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Mayo Clinic in the Ne ws is a weekly highlights summary of major media coverage. If you would like to be added to the weekly distribution list, send a note to Emily Blahnik with this subject line: SUBSCRIBE to Mayo Clinic in the News.
Editor, Karl Oestreich; Assistant Editor: Emily Blahnik
Five signs of prescription drug abuse
by Allie Shah
The latest numbers are sobering: On average, 91 people a day die from an opioid-related overdose, according to the U.S. Centers for Disease Control and Prevention. While doctors and legislators are taking steps to address the situation, there's another critical line of defense: loved ones who can spot the telltale signs of opioid addiction. "A lot of family members will say, 'Oh, gosh, looking back, yeah, I see it.' Because it happens so gradually and so insidiously typically," said Dr. W. Michael Hooten, professor of anesthesiology at the Mayo Clinic in Rochester and an expert in pain medicine. We asked Hooten and Dr. Charles Reznikoff, an addiction specialist at Hennepin County Medical Center, for advice on what to look for if you suspect someone you love is addicted to opioids.
Reach: The Star Tribune Sunday circulation is 518,745 copies and weekday circulation is 300,277. The Star Tribune is the state's largest newspaper and ranks 16th nationally in circulation.
Context: W. Michael Hooten, M.D. is a Mayo Clinic psychiatrist and anesthesiologist. Dr. Hooten is affiliated with Mayo's Departments of Pain Medicine and Anesthesiology and Perioperative Medicine. His clinical research relates to chronic pain with a specific focus on changes in pain thresholds and tolerances following opioid tapering; the genomics of chronic pain; and the effects of smoking on treatment outcomes of chronic pain.
Contact: Duska Anastasijevic
KARE 11
Hockey concussion summit underway in Rochester
Physicians, scientists, athletic trainers, coaches, officials and retired pro players are gathering in Rochester this week to discuss concussions in the game of ice hockey. "Ice Hockey Summit III: Action on Concussion" is a forum to discuss preventing, diagnosing and treating concussions in the sport at all levels. "Ultimately, we're coming together to make the sport safer for our athletes," says Michael Stuart, M.D., orthopedic surgeon and co-director, Mayo Clinic Sports Medicine. "Athletes at all levels are bigger, stronger and faster. Therefore, we must improve our ability to diagnose, treat and prevent traumatic brain injury."
Reach: KARE 11 is the NBC affiliate in Minneapolis-St. Paul and reaches more than 600,000 people each week in its coverage area. Its website has more than 1.5 million unique visitors each month.
Additional coverage: WXOW La Crosse, KTTC, Post-Bulletin, KAAL
Context: Mayo Clinic Sports Medicine hosted "Ice Hockey Summit III: Action on Concussion" Sept. 28-29. "Ultimately, we're coming together to make the sport safer for our athletes," says Michael Stuart, M.D., orthopedic surgeon and co-director, Mayo Clinic Sports Medicine. "Athletes at all levels are bigger, stronger and faster. Therefore, we must improve our ability to diagnose, treat and prevent traumatic brain injury." More information can be found on Mayo Clinic News Network.
Contact: Rhoda Fukushima Madson
Post-Bulletin
Mayo, Oxford form transatlantic partnership
by Brett Boese
Mayo Clinic announced an ambitious transatlantic partnership this morning that ties together two of the world's elite health care providers. Mayo Clinic, the University of Oxford and the Oxford University Hospitals NHS Foundation Trust have signed an agreement aimed at improving medical research and patient care for patients across the globe. Mayo's Stephen Cassivi, a Rochester-based doctor who has served as the medical director of the collaboration for the past year, says it's now time for both sides to "roll up their sleeves" as they work through the remaining logistics of the high-potential relationship.
Reach: The Post-Bulletin has a daily readership of more than 32,000 people and more than 442,000 unique visitors to its website each month. The newspaper serves Rochester, Minn., and Southeast Minnesota.
Additional coverage: Voice of Alexandria, KTTC
Context: Mayo Clinic, the University of Oxford, and Oxford University Hospitals NHS Foundation Trust have signed an agreement to work together, driving advances in medical research and patient care. This agreement will underpin collaboration in all areas of innovation. Mayo Clinic and Oxford will bring together their respective expertise to improve patient care, make scientific discoveries and educate the health care providers and researchers of the future. More information can be found on Mayo Clinic News Network.
Contact: Bryan Anderson
Mayo Clinic talks caffeine myths before National Coffee Day
by Anne Halliwell
Today is International Coffee Day. But what are some truths and myths about that steaming cup of java? Donald Hensrud, director of the Mayo Clinic Healthy Living Program, had the answers to our questions.
Context: Donald Hensrud, M.D. is a Mayo Clinic endocrinologist and editor of The Mayo Clinic Diet Book.
Contact: Kelley Luckstein
KSAZ/FOX10, Phoenix
Valley woman who beat breast cancer works to spread awareness
Back in February of 2014, Elizabeth Vines of Seattle noticed a pea-sized lump in her breast. Without looking, the 35-year-old woman was told by her family doctor that she shouldn't be concerned. "He actually didn't even think to look at it," Vines said.But over the next six months, Elizabeth noticed the lump grew to nearly half the size of a lemon, and after several more exams and a misdiagnosis, she took her health into her own hands and came here, to the Mayo Clinic Hospital in Phoenix.
Reach: KZAZ-10 is the Fox affiliate in Phoenix. Its website receives more than 589,000 unique visitors each month.
Context: Donald Northfelt, M.D. is a Mayo Clinic medical oncologist with Mayo's Breast Clinic and Elizabeth Vines' physician. The Breast Clinic coordinates state-of-the-art services, research studies and education to provide a highly personalized evaluation and treatment plan. This multidisciplinary approach assures that the combined knowledge and wisdom of many experienced breast cancer specialists are available to provide you with the latest quality breast cancer treatment and research.
Contact: Jim McVeigh
Hospitals & Health Networks, Mayo's Transform 2017: Maximizing Health by Matt O'Connor — The 2017 Mayo Clinic Transform Conference opened with a keynote presentation that asked one of health care's toughest questions: How do we maximize wellness? The panel of five speakers kicked off with a presentation from Andy Slavitt, senior adviser at the Bipartisan Policy Center. The former acting administrator of the Centers for Medicare & Medicaid Services walked attendees through a history of a few of the more significant moments in U.S. health care, from the implementation of Medicare and Medicaid in 1965 to the passage of the Affordable Care Act in 2009. Additional coverage: Healthcare Analytics News
US News & World Report, Stem Cells May Hold the Fix by Stacey Colino — Precisely how stem cell therapies work is still being uncovered. What's emerging is a realization that "they teach the body to heal from within," explains Atta Behfar, a cardiologist and director of the cardiac regenerative medicine program at the Mayo Clinic. Stem cells delivered into a heart injured by a heart attack don't "serve as the brick and mortar to repair the heart," he says. "It's the proteins and other substances they secrete that tell your body to heal."
HealthLeaders Media, Higher Cancer Costs Linked to Pre-existing Psychiatric Diagnoses by Alexandra Wilson Pecci — Cancer patients with pre-existing psychiatric diagnoses had 208% higher follow-up ED costs than patients without them, according to a new study from Mayo Clinic. Those patients also had 193% higher follow-up hospital outpatient costs and 190% higher follow-up hospital inpatient costs. "Psychiatric health is an essential component of comprehensive cancer care," the study's lead author Mark Waddle, M.D., a radiation oncologist at Mayo Clinic's Florida campus, said in a statement. "However, little has been done to quantify the impact of pre-existing psychiatric conditions on the cost of cancer care."
Health Data Management, Amazon, Mayo team to bring basic treatment info in the home by Joseph Goedert — Amazon Alexa, the wireless digital assistant that can perform a multitude of tasks via simple voice commands from a user, now offers access to first aid treatment with self-care instructions using content from the Mayo Clinic. The free service is a new "skill" or capability—built by Mayo—that an individual can add to Amazon Alexa devices.
Forbes, Tom Brady Drinks About 14 To 37 Glasses Of Water A Day, But Should You? by Bruce Y. Lee — Well, good hydration is important because — sorry to disappoint you — you are a big bag of water. About 60% of your body is water. Water is essential to carry out many of your body's chemical reactions...As the Mayo Clinic website explains, severe dehydration can make you more susceptible to the heat (e.g., heat cramps or heatstroke) and kidney problems (e.g., infections, stones and failure) or lead to seizures or even shock.
SELF, Julia Louis-Dreyfus Reveals She's Been Diagnosed With Breast Cancer by Sarah Jacoby — Just earlier this month Julia Louis-Dreyfus was winning big at the Emmys. And today the Seinfeld and Veep actress revealed on Twitter that she's been diagnosed with breast cancer…Treatment at the earliest stages may involve surgically removing the tumor or undergoing external radiation, according to the Mayo Clinic. But as the stages become more severe, they may require more aggressive treatment, such as a mastectomy or chemotherapy to prevent the cancer from spreading.
Prevention, Yes, Baby Quinoa Is Actually A Thing. Here's How It's Different Than Quinoa. by Kelsey Kloss — Over the past few years, quinoa has moved from foodie trend to mainstream health food staple. And just when you were finally getting comfortable cooking with the stuff, its younger sibling, baby quinoa, is making moves to steal the title of champion of the superseeds. Baby quinoa, or kañiwa (pronounced ka-nyi-wa), is becoming increasingly popular among healthy eaters in North America…"We're always looking for something new in the nutrition and culinary world," says Lisa Dierks, RDN, LD, a wellness dietitian at the Mayo Clinic Healthy Living Program. "Baby quinoa is that next new and exciting thing."
BuzzFeed, 7 Things I Wish People Understood About OCD by Shannon Azzato Stephens — OCD has two basic components: obsessive thoughts and compulsive behaviors. According to the Mayo Clinic, "OCD obsessions are repeated, persistent, and unwanted thoughts, urges, or images that are intrusive and cause distress or anxiety." These obsessions could be almost anything, but as the Mayo Clinic points out, they often have themes, which could include unwelcome thoughts about traumatic memories or being contaminated by distasteful objects, people, or ideas. Many people with OCD also experience persistent fears that they will hurt themselves or others.
Reader's Digest, 8 Pancreatic Cancer Signs You Might Be Ignoring by Alyssa Jung — A diabetes diagnosis doesn't mean you'll get pancreatic cancer, but it is associated with an increased risk. One Mayo Clinic study found that 40 percent of pancreatic patients were diagnosed with diabetes in the months before their cancer diagnosis.
Chicago Tribune, Home remedies: relief from hemorrhoids — Dear Mayo Clinic: Every few months, I develop hemorrhoids that are quite painful, but, after a few days, they seem to go away on their own. Is there a way to avoid getting them altogether? Do I need to see my doctor the next time the hemorrhoids return?...A: Hemorrhoids are quite common, and they often follow the pattern you describe. Making some lifestyle changes may lower your chances of developing hemorrhoids. But, if those changes aren't enough to keep them from coming back, and the hemorrhoids cause you considerable discomfort, then consider making an appointment with your doctor for an evaluation to see if treatment may be necessary.
