Reliance Jio has been waving through the internet these days. Reliance now opened the trial phase for almost all brands of smartphones such as Samsung, LG, Asus, Panasonic, Micromax, TCL, and so on. Here's How to Use a Reliance Jio 4G SIM in any Dongle!
Many people all over India might have got their hands on the Reliance Jio SIM card. There were some rumors recently saying that the service is now open to all 4G smartphones as well. Now, many people will be wondering that Does Reliance Jio is limited to only 4G enabled smartphones? The simple answer is No. You can use the SIM card on any devices such as dongles, irrespective of the brand.Check out the sliders below on how to use Reliance Jio SIM card on any dongle!
There are many ways to get a Reliance Jio SIM card. We already listed all the ways to get a SIM card. However, at the initial phase, Reliance Jio SIM card was only made available for employees and Lyf smartphones. That said, if your SIM belongs to a Lyf smartphone, you cannot use it in a dongle.
Also, if you acquired the SIM card using an HP Preview offer, then you might be unlucky as you won't be able to use the Jio SIM card in a dongle.
If you got the SIM from a Samsung or any other 4G enabled smartphone, you can easily use it in a dongle.
Insert the SIM Card in Your Dongle!
The initial step of this process is to get your SIM card to be inserted in any dongle whether it be Airtel or any other dongle which has support for 4G. Connect your dongle to your PC or Laptop and wait for the connection to establish.
Set APN Once after connecting your dongle, wait for a notification to occur. If that doesn't happen, just go to your dongle settings. If you're using Windows 8 and above, then you need to head over to the notification panel and set the APN settings as follows.
Do make a note that, some dongles will automatically choose the APN. However, we recommend you to check the internet connection by opening your browser. If it doesn't load any web page, then you have the set the APN manually.
If all goes well, you will be connected to the internet and will be able to use the Reliance Jio 4G on your laptop or PC with the help of a dongle. If you face any issues, reboot your system and try again.


В связи с большим количеством конкурсантов, администрация конкурса изыскала возможность начать акустические репетиции 29 cентября с 10:00 до 15:00. 30 сентября время репетиции будет ограничено в связи с проведением Первого Международного Конкурса скрипичных мастеров им. Леопольда Ауэра.
Успехов и прекрасного выступления на конкурсе!
Dear participants of the contest!
Due to the large number of contestants, the administration of the contest found the opportunity to begin acoustic rehearsals on September 29 from 10:00 to 15:00. On September 30th, the rehearsal time will be limited due to the holding of the First International Violin Makers Competition in the framework of our Leopold Auer.competition.
Please,those who plan to be in St. Petersburg at this time or live there, contact the administration of the competition and make an appointment for rehearsals. Each contestant will be given 10 minutes of acoustic rehearsal.
Also we will ask each participants to check on our website the correctness of your program and in case of any inaccuracies urgently write to the administrator.
Successes and excellent performances at the competition!


Here, you will find dishes to accompany the Main Course. Each dish on the meal was the result of reflection and study. Menus were prepared in advance? ? timed to perfection. It was said, without the culinary arts the crudeness of reality would be unbearable.


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See all Disinfo Cases - Detail
Disinfo: The OPCW is in crisis, while Western countries are lying about chemical attacks in Syria
Western countries deliberately hide the details of the chemical attack in the Syrian city of Douma on 7 April 2018, because the attack did not happen; this is another fake from the Western leadership. The Organisation for the Prohibition of Chemical Weapons hides these facts, in order not to be the violator of international law.
Disproof
Recurring pro-Kremlin disinformation narrative about the chemical weapons attack in Douma, Syria.
In March 2019, the OPCW confirmed in its final report that chlorine was used in the attack on Douma, April 7, 2018.
According to the Berlin Non-Profit Organisation Global Public Policy Institute (GPPi), chemical weapons were used more than 300 times in Syria.
Syrian government forces and their ally Russia continue to deny these facts.
Read more about chemical attacks here and here.
publication/media
RT Russia (Archived)
Reported in: Issue 158
Language/target audience: Russian
Country: Russia, Syria
Keywords: Douma, OPCW, West, Chemical weapons/attack
The only thing that prevents a bloody disintegration of Ukraine is Russia's policy
The only thing that prevents a bloody disintegration of Ukraine is Russia's policy. Russia is so far not allowing to split the country into pieces, which would benefit the EU.
Recurring pro-Kremlin disinformation narrative about the disintegration of Ukraine.
The European Union continues to support Ukraine, its territorial integrity and sovereignty against Russian aggression.
Russophobia has become a normal thing in Ukraine
Russophobia has become a normal thing in Ukraine, even outside of politics. Cultural and educational exchanges, as well as contacts between relatives, have almost been forbidden.
Recurring pro-Kremlin disinformation narrative about Russophobia in Ukraine.
Ukraine is not a fascist, Russophobic country as often claimed by the Kremlin media. It had to react to Russia's annexation of Crimea and the war in Donbas. However, Ukraine has not forbidden contacts between citizens of Ukraine and Russia, as well as sports, cultural, scientific or other exchange. The borders [with Russia] are open. It still has direct bus and train connections with Moscow and Saint-Petersburg.
Finland initiates a discussion in the EU about feasibility of Russia-sanctions
While holding the EU presidency, Finland initiates a discussion in the EU about Russia-sanctions feasibility.
Manipulative headline. No evidence given. The article is based on an opinion piece published in a Finnish newspaper, it does not reflect the government's policy.
Finland supports the restrictive measures against Russia.

