The fact that American vehicle manufacturers are urging President Trump not to tax (impose tariffs) us consumers any further is an indication of the complexity of trade and why tariffs are a 19th century policy tool that doesn't work in the 21st century world of long and involved supply chains.
With some of America's closest trading partners imposing retaliatory measures, Trump's approach to tariffs has unsettled financial markets and strained relations between the White House and the Chamber.
The European Union and Canada have also threatened to impose tariffs on billions of dollars worth of usa products.
In its submission, the European Union argues that trade restrictions would be likely to lead to higher costs for US-based producers, and in effect become a tax on American consumers.
The Chamber, the nation's largest business lobbying group and a traditional ally of Trump's Republican Party, said the White House is risking a global trade war with its push to protect United States industry and workers with tariffs. Investors' jitters over escalating global trade tensions and weak economic data from Asia weighed on the market.
U.S. tariffs on steel and aluminum imports have provoked retaliatory measures against billions of dollars of American exports. China will continue to assess the impact of the trade dispute and will help firms cope with possible shocks, Gao said.
The European Commission, the EU executive that handles trade for the bloc, said on Monday it was trying to convince its United States counterparts that imposing such tariffs would be a mistake. In response, China has said it will raise import duties on $34 billion worth of American goods.
Those tariffs kicked in on Sunday.
Connecticut, with $134 million in exports potentially subject to tariffs - from millions in scrap metal to $4,595 in sleeping bags - is second only to MA among the six New England states.
The EU said the USA auto industry is in good health, but any restrictive duties could undermine that trend. The three Texas industries facing the biggest risk are all big traders with Canada, which has announced $12.6 billion in retaliatory tariffs against American-made products since Trump placed new tariffs on its aluminum steel.
The Chamber is expected to spend millions of dollars ahead of the November elections to help candidates who back free trade, immigration and lower taxes.
Both they and other Reddit users who reported the same problem found no record of the messages having been sent, either. T-Mobile tells CNET "It's not a T-Mobile issue", adding "You'll want to check in with Samsung on this one".
Instead of backing down, trading partners have responded in kind with similar threats, although the numbers tend to be a little higher, i.e. the US tariff threat total of $200 billion was met by the EU's threat of $300 billion.
The EU letter suggested new tariffs could trigger a loss of $14 billion to the USA economy.
China is putting pressure on the European Union to issue a strong joint statement against President Donald Trump's trade policies at a summit later this month but is facing resistance, European officials said.
Trump has threatened to place tariffs on European automobiles, but has not yet followed through.
Trump initially granted Canada, EU members and other nations exemptions on the metal tariffs - 25% on steel and 10% on aluminum.
According to reports , the Los Angeles Coroner's Office confirmed he died from a self-inflicted gunshot wound to the head. Tina is now making a rare trip outside her new home country of Switzerland to attend Paris Fashion Week events.
In a letter to USA authorities, the European Commission, which handles trade policy for the bloc's 28 members, said "up to $294 billion of US exports. could be subject to countermeasures across sectors of the US economy". The EU and the USA industry specialise in largely different market segments and over the last 5 years imports from the EU have been stable.
Trump plans to hold talks with Putin "tete-a-tete"
Second seed Caroline Wozniacki crashes out of Wimbledon as the Williams sisters make it through to the third round. Federer won 35 straight points on his own serve en route to beating Lacko and advancing to the third round.
Argentina worldwide Sergio Romero is De Gea's understudy, while Joel Perreira is now third-choice under the Portuguese head coach. "Moving to Manchester United has been a dream of mine for as long as I can remember", he told ManUtd.com.
But Tehran has threatened to take drastic action on the oil supply in retaliation against Trump's attempt to curb its exports. It is the sole sea passage connecting the Persian Gulf to the open ocean and is used to transport oil to the world.
Karolina Pliskova advanced to the third round for the first time with a 6-3, 6-3 victory over Victoria Azarenka . Mommy has to do this.' I cried a little bit not as much as I thought I would though.
Dotcom has been fighting the extradition ever since the Federal Bureau of Investigation shut down his digital empire in 2012. If found guilty, they could face decades in prison.
This is the last time the Quicken Loans National will be held in the D.C. area, where it has been since its inception in 2007. Molinari faced a 15-foot par putt on the ninth hole that he poured into the center of the cup to keep a three-shot lead.
In addition to the narrow, water-filled passages, caves are like dark labyrinths, so finding one's way out can be tricky. Unknown factors include the possibility of risky animals like snakes in the cave or of contamination from bat droppings.
TMZ is reporting that the 68-year-old musician and songwriter popped the question during their European vacation. Katharine McPhee attends the 72nd Annual Tony Awards at Radio City Music Hall in New York City on June 10, 2018.
So church members put statues of the Holy Family in front of the church in an " ICE detention " chain link cage. It is part of the Christ Church Cathedral's #EveryFamilyIsHoly campaign.
For fans who want one last chance in front of the banner, you better go as soon as possible before it's taken down this week. Fanatics tells me that free agency doesn't create as much business supercharged by player movement as you might expect.
Last week a " rumour buster" official tasked with warning the public against such hoaxes was killed in northeastern Tripura . In June, police joined civilian protestors the southern city of Hyderabad to demonstrate against the spread of the rumors.
After repeated delays and apologies for those delays, the Playground is now up and running again. It's a solid step in the right direction to cementing Fortnite esports as a serious contender.
Australian Archbishop Philip Wilson arrives for sentencing at Newcastle Local Court in Australia on Tuesday. He has not resigned as archbishop, despite relinquishing his duties in the wake of his conviction .
He said satellite images show that North Korea has expanded a nuclear center and a missile production center. And when you do with North Korea this summer, you find some unpromising developments.
It's a special moment for us". "We looked at individual technique, we looked at how we needed to be as a team". English media have finally got some good things to say about their football team at a World Cup .


Our expertise with reclaiming land and building dikes, dams and bridges is in our genes; water management is in our blood.
With our enhanced vibro technology, we offer solid, reliable and environmentally friendly solutions for all harbor and coastal works.
Besides a full package of equipment for foundation works, our strategic partners offer complementary products such as (crawler) cranes, jack-up barges and other floating equipment. This makes PVE the only company to supply an all-in solution for (deep) foundation works, worldwide and with just 1 contact!


text:
Das BamesreiterSchwartzOrchestra ist eine 23-köpfige Bigband, welche im Herbst 2013 in München von den Bandleadern und Komponisten Lukas Bamesreiter und Richard Friedrich Schwartz gegründet wurde. Musikalisch spannt es den Bogen "von klassischem Powerswing über Cool- und Avantgardeklänge sowie Rockjazz bis zu HipHop-Einflüssen". Zu den Besonderheiten in der Besetzung zählt neben der vierstimmigen Vokalsektion, die Erweiterung des fünfstimmigen Saxophonsatzes um eine zusätzliche Klarinette sowie die Ergänzung des Blechsatzes durch ein Waldhorn.

Geschichte
Das Orchester entstand zunächst im Herbst 2013 für die Prüfungskonzerte der beiden Gründer; teilweise wurde dabei auf die damalige Besetzung des Landesjugendjazzorchesters Bayern zurückgegriffen. Nach seiner Etablierung spielte es in den ersten zwei Jahren vor allem Konzerte in München sowie in weiteren Teilen Bayerns. Das für den Klangkörper entstandene Repertoire kann als Programmmusik verstanden werden. Am 17. und 18. November 2015 erfolgten die Aufnahmen für das Debütalbum Metamorphosis im Kyberg Studio unter technischer Leitung von Florian H. Oestreicher und Jason Seizer. Das Album erschien am 24. Februar 2017 bei dem Musiklabel OKeh Records. Im Mai 2017 präsentierte sich das Orchester auf einer Release-Tour in Deutschland.

Preise und Auszeichnungen
2018 wurde die Formation für den Echo Jazz in den Kategorien "Newcomer" und "Large Ensemble" nominiert; sie erhielt die Auszeichnung als "Newcomer des Jahres". Die Leiter des Orchesters, Lukas Bamesreiter und Richard Friedrich Schwartz, kritisierten die Absage der Preisverleihungsgala durch den Bundesverband Musikindustrie und deren Form gemeinsam mit anderen Preisträgern als schädlich für die Öffentlichkeitswirkung.

Diskografie
 2017: Metamorphosis (Okeh Records)

Weblinks

 Offizielle Website

 Band der Woche Süddeutsche Zeitung

Einzelnachweise

Big Band
Deutsche Band

redpajama_set_name: RedPajamaWikipedia


Bromodomain proteins recognize monoacetylated lysine residues such as those on the N-terminal tails of histones. Members of the bromodomain protein family (particularly BET) have been implicated as targets in human cancer. Inhibitors of BET bromodomain have shown therapeutic effects in multiple models of hematological malignancies as well as solid tumors. RBC offers the largest collection of bromodomain proteins for purchase and for bromodomain assay service.


text:
Visit Graham Texas
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Graham Convention & Visitors Bureau
Arts & Performances
Fort Belknap
Graham Country Club
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Young County Arena
Young County Driving Tour
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Camping & RV Information
Graham Downtown Square
Graham, TX 76450 United States Get Directions
April 22 @ 7:00 am - 12:00 pm
18th Annual Run for the Children
Graham Downtown Square 608 Elm Street, Graham, TX
The 18th Annual Run For The Children 10K/5K/1K, will be held on April 22rd, 2023. The event takes place during April in order to coincide with Child Abuse Awareness Month. Proceeds go to Virginia's House-Dr. Goodall's House-A Family Resource Center, to help children who are victims of abuse and/or neglect, and their non-offending family members.
May 6 @ 6:00 pm - 8:00 pm
Christian Concert
Lions Club Carnival
The Food Truck Championship of Texas
The Food Truck Championship of Texas is a FREE admission, all day battle of the best. Food trucks from all across Texas gather in the one place big enough to hold all the food, friends, and fun — America's Largest Downtown Square in Graham, Texas. Food Truck Championship contestants will be competing for a grand prize of…
13th Annual Cars & Stars
Join us for the 13th annual car show on America's Largest Downtown Square - The historic square in Graham, Texas! August 5th, 2023
© 2023 Visit Graham Texas, All Rights Reserved.
Graham, TX 76450
cvb@grahamtexas.org
Monday-Friday 8:00 am to 5:00 pm CST

redpajama_set_name: RedPajamaCommonCrawl


text:
Q: passing Access.Application object to a function: Dim, Set, Object how to make it work? I came upon this (modified) function in a Stack Overflow page and have been trying to get it to work without giving up on the passed object (if I handle the Access.Application strictly within the first routine it will work).
Yes I know of a number of ways to get the same answer (mostly from other posts on the stack), but there is a general concept here of passing objects to functions that I would like to master--please forget for a moment that the function checks the existence of a table.
Function FCN_CheckTblsExist(theDatabase As Access.Application, _
tableName As String) As Boolean

'access.Application.CurrentData.AllTables.Count
'etc is the 'workaround enabling disposal of
'the "theDatabase" object variable

    ' Presume that table does not exist.
    FCN_CheckTblsExist = False

    ' Define iterator to query the object model.
    Dim iTable As Integer

    ' Loop through object catalogue and compare with search term.