Newsweek, Symptoms of Dementia: Study Finds Inability to Smell Peppermint Linked to Disease by Melissa Matthews — Alzheimer's is the sixth leading cause of death in the United States, with an annual research budget of around $480 million, according to the Alzheimer's Association. But the "holy grail" of contemporary dementia research is determining the risk factors that make people more likely to develop the disease, neurologist Ronald Petersen, who directs the Alzheimer's Disease Research Center and Study of Aging at the Mayo Clinic, tells Newsweek. Risk factor research is just as important as treatment development, Petersen says, since the two work together: first detection and then prevention. Once viable pre-dementia medications are found, doctors can use them in the intervention stage, similar to how cholesterol drugs lower heart disease risk. Additional coverage: The Inquistr
STAT, U.S. states are waging a civil war over donated livers. Will a new proposal finally resolve it? by Casey Ross — The proposal to change the allocation system would broaden sharing of donated livers to a 150-nautical mile radius around the donor hospital, regardless of which organ region a potential recipient lives in. It would also award points to candidates based on their proximity to the hospital, to help minimize travel and logistical challenges. "The intent of the policy is to offer livers to the patient who's got the most urgent need for a transplant," said Dr. Julie Heimbach, a Mayo Clinic transplant surgeon who chaired the UNOS committee that devised the proposal. "One way to reach more of the urgent people at the time they need it is to share over a slightly bigger area."
Health, Hugh Hefner Had a Drug-Resistant E. Coli Infection. Here's What You Should Know by Sarah Klein — Hugh Hefner's cause of death has been listed as cardiac arrest (which also killed Tom Petty just days later) and respiratory failure. But the week before he died on Sept. 27 at age 91, Hefner had an E. coli infection as well as septicemia, or bacteria in the blood, according to his death certificate, PEOPLE reported… "There are some infections that we see that are so resistant to antibiotics, we wouldn't predict that any antibiotic would be able to work," says Pritish K. Tosh, MD, a Mayo Clinic infectious disease physician and researcher.
Live Science, Aaron Hernandez's 'Severe' CTE: How Does It Progress So Quickly? by Rachael Rettner — Kevin Bieniek, a research fellow in neuropathology at the Mayo Clinic College of Medicine in Jacksonville, Florida, said that there may be both genetic and environmental factors that play a role in the risk of developing CTE, and in the disease's progression. Some of these factors might be protective, while others could contribute to a person's risk, he noted. For example, it's thought that a gene called APOE may influence CTE risk… The evidence linking CTE with APOE e4, however, is still not conclusive, Bieniek told Live Science, so more studies are needed to confirm that it is a real risk factor.
MedPage Today, Catheter-Based Biopsy Enables Heart Tumor Diagnosis by Nicole Lu — Where malignancy is suspected in intracardiac masses, percutaneous transcatheter biopsy can provide a histopathologic diagnosis without resorting to surgery, operators found. This minimally-invasive means of biopsy altered clinical decision-making in 52% of patients; 38% of those slated for excisional biopsy were subsequently able to avoid surgery, Gautam Reddy, MD, of the Mayo Clinic in Rochester, Minn., and colleagues reported in a study published ahead of print in EuroIntervention.
Healio, AGA provides guidance on managing GI side effects of opioids — Michael Camilleri, MD, of the division of gastroenterology and hepatology at the Mayo Clinic in Rochester, Minn., and co-authors emphasized that considering the widespread use of opioids in the U.S., gastroenterologists should understand the beneficial or adverse effects these medications can have on the GI tract, and how to prevent and effectively treat them."Opioids are frequently encountered in clinical practice either as cause of patients' symptoms or as the treatment for symptoms," Camilleri told Healio Gastroenterology and Liver Disease. "Opioids have pharmacological effects on the entire gastrointestinal tract from the lower esophageal sphincter to the anorectum, and including the gall bladder and biliary tract."
Fierce Healthcare, Doctors often avoid mental health care because they think they'll lose their medical licenses by Joanne Finnegan — Add a new study to the evidence that worries about their medical license keep many physicians from seeking treatment for mental health issues. The study, published today in Mayo Clinic Proceedings, said that despite growing burnout, many physicians avoid mental health treatment because of concern for their licenses… "Clearly, in some states, the questions physicians are required to answer to obtain or renew their license are keeping them from seeking the help they need to recover from burnout and other emotional or mental health issues," study co-author Liselote Dyrbye, M.D., of the Mayo Clinic said in an announcement. Additional coverage: KTTC
Science Daily, Risks and recommendations for weight gain management in midlife women — A faced by women in midlife has led Mayo Clinic researchers to a series of recommendations for this patient population. The findings are published in this month's edition of Mayo Clinic Proceedings… "This population of women faces multiple challenges for maintaining a healthy weight," says Ekta Kapoor, M.B.B.S., a Mayo Clinic endocrinologist and the study's lead author. "Mood changes, sleep disturbances, hot flashes and the many other changes of menopause can disrupt what may have previously been a healthy lifestyle."
Romper, How Big Will My Baby Be? The Answer Will Help You Prepare For Childbirth by Steph Montgomery —There's an equation you can use to predict how big your baby will be. And, of course, there are tests your doctor can do to estimate your baby's size, according to the Mayo Clinic. But it's important to note that these tests often aren't reliable and shouldn't be the only thing you and your health care provider considers when making decisions about labor and delivery. According to the Mayo Clinic, determining how big your baby will be is pretty important when planning your childbirth experience.
PsychCentral, Concussion Recovery Can Take Twice as Long for Young Female Athletes by Traci Pedersen — According to the Mayo Clinic, common symptoms after a concussive traumatic brain injury are headache, loss of memory (amnesia), and confusion. The amnesia usually involves forgetting the event that caused the concussion. For the study, the researchers analyzed the medical records of 110 male and 102 female athletes (aged 11 to 18) with first-time concussion diagnoses. The median duration of symptoms was 11 days for boys and 28 days for girls. The findings show that symptoms resolved within three weeks for 75 percent of boys, compared to 42 percent of girls.
WCCO, Take Part In The TC Marathon…Without Running — Paul Yerhot, Mayo Clinic physical therapist is interviewed. Starts at 3:37 mark.
MPR, Friday Roundtable: Curbing the effects of Alzheimer's — Alzheimer's accounts for an overwhelming majority of all dementia cases. It is caused by proteins or plaques that build up in the brain. New research shows that African Americans appear to be at greater risk for dementia and Alzheimer's. Currently there is no cure, but today we'll discuss the new frontier of Alzheimer's research and your best avenues for prevention. MPR News host Kerri Miller spoke with Dr. Ron Petersen, a physician and the Director of the Mayo Clinic's Alzheimer's Disease Research Center.
MPR News, Intelligence Squared debate: Is the U.S. health care system terminally broken? — Do we need to design tomorrow's health care on a clean slate, or can the current system be jolted back to life? Three doctors and a public health expert debate the motion, "The U.S. health care system is terminally broken."… This debate was recorded in Rochester at the Mayo Clinic Center for Innovation, at the annual Mayo Transform conference. September 28, 2017.
Twin Cities Business, New SE Minnesota Angel Fund Breaks Million-Dollar Mark by Don Jacobson — "It is an honor to announce that SMIF has joined the investors in the Southeast Minnesota Capital Fund," RAEDI's Xavier Frigola said in an issued statement. "We are also thrilled that their investment is putting the fund over the $1 million mark." In addition to serving as the angel fund's treasurer, Frigola is also director of the Mayo Clinic Business Accelerator, which is a collaborative effort between the clinic and RAEDI to spin off Mayo-developed medical technology into new locally based businesses.
News4Jax, Early breast cancer detection — Dr. Lauren Cornell talks about breast cancer awareness.
South Florida Reporter, Sleep And Alzheimer's Disease Connection — How often do you get a good night's sleep? Centers for Disease Control and Prevention guidelines recommend adults get an average of at least seven hours of sleep a night. Dr. Ronald Petersen, a Mayo Clinic neurologist, says prolonged lack of sleep could raise your risk of many health issues, including Alzheimer's disease. Getting a good night's sleep is important. Lack of sleep increases your risk of daytime sleepiness, weight gain and even heart disease. Now you might be able to add Alzheimer's disease to that list.
South Florida Reporter, 'HALT' Before You Grab That Snack (Video) — "You can even think of the acronym HALT," says Angie Murad, a dietitian for the Mayo Clinic Healthy Living Program. "So am I truly hungry? Am I angry, lonely or tired?" "Do some type of alternate activity to get you out of that pattern of impulse eating," she adds. If you truly are hungry, reach first for fruits and vegetables.
KTTC, Mayo Clinic donates $250,000 to help disaster victims in Puerto Rico, Mexico by Chris Yu — Mayo Clinic has donated $250,000 to help hurricane victims in Puerto Rico and earthquake victims in Mexico. Mayo Clinic announced Thursday it donated the money to Americares, an international disaster relief and global health organization. Additional coverage: Albert Lea Tribune, KROC-AM
KTTC, National Institutes of Health renews Mayo Clinic's largest government research grant — The National Institutes of Health has renewed one of Mayo Clinic's largest government research grants. In a news release sent Tuesday, Mayo Clinic said the award, totaling $48.8 million, is renewed for five more years.
KTTC, Rochester's Bounce Day puts students, professionals in mock crisis scenarios by Chris Yu —More than 300 people in Rochester worked together Sunday to "bounce back" from disaster. The annual Bounce Day took place from 8 a.m. to 4 p.m. at Gamehaven Boy Scout Reservation. It was a chance for high schoolers, medical and nurse practitioner students, community professionals, and military members to work together to handle a mock crisis… Bounce Day 2017 was made possible thanks to the following community partners: Crisis Response for Southeast Minnesota, Gamehaven Council - Boy Scouts of America, Kiwanis Club of Rochester, Mayo Clinic, Olmsted County Department of Environmental Resources, Olmsted County Public Health Disaster Response Advisory Group, The Rochester Amateur Radio Club, The Southeast Minnesota Composite Squadron of the Civil Air Patrol, and Zumbro Valley Medical Society.