redpajama_set_name: RedPajamaCommonCrawl


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Introduction of a standardised protocol, including systematic use of tranexamic acid, for management of severe adult trauma patients in a low-resource setting: the MSF experience from Port-au-Prince, Haiti
Alessandro Jachetti ORCID: orcid.org/0000-0001-8769-03551,2,
Rose Berly Massénat1,
Nathalie Edema1,
Sophia C. Woolley1,
Guido Benedetti1,3,
Rafael Van Den Bergh3 &
Miguel Trelles4
Bleeding is an important cause of death in trauma victims. In 2010, the CRASH-2 study, a multicentre randomized control trial on the effect of tranexamic acid (TXA) administration to trauma patients with suspected significant bleeding, reported a decreased mortality in randomized patients compared to placebo. Currently, no evidence on the use of TXA in humanitarian, low-resource settings is available. We aimed to measure the hospital outcomes of adult patients with severe traumatic bleeding in the Médecins Sans Frontières Tabarre Trauma Centre in Port-au-Prince, Haiti, before and after the implementation of a Massive Haemorrhage protocol including systematic early administration of TXA.
Patients admitted over comparable periods of four months (December2015- March2016 and December2016 - March2017) before and after the implementation of the Massive Haemorrhage protocol were investigated. Included patients had blunt or penetrating trauma, a South Africa Triage Score ≥ 7, were aged 18–65 years and were admitted within 3 h from the traumatic event. Measured outcomes were hospital mortality and early mortality rates, in-hospital time to discharge and time to discharge from intensive care unit.
One-hundred and sixteen patients met inclusion criteria. Patients treated after the introduction of the Massive Haemorrhage protocol had about 70% less chance of death during hospitalization compared to the group "before" (adjusted odds ratio 0.3, 95%confidence interval 0.1–0.8). They also had a significantly shorter hospital length of stay (p = 0.02).
Implementing a Massive Haemorrhage protocol including early administration of TXA was associated with the reduced mortality and hospital stay of severe adult blunt and penetrating trauma patients in a context with poor resources and limited availability of blood products.
Tranexamic acid (TXA) is a synthetic lysin-analog that inhibits fibrinolysis by blocking the lysine-binding sites on plasminogen. The use of TXA was first described in the early 1970s for the control of bleeding associated with urinary tract surgery [1] and for haemorrhage associated with dental extraction in patients with haemophilia [2]. In the 1990s, TXA use was expanded to the treatment of hyper-fibrinolysis associated with cardiopulmonary bypass, in which it was proved to reduce blood loss and the need for transfusion [3,4,5]. Further studies on gynaecological bleeding [6, 7] and elective orthopaedic and abdominal surgery found that TXA reduced the need for transfusions [8, 9]. The number of studies on the use of TXA in elective surgery has increased since the 2000s, providing adequate evidence of its safety profile [10, 11]. Recent studies have confirmed how TXA can reduce overall mortality, blood loss, and mortality related to bleeding in many types of elective surgery, without observable adverse effects [12,13,14,15,16,17,18].
Bleeding is an important cause of death after trauma [19, 20]. In 2010, the Clinical Randomization of an Antifibrinolytic in Significant Haemorrhage (CRASH-2) study, a multicentre randomized clinical trial on the effect of TXA administration to trauma patients with suspected significant bleeding, reported a decreased mortality in patients randomized to TXA as compared to a placebo [21]. Since the CRASH-2 study, the number of studies related to the use of TXA in trauma setting has increased. Many recent studies and systematic reviews confirmed the findings of the CRASH-2 study, thus prompting many hospitals in different settings to adopt TXA in their massive haemorrhage control protocols [22,23,24]. The use of TXA was further explored in paediatric trauma [25, 26] and prehospital settings [27, 28], showing reduced mortality and no side effects. TXA was also tested in military settings in 2012, with a first research known as the MATTERs study [29], followed by others [30,31,32], with results for combat casualties also holding promise. In 2016, the European Guidelines for Management of Major Bleeding recommended the use of TXA in trauma [33].
Trauma induced coagulopathy
Trauma is one of the major causes of morbidity and mortality at global level, especially among the young. Approximately 1.2 million trauma-related deaths occur annually, while the numbers of hospitalized patients (around 24 million) and patients who require extra-hospital medical care (around 84 million) are increasing, which adversely impacts healthcare resources. Haemorrhage is the most important cause of death in severe trauma victims, through two main mechanisms: fatal haemorrhage from vascular injury resulting in haemorrhagic shock, and secondary bleeding coagulopathy. The latter represents a pathological entity by itself, and is also termed Trauma Induced Coagulopathy (TIC) or Acute Trauma Coagulopathy (ATC). About 25–35% of trauma patients develop a clinically detectable and demonstrable coagulopathy even before hospital arrival, and they have a risk of death within 24 h that is up to eightfold higher than patients without signs of coagulopathy. The mechanisms underlying this process have not yet been fully clarified [34, 35]. Shock and systemic hypoperfusion could be triggers [36]. Considering hemodilution, recent studies only show significant association between pre-hospital fluid administration and onset of coagulopathy for infusion volumes greater than 2200 ml [37,38,39]. The effect of hypothermia on coagulant proteases is minimal for temperatures above 33 °C but a certain level of correlation with the onset of coagulopathy was observed [40,41,42,43]. Acidosis has a dose-dependent effect on the coagulation function. However, the normalization of pH do not result in reversing the coagulopathy, and more complex mechanisms underlying TIC may exist [44,45,46]. Each hospital should develop, implement and adhere to a management protocol, adapted to the local setup [29, 47, 48].
General setting
Haiti is a Caribbean country, with a population of more than 10 million inhabitants, approximately 25% of whom live in the metropolitan area of the capital Port-au-Prince [49]. The country suffers from poor health indicators, lacks adequate resources and infrastructure, and struggles to meet the population's basic medical needs and to provide adequate services, such as maternal healthcare and acute trauma care. While a segment of the population can access private health services in Haiti or overseas, healthcare is generally difficult to access for a large proportion of Haitians. Medical facilities are often understaffed and lack funding to cover for medical supplies and operating costs.
The Médecins Sans Frontières (MSF) Tabarre hospital in Port-au-Prince, Haiti, is a referral Trauma Centre operating in a low-resource context, where bleeding and TIC are among the leading causes of death for victims of accidental and violent trauma. Blood transfusion is not readily available in this context, and the early administration of TXA may therefore contribute to saving lives and optimizing resources. This study aimed to assess the clinical and hospital outcomes of adult patients with severe traumatic bleeding in the MSF Tabarre Trauma Centre before and after the implementation of a new Massive Haemorrhage protocol, which included early administration of TXA.
MSF Tabarre trauma Centre
In Tabarre, a densely populated suburb of Port-au-Prince, MSF has been running a 121-bed hospital providing surgery and trauma-related care since 2012. In 2015, the Emergency Department (ED) was attended by more than 13,000 patients, and the hospital performed more than 8200 surgical interventions for 6400 patients [50]. Physiotherapy, mental health and social support were also offered to victims of trauma. The hospital was built to respond to the lack of adequate treatment for surgical and traumatic emergencies in the capital city after the 2010 earthquake.
The south African triage score
The South African Triage Score (SATS) was developed in 2006 for use in both pre- and in-hospital emergency units throughout South Africa. It aimed to address the increasing burden of severe emergency cases, medical staff shortages, and limited resources. The score was validated in emergency care by studies in South Africa [51, 52] and in various settings such as Malawi [53], Botswana [54], Ireland [55], and Pakistan [56]. As one of the few triage scores validated specifically in poorly resourced settings [57], MSF applied the SATS since the opening of Tabarre hospital. The SATS score is based on vital signs, mobility and level of consciousness (see Fig. 1) and due to its characteristics, its reliability and capacity to anticipate in-hospital mortality [58, 59] were chosen as measure of injury severity. The ISS (Injury Severity Score), the most widespread measure of injury severity in high-resource settings, was impractical in the setting of this study due to its dependence on anatomical scoring evaluation using parameters that could not be measured in this setting, and due to its poor reliability due to the different backgrounds of the MSF surgeons.
SATS score (adapted from South African Triage Group 2008©). Legend: RR: respiratory rate, HR: heart rate, SBP: systolic blood pressure, Temp: temperature, AVPU: alert-verbal-pain-unconscious scale
Massive Haemorrhage protocol
In late 2014, the MSF Critical Care Working Group elaborated the Massive Haemorrhage protocol (see Additional file 1). This protocol describes the actions to be taken in case of suspected haemorrhages: maintaining normothermia and haemostasis, resuscitation with permissive hypotension (systolic blood pressure 90 mmHg), early transfusion, and rapid access to the Operating Theatre (OT). The protocol also recommends the early intravenous (IV) administration of 1 g of TXA in 10 min, if possible and maximally within 3 h after injury, followed by 1 g IV of TXA in 10 min, 3 h after the 1st bolus. The protocol was introduced in Tabarre in December 2016 as part of a strategy aiming to maximise hospital resources and to strengthen the skills of the staff. The number of doctors working at the ED was doubled in April 2016 and all staff (doctors, nurses, auxiliary service) received additional training on trauma management and the use of TXA in October and November 2016.
Study design and population
This was a descriptive retrospective 'before and after' un-paired study measuring the clinical outcomes of adult patients with severe traumatic bleeding in the MSF Tabarre Trauma Centre. The outcomes of patients accessing the hospital over 4 months before the implementation of the Massive Haemorrhage protocol (December 2015 to March 2016, group "before") were compared with the outcomes of patients accessing the hospital over the same period one year after (December 2016 to March 2017, group "after"). This was a retrospective analysis of routinely collected data. Included cases were adults aged 18–65 years, with blunt or penetrating trauma and a SATS score ≥ 7, arriving at the ED within 3 h from trauma and being classified as "red" codes.
Data handling and analysis
Data was sourced from the routinely implemented monitoring and surveillance databases (line-lists) and patient files at MSF Tabarre Trauma Centre. Exposure variables for the groups "before" and "after" included demographic (age), clinical (type of trauma, delay since trauma, SATS score) and case management (type of referral, time of access, Massive Haemorrhage protocol) characteristics of patients accessing the MSF Tabarre Trauma Centre (ED, OT, in-patient department and intensive care unit). Included patients were categorised as self-referred (yes or no), arrived ≤/> 1 h from trauma, having penetrating or blunt trauma, having multiple injuries, undergoing surgery (yes or no). Outcomes included intra-hospital mortality (yes or no), early mortality (yes or no, considered as death within 48 h from arrival), number of days spent in the hospital (in-patient department and intensive care unit). Data was extracted and imported into a dedicated structured electronic spreadsheet (Excel 2010, Microsoft Corp, Redmond, WA, USA). All exposures and mortality outcomes were categorical and summarised as counts and proportions. Duration of hospitalisation was a numerical continuous outcome, and was summarized as median and inter-quartile range (IQR). Associations between exposures and the two groups ("before" and "after") were measured by Fisher's exact test. Associations between the duration of hospitalization and the two groups ("before" and "after") were measured by Wilcoxon rank sum test, first including the entire study population and secondarily considering only patients with favourable outcome (alive at exit) from hospital. The strength of association among exposures, the two study groups ("before" and "after"), the mortality causes and outcome (alive or dead at exit from hospital) were measured by bivariate and multivariate logistic regression and were expressed as odds ratios (ORs) and 95% Confidence Intervals (CI). P-values< 0.05 were considered statistically significant. Analysis was performed with STATA/IC Version 14.1. (StatCorp, College Station, TX, USA).
