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About Us > Leadership > Board of Trustees > Policies & Procedures > Chapter 2 - Human Resources
2.00.01 Personnel Administration
A. Classification
B. Human Resources Training & Development
 1. Career Development Assignment Form
C. Telecommuting
D. Commute Trip Reduction Program
E. Flexible Work Schedules
F. Adjunct Contracts for Administrators
G. Non-Represented Classified Staff - Reduction in Force
H. Performance Appraisal
1. Supervisor's Manual for Performance Management
I. Personnel Record System & Retention
J. Volunteers and Student Interns
K. Adjunct Contracts for Classified-Overtime Eligible Staff
L. Non-Fraternization and Consensual Relationships
M. Faculty Emeritus Status
1. Emeritus Application
2.00.05 Diversity
A. Personnel Selection
C. Affirmative Action Plan
2.10.01 Designation of Appointing Authority
A. Appointing Authority and Disciplinary Action
2.10.04 Personnel Selection
B. Selection Practices for Interim Administrative Appointment
C. Part-Time Hourly Employment
D. Probationary & Trial Service Periods
E. Student Employment - Social Security Exemption
2.10.06 General Ethics for Employees & Officers
A. General Ethics for Employees & Officers
1. Ethics Brochure
B. Complaint of Improper Governmental Action & Non-Retaliation (Whistleblower Complaint)
C. Receipt of Door Prizes
D. Conflict of Interest in Research and Federally Sponsored Programs
2.20.01 Compensation
A. Professional/Exempt & Administrative Compensation Management
B. Executive Management Compensation
C. Non-Represented Classified Staff Salary Determination
D. Early Notification of Intent to Separate from Employment
E. Tax Sheltered Annuity
F. VEBA
G. Payroll Overpayment
H. Work Study Compensation
2.30.01 Equal Employment, Non-Discrimination & Anti-Harassment
A. Complaints of Discrimination, Sexual Harassment or Misconduct, Domestic or Dating Violence, Stalking and Retaliation
1. Chancellor Directive Regarding Mutual Respect & Dignity
B. Reasonable Accommodations & Return to Work
2.30.03 Drug Free Workplace
A. Drug Free Workplace
1. Supervisor Guide - Recognizing Drug and Alcohol Abuse in the Workplace - Form CCS 16-113
2. Reasonable Suspicion Testing Consent Checklist - Form CCS 16-112
3. Reasonable Suspicion Testing Consent Form - Form CCS 16-111
4. Attachment A
B. Safety Sensitive Function Compliance
2.30.05 Workplace Safety
A. Suspended Operations
1. Compensation Management During Period of Suspended Operations
B. Behavior Intervention Teams
C. Mandatory Reporting of Suspected Child Abuse/Neglect
D. Chemical Hygiene for Laboratory Setting
E. Confined Space Entry
F. Building Evacuation Planning & Signage
G. Hazard Communication Program
H. Hearing Conservation
I. Lockout/Tagout
J. Reporting Medical Emergencies, Accidents and Work Related Injuries
K. Respiratory Protection
L. Radon Gas Monitoring
M. Sex Offender Admission/Employment
N. Children in the Workplace
1. FAQ Children in the Workplace Procedure
O. Automatic External Defibrillator (AED) Use and Safety
P. Driver's Safety Training
Q. Key Control
1. Key Check Out Form
R. Emergency Communications
S. Employee Uniforms and Work Clothes
T. Biosafety for Laboratory Settings
U. Animal Care, Treatment and Use
V. Asbestos Awareness
W. Personal Protective Equipment Provision, Use and Care
1. Personal Protective Equipment (PPE) Use and Care
X. Office Ergonomics
Y. Silica Exposure Control Plan
Z. Fall Protection Procedure
2.40.01 Leave Administration
A. Family Medical Leave Act & Return to Work
B. General Leave Administration
C. Exempt & Administrative Employee Leave Administration
D. Educational Leave for Exempt, Administrator & Non-Represented Classified
2.40.03 Employment Contracts
A. Exempt Employment Contracts
B. Academic Employee Employment Contracts
2.90.01 Labor Relations
A. Master Contract - Academic Employees
B. Collective Bargaining Agreement - Classified Employees
C. Request for Representation Records
1. Representation Records Request Form
Community Colleges of Spokane (CCS), aware of its obligations as an institution of higher education and steward of the public trust, will ensure that personnel administration procedures and practices comply with federal, state and local laws and statutes, are based upon sound human resource management principles, satisfy the standards of regional and national accrediting organizations, and promote a work environment of collegiality, respect and professionalism.
Community Colleges of Spokane's (CCS) commitment to diversity shall be consistently reflected in its policies and procedures, with the objective that full and part time faculty, classified and exempt staff will reflect the diversity that exists in the communities and the students we serve. Faculty and staff recruitment and hiring procedures shall include processes and outreach efforts designed to enhance the success of applicants from under-represented groups and communities.
CCS shall adopt practices that enhance the retention, success and promotion of employees, particularly those who are new to CCS or from under-represented groups and communities.
CCS' commitment to diversity will also be reflected in staff development efforts that will ensure that CCS foster awareness and understanding of, and sensitivity to, people of diverse academic, socio-economic, cultural, religious, gender, disability and ethnic backgrounds in the communities and the students we serve.
[Adopted 07/19/05]
The Board of Trustees shall appoint a President of the District whose title will be Chancellor. The Chancellor is delegated appointing authority and is authorized by the Board of Trustees, without prior approval of the Board, to make appointments of the college presidents and positions within the District Office.
The college presidents are delegated appointing authority and as such are authorized by the Board of Trustees, in consultation with the Chancellor, to make appointments to positions within his or her respective college/institute.
Community Colleges of Spokane shall consistently adhere to merit-based personnel selection and appointment standards that ensure excellence in all phases of district operations, satisfy the standards of regional and national accrediting organizations, comply with federal and state laws, affirm and promote diversity as an educational goal, and provide for a globally competent, highly qualified faculty and staff who represent a wide range of educational and professional experience.
[Adopted 11/25/80; Amended 12/17/91; Amended 12/18/01; Amended 06/21/05; effective 07/01/05]
It shall be the policy of Community Colleges of Spokane that no employees or officers of this district, including student employees, may have a financial interest or engage in any activity that is in conflict with the proper discharge of the employee's or officer's official duties. Furthermore, no district employee or officer may use his/her official position to secure special privileges for himself/herself or any other person, and no district employee or officer may receive compensation from any person or entity except the State of Washington for performing his or her official duties. The statutory requirements of chapter 42.52 RCW, as well as rules and advisory opinions adopted by the state Executive Ethics Board, shall apply to all district employees and officers.
Off-duty activities that are a conflict of interest under chapter 42.52 RCW, are detrimental to the employee's work performance or district programs, or otherwise constitute violation of this policy may be cause for disciplinary action, up to and including termination.
Employees will report all arrests and any court-imposed sanctions or conditions that affect their ability to perform assigned duties to their appointing authority within 24 hours or prior to their scheduled work shift, whichever occurs first.
Community Colleges of Spokane, as a steward of the public trust and consistent with its obligations under chapter 42.40 RCW (State Employee Whistleblower Protection), will protect any employee who has reported improper governmental action from retaliation.
[Adopted 03/19/96; Amended 06/17/03; Amended 06/21/05; effective 07/01/05]
Community Colleges of Spokane is committed to recruiting and retaining globally competent, highly qualified faculty and staff at all levels of the organization. Externally competitive and internally consistent reward systems, including salary and benefit structures and non-fiscal reward programs, shall be developed and maintained by administration. Salary schedules shall be approved by the Board of Trustees. Compensation administration shall be objective and non-discriminatory in theory, application and practice.
Community Colleges of Spokane (CCS) recognizes its responsibilities pursuant to state and federal law, rules and regulations including the responsibility for investigation, resolution, implementation of corrective measures, and monitoring the educational environment and workplace to stop, remediate, and prevent discrimination, harassment, sexual misconduct and retaliation consistent with these provisions. The purpose of this policy is to establish CCS's commitment to provide equal opportunities in employment and to provide a work and academic environment that is free from conduct or behaviors that constitute discrimination, harassment, sexual misconduct, domestic violence, dating violence, stalking and/or retaliation by or against its employees, students, guests, visitors and contractors. This policy is subject to constitutional protections related to freedom of speech, association, and the press.
Fostering and developing the understanding of diverse social and cultural traditions of all people in the workplace is a fundamental role of the district. Prejudice and bigotry, including racism, sexism, and any other bias that creates barriers, perpetuates stereotypes or promotes ignorance, and is contrary to the mission and obligations of the district. It has no value or place in this academic community, shall not be tolerated, and pursuant to this policy, shall be prohibited. Confirmed violations of this policy may lead to disciplinary action, up to and including termination.
Equal Employment Opportunity CCS is an equal opportunity employer and in accordance with applicable state and federal laws and regulations provides equal opportunity in employment without regard to status as a member of a projected class including race, creed, color, religion, national or ethnic origin, age, sex, marital status, pregnancy, parental status or families with children, status as a mother breastfeeding her child, AIDS/HIV or hepatitis C, honorably discharged veteran status, sexual orientation, gender identity or expression, disability, use of trained guide dog or service animal by a person with disability, or genetic information.
Non-discrimination, Anti-harassment, Prohibitions on Sexual Misconduct and Reasonable Accommodation CCS's goal is to provide a work and academic environment free from conduct or behaviors that constitute discrimination, harassment, sexual misconduct and/or retaliation. As a result, the following conducts and behaviors are prohibited. This policy applies to individuals while on campus; while on property and facilities leased or used by CCS for any District activities; and/or while conducting CCS business off-campus such as business trips, field trips, athletic events, student activities, and internships.
a. Discrimination: Prohibited unfavorable treatment of a person based on that person's membership or perceived members in a protected class.
b. Harassment: A prohibited form of discriminatory conduct that includes physical, verbal, or other conduct that denigrates or shows hostility toward an individual or group because of their legally protected or perceived membership in a protected status; and is sufficiently severe, pervasive, and objectively offensive so as to substantially interfere with the terms and conditions of employment.
c. Sexual Harassment: A prohibited form of discriminatory conduct that includes unwelcome conduct of a sexual nature and may include unwelcome verbal, written and electronic communications; nonverbal conduct; and/or physical conduct of a sexual nature, including sexual assault. It may include gender-based harassment by a person of the same sex.
d. Sexual Misconduct: Prohibited sexual misconduct includes sexually violent conduct including domestic violence, dating violence, stalking, nonconsensual sexual intercourse, and nonconsensual sexual contact.
e. Reasonable Accommodation: It is the policy of CCS, being aware of its obligations under Washington State Executive Order 96-04, chapter 49.60 RCW, and the Americans with Disabilities Act of 1990 as amended, to ensure persons with disabilities the right to request and, where determined appropriate, receive reasonable accommodation in all aspects of employment. This includes good-faith consideration and interactive engagement regarding reasonable accommodation requests from all candidates for employment and employees.
Retaliation Actual or threatened retaliation or any act of intimidation against any participant (accused, accuser, or witness) intended to prevent or otherwise obstruct the reporting, subsequent investigation, or enforcement of a complaint under this policy is prohibited.
Educational Program The Chief Executive Officer shall ensure CCS implements an educational program that makes this policy and related complaint procedures generally known to employees and students. The educational programs will be consistent with applicable state and federal laws and will include prevention and awareness programs for all incoming students and new employees; and ongoing prevention and awareness programs for students and employees. Annual training shall also be given to CCS employees who investigate or participate in institutional proceedings on the issues of domestic violence, dating violence, sexual assault and stalking, on how to investigate, and how to conduct hearings in a manner that "protects the safety of victims" and "promotes accountability."
Complaint Procedure The Chief Executive Officer shall ensure that an internal complaint procedure(s) for filing complaints under this policy is implemented. The procedure(s) should include information regarding how visitors, employees and students can file complaints and ensure complaints are reviewed, and if appropriate, investigated in a timely manner; that accurate records of all complaints, referrals, and investigative reports are kept consistent with applicable record retention schedules; and that following initial review or investigation of complaints that when appropriate matters are referred to the designated supervisor or manager to review and determine what, if any, action is appropriate. The Chief Executive Officer shall designate at least one employee to coordinate CCS's efforts to comply with and carry out the institution's obligations under Title IX, Equal Employment, and Affirmative Action.
[Adopted 6/21/05, Effective 07/01/05; Amended 10/28/14, Motion 14-29]
The unlawful manufacture, distribution, dispensing, possession or use of a controlled substance in all facilities, grounds, events or activities directly or indirectly under the control of Community Colleges of Spokane shall not be tolerated and, pursuant to this policy, shall be prohibited. Community Colleges of Spokane will comply with the Federal Drug-Free Workplace Act of 1988, Drug-Free Schools and Communities Act of 1989, U.S. Department of Transportation regulations implementing the Federal Omnibus Transportation Employee Testing Act of 1991, and WAC 132Q-04-031(2) & (3). Employees or students engaging in prohibited activities shall be subject to disciplinary action, pursuant to applicable rules, regulations and employment contracts, which may result in suspension or termination.
Community Colleges of Spokane is committed to the health and safety of its faculty and staff, and in maintaining a safe and efficient workplace that complies with all local, state and federal safety and health regulations, programmatic standards, and with any special safety concerns identified at the unit level. Every person in the organization shall be assigned the responsibility for both individual and organizational safety.
Failure to follow safety and health guidelines or any conduct that places the employee, other employees, students or members of the public at risk may be cause for disciplinary action, up to and including termination of employment.
Community Colleges of Spokane, aware of its obligations under the Family Medical Leave Act of 1993, chapters 357-31 and 296-130 WAC, and all related chapters of the Revised Code of Washington, will provide and administer a program for employee leaves of absence. This program will serve both the well-being of CCS' employees and the organization as a whole. Leaves will be administrated in good faith, consistent with the rights and responsibilities provided for by law and in collective bargaining agreements, including those responsibilities placed upon the employee to provide the notice and information necessary for the district to effectively direct its workforce and serve the best interest of students.
Faculty, exempt and executive staff shall be employed under the terms and conditions of an employment contract that stipulates dates of employment, salary for the employment period and any other terms and conditions applicable to that individual's employment.
Employment contracts shall be executed by signature of the employee and the applicable appointing authority. An employee's failure to sign the contract offer by the date specified shall be considered a rejection of the offer.
Nothing herein shall preclude the district from entering into an employment contract of limited duration for interim, acting or other provisional appointments.
[Adopted 8/19/82; Amended 2/21/95; Amended 06/21/05; effective 07/01/05]
Community Colleges of Spokane will conduct all labor relations activities in good faith, with the objective of furthering the values and objectives of the Board of Trustees and the best interest of students. The Board of Trustees is authorized to sign agreements on behalf of the district, except where that authority has been specifically delegated. The terms of an approved collective bargaining agreement may amend Board policy.