KTTC, Mayo Clinic Health System pediatric nurses administer flu shots at elementary schools in Mower County. by Ala Errebhi — It's nearly flu season which means it's time to get those flu shots.A team pediatric nurses from Mayo Clinic Health System, led by pediatrician Dr. Vijay Chawla, were administering flu shots at elementary schools in Mower County. On Thursday morning they were at Banfield Elementary. "Nobody likes to get a shot, not me not you, but we tell them - parents, and we tell the kids it's going to prevent a disease which can turn out to be fatal," said Dr. Chawla. She said vaccination is the best way to protect children from influenza. The Centers for Disease Control and Prevention recommends annual flu vaccination for everyone over the age of 6 months.
KAAL, Mayo Hopes to Spark Interest in Healthcare Careers — On Tuesday, Rochester Community and Technical College hosted the 13th annual Mayo Clinic Healthcare Career Fair. Around 900 high school juniors and seniors from 45 different school districts across southern Minnesota traveled to the event. Organizers said the purpose is to inspire an interest in the healthcare profession. "Something that we look for in students of all ages is a passion for helping others. A nurse isn't a great nurse unless they care for their patients," said John Ninas, the Mayo Clinic Healthcare Career Festival Event Coordinator.
KAAL, Mayo Clinic Holds a Diversity Summit — Mayo Clinic is once again recognizing the power of diversity at the 2017 Supplier Diversity Summit. Last year Mayo Clinic bought goods and services from more than 6,000 minority, veteran, and women-owned businesses in Minnesota, Florida, and Arizona. "We want to be able to take the spending that Mayo does, which from a supply chain standpoint is a fairly significant number and be able to give opportunities to businesses of all sizes," said Stephanie Matejka, Director of Mayo Clinic Supply Chain Management.
KAAL, Mayo SuperBowl Ring Display — The Minnesota based company, Jostens, is displaying 33 super bowl rings in Rochester this week. All the rings were made by Jostens and are on display in advance of Super Bowl 52, which takes place in Minneapolis in February. "Everyone has some memory of the Super Bowl. Whether you're a sports enthusiast or not. It's been a huge part of our culture. It's an opportunity for patients and staff alike to come down here and engage in something the just makes you feel good," says John Wald, Director of Public Affairs at Mayo Clinic. Additional coverage: Post-Bulletin
Post-Bulletin, From a disaster zone to preparing for one by Heather J. Carlson — During Sunday's Bounce Day event, healthcare professionals, students, scouts and military members all took part in the daylong disaster exercise. The Rochester Police Department had its drone on hand to help locate victims. The goal of Bounce Day is to make sure Rochester can bounce back quickly from a disaster. Byron Callies, who oversees emergency response for Mayo Clinic, said these exercises are critical. Roughly 95 percent of all disaster victims are rescued by other victims — not disaster agencies. This event helps get the broader community involved in preparing for the unexpected. "It's just a great opportunity to build relationships," he said.
HIT Consultant, Mayo Clinic Buys Israeli FDA-Approved Wearable Sleep Apnea Device by Jasmine Pennic — The Mayo Foundation for Medical Education and Research (Mayo Clinic) has signed a purchase agreement with Israeli medical diagnostics company Itamar Medical for its FDA-approved sleep apnea device, nocamels first reports. The purchase agreement was signed for a duration of three years with automatic renewal possible for one-year periods. WatchPAT is an FDA-approved portable diagnostic device that uniquely uses finger based physiology and innovative technology to enable simple and accurate Obstructive Sleep Apnea (OSA) testing while avoiding the complexity and discomfort associated with traditional air-flow based systems.
Medscape, Age of Transfused Blood Does Not Affect Mortality by Nicola Parry — "This multicenter study adds a lot of clarity to a topic that hits home for our transfusion medicine community," Justin D. Kreuter, MD, the medical director of Mayo Clinic's Blood Donor Program in Rochester, Minnesota, told Medscape Medical News. He emphasized that the current standard practice of issuing blood "first in, first out" ensures that the greatest number of blood donations are transfused. "However, our primary duty is to our patients," he stressed. "This study affirms that our standard practice of issuing oldest blood units, which ensures optimal use of our limited blood inventories, is also best for our patients."
Doctors Lounge, Nursing Home Use Up With Cognitive Impairment Category — Nursing home (NH) use increases with increasing cognitive impairment category, according to a study published online Sept. 11 in the Journal of the American Geriatrics Society. Jane A. Emerson, from the Mayo Clinic in Rochester, Minnesota, and colleagues estimated NH use among 3,545 Mayo Clinic Study of Aging participants (aged 70 to 89 years), assessed as cognitively normal (CN), mild cognitive impairment (MCI), previously unrecognized dementia, or prevalent dementia. Additional coverage: Medical Xpress
Moneyish, Should you keep working until labor, like this anchor whose water broke on live TV? by Meera Jagannathan — So at what point should expectant moms wait out their gestating newborns at home instead of at work? According to OB-GYNs, that's totally their call. "There are no specific guidelines for women to stop working," Mayo Clinic OB-GYN Yvonne Butler Tobah told Moneyish. "It would be completely reasonable for a woman to decide that she's going to continue to work until she goes into labor, as long as she has no medical complications that prevented her from working." Butler Tobah does, however, discuss with her pregnant patients five common workplace exposures — prolonged working hours, shift work, heavy lifting, prolonged standing and heavy physical workload — and recommends they reach a "comfortable and safe" plan with their employers to enable to them to continue working.
Half Moon Bay Review, The Mayo Clinic Heart Rhythm Experience — Mayo Clinic heart rhythm experts Douglas Packer, M.D., Paul Friedman, M.D., Thomas Munger, M.D., Suraj Kapa, M.D., and Christopher McLeod, M.B, Ch. B., Ph.D., along with patient Kari Turkowski discuss the Mayo Clinic Heart Rhythm experience.
Action News 5, Expert offers advice for talking to kids about Las Vegas tragedy by Kendall Kirkham — As we all process the tragic reality of what happened late Sunday night in Las Vegas, it can be hard to hide our children from the headlines and extensive news coverage… Mayo Clinic also believes your child's age will affect how he or she processes information about a tragedy. Mayo Clinic offers the following tips for different ages…
Mankato Free Press, Speaking of health: Treating your child's hearing loss — Approximately one to six of every 1,000 newborns are born with hearing loss every year. By the time they are between the ages of six and 19, about 15 percent of children have hearing loss in at least one ear. Appropriate management of hearing loss is instrumental in helping kids succeed in their development. Children who utilize amplification devices, which include hearing aids, the Baha system and cochlear implants, show accelerated growth patterns and better early language outcomes. — Katie Kendhammer, Au.D., is an audiologist with Mayo Clinic Health System in Mankato.
WKBT La Crosse, Las Vegas tragedy brings local emergency preparedness to forefront by Madalyn O'Neill — The Las Vegas tragedy has brought local emergency readiness to the forefront of responders' thoughts. Officials from La Crosse County emergency management and both city health systems said the Las Vegas mass shooting is weighing heavily on their hearts and minds. When tragedies strike, emergency responders try to learn from them. When tragedies strike, emergency responders try to learn from them. "You know, you just get that sick feeling in your stomach," said Joy Erb Moser, clinical educator at Mayo Clinic Health System.
WQOW Eau Claire, Breast Cancer Awareness Events — Terri Soley, HERS Breast Center, and Renelle Laffe-Oldenburg, Hope in the Valley, discuss breast cancer awareness and upcoming events with WEAU 5pm News Anchor Judy Clark and WQOW Daybreak co-anchor Bridget Curran.
Austin Daily Herald, Mayo trained in multiple victim trauma by Deb Nicklay — Providing emergency medical treatment in the case of multiple victims is a situation that staff at Mayo Health System in Austin and Albert Lea train for, officials say. While no single hospital would be able to provide for the vast need presented in the Las Vegas tragedy on Sunday — four different hospitals treated patients — Mayo Health System has experience in handling trauma incidents involving multiple victims, according to Dr. Jessica Schoen, Emergency Department Medical Director for Austin and Albert Lea campuses.
La Crosse Tribune, 'Walk with a Doc' to emphasize health, safety by Mike Tighe — Physicians from Gundersen Health System and Mayo Clinic Health System-Franciscan Healthcare will lead an educational walk through downtown La Crosse from 9 to 10:30 a.m. Oct. 14 at Burns Park at Seventh and Main streets. During the "Walk with a Doc" event, doctors will talk about the social and health benefits of walking. It will be a part of Historic Downtown Day.
Patient Daily, Allergist offers tips to help cope with dog allergies by Kacie Whaley — Being allergic to dogs doesn't mean you have to avoid man's best friend, an article on the Mayo Clinic website said. There are several ways to work around getting allergy symptoms while still enjoying your pet, Dr. James Li, a Mayo Clinic allergist and immunologist, wrote in an article on the website.
Patient Daily, Cystic fibrosis may not affect all family members, doctor says by Kacie Whaley — It is a common belief that cystic fibrosis can run in the family, but according to the Mayo Clinic, you may not have to worry that much if one of your relatives discovers they have the disease. Cystic fibrosis affects the lungs and causes mucus, sweat and other digestive substances to be thick and sticky when they are usually supposed to be thin and slippery, according to an article written by Dr. Julie Baughn, a pediatric pulmonologist at the Mayo Clinic in Rochester, Minnesota.
Healthcare Analytics News, Talking Value, Culture, and CAR-T with the CMO of Mayo Medical Labs by Ryan Black — Curtis Hanson, MD, is a hematopathologist by trade. But as the chief medical officer of Mayo Medical Laboratories at the Mayo Clinic, he spends much of his time trying to create value in the health system with smarter, more efficient laboratory testing work. While in Minnesota for the Mayo Clinic's annual Transform meeting, Healthcare Analytics News™ sat down with Dr. Hanson to discuss the evolving role of CMOs, the culture of the prestigious medical practice and research firm, new and novel treatments like the recently-approved Kymriah, and more. This is the first part of that conversation.
Health IT Analytics, How Mayo Clinic Uses CDS Algorithms to Standardize Nurse Triage by Jennifer Bresnick — Phone calls are still the most popular way for a patient to initiate contact with their providers, said Mayo Clinic Nurse Administrator Debra Cox, RN, MS, CENP, and ensuring that those patients receive a thorough assessment before being advised to book an appointment is an important strategy for matching individuals to the best possible level of care. "We need to ensure that every nurse in any one of our 86 primary care clinics is able to deliver the same standard of care," she told HealthITAnalytics.com. "Across our whole primary care system, we might take more than 2000 calls in a 24-hour period, which is a lot to process."
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An industry workhorse that is bulletproof. We have several of these that are standard units, some with gas managers and alpha monitoring options. We also have LOADS of parts for these and can provide them fully calibrated and ready for use. We can also do remote installations if you require.