This study fulfilled the exemption criteria set by the MSF Ethics Review Board (ERB) for a posteriori analyses of routinely collected data and was approved by the Haitian Ethics Review Board.
Overall, 116 patients met the inclusion criteria: 52 from the group "before" the introduction of the Massive Haemorrhage protocol, and 64 from the group "after". Table 1 shows a cascade of the included patients per group. The median age for the group "before" was 28 years [IQR 23–36], while it was 32 years [IQR 26–41] for the group "after". The female/male ratio was 0.1 and 0.2 respectively in the two groups. In the "before" group, 6 patients had blunt trauma as consequence of traffic accident and 46 had a penetrating trauma (40 gunshot wounds and 6 knife wounds). In the "after" group, 7 patients had blunt trauma (6 traffic accidents and 1 fall) and 57 had a penetrating trauma (46 gunshot wounds and 11 knife wounds). The two groups were similar in terms of characteristics of trauma (Table 2). However, patients treated after the introduction of the Massive Haemorrhage protocol had a significantly longer delay between the time of trauma and the time of arrival (p < 0.001) and they underwent less surgical treatment (p < 0.01) than the others.
Table 1 Number of patients included in the study by group (before and after)
Table 2 Trauma characteristics and case management of patients by group (before and after)
The two groups showed similar hospital lengths of stay in the in-patient department and intensive care unit. When excluding patients with unfavourable outcome (i.e. event of death), patients treated after the introduction of the Massive Haemorrhage protocol had a significantly shorter hospital length of stay: 6 days [IQR 4–9] vs 8 [6–12] (p = 0.02).
In the group "before", 18 deaths were observed, 16 for bleeding (89%, OR 0.5 95%CI 0.0–7.6), 1 for sepsis and 1 for severe traumatic brain injury. In the group "after", 10 deaths were observed, 9 for bleeding (90%, OR 0.3, 95%CI 0.0–23) and 1 for severe brain injury associated with blunt trauma. Out of all unfavourable outcomes, early mortality was recorded in 13 cases for the group "before" (72%) and in 8 cases for the group "after" (80%), OR 1.5 95%CI 0.2–20. Table 3 describes factors associated with unfavourable outcome in the entire study population. Patients exposed to the Massive Haemorrhage protocol (group "after") had 70% lower odds of death during hospitalization compared to the group "before" (adjusted OR 0.3, 95%CI 0.1–0.8). In a multivariate model, cases of blunt trauma were associated with the death of patients as compared to other kinds of trauma (adjusted OR 9.2, 95%CI 2.4–35.4).
Table 3 Factors associated with favorable or unfavorable outcome of patients
To the best of our knowledge, this is the first study investigating the standardized approach and the systematic use of TXA in a referral third level trauma centre operating in a context of urban violence, lack of pre-hospital medical care, poor resources and with no capacity of massive systematic blood transfusion. The MSF Tabarre Trauma Centre, with its high caseload of severe traumatic bleeding injuries, allowed to evaluate the outcomes related to the implementation of a Massive Haemorrhage protocol including the early administration of TXA. The study showed favourable outcomes for patients after the implementation of the protocol.
Available evidence on the use of TXA mostly comes from high-resource settings. Studies from low-resource contexts (e.g. the CRASH-2 [21] study) typically considered settings where transfusion was available.
TXA dosage after trauma is 1 g IV in 10 min, followed by another gram in 8 h, as available in literature [21, 33]. Such a dosage was validated for elective surgery [60,61,62] and at the time of writing no attempts to evaluate other dosages have been made in civilian trauma settings. Some studies in orthopaedic surgery demonstrated the efficacy of a bolus of TXA in different doses (from 15 mg/Kg to 30 mg/Kg) instead of continuous infusion [63,64,65,66].
In a military context, the MATTERs study [29] proposed a single IV gram of TXA to be infused as soon as possible after trauma and a second gram within 24 h; however, that analysis was not stratified by dose.
The MSF protocol included 1 g IV in 10 min upon arrival and 1 g after 3 h, but no similar indications were found in the literature. Other humanitarian non-governmental organizations have proposed the use of TXA in their trainings but no protocol is available. The dose proposed by MSF reflects the difficulties to have 8 h of infusion and adequate devices in its operational contexts.
Considering all the above, the high caseload, and the high mortality rate of severe bleeding from blunt or penetrating trauma in the MSF Tabarre Trauma Centre, where massive transfusion is difficult, justified this evaluation.
The capacity, size and equipment of the ED of Tabarre Trauma Centre underwent virtually no change between December 2015 and March 2016 (group "before"). In April 2016, MSF doubled the number of Emergency doctors on day and night shifts, but did not change its approaches and protocols until the introduction of the Massive Haemorrhage protocol. Even with two ER doctor on shift, no difference in the admission time for severe patients was observed. No changes in the OT setting were implemented in the study period. Training was performed throughout 2016 by organizing scientific days and bedside coaching. Specific trainings on the protocol and the use of TXA in trauma were performed just before the implementation of the protocol.
No secondary or adverse effects after infusion of TXA were registered during this study, confirming the TXA safety profile. Our findings will support the implementation of the protocol, which is now promoted across MSF surgical and trauma projects.
The "before" and "after" groups showed a few differences: patients treated after the protocol underwent less surgery than the "before" group patients. The higher prevalence of blunt trauma, which does not necessarily require surgical care, could justify this difference. Also, the "after" group showed a longer delay between the event of trauma and arrival at ED: as the increased delay would be expected to carry unfavourable effects, the positive results in the "after" group are likely an underestimation. Concerning all other exposures (demographic, clinical and case management) the two groups were similar.
Two comparable periods of four months were considered sufficiently long to mitigate the punctual effect of any operational change at OT level (e.g. the turnover of colleagues with different background, the exposure of staff to a single lecture on trauma management).
It was not possible to account for the effect of co-morbidities on patients' outcome because these characteristics were not routinely recorded. However, the specific trauma target of the hospital and the median young age of the patients likely limit their relevance to our analysis.
Another limitation was the poor consistency of the registered delay between time of arrival at ED and case management, which was not available in most of the cases and was therefore excluded from analysis as an exposure.
In the "after" cohort, prehospital times of arrival to the ED after the injury had occurred were higher than in the "before" group, so reduced mortality could also be related to a higher mortality in the pre-hospital setting, which was not possible to account for in this study. Due to lack of Emergency Medical Services and due to the particular setting, obtaining data on pre-hospital care and mortality was impossible, but to our knowledge no changes in the prehospital handling between the two study periods occurred.
In the "after" cohort we observed a reduced surgery rate (92% versus 67%). It can lead to think that patient in the second cohort were less severe and it could explain the reduced mortality in this group, by the way according to severity score we were treating patient with the same severity and with the same probability of death. Moreover, the death rate for bleeding was similar in both groups, so we expect our cohorts to be similar in terms of population.
Finally, a certain number of eligible patients in the "after" group were not treated following the protocol. This was internally investigated by matching the marked therapies with the TXA vial consumption at ED, and by interviewing the doctors. The investigation demonstrated that the protocol was always respected and TXA administered in most cases, but was not recorded in the patient file. All such patients were excluded from analysis.
This study showed how a standardized approach for the care of severe adult blunt and penetrating trauma patients, including early TXA administration, was associated with reduced mortality in consequence of bleeding in a context with poor resources and not readily available massive blood transfusions. Results were in line with the literature on the use of TXA in severe trauma. Data showed that the dose of TXA used in the MSF protocol was effective, similarly to other dosages from developed countries. The difficulties to put in place massive transfusions in a low-resource setting did not appear to affect the capacity of TXA to contribute to preventing and mitigating TIC, reducing mortality of severely injured trauma patients. More evidence is now required from similar contexts in order to better investigate the dosage and effect of TXA in severe trauma and to compensate for the limits of a monocentric study. Overall, the favourable outcomes of patients exposed to treatment in the "after" group should not be considered an effect of TXA alone. It was rather an effect of the implementation of the entire Massive Haemorrhage protocol (including the training of staff, an improved operational circuit, the availability of a trauma specialist, and the general standardization of the approach by the protocol). Moreover, TXA is not to be considered as a substitute of blood transfusions, which remain key to manage severe trauma. TXA is no "panacea" but an option to reduce the death toll in severe trauma. Its effect is logically more evident wherever adequate blood transfusion is not readily available, thus suggesting its relevance in low-resource settings. The implementation of this protocol was also associated with a reduced hospital stay, carrying additional benefits for patients and the hospital.
This study contributed to the evidence for using TXA as a component of trauma management packages. Together with its use in pre-hospital care (ambulances and first aid posts, as supported by recent literature [28,29,30]), the systematic use of TXA associated with adequate staff training and the standardisation of trauma care could mark a difference in the outcome of patients in low-resourced and precarious humanitarian contexts. Future studies in low-resources context should be performed to collect data and evaluate the impact of our actions. Standardized protocols should reduce mortality and improve efficiency of our medical project. Other actions and studies might be focus on the improvement of the of pre-hospital care system as a strategy to reduce the mortality of this patient population.
Data is property of MSF – Operational Centre Brussels. The datasets used and analysed during the current study are available from the corresponding author on reasonable request and upon approval of MSF – Operational Centre Brussels.
Acute Trauma Coagulopathy
CRASH:
Clinical Randomization of an Antifibrinolytic in Significant Haemorrhage
LIC:
Low Income Country
LuxOR:
Luxembourg Operational Research
MSF:
OCB:
Operational Centre Brussels
South African Triage Score
TIC:
TXA:
Bedil M. Use of tranexamic acid as hemostatic in oral surgery. Trib Odontol (B Aires). 1971;55(7):175–6.
Forbes CD, Barr RD, Reid G, Thomson C, Prentice CR, McNicol GP, Douglas AS. Tranexamic acid in control of haemorrhage after dental extraction in haemophilia and Christmas disease. Br Med J. 1972;2(5809):311–3.
CAS PubMed PubMed Central Article Google Scholar
Horrow JC, Hlavacek J, Strong MD, Collier W, Brodsky I, Goldman SM, Goel IP. Prophylactic tranexamic acid decreases bleeding after cardiac operations. J Thorac Cardiovasc Surg. 1990;99(1):70–4.
Horrow JC, Van Riper DF, Strong MD, Brodsky I, Parmet JL. Hemostatic effects of tranexamic acid and desmopressin during cardiac surgery. Circulation. 1991;84(5):2063–70.
CAS PubMed Article Google Scholar
Nakashima A, Matsuzaki K, Fukumura F, Hisahara M, Kanegae Y, Fukae K, Miyamoto K, Nishida T, Tokunaga S, Tominaga R, et al. Tranexamic acid reduces blood loss after cardiopulmonary bypass. ASAIO J. 1993;39(3):M185–9.
As AK, Hagen P, Webb JB. Tranexamic acid in the management of postpartum haemorrhage. Br J Obstet Gynaecol. 1996;103(12):1250–1.
Bonnar J, Sheppard BL. Treatment of menorrhagia during menstruation: randomised controlled trial of ethamsylate, mefenamic acid, and tranexamic acid. BMJ. 1996;313(7057):579–82.
Benoni G, Fredin H. Fibrinolytic inhibition with tranexamic acid reduces blood loss and blood transfusion after knee arthroplasty: a prospective, randomised, double-blind study of 86 patients. J Bone Joint Surg Br. 1996;78(3):434–40.