Greetings Gongolier followers! We have an update on the electronics board along with some programming work we've begun. To start off, we've connected all the basic essential electronics from the PDP to the Radio. After finishing wiring the electronics board, we re-imaged the RoboRio and the wireless radio. Next, we connected all the VictorSPs we are planning to use this year in preparation for the number of motors we will be using. While assembling two gearboxes to run our drivetrain, we hooked up four CIMs using the Powerpole connectors. We are excited to test out the Powerpole connectors for the first time this year. Along with these, we are also excited to use the Rev radio PoE cable and the am-3583 Robot Signal Light, making our electronics setup much more efficient and less error prone.
Our programming group created a project which runs the CIMs in either direction at a varying speed in order to cycle through them. We were able to quickly identify and fix a small issue with one portion of the program, in which the RobotMap class was never initialized. We will be adding the functionality to increase or decrease the speed of the CIM motors while the program is running. Finally, we plan to start the outline of our main competition program very soon.


If you do not like to spend a day at the seaside with tons of individuals, you can go over to Greenhill. You can also consider enjoying a picnic at Greenhill during your Torquay holidays. Greenhill is a fantastic place for a family picnic minus the crowds like at Weymouth Beach. During summer time you can even consider one of the rafts and go rafting. If rafting is your unique activity, you can head more than here to Greenhill during your Torquay vacations.
Roger James Hamilton is a globe renowned entrepreneur and the founder of Phi Dynamics. He is also the co-founder of the XL Country and XL Team. The XL Group is one of world's largest social networking teams of business owners. This group conducts workshops and seminars throughout the globe to assist younger business people. Born in Hong Kong, this bright star confronted a difficult time prior to reaching the pinnacle of achievement. In his profession as an entrepreneur, he lost about 130 million in just ten years. But he made a distinction by finding out the purpose behind his failure and that is what made him a effective person. Roger has given a ray of hope to almost forty,000 business owners across the globe. He defines the equation of prosperity as: Wealth = Worth x Leverage.
FATHER, a man who stays fairly, never demands for anything. But likes to give everything!! Who enjoys and cares much more than anyone and fulfills our every need before asking. Each kid desires to reciprocate adore and appreciation offered by his or her father and 1 of the best working day for this is Father's Day. It is a working day to acknowledge love and sacrifice of our dear father. Best way to do this is. A Present!!
Small businesses frequently make many mistakes when it arrives to web sites. In the emotion and overwhelming feeling you have with starting a company, there are some easy things people forget to verify and include to make sure that their business is set for take off. These fundamentals are needed if we are to create a website that: a) is locatable among the 250 million odd websites that exist on the web, b) in line with the requirements of the business, and c) lawfully with the nearby laws. Sadly most internet designers don't provide this information and instead just make websites. I think this to be flawed and have sought to make alter in this area, thus assisting little business proprietors be heard. I outline some of the key points right here in this article and hope that you don't make the exact same errors.
To be on the secure aspect, make an appeal. No matter what the fine is for, gather good evidence and present it to the authorities. If it does not terminate, at minimum you will get a discounted price. Be a great motorist and make sure companies like the NPAS don't trap you for not abiding by their scheming guidelines.
Audi S8 appears easy when driving and its pace gets to be scary. The way it accelerates, it tends to make the United kingdom's B-streets begin to really feel like very short straights. This large car is not all about pace and even though it's a large car with large V8 petrol it does have some eco-friendly factors. This motor deactivates 4 cylinders when you're cruising. You will be able to attain an acclaimed economy figure of 27.7mpg which is respectable for a large vehicle like the S8. Within the gear is as extraordinary as you'd anticipate from a leading-of-the-variety limo. The S8 gets a BOSE surround audio audio system, air suspension, a self-Yogakiddoswithgaileee.Com, twenty-inch alloys as regular and sat-nav with online services such as Google Local Search.
Stay central. Most individuals only remain a evening or two. If you want to get the max out of your stay consider city centre hotels. See beneath for a brief evaluation rfid parking system cost of resorts that have been individually reviewed and visited.
Some vehicles acquire a status to become standard by which other cars are judged. In the premium sport sedan section BMW 5Series has obtained that standing. Its strength lies in the reality that it brings together overall performance with luxurious. It offers a comfy trip and has excellent handling qualities. It has a roomy cabin which is extremely comfy. It is as good on the twisting back again streets as on the highways. Although it debuted in the U.S in 1972 it has stored tempo with technological developments. It has launched turbocharging, new electrical energy steering, and energetic rear wheel steering when these developments appeared. Some of its luxurious attributes are parking sensors, automated parallel parking system, active cruise manage, and ventilated front seats.
If you want to purchase a large-ticket merchandise on credit score in the near long term, raise your credit score score prior to doing so. Using credit score cards responsible or repaying a little mortgage before it is because of can help to increase your general rating. Usually make a payment that is higher than the minimal due on any stability owed.