Recommended for bohemian dudes with Arch Pain, Bunions, Corns, Flat Feet, and Plantar Fasciitis.
An Italian take on the cork sandals popularised by Birkenstock. Made of high quality Mediterranean wood, natural latex, and genuine leather.
Bunions? Wide feet? High Instep?
See the fashionable and adjustable diagonal leather straps? This BOBO can be tweaked to hug your feet nicely with a seamless silhoutte.


Chateau Briand Caterers—making memories for over 50 years.
Since joining the Scotto Brothers family of businesses and restaurants in 1978, the Chateau Briand has hosted countless events, thousands of guests, and earned a reputation as one of Long Island's premier wedding and special events venues.
From shaping love stories to throwing corporate galas, we've spent the last five decades honing our ability to take the visions and desires of our guests and transform them into the one of a kind experiences they deserve and memories that last a lifetime.
Along the way, we've grown our family and gained recognition for everything from our attention to detail and white glove services to our award-winning cuisine.
No matter what type of special event you're looking to host—be it a wedding, a social event, a corporate event, or something in between—you can trust that the family here at the Chateau Briand will help you create an experience that's truly unforgettable.


Perhaps one of the very most common forms of home improvement projects may be the bathroom. In reality, it is an almost a tie between the restroom or your kitchen as the most common updated rooms of a house! And like some other do it yourself project, your bathroom remodel – especially one that's located off the master bedroom – means there are always a number of choices to be created from the types of flooring and fixtures to features such as the bathroom vanity and lights. Many of us have been in that situation when you are moving into a new house, or perhaps renovating an existing home, and you will need to buy a new bathroom sink. You might not make sure in regards to the types of bathroom sinks available, or what's important to take into account when buying bathroom sinks. In this article, we will consider some of the factors you ought to take into consideration, in addition to briefly discussing some of the other factors you need to think of before buying a sink. You will find almost uncountable types of bathroom shower ideas across the world. Mostly people just like a little flair within shower style, so for this specific purpose we have placed some of the greatest type of shower ideas below.
So what sort of elements does one consider when a bathroom remodel has been planned? In the end, there are so many selections! But perhaps the first thing to complete is to truly have a plan. Make sure to keep things such as for instance budget and useable space key determinants in the process so that you can move forward. Of course, if you make use of a skilled team of remodelers, then you may be sure that they can know to plan the room so that you get the most boost for the budget. The Aluminum Glass Shower. The very first form of bathroom shower design, which I'm going to inform you, is a type of Aluminum and glass shower by having an enclosure. This enclosure is established using glass panels, which can be attached with a metal frame. This shower enclosure is then surrounded with walls fitted with metal grey tiles, the blend of the metal with the tiles and clear glass provides slightly new look.
As you begin considering upgrades, don't just forget about choosing your bathroom vanity that complements your style. No further is one relegated to boring Formica countertops for the toilet! Today's homeowners can choose from many different surfaces such as inlaid tiles, natural stone or even custom pieces that add depth and beauty. But each of these bathroom vanity tops offer a range of features or options of customizing. As you make your choice, bear in mind these basics of bathroom vanity choices. Certainly one of the most crucial factors to take into account is space – what are your personal restrictions when buying and fitting a fresh sink. There is no point choosing your dream bathroom sink, only to find that it generally does not easily fit in, or alternatively so it looks too small within your bathroom. Think about the design of the room – will the bathroom sink go in the corner of the room, or are you wanting it to function as the centrepiece of the room.
The Seaside shower. One bathroom shower idea is that most people would first think twice before implementing this idea. The theory uses a simpler form of shower attached on sideways of a wall and the shower could be moved because it is linked to a pipe. To enhance the effect, dark grey tiles will soon be attached only on to the floor, while the walls is going to be covered with sea blue colored checkered tiles. To incorporate more effect a sitting area may also be produced in the shower, that will be connected, which is covered with light grey tiles and the overall shower area is going to be covered with glass panels. This kind of bathroom shower idea should indeed be among its kind as it reflects quite a sophisticated design with a little reflection of the sea. The restroom vanity you select should: Be crafted to support the keeping of the sink to be wherever you'll need it to go. Be either a whole match to the bathroom vanity material or either a deliberate contrast that also complements the colors and type of the room. Coordinate with picking a commode and shower/bathtub. Be able to accommodate and assist whatever fixtures you've chosen as part of the remodel. Bear in mind that the faucets are typically either widespread designs that want at least 3 drilled holes to be made or center spread faucets might have 1 to 3 holes to be drilled.
You should also think about the design of the toilet, and the design of the sink which you want to put in. Many folks are fans of a glass sink, which can look extremely classy in the proper bathroom, but look out of devote a differently styled bathroom. Can you need to go for a contemporary look, versus an operating look? Perhaps you are less concerned about style, and more about the lowest priced, viable option. Many of these factors are essential, and you need to pick the right choice for the bathroom. The Classy Shower. That is a different type of bathroom, which will have a simple, but a classy look. The contrast will have a white and grey colour and have grey colored cabinets, white colored sink and a stool. While the shower will undoubtedly be attached on the roof of the toilet and the shower, area will be give covered with glass panels and with only a little mixture of black and white tiles. The toilet will overall be covered with white tiles.
With regards to the different types or styles, of bathroom sinks that you can aquire, there are a wide variety of sinks. These generally include pedestal, countertop, wall mounted, corner, inset, semi-recessed, space saving / en-suite or undercounter basins. Always remember that the choice is just a personal decision, based in your tastes and the room in that you simply need certainly to work with. The Rainfall Shower. If your chosen place for remove your stress could be the shower than you will definitely love this kind of idea. The theory consist of a rainfall shower head adjusted on the ceiling and the whole shower area covered with grey tiles which is an incredible combination for a rainfall type of look. This can definitely possess a refreshing and a brand new type showering experience for you.
Before you make your decision which sink to buy, you should also consider other factors such as for example installation. Whether you will have a way to set up your own sink will depend on your own DIY skills. Some bathroom sink companies will include installation in their prices, whereas others will not. In cases like this, if you are not experienced at DIY, you might be best advised to hire a plumber to come and fit the sink for you. This should not be an overly expensive investment, however, it is obviously important that the sink and water pressure is properly fixed. The Luxurious Shower. A more recent and modern method utilizing the inspiration of palaces is this luxurious bathroom, the idea is always to decorate the shower area with multicolored tiles and the utilization of a totally free stand tub having a dual shower and the bath tub placed just beside a window a beautiful and natural look. The flooring will soon be of light hardwood floor, gives a nice finish to the general look of the shower.
When you yourself have made a decision which sink to get, you'll need to choose where to buy the sink from. Among the deciding factors can occasionally be what warrantee each company is willing to provide. Always do your research to locate a reputable company, and try to ensure that the company features a good reputation within a and they've positive reviews. The Beige Shower. This kind of shower uses alcove shower head on the ceiling while the whole bathroom walls are covered with beige walls using large granite looking tiles and a rock slab by having an under mount sink and cabinets attached on the side of the sink. The shower area will undoubtedly be covered with curtains and a glass door to boost the sweetness of the shower.