Boylan JF, Klinck JR, Sandler AN, Arellano R, Greig PD, Nierenberg H, Roger SL, Glynn MF. Tranexamic acid reduces blood loss, transfusion requirements, and coagulation factor use in primary orthotopic liver transplantation. Anesthesiology. 1996;85(5):1043–8.
Takagi H, Manabe H, Kawai N, Goto S, Umemoto T. Aprotinin increases mortality as compared with tranexamic acid in cardiac surgery: a meta-analysis of randomized head-to-head trials. Interact Cardiovasc Thorac Surg. 2009;9:98–101.
Henry D, Carless P, Fergusson D, Laupacis A. The safety of aprotinin and lysine-derived antifibrinolytic drugs in cardiac surgery: a meta-analysis. CMAJ. 2009;180:183–93.
PubMed PubMed Central Article Google Scholar
Madsen RV, Nielsen CS, Kallemose T, Husted H, Troelsen A. Low Risk of Thromboembolic Events After Routine Administration of Tranexamic Acid in Hip and Knee Arthroplasty. J Arthroplasty. 2016. https://doi.org/10.1016/j.arth.2016.10.015 [Epub ahead of print].
Fígar A, Mc Loughlin S, Slullitel PA, Scordo W, Buttaro MA. Influence of single-dose intravenous tranexamic acid on total hip replacement : a study on transfusions, collateral complications, and readmissions. Orthopade. 2016; [Epub ahead of print].
Myles PS, Smith JA, Forbes A, Silbert B, Jayarajah M, Painter T, Cooper DJ, Marasco S, McNeil J, Bussières JS, McGuinness S, Byrne K, Chan MT, Landoni G, Wallace S. ATACAS Investigators of the ANZCA Clinical Trials Network. Tranexamic Acid in Patients Undergoing Coronary-Artery Surgery. N Engl J Med. 2016; [Epub ahead of print].
Aziz M, Mahmood SB, Lakdawala RH, Ahmad T. Lower red cell transfusion rates with use of tranexamic acid in single-stage bilateral total knee arthroplasty: A retrospective audit. J Pak Med Assoc. 2016;66((Suppl 3)(10)):S102–5.
Hallstrom B, Singal B, Cowen ME, Roberts KC, Hughes RE. The Michigan experience with safety and effectiveness of Tranexamic acid use in hip and knee Arthroplasty. J Bone Joint Surg Am. 2016;98(19):1646–55.
Lozano M, Basora M, Peidro L, Merino I, Segur JM, Pereira A, Salazar F, Cid J, Lozano L, Mazzara R, Macule F. Effectiveness and safety of tranexamic acid administration during total knee arthroplasty. Vox Sang. 2008;95(1):39–44.
Henry DA, Carless PA, Moxey AJ, O'Connell D, Stokes BJ, McClelland B, Laupacis A, Fergusson D. Anti-fibrinolytic use for minimising perioperative allogeneic blood transfusion. Cochrane Database Syst Rev. 2007;4:CD001886 Review.
Oyeniyi BT, Fox EE, Scerbo M, Tomasek JS, Wade CE, Holcomb JB. Trends in 1029 trauma deaths at a level 1 trauma center: Impact of a bleeding control bundle of care. Injury. 2016; [Epub ahead of print].
Moore FA, McKinley BA, Moore EE. The next generation in shock resuscitation. Lancet. 2004;363:1988–96.
CRASH-2 trial collaborators, Shakur H, Roberts R, Bautista R, Caballero J, Coats T, Dewan Y, El-Sayed H, Gogichaishvili T, Gupta S, Herrera J, et al. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2): a randomised, placebo-controlled trial. Lancet. 2010;376(9734):23Y32.
CRASH-2 trial collaborators, Shakur H, Roberts R, Bautista R, Caballero J, Coats T, Dewan Y, El-Sayed H, Gogichaishvili T, Gupta S, Herrera J, et al. The importance of early treatment with tranexamic acid in bleeding trauma patients: an exploratory analysis of the CRASH-2 randomised controlled trial. Lancet. 2011;377:1096–101.
Cap AP, Baer DG, Orman JA, Aden J, Ryan K, Blackbourne LH. Tranexamic acid for trauma patients: a critical review of the literature. J Trauma. 2011;71:S9–S14.
Cole E, Davenport R, Willett K, Brohi K. Tranexamic acid use in Severly injured civilian patients and the effects on outcomes : a prospective cohort study. Ann Surgery. 2015;261(2):390–4.
Eckert MJ, Wertin TM, Tyner SD, et al. Tranexamic acid administration to pediatric trauma patients in a combat setting: the pediatric trauma and tranexamic acid study (PED-TRAX). J Trauma Acute Care Surg. 2014;77:852–8.
Urban D, Dehaeck R, Lorenzetti D, Guilfoyle J, Poon MC, Steele MG, Lardner D, Wai Yan Ma I, Brindle ME. Safety and efficacy of tranexamic acid in bleeding paediatric trauma patients: a systematic review protocol. BMJ Open. 2016;6:e012947.
Ausset S, et al. Tranexamic acid as part of remote damage-controle resuscitation in the prehospital setting: a critical appraisal of the literature and available alternatives. J Trauma Acute Care Surg. 2015;78:S70YS75.
Wafaisade A, Lefering R, Bouillon B, Böhmer B, Gäßler M, Ruppert M, TraumaRegister DGU. Prehospital administration of tranexamic acid in trauma patients. Critical Care. 2016;20(143):1–9.
Morrison JJ, Dubose JJ, Rasmussen TE, Midwinter MJ. Military Applicatio of Tranexamic Acid in Trauma Emergency Resuscitation (MATTERs) study. Arch Surg. 2012;147(2):113Y119.
Lipsky A, Abramovich A, Nadler R, Feinstein U, Shaked G, Kreiss Y, Glassberg E, et al. Injury, Int. J. Care Injured. 2014;45:66–70.
Aedo-Martín D, Garcìa-Canas R, Navarro-Suay R, Martínez-Roldàn M, Banos-Turza R, Tamburri-Bariain R. Empleode ácido tranexámico en el herido de combate, experiencia de la sanidad militar espanola. Serie de casos y revisión de la literatura. RevEsp Cir Ortop Traumatol. 2016;60:200–5.
Lewis CJ, Li P, Stewart L, Weintrob AC, Carson ML, Murray CK, Tribble DR, Ross JD. Tranexamic acid in life-threatening military injury and the associated risk of infective complications. BJS. 2016;103:366–73.
Rossaint, et al. The European guideline on management of major bleeding and coagulopathy following trauma: fourth edition. Critical Care. 2016;20:100 1–55.
Brohi K, Singh J, Heron M, et al. Acute traumatic coagulopathy. J Trauma. 2003;54:1127–30.
Schreiber MA. Coagulopathy in the trauma patient. Curr Opin Crit Care. 2005;11:590–7.
Brohi K, Cohen JC, Davenport RA. Acute coagulopathy of trauma: mechanism, identification and effect. Curr Opin Crit Care. 2007;13:680–5.
PubMed Article PubMed Central Google Scholar
Maegele M, Lefering R, Yucel N, et al. Early coagulopathy in multiple injury: an analysis from the German trauma registry on 8724 patients. Injury. 2007;38:298–304.
Brazil EV, Coats TJ. Sonoclot coagulation analysis of in-vitro haemodilution with resuscitation solutions. J R Soc Med. 2000;93:507–10.
Coats TJ, Brazil E, Heron M, MacCallum PK. Impairment of coagulation by commonly used resuscitation fluids in human volunteers. Emerg Med J. 2006;23:846–9.
Farkash U, Lynn M, Scope A, et al. Does prehospital fluid administration impact core body temperature and coagulation functions in combat casualties? Injury. 2002;33:103–10.
Shafi S, Elliott AC, Gentilello L. Is hypothermia simply a marker of shock and injury severity or an independent risk factor for mortality in trauma patients? Analysis of a large national trauma registry. J Trauma. 2005;59:1081–5.
Wolberg AS, Meng ZH, Monroe DM, Hoffman M. A systematic evaluation of the effect of temperature on coagulation enzyme activity and platelet function. J Trauma. 2004;56:1221–8.
Meng ZH, Wolberg AS, Monroe DM, Hoffman M. The effect of temperature and pH on the activity of factor VIIa: implications for the efficacy of high-dose factor VIIa in hypothermic and acidotic patients. J Trauma. 2003;55:886–91.
Martini WZ, Pusateri AE, Uscilowicz JM, et al. Independent contributions of hypothermia and acidosis to coagulopathy in swine. J Trauma. 2005;58:1002–9.
Engstrom M, Schott U, Romner B, Reinstrup P. Acidosis impairs the coagulation: a thromboelastographic study. J Trauma. 2006;61:624–8.
Martini WZ, Dubick MA, Pusateri AE, et al. Does bicarbonate correct coagulation function impaired by acidosis in swine? J Trauma. 2006;61:99–106.
Spahn DR, et al. Management of bleeding and coagulopathy following major trauma: an updated European guideline. Crit Care. 2013;17:R76.
Nardi G, et al. Prevention and treatment of trauma induced coagulopathy (TIC). An intended protocol from the Italian trauma update research group. J Anesthesiol Clin Sci. 2013;2:1-10. 2049–9752-2-22.
Population totale, population de 18 ans et plus menages et densitès éstimes en 2009, Institut National de Statistique et Informatique – Haiti. 2009.
MSF Activity report 2015, second edition.
Bruijns SR, Wallis LA, Burch VC. A prospective evaluation of the cape triage score in the emergency department of an urban public hospital in South Africa. Emerg Med J. 2008;25:398–402.
Gottschalk SB, Wood D, DeVries S, et al. On behalf of the cape triage group. The cape triage score: a new triage system South Africa: proposal from the cape triage group. Emerg Med J. 2006;23:149–53.
Harrison H-L, Raghunath N, Twomey M. Emergency triage, assessment and treatment at a district hospital in Malawi. Emerg Med J. 2012;29:924–5.
Emmanuel A, Ismail A, Kellett J. Assessing the need for hospital admission by the cape triage discriminator presentations and the simple clinical score. Emerg Med J. 2010;27:852–5.
Twomey M, Mullan C, Torrey S, Wallis L, Kestler A. The Princess Marina hospital accident and emergency triage scale provides highly reliable triage acuity ratings. Emerg Med J. 2012;29:650–3.
Dalwai MK, Tayler-Smith K, Trelles M, Jemmy J-P, Maikéré J, Twomey M, Wakeel M, Iqbal M, Zachariah R. Implementation of a triage score system in an emergency room in Timergara. Pakistan PHA. 2013;3(1):43–5.
Dalwai M, et al. Is the south African triage scale valid for use in Afghanistan, Haiti an Sierra Leone? BMJ Glob Health. 2017;2:e000160.
Dalwai M, et al. Inter-rater and intrarater reliability of the South African Triage Scale in low-resource settings of Haiti and Afghanistan. Emerg Med J. 2018;0:1–5.
Massaut, et al. The modified south African triage scale system for mortality prediction in resource constrained emergency surgical centres: a retrospective cohort study. BMC Health Serv Res. 2017;17:594.
Henry DA, Carless PA, Moxey AJ, O'Connell D, Stokes BJ, Fergusson DA, et al. Anti-fibrinolytic use for minimising perioperative allogeneic blood transfusion. Cochrane Database Syst Rev. 2011;3:1-208.
Fiechtner BK, Nuttall GA, Johnson ME, Dong Y, Sujirattanawimol N, Oliver WC Jr, et al. Plasma tranexamic acid concentrations during cardiopulmonary bypass. Anesth Analg. 2001;92:1131–6.
Horrow JC, Van Riper DF, Strong MD, Grunewald KE, Parmet MJ. The dose–response relationship of tranexamic acid. Anaesthesiology. 1995;82:383–92.
Hiippala S, Strid L, Wennerstrand M, Arvela V, Mantyla S, Ylinen J, et al. Tranexamic acid (Cyklokapron) reduces perioperative blood loss associated with total knee arthroplasty. Br J Anaesth. 1995;74:534–7.
Maniar RN, Kumar G, Singhi T, Nayak RM, Maniar RP. Most effective regimen of tranexamic acid in knee arthroplasty: a prospective randomized controlled study in 240 patients. Clin Orthop Relat Res. 2012;470:2605.
Hourlier H, Reina N, Fennema P. Single dose intravenous tranexamic acid as effective as continuous infusion in primary total knee arthroplasty: a randomised clinical trial. Arch Orthop Trauma Surg. 2015;135:465–71.
Akgül T, Büget M, Salduz A, Edipoğlu IS, Ekinci M, Küçükay S, Şen C. Efficacy of preoperative administration of single high dose intravenous tranexamic acid in reducing blood loss in total knee arthroplasty: A prospective clinical study. Acta Orthopaedica et Traumatologica Turcica. 2016;50(4):429–31.
The Authors are thankful to all MSF staff (doctors, nurses, assistants) who helped them to implement the Massive Haemorrhage protocol in Tabarre, saving lives every day with passion and professionality.
Médecins Sans Frontières – Operational Centre Brussels covered all the expenses and costs for ethics approval and will cover the cost for publication.
Médecins Sans Frontières – Operational Centre Brussels – Haiti Mission, Port-au-Prince, Haiti
Alessandro Jachetti, Rose Berly Massénat, Nathalie Edema, Sophia C. Woolley & Guido Benedetti
Emergency Department, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy
Alessandro Jachetti
Médecins Sans Frontières – Operational Centre Brussels – Operational Research Unit, Brussels, Belgium
Guido Benedetti & Rafael Van Den Bergh
Médecins Sans Frontières – Operational Centre Brussels – Surgical and Critical Care Unit, Brussels, Belgium
Miguel Trelles
Rose Berly Massénat
Nathalie Edema
Sophia C. Woolley
Guido Benedetti
Rafael Van Den Bergh
AJ designed the study, collected and entered data, participated in the implementation of the Massive Haemorrhage protocol. RBM and NE helped in sharing the protocol between the staff, collected patients' data, conducted internal reviews, participated in the implementation of the Massive Haemorrhage protocol. AJ and GB analysed and interpreted the patient data, GB made the statistical analyse and tables. SCW cared about authorisation, ethical approval and overall coordination. MT implemented the protocol. MT, SCW and RVDB contributed in writing and reviewing the study protocol and cared about authorisations, ethical approval and overall coordination. All authors reviewed and approved the original protocol and the final manuscript.
Correspondence to Alessandro Jachetti.
This study obtained exemption from the MSF Ethics Review Board and the ethical approval from the Haiti Research Ethics Committee.
Massive Haemorrhage protocol.
Jachetti, A., Massénat, R.B., Edema, N. et al. Introduction of a standardised protocol, including systematic use of tranexamic acid, for management of severe adult trauma patients in a low-resource setting: the MSF experience from Port-au-Prince, Haiti. BMC Emerg Med 19, 56 (2019). https://doi.org/10.1186/s12873-019-0266-x
DOI: https://doi.org/10.1186/s12873-019-0266-x
Low-resource setting
Medécins sans Frontières
Trauma emergency medicine