SIMO are not your average bunch of rock'n'rollers, that's for sure. Although distinctly retro at times, with a welter of Sixties influences and a jam band capability at their disposal, the Nashville based trio still figure among the more avant-garde exponents of modern blues rock. Don't buy Rise & Shine expecting to settle down to a session of the same old same old.
The two tracks that bookend the album are indicative of their range. Opener "Return" eases in with clicking fingers that give way to quiet, steady drums and a few flickers of wah-wah guitar. Then JD Simo starts whispering sweet nothings close up to the mic over an arrangement that carries echoes of the Beatles' "Come Together."' Meanwhile closer "I Pray" is a 13 minute outing with simple and direct spoken lyrics – "I pray for the addict/That they may find the strength to quit" typifying the theme. The vocals rise in intensity over spangly guitar that hints teasingly at "Norwegian Wood," before heading into a chorus with a hammering riff, and in due course a multi-faceted instrumental section replete with jazzy rhythms from Adam Abrashoff on drums, and Hendrixy "underwater" guitar sounds. I'm guessing it incorporates an element of jamming, but while there's an electricity to SIMO doing stuff like this live, for me it overstays its welcome by several minutes here.
In between, there are offbeat funky grooves on the likes of "Meditation," "People Say" and the instrumental "The Climb," which jabs and moves around snatches of a 1963 speech by JFK – "our most basic common link is that we all inhabit this small planet." Meanwhile "Shine" has Elad Shapiro's throbbing bass line to the fore, and a punchy vocal melody on the verse, before a Black Keys like stomp, swirl and prickle around a catchy soul-pop chorus – just one example of the soul influences evident. In contrast though, 'The Light' is a simple slice of hushed acoustic guitar and vocals, akin to the old folk song "In The Pines" recorded by Lead Belly.
SIMO are an intrepid outfit. JD Simo is a dazzling guitarist when he takes the fancy, and his rhythm section amigos can underpin whatever he throws at them. Together they have the musicianship to take things in pretty much any direction they want, and challenge the listener to go with them. See them live, and they'll make your jaw drop. Meantime, Rise & Shine is an introduction to some of their many faces.


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Johnson & Johnson presents available graduate opportunities
By Virginia RiosOn-campus recruitment
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Bob Beliech is the Vice President of Information Systems at Entertainment Benefits Group (EBG). Having joined EBG in February 2018, Bob oversees a cross functional team of information technologists and quality assurance analysts and is responsible for ensuring our applications and information systems delivery processes are efficient, effective, and high quality while successfully supporting and delivering EBG technology solutions.
Bob has 15+ years of experience focused in the travel and hospitality industries having spent time prior to EBG at Walt Disney World and Wyndham Vacation Ownership in IT Strategy leadership roles. He's also held leadership and solution delivery management roles at other large technology organizations including PricewaterhouseCoopers, Peoplesoft, JD Edwards, and Ciber Global.
Bob received his Bachelor of Science degree in Systems Engineering from the University of Virginia followed by significant career training in Six Sigma, Project Management, and Agile Software Development.
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I've neglected this blog for a year while the action has continued on Facebook and Twitter -- and also on SpliceToday.com, where my latest weekly column ties into one of this blog's earliest topics, my time at left-wing Brown University, where I have belatedly discovered activists (apparently) falsely accused me of a crime.
•FILMS: SmashCut CineFest features six short dramatic films with liberty themes, Tue., Oct. 24, 2017 from 6:30-9:30 (including post-screening Q&A). You can get VIP tickets here while they last.
•FERGUSON: Ferguson is a staged reenactment, not based on media spin but using the actual witness transcripts, of the events that sparked riots near St. Louis in 2014 and arguments about race and policing thereafter. Scroll down at the right here to see your options including buying a ticket for the initial New York City run.
•THE FIGHT: Playwright Jonathan Leaf tackles another politically volatile moment in history with his new play The Fight about sometimes-ugly schisms in the mid-twentieth-century feminist movement.
•THE FLEA: In November and December, the small but talented playwrights group The Pool puts on productions such as Lynn Rosen's Washed Up on the Potomac at the Flea Theater (20 Thomas St.). I don't know if they have actual political connections, but I've got photographic evidence the group's launch party was in a hip-looking apartment.
•THE FOUNTAINHEAD: I can only imagine what the Toneelgroep Amsterdam is going to do to reinvent Ayn Rand's The Fountainhead as a deconstructionist stage production at the Brooklyn Academy of Music, but I will risk finding out.
Well, the first person I saw sing professionally in New York City after I moved here, Chris Cornell, has died (he, along with Soundgarden, was opening for Guns N' Roses at MSG, within months of the time I walked all the way from downtown Seattle to the real Sound Garden sculpture, which was probably rock-inspired foolhardiness in retrospect).
It's odd that we lost the "Blackstar" singer (Bowie), the "sun day or night" singer (Prince), and the "Black Hole Sun" singer (Cornell) in such short succession.
(E) as of this week (as teased in a Flash story) we also know that Geoff Johns, who got his start writing for DC Comics back in that decade and has since become DC's co-president, is going to write a rather self-indulgent-sounding comics miniseries called Doomsday Clock, apparently pitting dark Dr. Manhattan from Watchmen against optimistic Superman and perhaps against DC time/continuity itself.
It's as if everything that happened between the last episode of Twin Peaks and the next one is a twenty-six-year "wash," if you ask me (and for me it all went by like a busy long weekend, or perhaps a dreamlike timeloop), so maybe I'll shut up for a while -- or at least avoid online sniping and stick to longer, more thoughtful pieces (coming soon in real magazines, most likely) -- ones that take a more serious stab at increasing the odds of the next quarter-century or so being sane. Yeah, well, we'll see how it goes.
Seavey on Radio Again. Plus Trump, Ailes, Milo, Anarchists!
Seventeen quick thoughts (each with a link) as we survey the end of the post-Cold War Republican Party.
•TRUMP: IN. This week might look like "anarchy" (in the loose colloquial sense) at the Republican National Convention, but yesterday, the day of Trump's official nomination, was also the twentieth anniversary of an important (and schismatic) date in the history of real anarchism, as I'll explain below. In this year when the presidential nominee of one major U.S. political party dabbles in conspiracy theorizing about Obama's birth, 9/11, and the JFK assassination, while the nominee of the other major party promises UFO disclosure, anarchism should not be dismissed as the weirdest branch of U.S. politics anymore. It may prove a more fruitful avenue of future intellectual inquiry than were conservatism and liberalism, in any case.
•JOHNSON: SERIOUS. Meanwhile, the candidate of the Libertarian Party, which most years is seen as having a weirder candidate than the two major parties, avoids conspiracy theories and merely jokes that having been a successful two-term governor of New Mexico gave him a chance to see the "alien to work" program near Roswell. Obviously, if you're voting, you have to vote for him.
•AILES: OUT. Speaking of twentieth anniversaries, we're just a few months from the October 7 twentieth anniversary of Fox News's launch, and it now appears that Roger Ailes may not be there to celebrate. Having worked there briefly, I'll be very curious whether the culture at the place changes now.
•MILO: BANNED. Again, we libertarians are not necessarily inclined to conspiracy theory, but it's an awfully odd coincidence that yesterday appeared to bring Trump's triumph, Ailes' possible end, and Trump-supporting Milo Yiannopoulos's lifetime banning from Twitter. It was his mockery of actress Leslie Jones that did it, apparently, so he's been taken down by the Ghostbusters, just like Gozer (or perhaps that just served as a timely excuse for the left/black/Muslim-sympathizing culture at Twitter). He now becomes only the second person, to my knowledge, who is banned for life from Twitter -- and I'm friends with the other one because I know good people.
•VIKINGS: BLACK. I wish people would just stay off the volatile topics of race and religion, but if you ask me, the real ethno-hubbub on the pop culture horizon is the portrayal of an honest to gosh Norse Valkyrie goddess by a black woman in next year's Thor movie. That should be a real test of self-control for the pagan-leaning racist elements of the alt-right. You heard it here first: Ragnarok arrives Nov. 3, 2017.
•DAILY SHOW: ASSAULTING. But don't assume it's the Milos of the world who cause all the trouble. It was Daily Show staffers who were accused of shoving a reporter at a Milo-instigated gay party at the Republican National Convention, so who are the fascists, really?
•DENTON: BANKRUPT. Financially, I mean, not just morally. Or so the Gawker founder claims.
•HAUSAM: INTERVIEWING. Me, that is. Mike Hausam had me on his California radio show on July 11, 2016 to talk about my book and libertarianism generally.
•ANARCHISTS: DIVIDED. Even Hausam, a libertarian, stumbled for a moment at the unfortunate, obscure label for libertarians of my specific philosophical type – "anarcho-capitalists" -- but the traditional, left-leaning anarchists know (and mostly hate) us, at least. In fact, because time flies, yesterday was the twentieth anniversary of An Anarchist FAQ, the first major stab at an official online explanation of anarchism, and it was largely created by old-fashioned anarchists to distance themselves from anarcho-capitalists like me who think libertarianism and capitalism are more logical expressions of anarchist sentiment than egalitarianism and socialism are. Nice to be noticed, though.
•PUNK: CONFUSING. You should also take note of the fact that the Anarchist FAQ founder, Iain McKay, is not the same person as Fugazi singer Ian MacKaye, though it'd be kinda cool if they were the same person, and I'm sure this has led to confusion at some point.
•SILVERSTEINS: COMMONPLACE. There's also, by the way, both a Forbes writer and a Nation writer named Ken Silverstein, which must cause some confusion.
•SEAVEY: SPECIAL. Maybe I can't quite call myself an anarchist without creating confusion, since I believe we need property rights, as explained in my book Libertarianism for Beginners. What I lack in willingness to ditch all moral and commercial rules alongside the eminently ditchable government, though, I make up for with a thoroughgoing skepticism useful against advertisers, priests, unreflective traditionalists, shallow fellow skeptics, and even you if you say something stupid.
•CAPITALISM: AMBIGUOUS. As if it weren't confusing enough that people argue about who qualifies as an anarchist, anarchists in turn argue about how to define "capitalism" and whether that terminology in turn affects collaboration among anarchists. This article brought to my attention by Camilo Gomez is a fairer than usual summary of the "capitalism"/"markets" distinction that is important to some left-leaning anarcho-capitalists in particular (though in these situations, I usually urge just adopting new terms or agreeing upon clarified old ones instead of wallowing in the ambiguity and the linguistic tug-o-wars).
•DEMOCRATS: OVERRATED. To those of you too easily convinced that infighting among anarchists, libertarians, or Republicans proves the Democrats, who are gathering at their own convention next week, are the smart, sane ones, I will just note that despite the great job the Democrats do of convincing themselves that rational, well-educated people lean Democrat, the majority of college-educated whites (for whatever little it's worth) haven't voted Democrat for president in the sixty years since demographic polling of that sort started tracking such things, despite how things may look if you inhabit some lefty college town bubble. In fact, Bush was the first Republican presidential candidate to get a bigger share of the non-college-educated than Democratic rivals, not necessarily something to be proud of, and Trump may well lock up the downright-stupid vote this year -- to the Republicans' long-term regret, I suspect.
•DEATH: AMERICAN. While we debate these nuances, of course, some of our most broadly shared, bipartisan policy ideas kill people overseas, reason enough to question whether either major party is worth keeping around.
•CONSCIOUSNESS: IN. Perhaps sanity will be easier to find at the science lectures I'm attending tonight at 7:30 at Union Hall in Brooklyn, hosted by my friend Lefty. And if you e-mail me RIGHT NOW, you could use that second ticket I'll be carrying with me (or I'll just read brainy Marc E. Fitch's crime novel Dirty Water as I ride the subway alone).
•EVENTS: REAL. I swear I will also host real-world events of my own again very soon, as promised, even if it means I post stuff online much less often. Here's a recent blog post by Kenneth Silber about one old bar debate I organized, which is still echoing in his mind and, for good or ill, echoing across the political spectrum in these troubled times. Sob. I will try to fix everything soon. It's what I do.
With so few non-leftist media outlets -- and the journalists of the future being trained by aptly-named groupslike IRE to hate guns and others things the left disdains as though hating is objective journalism -- I need all the allies I can get.
Not that I'm suggesting the right is much better than the left these days. If Clinton is basically a corrupt lawyer ("cleared" by the FBI only after her hubby's meeting with the Attorney General that was never supposed to become public knowledge), then Trump is like a drunk, ornery uncle who knows he hates that lawyer but will never be able to articulate anything like a conservative or libertarian alternative to her. At least the UK, newly free of the EU, gets a female head of state and a coherent conservative in one fell swoop. Doesn't solve all problems, but looks enviable from the U.S. perspective right about now.
Win or lose, I just hope that if people vote in November -- I say if -- they vote Libertarian, even if only in protest. Come on, don't be a jerk. You've gotta.
As for how on Earth I maintained a slight hope for years that the Republican Party would become more libertarian, please recall that (for example) three years ago there was one senator who opposed the confirmation of Comey as FBI director, the confirmation that would enable Comey to let Clinton off the hook three years later, and thatone senator was libertarian-leaning Republican Rand Paul. He also opposed Loretta Lynch becoming attorney general due to her drug-warrior contempt for due process. Principled people have a way of ending up looking like prophets.
Ah, well, but best I forget about Paul and other GOP gambits. Now we're stuck with Trump and/or Clinton -- though some think Comey tried hisdarnedest to stealth-sink Clinton even as he was "exonerating" her. It's a complex world.
Law enforcers disappoint us at times (witness this animatedguide to cop-related killings, which is more educational than the selfie that Clinton-supporter Mischa Barton took showing herself in a bikini purportedly being sad about excessive police force). I do not quite qualify as a full-fledged anarchist in the traditional sense of the word, though, as I still prefer the orderly rule of law to chaos. Perhaps my all-time favorite instance of U.S. law having a long and long-delayed reach yet still being respected was the ratification of the constitutional amendment limiting congressional pay raises -- 202 years after it was proposed during the very first Congress, back in 1789. History will come for the real criminals eventually, and it's sweet when it does.
In the meantime, to make clear I am no mere partisan, let me say clearly that cops get away with crimes, gangs get away with crimes, Clintons get away with crimes -- and similar groups overseas get away with even worse crimes. Be the kind of person who can be trusted to oppose all of it, consistently. And do check out that book of mine if you're looking for a consistent set of principles to adopt.
You may also hear Cab Calloway, the Police, the Animals, Stray Cats, and Del Shannon, as I constantly do in my head. And yes, at 40 minutes in you'll find my notorious and now recurring karaoke rendition of "Rainbow Connection." I did Kermit for Gavin McInnes and Amy Schumer; it would be unfair not to do him for the legendary Johnny Rocket Launch Pad show.
P.S. Rock and roll addendum: you'll also find me quoted about the David Bowie song "Oh! You Pretty Things" in this article by Robert Lurie on TheFederalist.
In my final SpliceToday column (for now) after a full year of daily columns, I admit which parts of the contemporary libertarian movement I think are dumbest but also link to a fine Gary Johnson/William Weld 2016 campaign ad and to info on my appearance on the Johnny Rocket Launch Pad rockabilly libertarian radio show (on which I once more do "Rainbow Connection").
Other cool things coming soon.
Despite the endless temptation people from Alvin Toffler and Newt Gingrich to Neil deGrasse Tyson and Alex Jones feel to predict the future, political pundits should probably avoid that game, I write in today's column.
There is only one way to make sense of what J.J. Abrams did to the original Star Trek timeline and what he did to the "Kelvin timeline" from the current films: As I explain in today's column, it really was all part of Spock's evil plan.
The pattern I've noted of Roland Emmerich's film projects warning us that space aliens may be tied to climate change continues, even in a little bit of the spectacular-yet-slightly-bland Independence Day: Resurgence, as I write in today's column.
Prior to my final week of daily columns on SpliceToday, I pause to write a celebration of Brexit.
We would do well to stop denying the fact that the sociopaths and jerks tend to get on top in politics, media, business, and social life -- but in the long run, empaths may have a built-in advantage, I write.
For all its flaws, the twenty-first century is clearly an era in which no small handful of celebrities, politicians, or moguls can hope to maintain its monopoly on power for long, thank goodness, as I write in today's column, optimistic even as new details on Michael Jackson's crimes and politicians' lies come to light.