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How to write great episode titles for your podcast
How to write titles that will make people listen
You should think about your podcast episode title like the headline of an article. It's the thing that makes people click, so you need to pack as much information as possible into a small number of words. But you also want to be truthful.
The rules of click-baiting apply here just as they do on blogs and websites…don't do it, unless you want to suffer the consequences.
If you want listeners to keep returning to your show, week after week, you have to build a relationship with them. And just like in real life, the best way to build a relationship is through trust. That starts from the moment they engage with your content.
So if you're promising to deliver something, you'd better dish it up. Otherwise, your audience won't stick around for long.
So what do you put in your episode title to make them want to press play?
Listen on iPhone Listen on Android Listen on Spotify
Shorter is always better
This isn't just because people don't have time to read your 700-word titles, it's because they won't see them.
Most people will be looking at your podcast on their phone and if your title is too long it'll cut off or they'll get that annoying "…"
Ideally, you want a title that will catch people's attention as they're scrolling quickly though, so try and be as succinct as possible.
How to come up with a great podcast name
Don't forget to use keywords
Including keywords people are searching for will help your episode stand out when they're flicking through the feed.
It'll also help your show turn up in search. Especially if you're including those keywords on the show notes pages for each episode.
This can be a way to get your show noticed even when you're small. Since you probably won't be able to compete on the charts, if you're putting keywords in all the places they need to be, you'll increase your chances of being surfaced in a search.
This is also why it's a good idea to play in categories and niches that are less overcrowded because the competition isn't as fierce.
How to write great podcast descriptions
Don't waste space with words like "episode"
I'm not sure a single person has listened to a show because of an episode number in the title.
You want to make sure you're kicking things off with killer content not administrative details.
This isn't just best practice from a user perspective, it's also the approach Apple Podcasts recommends.
If you want to add information about the episode number or whether it's a bonus or trailer you can do that in the back end of your podcast host…
Under "type" you choose full episode, bonus or trailer. A full episode is a regular show, a bonus is a piece of additional content or something your listeners weren't expecting and a trailer is audio you might drop before the launch of a new show or season to give people a taste of what's coming up.
Highlighting the type of episode in your podcast host is a much better approach than writing words like "episode" or "bonus" in the title.
Should you include episode numbers in your podcast titles?
Should you be descriptive or clever?
This will always come down to personal preference and will depend on the vibe of your show.
For my interview series, You've Gotta Start Somewhere, the main thing people are interested in is who my guest is.
So in my episode titles, I just give the name of my guest…
For shows like the flagship show at Mamamia, where I was Head of Podcasts, the podcast episode titles are much more in keeping with the tone of the show.
We put the details of what we talk about in the description and keep the episode titles more creative/interesting/intriguing…
And if you're doing an educational podcast like PodSchool, it's best to be descriptive because that's what people searching your show will be looking for…
There are plenty of places outside the title of your episodes you can place keywords, like your show notes. So if a more creative title suits your show then go with that.
You want people to feel like the language you use in your titles matches the language you'd use in the episode. So if you're overly formal in your titles but really relaxed in your show, it probably won't make sense.
Should you launch your podcast with episode 0?
Make each podcast episode title unique (unless it's part of a series)
You want people to scroll through your episodes and feel like there's a range of content there, not like they're getting the same thing on repeat. So think about that when you're crafting your episode titles.
Ideally, you want people to look through your episodes and for it to seem creative, interesting and diverse. That's what will make them stick around.

redpajama_set_name: RedPajamaCommonCrawl


The Dashboard allows you to see your tracked time and review the daily or weekly performance.
You can find it on the slide-out menu; just slide from the left or click on the icon on the top-left, and select the option "Dashboard".
2. The time record: The data created when tracking the time you spend on a project.
Once the "create time record" window is shown, you will be able to select the information for the tracked time. Finally press on the Save button.
* You can also create a time record via the stopwatch.
B) Edit a Time Record: Touch the time record to be edited. Once the "Edit time record" windows is shown, you will be able to edit the information of the time record. Next just press OK to save the changes.
located on the top-right side of the window.
Start and End Date and Time: Informs the duration of the time spent. You can change it by touching the respective field.You can also change the duration of the time record by pressing on the duration button .
Project: Assigns a project to the time record: Just touch the project field and select one from the list. In case your project is not listed, you can add a new Project.
Task: Assigns a task to the time record: Just touch the Task field and select one from the list. In case your Task is not listed, you can add a new Task.Note that you cannot create a task without a project.
Activity: Assigns an Activity to the time record. We would like to remind that the activities are types of actions, which may be attributed to every time record and assign a price to your work.To assign an Activity to the time record, just press on the Activity field and select one from the list.
Billable: Enables the user to assign a price to the time records, either manually or by using an activity.
3. The stopwatch: Allows you to track the time you spend on a project while you are working.
Below is explained how to work with the stopwatch.
Once the "Stopwatch" windows is shown, you will be able to fill in the information of the work to be tracked. Finally press OK to save the time record.
B) Edit the Stopwatch: Press on the running stopwatch. Once the "stopwatch" window is shown, you will be able to edit the information of the work to be tracked. Next just press OK to save the changes.
By this action, a time record will be created. Next just press on the "save" button.
Start Date and Time: Indicates the starting time of the stopwatchYou can also add some time to the stopwatch by pressing on the add time button .
Project: Select a project.To assign a project to the time record, just press on the project field and select one from the list. In case your project is not listed, you can add a new Project.
Task: Select a Task. To assign a task to the time record, just press on the Task field and select one from the list. In case your Task is not listed, you can add a new Task.Note that you cannot create a task without a project.
Activity: Select an Activity.We would like to remind that the activities are types of actions, which may be attributed to every time record and assign a price to your work.
d. Complete the project information.
e. Press the save button ✔, located on the top-right, to save it.
5. Add a Task: You can add a new task either while creating or editing a time record or a stopwatch. Remember that you cannot create a task without a project.
a. On the time record or stopwatch window, press on the Task field.
b. You will see the list of available tasks.
d. Complete the Task information.
a. Edit the time record: Edits the selected time record.
b. Add a new time record: When selecting this button, the "create time record" window appears and the data is going to be populated based on the time record selected.
c. Start the stopwatch: When selecting this button, the Stopwatch will start running and the data is going to be filled based on the time record selected.
7. The Dashboard views: Allows 4 different ways to display time records on the dashboard.
a. Daily: shows the daily time records chronologically, sorted from the newest to the oldest.
b. Daily by project: shows the daily time records grouped by project and sorted chronologically from newest to oldest.
It also presents a short summary of the total time spent and the money earned on each project.
c. Weekly: shows the weekly time records, sorted chronologically from newest to oldest.
d. Weekly by projects: shows the weekly time records grouped by project and sorted chronologically from newest to oldest.
a. The date or the weekly period: Shows the period on which the data is being displayed.
b. The date switch: You can change it to the previous or next day or period.
c. The worked hours: Shows the total worked hours on the respective date (day/week).
d. The money earned: Show the money earned on the respective date (day/week).
When you select daily or weekly by project data from the dashboard view, it will display also a short summary with the total time spent and the money earned per project.