Steven S. DeKnight is no stranger to creating masterpieces. Working on some of Hollywood's biggest television shows like Daredevil and Spartacus, he's created memorable moments with some of our favorite characters. Now he's stepping into Guillermo del Toro's directing chair, as he takes on his biggest project yet; directing and writing the long-awaited Pacific Rim sequel, Pacific Rim Uprising.
Starring and produced by John Boyega, this movie will see Scott Eastwood, the hilarious Charlie Day, Burn Gorman and more, ten years after the Battle of the Breach where a new generation emerges to take on the threat of the Kaiju.
At this year's New York Comic Con, we had an opportunity to speak to DeKnight about stepping into del Toro's directing chair, crafting the sequel, developing the Pacific Rim "franchise," the creativity of creating a blockbuster and more.


text:
From football to futsal?
With the Swedish national futsal team in crisis, the FA looks at getting club football players involved.
Already popular in South America, futsal is increasingly being taken up in other parts of the world [AP]
Many club coaches get upset when their prized players are picked for their national teams and Swedish clubs could soon be facing an even more unwanted problem - releasing their players for the national futsal side.
The indoor game is recognised by FIFA with its own leagues and world championship but it remains a distant cousin to mainstream soccer, despite honing the skills of players such as Neymar and Ronaldinho when they were young.
Now the Swedish FA is considering asking clubs to release professional players to the fledgling national futsal team, according to media reports.
"We have a general rule that everyone included in a national squad has to take part," Krister Malmsten, a Swedish FA lawyer told newspaper Sportbladet.
Malmsten admitted that futsal's status as an amateur sport might cause problems because professional clubs can stop their players pursuing any activity as sporting amateurs outside their professional obligations, whether it was playing futsal or any other sport.
Futsal was devised by Juan Carlos Ceriani in Uruguay in 1930 as a form of five-a-side. The game is predominantly played indoors on a basketball court-size pitch with small goals and a heavier ball.
FIFA research this year revealed 150 of the 209 member associations were playing the sport – an 18% rise on 2006.
As well as being the game of choice for youngsters in South America, it is also played at the famed Barcelona academy, La Masia.
Sweden's national futsal team coach Per Broberg told Sportbladet that he had approached Sebastian Castro-Tello, who plays professionally for second division Hammarby, about being in his side.
"I'd love to have had a player like Castro in the team but he's a professional. How would his club feel about it ?" said Broberg.


text:
SHE Music News and Entertainment
By She 100.3 | December 8, 2020
Oscar-winning filmmaker Steven Soderbergh to produce 93rd Oscars telecast
Ron Galella Collection via Getty Images
(LOS ANGELES) — Filmmaker Steven Soderbergh, who won the Best Director Academy Award in 2000 for Traffic, is on the team that's producing the next Oscars telecast.
Soderbergh, also known for Erin Brockovich, Magic Mike and the Ocean's Eleven film series, will co-produce along with Emmy-nominated producer Jesse Collins and Oscar-nominated producer Stacey Sher, Academy President David Rubin announced Tuesday. It will be the first time producing the awards telecast for all three.
The show will be broadcast live on ABC worldwide on Sunday, April 25, 2021. The Academy of Motion Pictures Arts and Sciences (AMPAS) insists it will stage a live telecast, unlike the virtual soirees to which fans are becoming accustomed because of COVID-19.
Referencing the pandemic and its effect on the industry, Rubin and AMPAS CEO Dawn Hudson said, "The upcoming Oscars is the perfect occasion for innovation and for re-envisioning the possibilities for the awards show. This is a dream team who will respond directly to these times."
In the same statement, Soderbergh, Sher and Collins added,"We're thrilled and terrified in equal measure. Because of the extraordinary situation we're all in, there's an opportunity to focus on the movies and the people who make them in a new way, and we hope to create a show that really FEELS like the movies we all love."
By Stephen Iervolino


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> this, but worth checking out.
the patch tracker (ID 923547) waiting for assignment.


Very exciting and dinamic place to work with diverse personnel.
Place where it's possible to develop and reach high level of skilled manager. It's necessary to be persistent and not quit, the dinamic of the Cruise line hospitality can be very challenging.
Free meals, free accommodation and tax free salary.
Long hours in very dinamic shifts trough the day.
A great place to start working in life with.
A life changing experience working on a cruise ship. Go to see the world and meet a lot of guest from different cultures.


Former WWE Diva and TNA Knockout Christy Hemme recently spoke to Hannibal TV to discuss her time with TNA, her favorite Wrestlemania moment, and if she'd ever like to become a writer for WWE given that she's been in screen writing school for over a year now.
"For sure my last couple years in TNA. To be on camera and be able to create for the girls and create a platform for them, I love building other people so that was my favorite. It's fun to do both to be able - I get my fill for myself of being with the fans, and I also get to work with the girls."
"Oh my god. I remember my Wrestlemania, it was one of my first matches, I learned it like it was - I had 10 minutes and me and I had my 10 minute match down. Just as Trish and I were walking out Vince said, 'you got six minutes and Trish is gonna call it to you in the ring.' I said, 'what does that mean?' (laughs) I was like oh my god!"
"He was involved in that. It was a wild time. It was fun."
"You know what, if the shoe fits. Right now I'm in total learn mode. I am exercising my options with other opportunities, wherever I land will be the right thing, but I'm open."