    For iTable = 0 To theDatabase.CurrentData.AllTables.Count - 1
        If theDatabase.CurrentData.AllTables(iTable).Name = tableName Then
            FCN_CheckTblsExist = True
            Exit Function
        End If
    Next iTable

End Function

Function callFCN_CheckTblsExist(tableName As String)
'this is an example of a curried function?--step down in dimensionality

Dim bo0 As String
Dim A As Object
Set A = CreateObject("Access.Application")

bo0 = FCN_CheckTblsExist(A, tableName)

MsgBox tableName & " Exists is " & bo0

End Function

I don't know if the (theDatabase As Access.Application, . ) part is correct, that may be the root of the problem, rather than the Dim, Set, Object (New?) gymnastics that may be required in the auxiliary procedure. Maybe there is a reference library problem (I'm running Access 2013).
Update: I am not sure the following is robust enough but this is what I meant earlier in the post, which is just being put here for completeness.  BTW, this is not a split application so maybe that is why the following works.  I appreciate HansUp's post, Not enough can be said on this subject.  Anyway
Public Function FCN_CheckTblsExist(tableName As String) As Boolean   'Call this function once for every table

'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''
Dim appAccess As New Access.Application
Dim theDatabase As Access.Application

    ' Presume that table does not exist.
    FCN_CheckTblsExist = False

    ' Define iterator to query the object model.
    Dim iTable As Integer

    For iTable = 0 To Access.Application.CurrentData.AllTables.Count - 1
        If Access.Application.CurrentData.AllTables(iTable).Name = tableName Then
            FCN_CheckTblsExist = True
            Exit Function
        End If
    Next iTable

End Function

Just wanted to add that this last function I posted technically would be considered to be partial or no currying depending on how much the scope of the function was limited by invoking "Access.Application.CurrentData.AllTables." as a substitute for "theDatabase", only substituting the specific string created by Access.Application.CurrentDb.Name into the original function ...(theDatabse,... would it be a true full currying.
Anyway passing objects to functions and the libraries and their methods are the primary focus of this discussion.  When I get the DAO issue worked i should have a better feel for what may be going on and then I'll post and mark the best solution accordingly.

A: The problem is not really about passing an Access.Application object to your other function.  Instead you create the Access.Application and later check for the existence of a table without having opened a database within that Access session.  In that situation, theDatabase.CurrentData.AllTables.Count should trigger error
2467, "The expression you entered refers to an object that is closed or doesn't exist."
I revised both procedures and tested them in Access 2010.  Both compile and run without errors and produce the result I think you want.
Function FCN_CheckTblsExist(theDatabase As Access.Application, _
        tableName As String) As Boolean

    Dim tdf As DAO.TableDef
    Dim blnReturn As Boolean

    blnReturn = False
    For Each tdf In theDatabase.CurrentDb.TableDefs
        If tdf.Name = tableName Then
            blnReturn = True
            Exit For
        End If
    Next ' tdf
    FCN_CheckTblsExist = blnReturn
End Function

Function callFCN_CheckTblsExist(DbPath As String, tableName As String)
    Dim bo0 As Boolean
    Dim A As Object

    Set A = CreateObject("Access.Application")
    A.OpenCurrentDatabase DbPath
    bo0 = FCN_CheckTblsExist(A, tableName)
    MsgBox tableName & " Exists is " & bo0
    Debug.Print tableName & " Exists is " & bo0
    A.Quit
    Set A = Nothing
End Function

Note I didn't include any provision to check whether the DbPath database exists before attempting to open it.  So you will get an error if you give it a path for a database which does not exist.
DAO Reference Issues:
DAO 3.6 was the last of the older DAO series.  It only supports the older MDB type databases.  When Access 2007 introduced the ACCDB database type, a new DAO library (Access database engine Object Library, sometimes referred to as ACEDAO) was introduced.  In addition to supporting ACCDB databases, ACEDAO can also support the older MDB types.
When setting references, don't attempt to choose both.
Here is a screenshot of my project references:

When I examine my project references in the Immediate window, notice that ACEDAO is even referred to as just DAO.  I also ran the callFCN_CheckTblsExist procedure to demonstrate it works without a DAO 3.6 reference:

That was all based on Access 2010.  You're using Access 2013, so your ACEDAO version number may be different, but everything else should be the same.

A: Here are a couple of solutions along with a much simpler way to check if a table exists:
Workspace/Database; (much faster than using Application)
Function TestFunction_DataBase()
  Dim ws As Workspace
  Dim db As Database

  Set ws = CreateWorkspace("", "admin", "", "dbUseJet")
  Set db = ws.OpenDatabase("the db path", , , CurrentProject.Connection)

  MsgBox TdefExists_DataBase(db, "the table name")

  db.Close
  ws.Close
  Set db = Nothing
  Set ws = Nothing

End Function

Function TdefExists_DataBase(ac As Database, strTableName As String) As Boolean
  'check to see if table exists
  On Error GoTo ErrHandler
  Dim strBS As String

  strBS = ac.TableDefs(strTableName).Name
  TdefExists_DataBase = True
  Exit Function
ErrHandler:
  TdefExists_DataBase = False
End Function

Application:
Function TestFunction_Application()
  Dim ac As New Access.Application

  ac.OpenCurrentDatabase "the db path"

  MsgBox TdefExists_Application(ac, "the table name")

  ac.Quit
  Set ac = Nothing

End Function

Function TdefExists_Application(ac As Access.Application, strTableName As String) As Boolean
  'check to see if table exists
  On Error GoTo ErrHandler
  Dim strBS As String

  strBS = ac.CurrentDb.TableDefs(strTableName).Name
  TdefExists_Application = True
  Exit Function
ErrHandler:
  TdefExists_Application = False
End Function

Within the Current Database:
Function TdefExists(strName As String) As Boolean
    'check to see if query exists
    On Error GoTo ErrHandler
    Dim strBS As String
    strBS = CurrentDb.TableDefs(strName).Name
    TdefExists = True
    Exit Function
  ErrHandler:
    TdefExists = False
End Function

redpajama_set_name: RedPajamaStackExchange


text:
// Ŭnicode please
#pragma once

#include "sora/OVR_Types.h"

#include <cstdio>
#include <cstdlib>
#include <cmath>
#include <cstring>

#include <sstream>
#include <iostream>

#include <memory>

#include <string>
#include <vector>
#include <map>
#include <algorithm>
#include <type_traits>

#include <glm/glm.hpp>

#include <GL/glew.h>
#include <GLFW/glfw3.h>

redpajama_set_name: RedPajamaGithub


text:
'Green' nanoparticles get drugs across blood-brain barrier
by Damian Garde |
May 2, 2012 8:58am
Vexed by the challenge of getting treatments across the blood-brain barrier? Why not take a cue from the body's natural delivery method?
That's what researchers at the Harvard-affiliated McLean Hospital have done--and with encouraging results. The scientists took clathrin--an abundant protein in plants, animals and people--and modified it to work with nanoparticles. Clathrin is commonly used in natural processes to deliver various molecules into cells, and, piggybacking on that, the researchers figured the protein could help guide man-made particles to their targets.
In a study published this month in PLoS One, the researchers touted the results of an in vivo test, finding the clathrin-directed nanoparticles were able to cross the blood-brain barrier noninvasively. The development could be beneficial both for drug developers trying to get treatments into the brain and for imagists who want to improve MRI performance, said Gordana Vitaliano, director of the Brain Imaging NanoTechnology Group at the McLean Hospital Imaging Center.
"Clathrin has never been modified for use in vivo and offers many new and interesting possibilities for delivering drugs and medical imaging agents into the brain," Vitaliano said in a release. "This study provides a new insight into utilizing bioengineered clathrin protein as a novel nanoplatform that passes the blood-brain barrier."
The researchers point out that clathrin's inherent biocompatibility--it's naturally occurring, after all--could make it favorable to other blood-brain transport methods, including nanogels, liposomes and the dendrimers used in recent research from NIH.
- read McLean's release
- check out the study in PLoS One
Alterations to cancer drug allow it past the blood-brain barrier
Researchers at Johns Hopkins have changed the structure of a new cancer drug to allow it to more easily pass the blood-brain barrier, giving it access to…
by Michael Gibney Oct 25, 2016 9:16am
T1D promises to invest millions to build on artificial pancreas tech
Medtronic's world-first FDA-approved hybrid closed-loop insulin delivery system might soon face competition, as T1D Exchange has pledged to invest in the…
by Angus Liu Oct 18, 2016 9:11am
Damian Garde