Loyalty experts take heed: The future of our industry may depend on someone who is incredibly self conscious; someone who is learning, awkwardly, to drive; and someone who, whenever you say anything, rolls his eyes.
The future of the industry, I am saying, is in our children.
•Business analytics is a $12.2 billion industry, according to Gartner Inc.
•Every dollar that a company invests in business analytics earns $10.66, according to Nucleus Research.
•97 percent of companies with revenue of more than $100 million are pursuing expertise in business analytics, a recent Forrester Research study states.
Sounds great, right? It is great, except for one detail – we might not have enough skilled people to transform this data into meaningful information. McKinsey & Co. forecasts that the data analytics field will come up short of professionals by 2018.
As a loyalty expert, this worries me. But as a parent, I see it as a sign of opportunity. We should encourage our kids to pursue a future in analytics. Think about it: In the coming years, the industry's capabilities will flourish. More data will be available, and both consumers and organizations are going to have escalating expectations in terms of the benefits they receive from this information.
In short, we are approaching mission critical: Data analysis is where the jobs will be, so who do we want at the wheel?
Today's college-bound populace will define the future of data analysis, as well as the responsibility required in managing this information. But who better to understand the importance of responsible data use and privacy than today's graduates, who have matured in an environment where seemingly every move is tracked, if not voluntarily shared through social media?
Younger people are generally more accepting of data sharing, and therefore have a more nuanced appreciation of its implications.
In 10 years, we'll look back at today's data collection processes and think we were just bumbling through the process. I hope. But the deciding factor between where we are now and where we want to be exists down the hall, under the pile of clothes on your teenager's bed.
Those of you with college-bound children – maybe you should have the talk.


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Why Study in University of Auckland
The University of Auckland began as a constituent of the University of New Zealand, founded on 23 May 1883 as Auckland University College. Stewardship of the University during its establishment period was the responsibility of John Chapman Andrew (Vice Chancellor of the University of New Zealand 1885–1903). Housed in a disused courthouse and jail, it started out with 95 students and 4 teaching staff: Frederick Douglas Brown, professor of chemistry (London and Oxford); Algernon Phillips Withiel Thomas, professor of natural sciences (Oxford); Thomas George Tucker, professor of classics (Cambridge); and George Francis Walker, professor of mathematics (Cambridge). By 1901, student numbers had risen to 156; the majority of these students were training towards being law clerks or teachers and were enrolled part-time. From 1905 onwards, an increasing number of students enrolled in commerce studies.
The University conducted little research until the 1930s, when there was a spike in interest in academic research during the Depression. At this point, the college's executive council issued several resolutions in favour of academic freedom after the controversial dismissal of John Beaglehole (allegedly for a letter to a newspaper where he publicly defended the right of communists to distribute their literature), which helped encourage the college's growth.
TOP 10 REASONS TO STUDY ABROAD IN NEWZEALAND
Students have to introspect before planning to study abroad in NEWZEALAND. It is necessary to make awell-versed decision before you plan foranoverseas higher education. The country has emerged as a leading study abroad destination known for its top-quality education. Here are the top 10 reasons why you shouldchoose to study in the US:
1.	World-renowned universities providing world-class education
New Zealand is one of the most attracted foreign education destinationsfor international students who are looking for world-class facilities and high quality of education. The country is known for its practically oriented courses.
Kiwis are some of the most amazing, loving, and welcoming people that you will ever meet. If you are a stranger, a native New Zealander is going to treat you like you are a friend. They are used to meeting new people, first because they travel a lot themselves, and also because a lot of people come to visit New Zealand as well. The culture on the islands is quite laid back and easy going, as well. So you're not going to feel tense like you would if you went to a large city like London or New York City to study. There are just over 4 million people who reside on the country, and it is one of the safest places to live in the world. Another cool thing about the people is that there are so many different kinds of people. For being such a small country, the diversity is greater than you see in many European countries.
3. The stability
Some people say that, because the country is in a small corner of the world that doesn't really get bothered by anyone, that New Zealand seems to be secluded from the rest of the world. This isn't true at all. As mentioned above, the people are really welcoming to outsiders. But, it can also be a great thing! The economy is actually incredibly stable, the cost of living is low, and the government is more stable (and less argumentative) than the governments that you will see in other countries. This is probably the reason that immigration is embraced, which we will talk about more in some of our later points.
4.The educational system
This is the number one reason to go anywhere for school, but New Zealand is amazing for their educational system. First, the tuition is some of the lowest in the world. You get a British-based education (due to their British influences) for a percentage of the cost. The degrees are recognized around the world as being up-to-date and practical. You will get a high quality, hands on education that you deserve. The New Zealand even goes so far as to checking each and every course, program, and certificate for quality so that they can be recognized around the world as high-quality education. Not only that, but the support services for international students are among the best in the world. They have a lot of expertise and experience in helping international students so that they can succeed in their programs.
5.	Post-study work rights in New Zealand
After finishing your course or programme, you can apply for a Post-Study Work Permit (open), under which are eligible to work for 12 months in New Zealand. There is no restrictions in choosing the work field, students can do almost any work they like, for any employer in the country. Once your Post-study work right expires, you can apply for an Employer Assisted Post-study work visa, which relates to a specific job with a specific employer. You can stay in New Zealand to gain work experience for anadditional two years (or 3 years if work experience is required as part of a professional registration).
7.	Plenty to see and explore while studying in new Zealand
The country has a magnificent lush landscape with unique fauna and flora. You can enjoy the mesmerizing view of rolling green hills, fjords, glaciers, beaches, mountains and so on. New Zealand is a heaven for hikers and trekkers, and natural beauty junkies. Cities are a cosmopolitan mix of cafes, shopping, movies and nightlife.
8. Gain work experience
In New Zealand, where institutions have strong links with industry, internships and work placements will give you first-hand experience of what it's like to work in your chosen career.
9.Become more confident and independent
Studying abroad always has its challenges, from making friends to finding your way around a new city. You'll become more independent and self-reliant, and gain the confidence and self-belief that come from making an exciting new life for yourself.
10.Expand your worldview
Living in another country gives you a new way of looking at your own country and culture. You'll come up with your own ideas and opinions, and gain a fresh perspective on where you're from.
While all eight universities in New Zealand make the list of the top universities in the world, the University of Auckland is ranked as high as 46 in Business & Management Studies in the World University Rankings by Subject 2015 published by QS. The other universities, barring Lincoln University, also didn't do too badly and were ranked in the top 200. What low tuition fees and highly-ranked universities do is that they pull in large number of MBA aspirants from across the world. When we talk about the cost of pursuing MBA in New Zealand, it incorporates components like health insurance bills, living costs and MBA-admission related expenses, in addition to the simple MBA fee in NZ. Scroll down and learn about the different components and their contribution to the overall MBA cost.
University Academic Transcripts
Full details of your education including your course subjects and grades are required in the MBA applications. Transcripts or official records of your previous academic qualifications are crucial for your MBA application.
Students applying for admission to MBA programmes are required to submit an official transcript from each college or university that they have attended after secondary school with complete details of the subjects, credits involved and other details like correspondence courses, diplomas etc.
Most universities ask for the transcript to be sealed in an envelope and signed and attested across the seal by the registrar. This procedure is to be done for each and every college that you have attended. Some universities may ask for more than one transcript but most require only one.
If the originals are not in English, copies and a good English translation must be enclosed.
Documents may be certified as true copies by a justice of the peace, or a notary public, or a solicitor, or a commissioner of oaths, or an official of the institution that issued the document.
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International students are also required to take one of the two English Language tests, either TOEFL (Test of English as a Foreign Language) or IELTS (International English Testing System). Every university has its own minimum scores with respect to these tests.
GMAT : This test is required for admission to many MBA programs in New Zealand.
TOEFL : This test is mandatory for International students applying to a University in New Zealand. The minimum score required by most universities for admission is 577 (Paper-based test) or 240 (Computer-based test).
IELTS : For most courses and universities, International students are required to take IELTS (International English Language Test) which is regularly administered by the British Council. A minimum score of 6.5 is usually required by most universities.
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At the Board meeting on 31st May 1860 a letter was received from Lord Bandon enclosing a memorial with many signatures praying for a conspicuous beacon on the east end of Long Island.
During June the Inspecting Committee visited the district off Schull and agreed with the memorialist and went further, stating that as it was a well frequented harbour of refuge, both entrances should be marked. Trinity House were informed and in July they requested a drawing showing buoys and beacons to mark the Long Island channel.
The following month Capt. Roberts reported that there should be a 25 foot beacon on Goat Island, a 45 foot beacon on Long Island (Copper Point) and two buoys to mark the Amelia Rock and Cush Spit.
Trinity House gave their statutory approval early in 1861 followed by the Board of Trade. During April 1861 the buoys had been placed and a Notice to Mariners was ordered to be published.
Plans of the beacons were submitted in July 1861 and tenders for constructing the beacons were considered a year later, July 1862. Mr Vickery's tender for £195 - Copper Point, and £190 - Goat Island was accepted but as his sureties were not satisfactory, the Board selected Mr Limerick's tender for £537 Copper Point and £592 Goat Island. During the building of the beacons the contractor became insolvent so his brother took over. By July 1864 the third and last payment was made on the completed Copper Point beacon and Goat Island was completed in September.
The Inspecting Committee on Tour in 1972 recommended that a light be erected on Copper Point Beacon and that the Cork County Council be requested to erect leading lights at Schull. The latter had originally been looked for by local fishermen as far back as March 1955 and by the Schull Parish Guild of the Muintir na Tire in 1959.
The Board approved statutory sanction for the Schull Harbour Board on 20th September 1974 to erect leading lights and by November 1975 Copper Point was ready with a new landing, gas bottle house, and access ladder up the side of the beacon to the 300mm acetylene lantern. Difficulty was experienced by the Cork County Council in acquiring suitable sites for the leading lights but by April 1977 the Council reported that all was well, Messrs. Barretts of Dublin were to complete the installation and the lights should be operational by 1st June.
Originally approval had been given for Copper Point's light to be flashing white every 2.5 seconds but in order to comply with the IALA Buoyage System the light would have a character of quick flash (3) every 10 seconds, the tower would be painted black, yellow, black, and have an East Cardinal topmark. The painting and topmark would not be provided until 1980.
The Schull Harbour Leading Lights and Copper Point quick flashing light were established on 1st June 1977.
In the light of experience and in view of the background the Inspector of Lights and Marine Superintendent recommended in February 1981 that Copper Point be designated as a Lighthouse instead of an East Cardinal mark and retain its white colour. The Board approved.