text:
Why Willow Koerber Rockwell Walked Away From Racing
The cross-country star answers questions about life and her sudden retirement from racing.
by brian fiske Published: Apr 12, 2012
When 34-year-old Willow Koerber Rockwellmade it public earlier this week that she was retiring from racing, effective immediately, it was only slightly surprising. Anyone who knows Rockwell—a two-time bronze-medal winner at the world championships, a consistent top World Cup finisher, three-time collegiate national champion—knows that it's not in her to quit. But Rockwell is also all about 100 percent commitment. And, now, that commitment is focused on her newborn daughter, Raven. We caught up with Rockwell at her home in Durango, CO, to talk about her retirement.
The news just became public this week. What's the response been like?
You know how in life there are those gray areas where you're unclear about what to do and there's all this confusion? That was the worst. Right now I feel really clear and calm. I know I made the best choice for my soul and my family and for the highest and greatest good of all of us, and that brings peace.
You've had some real ups and downs since the World Cup in South Africa. Last week it seemed to come to a head, with you deciding to push into the rest of the season. Why the reversal?
It was all the little and bigger signs adding up. I wanted to be fully committed to the Olympics, or to winning the World Championships, and to racing at the highest level. But when I was in South Africa, I found that, to my surprise, it just didn't matter any more. I didn't know what happened, it surprised even me because for close to 17 years this has been the only thing that mattered.
It's like that part of my soul had healed—the chapter was completed, but I actually didn't know it yet. But when I went back I wasn't yet aware that I was finished [with racing]. There were no fireworks, no big moment where everything said "Wow, you're done with this and can walk away in peace." It wasn't like that. I don't think life is like that. It was just this gradual process of realizing where I was and asking myself tough questions.
I had a pretty bad crash the day before the World Cup in South Africa, and that hurt my spirit more than I had expected. About a week later, I crashed again, landed on the same hip. I was wondering what was going on. Why am I not enjoying this? Why am I crashing? And I told myself that I'm bigger than this, I'm better than this, and biking isn't going to get me down and I'm going to keep going. But then the next day I woke up and said, "No, I'm actually done." It was a process of letting go that I hadn't realized was happening.
That must have been hard to share with the team.
My team manager is great. Martin Whiteley, he really has a lot of compassion. He saw me with my daughter and knew that it was different. He really understood. And it's really okay. I feel like I've done my job as a racer by speaking the truth about what's been going on during this process and being real. I'm not just saying to people that I don't have struggles or that once you get to the top it's all just roses.
I don't want to say that I won't be involved in biking at all, but I really am geared toward working with women—either in athletics or women in general. I want to help women embrace the goddess nature in themselves, because I understand how hard it is to be fully embodied in everything it means to be a woman these days. And I want to really just let myself be here with my daughter and nurture that side of me.
Yes, I'm going to go for rides. But I'm also going to run, I'm going to do yoga, if I'm exhausted and my baby is sleeping I'm going to lay down and sleep. My goal right now is to just be able to be—and to listen to—myself, and learn the woman's intuition that was always there but that I just suppressed.
What's your advice for others who are working to find a similar kind of balance?
Be kind to yourself, and surround yourself with people who are supportive of your growth as a human being. Life is a learning process. Nothing stays the same, so really just keep pedaling with the changes. Through one chapter and on to the next, you need to embrace it all, because that's what a fulfilled life is.
Spot's V2 Ryve 115—Better All Around, Still Fast
Spot's Ryve 115 Is a Short-Travel Trail Slayer
Our 14 Favorite Hardtail Mountain Bikes
The Ultimate e-Bike Accessory: Ford's Lightning EV
RockShox Drops Flight Attendant Upgrade Kits
Pivot's Shadowcat Is a Trail Bike Gem
Yeti's SB140 is the SB130's Worthy Successor
Reviewed: Yeti's Brilliant New SB120
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Tested: YT Izzo Uncaged 7