NICK PLUMMER: In the third of our series of interviews with Denver Williams of the Wine Industry Development Association, Denver is going to cover the role of WIDA in handling Industrial Relations in the wine industry. Good afternoon, Denver – tell us a bit more about this.
DENVER WILLIAMS: Good afternoon, this is really the exciting part, Industrial relations – when we fight, we fight about industrial relations. And what does this really mean to us as players within the wine industry, or any industry. What is industrial relations do really? It's there to build bridges and not many people have that, when they speak about industrial relations, they usually think it's a "they" and "us" situation. It's not really that.
At WIDA, what we want to do, or what we have done, or in the process of having firm establishment, is to have a little committee that will monitor what is happening on the farms, as well and using legislation as a mechanism to see that our members being established farmers and new entrants, that they are ad hearing to the minimum standards for people, because we as we have said yesterday with our human capital development. We want people to be proud of the wine industry and when we fight, we fight about industrial relations issues, such as housing, such as better wages, conditions of living, and all the rest of it. And for us creating this mechanism to monitor this, we can then go out and say yes this is so, or no this not so, because a lot of the problems in the wine industry is created by perception. Our farmers are being told you are evicting people and that you are victimizing people and you doing this to people and you are not a nice bunch of guys. And we want, tonight, or this afternoon, we want to make it and state it categorically that if people don't behave themselves and that is our established farmers, we will name and shame them and we will go out to our members and tell them what is happening. We are very proud of the wine industry, we are very proud of our track record, and we are saying to all those out there that we are still being, things such as negative issues, things such as the dop system is still being tarted around. We firmly believe this does not exist, and via this mechanism, if you do have a problem you can phone us and we will come out there with force and we will corroborate what you are saying and if it is found to be true, we will name and shame any farmer or wine producer that is bringing our industry which we are very proud of into disrepute.
So this mechanism as I said would look at all the laws as well as the social norms, and it consists of all the major role players within the industry, labor, it consists of established wineries, brands, liquor brands, the wine sellers and also emerging farming. So we have all the role players around the table, we are serious about eradicating unnecessary negativity around our industry and focusing on the more positive side of matters and building a happy home and a home where, it doesn't mean we are not going to fight, but home that everybody can be proud of. Just as when we go overseas, and we say this wine comes from South Africa, that we know back home there is no social issues or industrial relations issues that is clouding our wines.
NICK PLUMMER: I suppose with your influence stretching quite broadly across the industry, you have quite a heavy influence in being able to empower and enforce these laws.
DENVER WILLIAMS: For sure, we have the South African Liquor Brand Owners Association, we have the Wine Sellers of South Africa, we have the Black Wines and Spirits Industries, the National African Farmers Union on board. All of these players have major influence, and we will use our affiliates and we will use their structures as well, to make sure that nobody misbehaves within our industry. For far to long, we have been labeled, maybe a bit of jealousy from other guys, or from other industries, because when you go home on a Friday, you have a happy drink and we make you happy. So maybe there is a reason for somebody to want to complain about our industry. And we want to say that we want to clean up our home, we don't say that we are perfect, but when there are problems we have mechanisms in place to have a look at those things.
NICK PLUMMER: So in fact you are using the fair trade model of the coffee industry and you're applying it to the wine industry.
DENVER WILLIAMS: For sure, we are doing that and we are very proud that we have gone that way.
NICK PLUMMER: Well we wish you the best of luck with that. That was Denver Williams from the Wine Industry Development Association. He'll be back tomorrow, same time, when he'll be speaking about Social Development Issues.


text:
July 27 – August 2, 2019 | No. 263
A new study into men who choose not to have children looks at the third-party scrutiny and judgement – and communication difficulties – that accompany the decision. By Michele Tydd.
Childless men
Deakin University's Imogene Smith.
Credit: Donna Edwards
Socialising for David Lund often descends into tiresome inquisitions when the subject of children arises.
"It's kind of a touchy subject," he explains, "and you end up getting grilled by people – even strangers – when you say, 'I don't want to have kids.' It's then about 20 questions on something that really isn't their business."
Lund, 32, married and from Melbourne, is among a growing number of men in developed countries who have decided against fatherhood. He was willing to share his experiences in a recent study on voluntary childlessness among men by researchers at Deakin University's School of Psychology.
Involving in-depth interviews with him and 10 other men from different backgrounds, the study's findings shoots holes in society's "selfish bastard" default to expose a fluid and complicated process of influences and pressures involved in a man's decision to not have children.
Head researcher Imogene Smith says an estimated 5 to 9 per cent of men in most Western countries are choosing voluntary childlessness. Couple that with Australia's declining fertility rate and, she says, it becomes an interesting topic to explore. It is also the first study of its type to include three gay men.
"There's a sizeable body of literature on women who choose to remain childless," says Smith, noting that studies of the same standpoint from men are scarce. "People choosing not to have a child in a society where it is framed as normative are often stigmatised, which can lead to psychological or social stress."
The study cites earlier research that has found childless men, compared with fathers, face increased risks of injury and addiction, ischaemic heart disease and higher rates of suicide.
"We wanted to capture men in that traditional transition period to fatherhood between 28 and 34 and say, 'This is what is expected of you at this moment in time', and ask them how they felt about it," says Smith.
Some participants, she says, had told her the interviews had been the first time they had discussed their views on parenthood without feeling judged.
Smith noted that nearly half of the men used the word "selfish" as part of their reasoning in their interviews, "but it felt like they'd heard somebody else say it to them and they owned it". When probed further, the participants revealed a variety of reasons and conflicting emotions.
"The idea that they were in some way different and unconventional was very strong in the men I interviewed, which is something I haven't seen in female study participants. It almost seemed a pre-emptive rationale," says Smith.
"I got a sense that over the years they've felt on the backfoot a little bit about this decision. Most of the men in the study said much of that pressure had come from their mother, aunties or somebody like that who expected them to have children."
David Lund is an exception. He finds friends less accepting than family.
"Friends are the ones who when you say, 'We don't want children', they dismiss it and say things like, 'Oh, you will though.' Initially, it got my back up that I'd always have to explain why, but now, as I've gotten a bit older, I just say to anybody who asks, 'That's what we've decided', and no longer explain or take offence."
The predominant themes throughout the interviews were the realisation, the rationale, the talk (with partners) and the pressure.
Melbourne psychologist Dean Janover says men tend to deal with pressure and stresses by "just getting on with things without complaint" – not by avoiding issues but by not necessarily wanting to talk about it.
"That behaviour tends to bottle up emotions," he says. "A lot of men come to me often not knowing how to identify emotions and, even if they are able to do that, there are certain emotions that seem to be a bit of a taboo, like sadness, loneliness and fear. Eventually the stiff-upper-lip approach can lead to breaking point: men find they are not able to function as well as they could because they are tired, stressed, isolated and lonely."
He says despair sets in when they can't continue to live up to traditional but unrealistic standards of manhood, yet they don't understand why.
"The last thing they see as a solution is a willingness to talk about their emotions but, when they do, I find there is an enormous sense of relief and release, especially when they realise they are not alone," says Janover.
Nine study participants were in a committed relationship, and while all indicated they valued the idea of an honest conversation regarding their intention not to have children, that conversation did not always occur.
Seven of the nine men reported they had either never had, or had delayed having, a serious conversation about parenthood, adding that it had come up regularly as a passing comment or banter. The study also explored the participants' feelings about the future and found not one had totally closed the door on parenthood. Researchers found this sometimes added a layer of anxiety to a frank discussion on parenthood.
One participant, Jon, who had a long-term girlfriend of 15 years, said he recognised the gravity of this conversation, but explains why it made him and his partner nervous:
"It'd be a pretty big problem if we weren't on the same page … that's something we've really only felt comfortable discussing lately. I think she was afraid that I would have really strong feelings about wanting to have children. We had a few drinks, we talked, it's sort of funny to think about it that we were both so nervous. I guess it was like that might be the start of [long pause with interviewer asking 'a rift?'] yeah, if like, we were on different pages."
Smith says this excerpt highlights that the wishes and expectations of a romantic partner appear to play a crucial role in the decision-making process for these men.
"The discomfort and anxiety that accompanies this conversation appear to be a motivating factor in avoiding it," she says.
Five of the men spoke of an absent father, either literally or emotionally. The remaining six praised both parents but there was a distinct lack of interpersonal stories about the role of their father in their childhood.
"I got a sense many of them felt they did not have a suitable father model, which left them with a question of, 'How do I do it, what does it even look like?' " says Smith.
"We've put a lot of pressure on men going forward at the moment, even in terms of fatherhood. It's no longer a part-time job and they are feeling the pressure that now exists to not only be a father but a really good one."
Smith says the insights she got from the interviews – the study has just been published in the Journal of Social and Personal Relationships – are significant in understanding the complex pressures on men and fatherhood in a modern world, particularly regarding the issue of couples discussing openly whether they wish to have children.
"It's important we understand how men are feeling because, when we do, we don't judge as much," she says. "Even though men didn't describe what they were feeling as pressure, they did describe it as taxing expectations from everybody from family to the media."
This article was first published in the print edition of The Saturday Paper on Jul 27, 2019 as "Father fissures".
Michele Tydd is an Illawarra-based freelance journalist.
July 27 – August 2, 2019 Edition No. 263
Home Affairs pushes for cyber spy powers Karen Middleton
Newstart: Thaw in senate may end 25-year freeze Mike Seccombe
Visiting Manus Island Nick McKim
Probe into ex-ministers' jumps to private sector Dennis Atkins
Farm activists face tougher laws Santilla Chingaipe
Ardern has gun law reform in her sights Jonathan Pearlman
Casualisation of academic teaching Anonymous
Opposition ignore PM, focus on Taylor Paul Bongiorno
Gadfly: Out of saddle and addled Richard Ackland
Asylum Maxine Beneba Clarke
Zero idea on suicide
Read the Uluru statement
Artist Julie Gough on untold histories Daniel Browning
Shaun Gladwell: Pacific Undertow Tony Magnusson
Season three of The Handmaid's Tale Kath Kenny
Artist Adrian Lazzaro Romy Ash
The Nickel Boys Reviewer: Geordie Williamson
See What You Made Me Do Reviewer: Kirsten Krauth
Empirical Reviewer: Andrew Fuhrmann
Pumpkin curry David Moyle
Childless men Michele Tydd
Two-time Tour de France stage-winner Caleb Ewan Kieran Pender
Cryptic crossword No. 263 Mungo MacCallum (1941-2020)
What is the Italian word for snake? Cindy MacDonald