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'Russia Today goes beyond objective journalism,' says John McDonnell
Uploaded by Shannon Ochoa on March 12, 2018 at 12:29 am
'Russia Today goes beyond objective journalism,' says John McDonnell
The shadow chancellor says Labour MPs should no longer appear on RT, formerly known as Russia Today. Speaking on the BBC's Andrew Marr Show, he said that in the past Labour had tried to treat the Kremlin-funded channel like other broadcasters, but it had crossed a line and now 'we have to step back'.
Labour MPs should not appear on Russia Today, says John McDonnell
View the video at https://www.theguardian.com/politics/video/2018/mar/11/russia-today-goes-beyond-objective-journalism-says-john-mcdonnell-video
The shadow chancellor says Labour MPs should no longer appear on RT, formerly known as Russia Today. Speaking on the BBC's Andrew Marr Show, he said that in the past Labour had tried to treat the Kremlin-funded channel like other broadcasters, but it had crossed a line and now 'we have to step back'.


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Q: Cannot Load csv with D3 Promise I'm loading d3 from this:
<script src="https://d3js.org/d3.v7.min.js"></script>

Then trying to load a local csv file: ( Partial Code )
d3.csv("data.csv").then(function (data) {
            // format the data
            data.forEach(function (d) {
                d.date = parseTime(d.date);
                d.close = +d.close;
            });

But getting this in the VS Code console:
Uncaught TypeError TypeError: Failed to fetch
    at ec (d3js.org/d3.v7.min.js:2:99951)
    at <anonymous> (d3js.org/d3.v7.min.js:2:100075)
    at <anonymous> (c:\Users\coder\OneDrive\Documents\d3\index.html:40:12)
    --- Promise.then ---
    at <anonymous> (c:\Users\coder\OneDrive\Documents\d3\index.html:40:29)

The csv is on the same directory as the html file being served.

A: *

*Use slash for the root path "/data.csv"

*Use try / catch for exception handling

try {
  const data = await d3.csv("/data.csv");
  data.forEach(...);
}
catch(err) {
  console.log(err.message);
}

redpajama_set_name: RedPajamaStackExchange


The Philadelphia Center for Transgender Surgery is designed to be a "one-stop" center where all the needs of a transgender person can be addressed in a personally customized approach.
One of the few centers in the world where complete gender reassignment is available for both genders, we shepherd each patient from the beginning of transition all the way to completion, addressing this complex and multi-faceted process in a sensitive, unhurried and supportive manner.
We personally support the patient emotionally by being available to discuss all aspects of the transition with the patient and by answering all the questions in a realistic and honest manner. We clarify and objectively provide correct, balanced information, dispelling unrealistic or erroneous concepts prevalent in public sources and addressing fears and anxieties.
Patients are guided to obtain counseling from a mental health professional specifically trained in gender identity concerns. This could be a LCSW, a psychologist or psychiatrist with training and experience in this field.
Best practices for hormone therapy are reviewed with the patient in order to help with the many levels of mental and physical transition. Hormones will change the body as well as the personality in both subtle and, sometimes not so subtle ways, toward the desired gender. We encourage and recommendhormone therapy by endocrinologists trained and experienced in hormone therapy for transgender patients.
We keep in regular contact through the transition and offer supplemental services as needed: such as fashion consultants, makeup and hair style specialists, etc. to cultivate grooming habits and appearance appropriate to the desired gender presentation.
Contact can be provided with transgender support groups who can supply a sense of camaraderie with others who are going through the same transition or who have already transitioned and can help obtain local professional contacts for individual needs.
At any stage, we can begin discussing the vast array of available surgical options, from facial modification to chest reconstruction and gender confirmation surgery (both male-to-female and female-to-male).
We can also assist with financing for the surgeries if the patient has been unable to save the sufficient funds necessary for the costs associated with the transition.
We offer guidance and advice to our patients before, during and after the entire process and hope to provide support years after the surgeries are completed.


On Thursday Sept 3rd filmmaker Jem Cohen (Instrument, Chain, Benjamin Smoke) presents an evening of films and discussion with musician and frequent collaborator Guy Picciotto (Fugazi, Rites of Spring, Vic Chesnutt Band) at the IFC in NYC. Cohen will screen new and old shorts and excerpts, including his recent Chinatown portrait, NIGHT SCENE NEW YORK. A number of the works will be New York premieres. This presentation is the 3rd part of a 3 part series called, Movie Nights With Jem Cohen, which is being held at the IFC this summer. The program begins at 7:30 and tickets are 12:50 for non-members (The two previous movie nights sold out - please buy tickets in advance).
The Dischord Vinyl Re-issue Series continues with two more Fugazi releases, and full-lengths from Make-Up and Q And Not U. All vinyl was re-cut at Chicago Mastering Service and the full-lengths feature free MP3 Downloads.
The Aquarium have a new 7" single, "Performer" b/w "Battle Of The Bands" that is available now on the Dischord website and will be in stores and from other download sites on August 24th. The two song single was recorded with Doug Kallmeyer, mixed by Brendan Canty (Fugazi) and produced by Benjy Ferree. This single comes with a free MP3 Download when purchased from the Dischord website only. The MP3 tracks will also be available to purchase on the Dischord site with Digital Credits.