text:
movies. bands + music. comics. books. games. funny stuff. stupid stuff. pithy +/or pissy observations.
Some Kinda Hate
Yep, got another one for ya. It's short, but most of the story happens after the last period. You'll see what I mean. By the way, that after-the-last-period story is really, really nasty.
The title's inspired by the Misfits song, o' course:
As always, here's the table of contents if you want more.
KickerOfElves:
Men With Knives
Profbolt:
East of Rulesville
My stuff:
Out By The Turbines
The Screaming Head of Sister Mary Agnes
Pray For Agatha, Burning In Hell
The Night Is Filled With Maniacs
Gone Shootin'
Creak
Shrouded In Rain
Bodies Not Recovered
Scribblebones
Long Tall Sally
Shik-Chuff
The Damp Basements of Heaven
Up The Stairs Where The Windows Are Painted Black
And little descriptions of actual nightmares I've had
"Don't worry about what was in that tranquilizer dart," the man said as Ted drifted into wakefulness. The light came to him like layers of gauze being peeled away. His eyes felt fat, his head stuffed with cotton, and the voice was clear but seemed distant, echoing. "I was very careful. I did a lot of research on the drug and measured it exactly for your size and weight. I wanted to be very sure. Wouldn't want to kill you."
Ted squeezed his eyes shut and rubbed his head, forcing himself to focus on the man on the other side of the bars. He knew the face and for a second he couldn't place it but then the memory came rocketing through the tranquilizer fog, blowing it all away in a cold wave of terror. "Like hell you don't want to kill me. How could you not want to kill me?"
The man smiled. "Hard to believe, isn't it? But I really don't. I did, for a long time. But that was just impulse, and I'm past that. Now, killing you is the last thing I want to do."
"Then why did you bring me here? And what is this place?" He reached out and pulled at one of the bars. Solid.
"It's an old bomb shelter. Laid in, oh, about the time of the Korean War, I'd guess. Lots of paranoid people back then. Nobody remembers it exists. The man who owned the house died and the thing was buried. I had to dig to find it." He walked back and forth, although the space in front of the bars didn't leave much room for pacing. "I've hidden a few solar panels around to keep that light going a few hours a day. Hooked the water back up, so that toilet and sink are good. I gave myself a course in plumbing to make them work. I learned welding to install those bars. I did a lot of work for you." He smiled the kind of smile you get if you bite into a lemon. "As far as why I brought you here... " He shrugged. "Maybe to offer you a chance at redemption."
"I served my time in prison already."
"Three years," the man snorted.
"It was what they gave me." Ted rubbed his face and squinted in the dimness. He was hemmed in by cement on three sides, with rebar welded in front of them, quite unnecessarily, and the front was a door made of more rebar. The space was cramped by a sink and toilet and piled high with boxes, mostly full of pork and beans if the stenciling on the cartons was to be trusted. The space was smaller than his old cell, barely enough room to lie down. "From the looks of what you've built here, and the sneer in your voice, I'm guessing you don't think three years was enough."
The man -- Warren Osgood, Ted remembered, although throughout the trial he'd thought of him as Julie's dad -- sat down in a ratty lawn chair that grated on the concrete as it took his weight, which was considerable. He'd put on about thirty pounds since Ted had seen him at the trial four years ago, maybe five. He was still short, still had the mustache, but it was grayer now, as was his hair, and there was less of that. The half-decade had been unkind to him.
He sighed. "After you went to prison for beating and raping my daughter, it wasn't over for her. She had problems, my Julie, even before she had the misfortune to run into you. Those problems were why she went out with guys like you, I guess. Perhaps due to luck, or maybe just because people of your level of shittiness are fortunately rare, none of the others treated her the way you did."
The old guilt flowed back into Ted like a blanket lined with lead had dropped onto him. It had never left, but sometimes he felt its weight more, and, seeing Julie's dad, he felt every ounce. He'd been drunk when he did what he did to Julie, and he'd been miserable, desperately miserable. She had been a sad kid, full of need, and he'd given her the worst thing he could have given her. He hated himself for it, but, he'd had problems of his own. That, of course, didn't excuse anything, and he didn't even bother bringing any of it up to Julie's dad. The reasons had always sounded weak even in his own head, and only worse now that he was confronted. They would only enrage Julie's dad if he spoke them. So, he sat and listened.
Julie's dad rubbed his palms together and gritted his teeth. Even in the gloom Ted could see him trembling with rage, talking about this.
"Yeah, Julie had troubles. She didn't think enough of herself, and I, and her mother, were unsuccessful at making her see herself the way we saw her. I know you didn't think much of her -- you coudln't've, to do what you did -- but that girl, my Julie, was my world. You've never loved anyone or anything a tenth as much as I did my little girl. And I couldn't make her see it." He cleared his throat, which sounded tight.
Ted stared down, not wanting to hear any of this but knowing that interrupting would be a bad idea. So he sat and took it, the way you took punches.
"What you did was like pushing a rock off the top of a mountain. Julie never recovered from it. She lasted seven months after you went to prison, miserable every hour of it. I don't know if they told you in prison or not, but she posted a goodbye on a blog at three a.m. when she knew no one would see it in time to try stopping her, then she drove into an overpass support at, they estimate, a hundred and forty miles an hour. Who even knew her car could go that fast?" He chuckled bitterly, a man who'd lived with this heartbreak so long he couldn't even cry over it anymore.
Ted thought of saying "I'm sorry" but knew it would go over worse than a fuck you. The damn thing was, he was sorry. He'd been sorry even before he knew about this. But they were past the place where being sorry does any good, so he just sat, quiet. A fly crawled along his arm, tickling his tattoo. There were lots of flies here, slow and fat in the heavy heat. It should be cold here, underground, but Julie's dad had hooked the solar panels to some heaters, too. He wanted the place uncomfortable, Ted supposed.
"We didn't even get a last look at our little girl, her mother and I. A hundred and forty meeting reinforced concrete doesn't leave much to look at, even without fire. And there was fire." Julie's dad nodded. "Lots of fire. Losing a child is bad enough without a closed casket. Casket, hell, it was an urn. My sweet little girl, who I taught to ride a bike... who I taught to drive, and don't I wish I'd never done that... a coffee can full of her. That's what was left at the bottom of the mountain when the rock you pushed reached it."
He looked down at Ted and smiled the least-smile of a smile Ted had ever seen. "Turns out it wasn't a rock, though. It was a domino. My wife, Sheryl, I guess she lasted, oh, not quite a year. Then she couldn't take it anymore and I came home and I couldn't wake her up. Pills. A hundred and forty miles an hour worth of pills. At least I got an open casket for my second-best girl." He laughed, and Ted wished he wouldn't.
"What happened to me after that doesn't really matter, because I don't care, but I've lost jobs, I drink, I don't sleep worth a fuck. I got a dog, but it ran away. Hell, I don't blame it. I'd run away from me, too."
He laughed and it echoed. Everything here echoed.
"So, you've heard my tale of woe. I'm sure it doesn't really matter a damn to you, but do I have to ask you, in all honesty... would you think three years was fucking ENOUGH?!"
Ted winced. Julie's dad was leaning on the bars, smiling that not-a-smile in at him.
"Probably not," Ted sighed.
"Well, thank you, Mr. Rapist, for your honesty." Julie's dad laughed and paced up and down in the dark. Step-step, turn, step-step, turn. Ted sat, feeling dread build. The talking was done, so, now what?
"So, here are some things you'll need to know, going forward," Julie's dad said, stopping. "You have water. You have sanitation. You have food. Those boxes around you have enough food to last several years. You'll get sick of beans, but, you'll live. What you won't do is get out. Nobody remembers this place. Nobody can hear anything. I've tested all of it. Led Zeppelin could play a gig down here and nobody in the back yard would know it. But, yell if you want. Maybe it'll help pass the time."
Julie's dad took out a key and approached the cage. He opened the door, stepped in, and locked it again and flung the key off into the dark. He took padlocks out of his pockets and fitted them into slots on the door, snapping them shut. Ted stared at him.
"What the hell are you doing?" He backed against the boxes, and there was still barely room for him to squeeze in with Julie's dad's bulk. He thought about fighting him, but it was too late now, they were locked in together. Besides, the tranquilizer had left him feeling so weak he wouldn't stand a chance.
"Locking myself in with you," he said. "Isn't that obvious?"
Julie's dad reached under his coat, behind his back, and pulled out a snub-nosed .357 Magnum.
"What the fuck?" Ted asked. "What're you..."
"Relax," Julie's dad grinned. "I told you I wasn't going to kill you, and I'm not. I hate you far too much to kill you."
"Then why the gun?"
Julie's dad laughed. They were almost chest-to-chest in the confines of the cage. The heat was terrible and flies buzzed around them both. "If I were you," Julie's dad whispered, "I'd eat as much of me as you could, so there'll be less to rot. It's going to get awful close in here as the months go by and the heat gets bad and the flies get busy."
Then, while Ted screamed, Julie's dad stuck the gun into his laughing mouth and fired its single bullet.
Posted by Zwolf at 08:44 2 comments:
Labels: horror, horror short stories, short stories
Yep, another short story. This one should be enough to get me excommunicated... and I'm not even Catholic. That'll probably be obvious to any Catholics out there, because I'm sure I got a lot of stuff wrong. I'm not a church-guy at all and about all I know of "the business" I picked up from The Exorcist, so feel free to correct me... provided we're still on speaking terms when you get to that last line.
This one's a lot shorter than usual, so, there's that.
As always, feedback is great, and if ya want more, here's the table of contents:
Father Thomas trembled as he examined the severed head in his hands; even through his gloves he could feel the suppleness of the flesh, though surely the feeling of warmth was just a trick of his mind.
She was perfect. A genuine incorruptible. Exactly what they needed.
"That's really been in there for four centuries?" Stephen said, stepping a little closer for a look. He'd opened the wall of the convent for them readily enough, but once he'd pried out the bricks he'd backed away, terrified of the idea of relics, much less the actual sight of one. Stephen had said he was a Catholic, but relics and incorruptibles were a step over the line for all but the most fundamental.
"Almost," Father Thomas whispered. "Sister Mary Agnes was decapitated by a Muslim invader in 1632, for refusing to denounce Christ. Even as her head rolled away it kept mouthing praises to Jesus." Overwhelmed, Father Thomas gently placed the head on the linen-covered cart they'd brought for it. The state of the head was miraculous; not only was it dry and undecayed, it smelled faintly of hyacinths. Father Thomas had been skeptical of the tales of incorruptible saints -- he was cynic enough to know his own church wasn't above the occasional trick to sway the faithful -- but here was proof, taken directly from the vault where it had lain for four hundred years, undisturbed in darkness and silence. Other than some drying and the slightest shriveling, the head could almost have been placed there last week.
"And the body?" Stephen asked, crouching for a closer look but still maintaining a distance, though now possibly more out of reverence than repulsion.
"Cast into flames. The head would have been, too, but a few of Sister Mary Agnes's sister nuns gathered it up and made away with it. They were convinced she was a saint, and not just a martyr, for the way the head kept praying even after death. They hid it in the wall here while the convent was still under construction. And it's been unseen ever since." Father Thomas leaned against the wall beside the hole they'd taken it from. Only the most modern sounding equipment had determined the existence of the cavity. Until then he'd almost been convinced that the story of the head of Mary Agnes was only a legend.
And here she was. He'd been expecting, at best, a mummy, something they'd have to play up a great deal, but this was more than enough proof of incorruptibility. And incorruptibles were rare. Even most saints had eventually turned to dust, leaving a relic or two at best, maybe a tooth or finger bone or lock of hair. You were very lucky if you got something like Saint Bernadette, or the vial of blood of Januarius.
But here she was. Mary Agnes. Eyes closed as though asleep. Mouth slack, drawn back only slightly over the teeth, greying hair clipped short but lush, clean. The stump of the neck was dark with blood that had dried to something like black glass. Tiny flakes of it were caught in the cotton of his gloves. He wondered if water might make them turn red and flow again. It certainly seemed possible. What should have been only dust and bone, flowing and red. A miracle.
And they needed one. Religion, in general, was losing its grip on society. What was left was becoming increasingly radicalized and hardened, entangled with politics that often contradicted the teachings of Christ and thus unattractive to those who just wanted to live a good life. The Catholic church, in particular, had just been recovering from the stigma of child molestation, but in recent months another conspiracy had been uncovered, throwing the church into desperation. He hated to think of the faith in terms of marketing, but in truth, the church was in desperate need of a public relations boost, of rebranding. Media attention needed to be turned in a more positive direction.
Sister Mary Agnes was the perfect means to that end. The story, with its severed head as a centerpiece, was lurid enough to draw headlines all over the world. And the preserved state of the head was a legitimate miracle that would provoke much discussion. And canonizing a new saint was always an event, and a female would make the church seem progressive and modern. Sister Mary Agnes was certainly deserving, with a grisly-yet-inspirational story that few would be able to ignore.
The word "godsend" gets thrown around so much it's practically used in vain, Father Thomas thought, but that was certainly what this head was.
He looked at the head, a peaceful sleeper, who might at any moment open her eyes, it seemed. Even in death, she had a quiet beauty. She hadn't been a young woman, but you could tell, in younger years, she'd been a thing to see. Noting the beauty of the head would not hurt. The world would want to see it and, placed in a proper setting, the gruesome nature of what it was could be minimized.
Affectionately he stroked the head's hair. She would be pleased, he thought, to still be serving the church nearly four centuries after martyrdom.
"Shall I brick it back up?" Stephen asked.
"No, leave it for the while. It should be photographed. News crew will still want to film it."
He shrugged. "Okay, I guess so. It's amazing, how intact it is. Still gives me the creeps, though, if that's not blasphemous to say."
Father Thomas laughed. "No, it's not blasphemous. And there's no way a severed head, even one of a saint, won't be a little creepy."
Carefully, he and the Bishops rolled the cart back to their offices. Now that they knew what they had, a special glass case would have to be prepared. Later, they'd even have to contact the Pope.
The phone rang at just past 3 a.m. Father Thomas broke away from sleep and fumbled to pick it up.
It was Frances, his Bishop. He sounded shaken, could barely find his voice. "Tom... Tom, it's talking."
"What's talking?" Father Thomas yawned, trying to force himself awake.
"The head. Sister Mary Agnes. She's... she's screaming, actually."
Father Thomas wanted to laugh. Frank had a sense of humor, but this was bizarre for him, and in bad taste. "What do you mean, she's screaming?"
"Exactly what I said. The head is screaming."
"Now, Frank..."
"I know, it sounds crazy, it is crazy, but I've seen it."
Father Thomas sat on the edge of the bed, wondering if he was dreaming. He must be. He sighed. "Okay, I'll play along. So, what is she screaming?"
"I can only make out a word here and there. It's mostly just screaming, no words. The rest is Latin, an old dialect, I'm not good in it. Something about rats, betrayal... I really can't make out much. It's horrific, Tom, I've never heard anything so horrific."
Father Thomas rubbed his face. "I'll be down there. Look up the number for Father Alphonse. He's an expert in seventeenth-century Latin. Don't call him yet, though. I want to see this and make sure it's something real, something worth involving him. Frank, this is crazy."
"I'm not arguing otherwise. But I've seen it! Heard it. And I wish I never had."
Father Thomas sighed. "I'll be there shortly. And Frank -- film it in case it stops."
"We're already doing that. See you."
"Yeah." Father Thomas ended the call and got up and dressed, mechanically, his mind overwhelmed with what he might be about to see.
Father Thomas, for one brief year of his youth, had flirted with a drinking problem. For the first time since entering the seminary he missed those days. Irish whiskey, that's what he wanted. A bottle. Throw the cap away, he wouldn't need it again, not after what he'd seen.
It was more miraculous than ever... and less helpful. It wasn't inspiring, it was frightening. Terrifying. The most nightmarish thing he'd ever seen, and now he didn't know what to think about the world.
He could still hear it, behind the door, far down the hallway. His hands were trembling, remembering the sight of the head, on a stainless steel laboratory tray, screaming. The voice was a squeak, mingled with a crow's call, a buzz-saw blade cutting into his mind with its supernatural absurdity.
He'd made out a few words in Latin, but they made no sense. Oceans and rivers of rats, rains of rot, scourging, blood, rape, a grand deceit. Was this a prophecy for the Earth? The form Armageddon would take? Dear God, he prayed not.
He'd given word to summon Father Alphonse, out of everyone he knew the most likely to be able to translate. Cameras had been mounted to record every moment of the head's screaming in case it stopped. So far it showed no signs of doing so, however. To call it distressed was a huge understatement. The head was frantic.
Reportedly it had started by moving its lips and mouthing words, and gradually had found its voice, lost for four centuries. The eyes, too, were open now, startlingly wide, pale silvery gray like the side of a fish.
It looked anything but holy.
Bishop Frances joined him in the hallway, his eyes stunned. He glanced at Father Thomas. "What are we going to do, Tom?" he asked.
Father Thomas spread his hands and shrugged. "I have no idea. I fear it's something Apocalyptic. One thing's for certain; we finally have undeniable proof of the divine. Or perhaps the diabolical. But something beyond our world. I've always wanted that, but now that it's come, in this form... it terrifies me."
"I wonder what to do with the head. She seems to be suffering. Driven mad with suffering. We can't leave her that way."
Father Thomas rubbed his face. "I have no idea what to do about any of this. It's... it's too much. All I know to do is wait for Father Alphonse. Maybe he can converse with the thing... with Sister Mary Agnes. Maybe she can tell us what to do. I've never seen anything like this. I'm at a loss."
"I wish we'd left her in the wall," Bishop Frances said. "I can't imagine this ends well."
Father Thomas shook his head. Surely, it could not.
Father Alphonse had come in on an early flight, and he'd gone into the room with the head of Sister Mary Agnes already pale and shaking. Now, three hours later, he came out considerably worse. He scurried down the hallway to Father Thomas's office, refusing to slow down until they couldn't hear the head's screams, which had only grown louder and more frantic as time wore on.
He dropped into a chair and mopped at his sweat as Father Thomas and Bishop Frances joined him and locked the door, as he requested.
"Well, could you make sense of what she was saying?" Father Thomas asked, sitting behind his desk.
Father Alphonse nodded. "She has a message for us. She's seen beyond death and is reporting back." He wiped his face, gone nearly as white as the handkerchief he used. Father Thomas waited, displaying more patience than he felt. The state of Father Alphonse frightened him. He'd never seen a man so shaken, and Father Alphonse was one of the bravest men he'd ever met, having served as a medic in several wars. He was anxious to hear what he had to say, but filled with a quivering dread.
"She... she spoke of people being driven naked through a valley of thorns, burning hot, over hundreds of miles, through poisonous winds that festered their wounds, made them rot and stink and seep. Pestilential rains of rotting flesh, rotten to liquid slime, formed lakes, and all about were fevers and plagues, bringing miseries tenfold the worst found on Earth. There are rivers made of vermin instead of water, flowing into a vast ocean of swollen, pustulent rats, all frantically biting. People are thrown in and made to swim for the amusement of a bloody smiling king, who is mad. All around him is the worst, vilest debauchery, perversions, hideous tortures, mass rapes. Skinless beings are rolled in salt and raped by beasts. They all starve and there is nothing to eat but each other. They're maddened by thirst that's never quenched. Blood flows everywhere and the air is constantly sliced by metal-barbed whips. And over it all the bloody smiling king laughs, laughs at the great trick he's played on mankind, the great betrayal, the monstrous deceit. He roars with laughter, crazed with the success of his trickery. It's all a trap of torment and sickness with no escape, miseries a thousandfold worse than anything dreamed of on Earth. The things she described... I can't repeat them all... I felt my mind twisting, souring, just from hearing them. And she witnessed them all, and came back to warn us all of the trickery, the deceit, the madness and chaos." He wiped his face again.
Father Thomas looked at Bishop Frances and back to the trembling Father Alphonse. "It's horrible, but, at least we're being given warning," he said. "We can get the word out, and now we have proof. Thanks to Sister Mary Agnes's miracle, we can conclusively warn mankind that, at all costs, they must avoid the terrors of Hell."
"Hell?" Father Alphonse snapped, looking at Father Thomas, his eyes pale and bright with shock. "Hell? No, Thomas, not Hell... it's Heaven she's describing!"
Posted by Zwolf at 10:33 1 comment:
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Star Trek: The Motion Picture V'Ger
Despite V'Ger's penchant for wanton destruction, we can't help but like the little weirdo. It might be acting out, but we can certainly relate to the feeling of not knowing what you need, but simply knowing that you need something.
It's kind of like every time we stand in front of a vending machine. We don't know if we need Doritos or Skittles…we just know that we need.
In a way, V'Ger has a classic rags-to-riches tale. Born Voyager VI, a poor unmanned space probe from the planet Earth, it was caught in a black hole before being saved by a society of sentient machines.
And these guys didn't just nurse him back to health—they gave him a major upgrade. From there, V'Ger continued its travels, now armed with this pesky thing called "self-awareness" and an overwhelming desire to reunite with its Creator.
That's about when the movie starts. If we accept Spock's claim that V'Ger is nothing more than a "child," then its destruction seems a lot like a temper tantrum. It's a way to get attention.
Like a tween experiencing the blinding rage of hormones, V'Ger is no longer content with simply doing what it's told. It wants to understand why.
Learning the Ropes
What's more, V'Ger doesn't seem to understand these strange biological creatures it keeps encountering—they're nothing like the form of life it's used to. So you can understand its shock when it discovers that humanity is its Creator. How is V'Ger supposed to comprehend that with all of its "pure logic?"
As it turns out, the answer is "by merging with humanity." This presents a bold leap forward for V'Ger—an entity that's no stranger to bold leaps. From unmanned probe to self-aware machine to robot-human hybrid, V'Ger is making moves and rising up the pecking order in the universe.
Good for you, little buddy.
Scene 10
Life, Consciousness, and Existence
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Spock (Leonard Nimoy)
Decker (Stephen Collins)
Ilia (Persis Khambatta)
Bones (DeForest Kelley)
Music (Score)
Voyager VI
Inside V'Ger
The Kolinahr Necklace
Hero's Journey
Shock Rating