There are Champions League places on the line for both Celtic and AEK Athens in what should be a gripping encounter at Celtic Park. Celtic overcame Rosenborg over two legs to progress to this third qualifying round whilst AEK Athens warranted entry into this stage by virtue of their impressive title-winning campaign in the Greek Super League last term.
Brendan Rodgers's men have impressed so far in Champions League qualification and they will be eager to reach the group stages again this season.
The Scottish Champions kick off their domestic campaign in the meantime against Livingston as they look to continue to dominate the Scottish football landscape.
Odsonne Edouard impressed last round against Rosenborg – scoring twice in the home leg as the hoops secured a comfortable 3-1 aggregate victory.
The yellow-blacks picked up their 12th Super League title last term ending 7 years of Olympiacos dominance.
The will be desperate to fly the flag for Greek football in Europe's flagship competition – having last reached the group stages over 10 years ago.
Marko Livaja scored 8 goals in his debut season for AEK and he'll be hoping to kick on here in his second season.
This is the first competitive meeting between these two European giants and it should be a fascinating battle.
The second leg will be played at the Olympic Stadium in Athens on Tuesday 14th August 2018.
Celtic will be looking to utilise home advantage here in an exciting looking match-up.
Both teams to score – YES – looks a strong bet at 11/10 with Betway.
Odsonne Edouard has emerged as Celtic's go-to man currently and he'll lead the line here.
Odsonne Edouard to score anytime looks a sensible bet at 13/10 with 888 Sport.
Celtic will be backed by passionate home support and they will want to travel to Greece with something to defend.
Over 1.5 goals in the game looks an excellent move at 4/11 with Bet Bright.
AEK Athens will pose problems but Celtic are prolific at home and should get the win here.
Celtic to win the match looks a super bet at 4/5 with William Hill.
Celtic 2 – 1 AEK Athens – 7/1 with Betfred.
AEK Athens will arrive in Glasgow full of confidence but Celtic will want to put on a show for their home fans and take a step towards the Champions' League group stages.
Celtic to win the match and both teams to score looks a good punt at 18/5 with Bet Victor.


text:
DataWorks
MIPrepZone
Vitality Senior Living
Go and Do Calendar
Macomb County Bicentennial
M-59 reconstruction project
Macomb County Prosecutor Eric Smith, from left, speaks Monday at a news conference announcing a new animal abuse task force, joined by Assistant Macomb Prosecutor Derek Miller, chief of operations; Molly Tamulevich of the state Humane Society; county Sheriff's Anthony Wickersham; and state Sen. Peter Lucido, R-Shelby Township.
MACOMB DAILY PHOTO
Macomb Coutny Sheriff Anthony Wickersham speaks at Monday's press conference.
Therese Sumpter of Detroit Pit Crew talks Monday after the news conference.
Task force to take on animal abusers in Macomb County
Macomb County task force to take on animal abusers
By Jameson Cook jcook@medianewsgroup.com; @JamesonCook on Twitter
Jameson Cook
@JamesonCook on Twitter
Macomb County authorities have formed a task force dedicated to prosecuting animal abusers in an attempt to try to stomp out mistreatment.
The creation of the Protecting Animal Welfare & Safety Task Force (PAWS) was announced at a news conference Monday in the lobby of the county Administration Building in Mount Clemens.
Prosecutor Eric Smith said the task force was inspired by the recent brutal killing of Sterling the dog in Utica as well as a 76-percent increase in dog abuse cases, from 21 to 38, in the two-period ending in January to the prior two-year period.
"We quickly realized that this is how every case of animal abuse should be prosecuted, not just cases like Sterling where everyone sees that and gets behind it, but every single case," Smith said.
Andrew Gerth pleaded no contest to animal cruelty for stabbing Sterling multiple times in a park in January and initially was set to receive a sentence of less than a year. But animal rights activists bombarded Macomb County Circuit Judge Richard Caretti with protests and he sentenced Gerth on April 23 to three six years in prison.
There also have been three high-profile cases of dog or cat hoarding in the county in recent months.
Assistant county prosecutors who are members of the Animal Protection Unit within the Task Force include Andrea Irons, Lisa Lozen and Melissa Simmons.
The unit also inlcudes animal-welfare advocates, law enforcement and state Sen. Peter Lucido, R-Shelby Township. Smith said he hopes the force's diverse membership will help stop animal abuse to "before it happens." The animal-welfare experts will help inform and train his assistant prosecutors.
"I think with them on our side we're going to present a better case all-away around and hopefully prevent animal abuse before it starts," he said. "We're going to take the people we have and train them to handle these cases better."
Smith said the task force will result in better coordination among concerned parties. Instead of a police agency dealing with an assistant prosecutor who handles all types of cases, animal abuse cases are now assigned to one of the specialists, he said.
County Sheriff Anthony Wickersham said his department has seen an increase in calls of dogs left in a hot or cold vehicle.
"Lately we're getting calls at all temperatures, that people aren't aware animals should be left alone," he said, adding his investigators will receive extra training on how to investigate animal-abuse cases.
Theresa Sumpter, director of Detroit Pit Crew, a Center Line-based dog-rescue organization that is part of the task force, said her group has focused most of its efforts in Wayne County but will pay more attention to abuse to Macomb.
"I'm very excited about this," she said after the news conference. "It should be very beneficial for the animals and the people of Macomb County.
Detroit Pit Crew rescues 400 to 500 dogs per year that are sick, injured or pregnant. She said about 90 percent of the injured canines suffered abuse at the hands of a person, but identifying and criminally charging the abuser is challenging and atypical.
Molly Tamulevich, Michigan state director of the U.S. Humane Society, said she isn't sure if the increased abuse in Macomb is due to more incidents or more reporting due to greater awareness.
"It could also indicate a turning tide in our culture where people are more concerned with animal abuse and more concerned about these issues than in the past," Tamulevich said. "So it could be this has been going on the whole time but we're now just getting a taste of how prevalent it is.
Either way, she hopes awareness is up.
"Hopefully it means local groups and the average Michigander is more tuned in to animal abuse and willing to report it, and that things that might have been seen as commonplace or acceptable before are now being seen for the abusive practices they area," she said.
Smith added the cost of the unit will be "minimal at best" since the three assistant prosecutors and an investigator from his office were already on staff. Two of the assistant prosecutors in the unit also are in an expanded domestic violence unit.
Kavita Uppal, an animal lover and former assistant Wayne County prosecutor, hopes the Macomb unit doesn't operate like the Animal Protection Unit in Wayne County when she was there several years ago. Animal abuse cases there "fell by the wayside" because assistant prosecutors in the unit volunteered to handle the cases but only if they had extra time.
"That's why there's three of them in that unit," Smith said. "We'll have three assistant prosecutors in there when up until now we've had zero."
Maria Miller, spokeswoman for Wayne County Prosecutor Kym Worthy, refuted Uppal's criticism. Miller said animal abuse is a priority for the three assistant prosecutors, although she noted those attorneys, like those in Macomb, handle other types of cases.
"They work diligently on these cases and do an excellent job," she said of the assistants.
Elise Ramsey, an animal abuse investigator for the Michigan Humane Society, said she works well with the Wayne County unit and Detroit police.
"I've been here six years and have never had an issue," she said, citing several recent cases. "We get very good attention and have a great relationship with them (Wayne County assistant prosecutors) and Detroit police."
The penalty for the most extreme form of animal cruelty recently increased from four to 10 years due to legislation introduced by Lucido. Other lesser charges include misdemeanors for animal neglect as well as misdemeanors and felony charges for dog fighting.
Lucido offered that studies show those who abuse animals also commit violent acts against others, notably family members. With that in mind he has again introduced a bill that requires Child Protection Unit workers to report animal abuse.
Macomb Sheriff Wickerhsham encouraged the public to report abuse, including hoarding situations.
In addition to Wickersham, Tamulevich, Lucido and Smith, other members include Andy Seltz of the Michigan Humane Society; Ken Kempkens of the Humane Society of Macomb County: Brian Pylar, chief of Easpointe Animal Control and Pit Crew board member; and Diane Saber, volunteer trainer for Macomb County Animal Control.
Anyone who wishes to report abuse should call 586-468-6701.
Macomb/St. Clair Michigan Works! receives grant to combat opioid crisis
Working for a living is a step toward living better and thanks to a grant to combat the opioid crisis more individuals will achieve that success.
Police seek suspect in Dairy Queen, Eastpointe high school break-ins
Molly Tamulevich
Michigan Humane Society
Jameson Cook is a multimedia journalist at The Macomb Daily.
L'Anse Creuse teacher laments environment at middle school
New Mexican eatery coming to Clinton Township
Roseville graduation party killer sentenced to 12 years in prison
Former Khan employee says several Macomb County officials took bribes
Bridal store suddenly closes in Shelby Township
Authorities searching Lake St. Clair for missing boater
$250,000 raffle prize creates buzz at Engine House in Mount Clemens
Donation page created for woman killed by St. Clair Shores gunman
Missing St. Clair Shores boater found alive and safe
Man in custody for gunfire in Sterling Heights neighborhood


Mash banana. Add all ingredients other than oats and mix thoroughly. Add oats and stir in using rubber spatula. Separate into 1.5 ounce balls. Refrigerate for at least 30 minutes to 3 hours before eating.
Mash banana. Add all ingredients other than oats and mix thoroughly. Add oats and stir in using rubber spatula. Separate into 1 ounce balls. Refrigerate for at least 30 minutes to 3 hours before eating.


