trade.
None of the things mentioned above are a problem when trading Binary Options and to be honest, I am glad that my curiosity made me try them out. If you already are an experienced trader it will take you probably about 10 minutes to learn all about Binaries and although it will take longer for a newbie to understand it all, in my opinion, Binary options are one the most accessible trading instruments available at the moment.
This article is intended for informational and educational purposes only. In no way should it be viewed as endorcement from SteadyOptions to use binary options or one of the brokers.
I'm more curious about hedging process involved to make money.
Can you recomend brokers that offer binary options? I have come across some ads and the brokers don't look legit. TOS doesn't offer binary options.
Are all of these companies regulated by the relevant "US" agencies?
When I try to enter every one of the companies on the list provided, my internet security software will not allow me in, because none of them are secure.
I don't think this is a viable list.


Sublimaze (fentanyl citrate) is an opioid medication used as an anesthetic during surgical procedures. It is injected either directly into the bloodstream (intravenously) or into the muscle (intramuscular). Recreational use of Sublimaze is considered high-risk behaviour and can lead to addiction and overdose, which may be fatal. Using opioids in any way other than directed by a physician can lead to tolerance, dependence and withdrawal. If you think you have a problem with opioids, don't wait to get help. Call The Recovery Village today. All calls are toll-free and confidential.
Sublimaze Mixing It and AlcoholSublimaze should never be mixed with alcohol. Concomitant use of Sublimaze or other fentanyl drugs with alcohol increases the risk for severe respiratory depression and overdose. Sublimaze distribution and administration are closely regulated by the Federal Drug Administration (FDA).
Sublimaze OverdoseSublimaze is potent fentanyl-based narcotic. It's administered via intravenous or intramuscular injection for anesthesia in surgery and for supportive post-operative pain relief. Sublimaze can only be administered by a certified anesthesiologist.