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Journal of Comprehensive Pediatrics
Official Quarterly Journal of Iranian Society of Pediatrics
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A Comparison Between Ultra-Sonography and Water's View Radiography as Confirmatory Tools for Diagnosis of Maxillary Sinusitis in Children Complaining of Cough
Alireza Asadi 1 , Seyed Ahmad Tabatabaee 1 , Roxana Azma 2 , Ghamartaj Khanbabaee 1 , Saeed Sadr 1 , Mitra Khalili 2 , Laya Zarrabi 3 , Elham Asadi 4 , Mohammad Rezaei 1 , Sara Sanii 5 , *
1 Department of Pumonology, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Radiology, Mofid Children Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3 Department of Cardiology, Heart Center Hospital, Tehran University of Medical Sciences, Tehran, Iran
4 Department of Informatics, Mashhad University of Medical Sciences, Mashhad, Iran
5 Neonatal Health Research Center, Research Institute for Children Health, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
* Corresponding Author: Neonatal Health Research Center, Research Institute for Children Health, Mofid Children's Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Tel/Fax: +98-2122922828, Email: sanii_sara@yahoo.com
Journal of Comprehensive Pediatrics: 10 (1); e66433
Published Online: February 13, 2019
Received: January 18, 2018
Accepted: December 24, 2018
DOI : 10.5812/compreped.66433
Image Credit: https://pxhere.com/en/photo/992842
CHEKING
Background: Diagnosis of pediatric sinusitis with puncturing as an invasive technique and culturing of the microorganisms may be substituted with less invasive imaging methods. Computerized tomography scanning as the gold standard of sinusitis diagnosis may not be a generalized method due to its devastating radiation effects; therefore, ultra-sonography and radiography seem to be methods to be evaluated in the diagnosis of maxillary sinusitis.
Objectives: There are limited and conflicting studies found in the literature that have evaluated the role of ultra-sonography in the diagnosis of maxillary sinusitis. The purpose of this study was to compare ultra-sonography with Water's view radiography in the diagnosis of maxillary sinusitis in children.
Methods: In this prospective study, 60 children aged over four years old with clinically diagnosed maxillary sinusitis, admitted to Lung Clinic of Mofid Children's Hospital, were enrolled. Water's view X-ray and ultra-sonography were performed by two expert radiologists on the same day. Data and interpretations were collected and entered in the SPSS 21 software.
Results: The patient's mean age was 6.8 ± 1.8 years. Overall, 120 maxillary sinuses were analyzed by ultra-sonography and radiology. There was diagnostic agreement between the two techniques regarding 59 sinus sites, 49.2%. Compared to standard X-ray, ultra-sonography had a sensitivity of 56.4% and specificity of 91.7%. The diagnosis rate for normal interpretation via the ultrasound technique compared to the standard X-ray was 8.3% and considered acceptable. This method underestimated the diagnosis of fluid collection (30.4%), yet overestimated the rate of mucosa thickening (62.3%).
Conclusions: This study revealed that ultra-sonography is not a suitable technique for detection of mild mucosal thickening yet may come to represent an alternative substitution to the more invasive methods for diagnosis of acute sinusitis with moderate to severe mucosal thickness and fluid collection in the maxillary sinuses.
Maxillary Sinusitis Radiography Computerized Tumography Magnetic Resonance Imaging
Copyright © 2019, Journal of Comprehensive Pediatrics. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
Sinusitis as a common disease in the pediatric population, leads to recurrent medical referrals and extensive use of antibiotics (1). Maxillary sinusitis is an inflammatory and infectious involvement of maxillary mucus along with fluid retention (2). The maxillary sinusitis has been introduced as the most common para nasal sinusitis in many studies (3).
Sinusitis has been known as an important cause of establishment and exacerbation of pediatric asthma and acute, sub-acute, and chronic cough and their resistance to therapy (4). In addition, maxillary sinusitis may lead to dangerous complications, such as orbital cellulitis, abscess, and facial bones' osteomyelitis (5).
Although the milestones of sinusitis diagnosis is based on medical history and physical examination (6), precise diagnosis based only on common clinical presentations with other diseases may be difficult (1). The major criteria includes fever (in acute sinusitis), purulent secretions, and nasal congestion, facial fullness feeling, facial pain, and anosmia and hyposmia. In cases of febrile patient, other features should be present for three days and if cases are afebrile, the features should last for ten days. The minor criteria are headache, fullness feeling, ear pain or fullness, tooth ache, cough, fever (in sub-acute and chronic sinusitis), and malaise (duration according to presence or absence of fever, are three and ten days, respectively). Sinusitis is subcategorized as acute, sub-acute, and chronic based on time period of clinical symptoms as less than one month, less than three months, and more than three times. In some cases, sampling of sinus secretions, imaging like CT scan and MRI, radiography, and sinus ultra-sonography may seem necessary to confirm the diagnosis. Direct sampling of sinus secretions may not be applicable due to the difficulty and invasiveness of the method (7).
Based on many studies, CT scan is the gold standard tool of sinusitis diagnosis. Many experts believe that CT scan should only be restricted to recurrent and chronic sinusitis, resistance to therapy and in cases in need of surgery (8-10).
Magnetic resonance imaging (MRI) is suggested in suspicion of clinical complications, such as involvement of surrounding structures or superior sagital sinus thrombosis (11).
Although radiography is conventionally done as the primary diagnostic step when evaluating suspicious cases of sinusitis, this method seems time consuming, unavailable and costly (1), and exposes the person to radiation (12).
Mann highlighted ultra-sonography as a means of sinusitis diagnosis in the year 1975 (13). Studies about the role of ultra-sonography in the diagnosis of maxillary sinusitis are fairly restricted. The results have been controversial in most cases (14-17), while the effectiveness of ultra-sonography has been documented in some surveys, such as the one conducted by Asavoaie et al., as a confirmatory tool in clinical diagnosis of maxillary sinusitis (11).
2. Objectives
This study aimed at following a comparison between ultra-sonography, as a non-invasive, rapid, and available method and Water's view radiography, as a confirmatory tool in clinical diagnosis of maxillary sinusitis in patients with chief complaint of cough (12). Ultra-sonography may prevent other invasive, expensive, and complicating diagnostic methods.
3. Methods
In this double-blind prospective study, 60 cases (120 sinuses) aging from four to sixteen years with the chief complaint of cough and clinical diagnosis of maxillary sinusitis were included. The radiologists interpreting the radiographies were different from the ones performing the ultra-sonographies. These patients were all referred to Pulmonology Outpatient Clinic of Mofid Children Hospital in the year 2015. Study population selection has been done under randomized condition. The aims of the study and the privileges of ultra-sonography application in diagnosis has been completely explained to the parents. Written consents were completed and signed by the parents. The expenses of the imaging studies have totally been paid by the researchers. The Ethics Committee of Shahid Beheshti University of Medical Sciences confirmed the study process. The clinical diagnosis was based on two major or one major and two minor criteria. Water's view standard X-ray with occipitomental approach was taken with Shimadzu radiology device and sinuses were evaluated regarding cloudiness, retention cyst, increased mucosal thickness and air-fluid level. Ultra-sonography was operated with Accuvix V10 with B mode scale and superficial probe with 7Hz frequency. Mucosal thickness, fluid collection, and polypoid thickness were mentioned in maxillary sinuses. The CT scan reports were included in study interpretations if available. Maxillary ultra-sonography and Water's view X-ray were separately done and interpreted in one day and by two expert radiologists, who were unaware of the primary diagnosis and the other interpreting radiologist's report. Data from sonography and radiology results were entered in an information sheet, then entered in SPSS version 21, and finally analyzed.
In this study, 22 children (37%) were females and 38 cases (63%) were males. The median age of the children was 6.8 (+ 1.8 years), ranging from 4 to 13 years. Twenty-one (35%) cases had productive and 39 (65%) cases had non-productive coughs. The distribution of secretions' diversity was as follows; mucosal (38.1%), white (38.1%), thick purulent (19%), and colored (14.3%). Among clinical manifestations, 100% had nasal congestion and secretions, 28% had fever, 12% had hyposmia, and 7% had congestion and 2% had pain. Among minor criteria, cough was present in 100%, headache in 33.3%, and ear ache in 15%. Overall, 13.3% of cases had weakness and none were febrile. From the radiographic point of view, right sinus was normal in 10% of cases, 71.7% had mucosal thickness, and 18.3% had fluid retention. With almost a close similarity, left sinus was normal in 10% of cases, 70% had mucosal thickness, and 20% had fluid collection. Regarding ultra-sonographic viewpoint, the right sinus was normal in 50% of cases, and 25% had mucosal thickness and 25% had fluid retention. Left sinus was normal in 46.7% of cases, 38.3% had mucosal thickness, and 15% had fluid retention. Radiographic and ultra-sonographic features had diagnostic synchrony in 59 sinuses (49.2%). In other words, radiographic features of 32 sinuses (37.7%) with mucosal thickness, 16 sinuses with fluid retention (69.9%), and 11 normal sinuses (91.7%) were confirmed with ultra-sonography. As a whole, 61 sinuses (50.8%) had diagnostic asynchrony regarding radiologic versus ultra-sonographic results, which was not statistically significant (P = 0.153, r = 0.131).
Radiologic and ultra-sonographic features of right sinus were as follows: 31 sinuses (51.7%) had diagnostic synchrony. Overall, 15 sinuses (34.9%) had increased mucosal thickness, 10 sinuses (90.69%) had fluid retention, and 6 sinuses (100%) were normal and confirmed in ultra-sonography. Radiographic features of 29 sinuses (48.3%) had sonographic asynchrony. No significant statistical significance was found in correlation of radiologic features and ultra-sonography of the right side sinuses (P = 0.09, r = 0.221).
Radiologic and ultra-sonographic features of left sinus were as follows; 28 sinuses (46.7%) had diagnostic synchrony. Furthermore, 17 sinuses (40.5%) had increased mucosal thickness, six sinuses (50%) had fluid retention, and five sinuses (83.3%) were normal and confirmed in ultra-sonography. Radiographic features of 32 sinuses (53.3%) had sonographic asynchrony. No significant statistical significance was found in correlation of radiologic features and ultra-sonography of the right side sinuses (P = 0.055, r = 0.678).
In general, radiologic features indicated mucosal thickness in 70.8% of cases, in ways that mild and moderate to severe mucosal thickness constituted 65.9% and 34.1%, respectively. However, ultra-sonography represented mucosal thickness in 38.8% of cases in ways that synchrony of radiographic and ultra-sonographic features occurred in 28.6% of cases of mild mucosal thickness and 59.4% of moderate to severe involvement. Furthermore, 61.2% of sinuses were discovered to have radiologic versus ultra-sonographic asynchrony.
Considering diagnostic modalities of maxillary sinusitis, radiology inspected 108 involved sinuses (90%) and ultra-sonography was detected in 62 sinuses (51.7%). In comparison to radiology, ultra-sonography had sensitivity of 56.4%, specificity of 91.7%, positive predictive value of 98.4%, and negative predictive value of 19%.
This study as a double blind diagnostic study was conducted on 60 children with chief complaint of cough (with and without accompanying symptoms) and clinical diagnosis of maxillary sinusitis referring to the Pulmonology Clinic of Mofid Children Hospital, during year 2015. The aim of the study was to compare the diagnostic value of maxillary sinus ultra-sonography and Water's view standard radiography as a confirmatory tool.
This study revealed a diagnostic synchrony between radiology and ultra-sonography in 49.2% of cases. In other words, radiographic results of 32 sinuses (37.7%) with mucosal thickness, 16 sinuses (69.6%) with fluid retention, and 11 normal sinuses (91.7%) were confirmed with ultra-sonography. Generally, 61 sinuses had radiographic versus ultra-sonographic asynchrony. This study found no statistically significant correlation between radiologic and ultra-sonographic results.
Risavi et al. studied 90 sinuses in 50 young adult patients in the year 1998. In cases that failed to be diagnosed as sinusitis with radiography, in 18 sinuses out of 20 ultra-sonography was confirmatory. In cases diagnosed by ultra-sonography, 80% had mucosal thickness, 84% had fluid collection, and 73% had cysts or polyps. These results were also confirmed with radiography. Synchrony of ultra-sonography with sinuscopy results in cases without diagnosis of sinusitis was reported to be 85%. Ultra-sonography results had mucosal thickness, fluid retention and cysts or polyps in 87%, 92%, and 87% of cases, respectively. All of these results were confirmed by sinuscopy. In this study, ultra-sonography versus radiography had a diagnostic sensitivity and specificity of 93% and 60%, whereas these indices were 93% and 74% when compared to sinuscopy (18).
In a study by Fufezan et al. in the year 2010, 76 children aged between four and sixteen years were selected for comparison between maxillary sinus ultra-sonography and standard radiography. The synchrony rate between these two imaging methods was estimated to be 83.5%. Ultra-sonography sensitivity and specificity was 94.8% and 98% (19); whereas in the current study the sensitivity and specificity of ultra-sonography as a diagnostic tool for detecting fluid retention and mucosal thickness were 56.9% and 100%, respectively.
In a study by Haapaniemi in the year 2001, 209 sinuses were monitored; sensitivity and specificity of ultra-sonography in comparison to maxillary antral lavage was estimated as 77% and 49%, respectively (14).
In a study done by Karantanas and Sandris 56 patients clinical and radiologic diagnosed as maxillary sinusitis were considered. Ultra sonographic features had the sensitivity of 66.7% and specificity of 94.9%, respectively, in comparison to CT scan results (20).
Scheid and Hamm studied the diagnosis of rhino-sinusitis in adults. Ultra-sonography results indicated sensitivity of 84% (ranging from 54% to 98%) and specificity of 69% (ranging from 30% to 94%) in comparison to sinus puncture (21).
In a study by Varonen et al. in the year 2000, ultra-sonography had sensitivity of 85% and specificity of 82% compared to sinus puncture (7).
Ultra-sonographic results confirmed radiographic results of 37.7% of mucosal thickness, 69.6% of fluid retention, and 91.7% of normal appearance. Diagnostic error of ultra-sonography compared to radiography was estimated as 62.3% regarding mucosal thickness, 30.4% in fluid retention, and 8.3% in normal cases; therefore, the amount of diagnostic error of ultra-sonography for inexistence of sinusitis (normal appearance) is acceptable while this diagnostic error for fluid retention is low and for mucosal thickness is high. These findings were similar to diagnostic error results of Fufezan et al.'s study (5.12% in fluid retention and 59.37% in mucosal thickness) (19).
Regarding the low rate of synchrony of sonography and radiography for mucosal thickness, this feature was classified as mild, moderate and severe mucosal thickness. The results were indicative of synchrony of the two diagnostic methods in 29% of mild involvement and 59% of moderate to severe cases.
In a study by Belic et al. titled "A mode sonography and radiography in diagnosis of chronic non-polypoid maxillary rinosinusitis" in Serbia in the year 2009, 79 maxillary sinuses were evaluated. The condition of maxillary sinuses was evaluated with sinuscopy as the standard diagnostic method and reports of radiology and ultra-sonography were compared. This study proved the higher reliability of A Mode ultra-sonography in comparison to radiology in diagnosis of chronic non-polypoid maxillary sinusitis (72.5% versus 60.76%). A mode ultra-sonography was found to be more efficient in diagnosis of fluid content and less applicable in diagnosis of hypertrophic mucus membrane (22).
In a study by Asavoaie et al. in the year 2012 titled "Maxillary sinus ultra-sonography as a reliable diagnostic method in children's acute sinusitis", ultra-sonography of maxillary sinus was done in the sitting position with head flexion.
Transducer was placed in bilateral parts of the nose, inferior to lower orbital wall and anterior to maxillary sinus and then the sinus was scanned by moving the transducer in cranio-caudal and medio-lateral sections. In this study, transonic or hyper echoic, homogenous, and triangular images with obvious borders were interpreted as fluid retention and triangular amorphous hyper echoic images with fine borders were interpreted as mucosal thickness. In this study, the standard radiation for evaluation of para-nasal sinuses was occipitomental view (Water's view).
Researchers concluded that performing maxillary sinus ultra-sonography was possible even with the air trapped in sinus cavities and normal images were produced with back echo from the posterior sinus wall. Ultra-sonography showed to be a reliable method in diagnosis of acute complicating sinusitis and prevents non-necessary exposure to radiation (11).
In a study conducted by Alaskaree 55 patients with clinical symptoms of sinusitis were considered for Water's view radiography, maxillary sinus ultra-sonography, and sinus puncture during year 2008. Sensitivity of radiography and ultra-sonography in comparison to maxillary sinus sampling were 90.5% and 93.5%, respectively. Specificity of radiology and ultra-sonography when compared to sinus sampling were 41% and 55.3%, respectively. It was concluded that not only ultra-sonography is valuable along with Water's view radiography and sinus sampling yet it is also safe and secure in regards to children and pregnant women (12).
In a study by Zagolski and Strek, on nasal cavities and paranasal sinuses ultra-sonography in the year 2007, 66 patients with pathologic results of paranasal sinus CT scan or nasal bone radiography were studied in comparison to 20 healthy individuals as controls. The synchrony of CT scan and ultra-sonography in survey of maxillary sinus was estimated as 81.4% in this study (58.8% in acute sinusitis and 85% in chronic sinusitis). This study confirmed ultra-sonography if operated correctly as a means to restrict para-nasal sinus CT scanning, specially for follow-ups (23).
In a study by Ioannidis and Lau in the year 2001 as a meta-analysis of articles related to imaging in sinusitis, a moderate synchrony was detected between the clinical diagnosis and sinus radiography results, yet no correlation was found between ultra-sonography results and clinical symptoms (24).
5.1. Conclusions
The current study showed that ultra-sonography is not a suitable technique for evaluation of mild mucosal thickening of maxillary sinus, yet may be an alternative imaging method when compared to invasive surveys for more severe sinusitis with moderate to severe mucosal thickness and presence of fluid in maxillary sinuses. Conducting another study to evaluate the diagnostic value of radiology and ultra-sonography in comparison to MRI in patients involved with maxillary sinusitis is suggested.
The authors acknowledge Dr Tonekaboni as the executive manager of clinical research development of Mofid Children's Hospital, Dr Khalili and her colleagues at the Department of Radiology and the personnel of Pulmonology Clinic of Mofid Children Hospital for their kind support and valuable efforts.
Authors' Contribution: Sara Sanii: Main Corresponder; Alireza Asadi: Principal researcher; Seyed Ahmad Tabatabaee: Chief consultant; Roxana Azma: Attending radiologist; Mitra Khalili: Radiologist; Ghamartaj Khanbabaee: Consultant; Saeed Sadr: Consultant; Laya Zarrabi, Elham Asadi and Mohammad Rezaei: Cooperation in study design and statistics.
Conflict of Interests: None declared.
Ethical Considerations: Ethics Committee of Shahid Beheshti University of Medical Sciences confirmed the study process.
Funding/Support: There was no financial support for this project.
1. Puhakka T, Heikkinen T, Makela MJ, Alanen A, Kallio T, Korsoff L, et al. Validity of ultrasonography in diagnosis of acute maxillary sinusitis. Arch Otolaryngol Head Neck Surg. 2000;126(12):1482-6. doi: 10.1001/archotol.126.12.1482. [PubMed: 11115287].
2. Rosenfeld RM, Andes D, Bhattacharyya N, Cheung D, Eisenberg S, Ganiats TG, et al. Clinical practice guideline: Adult sinusitis. Otolaryngol Head Neck Surg. 2007;137(3 Suppl):S1-31. doi: 10.1016/j.otohns.2007.06.726. [PubMed: 17761281].
3. Leung AKC, Kellner JD. Acute sinusitis in children: Diagnosis and management. J Pediatr Health Car. 2004;18(2):72-6. doi: 10.1016/j.pedhc.2003.08.007.
4. Friday GA Jr, Fireman P. Sinusitis and asthma: Clinical and pathogenetic relationships. Clin Chest Med. 1988;9(4):557-65. doi: 10.3109/02770909009073287. [PubMed: 3069288].
5. Fearon B, Edmonds B, Bird R. Orbital-facial complications of sinusitis in children. Laryngoscope. 1979;89(6 Pt 1):947-53. doi: 10.1288/00005537-197906000-00010. [PubMed: 449539].
6. American Academy of Pediatrics; Subcommittee on Management of Sinusitis and Committee on Quality Improvement. Clinical practice guideline: Management of sinusitis. Pediatrics. 2001;108(3):798-808. [PubMed: 11533355].
7. Varonen H, Mäkelä M, Savolainen S, Läärä E, Hilden J. Comparison of ultrasound, radiography, and clinical examination in the diagnosis of acute maxillary sinusitis: A systematic review. J Clin Epidemiol. 2000;53(9):940-8. doi: 10.1016/S0895-4356(99)00213-9. [PubMed: 11004420].
8. Osguthorpe JD. Adult rhinosinusitis: Diagnosis and management. Am Fam Physician. 2001;63(1):69-76. [PubMed: 11195772].
9. McAlister WH, Kronemer K. Imaging of sinusitis in children. Pediatr Infect Dis J. 1999;18(11):1019-20. doi: 10.1097/00006454-199911000-00017.
10. Okuyemi KS, Tsue TT. Radiologic imaging in the management of sinusitis. Am Fam Physician. 2002;66(10):1882-6. [PubMed: 12469962].
11. Asavoaie C, Fufezan O, Chereches Panta P, Cosarca M. Maxillary sinuses ultrasonography-a reliable method in the diagnosis of acute sinusitis in children. ECR. 2012. doi: 10.1594/ecr2012/C-2492.
12. Alaskaree AAK. Maxillary sinus ultrasound versus plain radiography and diagnostic antral washout in the diagnosis of maxillary sinus diseases. Iraq Acad Sci J. 2008;7(4):311-7.
13. Mann W. Echography of the paranasal sinuses. Arch Otorhinolaryngol. 1975;211:145-7.
14. Haapaniemi J. Comparison of ultrasound and X-ray maxillary sinus findings in school-aged children. Ear Nose Throat J. 1997;76(2):102-6. [PubMed: 9046698].
15. Reilly JS, Hotaling AJ, Chiponis D, Wald ER. Use of ultrasound in detection of sinus disease in children. Int J Pediatr Otorhinolaryngol. 1989;17(3):225-30. doi: 10.1016/0165-5876(89)90049-9. [PubMed: 2670796].
16. Shapiro GG, Furukawa CT, Pierson WE, Gilbertson E, Bierman CW. Blinded comparison of maxillary sinus radiography and ultrasound for diagnosis of sinusitis. J Allergy Clin Immunol. 1986;77(1 Pt 1):59-64. doi: 10.1016/0091-6749(86)90324-6. [PubMed: 3511125].
17. Revonta M, Kuuliala I. The diagnosis and follow-up of pediatric sinusitis: Water's view radiography versus ultrasonography. Laryngoscope. 1989;99(3):321-4. doi: 10.1288/00005537-198903000-00016. [PubMed: 2645496].
18. Risavi R, Klapan I, Barcan T, Simovic S. Effectiveness of ultrasonography in diagnosis of maxillary sinus disease: A prospective comparison with radiographic and sinusoscopic examinations. Croat Med J. 1998;39(1):45-8. [PubMed: 9475807].
19. Fufezan O, Asavoaie C, Chereches Panta P, Mihut G, Bursasiu E, Anca I, et al. The role of ultrasonography in the evaluation of maxillary sinusitis in pediatrics. Med Ultrason. 2010;12(1):4-11. [PubMed: 21165447].
20. Karantanas AH, Sandris V. Maxillary sinus inflammatory disease: Ultrasound compared to computed tomography. Comput Med Imaging Graph. 1997;21(4):233-41. doi: 10.1016/S0895-6111(97)00015-3.
21. Scheid DC, Hamm RM. Acute bacterial rhinosinusitis in adults: Part I. Evaluation. Am Fam Physician. 2004;70(9):1685-92. [PubMed: 15554486].
22. Belic B, Erdevicki L, Stojanovic J, Stojanovic S, Arsenijevic S, Stankovic P. [A-mode ultrasonography and roentgenography in diagnosing chronic nonpolypoid maxillary rhinosinusitis]. Acta Chir Iugosl. 2009;56(3):139-44. Serbian. [PubMed: 20218119].
23. Zagolski O, Strek P. [Ultrasonography of the nose and paranasal sinuses]. Pol Merkur Lekarski. 2007;22(127):32-5. Polish. [PubMed: 17477087].
24. Ioannidis JP, Lau J. Technical report: Evidence for the diagnosis and treatment of acute uncomplicated sinusitis in children: A systematic overview. Pediatrics. 2001;108(3). E57. doi: 10.1542/peds.108.3.e57. [PubMed: 11533375].
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text:
Browse > Home / Poker News / Henry Lu Wins 1st Bracelet and Andy Block Leads $50K Players Championship
Henry Lu Wins 1st Bracelet and Andy Block Leads $50K Players Championship
The 2012 gold bracelet for WSOP Event #43: $1,500 NLH was awarded to Henry Lu in the wee hours of the morning last night after a long day of intense action that began with 20 players including James Mackey who fell out in third place with a $286,000 payout leaving Lu and British poker veteran Neil Channing to duke it out heads-up for close to four hours. Ultimately, Lu would take the title leaving Channing with $406,409 making his all-time tourney earnings total more than $3 million. Channing has yet to win a WSOP bracelet.
This was the Brooklyn native's first WSOP bracelet and along with it, he won $654,380 of the $3.7+ million prize pool amassed by 2,770 players. Lu now ranks 73rd on Card Player's Player of the Year list, while ranking 116th on the Bluff Magazine Poker Player of the Year listing.
Meanwhile, Andy Bloch may earn his second WSOP bracelet for the 2012 WSOP in Event #45: $50K Players Championship, though he's got some tough competition including Viktor Blom, Phil Hellmuth, David Benyamine, Jeff Lisandro, Shaun Deeb, Doyle Brunson, Huck Seed, Patrik Antonius, and Jason Mercier, just to name a few. This star-studded event is a big deal and features some of the biggest names in pro poker. And despite the fact that many players are playing tight because of the massive stakes, eliminations are imminent. Barry Greenstein was unfortunately eliminated about an hour ago after raising all in with 22,700 chips when Blom called. David Baker, in the big blind, went all in with 108,900 chips. Blom called again. Greenstein's A♦/3 ♣ was no match for Blom's A♥ /J♠. Baker showed J♦/J♣. The board read 8♥/4♦/7♠/7♥/Q♠ and Baker won it all, doubling up and sending Greenstein to the rail.
Currently Bloch, who won his first bracelet this year in Event #7: $1,500 7 Card Stud, is chip leader and brothers Michael and Robert Mizrachi, John Hennigan, John Monnette, and Jeff Lisandro hold the big stacks of 600,000 chips or greater. Forty-eight players remain.
Written by Bea · Filed Under Poker News