The first butcher cutting off "steak". In Kenya, there doesn't really seem to be a concept of particular cuts of meet, such as T-bone, ribeye, etc. Rather, you just ask for "steak" and they cut the tender and best cuts of the meat. We got one kg (2.2 lbs) for around 200 shillings (about $2.50).
Picture of our goat ribs being butchered!
Things have been especially busy at the hospital the last few weeks, which is likely in part why I have had such a long delay since my last post. When I arrived to Tenwek, I recall being amazed at how sick and acute patients seemed to be when presenting, often coming to the hospital with advanced disease and near death. Well, over the past two weeks, the overall sickness of patients is actually even worse than it was in July. In one 7 day span last week, on the medical service alone we had 17 patients pass away from a variety of illnesses. That week was emotionally, physically, and spiritually challenging. As a physician, death is something that certainly we experience and learn to cope with, but it is never easy.
Last night, I was on call, and it was a very busy, and emotionally taxing call night. In the morning we had a fairly young patient (40s) pass away. She had advanced HIV, tuberculosis, and had developed bone marrow failure, presumably related to her TB or HIV. This was her third admission of the summer, and she had been slowly declining. On this admission, she was very anemic, with a hemoglobin of 4 (normal is ~12-15). We had been trying to transfuse her for the last few days, but there was no blood left in the blood bank (this is a very common problem as Kenyan law forbids hospitals to conduct blood drives) and she had no family around to donate. Eventually, she just stopped breathing. Later on in the evening, I had just arrived home from dinner when I received the dreaded "999" page, which signifies a code blue on one of my patients. I sprinted back up the hill to the hospital, where one of our interns was doing chest compressions in attempts to resuscitate the patient. Eventually, after intubation, several rounds of CPR, and some medications we use in codes, we were able to get a pulse back. He was not breathing on his own, so he needed to be placed on a ventilator. Of course, our four ventilators in the hospital were all taken, and there were no ICU beds available. I ran up to the ICU while our intern was bagging the patient (bagging is a way to manually ventilate someone prior to placing them on a breathing machine). In the ICU, I attempted a T-piece trial on one of our patients, which is a quick way to see if they are able to come off of the vent. My hope was that we would be able to remove that patient from the vent, and use that vent for the patient who had just coded on the medical ward. He unfortunately failed the test, so again we were stuck in a situation with the patient who had just coded whose only way to survive was with a breathing machine, but no available machines. One solution would be to have the family bag the patient throughout the night until a vent came available, but that is a terrible situation, and not at all ideal. When I returned to the patient, he had lost his pulse again, but again with CPR we were able to get a pulse back. His labs arrived, and he was profoundly anemic (from a GI bleed) and desperately needed blood. We found blood that matched in the blood bank, but he is a Jehovah's Witness and he had previously refused blood products, until finally agreeing just a few hours prior to coding. In the process of all of this, he coded a few more times, and eventually passed away while we were still trying to figure out a reasonable plan. He was only 33. It was very sad to see someone so young and previously healthy pass away.
In total yesterday, we had five patients die, which is the most I have ever had in one day. We had two men in their 90s pass away from pneumonia. These deaths had been expected as they were both very sick. They were both Christians and now can leave their suffering behind. Our final patient that died last night was a 40 year old who had been healthy, but apparently drank some local brewed alcohol and was found later in the day unconscious. When he arrived he was cold, and not breathing with no pulse. We attempted resuscitation but were unsuccessful, as he likely had died hours before being brought in. I learned today that these cheap, off market local brews are becoming a big problem. Apparently, they use formalin, and sometimes even add antiretrovirals (meds use to treat HIV) to the brew. The drinks are very strong and toxic, and likely why this patient passed away, although we will never know for sure.
As always, we had several other interesting admissions yesterday. One patient had a tumor the size of a grapefruit in her right lung. She was very hypoxic and in respiratory distress when she came in. She still is having trouble breathing, and I had a long discussion regarding the current status, likely diagnosis, and prognosis with the patients family today…which was approximately 40-50 family members. We otherwise admitted a woman with cryptococcal meningitis, another with diabetic ketoacidosis, a woman with a stomach ulcer causing her to throw up blood, a man with acute liver failure, a woman with heart failure, a young pregnant woman with pulmonary tuberculosis, and finally a man with severe abdominal pain (still don't know why). All of these patients seem to have made some improvement today, so hopefully they will get better!
I am weary of holding it in; indeed I cannot.
I pray that as the Lord continues to engrave his word on my heart, that I too will be unable to hold it in! Thanks reading some of my random thoughts from the past few days. I hope to blog again soon, so hopefully will not have such a long time period between my next entry. I am on call this weekend, so please pray for wisdom and compassion as I treat our patients. Thanks!
Starting with me then moving clockwise: Me, Dennis (Intern), Mugalla (Fam. Med 3rd year resident), Matilda (medicine consultant-long term staff), James (med. student), Jane (intern), Meshack (Intern), Kibet (Fam. Med. first year resident), Darlene (critical care fellow visiting from Mayo), Isaiah (intern). I love this team!
Every morning I wake up at 6:32AM and once awake, there's no going back to sleep because the excited and insistent chatter of the birds is too loud at this time in the morning to allow for such indulgences. Don't get me wrong, the birds sound beautiful actually, their songs are just not always welcome when I am really tired and only want to sleep more. Throwing back the mosquito net behind our bed's headboard, I greet Scott, who is usually just getting on the computer with breakfast in hand, clicking through ESPN's website, the Hawkeye fan website, and responding to any new email fellowship interview invitations. I plod over to the bathroom, wash my face with tap water, brush my teeth with triple-filtered water, and choke down my dreaded doxycycline pill for malaria on either the first or second try. I then hurry to get dressed and get some food into my stomach before the doxycycline has a chance to make me nauseous.
With food in hand, I impatiently throw open the curtains covering our four big windows eager for the sunlight to light our dim studio apartment. Unfortunately for Scott, this usually means he has to be extra careful when he comes out of the shower in order not to expose himself to the people passing by on the dirt road below. Settling down at our desk, I do my devotions and check my email.
At 7:45 AM I pack my bag with a notebook, a red pen I bought for marking student's papers, an umbrella in anticipation of afternoon rains, and my wallet with a couple hundred shillings (1 dollar = ~82 shillings) to buy some produce in the afternoon from my favorite duka vendors.
Produce dukas lining the road in front of the hospital entrance. Boda bodas can be seen on the far right.
As I walk up the road past the hospital, various boda boda (motorbike taxis) and taxi drivers call out to me asking me where I'm going and if I need a ride to the town of Bomet. I shake my head, smile and thank them as I continue my quick pace past the crouched mamas lighting their jikos, which are small clay pots for lighting charcoal and grilling/cooking food (often ears of corn). Reaching the gate of the school, I take a moment to take in the view of the valley below the school and the hills beyond. Praise God!
The view from the school's gate in the morning.
I carefully make my way down the muddy path to the school, wave a greeting to the kitchen staff as I pass buy the "cafeteria," say "hi" to the curious children poking their heads out of their classrooms observing everything about me on that particular day, and continue down to the staff room.
The school "cafeteria" and kitchen. One of the cooks is under the awning to the right. They usually prep and chop the vegetables there.
When I enter the staff room, I make the rounds and shake the hand of everyone present there greeting them in English, Kiswahili, or Kipsigis. To not shake the hand of everyone present would be rude. Some teachers ask me "Amu ne gaa?" (I'm just writing that how it sounds, not sure about the spelling!) to see if I remember the Kipsigis they taught me the week before. "Mising" I reply, knowing they have asked how my home is. If I hear "Amu ne" followed by "boiyot" I know they are asking how my husband is. Luckily for me, the correct response to any of these inquiries is always "Mising" which is the equivalent of "good" or "well"! Upon hearing this correct response, or any bit of Kipsigis or Swahili that they have taught me, their faces break into huge smiles and they say, "Look at her! Look at her! She knows Kipsigis!" Which, really, is a gross overstatement as I only know a few phrases, but it makes me happy to see them so proud.
The empty staff room. I sit at the end of the second table on the left where you can see my grey Iowa Tennis water bottle.
After greeting all the teachers, I sit down next to Madam Sarah, the Standard Two teacher (second grade). If I forget to take a coffee cup before sitting down, one of the teachers is up, out of his or her chair, bringing me a cup and pouring me a hot, sweet cup of chai from a thermos. It is a must to drink chai. I settle in, wrapping my hands around the warm cup of chai and listen to the general Kipsigis babble until I ear a word of English, or a conversation becomes so funny or a topic so hotly debated that they stop and explain to me what they were talking about so I can either join in on the laughter or give my opinion on the debated matter.
At 8:10AM the bell rings, I ask five different teachers for a piece of chalk, we finally find one, and I'm off to teach Standard Six maths (they put an "s" on the end of "math" here when they spell it and they pronounce it too when they say "maths.") When I walk into the class there is still a general exclamation of excitement when they see that it is I, the visitor, who is going to teach them that day, even though I have been teaching them for 3-4 weeks now. This excitement is soon hushed, as they remember they are supposed stand up and be quiet until greeted when a teacher enters the room. "Good morning class!" I say, and in unison they respond "Good morning Mrs. Whitney." "How are you?" I ask. "We are fine, thank you and how are you today?" they all respond in rhythm. I answer thoughtfully with a reason and look around the room to gauge their reaction to my non-mechanical response. I start to explain what we are going to do that day in class and invariably, I find myself wondering why they are still standing, and it is only then that I remember that I must ask them to sit before they will take their seats. I ask them to sit, "Thank you Teacher" they all respond to the sound of wooden chairs scraping the cement floor as they sit down.
For harder problems, like this number nine, I take time before solving the problem to explain the logic behind why one should go about solving the problem a certain way. When I ask the students for my first step of what I should do, my smartest, most vocal ones may raise their hands high in the air, sure of their answer, and when called on, will stand up before speaking and then give me the correct answer. When I ask the follow-up question of "Why did you decide to do that?" there is usually a pause where the students exchange glances with each other and I repeat, "Can anyone tell me why you do this? Why would you set up to solve the problem in this way?" Eventually, a hand will timidly rise up only halfway and when I call on them with an encouraging smile, they stand up, lean over their desk towards me, and whisper their answer to me. Often I don't understand what they are saying on the first try because their whisper is too soft and their African-English accent too thick. I walk to within a few feet of their desk and ask them to repeat themselves. When they finish telling me their answer, and I pause evaluating whether or not their answer makes sense and if I can build off of it, their eyes fill with hope and the question "So, am I right?" flashes across their expression. Now, I am not necessarily one to always coo over children or melt at their "puppy-dog" expressions, but this questioning expression, with their big, hopeful eyes, is so beautiful and precious I just want to bottle it up and take it home with me!