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Qatar Grand Prix
Saudi Arabian Grand Prix
Rosberg wins Abu Dhabi GP, Hamilton upset by Mercedes mechanics
Lewis Hamilton said his Mercedes engineers' strategy left him "with a mountain to climb" to beat team-mate Nico Rosberg in Sunday's season-ending Abu Dhabi Grand Prix.
The newly-crowned three-time world champion did not go so far as to blame them for his third straight defeat by the 30-year-German in succession.
But he made it clear that after showing superior pace during the middle of the race he had hoped for a chance to fight for the 44th win of his career.
In the end, however, he had to settle for a distant second place in a race dominated by Rosberg from pole position.
Hamilton closed his gap to Rosberg to 1.359 seconds before the German pitted for a second time, but found himself 12.573 seconds adrift after his own second stop 10 laps later.
"I don't know the big picture and ultimately you have to rely on the engineers to give you the optimum strategy," he told reporters after the race.
"Honestly, I don't really understand it, but I came out 11 seconds behind. I had a mountain to climb, which I pushed as hard as I could, but then the tyres went off.
"I left the team to make the call because I didn't know what was the right one. At the end of the day, the gap was way too big.
"We left it too big, especially on the same tyres. There's no way you can catch that gap up although I did everything I could. It's a shame, because I was quicker in the middle stint.
"To have that pace and then come out 11 seconds behind - that's not such a great feeling."
He added that his loss of form and results had not spoiled his season for him.
"It's very easy to forget the amount of wins we did have - nine or 10 wins, something like that - so we had a very good season. The last three weren't very spectacular, but overall it was amazing."
His team boss Toto Wolff said Hamilton made his own decisions, in liaison with his race engineer Peter Bonnington, during the race.
"We gave him all the options. It was important for the fans to see," said Wolff.
"He couldn't really make a decision. The option tyre (a super-soft tyre) had seven-eight laps, but even though the car was lighter it would not have lasted until the end.
"It was a decision in his garage to go on prime (the ordinary soft tyre) to the end. There were lots of conversations and I'm not sure it was all broadcast, between his race engineer and him, to decide what to go for.
"We wanted to give him a real shot at the win at the end, but the pace was not there at the end."
©AFP2015
More Motorsport News
Alonso a 'time bomb', says Webber
Winterbottom calm ahead of V8s storm


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Insider attacks and static analysis:How to spot the signs with three important new analyses
UnrealIRCd is an open-source Internet Relay Chat server that is very widely deployed worldwide. As it is such a popular server, it is not surprising that hackers consider it a rather juicy target. On the 12th of June, 2010 a member of the server support team posted a message to the mailing list concerned with its security. The message began:
I'd like to let you know that there's been a compromise of the unrealircd website and ftp and the 3.2.8.1 tarball release had been replaced by a backdoored copy.
Somehow an unknown party had surreptitiously replaced the official download tarball with a version that contained a deliberately inserted backdoor that allowed an attacker to execute arbitrary code on the server machine. The replacement had apparently been done some time in November of the previous year, so the vulnerability had been in the wild for over six months. The report of this defect made it into the CVE database as CVE-2010-2075.
I can only imagine the sick feeling the developers must have experienced when this came to light. Through no fault of their own they were being exploited for nefarious purposes. Even though the developers took security very seriously, their safeguards and checks and balances were completely bypassed.
There is absolutely no evidence or even suggestion that the attack was mounted by any of the developers of the software. It is probable that the attacker took advantage of a weakness in the configuration of the download server to replace the official tarball with their own corrupted version. Nevertheless, this attack has some similarities to insider attacks. Insider attacks often take the form of vulnerabilities that are deliberately inserted into the code. The attacker usually takes precautions to hide the intent by obfuscating their edits.
How can insider attacks be detected? The Command Injection Checker
We have been thinking about how to detect insider attacks recently, and have new functionality in CodeSonar 4 to support finding them, so it is instructive to look back at that code and see how a static analysis tool might have been used to find the vulnerability.
Any code defect that allows an attacker to execute arbitrary commands is usually referred to as a code injection error. When we run CodeSonar on this code it reports a Command Injection warning. A screenshot of the report is shown below.
At first glance, this code looks fairly innocuous. The defect is being reported on line 1436 at the invocation of DEBUG3_LOG. A reader with no reason to suspect this code is malicious is unlikely to see much wrong with it.
Take a look at the info pane on the bottom right, however. It shows that DEBUG_LOG3 is a macro. When we expand the definition of the macro inline (pictured below), we can see that it uses a different macro DEBUG_DOLOG_SYSTEM, which in turn expands to a call to system().
Now the intent is clear. If the condition is satisfied, then the string in readbuf is passed to system(), which executes it as a process with the same privileges that the server is executing with. The next question to ask is how can the condition be satisfied? It involves comparing the first two characters of the string against DEBUGMODE3_INFO. This is a macro that expands to the string "AB". Thus an attacker can exploit this by sending a string like "AB; rm –rf /". The "AB" will fail, but the second command will attempt to delete all the files in the root directory.
The Command Injection checker in CodeSonar is new in version 4. It takes advantage of the new taint analysis functionality. Taint analysis tracks the flow of potentially hazardous information from the points where it originates (taint sources), to the points where it can cause damage (taint sinks). There are different kinds of taint based on where the information is coming from, and depending on how the program is deployed, some kinds can be benign. In the example above, the taint kind is network taint, which for a server of this kind is probably the most hazardous kind. Other kinds of taint include file system, environment, clock, and even DNS record.
The red underlining shown in the warning listing indicates that the value is potentially tainted. When a user hovers the mouse over the associated token, a popup shows the kind.
Another way to spot attacks: Visualized tainted data flow analyses
There is another way of viewing the taint properties of the program; a metric derived from the number of taint sources and sinks can be overlaid on a visualization of the structure of the program. In the visualization below, the top-level boxes represent source files and the lower level boxes represent individual functions; the lines represent function calls.
In this visualization, the intensity of the red indicates the value of the taint sources metric. From this it is easy to judge the attack surface of the application. A source-code security auditor looking at this code will want to immediately go to the parts that generate tainted information to understand whether it can flow to sensitive areas without being checked for validity first.
In this case the file s_bsd.c towards the top is one of the top three sources of taint. Focusing in on this shows the functions within that are responsible.
In the view above, I have selected a different layout and changed the display so that the intensity of the blue glow is proportional to the value of the taint sink metric.
The function read_packet() is the one where the command injection vulnerability was found. As can be seen, it attracts attention because it is one that involves both taint sources and taint sinks.
Binary analysis for finding attacks
Finally it is worth pointing out that the same command injection defect can also be found by our binary analysis tool. CodeSonar's binary analysis technology is capable of analyzing stripped optimized executables; roughly speaking, it finds the same class of defects that can be found in the source code. Our new integrated analysis is capable of analyzing source and binaries simultaneously. This is useful in cases where you have source code for most of the project, but only binary libraries for some components.
In this case we have analyzed the executable created by compiling UnrealIRCd. A screenshot of the warning report is shown below.
In one sense it is actually a little easier to understand this vulnerability in the machine code because the obfuscation using the preprocessor has been stripped away. Whereas the source view looked like a harmless invocation of a macro, here the call to system() sticks out like a sore thumb.
Written by Paul Anderson


The $70.5 billion cash and equity transaction makes the new Allergan M&A mutt the 11th largest company in the drugs and biotech space.
Johnson & Johnson sells household medical products so popular they're practically household names themselves. Band-aid has become synonymous with bandage and does anyone say acetaminophen? It's Tylenol. Johnson & Johnson remains the largest company in drugs and biotech and inched up 2 positions to be #32 on the 2016 FORBES Global 2000 ranking of the world's largest public companies.
The FORBES Global 2000 is an annual ranking of the world's largest, most powerful public companies, based on equally-weighted measures of revenue, profits, assets and market value. Here's how we crunched the numbers.
Johnson & Johnson also manufactures more complex medical devices across the healthcare spectrum for patients with diseases like diabetes and cancer. Over the 12 months to April 22, when Global 2000 data was locked in, J&J generated $70.2 billion in revenue, $15.4 billion in profits and its market capitalization stood at $312.6 billion.
Pfizer came in a less-than-close second yet again with $48.9 billion in sales, $7.7 billion in profit with a market valuation of $205.7 billion. The company grabbed up Hospira for $16.1 billion in cash last September, adding generic injectables to its menu of medical products.
Pfizer vied for the top spot in drugs and biotech with an attempted acquisition of Allergan (#135 overall) that was thwarted by President Obama's efforts to curb tax-inversion deals this past April. The Zoloft-maker has a clear focus on M&A, spending only $429 million on research and development in 2015, down 69% from the previous year.
Swiss-giant Novartis (#47 overall) ranked third in the drugs and biotech industry and is in the process of selling its $14 billion stake in rival Roche (#80 overall), which ranks just below it as the 4th largest in the space. Why is it divesting? It wants to secure cash to make more deals, according to Reuters.
Bayer (#97 overall) is the 6th largest drug and biotech company and just announced a $62 billion bid for chemical company Monsanto (#420 overall), with $13.7 billion in sales, $1.5 billion in profit with a market value of $41.1 billion as of April 22.
The notable newbie is Allergan (#135 overall), which can thank its debut on the list to being bought by merger-maniac Actavis last March. New Jersey-based Actavis grew from a small generic drug-maker in 2010 to becoming sizable enough to purchase the Botox giant, by making a series of strategic deals. With the sale, Actavis redubbed itself Allergan. The $70.5 billion cash and equity transaction makes the new Allergan M&A mutt the 11th largest company in the drugs and biotech space.
The world's 25 biggest drug and biotech companies hail from 8 countries, with 15 based in the U.S., 2 each headquartered in the U.K., Switzerland and Germany and 1 in Denmark, France, Israel and Japan.