I'm sorry to hear that you've been ill - hope you're better now.
[quote user="Greg F"] I'm still waiting for people to realize how great the Stoic bundle is , and it's only $25. [/quote] I'm "in" on that one.
[quote user="Sean"] [quote user="SineNomine"] [quote user="Sean"] Has anyone figured out the Verbum FBotM yet? The page hasn't updated yet (not unusual). [/quote] https://www.logos.com/product/29732/a-lexicon-of-saint-thomas-aquinas [/quote] Ah wow that's nice too! [/quote] Yes, indeed!
Hey, it worked! Thank you very much, Dave! Merry Christmas!
[quote user="Dave Hooton"] [quote user="EastTN"]When I opened it with DB Browser, the file appeared empty. [/quote] It isn't easy! [/quote] Whoa! Thanks for the detailed instructions. I'll take a stab at that as soon as I a chance (we're hitting the road for Christmas soon).
Thanks again for letting us know what's being updated. Merry Christmas!
Dave, thanks for the answer! I'll have to look into SQLite.
Yes. That's not intended as a criticism of FaithLife - it's just a fact that purchasing a mid-level Logos base package costs a significant amount of money. That's not necessarily bad. Lot's of things are expensive. It just means that I need to think a bit more carefully about my Logos purchases than I might if they were less expensive.
[quote user="J. Remington Bowling"] If you're doing research for a paper, it's best to not caricature the other side and maybe do your research from someone who doesn't create silly caricatures. [/quote] That's good advice for all of us on most any topic.
[quote user="NB.Mick"] Wright writes: ...It's interesting, isn't it, that we tend to call him 'Jude' , thereby distinguishing him from two others who had the same name: Judah the patriarch, the ancestor of Jesus, and Judas Iscariot. Why have we done that? He has a royal and ancient name, and I prefer that he should keep it .