Once the problem is set up with the correct numbers in place, we move our way through simplifying fractions, performing multiplication and long division. The classroom comes alive while we work through this and is abuzz with instructions and steps for me on what to do next and what number to write where as the children race to tell me the next step. As the class ends, the children thank me and ask me to come again.
My six grade class this past Wednesday, the day of their Closing Ceremonies (the last day of their second term). The boy in black and white plaid is not in my class, he is the older brother of the boy, Brian, standing next to him, who tied for first place in the class standings along with the other Brian in my class.
I told my students to do a "funny picture" and this is what they did! Can you pick out the boys and girls in either of these pictures? It is a school rule that the girls must keep their hair very short and cannot wear any type of jewelry.
Back in the staff room I mark tests and homework for other teachers and chat with them. At 10:40AM to 11:30AM is morning break and the teachers are served chai again while the students are served "porridge" (which is like a super-sweet, runny, Malt-O-Meal that you drink from a cup). Before taking chai, one of the teachers prays and blesses the chai. At lunch time, 1:00PM, teachers will take turns voluntarily serving each other and someone will always pray before lunch too. I love that they always stop to pray and thank God for what he has provided them. They do not take it for granted.
Lunch is brought into the teacher's staff room by kitchen staff in two big, insulated, crockpot-looking containers with either ugali (a solid mass of cooked cornmeal) or rice in the biggest container, and in the other container will be a salty broth with either cabbage, cabbage and beans, beans and carrots, or kale with a few small bits of beef and tomato. Metal plates, spoons, and glasses are brought to the staff room in a yellow, plastic, five-gallon bucket. Water is poured from a giant, metal teapot.
One of the school's cooks in the kitchen part of the cafeteria stirring a giant pot of ugali with and equally giant stick. Behind him you can see the kale (sukuma wiki) piled up and ready to be cooked.
After serving myself lunch (I often do this now because if I don't I'm usually served a massive slice of ugali that is impossible for any non-Kenyan to finish), I settle into my chair next to Madam Sarah ready for stimulating conversation. Often the conversation at lunchtime results in some sort of debate over a cultural, political, or biblical issue. These debates are all in fun and always result in a lot of laughter. The Deputy Head Teacher, (and my favorite teacher) Mr. Koech, is usually behind them as he is wise, but also loves to joke, laugh, and spur people on just to get a rise out of them and start a debate with them. Mr. Koech will battle and battle for his opinion and stance he has taken on the issue and will eventually appeal to me and cry, "Wheetney! Cahn you believe dem?! Leesten, Leeeeesten what dey are say-ing-to-me!" with the last four syllables of the sentence punctuated with rhythmic staccato. He will then tell me his side of the debate, always with interjections and protests from the other side, and I will be left to give my opinion like I am somebody wise whose opinion is highly sought. Personally, I love it, but I do have to be careful not grow proud and think that I am actually wise! Mostly, they are just interested to hear a Westerner's opinion about bridal prices, women serving men in certain instances, whether a church should pay for a potential pastor's education, why Kenya doesn't have sprinters like Jamaica or the USA, what is the best way to cure a cold (they use a lot of herbal medicine here), how many kids a family should have (in general they think one should have a lot more kids than we do on average in the US!), what factors should determine the goal number of children, whether to hold to the tradition that husbands should not be present at birth and should not see their wives and their new child until two weeks after the birth because traditionally that is a thing for the "women" (the mother-in-law, the mother, the sisters, etc.), how to determine how much one should tithe to the church, and, most recently, whose fault it is that the standardized tests the district's students took had so many errors and questions without correct answers and who is responsible to fix it. I absolutely soak up these conversations as I often end up learning much about the culture and current state of things in Kenya that I would not otherwise understand.
Mr. Koech, up to his usual antics, teasing Miss. Janeth Bii because she wouldn't do "cheers" with him with her coke bottle and celebrate with him on the last day of the term. So, Mr. Koech took her bottle and did "cheers" with himself over and over again to show Madam Janeth "how it was done." Madam Janeth is looking down, laughing and just slightly embarrassed.
In the afternoon, I am scheduled to teach PE, Creative Arts, and Social Studies for a teacher who is away for a few weeks. Before the students took their district tests, PE and Creative Arts were replaced with Maths since these two subjects are not tested on the standardized tests. Now, since their tests are done, I have been able to take my grade six students outside for PE. When I announced on the first day after tests that we would go outside for PE the classroom erupted in cheers, followed by "Please, will you get the long rope for us? "No!", they say, "Will you get the ball for us? The ball! The ball!" In the last week I have attempted (to the great delight of the kids) to play in their jump-rope games to which they sing funny, rhyming songs to while they jump, and cheer for the goals and break-up the skirmishes during their competitive football (soccer) games. I have also been impressed at what the girls are able to do even thought they wear such long, athletic-movement-inhibiting dresses for their school uniforms.
Some younger children playing football (soccer) during their morning break.
For Creative Arts, I attempted to teach them how to indicate shadows by shading on a drawing, but I think maybe that was a little advanced for them. Finally, for Social Studies, after reviewing their district test and I realized that the only question that I 100% knew the answer to was "Which cultural practice should we NOT protect and continue?" (The answer was "A. Female circumcision.") Furthermore, since I had no idea what the best growing conditions for sisal were, I did not know what country Ol Donyo is located, nor did I know which African trading leagues Kenya is a part of, I decided to "expand" their social studies beyond Africa, namely to the United States, by letting the students ask me questions about US history, culture, government, and geography. By the end of the class I had a map of the US drawn on the board labeled with every major mountain range and river (they loved the spelling of "Mississippi") labeled on the map along with where certain cash crops grew and, of course, the state of South Dakota was drawn in when I was asked about snow. George Washington was expounded upon, the national anthem sung to the background sound of little giggles (I sung it as best as I could anyway! They returned the favor and all proudly stood up and sang me the Kenyan national anthem in English and then in Kiswahili—I loved this), and then I finished my social studies presentation by shocking them all by declaring that myself, nor any of my friends in my 2000-student high school owned any cows. They responded by telling me, each and everyone, how many cows their family owns.
Me with my students. I gave one of my students, Ezra, our brand new, one-day-old camera (yeah, the camera we brought to Kenya is officially kaput) to take this picture and told him to be very careful. He had about five guys all huddled around him as they tried to help him compose the picture and then successfully take the picture by pushing the button at the top halfway to focus and then all the way down to take the picture. I'd say they did a pretty good job for their first time taking a picture!
At the end of the day, I have one last cup of chai with the teachers before heading home around 4:40PM. I am tired from the day and as I walk home, I usually find myself daydreaming about what cookie or cake I will indulge in when I get home before starting supper. "Ah, cilantro, I need to buy cilantro if I'm going to make a version of Vietnamese Banh Mi in order to get rid or our plethora of carrots," I think to myself when James calls out to me from his duka. I walk up to him and greet him with a handshake. He hands me a two-liter orange Fanta bottle filled with fresh cow milk (milked just this morning) and Scott's dress shoe that I gave him to take to be repaired. I pay him 120 shillings in exchange, 80 (about $1) for the milk and 40 for the shoe repair, which looks great. He and I joke and small chat for a while and when I turn to leave he instructs me to greet Scott and pass his well wishes onto him.
I continue down the road, wave hi to Betty and her 9-month old son, Victor, telling her I wore the skirt she made for me just the day before and told everyone who complimented me that she had made it.
Betty, sewing my skirt with an old-fashioned, self-powered (with a rocking foot pedal) sewing machine.
Further down I wave to Viola who owns a duka that sells ready-made clothes, then I pass by Nick, whom I can always recognize thanks to his missing front tooth, and he calls out a greeting from inside his general store-like duka, so I stop in and chat with him and his young, twenty-something friends about my day and the fact that I'm carrying milk in a Fanta bottle.
My "milk" bottle, filled with fresh cows milk, ready to be strained and boiled twice.
Leaving there, I make my last stop, before heading home into the Tenwek Hospital compound, at Mercy's produce duka.
Scott with Mercy at her stall. Here he is buying the biggest avocado we have ever eaten.
"Hello my friend," she says warmly as she greets me with a handshake. I return the greeting and offer one to her two and a half-year-old son Caleb who is strapped onto her back with a kanga. I inform Mercy I'm in need of cilantro. The bunch of cilantro is only ten shillings so she tempts me into buying a pineapple as well for 60 shillings total. She then produces a worn school notebook from underneath her stall and shows me her handwritten recipe for Mandazi (fried doughnut-like things). I'm impressed yet again at her memory, thoughtfulness, and promptness in getting me the things I mention I would like. She has already sourced eggs from grass-fed hens for me, as well as passion fruit when I have not seen it anywhere else. I take her notebook to copy the recipe promising to return it tomorrow. I bid Mercy a good evening and pray to God to protect and provide for Mercy and her son Caleb, thanking him for the amazing person that Mercy is proving to be and for the great faith that she has.
Finally, around 5:30PM I reach home, have a frosted banana cookie while checking my email, and then begin grating carrots.
The students congratulating those who were in the top of class six. They said a little phrase with actions that goes like this: "From our hearts, we measure and measure and clap and give to you." For the actions they touch their hearts (you can see some students doing this) and then they hold their hands wide to "measure and measure" and then they clap their hands together and extend their clasped hands towards those they are honoring.
The teachers at the Closing Ceremonies. From L to R: Mr. Mutai (Science), Mr. Kirui (Math), Mrs. Mosonik (English and Kiswhili), Mr. Ngeno (Social Studies), Mr. Ngetich (Head Teacher), Miss. Bii (Kiswahili and Science), Mrs. Kanduyuwah (3rd grade).
Some of my sixth grade boys during the Closing Ceremonies. I thought they looked like models so I snuck some pictures of them. Note the sweater tied around the neck of the boy on the left, the crossed legs of the two boys toward the right, the socks pulled knee high on the front boy with his top two buttons unbuttoned and his arm slung casually over the back of the chair.
The boys again. This time with three boys with their legs crossed (I think this is so cute) and a handsome frown from the center one.
P.S. Since you've made it this far I wanted to let you know that Scott and I just got back today after a weekend in the Masai Mara on safari and it was WHOAH. More on that later with pictures galore!
Scott and I have been profoundly impacted tonight after meeting and spending time with Eugenia, Peter, Phillip, and Kelly. These four men continually risk their lives serving God as members of Make Way Partners and Samaritan's Purse. Right now their colleague and friend, Romano, is being treated at Tenwek Hospital after being shot near the Sudan/Kenyan border by bandits as he was driving to pick up Peter. Please click this link to read more about this story and please pray for Romano's healing and for those who are treating him. We will provide more details about this story, our discussions with these men, and updates on Romano's surgery in the morning. Thank you for your prayers!!! To God be the glory.