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567 Shark River Station Road
Wall, NJ 07727
This large 11.99 Acre Lot (Just Under 12 Acres) and is Multi Zoned R-60 (Residential) & GI 10 (General Industrial 10 Acre Parcel). You can build your dream home and your business here and always be within walking distance of home and work.This land has many possible uses and is priced very attractively on a per acre basis.So there are also, many business/commercial type uses.Please check the attachment in under documents for this listing for all permitted uses
Wall (WAL)
Wall Intermediate
Dead End Street
Listing information © 2022 Monmouth-Ocean MLS. Listing provided courtesy of Mitchell Zafrani of Statewide Realty & Property Management Llc.
May 1, 2021 260 days ago Price Reduced : $-110,900 (-12.9%) $749,000
Feb 6, 2021 345 days ago Price Reduced : $-40,100 (-4.46%) $859,900
© 2022 Monmouth-Ocean MLS. IDX information is provided exclusively for consumers' personal, non-commercial use and may not be used for any purpose other than to identify prospective properties consumers may be interested in purchasing. Data is deemed reliable but is not guaranteed accurate by the MLS or Halo Realty. Data last updated 2022-01-17T19:19:36.073.
567 Shark River Station Road Wall, NJ 07727
Lot Description Dead End Street Outbuildings None Water View No Waterfront No
Assessment Status Assessed Assessment Total 0.00 Cable At Street Electric At Street Farm Assessed No Gas At Street Land Subtype Commercial Lease No Water Sewer Septic - NeededWell - Needed
© 2022 Garden State Multiple Listing Service, LLC. All rights reserved. IDX information is provided exclusively for consumers' personal, non-commercial use and may not be used for any purpose other than to identify prospective properties consumers may be interested in purchasing. Information is deemed reliable but is not guaranteed accurate by the MLS or Halo Realty. Notice: The dissemination of listings on this website does not constitute the consent required by N.J.A.C. 11:5.6.1 (n) for the advertisement of listings exclusively for sale by another broker. Any such consent must be obtained in writing from the listing broker.The data relating to real estate for sale or lease on this web site comes in part from GSMLS. Real estate listings held by brokerage firms other than Halo Realty are marked with the GSMLS logo or an abbreviated logo and detailed information about them includes the name of the listing broker. Data last updated 2022-01-17T18:46:25.14.
The data relating to real estate for sale on this web-site comes in part from the Internet Listing Display database of the CENTRAL JERSEY MULTIPLE LISTING SYSTEM, INC. Real estate listings held by brokerage firms other than this site-owner are marked with the ILD logo. The CENTRAL JERSEY MULTIPLE LISTING SYSTEM, INC does not warrant the accuracy, quality, reliability, suitability, completeness, usefulness or effectiveness of any information provided. Copyright 2022, CENTRAL JERSEY MULTIPLE LISTING SYSTEM, INC. All rights reserved. The CENTRAL JERSEY MULTIPLE LISTING SYSTEM, INC retains all rights, title and interest in and to its trademarks, service marks and copyrighted material. The information being provided is for consumers' personal, non-commercial use and may not be used for any purpose other than to identify properties the consumer may be interested in purchasing or renting. Data last updated: 2022-01-17T19:07:48.053.


text:
Q: Why is the eclipse Log Cat not working properly? I am new to eclipse, which I want to use to develop Android applications. I am using eclipse 4.4.0   with Android Development Tools 23.0.1.1256982. Once I run a project, I click on the upper left 'DDMS' button to see the Log-Cat entries, but I only see what is in the screenshot below:

It looks like that Log Cat only shows the level of each log message, but neither content nor timestamp not anything else. How can I fix this in order to use LogCat to debug my code?

A: You dont have any devices that are connected to ADB. You probably need to get the appropriate drivers for your device or enable USB debugging. If no device shows up under the Devices tab (present in your screen shot), you will not see any log cat messages.

A: Causes of Logcat stopping,

*

*If you use multiple emulator same time it stopped work.

*Change one emulator to another.

*If you Don`t start a emulator.

It Solve by following steps,
DDMS-> DEVICES-> SELECT YOUR CURRENT EMULATOR-> OK
problem solved.
I think your problem is 3rd reason..goto AVD manager and start a emulator.

A: Update:
I see the problem now. Eclipse J2EE is known to have conflicts with Eclipse ADT. You should maintain two different Eclipses for your projects, one for your J2EE projects and a separate one for Android. Or if you want to do some development on Phone Gap/Cordova, you should install the Web Tools Platform plugin on top of ADT.

Logcat seems to have worked in the past. One problem seems to be that you only have one column of logcat showing, the level column. Right-click on the header of logcat to add more columns, or click on the border of the column to expand it to the right, or the left.
The second problem is that the 4.x emulator is still really slow. That is why you're not currently being shown a device in the device panel window. You took your screenshot too quickly. To fix that issue, you should do one of three things: wait longer, test on an actual hardware device, or install an Intel-based emulator (just be careful of that last option, that option is complicated because there are several steps involved, and most programmers end up forgetting a step or two to make that option work correctly).

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