-As insurgents require the enemy to use proportional force to the threat you pose as insurgents by using civilian martyrs in explosive suppression impact zones and in the way of other suppression or breach hazards.
-Fire and move away from your own tracers and friendlies last tracer outgoing locations immediately and keep up the fire as you go, this will draw fire to areas you have already vacated and make you seem like a larger force than you really are. As well as making the enemy miss. 4 guys can feel like 8+, this method also gives machine gunners good covering fire.
-If you cannot aim for your target zones without being acquired as a target by your enemy too quickly, suppress from behind cover firing as close to over the enemy heads as you can to get them in cover. Keep in mind this will only work until the enemy realizes that psychological warfare you doing up over their heads, use the limited time to move or accomplish something.
-Go outside in real life, smell the ground, smell the plants, feel the suns heat, prone in the shade of a dense bush cluster, get friendly with the bugs, feel the wet muddy ground. Smell the smokeless powder, get eye level with the cover a good fighting position of tree roots or good defilade. This will immerse you further and give you an idea of the feeling as you are playing Project Reality.
-When fighting in a woodland, jungle, anything of dense vegetation, urban rubble of ruins environments... take up good position with your fire teams within objectives. You are not looking for human shaped or sized object, if you can see them that is great but engage anything that moves or looks suspicious within your managed target zones keeping friendlies out of the target zones until a controlled breach or communicated adjacent position occupation can be accomplished.
-Set up in sight of each other, cover all possible positions and angles enemy could fire on you or your friendlies by locking down the target zones, scan across your mates backs, area targets and each point target position every 1-10 seconds should a enemy peek a target quickly. Give the enemy no chance to see anything, be ready to shift maintaining this same method to a new position within objective before grenades and return fire mimicking suppression comes in.
-When running armor do not bunch up the armor for any reason, use the same skills you would as infantry but with the body of a armored vehicle. All skills such as cover, concealment, communication, proper spacing without bunching up, terrain features for safe travel, combat techniques of fire, intuitive based X-Ray vision for hitting parts of armor concealed by foliage, target identification and proper scanning methods to stay alive.
-For tank machine gunners you should be very good at using iron sights and spotting enemy target dots alone with effective firing techniques. Your job is to hit area targets and point targets once in the danger zone of many threats, know your tanks status as far as being compromised. Fire at the height of a man everywhere a HAT/LAT/ close combat engineer sapper could be hiding. Use good fire control methods of 3-5 or 5-10 round bursts to conserve ammo surviving until enemy armor is down.
Last edited by Grump/Gump.45; 2019-03-22 at 00:02..
-For helicopter pilots transporting troops, take a look at where you are requested to take the guys in the chopper. If it is too dangerous of a location due to distance from possible enemy tell the squad you are transporting the safest, next closest landing zone you can take them to. Tell the squad 500 meters is 2 minutes on foot, 1000 meters is 4 minutes.
- Ideally as a chopper pilot your chosen route should provide cover of hills or concealment of tall forests. Stay out of range of enemy until you have the final safe direction approach. If you go around and come from enemy main direction you can confuse enemy.
-As a chopper pilot who needs to go into a hot landing zone to pick up or drop off troops and supplies, to ensure survival call in artillery or for airstrikes designated by ground forces or yourself on the map on areas the enemy could possibly fire on you from. Reduce the window of opportunity that your chopper is a target, don't come in from the same directions each time.
-As a transport squad leader if you are evacuating a defensive unit who needs to move up to the next defensive cap zone, but they are still under attack work out a LZ for them to break contact and fall back to. Help out by communicating the plan to your commander and giving him a marker to mark for evacuating squad leaders pre planned LZ. This is faster than the squad leader evacuating having to look for that grid and mark it for his squad or having to plan it himself (Stresses Grump Out).
- As a transport pilot for fast hover drop off, 10 meters is the proper elevation to safely drop troops un-injured on to the ground without landing. Watch and get a feel for this elevation, remember to not be moving except to turn chopper during the fast drop.
-Drop supplies for troops in cover close to their fighting positions if you have the time, behind clusters of foxholes, defilades, good camouflage positions to keep them alive. This will allow them to access ammo quicker without running out into the open to get ammo from a poorly placed crate, giving them more immediate firepower and grenades. 2 crates close together in same spot allows for faster grenade re-arms.
-A chopper gunners job is to suppress all areas of cover and concealment where no friendlies are upon entering the most likely possible danger zones where enemy could spot or hear the choppers direction. They should also jump out upon landing with the troops as only flares and evasive maneuvers will save the chopper from AA and other return fire. For CAS door gunner who stay in suppress everywhere no friendlies are on attack runs.
Last edited by Grump/Gump.45; 2019-03-21 at 23:59..
Hey Grump, I know ya mean well. But the loading screens are for quick tips that you can read in a second. Not a paragraph of information that takes longer to read than the game loads. Also I'm fairly certain that some of your tips are already suggested or even in the game.
Does it really need to be said that aside from me editing, if any of these are to be used in the game they will be edited and remixed by the people making it. It says my reasons for editing are shortening by re-wording to PR tip format. Loading screen stays on 15% Objects for a while, its slow loading for everyone relatively. On top of the fact many people read it here.
-Program your mind to survival, awareness and communication. Be aware like a radar using senses of sight, sound... know all possibilities in any situation based on angles, assets, safety, terrain etc both on your teams end and the enemies end. Be aware of what enemy may know or assume. The goal is first to stay alive to keep the objective. Keep others alive.
-Your mind is the greatest weapon regardless of the kit you have, don't let the enemy mess with your mind or manipulate you and do everything to mess with the enemies. I.E use methods like probing fire giving the enemy tracers to shoot back at revealing their position to you, force enemy out of terrain by shooting at them even when you don't see them. Stress them.
-Base teamwork off METT-TC considerations (Mission, Enemy, Terrain, Troops - Time, Civil considerations) to apply to each situation. It should be considered before and during each match to keep people alive, Mission is always to keep people alive first to complete objectives. Think about enemy equipment and how they might use terrain to survive with it. Know all possibilities and in depth status of friendly/enemy/objectives then apply time to be more effective and better anticipate enemy.
-Use less ammo than the enemy, draw fire to your location in one spot by shooting less than what enemy is using. Shoot through foliage, through loop holes, over rubble or other areas of concealment remaining eye level with it to stay least exposed. Once enemy attention is drawn to a location move to another, waste the enemy ammo and time by being frustrating target.
-Use tracers to direct your teams firepower identifying target zones with both outgoing and incoming tracers. For a team with iron sights going up against scopes use the tracers of the team with scopes to direct large volumes of firepower aimed with iron sights over and around the enemy general location.
-Stay out of angle of enemy armor especially if it has thermal FLIR vision, don't peek to look at it, don't stand up around friendlies hiding from it, move around it behind deep cover and don't give it any target opportunity. Always be aware if you are going to be exposed to it from a future or current position, make sure others are aware of the danger. Don't get other people killed.
-Apply window of opportunity concept to every situation. For example the window of opportunity to be shot, to be seen, the time to safely move, the window of time where no armor will be a threat. Wait for these windows of opportunity and manipulate them to you advantage. It can make a sniper shoot a specific location or get a full squad across open desert.
-This historic explanation I(Grump) learned about colonial volunteers questioning their orders as noted by French General Marquis de Lafayette in the American Revolution explains the structure of my orders. "These Americans frequently question every order and carry it out slowly, or even with incompetence.. they seem to more effectively follow orders once a justification, description or explanation follows it or is included."-General Lafayette letter, source YT:channel -Yale Courses- Search-Yale Courses American Revolution professor Freeman.
Last edited by Grump/Gump.45; 2019-04-21 at 20:00..