FREE Google+ 101 Online Training - Limited Places!
FREE Google+ 101 Online Training – Limited Places!
In June 2014, I'm celebrating 5 years in business and 5 years as a Google Partner.
Because my clients, partners and business contacts have been awesome over the past five years, I'm saying "thanks" by offering FREE Google+ 101 training to ten people who act quickly.
Google+ is Google's social media platform. It offers features like LinkedIn, Twitter, Facebook, Pinterest and Instagram, but all combined in one place.
Plus, it also has the power to help your website get more traffic from Google.
The Free Training Session will be available to ten people via Google+ Hangout. I'll be holding one afternoon and one evening session, so you'll need to be able to attend one of the scheduled times.
If you've been thinking that it's time you learned about Google+ and started tapping into it's magic, this training session will kick start your skills.
Plus a Q&A session when I'll do my best to answer your questions.
Who is eligible for the FREE Google+ training?
Sessions will be held on Monday 30 June at 11am and 6pm AEST (Melbourne Time Zone).
Have either a Google+ public personal profile or business page.
If you like you can also let me know the main areas of Google+ that you need help with. Or if you're totally new to it, no problem!
Go team! I'm waiting by my inbox for the rush of replies.


Tellus Self Storage – McInnis is centrally located in downtown Hattiesburg, on South 28th Avenue at the corner of McInnis Loop, allowing us to serve the communities of Hattiesburg, Petal, Purvis, Sumrall, Glendale, Oak Grove, and Rawls Springs. We're just off Highway 11, so feel free to visit us!
In 11.1 miles, turn left onto S 28th Ave Ext.
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Tellus Self Storage – McInnis is also a great choice for our local college students! Whether you study at the University of Southern Mississippi or the William Carey College, our easy drive-up access and convenient gate hours will allow you to store your items any time you want – with no hassles or headaches. You're sure to enjoy the convenience of living a short distance from your storage unit. Call us today to reserve your unit – we will provide all the assistance you need to store your items until you can return to pick them up!


The Government of Japan extends a Yen Loan package up to the amount of Japanese Yen 30,040 million (approximately Rs. 48 billion) to the Government of Sri Lanka for establishment of Light Rail Transit System in Colombo. The purpose of this project is to mitigate heavy traffic congestion and advance the transport network in Colombo.
The proposed Light Rail Transit System has been designed to enhance the connectivity between the administrative commercial hub of Colombo and the densely populated residential areas in the suburbs of Colombo. The planned LRT System is 15.7 km in length with 16 Stations from Colombo Fort to Malabe via Battaramulla and will reduce the traveling time from Colombo Fort to Malabe to approximately 30 minutes. This Yen loan is offered on highly concessional terms and conditions (40-year repayment period with the grace period of 12 years and 0.1% interest rate per annum) and administered by the Japan International Cooperation Agency (JICA). The project covers construction of 15.7km elevated railway track, elevated stations and train depot, procurement of LRT trains and installation of electrical, communications and signal systems. Japan hopes that this project will contribute a great deal to the social and economic development in Sri Lanka, especially in Colombo, by providing a safe, reliable and comfortable commuting system.
The signing of the Exchange of Notes took place today between H.E. Mr. Akira Sugiyama, Ambassador of Japan to Sri Lanka and Dr. R.H.S. Samaratunga, Secretary to the Treasury, Ministry of Finance, at the Ministry's premises. Further, this event was followed by the signing of the Loan Agreements between Mr. Fusato Tanaka, Chief Representative of JICA Sri Lanka Office and Dr. R.H.S. Samaratunga at the same venue.


This tightly woven silk from England is bright and bold. Limited Quantity Available.
We suggest this be made as a Seven-fold tie. It has a nice light feel and excellent drape!
It can be hard to pair a light green tone with other colors. One suggestion we'll make is that it would go nicely with a light blue textured shirt, possibly an oxford or a twill, and a light gray or navy suit or blazer.


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A conversation with Naomi Beckwith and the artist Senga Nengudi
'It was African and Kabuki-like at the same time'
35 years ago Senga Nengudi's famous public performance 'Ceremony for Freeway Fets' took place in Los Angeles: A conversation between the artist and Naomi Beckwith, curator at the Museum of Contemporary Art, Chicago.
Senga Nengudi, 'Ceremony for Freeway Fets'. A freeway underpass, L.A. (1978). Performance in collaboration with David Hammons, Maren Hassinger, and Studio Z members.
The American artist Senga Nengudi, born 1943, is renowned for her performance-based sculptures and installations exploring aspects of the human body in relation to ritual, philosophy, and spirituality. Nengudi is regarded as a core member of the African-American avant-garde – with artists such as David Hammons and Maren Hassinger – as it was concentrated in Los Angeles during the 1970s and early '80s.
Naomi Beckwith: I'd like to start our conversation from your recent work, so that we'll trace our way back. You just mounted the show Lov u – what inspired that?
Senga Nengudi: Well, I have this kind of voyeuristic way of overhearing snippets of conversations (like when I'm on the New York subway). When people talk, when you get off the phone, for instance, it always ends in: 'love you.' And this phrase isn't obligatory, it comes from a real place. From there I started thinking of the people I love and examining true love. I started gathering definitions from friends about what love means to them. I worked with students, I created a photo book, I got the local community involved and had them and the students take pictures with things they love. People were pleased to have to think about love and not just in a romantic way. And that's what I wanted: the exhibition to be a place for conversation about how love functions in your life. I also wanted to use materials like masking tape. I work with the materials and then figure out the message as I finish. Some people accuse me of being too cerebral but I was just doing things, making my art, and realized many people I feel deeply about were no longer on this plane but are symbolically represented in this work, they are always with me.
Beckwith: It's also a very multi-media work.
Nengudi: I knew I wanted it to be multi-media work but it had to be a lo-tech multi-media. Things that were available felt right for the situation. I also wanted a soundtrack, to go along with the visual, putting you in the mood, so to speak. Some of the sounds are very abstract like Cecil Taylor, and some literal music, like Nancy Wilson and Isaac Hayes. I noticed that there's rarely any sound in galleries but in our community there's always sounds: In Cuba music is everywhere, in Harlem that's true too. I could not tolerate the idea of not having sound in the show. At the last hour of the last day of the show, I changed the soundtrack to an "om" chant–it was a way of clearing the energy and purifying the space.
Beckwith: You also recently re-performed RSVP at Contemporary Art Museum Houston – how was that for you?
Nengudi: Very difficult. My pieces are fairly simple so you would think it would be easier but obviously I'm not in that same space. I do find that RSVP still has legs because some of the issues it dealt with are more intense now than when the work originated. It was about things related to feminist issues, to a sense of body, how body issues related to self-esteem and self-acceptance. It was also about entanglements–being entangled by my stuff and stretching oneself beyond your limits. Having that sense of elasticity is still very important and that I use the same materials. No one really wears pantyhose anymore but people still read them as being about restriction. I was pleased at the emotional responses at CAMH, especially from women who said that they felt like their story was being told. Those comments were very special to me.
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Beckwith: RSVP was visionary in that is was an ephemeral performance and it made an object—did you think of that consciously at the time?
Nengudi: You know, people talk about Richard Pryor and how his comedy was true stuff: whatever he was feeling, he gave to the audience with no buffer. In a sense, this was me laying my guts on the line. I was going through a lot of stress and wanting to express it. I was experimenting with materials like resin, glue and I didn't know where this was going but I had to try it. I knew I had three interests: working with material, working with space, and working with emotions. And I always get back to a relationship to the body. When I was growing up in L.A., there was this place downtown called Clifton's Cafeteria. The owner may have been religious because there would be these little nooks and cranny's that look like Roman catacombs or grottoes on each floor of the café. I'll never forget this: you had to go down to the basement for the bathroom and at the bottom of the stairs was a giant Jesus statue and you could sit on his lap! I related to that when I wanted to be a sculptor, I want people to touch things.
Beckwith: You don't just want to make an object in space but an object with a relation to the viewer's body.
Nengudi: Yes, I was in a dance class where we were told to hug yourself. I realize that we go through the world without touching ourselves or others.
Beckwith: It seems these objects aren't really abstract; they are about a body's relationship to another which can be very political.
Nengudi: Exactly. These objects were related to performance and also to rituals that define these relationships.
Beckwith: Such as?
Nengudi: When I worked with dance I was interested in basic movement issues such as: how is this guy going to lift me? At the same time, I was also at the Watts Towers Arts Center and the Pasadena Arts Museum which were both very experimental. There were Happenings, and [Claes] Oldenburg and [Robert] Rauschenberg came to visit. In those places, I could move how I wanted to move, do what I wanted to do visually. Then I went to Japan where I sought out Gutai. In Japan there is a ritual for everything–even for how you talk on the phone–and you can't veer from that or it becomes something different. And I thought: how does this involve my own culture? How does this look like African culture? All these elements blended into my performance practice but I wasn't aware of it until much later on. It wasn't until I started thinking about Dada that I realized that even way before Dada, way before our people hit the shores of America, there was ritual, improvisation and performance but in America, it was about survival as a way of getting through the day. Our African-American history was about how the way we are in the world is already a performance, where sometimes even the way we use language has a double meaning.
Beckwith: Your most famous public performance is 'Ceremony for Freeway Fets' (in collaboration with David Hammons, Maren Hassinger, and Studio Z members). How did you develop it?
Nengudi: There was just this particular energy in L.A. at the time and the home gallery was Brockman run by Alonzo Davis with Suzanne Jackson as project coordinator. Many black artists there were very interested in Sun Ra. We loosely formed this collective called Studio Z where we worked together, played together. Everyone was generous to come together to do this thing. It was African and Kabuki-like at the same time. I wanted to link the two things that seemed to have nothing in common and the linkage was the importance of ritual. In Japan and in African culture, like oral history, things have to be very specific. It also had to be a total experience—it incorporated all elements like dance, music, it involved costumes. Again, there was no separation between forms, all of it worked together.
Beckwith: How did you choreograph it?
Nengudi: It was 100% improvisation. I created the costumes, though David [Hammons] made his own stuff, and I created a public artwork as the setting. The performance was the opening ceremony, the consecration of the public artwork and space. The 70s were such a difficult time for male/female relationships in the black community. So I brought these elements together and I was the spirit that united the male and female. It was a healing. I also created these masks out of pantyhose—I had never really had the masked experience before. But when I put on the mask, I totally became another entity and I began to understand these ritual forms: once you put that mask on you become an agent of something else.
Beckwith: There was a lot of general interest in Africa at this time. How did you personally conceive of Africa?
Nengudi: When I was in college there was barely any instruction on African art though I had been interested in it since high school. I took French because every time I did research, I found that the only books of any consequence were in French. But it brought tears to my eyes to read the awful way they wrote about the people. I once visited the Museum of Man in France and saw the body of Saartje Baartman. I thought: how could they do that to a human being? Put them in a case like that?
Then one day—long after that—I was in the kitchen and I heard something on the TV–there was a lot of talking. It sounded like New York and I turned toward the TV and it was African people! They had the same tone and rhythm that I've heard on 125th Street. Anywhere in this world, the diaspora is. You don't even have to work at it, it manifests itself in you. When I looked at books and museums, I found "their " view of us but I did not find the truth. I found the real deal in myself. The real deal is looking at the old traditional African dance and dance on any diasporic city street and see the new that looks like the old.
www.sengasenga.com
A conversation with Walter Mignolo
"Decolonial aesthetics/aesthesis has become a connector across the continents"


The Dulles Regional Chamber of Commerce (DRCC) exists to promote and advocate to further commerce in the Dulles Region.
-Small Business-Offering opportunities for growth through networking events, business matchmaking and professional development.
-Workforce-Concentrating on STEM education incentives, government contracting, innovation, veterans and diversity.
-Economic Development-Focusing on transportation, commercial space, business advocacy and regulatory environment.
-Community-Partnering encompasses the communities surrounding Dulles Airport, as well as area non-profits and quality of life issues.
Diversity-First mainstream state chamber to have an Hispanic Business Council, Only local chamber in the region to have a formal position on Immigration Reform.
From Rt 28 & Rt 50, go East on Rt 50 to 1st light, turn left onto Centerview Dr. Continue, staying Left of barrier. 3901 Centerview Dr will be on the Right. Turn Right into parking lot. Suite S.


The Meraki Go Indoor and Outdoor Access Points are available starting today and are tailor made for small businesses. Managed by the Meraki Go app, this solution is built for small businesses in a single location with under 50 employees. Whether a business is providing guest WiFi, running a corporate network, or segmenting point-of-sale devices, Meraki Go will make sure their network is secure and easy to use.
To find out more, visit meraki-go.com.
Been waiting for this day for a while! Woo hoo!
When will this be available to the Australian Market?
Does the end user have the ability to manage from the Web Dashboard or is it locked down to App only?
For larger deployments is there a limitation to how many of these can be deployed to the same network in the App?
I can't answer the question regarding Australia, but I can speak to the other two.
Meraki Go devices are only managed via the app. Logging into the Meraki Go website will only allow you to manage subscriptions, but not configure, monitor, or manage the hardware.
The Meraki Go app is currently limited to 20 APs.


The exact level of fines will be examined during a 12-week consultation following the legislation's launch on Monday.
Search engines alongside online messaging services and file hosting sites will also come under the remit of a new regulator.
London: Technology firms including Facebook, Instagram and Twitter face "substantial" fines or a UK ban under a new law if they don't act swiftly enough to remove content that encourages terrorism and child sexual exploitation and abuse.
The companies' directors could also be held personally liable if illegal content is not taken down within a short and pre-determined time-frame, the Home Office said. The exact level of fines will be examined during a 12-week consultation following the legislation's launch on Monday. The spread of fake news and interference in elections will also be tackled.
The need for a new law over a voluntary code has been highlighted by the terrorist attack in New Zealand last month in which 50 Muslims were killed while footage was live-streamed online. In the UK, the case of 14-year-old Molly Russell has also focused minds. According to her father, the teenager killed herself in 2017 after viewing selfharm and suicide content online.


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Steroids increase bowel perforation risk for RA
Rheumatoid arthritis patients who have been treated with glucocorticoids have an increased risk of gastrointestinal perforation, according to a study published in Arthritis & Rheumatism.
Researchers at the University of Alabama in Birmingham and other facilities evaluated the risk of GI perforation in 40,841 rheumatoid arthritis patients from the databases of a large U.S. health insurance plan. The researchers assessed patients by treatment types, including oral glucocorticoids, nonsteroidal anti-inflammatory drugs, biologic agents, and methotrexate (MTX). They also identified patients who suffered from diverticulitis.
The rate of GI perforation among patients being treated with oral glucocorticoids plus biologic agents was higher (1.12 per 1,000 person years [95% CI, 0.50-2.49]) than for patients being treated with biologic agents alone (.47 per 1,000 person-years [95% CI, 0.36-2.10]) or for patients being treated with MTX who were also receiving glucocorticoids (0.87 per 1,000 person-years).
Patients being treated with glucocorticoids and NSAIDs together had a perforation risk of 4.7, compared to 2.8 for glucocorticoids alone.
In addition, 70% of patients with GI perforation received glucocorticoids, had antecedent diverticulitis, or both. The researchers found that diverticulitus was also a strong risk factor, with a hazard ratio of 9.1. "Because a majority of patients with GI perforation were being treated with glucocorticoids or had previously experienced diverticulitis, these individuals should be considered at higher risk," wrote lead author Jeffrey R. Curtis, MD, MPH, with the University of Alabama, Tuscaloosa.


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<< Previous TITLE 11 / CHAPTER 12 / SUBCHAPTER II / § 1225 Next >>
11 USC 1225: Confirmation of plan Text contains those laws in effect on January 16, 2021
From Title 11-BANKRUPTCYCHAPTER 12-ADJUSTMENT OF DEBTS OF A FAMILY FARMER OR FISHERMAN WITH REGULAR ANNUAL INCOMESUBCHAPTER II-THE PLAN
Jump To: Source CreditMiscellaneousCodificationAmendmentsEffective Date
§1225. Confirmation of plan
(a) Except as provided in subsection (b), the court shall confirm a plan if-
(1) the plan complies with the provisions of this chapter and with the other applicable provisions of this title;
(2) any fee, charge, or amount required under chapter 123 of title 28, or by the plan, to be paid before confirmation, has been paid;
(3) the plan has been proposed in good faith and not by any means forbidden by law;
(4) the value, as of the effective date of the plan, of property to be distributed under the plan on account of each allowed unsecured claim is not less than the amount that would be paid on such claim if the estate of the debtor were liquidated under chapter 7 of this title on such date;
(5) with respect to each allowed secured claim provided for by the plan-
(A) the holder of such claim has accepted the plan;
(B)(i) the plan provides that the holder of such claim retain the lien securing such claim; and
(ii) the value, as of the effective date of the plan, of property to be distributed by the trustee or the debtor under the plan on account of such claim is not less than the allowed amount of such claim; or
(C) the debtor surrenders the property securing such claim to such holder;
(6) the debtor will be able to make all payments under the plan and to comply with the plan; and
(7) the debtor has paid all amounts that are required to be paid under a domestic support obligation and that first become payable after the date of the filing of the petition if the debtor is required by a judicial or administrative order, or by statute, to pay such domestic support obligation.
(b)(1) If the trustee or the holder of an allowed unsecured claim objects to the confirmation of the plan, then the court may not approve the plan unless, as of the effective date of the plan-
(A) the value of the property to be distributed under the plan on account of such claim is not less than the amount of such claim;
(B) the plan provides that all of the debtor's projected disposable income to be received in the three-year period, or such longer period as the court may approve under section 1222(c), beginning on the date that the first payment is due under the plan will be applied to make payments under the plan; or
(C) the value of the property to be distributed under the plan in the 3-year period, or such longer period as the court may approve under section 1222(c), beginning on the date that the first distribution is due under the plan is not less than the debtor's projected disposable income for such period.
(2) For purposes of this subsection, "disposable income" means income which is received by the debtor and which is not reasonably necessary to be expended-
(A) for the maintenance or support of the debtor or a dependent of the debtor or for a domestic support obligation that first becomes payable after the date of the filing of the petition; or
(B) for the payment of expenditures necessary for the continuation, preservation, and operation of the debtor's business.
(c) After confirmation of a plan, the court may order any entity from whom the debtor receives income to pay all or any part of such income to the trustee.
(Added and amended Pub. L. 99–554, title II, §255, title III, §302(f), Oct. 27, 1986, 100 Stat. 3110 , 3124; Pub. L. 103–65, §1, Aug. 6, 1993, 107 Stat. 311 ; Pub. L. 105–277, div. C, title I, §149(a), Oct. 21, 1998, 112 Stat. 2681–610 ; Pub. L. 106–5, §1(1), (2), Mar. 30, 1999, 113 Stat. 9 ; Pub. L. 106–70, §1, Oct. 9, 1999, 113 Stat. 1031 ; Pub. L. 107–8, §1, May 11, 2001, 115 Stat. 10 ; Pub. L. 107–17, §1, June 26, 2001, 115 Stat. 151 ; Pub. L. 107–170, §1, May 7, 2002, 116 Stat. 133 ; Pub. L. 107–171, title X, §10814(a), May 13, 2002, 116 Stat. 532 ; Pub. L. 107–377, §2(a), Dec. 19, 2002, 116 Stat. 3115 ; Pub. L. 108–73, §2(a), Aug. 15, 2003, 117 Stat. 891 ; Pub. L. 108–369, §2(a), Oct. 25, 2004, 118 Stat. 1749 ; Pub. L. 109–8, title II, §§213(5), 218, title X, §§1001(a)(1), (c), 1006(a), Apr. 20, 2005, 119 Stat. 52 , 55, 185-187.)
Editorial Notes
For repeal of section effective Oct. 1, 1998, and subsequent reenactment of section, see note set out preceding section 1201 of this title.
2005-Subsec. (a)(7). Pub. L. 109–8, §213(5), added par. (7).
Subsec. (b)(1)(C). Pub. L. 109–8, §1006(a), added subpar. (C).
Subsec. (b)(2)(A). Pub. L. 109–8, §218, inserted "or for a domestic support obligation that first becomes payable after the date of the filing of the petition" after "dependent of the debtor".
Statutory Notes and Related Subsidiaries
Amendment by sections 213(5), 218, and 1006(a) of Pub. L. 109–8 effective 180 days after Apr. 20, 2005, and not applicable with respect to cases commenced under this title before such effective date, except as otherwise provided, see section 1501 of Pub. L. 109–8, set out as a note under section 101 of this title.
Permanent reenactment of section effective July 1, 2005, see section 1001(a)(2) of Pub. L. 109–8, set out as a Repeal, Reenactment, and Termination of Chapter note under section 1201 of this title. For effective dates of section and amendments extending periods for which section was reenacted prior to permanent reenactment, see Effective Date and Effective Date of 1999, 2001, 2002, 2003, and 2004 Amendment notes set out under section 1201 of this title.