text:
Eve out of Her Ruins
Ananda Devi, Jeffrey Zuckerman, et al. | 4.41 | 537 ratings and reviews
Ranked #4 in Mauritius
"Devi writes about terrible and bitter events with a soft, delicate voice."—Le Figaro
With brutal honesty and poetic urgency, Ananda Devi relates the tale of four young Mauritians trapped in their country's endless cycle of fear and violence: Eve, whose body is her only weapon and source of power; Savita, Eve's best friend, the only one who loves Eve without self-interest, who has plans to leave but will not go alone; Saadiq, gifted would-be poet, inspired by Rimbaud, in love with Eve; Clélio, belligerent rebel, waiting without hope for his brother to send for him from... more
With brutal honesty and poetic urgency, Ananda Devi relates the tale of four young Mauritians trapped in their country's endless cycle of fear and violence: Eve, whose body is her only weapon and source of power; Savita, Eve's best friend, the only one who loves Eve without self-interest, who has plans to leave but will not go alone; Saadiq, gifted would-be poet, inspired by Rimbaud, in love with Eve; Clélio, belligerent rebel, waiting without hope for his brother to send for him from France.
Eve out of Her Ruins is a heartbreaking look at the dark corners of the island nation of Mauritius that tourists never see, and a poignant exploration of the construction of personhood at the margins of society. Awarded the prestigious Prix des cinq continents upon publication as the best book written in French outside of France, Eve Out of her Ruins is a harrowing account of the violent reality of life in her native country by the figurehead of Mauritian literature.
The book featurues an original introduction by Nobel Prize winner J.M.G. Le Clézio, who declares Devi "a truly great writer."
Ananda Devi (b. 1957, Trois-Boutiques, Mauritius) is a novelist and scholar. She has published eight novels as well as short stories and poetry, and was featured at the PEN World Voices Festival in New York in 2015. She was made a Chevalier des Arts et des Lettres by the French Government in 2010. less
If you like Eve out of Her Ruins, check out these similar top-rated books:


text:
import {Model} from "src/models/common/Model";

export class Job extends Model {
  static model = "Job";

  async pause() {
    return this.constructor.api().callMethod(this.id, 'pause', []);
  }

  async resume() {
    return this.constructor.api().callMethod(this.id, 'resume', []);
  }

  async changeState(newState) {
    return this.constructor.api().callMethod(this.id, 'goto', [newState]);
  }

  async retry() {
    return this.constructor.api().callMethod(this.id, 'retry', []);
  }
}

redpajama_set_name: RedPajamaGithub


text:
of Saint Christopher and Nevis
The Constitution of Saint Kitts and Nevis was adopted on 23 June 1983 and took effect when the country became independent on 19 September 1983. It consists of 11 chapters and various schedules, which establish the rights, responsibilities and definition of the citizens of the federation. It also provides the form and structure of government, and enumerates the powers of the different branches of government. Its treatment of the island of Nevis is rather unusual among federated nations.
The current constitution of Saint Kitts and Nevis was prepared in anticipation of the country achieving independence from Britain. It is the only constitution the country has had as an independent nation, however there were several colonial constitutions before it. The union of the islands of Saint Kitts and Nevis has been controversial at least since 1882, leading the constitution to specifically provide for a path to independence for Nevis. This makes Saint Kitts and Nevis unusual among Federations.
The government created by the constitution is a constitutional monarchy headed by Elizabeth II, with a unicameral legislature. Nevis is provided with a separate island administration, but Saint Kitts is not.
The islands of Anguilla, Saint Kitts, and Nevis formed a British crown colony known as Saint Christopher Nevis Anguilla from 1882 until Anguilla rebelled in 1971. On 19 September 1983 the remaining two islands, Saint Kitts and Nevis, achieved independence from Britain. In preparation for independence, a draft constitution was presented on June 22, 1983 and accepted on June 23, to take effect upon independence.
The union of the three islands, and later the two islands was never easy, with Anguilla and Nevis being strongly opposed to the union with Saint Kitts. Nevis protested strongly against being joined with Saint Kitts from the time the idea was first broached by the British Colonial Office in 1867 until the present.
The 1983 constitution was not the first constitution for Saint Kitts and Nevis; the CIA World Fact book says there were "several previous" constitutions. However, it was the constitution enacted at the founding of the modern state of Saint Kitts and Nevis, and has not yet been replaced. However, following the failed Nevis independence referendum in 1998, a commission was appointed to make recommendations for future relations between the two islands, and together with a subsequently appointed constitutional task force, recommended a number of changes to the current constitution.
The constitution of Saint Kitts and Nevis is rather unusual in that it provides Nevis with a great deal of autonomy, and contains a provision allowing Nevis to secede should a two thirds majority of the island's citizens vote for secession. In 1998 a referendum failed to achieve the required two thirds majority for independence.
The constitution establishes Saint Kitts and Nevis as a federation consisting of two states, one on each island. However, Saint Kitts and Nevis differs from most federated states in that in a normal federation each state has its own regional government, with the federated government providing an overarching government. However, while the Constitution provides for Nevis to have its own separate legislature, Saint Kitts is governed directly by the National Assembly. Also, the constitution provides for the appointment of a Governor General for the whole of Saint Kitts and Nevis, who appoints a Deputy Governor of Nevis. So while Nevis has its own legislature, assembly, and island administration, Saint Kitts has no such independent legislative bodies and so it is not a typical federated government. The Constitution of Saint Kitts and Nevis is unique in that it creates a federation not between Saint Kitts and Nevis, but between Nevis and the federation of Saint Kitts and Nevis. It provides for the establishment of a unicameral legislature known as the National Assembly. The constitution directs that Saint Kitts and Nevis be divided into no fewer than 11 constituencies, at least 1/3 of which are in Nevis. The national assembly contains one representative from each constituency, together with at least three appointed senators.
The national assembly is empowered to make laws, but its ability to make laws impacting Nevis is restricted by Section 37 and Chapter X.


text:
Q: Golang Gorm reverse hasMany relation We can Easy to get the child of hasMany relation in Golang Gorm with Preload.
But how to get reverse of relation.
type Owner struct {
    ID         int        `gorm:"column:id" json:"id"`
    Name       string     `gorm:"column:name" json:"name"`
    Projects   []Project  `gorm:"foreignkey:OwnerID" json:"projects"`
}

type Project struct {
    ID          int     `gorm:"column:id" json:"id"`
    Name        string  `gorm:"column:name" json:"name"`
    OwnerID     int     `gorm:"column:owner_id" json:"owner_id"`
    Gallery     []Gallery `gorm:"foreignkey:ProjectID" json:"gallery"`
}

type Gallery struct {
    ID             int    `gorm:"column:id" json:"id"`
    ProjectID      int    `gorm:"column:project_id" json:"project_id"`
    Url            string `gorm:"column:url" json:"url"`
    Title          string `gorm:"column:title" json:"title"`
    Description    string `gorm:"column:description" json:"description"`
}

we can populate Gallery inside Project with Preload, like this:
db.Preload("Gallery").Find(&project)

How to get reverse, we want load project from gallery or owner from project?
the result I want some thing like this, when get project in form of json:
{
   "id": 1,
   "name": "Name Of Project",
   "owner": {
      "id":1,
      "name": "Owner 1"
   },
   "gallery":[]
}

A: I am a bit late to the game with this answer, but you can define inverse relationships (belongs to) on the child models by doing this:
type ParentModel struct {
    Children []Child // This is a 'has many'
}

type Child struct {
    ParentModelID int // These behave as a 'belongs to'
    ParentModel ParentModel // You need both the model and the modelID
}

Full working example
This uses the models from your question. A note on performance, the preloading in gorm isn't done via joins. It's done via additional SQL queries, the more nesting the more queries. If you have commonly executed preloading, it could be worth writing a raw query and a customer scanner to use an optimised query.
package main

import (
    "fmt"
    "gorm.io/driver/sqlite"
    "gorm.io/gorm"
)

type Owner struct {
    gorm.Model
    Projects []Project
}

type Project struct {
    gorm.Model
    OwnerID int
    Owner   Owner
    Gallery []Gallery
}

type Gallery struct {
    gorm.Model
    ProjectID int
    Project   Project
}

func main() {
    db, err := gorm.Open(sqlite.Open("many2many.db"), &gorm.Config{})
    if err != nil {
        panic("failed to connect database")
    }

    err = db.AutoMigrate(&Owner{}, &Project{}, &Gallery{})
    if err != nil {
        return
    }

    ownerOne := Owner{}
    db.Create(&ownerOne)

    projectOne := Project{Owner: ownerOne}
    projectTwo := Project{Owner: ownerOne}
    db.Create(&projectOne)
    db.Create(&projectTwo)

    galleryOne := Gallery{Project: projectOne}
    galleryTwo := Gallery{Project: projectOne}

    galleryThree := Gallery{Project: projectTwo}
    galleryFour := Gallery{Project: projectTwo}

    db.Create(&galleryOne)
    db.Create(&galleryTwo)
    db.Create(&galleryThree)
    db.Create(&galleryFour)

    // Find by project and preload owners
    fetchedProject := Project{}
    db.Preload("Owner").Find(&fetchedProject, projectOne.ID)
    fmt.Println(fetchedProject.Owner)

    // Find by a gallery and preload project and owner
    fetchedGallery := Gallery{}
    db.Preload("Project.Owner").Find(&fetchedGallery, galleryOne.ID)
    fmt.Printf("Gallery.id = %d --> Project.id = %d --> Owner.id = %d\n", fetchedGallery.ID,
        fetchedGallery.Project.ID, fetchedGallery.Project.Owner.ID)
}

redpajama_set_name: RedPajamaStackExchange